Sample records for study managing potentially

  1. Does grazing management matter for soil carbon sequestration in shortgrass steppe?

    USDA-ARS?s Scientific Manuscript database

    Considerable uncertainty remains regarding the potential of grazing management on semiarid rangelands to sequester soil carbon. Short-term (less than 1 decade) studies have determined that grazing management potentially influences fluxes of carbon, but such studies are strongly influenced by prevail...

  2. Radar, Insect Population Ecology, and Pest Management

    NASA Technical Reports Server (NTRS)

    Vaughn, C. R. (Editor); Wolf, W. (Editor); Klassen, W. (Editor)

    1979-01-01

    Discussions included: (1) the potential role of radar in insect ecology studies and pest management; (2) the potential role of radar in correlating atmospheric phenomena with insect movement; (3) the present and future radar systems; (4) program objectives required to adapt radar to insect ecology studies and pest management; and (5) the specific action items to achieve the objectives.

  3. Potential Use of Course Management Systems in Higher Education Institutions in Jordan

    ERIC Educational Resources Information Center

    Al-Shboul, Muhannad

    2011-01-01

    Given the increased adoption of the CMS (course management systems) as an instructional tool, it is important to address the potential use of this technology in Jordanian higher education institutions. This study investigates the potential to use CMS tools in instruction in the academic institutions in Jordan. This study does not seek to evaluate…

  4. Computer Simulation for Pain Management Education: A Pilot Study.

    PubMed

    Allred, Kelly; Gerardi, Nicole

    2017-10-01

    Effective pain management is an elusive concept in acute care. Inadequate knowledge has been identified as a barrier to providing optimal pain management. This study aimed to determine student perceptions of an interactive computer simulation as a potential method for learning pain management, as a motivator to read and learn more about pain management, preference over traditional lecture, and its potential to change nursing practice. A post-computer simulation survey with a mixed-methods descriptive design was used in this study. A college of nursing in a large metropolitan university in the Southeast United States. A convenience sample of 30 nursing students in a Bachelor of Science nursing program. An interactive computer simulation was developed as a potential alternative method of teaching pain management to nursing students. Increases in educational gain as well as its potential to change practice were explored. Each participant was asked to complete a survey consisting of 10 standard 5-point Likert scale items and 5 open-ended questions. The survey was used to evaluate the students' perception of the simulation, specifically related to educational benefit, preference compared with traditional teaching methods, and perceived potential to change nursing practice. Data provided descriptive statistics for initial evaluation of the computer simulation. The responses on the survey suggest nursing students perceive the computer simulation to be entertaining, fun, educational, occasionally preferred over regular lecture, and with potential to change practice. Preliminary data support the use of computer simulation in educating nursing students about pain management. Copyright © 2017 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  5. Do managed bees have negative effects on wild bees?: A systematic review of the literature

    PubMed Central

    Gratton, Claudio

    2017-01-01

    Managed bees are critical for crop pollination worldwide. As the demand for pollinator-dependent crops increases, so does the use of managed bees. Concern has arisen that managed bees may have unintended negative impacts on native wild bees, which are important pollinators in both agricultural and natural ecosystems. The goal of this study was to synthesize the literature documenting the effects of managed honey bees and bumble bees on wild bees in three areas: (1) competition for floral and nesting resources, (2) indirect effects via changes in plant communities, including the spread of exotic plants and decline of native plants, and (3) transmission of pathogens. The majority of reviewed studies reported negative effects of managed bees, but trends differed across topical areas. Of studies examining competition, results were highly variable with 53% reporting negative effects on wild bees, while 28% reported no effects and 19% reported mixed effects (varying with the bee species or variables examined). Equal numbers of studies examining plant communities reported positive (36%) and negative (36%) effects, with the remainder reporting no or mixed effects. Finally, the majority of studies on pathogen transmission (70%) reported potential negative effects of managed bees on wild bees. However, most studies across all topical areas documented the potential for impact (e.g. reporting the occurrence of competition or pathogens), but did not measure direct effects on wild bee fitness, abundance, or diversity. Furthermore, we found that results varied depending on whether managed bees were in their native or non-native range; managed bees within their native range had lesser competitive effects, but potentially greater effects on wild bees via pathogen transmission. We conclude that while this field has expanded considerably in recent decades, additional research measuring direct, long-term, and population-level effects of managed bees is needed to understand their potential impact on wild bees. PMID:29220412

  6. Do managed bees have negative effects on wild bees?: A systematic review of the literature.

    PubMed

    Mallinger, Rachel E; Gaines-Day, Hannah R; Gratton, Claudio

    2017-01-01

    Managed bees are critical for crop pollination worldwide. As the demand for pollinator-dependent crops increases, so does the use of managed bees. Concern has arisen that managed bees may have unintended negative impacts on native wild bees, which are important pollinators in both agricultural and natural ecosystems. The goal of this study was to synthesize the literature documenting the effects of managed honey bees and bumble bees on wild bees in three areas: (1) competition for floral and nesting resources, (2) indirect effects via changes in plant communities, including the spread of exotic plants and decline of native plants, and (3) transmission of pathogens. The majority of reviewed studies reported negative effects of managed bees, but trends differed across topical areas. Of studies examining competition, results were highly variable with 53% reporting negative effects on wild bees, while 28% reported no effects and 19% reported mixed effects (varying with the bee species or variables examined). Equal numbers of studies examining plant communities reported positive (36%) and negative (36%) effects, with the remainder reporting no or mixed effects. Finally, the majority of studies on pathogen transmission (70%) reported potential negative effects of managed bees on wild bees. However, most studies across all topical areas documented the potential for impact (e.g. reporting the occurrence of competition or pathogens), but did not measure direct effects on wild bee fitness, abundance, or diversity. Furthermore, we found that results varied depending on whether managed bees were in their native or non-native range; managed bees within their native range had lesser competitive effects, but potentially greater effects on wild bees via pathogen transmission. We conclude that while this field has expanded considerably in recent decades, additional research measuring direct, long-term, and population-level effects of managed bees is needed to understand their potential impact on wild bees.

  7. Sound management may sequester methane in grazed rangeland ecosystems

    PubMed Central

    Wang, Chengjie; Han, Guodong; Wang, Shiping; Zhai, Xiajie; Brown, Joel; Havstad, Kris M.; Ma, Xiuzhi; Wilkes, Andreas; Zhao, Mengli; Tang, Shiming; Zhou, Pei; Jiang, Yuanyuan; Lu, Tingting; Wang, Zhongwu; Li, Zhiguo

    2014-01-01

    Considering their contribution to global warming, the sources and sinks of methane (CH4) should be accounted when undertaking a greenhouse gas inventory for grazed rangeland ecosystems. The aim of this study was to evaluate the mitigation potential of current ecological management programs implemented in the main rangeland regions of China. The influences of rangeland improvement, utilization and livestock production on CH4 flux/emission were assessed to estimate CH4 reduction potential. Results indicate that the grazed rangeland ecosystem is currently a net source of atmospheric CH4. However, there is potential to convert the ecosystem to a net sink by improving management practices. Previous assessments of capacity for CH4 uptake in grazed rangeland ecosystems have not considered improved livestock management practices and thus underestimated potential for CH4 uptake. Optimal fertilization, rest and light grazing, and intensification of livestock management contribute mitigation potential significantly. PMID:24658176

  8. Sound management may sequester methane in grazed rangeland ecosystems.

    PubMed

    Wang, Chengjie; Han, Guodong; Wang, Shiping; Zhai, Xiajie; Brown, Joel; Havstad, Kris M; Ma, Xiuzhi; Wilkes, Andreas; Zhao, Mengli; Tang, Shiming; Zhou, Pei; Jiang, Yuanyuan; Lu, Tingting; Wang, Zhongwu; Li, Zhiguo

    2014-03-24

    Considering their contribution to global warming, the sources and sinks of methane (CH4) should be accounted when undertaking a greenhouse gas inventory for grazed rangeland ecosystems. The aim of this study was to evaluate the mitigation potential of current ecological management programs implemented in the main rangeland regions of China. The influences of rangeland improvement, utilization and livestock production on CH4 flux/emission were assessed to estimate CH4 reduction potential. Results indicate that the grazed rangeland ecosystem is currently a net source of atmospheric CH4. However, there is potential to convert the ecosystem to a net sink by improving management practices. Previous assessments of capacity for CH4 uptake in grazed rangeland ecosystems have not considered improved livestock management practices and thus underestimated potential for CH4 uptake. Optimal fertilization, rest and light grazing, and intensification of livestock management contribute mitigation potential significantly.

  9. Towards an integrated species and habitat management of crop pollination.

    PubMed

    Garibaldi, Lucas A; Requier, Fabrice; Rollin, Orianne; Andersson, Georg Ks

    2017-06-01

    Pollination deficits are widespread in current agriculture, so improving management for crop pollination is critical. Here we review the two most common management approaches to enhance crop pollination, species and habitat management, by providing referenced lists of successful examples. We pinpoint that these approaches have been studied in isolation from each other, with little discussion on potential synergies and trade-offs between them. The potential costs of species management (e.g., loss of biodiversity due to biological invasion), as well as the potential benefits to managed pollinator species from habitat restoration, are rarely quantified. An integrative approach to crop pollination should be implemented, accounting for the cost and benefits (including those beyond crop production) and interactions of species and habitat management. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Which potential harms and benefits of using ginger in the management of nausea and vomiting of pregnancy should be addressed? a consensual study among pregnant women and gynecologists.

    PubMed

    Shawahna, Ramzi; Taha, Assim

    2017-04-08

    Nausea and vomiting of pregnancy (NVP) affect approximately 80-90% of the pregnant women. Ginger (Zingiber officinale Roscoe) is the most widely used herbal therapy in the management of NVP. Like conventional therapies, herbal therapies have potential harms and benefits that patients need to be informed about in order to develop their therapy preferences. The aim of this study was to achieve consensus among women who suffered NVP and physicians often consulted by pregnant women on a core list of potential harms and benefits of using ginger to manage NVP to be addressed during clinical consultations. In this study, the Delphi technique was used to achieve consensus on a core list of important harms and benefits of using ginger in the management of NVP to be addressed during the clinical consultation. A Delphi process was followed in two panels in parallel sessions. One panel was composed of 50 gynecologists and other physicians who are often consulted by pregnant women suffering NVP and the other panel was composed of 50 women who suffered NVP. Consensus was achieved on 21 (75%) of the 28 potential harms presented to the panelists. Panelists agreed that potential harms of the anticoagulant effects of ginger, risk with other co-morbidities, and risk of potential allergic reactions are important to address during the clinical consultation. Of the 14 potential benefits presented to the panelists in both panels, consensus was achieved on 13 (92.9%). Partial consensus on 7 potential harms and 1 potential benefit was achieved in both panels. Addressing important potential harms and benefits of using ginger for the management of NVP during the clinical consultations is important in promoting congruence and reducing patient dissatisfaction in clinical practice. Consensus was achieved on a core list of important harms and benefits of using ginger for the management of NVP to be addressed during the clinical consultations by a panel of women and a panel of physicians. Further studies are still needed to investigate what is being addressed during clinical consultations.

  11. Toxicity potentials from waste cellular phones, and a waste management policy integrating consumer, corporate, and government responsibilities

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

    Lim, Seong-Rin; Schoenung, Julie M., E-mail: jmschoenung@ucdavis.ed

    Cellular phones have high environmental impact potentials because of their heavy metal content and current consumer attitudes toward purchasing new phones with higher functionality and neglecting to return waste phones into proper take-back systems. This study evaluates human health and ecological toxicity potentials from waste cellular phones; highlights consumer, corporate, and government responsibilities for effective waste management; and identifies key elements needed for an effective waste management strategy. The toxicity potentials are evaluated by using heavy metal content, respective characterization factors, and a pathway and impact model for heavy metals that considers end-of-life disposal in landfills or by incineration. Cancermore » potentials derive primarily from Pb and As; non-cancer potentials primarily from Cu and Pb; and ecotoxicity potentials primarily from Cu and Hg. These results are not completely in agreement with previous work in which leachability thresholds were the metric used to establish priority, thereby indicating the need for multiple or revised metrics. The triple bottom line of consumer, corporate, and government responsibilities is emphasized in terms of consumer attitudes, design for environment (DfE), and establishment and implementation of waste management systems including recycling streams, respectively. The key strategic elements for effective waste management include environmental taxation and a deposit-refund system to motivate consumer responsibility, which is linked and integrated with corporate and government responsibilities. The results of this study can contribute to DfE and waste management policy for cellular phones.« less

  12. Toxicity potentials from waste cellular phones, and a waste management policy integrating consumer, corporate, and government responsibilities.

    PubMed

    Lim, Seong-Rin; Schoenung, Julie M

    2010-01-01

    Cellular phones have high environmental impact potentials because of their heavy metal content and current consumer attitudes toward purchasing new phones with higher functionality and neglecting to return waste phones into proper take-back systems. This study evaluates human health and ecological toxicity potentials from waste cellular phones; highlights consumer, corporate, and government responsibilities for effective waste management; and identifies key elements needed for an effective waste management strategy. The toxicity potentials are evaluated by using heavy metal content, respective characterization factors, and a pathway and impact model for heavy metals that considers end-of-life disposal in landfills or by incineration. Cancer potentials derive primarily from Pb and As; non-cancer potentials primarily from Cu and Pb; and ecotoxicity potentials primarily from Cu and Hg. These results are not completely in agreement with previous work in which leachability thresholds were the metric used to establish priority, thereby indicating the need for multiple or revised metrics. The triple bottom line of consumer, corporate, and government responsibilities is emphasized in terms of consumer attitudes, design for environment (DfE), and establishment and implementation of waste management systems including recycling streams, respectively. The key strategic elements for effective waste management include environmental taxation and a deposit-refund system to motivate consumer responsibility, which is linked and integrated with corporate and government responsibilities. The results of this study can contribute to DfE and waste management policy for cellular phones. 2010 Elsevier Ltd. All rights reserved.

  13. Nurse manager cognitive decision-making amidst stress and work complexity.

    PubMed

    Shirey, Maria R; Ebright, Patricia R; McDaniel, Anna M

    2013-01-01

      The present study provides insight into nurse manager cognitive decision-making amidst stress and work complexity.   Little is known about nurse manager decision-making amidst stress and work complexity. Because nurse manager decisions have the potential to impact patient care quality and safety, understanding their decision-making processes is useful for designing supportive interventions.   This qualitative descriptive study interviewed 21 nurse managers from three hospitals to answer the research question: What decision-making processes do nurse managers utilize to address stressful situations in their nurse manager role? Face-to-face interviews incorporating components of the Critical Decision Method illuminated expert-novice practice differences. Content analysis identified one major theme and three sub-themes.   The present study produced a cognitive model that guides nurse manager decision-making related to stressful situations. Experience in the role, organizational context and situation factors influenced nurse manager cognitive decision-making processes.   Study findings suggest that chronic exposure to stress and work complexity negatively affects nurse manager health and their decision-making processes potentially threatening individual, patient and organizational outcomes.   Cognitive decision-making varies based on nurse manager experience and these differences have coaching and mentoring implications. This present study contributes a current understanding of nurse manager decision-making amidst stress and work complexity. © 2012 Blackwell Publishing Ltd.

  14. The Learning Credit Card: A Tool for Managing Personal Development

    ERIC Educational Resources Information Center

    Rushby, Nick; Twining, John; Twining, Nick; Devitt, Thomas

    2008-01-01

    This is the report of a five month study, undertaken by Sundridge Park Training Technologies in association with Guildford Educational Services to assess the potential of smart card technology to support learning and the management of learning. The study had two strands--the state of the art of the technology and its potential for supporting,…

  15. Low-Cost Computer-Aided Instruction/Computer-Managed Instruction (CAI/CMI) System: Feasibility Study. Final Report.

    ERIC Educational Resources Information Center

    Lintz, Larry M.; And Others

    This study investigated the feasibility of a low cost computer-aided instruction/computer-managed instruction (CAI/CMI) system. Air Force instructors and training supervisors were surveyed to determine the potential payoffs of various CAI and CMI functions. Results indicated that a wide range of capabilities had potential for resident technical…

  16. The Relation between Time Management Skills and Academic Achievement of Potential Teachers

    ERIC Educational Resources Information Center

    Cemaloglu, Necati; Filiz, Sevil

    2010-01-01

    The aim of this study is to determine the relationship between the time management skills and academic achievement of students who are potential teachers studying in faculties of education. The research was conducted in the 2007-08 academic term among 849 graduate students in the Faculty of Education at Gazi University. The "Time Management…

  17. Assessment of groundwater recharge potential zone using GIS approach in Purworejo regency, Central Java province, Indonesia

    NASA Astrophysics Data System (ADS)

    Aryanto, Daniel Eko; Hardiman, Gagoek

    2018-02-01

    Floods and droughts in Purworejo regency are an indication of problems in groundwater management. The current development progress has led to land conversion which has an impact on the problem of water infiltration in Purworejo regency. This study aims to determine the distribution of groundwater recharge potential zones by using geographic information system as the basis for ground water management. The groundwater recharge potential zone is obtained by overlaying all the thematic maps that affect the groundwater infiltration. Each thematic map is weighted according to its effect on groundwater infiltration such as land-use - 25%, rainfall - 20%, litology - 20%, soil - 15%, slope - 10%, lineament - 5%, and river density - 5% to find groundwater recharge potential zones. The groundwater recharge potential zones thus obtained were divided into five categories, viz., very high, high, medium, low and very low zones. The results of this study may be useful for better groundwater planning and management.

  18. Data base management study

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Data base management techniques and applicable equipment are described. Recommendations which will assist potential NASA data users in selecting and using appropriate data base management tools and techniques are presented. Classes of currently available data processing equipment ranging from basic terminals to large minicomputer systems were surveyed as they apply to the needs of potential SEASAT data users. Cost and capabilities projections for this equipment through 1985 were presented. A test of a typical data base management system was described, as well as the results of this test and recommendations to assist potential users in determining when such a system is appropriate for their needs. The representative system tested was UNIVAC's DMS 1100.

  19. Internet of things and Big Data as potential solutions to the problems in waste electrical and electronic equipment management: An exploratory study.

    PubMed

    Gu, Fu; Ma, Buqing; Guo, Jianfeng; Summers, Peter A; Hall, Philip

    2017-10-01

    Management of Waste Electrical and Electronic Equipment (WEEE) is a vital part in solid waste management, there are still some difficult issues require attentionss. This paper investigates the potential of applying Internet of Things (IoT) and Big Data as the solutions to the WEEE management problems. The massive data generated during the production, consumption and disposal of Electrical and Electronic Equipment (EEE) fits the characteristics of Big Data. Through using the state-of-the-art communication technologies, the IoT derives the WEEE "Big Data" from the life cycle of EEE, and the Big Data technologies process the WEEE "Big Data" for supporting decision making in WEEE management. The framework of implementing the IoT and the Big Data technologies is proposed, with its multiple layers are illustrated. Case studies with the potential application scenarios of the framework are presented and discussed. As an unprecedented exploration, the combined application of the IoT and the Big Data technologies in WEEE management brings a series of opportunities as well as new challenges. This study provides insights and visions for stakeholders in solving the WEEE management problems under the context of IoT and Big Data. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. [Characteristics of case management programs and their potential for patient empowerment].

    PubMed

    Grün, Oskar; Maier, Manfred

    2008-01-01

    Different types of case management programs have been increasingly developed for health care systems. This study, therefore, aimed to identify similarities and differences of case management programs, to estimate their shaping with special emphasis on patient empowerment, and to develop an instrument for their differentiation. During an interdisciplinary seminar for students, eight different case management programs were selected and analyzed. Five characteristics of case management programs were identified: type of case, extent of functions, players involved, limits of availability and need for resources. The programs were categorized into information-, provider-, disease- or patient centred. With these characteristics the selected programs could be exactly described and their potential for patient empowerment could be assessed. This newly developed tool for describing case management programs allows for their sufficient differentiation. The potential for patient empowerment apparently is most prominent in patient centred programs.

  1. Investigation on nonautonomous soliton management in generalized external potentials via dispersion and nonlinearity

    NASA Astrophysics Data System (ADS)

    Vijayalekshmi, S.; Mani Rajan, M. S.; Mahalingam, A.; Uthayakumar, A.

    2015-09-01

    We investigate the controllable behavior of nonautonomous soliton in external potentials with variable dispersion and nonlinearity management functions, which describes the propagation of optical pulses in an inhomogeneous fiber system. We derive the Lax pair with a variable spectral parameter and the exact multi-soliton solution is generated via Darboux transformation. Based on these solutions, several novel optical solitons are constructed by selecting appropriate functions and the main evolution features of these waves are shown by some interesting figures with computer simulation. As few examples, breathers in periodic potential, soliton compression in an exponentially dispersion decreasing fiber and interaction of boomerang solitons are discussed. The presented results have applications in the study of nonautonomous soliton birefringence-managed switching architecture. These results are potentially useful in the management of nonautonomous soliton with external potentials in the optical soliton communications and long-haul telecommunication networks.

  2. Does manure management affect the latent greenhouse gas emitting potential of livestock manures?

    PubMed

    Pratt, Chris; Redding, Matthew; Hill, Jaye; Jensen, Paul D

    2015-12-01

    With livestock manures being increasingly sought as alternatives to costly synthetic fertilisers, it is imperative that we understand and manage their associated greenhouse gas (GHG) emissions. Here we provide the first dedicated assessment into how the GHG emitting potential of various manures responds to the different stages of the manure management continuum (e.g., from feed pen surface vs stockpiled). The research is important from the perspective of manure application to agricultural soils. Manures studied included: manure from beef feedpen surfaces and stockpiles; poultry broiler litter (8-week batch); fresh and composted egg layer litter; and fresh and composted piggery litter. Gases assessed were methane (CH4) and nitrous oxide (N2O), the two principal agricultural GHGs. We employed proven protocols to determine the manures' ultimate CH4 producing potential. We also devised a novel incubation experiment to elucidate their N2O emitting potential; a measure for which no established methods exist. We found lower CH4 potentials in manures from later stages in their management sequence compared with earlier stages, but only by a factor of 0.65×. Moreover, for the beef manures this decrease was not significant (P<0.05). Nitrous oxide emission potential was significantly positively (P<0.05) correlated with C/N ratios yet showed no obvious relationship with manure management stage. Indeed, N2O emissions from the composted egg manure were considerably (13×) and significantly (P<0.05) higher than that of the fresh egg manure. Our study demonstrates that manures from all stages of the manure management continuum potentially entail significant GHG risk when applied to arable landscapes. Efforts to harness manure resources need to account for this. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. Stump sprouting potential of oaks in Missouri Ozark forests managed by even- and uneven-aged silviculture

    Treesearch

    Daniel C. Dey; Randy G. Jensen

    2002-01-01

    We evaluated the stump sprouting potential of white oak, black oak, and scarlet oak in relation to tree age, stem diameter, and overstory density in Ozark forests managed by even-aged and uneven-aged silvicultural systems. In eastern North America, few studies have evaluated the influence of a forest canopy on the potential of hardwood stumps to sprout and contribute...

  4. Adapting to climate change at Olympic National Forest and Olympic National Park

    USGS Publications Warehouse

    Halofsky, Jessica E.; Peterson, David L.; O'Halloran, Kathy A.; Hoffman, Catherine H.

    2011-01-01

    Climate change presents a major challenge to natural resource managers both because of the magnitude of potential effects of climate change on ecosystem structure, processes, and function, and because of the uncertainty associated with those potential ecological effects. Concrete ways to adapt to climate change are needed to help natural resource managers take the first steps to incorporate climate change into management and take advantage of opportunities to counteract the negative effects of climate change. We began a climate change adaptation case study at Olympic National Forest (ONF) in partnership with Olympic National Park (ONP) to determine how to adapt management of federal lands on the Olympic Peninsula, Washington, to climate change. The case study began in the summer of 2008 and continued for 1½ years. The case study process involved science-based sensitivity assessments, review of management activities and constraints, and adaptation workshops in each of four focus areas (hydrology and roads, fish, vegetation, and wildlife). The process produced adaptation options for ONF and ONP, and illustrated the utility of place-based vulnerability assessment and science-management workshops in adapting to climate change. The case study process provides an example for other national forests, national parks, and natural resource agencies of how federal land management units can collaborate in the initial stages of climate change adaptation. Many of the ideas generated through this process can potentially be applied in other locations and in other agencies

  5. Potential oil spill risk from shipping and the implications for management in the Caribbean Sea.

    PubMed

    Singh, Asha; Asmath, Hamish; Chee, Candice Leung; Darsan, Junior

    2015-04-15

    The semi enclosed Caribbean Sea is ranked as having one of the most intense maritime traffic in the world. These maritime activities have led to significant oil pollution. Simultaneously, this sea supports many critical habitats functioning as a Large Marine Ecosystem (LME). While the impacts of oil pollution are recognised, a number of management challenges remain. This study applies spatial modelling to identify critical areas potentially at risk from oil spills in the form of a potential oil spill risk (POSR) model. The model indicates that approximately 83% of the sea could be potentially impacted by oil spills due to shipping. The results from this study collectively support a management framework for minimising ship generated oil pollution in the Caribbean Sea. Among the recommended components are a common policy, surveillance and monitoring controls, standards, monitoring programmes, data collection and greater rates of convention ratifications. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Recreational mountain biking: a management perspective

    Treesearch

    D.J. Chavez; P.L. Winter; J.M. Baas

    1993-01-01

    Mountain biking activity presents a new set of management challenges related to multiple use in recreation areas. To determine the potential issues associated with mountain bike management, a telephone survey of 40 recreation managers from two federal agencies (USDA Forest Service and USDI Bureau of Land Management) was conducted. Exploratory in nature, the study sets...

  7. Talent management best practices: how exemplary health care organizations create value in a down economy.

    PubMed

    Groves, Kevin S

    2011-01-01

    : Difficult economic conditions and powerful workforce trends pose significant challenges to managing talent in health care organizations. Although robust research evidence supports the many benefits of maintaining a strong commitment to talent management practices despite these challenges, many organizations compound the problem by resorting to workforce reductions and limiting or eliminating investments in talent management. : This study examines how nationwide health care systems address these challenges through best practice talent management systems. Addressing important gaps in talent management theory and practice, this study develops a best practice model of talent management that is grounded in the contextual challenges facing health care practitioners. : Utilizing a qualitative case study that examined 15 nationwide health care systems, data were collected through semistructured interviews with 30 executives and document analysis of talent management program materials submitted by each organization. : Exemplary health care organizations employ a multiphased talent management system composed of six sequential phases and associated success factors that drive effective implementation. Based on these findings, a model of talent management best practices in health care organizations is presented. : Health care practitioners may utilize the best practice model to assess and enhance their respective talent management systems by establishing the business case for talent management, defining, identifying, and developing high-potential leaders, carefully communicating high-potential designations, and evaluating talent management outcomes.

  8. Economic evaluation of chronic disease self-management for people with diabetes: a systematic review.

    PubMed

    Teljeur, C; Moran, P S; Walshe, S; Smith, S M; Cianci, F; Murphy, L; Harrington, P; Ryan, M

    2017-08-01

    To systematically review the evidence on the costs and cost-effectiveness of self-management support interventions for people with diabetes. Self-management support is the provision of education and supportive interventions to increase patients' skills and confidence in managing their health problems, potentially leading to improvements in HbA 1c levels in people with diabetes. Randomized controlled trials, observational studies or economic modelling studies were eligible for inclusion in the review. The target population was adults with diabetes. Interventions had to have a substantial component of self-management support and be compared with routine care. Study quality was evaluated using the Consensus on Health Economic Criteria and International Society of Pharmacoeconomic Outcomes Research questionnaires. A narrative review approach was used. A total of 16 costing and 21 cost-effectiveness studies of a range of self-management support interventions were identified. There was reasonably consistent evidence across 22 studies evaluating education self-management support programmes suggesting these interventions are cost-effective or superior to usual care. Telemedicine-type interventions were more expensive than usual care and potentially not cost-effective. There was insufficient evidence regarding the other types of self-management interventions, including pharmacist-led and behavioural interventions. The identified studies were predominantly of poor quality, with outcomes based on short-term follow-up data and study designs at high risk of bias. Self-management support education programmes may be cost-effective. There was limited evidence regarding other formats of self-management support interventions. The poor quality of many of the studies undermines the evidence base regarding the economic efficiency of self-management support interventions for people with diabetes. © 2016 Diabetes UK.

  9. Using stand-level optimization to reduce crown fire hazard

    Treesearch

    David H. Graetz; John Sessions; Steven L. Garman

    2007-01-01

    This study evaluated the ability to generate prescriptions for a wide variety of stands when the goal is to reduce crown fire potential. Forest managers charged with reducing crown fire potential while providing for commodity and ecological production have been hampered by the complexity of possible management options. A program called Stand-Level Optimization with...

  10. The Potential for Managing Various Insects and Their Habitats for Educational Purposes.

    ERIC Educational Resources Information Center

    Kains, Susan G.

    This masters thesis is a study of the possibilities of managing various insects for educational or esthetic purposes. The study focused on several insect groups: (1) butterflies, (2) ants, (3) ant lions, (4) tiger beetles, and (5) whirligig beetles. As part of the work on butterfly management a butterfly garden, complete with maintained mud…

  11. Can Critical Management Education Be Critical in a Formal Higher Educational Setting?

    ERIC Educational Resources Information Center

    Choo, Kok Leong

    2007-01-01

    This article attempts to establish the scope of critical management education in a formal educational setting. It is based on an empirical study of 24 academic staffs' experience of engaging critical management education in four UK University Business Schools. The study seems to show that there are significant barriers to and potential pitfalls in…

  12. Managers' Beliefs about the Glass Ceiling: Interpersonal and Organizational Factors

    ERIC Educational Resources Information Center

    Elacqua, Tina C.; Beehr, Terry A.; Hansen, Curtiss P.; Webster, Jennica

    2009-01-01

    The glass ceiling refers to the difficulty of women trying to be promoted into the top management levels. The present study examined managers' potential explanations, implicit or explicit, for why women rarely reach the top hierarchical levels in their own organization. Among 685 managers at a large Midwestern insurance company, a model was…

  13. Global capacity, potentials and trends of solid waste research and management.

    PubMed

    Nwachukwu, Michael A; Ronald, Mersky; Feng, Huan

    2017-09-01

    In this study, United States, China, India, United Kingdom, Nigeria, Egypt, Brazil, Italy, Germany, Taiwan, Australia, Canada and Mexico were selected to represent the global community. This enabled an overview of solid waste management worldwide and between developed and developing countries. These are countries that feature most in the International Conference on Solid Waste Technology and Management (ICSW) over the past 20 years. A total of 1452 articles directly on solid waste management and technology were reviewed and credited to their original country of research. Results show significant solid waste research potentials globally, with the United States leading by 373 articles, followed by India with 230 articles. The rest of the countries are ranked in the order of: UK > Taiwan > Brazil > Nigeria > Italy > Japan > China > Canada > Germany >Mexico > Egypt > Australia. Global capacity in solid waste management options is in the order of: Waste characterisation-management > waste biotech/composting > waste to landfill > waste recovery/reduction > waste in construction > waste recycling > waste treatment-reuse-storage > waste to energy > waste dumping > waste education/public participation/policy. It is observed that the solid waste research potential is not a measure of solid waste management capacity. The results show more significant research impacts on solid waste management in developed countries than in developing countries where economy, technology and society factors are not strong. This article is targeted to motivate similar study in each country, using solid waste research articles from other streamed databases to measure research impacts on solid waste management.

  14. 78 FR 63959 - Environmental Impact Statement; Animal Carcass Management

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ...] Environmental Impact Statement; Animal Carcass Management AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION: Notice of intent to prepare an environmental impact statement and proposed scope of study... carcass management options used throughout the United States. This notice identifies potential...

  15. Sequencing of intraductal biopsies is feasible and potentially impacts clinical management of patients with indeterminate biliary stricture and cholangiocarcinoma.

    PubMed

    Bankov, Katrin; Döring, Claudia; Schneider, Markus; Hartmann, Sylvia; Winkelmann, Ria; Albert, Joerg G; Bechstein, Wolf Otto; Zeuzem, Stefan; Hansmann, Martin Leo; Peveling-Oberhag, Jan; Walter, Dirk

    2018-04-30

    Definite diagnosis and therapeutic management of cholangiocarcinoma (CCA) remains a challenge. The aim of the current study was to investigate feasibility and potential impact on clinical management of targeted sequencing of intraductal biopsies. Intraductal biopsies with suspicious findings from 16 patients with CCA in later clinical course were analyzed with targeted sequencing including tumor and control benign tissue (n = 55 samples). A CCA-specific sequencing panel containing 41 genes was designed and a dual strand targeted enrichment was applied. Sequencing was successfully performed for all samples. In total, 79 mutations were identified and a mean of 1.7 mutations per tumor sample (range 0-4) as well as 2.3 per biopsy (0-6) were detected and potentially therapeutically relevant genes were identified in 6/16 cases. In 14/18 (78%) biopsies with dysplasia or inconclusive findings at least one mutation was detected. The majority of mutations were found in both surgical specimen and biopsy (68%), while 28% were only present in biopsies in contrast to 4% being only present in the surgical tumor specimen. Targeted sequencing from intraductal biopsies is feasible and potentially improves the diagnostic yield. A profound genetic heterogeneity in biliary dysplasia needs to be considered in clinical management and warrants further investigation. The current study is the first to demonstrate the feasibility of sequencing of intraductal biopsies which holds the potential to impact diagnostic and therapeutical management of patients with biliary dysplasia and neoplasia.

  16. The potential of land management to decrease global warming from climate change

    NASA Astrophysics Data System (ADS)

    Mayer, A.; Hausfather, Z.; Jones, A. D.; Silver, W. L.

    2016-12-01

    Recent evidence suggests that negative emissions (i.e. sequestration) is critical to slow climate change (IPCC, 2013; Gasser et al, 2015). Agricultural (crop and grazing) lands have the potential to act as a significant carbon sink. These ecosystems cover a significant proportion of the global land surface, and are largely degraded with regard to soil carbon due to previous management practices (Bai et al, 2008). However, few studies have examined the required scale of land management interventions that would be required to make a significant contribution to a portfolio of efforts aimed at limiting anthropogenic influences on global mean temperature. To address this, we modelled the quantitative effect of a range of soil carbon sequestration rates on global temperature to 2100. Results showed that by assuming a baseline emissions scenario outlined in RCP 2.6, the sequestration of an additional 0.7 Pg C per year through improved agricultural land management practices would produce a reduction of 0.1 degrees C from predicted global temperatures by the year 2100. We also compiled previous estimates of global carbon sequestration potential of agricultural soils to compare with our theoretical prediction to determine whether carbon sequestration through existing land management practices has potential to significantly reduce global temperatures. Assuming long-term soil carbon uptake, the combined potential of agricultural land management-based mitigation approaches exceeded 0.25 degrees C warming reduction by the year 2100. However, results were highly sensitive to potential carbon saturation, defined as the maximum threshold for carbon storage in soil. Our results suggest that current land management technologies and available land area exist and could make a measureable impact on warming reduction. Results also highlighted potential carbon saturation as a key gap in knowledge.

  17. Offshore Vessel Traffic Management (OVTM) Study : Volume II. Technical Analyses.

    DOT National Transportation Integrated Search

    1978-08-01

    The objectives of the study were: (1) to analyze the causes of tanker and other vessel casualties that could potentially result in oil pollution, and (2) to evaluate various alternative vessel traffic management systems and techniques for the prevent...

  18. Offshore Vessel Traffic Management (OVTM) Study : Volume III. Appendixes.

    DOT National Transportation Integrated Search

    1978-08-01

    The objectives of the study were: (1) to analyze the causes of tanker and other vessel casualties that could potentially result in oil pollution, and (2) to evaluate various alternative vessel traffic management systems and techniques for the prevent...

  19. Offshore Vessel Traffic Management (OVTM) Study : Volume I. Executive Summary.

    DOT National Transportation Integrated Search

    1978-08-01

    The objectives of the study were: (1) to analyze the causes of tanker and other vessel casualties that could potentially result in oil pollution, and (2) to evaluate various alternative vessel traffic management systems and techniques for the prevent...

  20. Opportunities for Reducing Nitrate Export from Drainage Systems through In-field Nitrogen Management, Cropping Practices, and Drainage Design and Management

    NASA Astrophysics Data System (ADS)

    Helmers, M.; Zhou, X.; Qi, Z.; Christianson, R.; Pederson, C.

    2011-12-01

    Subsurface drainage systems are widely used throughout the upper Midwest corn-belt. While the use of these drainage systems has greatly increased crop production, they have also increased nitrate-nitrogen export to downstream waterbodies. As a result, there is a need to evaluate and implement management practices that have potential to reduce nitrate-nitrogen loss. A twenty year study in Iowa has shown that major factors in nitrate-nitrogen loss are land use and hydrology. Studies from north-central Iowa have also indicated that nitrogen application rate and to a lesser degree timing of nitrogen application important factors for nitrate-nitrogen loss. A four-year (2007-2010) drainage management study in southeast Iowa indicates that shallow and controlled drainage systems have potential to decrease subsurface drainage and thereby reduce nitrate-N loss from drain water but the level of implementation of controlled drainage may be limited by topography. Cropping practices through cover crops or perennial biomass crops have also been documented to have potential to reduce downstream nitrate-nitrogen export but the level of implementation may be limited by management and economic considerations. To achieve reduction goals for protection of local and regional water quality will require a combination of these practices at the landscape scale.

  1. Role-Playing Games for Capacity Building in Water and Land Management: Some Brazilian Experiences

    ERIC Educational Resources Information Center

    Camargo, Maria Eugenia; Jacobi, Pedro Roberto; Ducrot, Raphaele

    2007-01-01

    Role-playing games in natural resource management are currently being tested as research, training, and intervention tools all over the world. Various studies point out their potential to deal with complex issues and to contribute to training processes. The objective of this contribution is to analyze the limits and potentialities of this tool for…

  2. Do mitigation strategies reduce global warming potential in the northern U.S. Corn Belt?

    USDA-ARS?s Scientific Manuscript database

    Agriculture is both an anthropogenic source of CO2, CH4, and N2O, and a sink for CO2 and CH4. Management can impact agriculture's net global warming potential (GWP) by changing source and/or sink. This study compared GWP among three crop management systems: business as usual (BAU), optimum greenhous...

  3. Comparison of net global warming potential and greenhouse gas intensity affected by management practices in two dryland cropping sites

    USDA-ARS?s Scientific Manuscript database

    Little is known about the effect of management practices on net global warming potential (GWP) and greenhouse gas intensity (GHGI) that account for all sources and sinks of greenhouse gas (GHG) emissions in dryland cropping systems. The objective of this study was to compare the effect of a combinat...

  4. The Impact of Utilizing a Flexible Work Schedule on the Perceived Career Advancement Potential of Women

    ERIC Educational Resources Information Center

    Rogier, Sara A.; Padgett, Margaret Y.

    2004-01-01

    This study examined whether a woman working a flexible schedule would be perceived as having less career advancement potential than a woman on a regular schedule. Participants reviewed a packet of materials simulating the personnel file of a female employee in an accounting firm who was seeking promotion from manager to senior manager. Results…

  5. Practical Problems with Medication Use that Older People Experience: A Qualitative Study

    PubMed Central

    Notenboom, Kim; Beers, Erna; van Riet-Nales, Diana A; Egberts, Toine C G; Leufkens, Hubert G M; Jansen, Paul A F; Bouvy, Marcel L

    2014-01-01

    Objectives To identify the practical problems that older people experience with the daily use of their medicines and their management strategies to address these problems and to determine the potential clinical relevance thereof. Design Qualitative study with semistructured face-to-face interviews. Setting A community pharmacy and a geriatric outpatient ward. Participants Community-dwelling people aged 70 and older (N = 59). Measurements Participants were interviewed at home. Two researchers coded the reported problems and management strategies independently according to a coding scheme. An expert panel classified the potential clinical relevance of every identified practical problem and associated management strategy using a 3-point scale. Results Two hundred eleven practical problems and 184 management strategies were identified. Ninety-five percent of the participants experienced one or more practical problems with the use of their medicines: problems reading and understanding the instructions for use, handling the outer packaging, handling the immediate packaging, completing preparation before use, and taking the medicine. For 10 participants, at least one of their problems, in combination with the applied management strategy, had potential clinical consequences and 11 cases (5% of the problems) had the potential to cause moderate or severe clinical deterioration. Conclusion Older people experience a number of practical problems using their medicines, and their strategies to manage these problems are sometimes suboptimal. These problems can lead to incorrect medication use with clinically relevant consequences. The findings pose a challenge for healthcare professionals, drug developers, and regulators to diminish these problems. PMID:25516030

  6. The Colville Study: wood utilization for ecosystem management: preliminary results of study of product potential from small-diameter stands.

    Treesearch

    S. Willits; R. J. Barbour; J. McNeel; R. D. Fight; G. C. Myers; A. Mason

    The Colville Study was developed in 1994 to identify and evaluate a series of management options for achieving ecosystem objectives in dense stands of small-diameter trees while also producing wood products. The Colville National Forest selected the Rocky II Timber Sale as an example of this type of stand that needed management to achieve the following goals: (1)...

  7. Factors relating to professional self-concept among nurse managers.

    PubMed

    Kantek, Filiz; Şimşek, Belkıs

    2017-12-01

    To investigate the self-concept in nurse managers in Turkey and the effects of certain variables on professional self-concept. Professional self-concept plays a significant role in improving certain professional behaviours. Nursing managers have the potential to influence other members of the profession with their attitudes and behaviours. The study was designed as a cross-sectional descriptive study. This study was conducted with 159 nurse managers in nine different hospitals. The study data were collected with a Personal Information Form and Professional Self-concept Nursing Inventory, and the data analysis was accomplished with descriptive statistics, Cronbach's alpha coefficients and Chi-squared Automatic Interaction Detector analyses. The professional self-concept score of nurse managers was 3·33 (SD = 0·308). Professional competence subdimension had the highest scores, while professional satisfaction subdimension had the lowest. The types of hospital were found to be influential on professional self-concept. The types of hospital were reported to influence the professional self-concept of nurses. Nursing managers are visionaries who can potentially influence nursing practices and decisions. Nursing leaders must monitor and administer strategies to improve their professional self-concept. © 2017 John Wiley & Sons Ltd.

  8. High-level radioactive waste management alternatives

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

    None

    1974-05-01

    A summary of a comprehensive overview study of potential alternatives for long-term management of high-level radioactive waste is presented. The concepts studied included disposal in geologic formations, disposal in seabeds, disposal in ice caps, disposal into space, and elimination by transmutation. (TFD)

  9. PATIENT WEB PORTALS AND PATIENT-PROVIDER RELATIONSHIPS: A SUMMARY PERSPECTIVE.

    PubMed

    Caldwell, Hannah D; Minkoff, Neil B; Murthy, Kalyani

    2017-01-01

    Patient Web portals (PWPs) have been gaining traction as a means to collect patient-reported outcomes and maintain quality patient care between office visits. PWPs have the potential to impact patient-provider relationships by rendering additional channels for communication outside of clinic visits and could help in the management of common chronic medical conditions. Studies documenting their effect in primary care settings are limited. This perspective aims to summarize the benefits and drawbacks of using PWPs in the management of chronic conditions, such as diabetes mellitus, hypertension, and asthma, focusing on communication, disease management, compliance, potential barriers, and the impact on patient-provider dynamic. After a review of these topics, we present potential future directions. We conducted an exploratory PubMed search of the literature published from inception through December 2015, and focused our subsequent searches specifically to assess benefits and drawbacks of using PWPs in the management of diabetes mellitus, hypertension, and asthma. Our search revealed several potential benefits of PWP implementation in the management of chronic conditions with regards to patient-provider relationships, such as improved communication, disease management, and compliance. We also noted drawbacks such as potentially unreliable reporting, barriers to use, and increased workload. PWPs offer opportunities for patients to report symptoms and outcomes in a timely manner and allow for secure online communication with providers. Despite the drawbacks noted, the overall benefits from successful PWP implementation could improve patient-provider relationships and help in the management of chronic conditions, such as diabetes mellitus, hypertension, and asthma.

  10. Building an Evaluation Framework of Environmental Interpretation for Chinese Geoparks--Case Study of Yuntaishan World Geopark

    ERIC Educational Resources Information Center

    Wei, Dongying

    2009-01-01

    Environmental interpretation is a key tool for integrated management of tourism, with potential for greater use in managing visitor numbers, behavior and impacts, and enhancing experience. Evaluation is necessary to determine whether interpretation is achieving its goals. It is vital for park managers to know if their management is effective in…

  11. Management by Trajectory: Trajectory Management Study Report

    NASA Technical Reports Server (NTRS)

    Leiden, Kenneth; Atkins, Stephen; Fernandes, Alicia D.; Kaler, Curt; Bell, Alan; Kilbourne, Todd; Evans, Mark

    2017-01-01

    In order to realize the full potential of the Next Generation Air Transportation System (NextGen), improved management along planned trajectories between air navigation service providers (ANSPs) and system users (e.g., pilots and airline dispatchers) is needed. Future automation improvements and increased data communications between aircraft and ground automation would make the concept of Management by Trajectory (MBT) possible.

  12. Translating Theory into Practice: Implications of Japanese Management Theory for Student Personnel Administrators. NASPA Monograph Series Volume 3. First Edition.

    ERIC Educational Resources Information Center

    Deegan, William L.; And Others

    Japanese management theory was studied to identify specific models for consideration by student personnel administrators. The report is organized into three sections: major components of Japanese management theory, potential implications for student personnel administration, and three models, based on components of Japanese management theory, for…

  13. Red to Black: A Primer for Continuing Education Managers.

    ERIC Educational Resources Information Center

    Desmarais, Armand; White, Sandra

    1990-01-01

    Traces the efforts of the Division of Continuing Studies at a large northeastern state university to regain fiscal solvency through business and leadership techniques including management by objectives, section management, and a course confirmation formula. Warns program administrators about potential problems with break-even registration…

  14. Management intensity and genetics affect loblolly pine seedling performance

    Treesearch

    Scott D. Roberts; Randall J. Rousseau; B. Landis Herrin

    2012-01-01

    Capturing potential genetic gains from tree improvement programs requires selection of the appropriate genetic stock and application of appropriate silvicultural management techniques. Limited information is available on how specific loblolly pine varietal genotypes perform under differing growing environments and management approaches. This study was established in...

  15. Assessing Fishers' Support of Striped Bass Management Strategies.

    PubMed

    Murphy, Robert D; Scyphers, Steven B; Grabowski, Jonathan H

    2015-01-01

    Incorporating the perspectives and insights of stakeholders is an essential component of ecosystem-based fisheries management, such that policy strategies should account for the diverse interests of various groups of anglers to enhance their efficacy. Here we assessed fishing stakeholders' perceptions on the management of Atlantic striped bass (Morone saxatilis) and receptiveness to potential future regulations using an online survey of recreational and commercial fishers in Massachusetts and Connecticut (USA). Our results indicate that most fishers harbored adequate to positive perceptions of current striped bass management policies when asked to grade their state's management regime. Yet, subtle differences in perceptions existed between recreational and commercial fishers, as well as across individuals with differing levels of fishing experience, resource dependency, and tournament participation. Recreational fishers in both states were generally supportive or neutral towards potential management actions including slot limits (71%) and mandated circle hooks to reduce mortality of released fish (74%), but less supportive of reduced recreational bag limits (51%). Although commercial anglers were typically less supportive of management changes than their recreational counterparts, the majority were still supportive of slot limits (54%) and mandated use of circle hooks (56%). Our study suggests that both recreational and commercial fishers are generally supportive of additional management strategies aimed at sustaining healthy striped bass populations and agree on a variety of strategies. However, both stakeholder groups were less supportive of harvest reductions, which is the most direct measure of reducing mortality available to fisheries managers. By revealing factors that influence stakeholders' support or willingness to comply with management strategies, studies such as ours can help managers identify potential stakeholder support for or conflicts that may result from regulation changes.

  16. Assessing Fishers' Support of Striped Bass Management Strategies

    PubMed Central

    Murphy, Robert D.; Scyphers, Steven B.; Grabowski, Jonathan H.

    2015-01-01

    Incorporating the perspectives and insights of stakeholders is an essential component of ecosystem-based fisheries management, such that policy strategies should account for the diverse interests of various groups of anglers to enhance their efficacy. Here we assessed fishing stakeholders’ perceptions on the management of Atlantic striped bass (Morone saxatilis) and receptiveness to potential future regulations using an online survey of recreational and commercial fishers in Massachusetts and Connecticut (USA). Our results indicate that most fishers harbored adequate to positive perceptions of current striped bass management policies when asked to grade their state’s management regime. Yet, subtle differences in perceptions existed between recreational and commercial fishers, as well as across individuals with differing levels of fishing experience, resource dependency, and tournament participation. Recreational fishers in both states were generally supportive or neutral towards potential management actions including slot limits (71%) and mandated circle hooks to reduce mortality of released fish (74%), but less supportive of reduced recreational bag limits (51%). Although commercial anglers were typically less supportive of management changes than their recreational counterparts, the majority were still supportive of slot limits (54%) and mandated use of circle hooks (56%). Our study suggests that both recreational and commercial fishers are generally supportive of additional management strategies aimed at sustaining healthy striped bass populations and agree on a variety of strategies. However, both stakeholder groups were less supportive of harvest reductions, which is the most direct measure of reducing mortality available to fisheries managers. By revealing factors that influence stakeholders’ support or willingness to comply with management strategies, studies such as ours can help managers identify potential stakeholder support for or conflicts that may result from regulation changes. PMID:26305324

  17. Hydrologic, vegetation, and soil data collected in selected wetlands of the Big River Management area, Rhode Island, from 2008 through 2010

    USGS Publications Warehouse

    Borenstein, Meredith S.; Golet, Francis C.; Armstrong, David S.; Breault, Robert F.; McCobb, Timothy D.; Weiskel, Peter K.

    2012-01-01

    The Rhode Island Water Resources Board planned to develop public water-supply wells in the Big River Management Area in Kent County, Rhode Island. Research in the United States and abroad indicates that groundwater withdrawal has the potential to affect wetland hydrology and related processes. In May 2008, the Rhode Island Water Resources Board, the U.S. Geological Survey, and the University of Rhode Island formed a partnership to establish baseline conditions at selected Big River wetland study sites and to develop an approach for monitoring potential impacts once pumping begins. In 2008 and 2009, baseline data were collected on the hydrology, vegetation, and soil characteristics at five forested wetland study sites in the Big River Management Area. Four of the sites were located in areas of potential drawdown associated with the projected withdrawals. The fifth site was located outside the area of projected drawdown and served as a control site. The data collected during this study are presented in this report.

  18. Supply Chain Management: How the Curricula of the Top Ten Undergraduate Universities Meet the Practitioners' Knowledge Set

    ERIC Educational Resources Information Center

    Bahouth, Saba; Hartmann, David; Willis, Geoff

    2014-01-01

    The disciplines of logistics and supply chain management have the potential of having many areas of emphasis. Universities that have some kind of emphasis in this field have developed programs that depend on the need of potential employers and their own faculty mix. Several studies have previously looked at how universities deal with this field at…

  19. An Approach to Modeling the Water Balance Sensitivity to Landscape Vegetation Changes

    NASA Astrophysics Data System (ADS)

    Mohammed, I. N.; Tarboton, D. G.

    2008-12-01

    Watershed development and management require an understanding of how hydrological processes affect water balance components. The study of water resources management, especially in Western United States, is currently motivated by climate change, the impact of vegetation cover change on water production, and the need to manage water supplies. Vegetation management and its relation to runoff has been well documented, as reduction of forest cover, reducing evapotranspiration, increases water yield and in contrast the establishment of forest cover on sparsely vegetated land, increasing evapotranspiration, deceases water yield. This paper presents a water balance model developed to quantify the sensitivity of runoff production to changes in vegetation based on differences in evapotranspiration from different land cover types. The model is intended to provide a simple framework for estimating long term yield changes due to managed vegetation change. The model assumes that relative potential evapotranspiration from specific land cover can be quantified by a set of potential evapotranspiration coefficients for each land cover type. The model uses the Budyko curve to partition precipitation into evapotranspiration and runoff over the long term. Potential evapotranspiration is estimated from the Budyko curve for present conditions, then adjusted for land cover changes using the relative potential evapotranspiration coefficients for each land cover type. The adjusted potential evapotranspiration is then partitioned using the Budyko curve to provide estimates of long term runoff and evapotranspiration for the changed conditions. We found that the changes in runoff were in general close to being linearly proportional to the changes in land cover. In Utah study watersheds, reducing 50% of the present coniferous forests resulted in runoff increase that ranged from 0.5 to 38 mm/year, while the transition of 50% of area present as range/shrub/other to forest resulted in runoff decrease that ranged from 3.8 to 37 mm/year. The model helps to evaluate long term runoff production sensitivities to vegetation changes and answer, in a broad sense without requiring detailed information or modeling, how much runoff production could potentially be changed through vegetation management. The theoretical approach taken in this study is simple and general and could be applied to a wide range of watersheds.

  20. Study of thermal management for space platform applications: Unmanned modular thermal management and radiator technologies

    NASA Technical Reports Server (NTRS)

    Oren, J. A.

    1981-01-01

    Candidate techniques for thermal management of unmanned modules docked to a large 250 kW platform were evaluated. Both automatically deployed and space constructed radiator systems were studied to identify characteristics and potential problems. Radiator coating requirements and current state-of-the-art were identified. An assessment of the technology needs was made and advancements were recommended.

  1. The Food Service Manager; A Study of the Need for a Food Service Management Program in Ocean County.

    ERIC Educational Resources Information Center

    Ocean County Coll., Toms River, NJ.

    Ocean County College conducted a feasibility study for the purpose of determining whether there was a need for a food service management program within its service area and to ascertain an estimate of the potential student pool for such a program. Surveys were sent to 243 restaurants and institutions and were administered to students from county…

  2. Predictors of ICU patients' pain management satisfaction: A descriptive cross-sectional survey.

    PubMed

    Darawad, Muhammad W; Al-Hussami, Mahmoud; Saleh, Ali M; Al-Sutari, Manal; Mustafa, Waddah Mohammad

    2015-08-01

    (1) To assess Jordanian ICU patients' pain characteristics (intensity and interference) and levels of pain management satisfaction; and (2) to determine potential predictors of pain management satisfaction among ICU patients. A descriptive cross-sectional design was utilised using the American Pain Society-Patient Outcome Questionnaire to survey 139 Jordanian ICU patients from different health care sectors in Jordan. High levels of pain and pain interferences were reported by participants, which were higher than those reported by previous studies in other countries. However, participants were relatively satisfied with pain management approaches. Also, the results showed a predictive model of three potential predictors, which accounted for 36% of the variance in participants' satisfaction with pain management (adjusted R(2)=0.36, F=12.14, df=7129, p<0.005). The strongest predictor to participants' satisfaction with pain management was time needed to get analgesia (beta=-0.480, p<0.001), followed by average pain interference (beta=0.218, p=0.02), and being told about importance of reporting pain (beta=0.198, p=0.006). Jordanian ICU patients reported high pain levels, which supports the need for applying a caring attitude in managing patients' pain reports. Also, such a study is among the first pain management studies in Jordan aiming at setting the stage for future research studies. Finally, results can be included in planning pain management strategies and protocols within hospitals. Copyright © 2014 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  3. Student "Facebook" Groups as a Third Space: Between Social Life and Schoolwork

    ERIC Educational Resources Information Center

    Aaen, Janus; Dalsgaard, Christian

    2016-01-01

    The paper examines educational potentials of "Facebook" groups that are created and managed by students without any involvement from teachers. The objective is to study student-managed "Facebook" groups as a "third space" between the institutional space of teacher-managed "Facebook" groups and the…

  4. Home-Based Diabetes Symptom Self-Management Education for Mexican Americans with Type 2 Diabetes

    ERIC Educational Resources Information Center

    García, Alexandra A.; Brown, Sharon A.; Horner, Sharon D.; Zuñiga, Julie; Arheart, Kristopher L.

    2015-01-01

    This pilot study evaluated an innovative diabetes symptom awareness and self-management educational program for Mexican Americans, a fast growing minority population experiencing a diabetes epidemic. Patients with diabetes need assistance interpreting and managing symptoms, which are often annoying and potentially life-threatening. A repeated…

  5. Persistent hyperphagia in acquired brain injury; an observational case study of patients receiving inpatient rehabilitation.

    PubMed

    Rowell, Arleen M; Faruqui, Rafey A

    2010-01-01

    Morbid hunger or persistent hyperphagia is a relatively rare but potentially life threatening complication of acquired brain injury (ABI). This paper presents findings from an observational case study of patients with hyperphagia receiving inpatient neurobehavioural rehabilitation following their acquired brain injury. The case study has utilized dietetic and medical records of identified patients to confirm the persistent and serious nature of this presentation in order to extract important management principles. The findings confirmed that hyperphagia or morbid hunger posed potentially life-threatening health risks to the patient, primarily around weight control and fluid balance, and risks of aggression towards professional and family carers. Pharmacological or behaviour modification interventions were only partially successful in management of this presentation. The study identified a high need for environmental and cue exposure control in management of this condition.

  6. Identifying and Classifying Pollution Hotspots to Guide Watershed Management in a Large Multiuse Watershed.

    PubMed

    Su, Fangli; Kaplan, David; Li, Lifeng; Li, Haifu; Song, Fei; Liu, Haisheng

    2017-03-03

    In many locations around the globe, large reservoir sustainability is threatened by land use change and direct pollution loading from the upstream watershed. However, the size and complexity of upstream basins makes the planning and implementation of watershed-scale pollution management a challenge. In this study, we established an evaluation system based on 17 factors, representing the potential point and non-point source pollutants and the environmental carrying capacity which are likely to affect the water quality in the Dahuofang Reservoir and watershed in northeastern China. We used entropy methods to rank 118 subwatersheds by their potential pollution threat and clustered subwatersheds according to the potential pollution type. Combining ranking and clustering analyses allowed us to suggest specific areas for prioritized watershed management (in particular, two subwatersheds with the greatest pollution potential) and to recommend the conservation of current practices in other less vulnerable locations (91 small watersheds with low pollution potential). Finally, we identified the factors most likely to influence the water quality of each of the 118 subwatersheds and suggested adaptive control measures for each location. These results provide a scientific basis for improving the watershed management and sustainability of the Dahuofang reservoir and a framework for identifying threats and prioritizing the management of watersheds of large reservoirs around the world.

  7. Identifying and Classifying Pollution Hotspots to Guide Watershed Management in a Large Multiuse Watershed

    PubMed Central

    Su, Fangli; Kaplan, David; Li, Lifeng; Li, Haifu; Song, Fei; Liu, Haisheng

    2017-01-01

    In many locations around the globe, large reservoir sustainability is threatened by land use change and direct pollution loading from the upstream watershed. However, the size and complexity of upstream basins makes the planning and implementation of watershed-scale pollution management a challenge. In this study, we established an evaluation system based on 17 factors, representing the potential point and non-point source pollutants and the environmental carrying capacity which are likely to affect the water quality in the Dahuofang Reservoir and watershed in northeastern China. We used entropy methods to rank 118 subwatersheds by their potential pollution threat and clustered subwatersheds according to the potential pollution type. Combining ranking and clustering analyses allowed us to suggest specific areas for prioritized watershed management (in particular, two subwatersheds with the greatest pollution potential) and to recommend the conservation of current practices in other less vulnerable locations (91 small watersheds with low pollution potential). Finally, we identified the factors most likely to influence the water quality of each of the 118 subwatersheds and suggested adaptive control measures for each location. These results provide a scientific basis for improving the watershed management and sustainability of the Dahuofang reservoir and a framework for identifying threats and prioritizing the management of watersheds of large reservoirs around the world. PMID:28273834

  8. Management of agricultural soils for greenhouse gas mitigation: Learning from a case study in NE Spain.

    PubMed

    Sánchez, B; Iglesias, A; McVittie, A; Álvaro-Fuentes, J; Ingram, J; Mills, J; Lesschen, J P; Kuikman, P J

    2016-04-01

    A portfolio of agricultural practices is now available that can contribute to reaching European mitigation targets. Among them, the management of agricultural soils has a large potential for reducing GHG emissions or sequestering carbon. Many of the practices are based on well tested agronomic and technical know-how, with proven benefits for farmers and the environment. A suite of practices has to be used since none of the practices can provide a unique solution. However, there are limitations in the process of policy development: (a) agricultural activities are based on biological processes and thus, these practices are location specific and climate, soils and crops determine their agronomic potential; (b) since agriculture sustains rural communities, the costs and potential for implementation have also to be regionally evaluated and (c) the aggregated regional potential of the combination of practices has to be defined in order to inform abatement targets. We believe that, when implementing mitigation practices, three questions are important: Are they cost-effective for farmers? Do they reduce GHG emissions? What policies favour their implementation? This study addressed these questions in three sequential steps. First, mapping the use of representative soil management practices in the European regions to provide a spatial context to upscale the local results. Second, using a Marginal Abatement Cost Curve (MACC) in a Mediterranean case study (NE Spain) for ranking soil management practices in terms of their cost-effectiveness. Finally, using a wedge approach of the practices as a complementary tool to link science to mitigation policy. A set of soil management practices was found to be financially attractive for Mediterranean farmers, which in turn could achieve significant abatements (e.g., 1.34 MtCO2e in the case study region). The quantitative analysis was completed by a discussion of potential farming and policy choices to shape realistic mitigation policy at European regional level. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. A review and framework for understanding the potential impact of poor solid waste management on health in developing countries.

    PubMed

    Ziraba, Abdhalah K; Haregu, Tilahun Nigatu; Mberu, Blessing

    2016-01-01

    The increase in solid waste generated per capita in Africa has not been accompanied by a commensurate growth in the capacity and funding to manage it. It is reported that less than 30% of urban waste in developing countries is collected and disposed appropriately. The implications of poorly managed waste on health are numerous and depend on the nature of the waste, individuals exposed, duration of exposure and availability of interventions for those exposed. To present a framework for understanding the linkages between poor solid waste management, exposure and associated adverse health outcomes. The framework will aid understanding of the relationships, interlinkages and identification of the potential points for intervention. Development of the framework was informed by a review of literature on solid waste management policies, practices and its impact on health in developing countries. A configurative synthesis of literature was applied to develop the framework. Several iterations of the framework were reviewed by experts in the field. Each linkage and outcomes are described in detail as outputs of this study. The resulting framework identifies groups of people at a heightened risk of exposure and the potential health consequences. Using the iceberg metaphor, the framework illustrates the pathways and potential burden of ill-health related to solid waste that is hidden but rapidly unfolding with our inaction. The existing evidence on the linkage between poor solid waste management and adverse health outcomes calls to action by all stakeholders in understanding, prioritizing, and addressing the issue of solid waste in our midst to ensure that our environment and health are preserved. A resulting framework developed in this study presents a clearer picture of the linkages between poor solid waste management and could guide research, policy and action.

  10. Understanding the potential role of mobile phone-based monitoring on asthma self-management: qualitative study.

    PubMed

    Pinnock, H; Slack, R; Pagliari, C; Price, D; Sheikh, A

    2007-05-01

    National and international healthcare policy increasingly seeks technological solutions to the challenge of providing care for people with long-term conditions. Novel technologies, however, have the potential to change the dynamics of disease monitoring and self-management. We aimed to explore the opinions and concerns of people with asthma and primary care clinicians on the potential role of mobile phone monitoring technology (transmitting symptoms and peak flows, with immediate feedback of control and reminder of appropriate actions) in supporting asthma self-management. This qualitative study recruited 48 participants (34 adults and teenagers with asthma, 14 asthma nurses and doctors) from primary care in Lothian (Central Scotland) and Kent (South East England). Thirty-nine participated in six focus groups, which included a demonstration of the technology; nine gave in-depth interviews before and after a 4-week trial of the technology. Participants considered that mobile phone-based monitoring systems can facilitate guided self-management although, paradoxically, may engender dependence on professional/technological support. In the early phases, as patients are learning to accept, understand and control their asthma, this support was seen as providing much-needed confidence. During the maintenance phase, when self-management predominates, patient and professionals were concerned that increased dependence may be unhelpful, although they appreciated that maintaining an on-going record could facilitate consultations. Mobile phone-based monitoring systems have the potential to support guided self-management by aiding transition from clinician-supported early phases to effective self-management during the maintenance phase. Continuing development, adoption and formal evaluation of these systems should take account of the insights provided by our data.

  11. Waste management barriers in developing country hospitals: Case study and AHP analysis.

    PubMed

    Delmonico, Diego V de Godoy; Santos, Hugo H Dos; Pinheiro, Marco Ap; de Castro, Rosani; de Souza, Regiane M

    2018-01-01

    Healthcare waste management is an essential field for both researchers and practitioners. Although there have been few studies using statistical methods for its evaluation, it has been the subject of several studies in different contexts. Furthermore, the known precarious practices for waste management in developing countries raise questions about its potential barriers. This study aims to investigate the barriers in healthcare waste management and their relevance. For this purpose, this paper analyses waste management practices in two Brazilian hospitals by using case study and the Analytic Hierarchy Process method. The barriers were organized into three categories - human factors, management, and infrastructure, and the main findings suggest that cost and employee awareness were the most significant barriers. These results highlight the main barriers to more sustainable waste management, and provide an empirical basis for multi-criteria evaluation of the literature.

  12. The applicability of remote sensing to Earth biological problems. Part 2: The potential of remote sensing in pest management

    NASA Technical Reports Server (NTRS)

    Polhemus, J. T.

    1980-01-01

    Five troublesome insect pest groups were chosen for study. These represent a broad spectrum of life cycles, ecological indicators, pest management strategies, and remote sensing requirements. Background data, and field study results for each of these subjects is discussed for each insect group. Specific groups studied include tsetse flies, locusts, western rangeland grasshoppers, range caterpillars, and mosquitoes. It is concluded that remote sensing methods are aplicable to the pest management of the insect groups studied.

  13. Can a manager have a life and a career? International and multisource perspectives on work-life balance and career advancement potential.

    PubMed

    Lyness, Karen S; Judiesch, Michael K

    2008-07-01

    The present study was the first cross-national examination of whether managers who were perceived to be high in work-life balance were expected to be more or less likely to advance in their careers than were less balanced, more work-focused managers. Using self ratings, peer ratings, and supervisor ratings of 9,627 managers in 33 countries, the authors examined within-source and multisource relationships with multilevel analyses. The authors generally found that managers who were rated higher in work-life balance were rated higher in career advancement potential than were managers who were rated lower in work-life balance. However, national gender egalitarianism, measured with Project GLOBE scores, moderated relationships based on supervisor and self ratings, with stronger positive relationships in low egalitarian cultures. The authors also found 3-way interactions of work-life balance ratings, ratee gender, and gender egalitarianism in multisource analyses in which self balance ratings predicted supervisor and peer ratings of advancement potential. Work-life balance ratings were positively related to advancement potential ratings for women in high egalitarian cultures and men in low gender egalitarian cultures, but relationships were nonsignificant for men in high egalitarian cultures and women in low egalitarian cultures.

  14. Framework to assess the effects of using patient-reported outcome measures in chronic care management.

    PubMed

    Santana, Maria-Jose; Feeny, David

    2014-06-01

    The inclusion of patient-reported outcome measures (PROMs) in the routine clinical care of chronically ill patients has the potential to add valuable information about the impact of the disease and its treatment and promotes effective patient self-management in which patients become more active participants in their own care. PROMs provide clinicians with timely information on patients' symptoms as well as functional and emotional status. PROMs are a useful tool for enhancing patient-clinician communication. We develop a conceptual framework describing the potential effects of the use of PROMs in chronic care management. The framework summarizes insights from the methods for evaluating the clinical effectiveness and methods for the health technology assessment of diagnostic technologies and results from the relevant studies. The framework describes potential effects, from proximal to distal, including communication (patient-clinician, patient-relative, clinician-clinician, and clinician-relative), engaging patients in shared clinical decision making, patient management (clinician management and patient self-management), and patient outcomes. Important potential effects also include enhancement in patient activation as well as improvements in clinician and patient satisfaction, and patient adherence to recommended treatment. Previous frameworks have described patient-physician communication, patient satisfaction, and health outcomes. Our framework adds unique domains, including patient engagement, patient activation, shared clinical decision making, and patient self-management. The framework can be used as a tool to guide the development of interventions to improve chronic care management through the use of PROMs.

  15. Findings from an Organizational Network Analysis to Support Local Public Health Management

    PubMed Central

    Caldwell, Michael; Rockoff, Maxine L.; Gebbie, Kristine; Carley, Kathleen M.; Bakken, Suzanne

    2008-01-01

    We assessed the feasibility of using organizational network analysis in a local public health organization. The research setting was an urban/suburban county health department with 156 employees. The goal of the research was to study communication and information flow in the department and to assess the technique for public health management. Network data were derived from survey questionnaires. Computational analysis was performed with the Organizational Risk Analyzer. Analysis revealed centralized communication, limited interdependencies, potential knowledge loss through retirement, and possible informational silos. The findings suggested opportunities for more cross program coordination but also suggested the presences of potentially efficient communication paths and potentially beneficial social connectedness. Managers found the findings useful to support decision making. Public health organizations must be effective in an increasingly complex environment. Network analysis can help build public health capacity for complex system management. PMID:18481183

  16. Floral Resource Competition Between Honey Bees and Wild Bees: Is There Clear Evidence and Can We Guide Management and Conservation?

    PubMed

    Wojcik, Victoria A; Morandin, Lora A; Davies Adams, Laurie; Rourke, Kelly E

    2018-06-05

    Supporting managed honey bees by pasturing in natural landscapes has come under review due to concerns that honey bees could negatively impact the survival of wild bees through competition for floral resources. Critique and assessment of the existing body of published literature against our criteria focussing on studies that can support best management resulted in 19 experimental papers. Indirect measures of competition examining foraging patterns and behavior yielded equivocal results. Direct measures of reproduction and growth were investigated in only seven studies, with six indicating negative impacts to wild bees from the presence of managed honey bees. Three of these studies examined fitness impacts to BombusLatreille and all three indicated reduced growth or reduced reproductive output. Because there is a severe lack of literature, yet potential that honey bee presence could negatively impact wild bees, exemplified with bumble bee studies, we advocate for further research into the fitness impacts of competition between managed and wild pollinators. Conservative approaches should be taken with respect to pasturing honey bees on natural lands with sensitive bumble bee populations. Correspondingly, forage opportunities for honey bees in managed, agricultural landscapes, should be increased in an effort to reduce potential pressure and infringement on wild bee populations in natural areas.

  17. LiDAR Applications in Resource Geology and Benefits for Land Management

    NASA Astrophysics Data System (ADS)

    Mikulovsky, R. P.; De La Fuente, J. A.

    2013-12-01

    The US Forest Service (US Department of Agriculture) manages a broad range of geologic resources and hazards on National Forests and Grass Lands throughout the United States. Resources include rock and earth materials, groundwater, caves and paleontological resources, minerals, energy resources, and unique geologic areas. Hazards include landslides, floods, earthquakes, volcanic eruptions, and naturally hazardous materials (e.g., asbestos, radon). Forest Service Geologists who address these issues are Resource Geologists. They have been exploring LiDAR as a revolutionary tool to efficiently manage all of these hazards and resources. However, most LiDAR applications for management have focused on timber and fuels management, rather than landforms. This study shows the applications and preliminary results of using LiDAR for managing geologic resources and hazards on public lands. Applications shown include calculating sediment budgets, mapping and monitoring landslides, mapping and characterizing borrow pits or mines, determining landslide potential, mapping faults, and characterizing groundwater dependent ecosystems. LiDAR can be used to model potential locations of groundwater dependent ecosystems with threatened or endangered plant species such as Howellia aquatilis. This difficult to locate species typically exists on the Mendocino National Forest within sag ponds on landslide benches. LiDAR metrics of known sites are used to model potential habitat. Thus LiDAR can link the disciplines of geology, hydrology, botany, archaeology and others for enhanced land management. As LiDAR acquisition costs decrease and it becomes more accessible, land management organizations will find a wealth of applications with potential far-reaching benefits for managing geologic resources and hazards.

  18. Measuring benefits of protected area management: trends across realms and research gaps for freshwater systems.

    PubMed

    Adams, Vanessa M; Setterfield, Samantha A; Douglas, Michael M; Kennard, Mark J; Ferdinands, Keith

    2015-11-05

    Protected areas remain a cornerstone for global conservation. However, their effectiveness at halting biodiversity decline is not fully understood. Studies of protected area benefits have largely focused on measuring their impact on halting deforestation and have neglected to measure the impacts of protected areas on other threats. Evaluations that measure the impact of protected area management require more complex evaluation designs and datasets. This is the case across realms (terrestrial, freshwater, marine), but measuring the impact of protected area management in freshwater systems may be even more difficult owing to the high level of connectivity and potential for threat propagation within systems (e.g. downstream flow of pollution). We review the potential barriers to conducting impact evaluation for protected area management in freshwater systems. We contrast the barriers identified for freshwater systems to terrestrial systems and discuss potential measurable outcomes and confounders associated with protected area management across the two realms. We identify key research gaps in conducting impact evaluation in freshwater systems that relate to three of their major characteristics: variability, connectivity and time lags in outcomes. Lastly, we use Kakadu National Park world heritage area, the largest national park in Australia, as a case study to illustrate the challenges of measuring impacts of protected area management programmes for environmental outcomes in freshwater systems. © 2015 The Author(s).

  19. Measuring benefits of protected area management: trends across realms and research gaps for freshwater systems

    PubMed Central

    Adams, Vanessa M.; Setterfield, Samantha A.; Douglas, Michael M.; Kennard, Mark J.; Ferdinands, Keith

    2015-01-01

    Protected areas remain a cornerstone for global conservation. However, their effectiveness at halting biodiversity decline is not fully understood. Studies of protected area benefits have largely focused on measuring their impact on halting deforestation and have neglected to measure the impacts of protected areas on other threats. Evaluations that measure the impact of protected area management require more complex evaluation designs and datasets. This is the case across realms (terrestrial, freshwater, marine), but measuring the impact of protected area management in freshwater systems may be even more difficult owing to the high level of connectivity and potential for threat propagation within systems (e.g. downstream flow of pollution). We review the potential barriers to conducting impact evaluation for protected area management in freshwater systems. We contrast the barriers identified for freshwater systems to terrestrial systems and discuss potential measurable outcomes and confounders associated with protected area management across the two realms. We identify key research gaps in conducting impact evaluation in freshwater systems that relate to three of their major characteristics: variability, connectivity and time lags in outcomes. Lastly, we use Kakadu National Park world heritage area, the largest national park in Australia, as a case study to illustrate the challenges of measuring impacts of protected area management programmes for environmental outcomes in freshwater systems. PMID:26460127

  20. Students' Educational Use of Facebook Groups

    ERIC Educational Resources Information Center

    Dalsgaard, Christian

    2016-01-01

    The aim of the article is to explore educational use of student-managed Facebook groups in upper secondary education (in Denmark). Much research on educational potentials of Facebook has studied groups managed by teachers. However, there is a lack of in-depth research on Facebook groups managed by students and without participation from teachers.…

  1. Long-term forest management and climate effects on streamflow

    Treesearch

    Shelby G. Laird; C.R. Ford; S.H. Laseter; J.M. Vose

    2011-01-01

    Long-term watershed studies are a powerful tool for examining interactions among management activities, streamflow, and climatic variability. Understanding these interactions is critical for exploring the potential of forest management to adapt to or mitigate against the effects of climate change. The Coweeta Hydrologic Laboratory, located in North Carolina, USA, is a...

  2. Integrated Incident Management System (IIMS) web client application development, deployment and evaluation: an evaluation of a potential IIMS deployment in Western New York : final report.

    DOT National Transportation Integrated Search

    2015-09-30

    Incident Management (IM) is an area of transportation management that can significantly decrease the congestion and increase the : efficiency of transportation networks in non-ideal conditions. In this study, the existing state of the Integrated Inci...

  3. Inland water resources

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The work is reported of the panel concerning the application of space technology to the improved management of the nation's inland resources. The progress since the 1967-68 study is briefly reviewed. The data needed for the management of inlet water ways, and the potential benefits of better management are discussed along with 16 proposed demonstration projects.

  4. Management Education through E-Learning in India: An Empirical Study

    ERIC Educational Resources Information Center

    Chawla, Deepak; Joshi, Himanshu

    2012-01-01

    Purpose: E-learning is emerging as a potential delivery medium for education and training. This is evident from the increasing number of educational institutions and organizations adopting e-learning. In India, there has been an upsurge in the number of students going for management education. But, before management institutes embark on this…

  5. Level of interest in a weight management program among adult U.S. military dependents

    USDA-ARS?s Scientific Manuscript database

    There is little information on the extent to which different challenged populations with high rates of overweight and obesity have interest in participating in weight management programs. The purpose of this study was to identify potential rates of enrollment in a weight management program among adu...

  6. Impacts of drainage water management on subsurface drain flow, nitrate concentration, and nitrate loads in Indiana

    EPA Science Inventory

    Drainage water management is a conservation practice that has the potential to reduce drainage outflow and nitrate (NO3) loss from agricultural fields while maintaining or improving crop yields. The goal of this study was to quantify the impact of drainage water management on dra...

  7. Global biomass production potentials exceed expected future demand without the need for cropland expansion

    PubMed Central

    Mauser, Wolfram; Klepper, Gernot; Zabel, Florian; Delzeit, Ruth; Hank, Tobias; Putzenlechner, Birgitta; Calzadilla, Alvaro

    2015-01-01

    Global biomass demand is expected to roughly double between 2005 and 2050. Current studies suggest that agricultural intensification through optimally managed crops on today's cropland alone is insufficient to satisfy future demand. In practice though, improving crop growth management through better technology and knowledge almost inevitably goes along with (1) improving farm management with increased cropping intensity and more annual harvests where feasible and (2) an economically more efficient spatial allocation of crops which maximizes farmers' profit. By explicitly considering these two factors we show that, without expansion of cropland, today's global biomass potentials substantially exceed previous estimates and even 2050s' demands. We attribute 39% increase in estimated global production potentials to increasing cropping intensities and 30% to the spatial reallocation of crops to their profit-maximizing locations. The additional potentials would make cropland expansion redundant. Their geographic distribution points at possible hotspots for future intensification. PMID:26558436

  8. Global biomass production potentials exceed expected future demand without the need for cropland expansion.

    PubMed

    Mauser, Wolfram; Klepper, Gernot; Zabel, Florian; Delzeit, Ruth; Hank, Tobias; Putzenlechner, Birgitta; Calzadilla, Alvaro

    2015-11-12

    Global biomass demand is expected to roughly double between 2005 and 2050. Current studies suggest that agricultural intensification through optimally managed crops on today's cropland alone is insufficient to satisfy future demand. In practice though, improving crop growth management through better technology and knowledge almost inevitably goes along with (1) improving farm management with increased cropping intensity and more annual harvests where feasible and (2) an economically more efficient spatial allocation of crops which maximizes farmers' profit. By explicitly considering these two factors we show that, without expansion of cropland, today's global biomass potentials substantially exceed previous estimates and even 2050s' demands. We attribute 39% increase in estimated global production potentials to increasing cropping intensities and 30% to the spatial reallocation of crops to their profit-maximizing locations. The additional potentials would make cropland expansion redundant. Their geographic distribution points at possible hotspots for future intensification.

  9. Predictors of nurse manager stress: a dominance analysis of potential work environment stressors.

    PubMed

    Kath, Lisa M; Stichler, Jaynelle F; Ehrhart, Mark G; Sievers, Andree

    2013-11-01

    Nurse managers have important but stressful jobs. Clinical or bedside nurse predictors of stress have been studied more frequently, but less has been done on work environment predictors for those in this first-line leadership role. Understanding the relative importance of those work environment predictors could be used to help identify the most fruitful areas for intervention, potentially improving recruitment and retention for nurse managers. Using Role Stress Theory and the Job Demands-Resources Theory, a model was tested examining the relative importance of five potential predictors of nurse manager stress (i.e., stressors). The work environment stressors included role ambiguity, role overload, role conflict, organizational constraints, and interpersonal conflict. A quantitative, cross-sectional survey study was conducted with a convenience sample of 36 hospitals in the Southwestern United States. All nurse managers working in these 36 hospitals were invited to participate. Of the 636 nurse managers invited, 480 responded, for a response rate of 75.5%. Questionnaires were distributed during nursing leadership meetings and were returned in person (in sealed envelopes) or by mail. Because work environment stressors were correlated, dominance analysis was conducted to examine which stressors were the most important predictors of nurse manager stress. Role overload was the most important predictor of stress, with an average of 13% increase in variance explained. The second- and third-most important predictors were organizational constraints and role conflict, with an average of 7% and 6% increase in variance explained, respectively. Because other research has shown deleterious effects of nurse manager stress, organizational leaders are encouraged to help nurse managers reduce their actual and/or perceived role overload and organizational constraints. Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. Collaboration in natural resource governance: reconciling stakeholder expectations in deer management in Scotland.

    PubMed

    Davies, Althea L; White, Rehema M

    2012-12-15

    The challenges of integrated, adaptive and ecosystem management are leading government agencies to adopt participatory modes of engagement. Collaborative governance is a form of participation in which stakeholders co-produce goals and strategies and share responsibilities and resources. We assess the potential and challenges of collaborative governance as a mechanism to provide an integrated, ecosystem approach to natural resource management, using red deer in Scotland as a case study. Collaborative Deer Management Groups offer a well-established example of a 'bridging organisation', intended to reduce costs and facilitate decision making and learning across institutions and scales. We examine who initiates collaborative processes and why, what roles different actors adopt and how these factors influence the outcomes, particularly at a time of changing values, management and legislative priorities. Our findings demonstrate the need for careful consideration of where and how shared responsibility might be best implemented and sustained as state agencies often remain key to the process, despite the partnership intention. Differing interpretations between agencies and landowners of the degree of autonomy and division of responsibilities involved in 'collaboration' can create tension, while the diversity of landowner priorities brings additional challenges for defining shared goals in red deer management and in other cases. Effective maintenance depends on appropriate role allocation and adoption of responsibilities, definition of convergent values and goals, and establishing communication and trust in institutional networks. Options that may help private stakeholders offset the costs of accepting responsibility for delivering public benefits need to be explicitly addressed to build capacity and support adaptation. This study indicates that collaborative governance has the potential to help reconcile statutory obligations with stakeholder empowerment. The potential of collaboration to reduce the costs of sustainable management remains contentious and, in times of increasing resource constraints, the potential mismatch between resource investment and anticipated goals is likely to become a critical issue, which may challenge the goals and capacity of the state and existing managers. Copyright © 2012 Elsevier Ltd. All rights reserved.

  11. Contribution of the Multi Attribute Value Theory to conflict resolution in groundwater management. Application to the Mancha Oriental groundwater system, Spain

    NASA Astrophysics Data System (ADS)

    Apperl, B.; Andreu, J.; Karjalainen, T. P.; Pulido-Velazquez, M.

    2014-09-01

    The implementation of the EU Water Framework Directive demands participatory water resource management approaches. Decision making in groundwater quantity and quality management is complex because of the existence of many independent actors, heterogeneous stakeholder interests, multiple objectives, different potential policies, and uncertain outcomes. Conflicting stakeholder interests have been often identified as an impediment to the realization and success of water regulations and policies. The management of complex groundwater systems requires clarifying stakeholders' positions (identifying stakeholders preferences and values), improving transparency with respect to outcomes of alternatives, and moving the discussion from the selection of alternatives towards definition of fundamental objectives (value-thinking approach), what facilitates negotiation. The aims of the study are to analyse the potential of the multi attribute value theory for conflict resolution in groundwater management and to evaluate the benefit of stakeholder incorporation in the different stages of the planning process to find an overall satisfying solution for groundwater management. The research was conducted in the Mancha Oriental groundwater system (Spain), subject to an intensive use of groundwater for irrigation. A complex set of objectives and attributes were defined, and the management alternatives were created by a combination of different fundamental actions, considering different implementation stages and future changes in water resources availability. Interviews were conducted with representative stakeholder groups using an interactive platform, showing simultaneously the consequences of changes of preferences to the alternative ranking. Results show that the acceptation of alternatives depends strongly on the combination of measures and the implementation stages. Uncertainties of the results were notable but did not influence heavily on the alternative ranking. The expected reduction of future groundwater resources by climate change increases the conflict potential. The implementation of the method to a very complex case study, with many conflicting objectives and alternatives and uncertain outcomes, including future scenarios under water limiting conditions, illustrate the potential of the method for supporting management decisions.

  12. Contribution of the multi-attribute value theory to conflict resolution in groundwater management - application to the Mancha Oriental groundwater system, Spain

    NASA Astrophysics Data System (ADS)

    Apperl, B.; Pulido-Velazquez, M.; Andreu, J.; Karjalainen, T. P.

    2015-03-01

    The implementation of the EU Water Framework Directive demands participatory water resource management approaches. Decision making in groundwater quantity and quality management is complex because of the existence of many independent actors, heterogeneous stakeholder interests, multiple objectives, different potential policies, and uncertain outcomes. Conflicting stakeholder interests have often been identified as an impediment to the realisation and success of water regulations and policies. The management of complex groundwater systems requires the clarification of stakeholders' positions (identifying stakeholder preferences and values), improving transparency with respect to outcomes of alternatives, and moving the discussion from the selection of alternatives towards the definition of fundamental objectives (value-thinking approach), which facilitates negotiation. The aims of the study are to analyse the potential of the multi-attribute value theory for conflict resolution in groundwater management and to evaluate the benefit of stakeholder incorporation into the different stages of the planning process, to find an overall satisfying solution for groundwater management. The research was conducted in the Mancha Oriental groundwater system (Spain), subject to intensive use of groundwater for irrigation. A complex set of objectives and attributes was defined, and the management alternatives were created by a combination of different fundamental actions, considering different implementation stages and future changes in water resource availability. Interviews were conducted with representative stakeholder groups using an interactive platform, showing simultaneously the consequences of changes in preferences to the alternative ranking. Results show that the approval of alternatives depends strongly on the combination of measures and the implementation stages. Uncertainties in the results were notable, but did not influence the alternative ranking heavily. The expected reduction in future groundwater resources by climate change increases the conflict potential. The implementation of the method in a very complex case study, with many conflicting objectives and alternatives and uncertain outcomes, including future scenarios under water limiting conditions, illustrates the potential of the method for supporting management decisions.

  13. Management of Nursing Workplace Incivility in the Health Care Settings: A Systematic Review.

    PubMed

    Armstrong, Nancy

    2018-05-01

    Workplace incivility is a well-documented issue in nursing in the health care setting. It has the potential to cause emotional and physical distress in victims and potentially affects the quality of care provided. The purpose of this study was to critique and summarize the most recent, available evidence related to interventions in assisting nursing staff working in health care settings in managing incivility. This systematic review of literature yielded 10 studies meeting the criteria. The studies were mostly identified as lower quality research. Despite the lower quality of research, the collection of evidence suggests the use of a combination of educational training about workplace incivility, training about effective responses to uncivil workplace behaviors, and active learning activities to practice newly learned communication skills, in assisting nurses in improving their ability to manage incivility in the workplace.

  14. Factors that influence effective perioperative temperature management by anesthesiologists: a qualitative study using the Theoretical Domains Framework.

    PubMed

    Boet, Sylvain; Patey, Andrea M; Baron, Justine S; Mohamed, Karim; Pigford, Ashlee-Ann E; Bryson, Gregory L; Brehaut, Jamie C; Grimshaw, Jeremy M

    2017-06-01

    Inadvertent perioperative hypothermia (IPH) is associated with a range of adverse outcomes. Safe and effective warming techniques exist to prevent IPH; however, IPH remains common. This study aimed to identify factors that anesthesiologists perceive may influence temperature management during the perioperative period. After Research Ethics Board approval, semi-structured interviews were conducted with staff anesthesiologists at a Canadian academic hospital. An interview guide based on the Theoretical Domains Framework (TDF) was used to capture 14 theoretical domains that may influence temperature management. The interview transcripts were coded using direct content analysis to generate specific beliefs and to identify relevant TDF domains perceived to influence temperature management behaviour. Data saturation was achieved after 15 interviews. The following nine theoretical domains were identified as relevant to designing an intervention for practices in perioperative temperature management: knowledge, beliefs about capabilities, beliefs about consequences, reinforcement, memory/attention/decision-making, environmental context and resources, social/professional role/identity, social influences, and behavioural regulation. Potential target areas to improve temperature management practices include interventions that address information needs about individual temperature management behaviour as well as patient outcome (feedback), increasing awareness of possible temperature management strategies and guidelines, and a range of equipment and surgical team dynamics that influence temperature management. This study identified several potential target areas for future interventions from nine of the TDF behavioural domains that anesthesiologists perceive to drive their temperature management practices. Future interventions that aim to close the evidence-practice gap in perioperative temperature management may include these targets.

  15. Monitoring is not enough: on the need for a model-based approach to migratory bird management

    USGS Publications Warehouse

    Nichols, J.D.; Bonney, Rick; Pashley, David N.; Cooper, Robert; Niles, Larry

    2000-01-01

    Informed management requires information about system state and about effects of potential management actions on system state. Population monitoring can provide the needed information about system state, as well as information that can be used to investigate effects of management actions. Three methods for investigating effects of management on bird populations are (1) retrospective analysis, (2) formal experimentation and constrained-design studies, and (3) adaptive management. Retrospective analyses provide weak inferences, regardless of the quality of the monitoring data. The active use of monitoring data in experimental or constrained-design studies or in adaptive management is recommended. Under both approaches, learning occurs via the comparison of estimates from the monitoring program with predictions from competing management models.

  16. Measuring soil sustainability via soil resilience.

    PubMed

    Ludwig, Marie; Wilmes, Paul; Schrader, Stefan

    2018-06-01

    Soils are the nexus of water, energy and food, which illustrates the need for a holistic approach in sustainable soil management. The present study therefore aimed at identifying a bioindicator for the evaluation of soil management sustainability in a cross-disciplinary approach between soil science and multi-omics research. For this purpose we first discuss the remaining problems and challenges of evaluating sustainability and consequently suggest one measurable bioindicator for soil management sustainability. In this concept, we define soil sustainability as the maintenance of soil functional integrity. The potential to recover functional and structural integrity after a disturbance is generally defined as resilience. This potential is a product of the past and the present soil management, and at the same time prospect of possible soil responses to future disturbances. Additionally, it is correlated with the multiple soil functions and hence reflecting the multifunctionality of the soil system. Consequently, resilience can serve as a bioindicator for soil sustainability. The measurable part of soil resilience is the response diversity, calculated from the systematic contrasting of multi-omic markers for genetic potential and functional activity, and referred to as potential Maximum Ecological Performance (MEPpot) in this study. Calculating MEPpot will allow to determine the thresholds of resistance and resilience and potential tipping points for a regime shift towards irreversible or permanent unfavorable soil states for each individual soil considered. The calculation of such ecosystem thresholds is to our opinion the current global cross-disciplinary challenge. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  17. Identifying high risk medications causing potential drug-drug interactions in outpatients: A prescription database study based on an online surveillance system.

    PubMed

    Toivo, T M; Mikkola, J A V; Laine, K; Airaksinen, M

    2016-01-01

    Drug-drug interactions (DDIs) are a significant cause for adverse drug events (ADEs). DDIs are often predictable and preventable, but their prevention and management require systematic service development. Most DDI studies focus on interaction rates in hospitalized patients. Less is known of DDIs in outpatients, particularly how community pharmacists could contribute to DDI management by applying their surveillance systems for identifying high-risk medications. The study was related to the implementation of the first online DDI surveillance system in Finnish community pharmacies. The goal was to demonstrate how community pharmacies can utilize their prospective surveillance system 1) for identifying high risk medications causing potential DDIs in outpatients, 2) for collaborative service development with local physicians, and 3) for academic risk management research purposes. All DDI alerts given by the online surveillance system were collected during a one-month period in 16 out of 17 University Pharmacy outlets in Finland, covering approximately 10% of the national outpatient prescription volume. The surveillance system was based on the FASS database, which categorizes DDIs into four classes (A-D) according to their clinical significance. Potential drug-drug DDIs were analyzed for 276,891 dispensed community pharmacy prescriptions. Potential DDIs were associated with 10.8%, or 31,110 of these prescriptions. Clinically significant interaction alerts categorized as FASS classes D (most severe, should be avoided) and C (clinically significant but controllable) were associated with 0.5% and 7.0% of the prescriptions, respectively. Methotrexate and warfarin had the highest risk of causing potentially serious (class D) interactions. These interaction alerts were most frequently between methotrexate and NSAIDs and warfarin and NSAIDs. In general, NSAIDs were the most commonly interacting drugs in this study. This study demonstrates that community pharmacies can actively contribute to DDI risk management and systematically use their surveillance systems for identifying patients having clinically significant DDIs. The findings also indicate that the majority of potentially serious interactions in outpatients involve a limited number of drugs, particularly NSAIDs, warfarin and methotrexate. Further research should focus on community pharmacists' involvement in DDI risk management in collaboration with local health care providers. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Perceptions of Using Number Patterns to Manage Behaviors in Students with Autism

    ERIC Educational Resources Information Center

    Thomas, Miriam

    2012-01-01

    Studies have documented that an escalation in the phenomenon of aggression in autistic students reduces the potential for successful social inclusion. This qualitative case study examined the perceptions of certified professionals in education regarding implementing number patterns as a best practice to manage aggressive behaviors of students with…

  19. Designing Mobile LMS Interfaces: Learners' Expectations and Experiences

    ERIC Educational Resources Information Center

    Ssekakubo, Grace; Suleman, Hussein; Marsden, Gary

    2013-01-01

    Purpose: This paper aims to present findings of a study that was carried out to identify strategies of enabling learners in developing countries to fully exploit the potential of learning management systems (LMSs). The study set out to: identify the services of learning management systems that are most needed and desired by university learners in…

  20. Risk Management for Study Abroad Programs: Issues and Resources to Inform Program Development, Administration, and Training

    ERIC Educational Resources Information Center

    Rhodes, Gary

    2014-01-01

    This chapter provides a practical background to the health and safety risks and challenges for U.S. colleges and universities and other program providers. Potential risks, field-based guidelines, good practices, and resources to support the management of risks by study abroad offices will be covered.

  1. Study of systems and techniques for data base management

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Data management areas were studied to identify pertinent problems and issues that will affect future NASA data users in terms of performance and cost. Specific topics discussed include the identifications of potential NASA data users other than those normally discussed, consideration affecting the clustering of minicomputers, low cost computer system for information retrieval and analysis, the testing of minicomputer based data base management systems, ongoing work related to the use of dedicated systems for data base management, and the problems of data interchange among a community of NASA data users.

  2. The association between managed care enrollments and potentially preventable hospitalization among adult Medicaid recipients in Florida

    PubMed Central

    2014-01-01

    Background The intent of adopting managed care plans is to improve access to health care services while containing costs. To date, there have been a number of studies that examine the relationship between managed care and access to health care. However, the results from previous studies have been inconsistent. Specifically, previous studies did not demonstrate a clear benefit of Medicaid managed care. In this study we have examine whether Medicaid managed care is associated with the probabilities of preventable hospitalizations. This study also analyzes the spillover effect of Medicaid managed care into Medicaid patients in traditional FFS plans and the interaction effects of other patient- and county-level variables on preventable hospitalizations. Methods The study included 254,321 Medicaid patients who were admitted to short-term general hospital in the 67 counties in Florida. Using 2008 hospital inpatient discharge data for working-age adult Medicaid enrollees (18-64 years) in Florida, we conduct multivariate logistic regression analyses to identify possible factors associated with preventable hospitalizations. The first model includes patient- and county-level variables. Then, we add interaction terms between Medicaid HMO and other variables such as race, rurality, market-level factors, and resource for primary care. Results The results show that Medicaid HMO patients are more likely to be hospitalized for ambulatory care sensitive conditions (ACSCs) (OR = 1.30; CI = 1.21, 1.40). We also find that market structure (i.e., competition) is significantly associated with preventable hospitalizations. However, our study does not support that there are spillover effects of Medicaid managed care on preventable hospitalizations for other Medicaid recipients. We find that interactions between Medicaid managed care and race, rurality and market structure are significant. Conclusions The results of our study show that the Medicaid managed care program in Florida was associated with an increase in potentially preventable hospitalizations for Medicaid enrollees. The results suggest that lower capitation rate has been associated with a greater likelihood of preventable hospitalizations for Medicaid managed care patients. Our findings also indicate that increased competition in the Medicaid managed care market has no clear benefit in Medicaid managed care patients. PMID:24916077

  3. Experienced and potential medical tourists' service quality expectations.

    PubMed

    Guiry, Michael; Scott, Jeannie J; Vequist, David G

    2013-01-01

    The paper's aim is to compare experienced and potential US medical tourists' foreign health service-quality expectations. Data were collected via an online survey involving 1,588 US consumers engaging or expressing an interest in medical tourism. The sample included 219 experienced and 1,369 potential medical tourists. Respondents completed a SERVQUAL questionnaire. Mann-Whitney U-tests were used to determine significant differences between experienced and potential US medical tourists' service-quality expectations. For all five service-quality dimensions (tangibles, reliability, responsiveness, assurance and empathy) experienced medical tourists had significantly lower expectations than potential medical tourists. Experienced medical tourists also had significantly lower service-quality expectations than potential medical tourists for 11 individual SERVQUAL items. Results suggest using experience level to segment medical tourists. The study also has implications for managing medical tourist service-quality expectations at service delivery point and via external marketing communications. Managing medical tourists' service quality expectations is important since expectations can significantly influence choice processes, their experience and post-consumption behavior. This study is the first to compare experienced and potential US medical tourist service-quality expectations. The study establishes a foundation for future service-quality expectations research in the rapidly growing medical tourism industry.

  4. Informing Lake Erie agriculture nutrient management via scenario evaluation

    USGS Publications Warehouse

    Scavia, Donald; Kalcic, Margaret; Muenich, Rebecca Logsdon; Aloysius, Noel; Arnold, Jeffrey; Boles, Chelsie; Confesor, Remegio; DePinto, Joseph; Gildow, Marie; Martin, Jay; Read, Jennifer; Redder, Todd; Robertson, Dale M.; Sowa, Scott P.; Wang, Yu-Chen; White, Michael; Yen, Haw

    2016-01-01

    Therefore, the overall goal of this study was to identify potential options for agricultural management to reduce phosphorus loads and lessen future HABs in Lake Erie. We applied multiple watershed models to test the ability of a series of land management scenarios, developed in consultation with agricultural and environmental stakeholders, to reach the proposed targets. 

  5. Exploring Use of Climate Information in Wildland Fire Management: A Decision Calendar Study

    Treesearch

    Thomas W. Corringham; Anthony L. Westerling; Barbara J. Morehouse

    2006-01-01

    Wildfire management is an institutionally complex process involving a complex budget and appropriations cycle, a variety of objectives, and a set of internal and external political constraints. Significant potential exists for enhancing the use of climate information and long-range climate forecasts in wildland fire management in the Western U.S. Written surveys and...

  6. Impacts of Teacher-Child Managed Whole-Group Language and Literacy Instruction on the Depth of Preschoolers' Social Interaction

    ERIC Educational Resources Information Center

    Lin, Tzu-Jung; Justice, Laura M.; Emery, Alyssa A.; Mashburn, Andrew J.; Pentimonti, Jill M.

    2017-01-01

    Research Findings: This study examined the potential impacts of ongoing participation (twice weekly for 30 weeks) in teacher-child managed whole-group language and literacy instruction on prekindergarten children's social interaction with classmates. Teacher-child managed whole-group instruction that provides children with opportunities to engage…

  7. Public Timber Supply under Multiple-Use Management

    Treesearch

    David N. Wear

    2003-01-01

    In many parts of the world, substantial shares of timber inventories are managed by government agencies. The objective of this chapter is to examine the potential influence of public timber production on market structure as well as on prices, harvest quantities, and economic welfare. National forest management in the United States is used as a tractable case study, but...

  8. Evaluating management risks using landscape trajectory analysis: a case study of California fisher

    Treesearch

    Craig M. Thompson; William J. Zielinski; Kathryn L. Purcell

    2011-01-01

    Ecosystem management requires an understanding of how landscapes vary in space and time, how this variation can be affected by management decisions or stochastic events, and the potential consequences for species. Landscape trajectory analysis, coupled with a basic knowledge of species habitat selection, offers a straightforward approach to ecological risk analysis and...

  9. The Reaction of Managers to the Pre-Acquisition Stage of a Corporate Merger: A Qualitative Study.

    ERIC Educational Resources Information Center

    Burlew, Larry D.; And Others

    1994-01-01

    According to interviews with six managers in a retail firm facing potential sale, the preacquisition stage of a merger is stressful. Feelings of insecurity, uncertainty, threat, and loss of control affect managers' work. Early intervention is needed to assist them with the range of emotions and expectation they experience. (SK)

  10. Exploring current and potential roles of Australian community pharmacists in gout management: a qualitative study.

    PubMed

    Counsell, Allyce B; Nguyen, Amy D; Baysari, Melissa T; Kannangara, Diluk R W; McLachlan, Andrew J; Day, Richard O

    2018-05-09

    Gout is an increasingly prevalent form of inflammatory arthritis. Although effective treatments for gout exist, current management is suboptimal due to low medication adherence rates and treatments that are non-concordant with guidelines. Medications are the mainstay and most effective form of gout management. Thus, there is potential for community pharmacists to play an important primary health care role in gout management, however their current role and their potential to improve management of gout treatment is currently unclear. The purpose of the study is to explore the views of Australian pharmacists on their roles in gout management and to identify factors influencing their involvement in gout management. A convenience sample of community pharmacists were invited to participate using a snowballing recruitment strategy. Semi-structured, face-to-face interviews were conducted with 15 pharmacists of varying age, gender and pharmacy experience. Interviews focused on pharmacists' experiences of managing gout, interactions with people living with gout and their perceived roles and responsibilities in gout management. Interviews were transcribed verbatim and independently analysed by two reviewers to identify themes. The main role of pharmacists reported in gout management was providing patient education. The greatest facilitator to pharmacists involvement in gout management was identified to be pharmacists' good understanding of gout and its management. Barriers to pharmacists involvement were identified to be difficulties in monitoring adherence to gout medications, low priority given to gout in the pharmacy compared to other chronic health conditions, and lack of specific training and/or continuing education in gout prevention and management. Pharmacists can expand their primary health care role in gout management, particularly in the area of ongoing provision of education to people living with gout and in monitoring medication adherence in patients. However, a number of barriers need to be overcome including difficulties in monitoring patient adherence to medications, ensuring a higher priority is given to chronic gout management and providing continuing training to community pharmacists about gout. Implications for pharmacist practice include initiating conversations about medication adherence and education when dispensing medications and undertaking continuing education in gout.

  11. A case study of hospital operations management.

    PubMed

    Cheng, T C

    1987-12-01

    This paper discusses a study to investigate various operations management problems in a newly opened, modern regional hospital in Hong Kong. The findings of the study reveal that there exist in the hospital a number of current and potential problem areas. Recommendations for solving these problems are suggested with a view to improving the overall operational efficiency and effectiveness of the hospital.

  12. Crisis management during anaesthesia: embolism

    PubMed Central

    Williamson, J; Helps, S; Westhorpe, R; Mackay, P

    2005-01-01

    Background: Embolism with gas, thrombus, fat, amniotic fluid, or particulate matter may occur suddenly and unexpectedly during anaesthesia, posing a diagnostic and management problem for the anaesthetist. Objectives: To examine the role of a previously described core algorithm "COVER ABCD–A SWIFT CHECK" supplemented by a specific sub-algorithm for embolism, in the management of embolism occurring in association with anaesthesia. Methods: The potential performance of this structured approach for each of the relevant incidents among the first 4000 reported to the Australian Incident Monitoring Study (AIMS) was compared with the actual management as reported by the anaesthetists involved. Results: Among the first 4000 incidents reported to AIMS, 38 reports of embolism were found. A sudden fall in end-tidal carbon dioxide and oxygen saturation were the cardinal signs of embolism, each occurring in about two thirds of cases, with hypotension and electrocardiographic changes each occurring in about one third of cases. Conclusion: The potential value of an explicit structured approach to the diagnosis and management of embolism was assessed in the light of AIMS reports. It was considered that, correctly applied, it potentially would have led to earlier recognition of the problem and/or better management in over 40% of cases. PMID:15933290

  13. The CINMa index: assessing the potential impact of GM crop management across a heterogeneous landscape.

    PubMed

    Collier, Marcus J; Mullins, Ewen

    2010-01-01

    While significant progress has been made on the modification of crops for the benefit of producers, the same cannot be said in regards to eliciting the potential impact that these crops may have on the wider landscape and the diversity of life therein. Management impacts can create difficulties when making policy, regulation and licensing decisions in those countries where agriculture has a significant social and ecological position in the landscape. To begin to gauge the potential impacts of the management of a selection of GM crops on an agricultural landscape, four key biodiversity stressors (Chemicals, Introgression, Nutrients and Management: CINMa) were identified and a grading system developed using published data. Upon application to five selected GM crops in a case study area, CINMa identifies areas in the wider landscape where biodiversity is likely to be negatively or positively impacted, as well as agricultural zones which may benefit from the land use change associated with the management of GM crops and their associated post market environmental monitoring. © ISBR, EDP Sciences, 2011.

  14. Identifying potential environmental impacts of waste handling strategies in textile industry.

    PubMed

    Yacout, Dalia M M; Hassouna, M S

    2016-08-01

    Waste management is a successful instrument to minimize generated waste and improve environmental conditions. In spite of the large share of developing countries in the textile industry, limited information is available concerning the waste management strategies implemented for textiles on those countries and their environmental impacts. In the current study, two waste management approaches for hazardous solid waste treatment of acrylic fibers (landfill and incineration) were investigated. The main research questions were: What are the different impacts of each waste management strategy? Which waste management strategy is more ecofriendly? Life cycle assessment was employed in order to model the environmental impacts of each waste streaming approach separately then compare them together. Results revealed that incineration was the more ecofriendly approach. Highest impacts of both approaches were on ecotoxicity and carcinogenic potentials due to release of metals from pigment wastes. Landfill had an impact of 46.8 % on human health as compared to 28 % by incineration. Incineration impact on ecosystem quality was higher than landfill impact (68.4 and 51.3 %, respectively). As for resources category, incineration had a higher impact than landfill (3.5 and 2.0 %, respectively). Those impacts could be mitigated if state-of-the-art landfill or incinerator were used and could be reduced by applying waste to energy approaches for both management systems In conclusion, shifting waste treatment from landfill to incineration would decrease the overall environmental impacts and allow energy recovery. The potential of waste to energy approach by incineration with heat recovery could be considered in further studies. Future research is needed in order to assess the implementation of waste management systems and the preferable waste management strategies in the textile industry on developing countries.

  15. 76 FR 29215 - Notice of Intent To Prepare Draft Environmental Impact Statements/Environmental Impact Reports...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-20

    ... because they partially overlap in their study areas, purpose, potential improvements, potential effects... that an EIS/EIR will be prepared to describe alternatives, potential environmental effects, and... funding toward flood management improvements. These funds may be matched with those from the Early...

  16. Demographic studies of Joshua trees in Mojave Desert National Parks: demography with emphasis on germination and recruitment

    USGS Publications Warehouse

    Esque, T.C.; Reynolds, B.; DeFalco, L.A.; Waitman, B.A.; Hughson, Debra

    2010-01-01

    The study of population change with regard to reproduction, seed dispersal, and germination, establishment, growth, and survival/mortality is known as demography. Demographic studies provide managers with information to assess future trends on the density, distribution, health, and population changes of importance or value, including Joshua trees (Yucca brevifolia). Demographic research provides the potential to understand the combined impacts of climate change and land-use practices and determine if strategies for protecting important species are likely to succeed or fall short of management goals and will identify factors that have the potential to de-stabilize populations outside the realm of natural variation so that management strategies can be developed to circumvent challenges for key species, processes, and ecosystems. The National Park Service and US Geological Survey are collaborating to collect demographic information about the demographics of Joshua tree in the Mojave Desert.

  17. Generating an agricultural risk map based on limited ecological information: A case study using Sicyos angulatus.

    PubMed

    Osawa, Takeshi; Okawa, Shigenori; Kurokawa, Shunji; Ando, Shinichiro

    2016-12-01

    In this study, we propose a method for estimating the risk of agricultural damage caused by an invasive species when species-specific information is lacking. We defined the "risk" as the product of the invasion probability and the area of potentially damaged crop for production. As a case study, we estimated the risk imposed by an invasive weed, Sicyos angulatus, based on simple cellular simulations and governmental data on the area of crop that could potentially be damaged in Miyagi Prefecture, Japan. Simulation results revealed that the current distribution range was sufficiently accurate for practical purposes. Using these results and records of crop areas, we present risk maps for S. angulatus in agricultural fields. Managers will be able to use these maps to rapidly establish a management plan with minimal cost. Our approach will be valuable for establishing a management plan before or during the early stages of invasion.

  18. Disentangling the response of streamflow to forest management and climate

    NASA Astrophysics Data System (ADS)

    Dymond, S.; Miniat, C.; Bladon, K. D.; Keppeler, E.; Caldwell, P. V.

    2016-12-01

    Paired watershed studies have showcased the relationships between forests, management, and streamflow. However, classical analyses of paired-watershed studies have done little to disentangle the effects of management from overarching climatic signals, potentially masking the interaction between management and climate. Such approaches may confound our understanding of how forest management impacts streamflow. Here we use a 50-year record of streamflow and climate data from the Caspar Creek Experimental Watersheds (CCEW), California, USA to separate the effects of forest management and climate on streamflow. CCEW has two treatment watersheds that have been harvested in the past 50 years. We used a nonlinear mixed model to combine the pre-treatment relationship between streamflow and climate and the post-treatment relationship via an interaction between climate and management into one equation. Our results show that precipitation and potential evapotranspiration alone can account for >95% of the variability in pre-treatment streamflow. Including management scenarios into the model explained most of the variability in streamflow (R2 > 0.98). While forest harvesting altered streamflow in both of our modeled watersheds, removing 66% of the vegetation via selection logging using a tractor yarding system over the entire watershed had a more substantial impact on streamflow than clearcutting small portions of a watershed using cable-yarding. These results suggest that forest harvesting may result in differing impacts on streamflow and highlights the need to incorporate climate into streamflow analyses of paired-watershed studies.

  19. Responding to home maintenance challenge scenarios: the role of selection, optimization, and compensation in aging-in-place.

    PubMed

    Kelly, Andrew John; Fausset, Cara Bailey; Rogers, Wendy; Fisk, Arthur D

    2014-12-01

    This study examined potential issues faced by older adults in managing their homes and their proposed solutions for overcoming hypothetical difficulties. Forty-four diverse, independently living older adults (66-85) participated in structured group interviews in which they discussed potential solutions to manage difficulties presented in four scenarios: perceptual, mobility, physical, and cognitive difficulties. The proposed solutions were classified using the Selection, Optimization, and Compensation (SOC) model. Participants indicated they would continue performing most tasks and reported a range of strategies to manage home maintenance challenges. Most participants reported that they would manage home maintenance challenges using compensation; the most frequently mentioned compensation strategy was using tools and technologies. There were also differences across the scenarios: Optimization was discussed most frequently with perceptual and cognitive difficulty scenarios. These results provide insights into supporting older adults' potential needs for aging-in-place and provide evidence of the value of the SOC model in applied research. © The Author(s) 2012.

  20. Assessing the mitigation potential of agricultural systems by optimization of the agricultural management: A modeling study on 8 agricultural observation sites across Europe with the process based model LandscapeDNDC

    NASA Astrophysics Data System (ADS)

    Molina Herrera, Saul; Haas, Edwin; Klatt, Steffen; Kraus, David; Kiese, Ralf; Butterbach-Bahl, Klaus

    2014-05-01

    The use of mineral nitrogen (N) fertilizers increase crop yields but cause the biggest anthropogenic source of nitrous oxide (N2O) emissions and strongly contribute to surface water eutrophication (e.g. nitrate leaching). The necessity to identify affordable strategies that improve crop production while improving ecosystem services are in continuous debate between policy decision makers and farmers. In this line, a lack commitment from farmers to enforce laws might result in the reduction of benefits. For this reason, farmers should aim to increase crop production and to reduce environmental harm by the adoption of precision climate smart agriculture tools applied to management practices for instance. In this study we present optimized strategies for 8 sites (agricultural and grassland ecosystems) with long term field observation across Europe to show the mitigation potential to reduce reactive nitrogen losses under the constrain of keeping yields at observed levels. LandscapeDNDC simulations of crop yields and associated nitrogen losses (N2O emissions and NO3 leaching) were evaluated against long term field measurements. The sites presented different management regimes including the main commodity crops (maize, wheat, barley, rape seeds, etc) and fertilization amendments (synthetic and organic fertilizers) in Europe. The simulations reproduced the observed yields, captured N2O emissions and NO3 leaching losses with high statistical presicion (r2), acurrency (ME) and agreement (RMSPEn). The mitigation potentials to reduce N losses while keeping yields at observed levels for all 8 sites were assesed by Monte Carlo optimizations of the individual underlying multi year agricultural management options (timings of planting and harvest, fertilization & manure applications and rates, residues management). In this study we present for all 8 agricultural observations sites their individual mitigation potentials to reduce N losses for multi year rotations. The conclusions for each side could result in management strategies to minimize environmental impact when such a model is used to predict best management practice on the site scale.

  1. Rejection of an innovation: health information management training materials in east Africa.

    PubMed

    Gladwin, J; Dixon, R A; Wilson, T D

    2002-12-01

    A shift towards decentralization in many low-income countries has meant more skills are demanded of primary health care managers, including data and information handling at all levels of the health care system. Ministries of Health are changing their central reporting health information systems to health management information systems with emphasis on managers utilizing information at the point of collection. This paper reports on a research study to investigate the introduction of new information management strategies intended to promote an informational approach to management at the operational health service level in low-income countries. It aims to understand the process taking place when externally developed training materials (PHC MAP), which are intended to strengthen health management information systems, are introduced to potential users in an east African country. A case study has been undertaken and this research has demonstrated that the dynamic equilibrium approach to organizational change is applicable to the introduction of new information management strategies and management approaches in low-income countries. Although PHC MAP developers envisaged a technical innovation needing implementation, potential users saw the situation as one of organizational change. Contributions to theory have been made and many implications for introducing new information systems or the informational approach to management are identified. This theoretical framework could also facilitate the introduction of future information management innovations and would allow practitioners to perceive the introduction of information management innovations as one of organizational change that needs to be managed. Consequently, issues that may facilitate or inhibit adoption could be identified in advance.

  2. Teaching Community-Based Learning Course in Retailing Management

    ERIC Educational Resources Information Center

    Rhee, Eddie

    2018-01-01

    This study outlines the use of a community-based learning (CBL) applied to a Retailing Management course conducted in a 16-week semester in a private institution in the East Coast. The study addresses the case method of teaching and its potential weaknesses, and discusses experiential learning for a real-world application. It further addresses CBL…

  3. An exploratory study of OHV riders in New York State: findings and implications for management

    Treesearch

    Jennifer Baker; Rudy M. Schuster; H. Ken Cordell

    2008-01-01

    Objectives of this study were to determine demographic and experience characteristics of OHV riders, examine their motivations and resource attribute preferences, and to investigate the correlation between preferences and support for management actions and perception of potential problems. Findings showed that information and parking, rules and signs, and the natural...

  4. Using the Facebook Group as a Learning Management System: An Exploratory Study

    ERIC Educational Resources Information Center

    Wang, Qiyun; Woo, Huay Lit; Quek, Choon Lang; Yang, Yuqin; Liu, Mei

    2012-01-01

    Facebook is a popular social networking site. It, like many other new technologies, has potential for teaching and learning because of its unique built-in functions that offer pedagogical, social and technological affordances. In this study, the Facebook group was used as a learning management system (LMS) in two courses for putting up…

  5. Case Study 3: Species vulnerability assessment for the Middle Rio Grande, New Mexico

    Treesearch

    Deborah M. Finch; Megan Friggens; Karen Bagne

    2011-01-01

    This case study describes a method for scoring terrestrial species that have potential to be vulnerable to climate change. The assessment tool seeks to synthesize complex information related to projected climate changes into a predictive tool for species conservation. The tool was designed to aid managers in prioritizing species management actions in response to...

  6. The Management of Chemical Waste in a University Setting.

    ERIC Educational Resources Information Center

    Coons, David Michael

    This thesis describes a study of the management of chemical waste at the State University of New York at Binghamton. The study revealed that the majority of chemical waste at the university is in the form of hazardous waste. It was hypothesized that the volume, related costs, and potential long-term liability associated with the disposal of…

  7. Personalized Medicine and Infectious Disease Management.

    PubMed

    Jensen, Slade O; van Hal, Sebastiaan J

    2017-11-01

    A recent study identified pathogen factors associated with an increased mortality risk in Staphylococcus aureus bacteremia, using predictive modelling and a combination of genotypic, phenotypic, and clinical data. This study conceptually validates the benefit of personalized medicine and highlights the potential use of whole genome sequencing in infectious disease management. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Running Head: Feasibility of Blood Management. Feasibility Study of a Blood Management Program in the Mike O’Callaghan Federal Hospital

    DTIC Science & Technology

    2009-06-02

    transition to bloodless surgery (Northeast Baptist Hospital, 2008). The newsletter also included a transcript from a local news story on their...and Procedures Several locally developed instructions address procedures that have the potential to facilitate blood management efforts. Appendix B... local Blood Management 19 instruction developed by the Operating Room Services personnel, details the guidelines for using the Cell Saver

  9. Public acceptance of disturbance-based forest management: a study of the Blue River Landscape Strategy in the Central Cascades Adaptive Management Area.

    Treesearch

    Bruce Shindler; Angela L. Mallon

    2009-01-01

    This report examines public perspectives on disturbance-based management conducted in the central Cascade Range in Oregon as part of the Blue River Landscape Strategy. A mail survey to local residents was used to describe the public’s understanding of this form of management, identify perceived associated risks and potential barriers to implementation, and the overall...

  10. NASA Spacecraft Fault Management Workshop Results

    NASA Technical Reports Server (NTRS)

    Newhouse, Marilyn; McDougal, John; Barley, Bryan; Fesq, Lorraine; Stephens, Karen

    2010-01-01

    Fault Management is a critical aspect of deep-space missions. For the purposes of this paper, fault management is defined as the ability of a system to detect, isolate, and mitigate events that impact, or have the potential to impact, nominal mission operations. The fault management capabilities are commonly distributed across flight and ground subsystems, impacting hardware, software, and mission operations designs. The National Aeronautics and Space Administration (NASA) Discovery & New Frontiers (D&NF) Program Office at Marshall Space Flight Center (MSFC) recently studied cost overruns and schedule delays for 5 missions. The goal was to identify the underlying causes for the overruns and delays, and to develop practical mitigations to assist the D&NF projects in identifying potential risks and controlling the associated impacts to proposed mission costs and schedules. The study found that 4 out of the 5 missions studied had significant overruns due to underestimating the complexity and support requirements for fault management. As a result of this and other recent experiences, the NASA Science Mission Directorate (SMD) Planetary Science Division (PSD) commissioned a workshop to bring together invited participants across government, industry, academia to assess the state of the art in fault management practice and research, identify current and potential issues, and make recommendations for addressing these issues. The workshop was held in New Orleans in April of 2008. The workshop concluded that fault management is not being limited by technology, but rather by a lack of emphasis and discipline in both the engineering and programmatic dimensions. Some of the areas cited in the findings include different, conflicting, and changing institutional goals and risk postures; unclear ownership of end-to-end fault management engineering; inadequate understanding of the impact of mission-level requirements on fault management complexity; and practices, processes, and tools that have not kept pace with the increasing complexity of mission requirements and spacecraft systems. This paper summarizes the findings and recommendations from that workshop, as well as opportunities identified for future investment in tools, processes, and products to facilitate the development of space flight fault management capabilities.

  11. The need for spatially explicit quantification of benefits in invasive-species management.

    PubMed

    Januchowski-Hartley, Stephanie R; Adams, Vanessa M; Hermoso, Virgilio

    2018-04-01

    Worldwide, invasive species are a leading driver of environmental change across terrestrial, marine, and freshwater environments and cost billions of dollars annually in ecological damages and economic losses. Resources limit invasive-species control, and planning processes are needed to identify cost-effective solutions. Thus, studies are increasingly considering spatially variable natural and socioeconomic assets (e.g., species persistence, recreational fishing) when planning the allocation of actions for invasive-species management. There is a need to improve understanding of how such assets are considered in invasive-species management. We reviewed over 1600 studies focused on management of invasive species, including flora and fauna. Eighty-four of these studies were included in our final analysis because they focused on the prioritization of actions for invasive species management. Forty-five percent (n = 38) of these studies were based on spatial optimization methods, and 35% (n = 13) accounted for spatially variable assets. Across all 84 optimization studies considered, 27% (n = 23) explicitly accounted for spatially variable assets. Based on our findings, we further explored the potential costs and benefits to invasive species management when spatially variable assets are explicitly considered or not. To include spatially variable assets in decision-making processes that guide invasive-species management there is a need to quantify environmental responses to invasive species and to enhance understanding of potential impacts of invasive species on different natural or socioeconomic assets. We suggest these gaps could be filled by systematic reviews, quantifying invasive species impacts on native species at different periods, and broadening sources and enhancing sharing of knowledge. © 2017 Society for Conservation Biology.

  12. Systematic Review of Integrated Medical and Psychiatric Self-Management Interventions for Adults with Serious Mental Illness

    PubMed Central

    Whiteman, Karen L.; Naslund, John A.; DiNapoli, Elizabeth A.; Bruce, Martha L.; Bartels, Stephen J.

    2016-01-01

    Objective Adults with serious mental illness are disproportionately affected by medical comorbidity, earlier onset of disease, and premature mortality. Integrated self-management interventions have been developed to address both medical and psychiatric illnesses. This systematic review aimed to: review the evidence of the effect of self-management interventions targeting both medical and psychiatric illnesses and evaluate the potential for implementation. Methods Databases including CINAHL, Cochrane Central, Ovid Medline, PsycINFO, and Web of Science were searched for articles published between 1946 and July 2015. Studies evaluating integrated medical and psychiatric self-management interventions for adults with schizophrenia spectrum or mood disorders and medical comorbidity were included. Results Fifteen studies reported on nine interventions (i.e., nine randomized control trials, six pre/post designs). Most studies demonstrated feasibility, acceptability, and preliminary effectiveness; however, clinical effectiveness could not be established in most of the studies due to methodological limitations. Factors identified that may deter implementation included operating costs, impractical length of the intervention, and the workforce needs of these interventions. Conclusions Integrated medical and psychiatric illness self-management interventions appear feasible and acceptable, with high potential for clinical effectiveness. However, implementation considerations were rarely considered in intervention development, contributing to limited uptake and reach in real-world settings. PMID:27301767

  13. A bi-level environmental impact assessment framework for comparing construction and demolition waste management strategies.

    PubMed

    Yazdanbakhsh, Ardavan

    2018-04-27

    Several pioneering life cycle assessment (LCA) studies have been conducted in the past to assess the environmental impact of specific methods for managing mineral construction and demolition waste (MCDW), such as recycling the waste for use in concrete. Those studies focus on comparing the use of recycled MCDW and that of virgin components to produce materials or systems that serve specified functions. Often, the approaches adopted by the studies do not account for the potential environmental consequence of avoiding the existing or alternative waste management practices. The present work focuses on how product systems need to be defined in recycling LCA studies and what processes need to be within the system boundaries. A bi-level LCA framework is presented for modelling alternative waste management approaches in which the impacts are measured and compared at two scales of strategy and decision-making. Different functional units are defined for each level, all of which correspond to the same flow of MCDW in a cascade of product systems. For the sole purpose of demonstrating how the framework is implemented an illustrative example is presented, based on real data and a number of simplifying assumptions, which compares the impacts of a number of potential MCDW management strategies in New York City. Copyright © 2018 Elsevier Ltd. All rights reserved.

  14. Can weight management programs in worksites reduce the obesity epidemic?

    USDA-ARS?s Scientific Manuscript database

    Worksites can potentially be important locations for weight management programs that contribute to curbing the national obesity epidemic. In published studies, weight loss programs targeting overweight and obese employees have been relatively more effective for weight loss than programs for preventi...

  15. MANURE HARVESTING PRACTICES: EFFECTS ON WASTE CHARACTERISTICS AND RUNOFF

    EPA Science Inventory

    To develop a basis for better manure harvesting management practices a combined field and laboratory study was conducted. The effect of management practices on manure qualities and runoff pollution potential were compared on three feedlot pens with fully surfaced, partially surfa...

  16. Paediatric post-burn scar management in the UK: a national survey.

    PubMed

    Liuzzi, Francesca; Chadwick, Sarah; Shah, Mamta

    2015-03-01

    Thermal injuries affect 250,000 people annually in the United Kingdom. As burn survival improves, good scar management is paramount to help individuals living with the resultant scars lead a life without restrictions. Post-burn hypertrophic scars can limit growth in children, interfere with function and cause psychological problems. In the current literature there is great variation in post-burn scar management across the world and in the evidence available for the efficacy of these management modalities. The aim of this study was to investigate the variances if any, in the management of post-burn scarring in children across the UK. A telephone survey of UK paediatric burn services was conducted to obtain information on post-burn scar management and advice given to patients/carers. Of the 19 burn services that participated, all advised moisturising of scars but with variable emphasis on massaging. Silicones and pressure therapy were used by 18 services but commencement of use varied from soon after healing to onset of hypertrophic scarring. Laser therapy, ultrasound therapy and steroid therapy were used sporadically. This study highlights the common modalities of post-burn scar management in children across the UK. However, there is marked variation in timing and selection of the commonly used modalities. Although this study did not investigate the outcomes of scar management, it clearly identifies the need for a well-designed multi-centred study to establish evidence-based best practice in the management of post-burn scarring in children as these modalities are time consuming and not without potential complications. Evidence based practice could potentially lead to significant financial savings to the health service. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  17. Recreation conflict potential and management in the northern/central Black Forest Nature Park

    Treesearch

    C. Mann; J. D. Absher

    2008-01-01

    This study explores conflict in recreational use of the Black Forest Nature Park (BFNP) by six different nature sports groups as a function of infrastructure, forest management and other users. A multi-step, methodological triangulation conflict model from US recreation management was applied and tested in the Park. Results from two groups, hikers and mountain bikers,...

  18. Contributions of silvicultural studies at Fort Valley to watershed management of Arizona's ponderosa pine forests (P-53)

    Treesearch

    Gerald J. Gottfried; Peter F. Ffolliott; Daniel G. Neary

    2008-01-01

    Watershed management and water yield augmentation have been important objectives for chaparral, ponderosa pine, and mixed conifer management in Arizona and New Mexico. The ponderosa pine forests and other vegetation types generally occur in relatively high precipitation zones where the potential for increased water yields is great. The ponderosa pine forests have been...

  19. Contributions of silvicultural studies at Fort Valley to watershed management of Arizona's ponderosa pine forests

    Treesearch

    Gerald J. Gottfried; Peter F. Ffolliott; Daniel G. Neary

    2008-01-01

    Watershed management and water yield augmentation have been important objectives for chaparral, ponderosa pine, and mixed conifer management in Arizona and New Mexico. The ponderosa pine forests and other vegetation types generally occur in relatively high precipitation zones where the potential for increased water yields is great. The ponderosa pine forests have been...

  20. The Impact of Managerialism on the Strategy Work of University Middle Managers

    ERIC Educational Resources Information Center

    Davis, Annemarie; Jansen van Rensburg, Mari; Venter, Peet

    2016-01-01

    In an attempt to understand the effects of managerialism on university managers in a developing country, we set out to gather rich data on the strategy work of middle managers through a single case study at a South African university. Managerialism has the potential to solve inefficiencies in university systems and processes, as it could help to…

  1. Teaching MBA Students the Use of Web 2.0: The Knowledge Management Perspective

    ERIC Educational Resources Information Center

    Levy, Meira; Hadar, Irit

    2010-01-01

    The new concepts and technologies of Web 2.0 attract researches in a variety of fields including education, business and knowledge management. However, while the Web 2.0 potential in the education discipline has been widely studied, in the management discipline the Web 2.0 business value has not been fully acknowledged. This research suggests an…

  2. Model medication management process in Australian nursing homes using business process modeling.

    PubMed

    Qian, Siyu; Yu, Ping

    2013-01-01

    One of the reasons for end user avoidance or rejection to use health information systems is poor alignment of the system with healthcare workflow, likely causing by system designers' lack of thorough understanding about healthcare process. Therefore, understanding the healthcare workflow is the essential first step for the design of optimal technologies that will enable care staff to complete the intended tasks faster and better. The often use of multiple or "high risk" medicines by older people in nursing homes has the potential to increase medication error rate. To facilitate the design of information systems with most potential to improve patient safety, this study aims to understand medication management process in nursing homes using business process modeling method. The paper presents study design and preliminary findings from interviewing two registered nurses, who were team leaders in two nursing homes. Although there were subtle differences in medication management between the two homes, major medication management activities were similar. Further field observation will be conducted. Based on the data collected from observations, an as-is process model for medication management will be developed.

  3. Evaluation and Management Strategies for Per- and Polyfluoroalkyl Substances (PFASs) in Drinking Water Aquifers: Perspectives from Impacted U.S. Northeast Communities.

    PubMed

    Guelfo, Jennifer L; Marlow, Thomas; Klein, David M; Savitz, David A; Frickel, Scott; Crimi, Michelle; Suuberg, Eric M

    2018-06-01

    Multiple Northeast U.S. communities have discovered per- and polyfluoroalkyl substances (PFASs) in drinking water aquifers in excess of health-based regulatory levels or advisories. Regional stakeholders (consultants, regulators, and others) need technical background and tools to mitigate risks associated with exposure to PFAS-affected groundwater. The aim was to identify challenges faced by stakeholders to extend best practices to other regions experiencing PFAS releases and to establish a framework for research strategies and best management practices. Management challenges were identified during stakeholder engagement events connecting attendees with PFAS experts in focus areas, including fate/transport, toxicology, and regulation. Review of the literature provided perspective on challenges in all focus areas. Publicly available data were used to characterize sources of PFAS impacts in groundwater and conduct a geospatial case study of potential source locations relative to drinking water aquifers in Rhode Island. Challenges in managing PFAS impacts in drinking water arise from the large number of relevant PFASs, unconsolidated information regarding sources, and limited studies on some PFASs. In particular, there is still considerable uncertainty regarding human health impacts of PFASs. Frameworks sequentially evaluating exposure, persistence, and treatability can prioritize PFASs for evaluation of potential human health impacts. A regional case study illustrates how risk-based, geospatial methods can help address knowledge gaps regarding potential sources of PFASs in drinking water aquifers and evaluate risk of exposure. Lessons learned from stakeholder engagement can assist in developing strategies for management of PFASs in other regions. However, current management practices primarily target a subset of PFASs for which in-depth studies are available. Exposure to less-studied, co-occurring PFASs remains largely unaddressed. Frameworks leveraging the current state of science can be applied toward accelerating this process and reducing exposure to total PFASs in drinking water, even as research regarding health effects continues. https://doi.org/10.1289/EHP2727.

  4. Adaptive management for subsurface pressure and plume control in application to geological CO2 storage

    NASA Astrophysics Data System (ADS)

    Gonzalez-Nicolas, A.; Cihan, A.; Birkholzer, J. T.; Petrusak, R.; Zhou, Q.; Riestenberg, D. E.; Trautz, R. C.; Godec, M.

    2016-12-01

    Industrial-scale injection of CO2 into the subsurface can cause reservoir pressure increases that must be properly controlled to prevent any potential environmental impact. Excessive pressure buildup in reservoir may result in ground water contamination stemming from leakage through conductive pathways, such as improperly plugged abandoned wells or distant faults, and the potential for fault reactivation and possibly seal breaching. Brine extraction is a viable approach for managing formation pressure, effective stress, and plume movement during industrial-scale CO2 injection projects. The main objectives of this study are to investigate suitable different pressure management strategies involving active brine extraction and passive pressure relief wells. Adaptive optimized management of CO2 storage projects utilizes the advanced automated optimization algorithms and suitable process models. The adaptive management integrates monitoring, forward modeling, inversion modeling and optimization through an iterative process. In this study, we employ an adaptive framework to understand primarily the effects of initial site characterization and frequency of the model update (calibration) and optimization calculations for controlling extraction rates based on the monitoring data on the accuracy and the success of the management without violating pressure buildup constraints in the subsurface reservoir system. We will present results of applying the adaptive framework to test appropriateness of different management strategies for a realistic field injection project.

  5. Remote sensing for the sustainable management and conservation of forest environments biodiversity: the conservation managers perspective.

    NASA Astrophysics Data System (ADS)

    Aguilar-Amuchas, N.; Henebry, G. M.; Blanchard, J.; Sutter, R.

    2008-12-01

    The potential use of remote sensing for the design and implementation of sustainable management, conservation, and monitoring of forest biodiversity has been well documented in the scientific literature. However, when we look into how often remote sensing is actually being used in the decision making processes affecting biodiversity conservation and sustainable management, we find that, apart from specific study cases, its use is not as widespread as we know it should. There is an enormous gap between our scientific achievements and their use in the real world towards the preservation of a rapidly vanishing biodiversity. Conservation managers understand the potential remote sensing has. However, logistical constraints and high technical skills requirements render the use of remote sensing data difficult. Sound and easy approaches need to be developed and implemented. We present two study cases that illustrate 1st. How the interaction between tropical forest managers and remote sensing specialist allowed developing a simple method for the identification of priority areas for field surveys of tropical forests management ecological sustainability indicators and, 2nd. How remote sensing is being used by The Nature Conservancy as a first level approach towards the assessment of forest conservation strategies effectiveness in for areas located in 11 states, covering different forest types and a variety of conservation objectives.

  6. Assessing impacts of introduced aquatic species: Grass carp in large systems

    NASA Astrophysics Data System (ADS)

    Bain, Mark B.

    1993-03-01

    Introduced species have created environmental benefits and unanticipated disasters so a priori assessments of species introductions are needed for environmental management. A checklist for assessing impacts of introduced species was developed from studies of introduced species and recommendations for planning introductions. Sterile, triploid grass carp ( Ctenopharyngodon idella) are just beginning to be used as a biocontrol agent for the management of aquatic vegetation in open waterways. Potential impacts of grass carp in open systems were identified by reviewing grass carp biology relative to the impact assessment checklist. The potential consequences of introduced grass carp were reviewed for one case study. The case study demonstrated that conclusions about potential impacts and monitoring needs can be made despite incomplete information and uncertainty. Indicators of environmental impact and vulnerability of host systems were grouped into six categories: population control, hybridization, diseases and parasites, habitat alterations, biological effects, and management issues. Triploid grass carp can significantly alter habitat and biological resources through the secondary effects of reductions in aquatic vegetation. Potential impacts and significant uncertainties involve fish dispersions from plant control areas, inability to control vegetation loss, loss of diverse plant communities and their dependent species, and conflicts with human use of the water resource. Adequate knowledge existed to assess most potential consequences of releasing large numbers of triploid grass carp in Guntersville Reservoir, Alabama. However, the assessment of potential impacts indicated that moderate, incremental stockings combined with monitoring of vegetation and biological resources are necessary to control the effects of grass carp and achieve desirable, intermediate plant densities.

  7. Detecting ecosystem performance anomalies for land management in the upper colorado river basin using satellite observations, climate data, and ecosystem models

    USGS Publications Warehouse

    Gu, Yingxin; Wylie, B.K.

    2010-01-01

    This study identifies areas with ecosystem performance anomalies (EPA) within the Upper Colorado River Basin (UCRB) during 2005-2007 using satellite observations, climate data, and ecosystem models. The final EPA maps with 250-m spatial resolution were categorized as normal performance, underperformance, and overperformance (observed performance relative to weather-based predictions) at the 90% level of confidence. The EPA maps were validated using "percentage of bare soil" ground observations. The validation results at locations with comparable site potential showed that regions identified as persistently underperforming (overperforming) tended to have a higher (lower) percentage of bare soil, suggesting that our preliminary EPA maps are reliable and agree with ground-based observations. The 3-year (2005-2007) persistent EPA map from this study provides the first quantitative evaluation of ecosystem performance anomalies within the UCRB and will help the Bureau of Land Management (BLM) identify potentially degraded lands. Results from this study can be used as a prototype by BLM and other land managers for making optimal land management decisions. ?? 2010 by the authors.

  8. Detecting Ecosystem Performance Anomalies for Land Management in the Upper Colorado River Basin Using Satellite Observations, Climate Data, and Ecosystem Models

    USGS Publications Warehouse

    Gu, Yingxin; Wylie, Bruce K.

    2010-01-01

    This study identifies areas with ecosystem performance anomalies (EPA) within the Upper Colorado River Basin (UCRB) during 2005–2007 using satellite observations, climate data, and ecosystem models. The final EPA maps with 250-m spatial resolution were categorized as normal performance, underperformance, and overperformance (observed performance relative to weather-based predictions) at the 90% level of confidence. The EPA maps were validated using “percentage of bare soil” ground observations. The validation results at locations with comparable site potential showed that regions identified as persistently underperforming (overperforming) tended to have a higher (lower) percentage of bare soil, suggesting that our preliminary EPA maps are reliable and agree with ground-based observations. The 3-year (2005–2007) persistent EPA map from this study provides the first quantitative evaluation of ecosystem performance anomalies within the UCRB and will help the Bureau of Land Management (BLM) identify potentially degraded lands. Results from this study can be used as a prototype by BLM and other land managers for making optimal land management decisions.

  9. Estimating European soil organic carbon mitigation potential in a global integrated land use model

    NASA Astrophysics Data System (ADS)

    Frank, Stefan; Böttcher, Hannes; Schneider, Uwe; Schmid, Erwin; Havlík, Petr

    2013-04-01

    Several studies have shown the dynamic interaction between soil organic carbon (SOC) sequestration rates, soil management decisions and SOC levels. Management practices such as reduced and no-tillage, improved residue management and crop rotations as well as the conversion of marginal cropland to native vegetation or conversion of cultivated land to permanent grassland offer the potential to increase SOC content. Even though dynamic interactions are widely acknowledged in literature, they have not been implemented in most existing land use decision models. A major obstacle is the high data and computing requirements for an explicit representation of alternative land use sequences since a model has to be able to track all different management decision paths. To our knowledge no study accounted so far for SOC dynamics explicitly in a global integrated land use model. To overcome these conceptual difficulties described above we apply an approach capable of accounting for SOC dynamics in GLOBIOM (Global Biosphere Management Model), a global recursive dynamic partial equilibrium bottom-up model integrating the agricultural, bioenergy and forestry sectors. GLOBIOM represents all major land based sectors and therefore is able to account for direct and indirect effects of land use change as well as leakage effects (e.g. through trade) implicitly. Together with the detailed representation of technologies (e.g. tillage and fertilizer management systems), these characteristics make the model a highly valuable tool for assessing European SOC emissions and mitigation potential. Demand and international trade are represented in this version of the model at the level of 27 EU member states and 23 aggregated world regions outside Europe. Changes in the demand on the one side, and profitability of the different land based activities on the other side, are the major determinants of land use change in GLOBIOM. In this paper we estimate SOC emissions from cropland for the EU until 2050 explicitly considering SOC dynamics due to land use and land management in a global integrated land use model. Moreover, we calculate the EU SOC mitigation potential taking into account leakage effects outside Europe as well as related feed backs from other sectors. In sensitivity analysis, we disaggregate the SOC mitigation potential i.e. we quantify the impact of different management systems and crop rotations to identify most promising mitigation strategies.

  10. The potential of Internet of m-health Things "m-IoT" for non-invasive glucose level sensing.

    PubMed

    Istepanian, R S H; Hu, S; Philip, N Y; Sungoor, A

    2011-01-01

    An amalgamated concept of Internet of m-health Things (m-IoT) has been introduced recently and defined as a new concept that matches the functionalities of m-health and IoT for a new and innovative future (4G health) applications. It is well know that diabetes is a major chronic disease problem worldwide with major economic and social impact. To-date there have not been any studies that address the potential of m-IoT for non-invasive glucose level sensing with advanced opto-physiological assessment technique and diabetes management. In this paper we address the potential benefits of using m-IoT in non-invasive glucose level sensing and the potential m-IoT based architecture for diabetes management. We expect to achieve intelligent identification and management in a heterogeneous connectivity environment from the mobile healthcare perspective. Furthermore this technology will enable new communication connectivity routes between mobile patients and care services through innovative IP based networking architectures.

  11. Simulation and experimental study of 802.11 based networking for vehicular management and safety.

    DOT National Transportation Integrated Search

    2009-03-01

    This work focuses on the use of wireless networking techniques for their potential impact in providing : information for traffic management, control and public safety goals. The premise of this work is based on the : reasonable expectation that vehic...

  12. Sound management may sequester methane in grazed rangeland ecosystems

    USDA-ARS?s Scientific Manuscript database

    Considering their contribution to global warming, the sources and sinks of methane (CH4) should be accounted when undertaking a greenhouse gas inventory for grazed rangeland ecosystems. The aim of this study was to evaluate the mitigation potential of current ecological management programs implement...

  13. Soil water management practices (terraces) helped to mitigate the 2015 drought in Ethiopia.

    PubMed

    Kosmowski, Frédéric

    2018-05-31

    While the benefits of soil water management practices relative to soil erosion have been extensively documented, evidence regarding their effect on yields is inconclusive. Following a strong El-Niño, some regions of Ethiopia experienced major droughts during the 2015/16 agricultural season. Using the propensity scores method on a nationally representative survey in Ethiopia, this study investigates the effect of two widely adopted soil water management practices - terraces and contour bunds - on yields and assesses their potential to mitigate the effects of climate change. It is shown that at the national level, terraced plots have slightly lower yields than non-terraced plots. However, data support the hypothesis that terraced plots acted as a buffer against the 2015 Ethiopian drought, while contour bunds did not. This study provides evidence that terraces have the potential to help farmer deal with current climate risks. These results can inform the design of climate change adaptation policies and improve targeting of soil water management practices in Ethiopia.

  14. Qualitative Analysis of Creative Potential of Educational Leaders

    ERIC Educational Resources Information Center

    Asif, Nimira; Rodrigues, Sherwin

    2015-01-01

    The research study was carried out in a private university with course participants of Masters of Education (MEd) having a major in the specialization of Educational Leadership and Management. The purpose of the study was to enhance the creative potentials of educational leaders. Creativity provokes diverse thinking to make something novel which…

  15. Stormwater quality management in rail transportation--past, present and future.

    PubMed

    Vo, Phuong Tram; Ngo, Huu Hao; Guo, Wenshan; Zhou, John L; Listowski, Andrzej; Du, Bin; Wei, Qin; Bui, Xuan Thanh

    2015-04-15

    Railways currently play an important role in sustainable transportation systems, owing to their substantial carrying capacity, environmental friendliness and land-saving advantages. Although total pollutant emissions from railway systems are far less than that of automobile vehicles, the pollution from railway operations should not be underestimated. To date, both scientific and practical papers dealing with stormwater management for rail tracks have solely focused on its drainage function. Unlike roadway transport, the potential of stormwater pollution from railway operations is currently mishandled. There have been very few studies into the impact of its operations on water quality. Hence, upon the realisation on the significance of nonpoint source pollution, stormwater management priorities should have been re-evaluated. This paper provides an examination of past and current practices of stormwater management in the railway industry, potential sources of stormwater pollution, obstacles faced in stormwater management and concludes with strategies for future management directions. Copyright © 2015 Elsevier B.V. All rights reserved.

  16. Effectiveness of Acupressure Treatment for Pain Management and Fatigue Relief in Gulf War Veterans

    DTIC Science & Technology

    2015-10-01

    acupressure for fatigue relief and pain management in veterans with GWI. The study staffs have gained valuable knowledge related to acupressure and its...potential for fatigue relief and pain management in veterans with GWI. This knowledge may lead to further refinement of the protocol as well as...1 TITLE: Effectiveness of Acupressure Treatment in Pain Management and Fatigue Relief for Gulf War Veterans AWARD #: W81XWH-12-1-0567 REPORT

  17. Mineral resources of the Turtle Mountains Wilderness Study Area, San Bernardino County, California

    USGS Publications Warehouse

    Howard, Keith A.; Nielson, Jane E.; Simpson, Robert W.; Hazlett, Richard W.; Alminas, Henry V.; Nakata, John K.; McDonnell, John R.

    1988-01-01

    At the request of the U.S. Bureau of Land Management, approximately 105,200 acres of the Turtle Mountains Wilderness Study Area (CDCA-307) were evaluated for mineral resources (known) and resource potential (undiscovered). In this report, the area studied is referred to as "the wilderness study area" or simply "the study area"; any reference to the Turtle Mountain Wilderness Study Area refers only to that part of the wilderness study area for which a mineral survey was requested by the U.S. Bureau of Land Management.The wilderness study area is in southeastern San Bernardino County, Calif. Gold, silver, copper, and lead have been mined within and adjacent to the study area. Copper-zinc-silver-gold mineral occurrences are found in the southern part and gold-silver mineral occurrences are found in the northern part of the study area; identified low- to moderate-grade gold-silver resources occur adjacent to the study area along the western boundary. Six areas in the south-central and northwestern parts of the study area have high resource potential, two broad areas have moderate resource potential, and part of the southwest corner has low resource potential for lode gold, silver, and associated copper, lead, zinc, molybdenum, and tungsten. Alluvium locally within one of these areas has moderate resource potential for placer gold and silver, and the entire area has low resource potential for placer gold and silver. There is low resource potential for perlite, ornamental stone (onyx marble and opal), manganese, uranium and thorium, pegmatite minerals, and oil and gas within the study area. Sand and gravel are abundant but are readily available outside the wilderness study area.

  18. Soil physical property changes at the North American long-term soil productivity study sites: 1 and 5 years after compaction

    Treesearch

    Deborah S. Page-Dumroese; Martin F. Jurgensen; Allan E. Tiarks; Felix Ponder; Felipe G. Sanchez; Robert L. Fleming; J. Marty Kranabetter; Robert F. Powers; Douglas M. Stone; John D. Elioff; D. Andrew Scott

    2006-01-01

    The impact of forest management operations on soil physical properties is important to understand, since management can significantly change site productivity by altering root growth potential, water infiltration and soil erosion, and water and nutrient availability. We studied soil bulk density and strength changes as indicators of soil compaction before harvesting...

  19. Enhancing University Business Curriculum Using an Importance-Performance Approach: A Case Study of the Business Management Faculty of a University in Malaysia

    ERIC Educational Resources Information Center

    Daud, Salina; Abidin, Nurazariah; Sapuan, Noraina Mazuin; Rajadurai, Jegatheesan

    2011-01-01

    Purpose: This study seeks to investigate the potential gap between important dimensions of business graduates' attributes and the actual performance of these graduates in their post-graduate employment. These graduates have completed a business-related degree from the business management faculty of a higher education institution (HEI) located in…

  20. Conflicts in Schools, Conflict Management Styles and the Role of the School Leader: A Study of Greek Primary School Educators

    ERIC Educational Resources Information Center

    Saiti, Anna

    2015-01-01

    Conflict may occur in any organization (and hence school) and, for schools, conflict management style is a joint activity and the degree of its effectiveness determines the type of impact of conflict on school performance. This empirical study investigates the potential sources of conflict in Greek primary schools, determine appropriate approaches…

  1. Examining Management Success Potential.

    ERIC Educational Resources Information Center

    Quatrano, Louis A.

    The derivation of a model of management success potential in hospitals or health services administration is described. A questionnaire developed to assess management success potential in health administration students was voluntarily completed by approximately 700 incoming graduate students in 35 university health services administration programs…

  2. Attitudes of College Graduates, Faculty, and Human Resource Managers Regarding the Importance of Skills Acquired in College and Needed for Job Performance and Career Advancement Potential in the Retail Sector

    ERIC Educational Resources Information Center

    Heimler, Ronald

    2010-01-01

    The purpose of this study was to empirically examine college graduate, faculty, and human resource manager descriptions of needed, received, and further training in eight employability dimensions of literacy and numeracy, critical thinking, management, leadership, interpersonal, information technology, systems thinking skills, and work ethic…

  3. Economic implications for management of structural retention on harvest units at the Blue River Ranger District, Willamette National Forest, Oregon.

    Treesearch

    James F. Weigand; A. Lynn Burditt

    1992-01-01

    Timber sales offered at the Blue River Ranger District since the 1988 introduction of management for stand structural retention were studied to describe and quantify, where possible, economic implications of that management. Values for the potential lumber from merchantable green trees ranged from $102 to $1114 per acre among the harvest units surveyed thus far....

  4. Developing Custom Fire Behavior Fuel Models for Mediterranean Wildland-Urban Interfaces in Southern Italy

    NASA Astrophysics Data System (ADS)

    Elia, Mario; Lafortezza, Raffaele; Lovreglio, Raffaella; Sanesi, Giovanni

    2015-09-01

    The dramatic increase of fire hazard in wildland-urban interfaces (WUIs) has required more detailed fuel management programs to preserve ecosystem functions and human settlements. Designing effective fuel treatment strategies allows to achieve goals such as resilient landscapes, fire-adapted communities, and ecosystem response. Therefore, obtaining background information on forest fuel parameters and fuel accumulation patterns has become an important first step in planning fuel management interventions. Site-specific fuel inventory data enhance the accuracy of fuel management planning and help forest managers in fuel management decision-making. We have customized four fuel models for WUIs in southern Italy, starting from forest classes of land-cover use and adopting a hierarchical clustering approach. Furthermore, we provide a prediction of the potential fire behavior of our customized fuel models using FlamMap 5 under different weather conditions. The results suggest that fuel model IIIP (Mediterranean maquis) has the most severe fire potential for the 95th percentile weather conditions and the least severe potential fire behavior for the 85th percentile weather conditions. This study shows that it is possible to create customized fuel models directly from fuel inventory data. This achievement has broad implications for land managers, particularly forest managers of the Mediterranean landscape, an ecosystem that is susceptible not only to wildfires but also to the increasing human population and man-made infrastructures.

  5. Waterbird communities and seed biomass in managed and reference-restored wetlands in the Mississippi Alluvial Valley

    USGS Publications Warehouse

    Tapp, Jessica L.; Weegman, Matthew M.; Webb, Elisabeth B.; Kaminski, Richard M.; Davis, J. Brian

    2018-01-01

    The Natural Resources Conservation Service (NRCS) commenced the Migratory Bird Habitat Initiative (MBHI) in summer 2010 after the April 2010 Deepwater Horizon oil spill in the Gulf of Mexico. The MBHI enrolled in the program 193,000 ha of private wet- and cropland inland from potential oil-impaired wetlands. We evaluated waterfowl and other waterbird use and potential seed/tuber food resources in NRCS Wetland Reserve Program easement wetlands managed via MBHI funding and associated reference wetlands in the Mississippi Alluvial Valley of Arkansas, Louisiana, Mississippi, and Missouri. In Louisiana and Mississippi, nearly three times more dabbling ducks and all ducks combined were observed on managed than reference wetlands. Shorebirds and waterbirds other than waterfowl were nearly twice as abundant on managed than referenced wetlands. In Arkansas and Missouri, managed wetlands had over twice more dabbling ducks and nearly twice as many duck species than reference wetlands. Wetlands managed via MBHI in Mississippi and Louisiana contained ≥1.3 times more seed and tuber biomass known to be consumed by waterfowl than reference wetlands. Seed and tuber resources did not differ between wetlands in Arkansas and Missouri. While other studies have documented greater waterbird densities on actively than nonmanaged wetlands, our results highlighted the potential for initiatives focused on managing conservation easements to increase waterbird use and energetic carrying capacity of restored wetlands for waterbirds.

  6. Developing Custom Fire Behavior Fuel Models for Mediterranean Wildland-Urban Interfaces in Southern Italy.

    PubMed

    Elia, Mario; Lafortezza, Raffaele; Lovreglio, Raffaella; Sanesi, Giovanni

    2015-09-01

    The dramatic increase of fire hazard in wildland-urban interfaces (WUIs) has required more detailed fuel management programs to preserve ecosystem functions and human settlements. Designing effective fuel treatment strategies allows to achieve goals such as resilient landscapes, fire-adapted communities, and ecosystem response. Therefore, obtaining background information on forest fuel parameters and fuel accumulation patterns has become an important first step in planning fuel management interventions. Site-specific fuel inventory data enhance the accuracy of fuel management planning and help forest managers in fuel management decision-making. We have customized four fuel models for WUIs in southern Italy, starting from forest classes of land-cover use and adopting a hierarchical clustering approach. Furthermore, we provide a prediction of the potential fire behavior of our customized fuel models using FlamMap 5 under different weather conditions. The results suggest that fuel model IIIP (Mediterranean maquis) has the most severe fire potential for the 95th percentile weather conditions and the least severe potential fire behavior for the 85th percentile weather conditions. This study shows that it is possible to create customized fuel models directly from fuel inventory data. This achievement has broad implications for land managers, particularly forest managers of the Mediterranean landscape, an ecosystem that is susceptible not only to wildfires but also to the increasing human population and man-made infrastructures.

  7. Review of comparative LCAs of food waste management systems - Current status and potential improvements

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

    Bernstad, A., E-mail: anna.bernstad@chemeng.lth.se; Cour Jansen, J. la

    2012-12-15

    Highlights: Black-Right-Pointing-Pointer GHG-emissions from different treatment alternatives vary largely in 25 reviewed comparative LCAs of bio-waste management. Black-Right-Pointing-Pointer System-boundary settings often vary largely in reviewed studies. Black-Right-Pointing-Pointer Existing LCA guidelines give varying recommendations in relation to several key issues. - Abstract: Twenty-five comparative cycle assessments (LCAs) addressing food waste treatment were reviewed, including the treatment alternatives landfill, thermal treatment, compost (small and large scale) and anaerobic digestion. The global warming potential related to these treatment alternatives varies largely amongst the studies. Large differences in relation to setting of system boundaries, methodological choices and variations in used input data were seenmore » between the studies. Also, a number of internal contradictions were identified, many times resulting in biased comparisons between alternatives. Thus, noticed differences in global warming potential are not found to be a result of actual differences in the environmental impacts from studied systems, but rather to differences in the performance of the study. A number of key issues with high impact on the overall global warming potential from different treatment alternatives for food waste were identified through the use of one-way sensitivity analyses in relation to a previously performed LCA of food waste management. Assumptions related to characteristics in treated waste, losses and emissions of carbon, nutrients and other compounds during the collection, storage and pretreatment, potential energy recovery through combustion, emissions from composting, emissions from storage and land use of bio-fertilizers and chemical fertilizers and eco-profiles of substituted goods were all identified as highly relevant for the outcomes of this type of comparisons. As the use of LCA in this area is likely to increase in coming years, it is highly relevant to establish more detailed guidelines within this field in order to increase both the general quality in assessments as well as the potentials for cross-study comparisons.« less

  8. Addressing risks to advance mental health research.

    PubMed

    Iltis, Ana S; Misra, Sahana; Dunn, Laura B; Brown, Gregory K; Campbell, Amy; Earll, Sarah A; Glowinski, Anne; Hadley, Whitney B; Pies, Ronald; Dubois, James M

    2013-12-01

    Risk communication and management are essential to the ethical conduct of research, yet addressing risks may be time consuming for investigators and institutional review boards may reject study designs that seem too risky. This can discourage needed research, particularly in higher-risk protocols or those enrolling potentially vulnerable individuals, such as those with some level of suicidality. Improved mechanisms for addressing research risks may facilitate much needed psychiatric research. To provide mental health researchers with practical approaches to (1) identify and define various intrinsic research risks, (2) communicate these risks to others (eg, potential participants, regulatory bodies, and society), (3) manage these risks during the course of a study, and (4) justify the risks. As part of a National Institute of Mental Health-funded scientific meeting series, a public conference and a closed-session expert panel meeting were held on managing and disclosing risks in mental health clinical trials. The expert panel reviewed the literature with a focus on empirical studies and developed recommendations for best practices and further research on managing and disclosing risks in mental health clinical trials. No institutional review board-review was required because there were no human subjects. Challenges, current data, practical strategies, and topics for future research are addressed for each of 4 key areas pertaining to management and disclosure of risks in clinical trials: identifying and defining risks, communicating risks, managing risks during studies, and justifying research risks. Empirical data on risk communication, managing risks, and the benefits of research can support the ethical conduct of mental health research and may help investigators better conceptualize and confront risks and to gain institutional review board-approval.

  9. Improving Our Approach to Managing Risk

    ERIC Educational Resources Information Center

    Brown, Adam

    2008-01-01

    Outdoor education--be it canoe tripping, adventure programs, field studies or anything else--is inherently risky. Outdoor educators deal with unpredictable settings and situations, where change is constant and outcomes are sometimes uncertain. In this naturalistic environment, their risk management procedures have the potential to break down and…

  10. Long term management practices influenced soil aggregation and carbon dynamics

    USDA-ARS?s Scientific Manuscript database

    Soil aggregation protects soil organic C (SOC) against rapid decomposition, improves soil quality, and reduces soil erosion potential. The objectives of this study are to evaluate the effects of long-term (21 yrs.) management practices on SOC, water stable aggregate (WSA), and aggregate-associated ...

  11. Greenhouse gas emission and mitigation potential of changes in water management for two rice sites in Bangladesh

    NASA Astrophysics Data System (ADS)

    Begum, Khadiza; Kuhnert, Matthias; Yeluripati, Jagadeesh; Smith, Pete; Ogle, Stephen; Parton, William; Kader, Abdul; Sleutel, Steven

    2017-04-01

    Agriculture is one of the main contributors to greenhouse gas (GHG) emissions in Bangladesh and rice production is one of the largest sources of GHG emissions. This study considers measurements from two test sites, situated in Mymensingh (Bangladesh), to calibrate and validate the biogeochemical model DailyDayCent and estimate the mitigation potential of alternative management practices at the sites. There are two different N application treatments on the two test sites, which are on the first site a control with no N application and a mineral fertilizer application (120 kg N ha-1) and on the second site only a mineral fertilizer application (110 kg N ha-1). For mitigation, the water management is modified in a modelling approach to estimate the mitigation potential for reducing GHG emissions. The model shows partial agreement with the observations. The modifications to the water management, by changing from permanent wetting to alternate wetting, shows a decrease in GHG emissions of up to 46 % and 37 % for the two test sites, respectively. These tests enable an optimization of the management options to reduce the GHG emissions while maintaining yields.

  12. Ecosystem services from a degraded peatland of Central Kalimantan: implications for policy, planning, and management.

    PubMed

    Law, Elizabeth A; Bryan, Bretr A; Meijaard, Erik; Mallawaarachchi, Thilak; Struebig, Matthew; Wilson, Kerrie A

    2015-01-01

    Increasingly, landscapes are managed for multiple objectives to balance social, economic, and environmental goals. The Ex-Mega Rice Project (EMRP) peatland in Central Kalimantan, Indonesia provides a timely example with globally significant development, carbon, and biodiversity concerns. To inform future policy, planning, and management in the EMRP, we quantified and mapped ecosystem service values, assessed their spatial interactions, and evaluated the potential provision of ecosystem services under future land-use scenarios. We focus on key policy-relevant regulating (carbon stocks and the potential for emissions reduction), provisioning (timber, crops from smallholder agriculture, palm oil), and supporting (biodiversity) services. We found that implementation of existing land-use plans has the potential to improve total ecosystem service provision. We identify a number of significant inefficiencies, trade-offs, and unintended outcomes that may arise. For example, the potential development of existing palm oil concessions over one-third of the region may shift smallholder agriculture into low-productivity regions and substantially impact carbon and biodiversity outcomes. While improved management of conservation zones may enhance the protection of carbon stocks, not all biodiversity features will be represented, and there will be a reduction in timber harvesting and agricultural production. This study highlights how ecosystem service analyses can be structured to better inform policy, planning, and management in globally significant but data-poor regions.

  13. Let's face it: patient and parent perspectives on incorporating a Facebook group into a multidisciplinary weight management program.

    PubMed

    Woolford, Susan J; Esperanza Menchaca, Alicia D M; Sami, Areej; Blake, Natalie

    2013-08-01

    Social media may have the potential to enhance weight management efforts. However, the acceptability of incorporating this entity into pediatrics is unknown. The objective of this project was to explore patients' and parents' perspectives about developing a Facebook group as a component of a pediatric weight management program. Semistructured interviews were performed between September, 2011, and February, 2012, with patients and parents in a multidisciplinary weight management program. Interviews explored participants' perceptions of potential benefits, concerns, and preferences related to a program-specific Facebook group. Transcripts were reviewed and themes identified. The study concluded when thematic saturation was achieved. Participants (n=32) were largely enthusiastic about the idea of a program-specific Facebook group for adolescents. Most preferred a secret group, where only participants would know of the group's existence or group members' identity. No parents expressed concern about security or privacy related to a program-specific Facebook group; one parent expressed concern about undesirable advertisements. Participants endorsed a variety of ideas for inclusion on the page, including weight loss tips, live chats with providers, quizzes, and an incentive system where participants could gain points for making healthy choices. Many parents requested a separate parent-focused page, an idea that was supported by the adolescents. This study suggests that participants perceive potential benefits from incorporating social media interventions into pediatric weight management efforts. Privacy and security issues do not appear to be major parental concerns. Future work should explore the impact of program-specific social media interventions on outcomes for patients in weight management programs.

  14. Dental solid waste characterization and management in Iran: a case study of Sistan and Baluchestan Province.

    PubMed

    Bazrafshan, Edris; Mohammadi, Leili; Mostafapour, Ferdos Kord; Moghaddam, Alireza Ansari

    2014-02-01

    The management of dental solid waste continues to be a major challenge, particularly in most healthcare facilities of the developing world. In Iran, few studies on management of dental solid waste and its composition are available. An effort has been made through this study to evaluate the hazardous and infectious status of dental solid waste, keeping in mind its possible role in cross-infection chain. For this study, 123 private dental centres and 36 public dental centres were selected and the composition and generation rate of dental solid waste produced were measured. Dental solid waste was classified to four main categories: (i) domestic-type; (ii) potentially infectious; (iii) chemical and pharmaceutical; and (iv) toxic, which constituted 11.7, 80.3, 6.3, and 1.7%, respectively, of the total. Also, the results indicated that the dental solid waste per patient per day generation rate for total, domestic-type, potentially infectious, chemical and pharmaceutical, and toxic wastes were 169.9, 8.6, 153.3, 11.2, and 3.3 g/patient/d, respectively. Furthermore, the per day generation rates for total, domestic-type, potentially infectious, chemical and pharmaceutical, and toxic wastes were 194.5, 22.6, 156.1, 12.3, and 3.4 kg/d, respectively. According to findings of this study, for best management of dental waste it is suggested that source reduction, separation, reuse, and recycling programmes be implemented and each section of dental waste be collected and disposed of separately and in accordance with related criteria.

  15. The Effectiveness of Self-Management Mobile Phone and Tablet Apps in Long-term Condition Management: A Systematic Review.

    PubMed

    Whitehead, Lisa; Seaton, Philippa

    2016-05-16

    Long-term conditions and their concomitant management place considerable pressure on patients, communities, and health care systems worldwide. International clinical guidelines on the majority of long-term conditions recommend the inclusion of self-management programs in routine management. Self-management programs have been associated with improved health outcomes; however, the successful and sustainable transfer of research programs into clinical practice has been inconsistent. Recent developments in mobile technology, such as mobile phone and tablet computer apps, could help in developing a platform for the delivery of self-management interventions that are adaptable, of low cost, and easily accessible. We conducted a systematic review to assess the effectiveness of mobile phone and tablet apps in self-management of key symptoms of long-term conditions. We searched PubMed, Embase, EBSCO databases, the Cochrane Library, and The Joanna Briggs Institute Library for randomized controlled trials that assessed the effectiveness of mobile phone and tablet apps in self-management of diabetes mellitus, cardiovascular disease, and chronic lung diseases from 2005-2016. We searched registers of current and ongoing trials, as well as the gray literature. We then checked the reference lists of all primary studies and review papers for additional references. The last search was run in February 2016. Of the 9 papers we reviewed, 6 of the interventions demonstrated a statistically significant improvement in the primary measure of clinical outcome. Where the intervention comprised an app only, 3 studies demonstrated a statistically significant improvement. Interventions to address diabetes mellitus (5/9) were the most common, followed by chronic lung disease (3/9) and cardiovascular disease (1/9). A total of 3 studies included multiple intervention groups using permutations of an intervention involving an app. The duration of the intervention ranged from 6 weeks to 1 year, and final follow-up data ranged from 3 months to 1 year. Sample size ranged from 48 to 288 participants. The evidence indicates the potential of apps in improving symptom management through self-management interventions. The use of apps in mHealth has the potential to improve health outcomes among those living with chronic diseases through enhanced symptom control. Further innovation, optimization, and rigorous research around the potential of apps in mHealth technology will move the field toward the reality of improved health care delivery and outcomes.

  16. Are multidose drug dispensing systems initiated for the appropriate patients?

    PubMed

    Mertens, Bram J; Kwint, H F; van Marum, Rob J; Bouvy, Marcel L

    2018-05-16

    It is unknown if multidose drug dispensing (MDD) systems are initiated for the appropriate patients. Therefore, the objective of this study was to compare the medication management problems of patients who were about to start with a MDD system (MDD patients) and patients who continued manually dispensed medication (non-MDD users) in order to identify if the appropriate patients receive a MDD system. Patient interviews (semi-structured) were conducted by 44 community pharmacists at the patient's home. Patients over 65 years of age, home dwelling and using at least five chronic drugs, were eligible for the study. An assessment tool was developed including 22 potential medication management problems, covering four domains: functional (7), organizational (7), medication adherence (6), and medication knowledge (2). Median scores were calculated with the interquartile range. Additionally, cognitive function was assessed with the Mini-Cog and frailty using the Groningen Frailty Indicator. One hundred eighty-eight MDD users and 230 non-MDD users were interviewed. MDD users were older, more often female, and using more drugs. Forty-two percent of the MDD users were possibly cognitively impaired and 63% were assessed as frail compared to 20 and 27% respectively of the non-MDD users. MDD users had more potential organizational problems (3 vs. 1; p < 0.01), functional problems (2 vs. 1; p < 0.01), medication adherence problems (1 vs. 0; p < 0.01), and medication knowledge problems (1 vs. 0; p < 0.01) compared to non-MDD users. Seventy percent of the MDD users scored six or more potential medication management problems while this was 22% among non-MDD users. The majority of MDD systems were initiated for patients who experienced multiple potential medication management problems suggesting a decreased medication management capacity.

  17. Can a customer relationship management program improve recruitment for primary care research studies?

    PubMed

    Johnston, Sharon; Wong, Sabrina T; Blackman, Stephanie; Chau, Leena W; Grool, Anne M; Hogg, William

    2017-11-16

    Recruiting family physicians into primary care research studies requires researchers to continually manage information coming in, going out, and coming in again. In many research groups, Microsoft Excel and Access are the usual data management tools, but they are very basic and do not support any automation, linking, or reminder systems to manage and integrate recruitment information and processes. We explored whether a commercial customer relationship management (CRM) software program - designed for sales people in businesses to improve customer relations and communications - could be used to make the research recruitment system faster, more effective, and more efficient. We found that while there was potential for long-term studies, it simply did not adapt effectively enough for our shorter study and recruitment budget. The amount of training required to master the software and our need for ongoing flexible and timely support were greater than the benefit of using CRM software for our study.

  18. A spatially explicit representation of conservation agriculture for application in global change studies.

    PubMed

    Prestele, Reinhard; Hirsch, Annette L; Davin, Edouard L; Seneviratne, Sonia I; Verburg, Peter H

    2018-05-10

    Conservation agriculture (CA) is widely promoted as a sustainable agricultural management strategy with the potential to alleviate some of the adverse effects of modern, industrial agriculture such as large-scale soil erosion, nutrient leaching and overexploitation of water resources. Moreover, agricultural land managed under CA is proposed to contribute to climate change mitigation and adaptation through reduced emission of greenhouse gases, increased solar radiation reflection, and the sustainable use of soil and water resources. Due to the lack of official reporting schemes, the amount of agricultural land managed under CA systems is uncertain and spatially explicit information about the distribution of CA required for various modeling studies is missing. Here, we present an approach to downscale present-day national-level estimates of CA to a 5 arcminute regular grid, based on multicriteria analysis. We provide a best estimate of CA distribution and an uncertainty range in the form of a low and high estimate of CA distribution, reflecting the inconsistency in CA definitions. We also design two scenarios of the potential future development of CA combining present-day data and an assessment of the potential for implementation using biophysical and socioeconomic factors. By our estimates, 122-215 Mha or 9%-15% of global arable land is currently managed under CA systems. The lower end of the range represents CA as an integrated system of permanent no-tillage, crop residue management and crop rotations, while the high estimate includes a wider range of areas primarily devoted to temporary no-tillage or reduced tillage operations. Our scenario analysis suggests a future potential of CA in the range of 533-1130 Mha (38%-81% of global arable land). Our estimates can be used in various ecosystem modeling applications and are expected to help identifying more realistic climate mitigation and adaptation potentials of agricultural practices. © 2018 The Authors. Global Change Biology Published by John Wiley & Sons Ltd.

  19. Assessment of Hyperspectral and SAR Remote Sensing for Solid Waste Landfill Management

    NASA Astrophysics Data System (ADS)

    Ottavianelli, Giuseppe; Hobbs, Stephen; Smith, Richard; Bruno, Davide

    2005-06-01

    Globally, waste management is one of the most critical environmental concerns that modern society is facing. Controlled disposal to land (landfill) is currently important, and due to the potentially harmful effects of gas emissions and leachate land contamination, the monitoring of a landfill is inherent in all phases of the site's life cycle. Data from satellite platforms can provide key support to a number of landfill management and monitoring practices, potentially reducing operational costs and hazards, and meeting the challenges of the future waste management agenda.The few previous studies performed show the value of EO data for mapping landcover around landfills and monitoring vegetation health. However, these were largely qualitative studies limited to single sensor types. The review of these studies highlights three key aspects. Firstly, with regard to leachate and gas monitoring, space-borne remote sensing has not proved to be a valid tool for an accurate quantitative analysis, it can only support ground remediation efforts based on the expertise of the visual interpreter and the knowledge of the landfill operator. Secondly, the additional research that focuses on landfill detection concentrates only on the images' data dimension (spatial and spectral), paying less attention to the sensor-independent bio- and geo-physical variables and the modelling of remote sensing physical principles for both active and restored landfill sites. These studies show some ambiguity in their results and additional aerial images or ground truth visits are always required to support the results. Thirdly, none of the studies explores the potential of Synthetic Aperture Radar (SAR) remote sensing and SAR interferometric processing to achieve a more robust automatic detection algorithm and extract additional information and knowledge for landfill management.Based on our previous work with ERS radar images and SAR interferometry, expertise in the waste management sector, and practical knowledge of landfill management practices, we propose to evaluate the use of hyperspectral and radar images for landfill monitoring and management. CHRIS offers hyperspectral data of commensurate spatial resolution with Envisat radarimages and thus appears ideally suited for studies using multi-sensor data fusion.The goal of the research is to identify practical ways in which EO data can support landfill management and monitoring, providing quantitative data where possible. Our objectives (based on fieldwork in UK landfills) are (1) to develop robust methods of detecting and mapping landfill sites, (2) to correlate EO data with on-site operational procedures, and (3) to investigate data fusion techniques based on our findings with the separate sensors. Dissemination of the findings will be through scientific journals, professional waste management publications and workshops. It is expected that the research will help the development of techniques which could be applied to monitor waste disposal to land beyond the UK scope of this study, including global monitoring.

  20. DEMONSTRATION OF THE ENVIRONMENTAL AND DEMAND-SIDE MANAGEMENT BENEFITS OF GRID-CONNECTED PHOTOVOLTAIC POWER SYSTEMS

    EPA Science Inventory

    This study investigated the pollutant emission reduction and demand-side management potential of 16 photovoltaic (PV) systems installed across the U.S. in 1993 and 1994. The project was sponsored by the U.S. Environmental Protection Agency (EPA) and 11 electric utilities. This ar...

  1. Re-Entry: Managing Cross-Cultural Transitions.

    ERIC Educational Resources Information Center

    Adler, Nancy J.

    1981-01-01

    Studied the re-entry process of corporate and governmental employees (N=200) returning to Canada after working overseas. Research found re-entry into the original culture was a more difficult transition than moving to the foreign culture. Home-country managers tended to exhibit xenophobia in assessing the potential and actual effectiveness of…

  2. Ecological and financial assessment of late-successional reserve management.

    Treesearch

    Susan Stevens Hummel; R. James Barbour; Paul F. Hessburg; John F. Lehmkuhl

    2001-01-01

    This paper documents methods for assessing the potential effects of variable-intensity management in late-successional reserves (LSRs) and provides an example (the Gotchen LSR) from the Cascade Range in eastern Washington. The Gotchen LSR study investigates changes in forest vegetation associated with silvicultural treatments, and how different treatment combinations...

  3. What Do Proteges Look for in a Mentor? Results of Three Experimental Studies.

    ERIC Educational Resources Information Center

    Olian, Judy D.; And Others

    1988-01-01

    Conducted three experiments (total N=675) to examine determinants of potential protege attraction into relationship with mentor. Results suggest influence of manager interpersonal competence, manager's integration into decision making network of organization, gender, and protege age. Protege work experience and mentor age did not have significant…

  4. The Impact of PBL on Transferable Skills Development in Management Education

    ERIC Educational Resources Information Center

    Carvalho, Ana

    2016-01-01

    Attention to transferable skills is growing in higher education. Problem-based learning (PBL) is increasingly used in management education for its promising potential to, amongst others, promote transferable skills, including problem-solving, critical thinking and teamwork skills. However, this relationship is seldom assessed. In this study, I use…

  5. Are Health Answers Online for Older Adults?

    ERIC Educational Resources Information Center

    Cresci, Mary K.; Jarosz, Patricia A.; Templin, Thomas N.

    2012-01-01

    The Internet has the potential for engaging urban seniors in managing their health. This study examined computer and Internet use among urban seniors and their interest in using the Internet as a health-management tool. Findings indicated that many participants were interested in storing and accessing health-related information using an…

  6. Managing Serious Teacher Misbehaviour

    ERIC Educational Resources Information Center

    Page, Damien

    2014-01-01

    This article presents findings from a study of five head teachers who were responsible for the management of serious teacher misbehaviour (TMB) in England. In cases that included the downloading of extreme pornography on a school laptop and a sexual relationship with a pupil, the multiple impacts of TMB were potentially devastating to the…

  7. Community- and government-managed marine protected areas increase fish size, biomass and potential value

    PubMed Central

    Chirico, Angelica A. D.; McClanahan, Timothy R.; Eklöf, Johan S.

    2017-01-01

    Government-managed marine protected areas (MPAs) can restore small fish stocks, but have been heavily criticized for excluding resource users and creating conflicts. A promising but less studied alternative are community-managed MPAs, where resource users are more involved in MPA design, implementation and enforcement. Here we evaluated effects of government- and community-managed MPAs on the density, size and biomass of seagrass- and coral reef-associated fish, using field surveys in Kenyan coastal lagoons. We also assessed protection effects on the potential monetary value of fish; a variable that increases non-linearly with fish body mass and is particularly important from a fishery perspective. We found that two recently established community MPAs (< 1 km2 in size, ≤ 5 years of protection) harbored larger fish and greater total fish biomass than two fished (open access) areas, in both seagrass beds and coral reefs. As expected, protection effects were considerably stronger in the older and larger government MPAs. Importantly, across management and habitat types, the protection effect on the potential monetary value of the fish was much stronger than the effects on fish biomass and size (6.7 vs. 2.6 and 1.3 times higher value in community MPAs than in fished areas, respectively). This strong effect on potential value was partly explained by presence of larger (and therefore more valuable) individual fish, and partly by higher densities of high-value taxa (e.g. rabbitfish). In summary, we show that i) small and recently established community-managed MPAs can, just like larger and older government-managed MPAs, play an important role for local conservation of high-value fish, and that ii) these effects are equally strong in coral reefs as in seagrass beds; an important habitat too rarely included in formal management. Consequently, community-managed MPAs could benefit both coral reef and seagrass ecosystems and provide spillover of valuable fish to nearby fisheries. PMID:28806740

  8. Community- and government-managed marine protected areas increase fish size, biomass and potential value.

    PubMed

    Chirico, Angelica A D; McClanahan, Timothy R; Eklöf, Johan S

    2017-01-01

    Government-managed marine protected areas (MPAs) can restore small fish stocks, but have been heavily criticized for excluding resource users and creating conflicts. A promising but less studied alternative are community-managed MPAs, where resource users are more involved in MPA design, implementation and enforcement. Here we evaluated effects of government- and community-managed MPAs on the density, size and biomass of seagrass- and coral reef-associated fish, using field surveys in Kenyan coastal lagoons. We also assessed protection effects on the potential monetary value of fish; a variable that increases non-linearly with fish body mass and is particularly important from a fishery perspective. We found that two recently established community MPAs (< 1 km2 in size, ≤ 5 years of protection) harbored larger fish and greater total fish biomass than two fished (open access) areas, in both seagrass beds and coral reefs. As expected, protection effects were considerably stronger in the older and larger government MPAs. Importantly, across management and habitat types, the protection effect on the potential monetary value of the fish was much stronger than the effects on fish biomass and size (6.7 vs. 2.6 and 1.3 times higher value in community MPAs than in fished areas, respectively). This strong effect on potential value was partly explained by presence of larger (and therefore more valuable) individual fish, and partly by higher densities of high-value taxa (e.g. rabbitfish). In summary, we show that i) small and recently established community-managed MPAs can, just like larger and older government-managed MPAs, play an important role for local conservation of high-value fish, and that ii) these effects are equally strong in coral reefs as in seagrass beds; an important habitat too rarely included in formal management. Consequently, community-managed MPAs could benefit both coral reef and seagrass ecosystems and provide spillover of valuable fish to nearby fisheries.

  9. A systematic review of self-management interventions for children and youth with physical disabilities

    PubMed Central

    Kingsnorth, Shauna; Mcdougall, Carolyn; Keating, Heather

    2014-01-01

    Purpose: Evidence shows that effective self-management behaviors have the potential to improve health outcomes, quality of life, self-efficacy and reduce morbidity, emergency visits and costs of care. A better understanding of self-management interventions (i.e. programs that help with managing symptoms, treatment, physical and psychological consequences) is needed to achieve a positive impact on health because most children with a disability now live well into adulthood. Method: A systematic review of self-management interventions for school age youth with physical disabilities was undertaken to assess their effectiveness. Comprehensive electronic searches using international web-based reference libraries were conducted for peer-reviewed and gray literature published between 1980 and January 2012. Eligible studies examined the effectiveness of self-management interventions for children and youth between 6 and 18 years of age with congenital or acquired physical disabilities. Studies needed to include a comparison group (e.g. single group pre/post-test design) and at least one quantifiable health-related outcome. Results: Of the 2184 studies identified, six met the inclusion criteria; two involved youth with spina bifida and four with juvenile arthritis. The majority of the interventions ran several sessions for at least 3 months by a trained interventionist or clinician, had one-to-one sessions and meetings, homework activities and parental involvement. Although outcomes varied between the studies, all of the interventions reported at least one significant improvement in either overall self-management skills or a specific health behavior. Conclusions: While self-management interventions have the potential to improve health behaviors, there were relatively few rigorously designed studies identified. More studies are needed to document the outcomes of self-management interventions, especially their most effective characteristics for children and youth with physical disabilities. Implications for Rehabilitation There is some evidence to suggest that self-management interventions for children and youth with spina bifida and arthritis can improve self-management behaviors and health outcomes. Parents’ involvement should be considered in encouraging self-management behaviors at different stages of their child’s development. Much work is needed to explore the longer term implications of self-management interventions for youth with physical disabilities as well as the impact on health care utilization. PMID:23614359

  10. The role of leadership perception as a mediator between managers' self-monitoring and subordinate attitudes.

    PubMed

    Özalp Türetgen, Ilknur; Unsal, Pinar; Dural, Uzay

    2017-01-01

    Although the role of social cognition in leadership perception has been emphasized frequently in recent years, research using this approach in an organizational context is rare. This study investigated subordinates' perceptions of their managers as leaders (that is, to what extent they perceive their manager as a leader) as a potential mediating factor explaining the relationship between managers' self-monitoring and their subordinates' attitudes toward their organizations. The study was carried out with middle-level managers (N = 64) and their subordinates (N = 210) from various business organizations in Turkey. Results indicate that subordinates' leadership perceptions of their managers mediate the relationship between managers' self-monitoring and their subordinates' affective and normative organizational commitment. These results provide insight into some of the antecedents and outcomes of leadership perception.

  11. The role of the charge nurse manager: a descriptive exploratory study.

    PubMed

    McCallin, A M; Frankson, C

    2010-04-01

    To explore the charge nurse manager role. Management in nursing is increasingly challenging. Restructuring of organizations has had an impact on the scope of the charge nurse manager role that has expanded so that managers are now expected to be leaders. If role preparation is inadequate, potential for role confusion and role stress increases, undermining role effectiveness in this key senior nursing position. This descriptive exploratory study investigated the experiences of charge nurse managers. Twelve nurse managers from an acute care hospital in New Zealand were interviewed. Data were analysed thematically. Three themes, role ambiguity, business management deficit and role overload emerged. It was evident that charge nurse managers were appointed into a management role with clinical expertise but without management skills. Findings suggest that role preparation should include postgraduate education and business management training. Role induction requires a formal organizational management trainee programme and ongoing supportive clinical supervision. New approaches to charge nurse manager role development are needed. Organizations must provide formal structural support to facilitate management development. The profession needs to promote succession planning that would reduce these longstanding problems.

  12. Rates and determinants of uptake and use of an internet physical activity and weight management program in office and manufacturing work sites in England: Cohort Study

    USDA-ARS?s Scientific Manuscript database

    Internet-based physical activity (PA) and weight management programs have the potential to improve employees' health in large occupational health settings. To be successful, the program must engage a wide range of employees, especially those at risk of weight gain or ill health. The aim of the study...

  13. The Impact of Perceived Barriers, Academic Anxiety, and Resource Management Strategies on Achievement in First-Year Community College Students

    ERIC Educational Resources Information Center

    Heller, Monica L.; Cassady, Jerrell C.

    2017-01-01

    The current study explored the impact of internal and external barriers (e.g., academic anxiety, employment) that place subgroups of college students at risk for academic failure in the first year. The mitigating potential of academic resource management strategies (e.g., time-study environment) was also examined. In a sample of 885 first-semester…

  14. Analysis of a managed psychiatric disability program.

    PubMed

    McCulloch, J; Ozminkowski, R J; Cuffel, B; Dunn, R L; Goldman, W; Kelleher, D; Comporato, A

    2001-02-01

    The cost of mental illness to employers has been well documented; however, efforts to effectively reduce the costs of psychiatric disability are adversely affected by the fragmentation of health care services. This report is a case study of a program in which a managed behavioral health care organization managed the psychiatric disability of a telecommunications company. Compared with a non-random cohort of claimants not managed under the pilot, the duration of disability was reduced by 23% (17.1 days). Patient and provider satisfaction with the program was high. This study illustrates the potential for effectively reducing the cost of psychiatric disability and the challenges in coordinating health care.

  15. Environmental Perceptions of Surface Water Quality and Management: a tool to strengthen public participation in the search for solutions to the imbalance of water in nature. A study applied in Chiapas's Río Fogótico Microbasin

    NASA Astrophysics Data System (ADS)

    Benez, M. C.; Kauffer Michel, E. F.

    2013-05-01

    The study of environmental perceptions can expose interstings aspects involved in imbalance of water in nature. The main objective of this study was to assess the perceptions of quality and management of surface water in the Fogótico River microbasin in San Cristóbal de Las Casas, Chiapas, from the perspective of differents social groups. Secondary objectives consisted in analyzing the differences of perception according to social groups and considering the potential contribution of perception studies for watershed management.; t;

  16. Yield gap mapping as a support tool for risk management in agriculture

    NASA Astrophysics Data System (ADS)

    Lahlou, Ouiam; Imani, Yasmina; Slimani, Imane; Van Wart, Justin; Yang, Haishun

    2016-04-01

    The increasing frequency and magnitude of droughts in Morocco and the mounting losses from extended droughts in the agricultural sector emphasized the need to develop reliable and timely tools to manage drought and to mitigate resulting catastrophic damage. In 2011, Morocco launched a cereals multi-risk insurance with drought as the most threatening and the most frequent hazard in the country. However, and in order to assess the gap and to implement the more suitable compensation, it is essential to quantify the potential yield in each area. In collaboration with the University of Nebraska-Lincoln, a study is carried out in Morocco and aims to determine the yield potentials and the yield gaps in the different agro-climatic zones of the country. It fits into the large project: Global Yield Gap and Water Productivity Atlas: http://www.yieldgap.org/. The yield gap (Yg) is the magnitude and difference between crop yield potential (Yp) or water limited yield potential (Yw) and actual yields, reached by farmers. World Food Studies (WOFOST), which is a Crop simulation mechanistic model, has been used for this purpose. Prior to simulations, reliable information about actual yields, weather data, crop management data and soil data have been collected in 7 Moroccan buffer zones considered, each, within a circle of 100 km around a weather station point, homogenously spread across the country and where cereals are widely grown. The model calibration was also carried out using WOFOST default varieties data. The map-based results represent a robust tool, not only for drought insurance organization, but for agricultural and agricultural risk management. Moreover, accurate and geospatially granular estimates of Yg and Yw will allow to focus on regions with largest unexploited yield gaps and greatest potential to close them, and consequently to improve food security in the country.

  17. Do adaptive comanagement processes lead to adaptive comanagement outcomes? A multicase study of long-term outcomes associated with the national riparian service team's place-based riparian assistance

    Treesearch

    Jill A. Smedstad; Hannah Gosnell

    2013-01-01

    Adaptive comanagement (ACM) is a novel approach to environmental governance that combines the dynamic learning features of adaptive management with the linking and network features of collaborative management. There is growing interest in the potential for ACM to resolve conflicts around natural resource management and contribute to greater social and ecological...

  18. A content analysis of precede-proceed constructs in stress management mobile apps

    PubMed Central

    Wilkinson, Jessica; West, Joshua H.; Bernhardt, Jay M.

    2016-01-01

    Background The emergence of Apple’s iPhone provides a platform for freelance developers to design third party apps, which greatly expands the functionality and utility of mobile devices for stress management. This study provides a basic overview of the stress management apps under the health and fitness category of the Apple App store and appraises each app’s potential for influencing behavior change. Methods Data for this study came from a content analysis of health and fitness app descriptions available in the App Store on iTunes. Trained research assistants used the Precede-Proceed Model (PPM) as a framework to guide the coding of paid stress management apps and to evaluate each app’s potential for effecting health behavior change. Results Most apps were rated as being plausible (96.9%) and intending to address stress management (98.5%), but only 63.3% were rated as recommendable to others for their use. Reinforcing apps were less common than predisposing and enabling apps. Less than one percent (0.39%) of apps included all three factors (predisposing, enabling and reinforcing). Conclusions Practitioners should be cautious when promoting the use of stress management apps, as most provide only health-related information (predisposing) or suggestions for enabling behavior, but almost none include all three theoretical factors recommended for behavior change. PMID:28293583

  19. Mapping and Analysis of Forest and Land Fire Potential Using Geospatial Technology and Mathematical Modeling

    NASA Astrophysics Data System (ADS)

    Suliman, M. D. H.; Mahmud, M.; Reba, M. N. M.; S, L. W.

    2014-02-01

    Forest and land fire can cause negative implications for forest ecosystems, biodiversity, air quality and soil structure. However, the implications involved can be minimized through effective disaster management system. Effective disaster management mechanisms can be developed through appropriate early warning system as well as an efficient delivery system. This study tried to focus on two aspects, namely by mapping the potential of forest fire and land as well as the delivery of information to users through WebGIS application. Geospatial technology and mathematical modeling used in this study for identifying, classifying and mapping the potential area for burning. Mathematical models used is the Analytical Hierarchy Process (AHP), while Geospatial technologies involved include remote sensing, Geographic Information System (GIS) and digital field data collection. The entire Selangor state was chosen as our study area based on a number of cases have been reported over the last two decades. AHP modeling to assess the comparison between the three main criteria of fuel, topography and human factors design. Contributions of experts directly involved in forest fire fighting operations and land comprising officials from the Fire and Rescue Department Malaysia also evaluated in this model. The study found that about 32.83 square kilometers of the total area of Selangor state are the extreme potential for fire. Extreme potential areas identified are in Bestari Jaya and Kuala Langat High Ulu. Continuity of information and terrestrial forest fire potential was displayed in WebGIS applications on the internet. Display information through WebGIS applications is a better approach to help the decision-making process at a high level of confidence and approximate real conditions. Agencies involved in disaster management such as Jawatankuasa Pengurusan Dan Bantuan Bencana (JPBB) of District, State and the National under the National Security Division and the Fire and Rescue Department Malaysia can use the end result of this study in preparation for the land and forest fires in the future.

  20. Crisis management during anaesthesia: obstruction of the natural airway.

    PubMed

    Visvanathan, T; Kluger, M T; Webb, R K; Westhorpe, R N

    2005-06-01

    Obstruction of the natural airway, while usually easily recognised and managed, may present simply as desaturation, have an unexpected cause, be very difficult to manage, and have serious consequences for the patient. To examine the role of a previously described core algorithm "COVER ABCD-A SWIFT CHECK", supplemented by a specific sub-algorithm for obstruction of the natural airway, in the management of acute airway obstruction occurring in association with anaesthesia. The potential performance for this structured approach for each of the relevant incidents among the first 4000 reported to the Australian Incident Monitoring Study (AIMS) was compared with the actual management as reported by the anaesthetists involved. There were 62 relevant incidents among the first 4000 reports to the AIMS. It was considered that the correct use of the structured approach would have led to earlier recognition of the problem and/or better management in 11% of cases. Airway management is a fundamental anaesthetic responsibility and skill. Airway obstruction demands a rapid and organised approach to its diagnosis and management and undue delay usually results in desaturation and a potential threat to life. An uncomplicated pre-learned sequence of airway rescue instructions is an essential part of every anaesthetist's clinical practice requirements.

  1. Thermal management of an unconsolidated shallow urban groundwater body

    NASA Astrophysics Data System (ADS)

    Epting, J.; Händel, F.; Huggenberger, P.

    2013-05-01

    This study presents the development of tools for the sustainable thermal management of a shallow unconsolidated urban groundwater body in the city of Basel (Switzerland). The concept of the investigations is based on (1) a characterization of the present thermal state of the urban groundwater body, and (2) the evaluation of potential mitigation measures for the future thermal management of specific regions within the groundwater body. The investigations focus on thermal processes down-gradient of thermal groundwater use, effects of heated buildings in the subsurface as well as the thermal influence of river-groundwater interaction. Investigation methods include (1) short- and long-term data analysis, (2) high-resolution multilevel groundwater temperature monitoring, as well as (3) 3-D numerical groundwater flow and heat transport modeling and scenario development. The combination of these methods allows for the quantifying of the thermal influences on the investigated urban groundwater body, including the influences of thermal groundwater use and heated subsurface constructions. Subsequently, first implications for management strategies are discussed, including minimizing further groundwater temperature increase, targeting "potential natural" groundwater temperatures for specific aquifer regions and exploiting the thermal potential.

  2. Hydric potential of the river basin: Prądnik, Polish Highlands

    NASA Astrophysics Data System (ADS)

    Lepeška, Tomáš; Radecki-Pawlik, Artur; Wojkowski, Jakub; Walega, Andrzej

    2017-12-01

    Human society deals with floods, drought and water pollution. Facing those problems, the question how to prevent or at least to minimalize the adverse effects of water-related issues is asked of the landscape managers. In this way, any help given to landscape managers seems to be an additional useful tool. Within this paper, an approach leading to mitigation of water-related problems is presented that relates the retention of precipitation and the use of ecosystems as a tool for improving the quality, quantity of water resources and availability throughout the region. One approach is the determination of the landscape's hydric potential (LHP). This study examines one example of using this method within the conditions of Poland. The results of the research show that national data are entirely appropriate for implementation of the LHP method. Further, this approach revealed the classes of the hydric potential of the Prądnik river basin which was selected as the experimental territory. LHP results reflect the ecosystem attributes of the model river basin; areas of average LHP cover 63.26%, areas of high and limited hydric potential cover approximately 18.3% each. The spatial distribution of LHP means the results of this study provide a baseline for management of the river basin.

  3. Hazard Identification and Risk Assessment in Water Treatment Plant considering Environmental Health and Safety Practice

    NASA Astrophysics Data System (ADS)

    Falakh, Fajrul; Setiani, Onny

    2018-02-01

    Water Treatment Plant (WTP) is an important infrastructure to ensure human health and the environment. In its development, aspects of environmental safety and health are of concern. This paper case study was conducted at the Water Treatment Plant Company in Semarang, Central Java, Indonesia. Hazard identification and risk assessment is one part of the occupational safety and health program at the risk management stage. The purpose of this study was to identify potential hazards using hazard identification methods and risk assessment methods. Risk assessment is done using criteria of severity and probability of accident. The results obtained from this risk assessment are 22 potential hazards present in the water purification process. Extreme categories that exist in the risk assessment are leakage of chlorine and industrial fires. Chlorine and fire leakage gets the highest value because its impact threatens many things, such as industrial disasters that could endanger human life and the environment. Control measures undertaken to avoid potential hazards are to apply the use of personal protective equipment, but management will also be better managed in accordance with hazard control hazards, occupational safety and health programs such as issuing work permits, emergency response training is required, Very useful in overcoming potential hazards that have been determined.

  4. Management of diabetic complications through fruit flavonoids as a natural remedy.

    PubMed

    Tanveer, Amna; Akram, Kashif; Farooq, Umar; Hayat, Zafar; Shafi, Afshan

    2017-05-03

    Diabetes mellitus is a global disorder, and a major issue for health care systems. The current review outlooks the use of fruit flavonoids as natural remedy in the prevention of diabetes mellitus. The onset of diabetes mainly depends upon genetics and lifestyle issues. Currently used therapeutic options for the control of diabetes, like dietary amendments, oral hypoglycemic drugs, and insulin, have their own limitations. Fruit flavonoids possess various antidiabetic, anti-inflammatory, and antioxidant potentials and act on various cellular signaling pathways in pancreas, white adipose tissue, skeletal muscle, and liver function, which in result induces antidiabetic effects. Recently, antidiabetic effect of fruit flavonoids has been studied using various animal models and clinical trials. Research studies revealed a statistically significant potential of fruit flavonoids in managing the altered glucose and oxidative metabolisms in diabetes. Unlike synthetic antidiabetic agents, fruit flavonoids manage diabetes without compromising cellular homeostasis thereby posing no side effects. Further studies are required in purification and characterization of different fruit flavonoids with respect to their beneficial effect for diabetic patients.

  5. Review of pharmacological therapies in fibromyalgia syndrome

    PubMed Central

    2014-01-01

    This review addresses the current status of drug therapy for the management of fibromyalgia syndrome (FMS) and is based on interdisciplinary FMS management guidelines, meta-analyses of drug trial data, and observational studies. In the absence of a single gold-standard medication, patients are treated with a variety of drugs from different categories, often with limited evidence. Drug therapy is not mandatory for the management of FMS. Pregabalin, duloxetine, milnacipran, and amitriptyline are the current first-line prescribed agents but have had a mostly modest effect. With only a minority of patients expected to experience substantial benefit, most will discontinue therapy because of either a lack of efficacy or tolerability problems. Many drug treatments have undergone limited study and have had negative results. It is unlikely that these failed pilot trials will undergo future study. However, medications, though imperfect, will continue to be a component of treatment strategy for these patients. Both the potential for medication therapy to relieve symptoms and the potential to cause harm should be carefully considered in their administration. PMID:24433463

  6. An Integrated Risk Management Model for Source Water Protection Areas

    PubMed Central

    Chiueh, Pei-Te; Shang, Wei-Ting; Lo, Shang-Lien

    2012-01-01

    Watersheds are recognized as the most effective management unit for the protection of water resources. For surface water supplies that use water from upstream watersheds, evaluating threats to water quality and implementing a watershed management plan are crucial for the maintenance of drinking water safe for humans. The aim of this article is to establish a risk assessment model that provides basic information for identifying critical pollutants and areas at high risk for degraded water quality. In this study, a quantitative risk model that uses hazard quotients for each water quality parameter was combined with a qualitative risk model that uses the relative risk level of potential pollution events in order to characterize the current condition and potential risk of watersheds providing drinking water. In a case study of Taipei Source Water Area in northern Taiwan, total coliforms and total phosphorus were the top two pollutants of concern. Intensive tea-growing and recreational activities around the riparian zone may contribute the greatest pollution to the watershed. Our risk assessment tool may be enhanced by developing, recording, and updating information on pollution sources in the water supply watersheds. Moreover, management authorities could use the resultant information to create watershed risk management plans. PMID:23202770

  7. Frames of Reference: A Metaphor for Analyzing and Interpreting Attitudes of Environmental Policy Makers and Policy Influencers

    PubMed

    Swaffield

    1998-07-01

    / The concept of frame of reference offers a potentially useful analytical metaphor in environmental management. This is illustrated by a case study in which attitudes of individuals involved in the management of trees in the New Zealand high country are classified into seven distinctive frames of reference. Some practical and theoretical implications of the use of the frame metaphor are explored, including its potential contribution to the emerg- ing field of communicative planning. KEY WORDS: Frames of reference; Environmental policy analysis; Metaphor; New Zealand high country

  8. Pilot Testing of the NURSE Stress Management Intervention.

    PubMed

    Delaney, Colleen; Barrere, Cynthia; Robertson, Sue; Zahourek, Rothlyn; Diaz, Desiree; Lachapelle, Leeanne

    2016-12-01

    Student nurses experience significant stress during their education, which may contribute to illness and alterations in health, poor academic performance, and program attrition. The aim of this pilot study was to evaluate the feasibility and potential efficacy of an innovative stress management program in two baccalaureate nursing programs in Connecticut, named NURSE (Nurture nurse, Use resources, foster Resilience, Stress and Environment management), that assists nursing students to develop stress management plans. An explanatory sequential mixed-methods design was used to evaluate the effects of the intervention with 40 junior nursing students. Results from this study provide evidence that the NURSE intervention is highly feasible, and support further testing to examine the effect of the intervention in improving stress management in nursing students. © The Author(s) 2015.

  9. What is the potential for social networks and support to enhance future telehealth interventions for people with a diagnosis of schizophrenia: a critical interpretive synthesis

    PubMed Central

    2013-01-01

    Background Digital technologies are increasingly directed at improved monitoring, management and treatment of mental health. However, their potential contribution to social networks and self-management support for people diagnosed with a serious mental illness has rarely been considered. This review and meta-synthesis aimed to examine the processes of engagement and perceived relevance and appropriateness of telehealth interventions for people with a diagnosis of schizophrenia. The review addresses three key questions. How is the use of digital communications technologies framed in the professional psychiatric literature? How might the recognised benefits of telehealth translate to people with a diagnosis of schizophrenia? What is the user perspective concerning Internet information and communication technologies? Methods A critical interpretive synthesis (CIS) of published findings from quantitative and qualitative studies of telehealth interventions for people with a diagnosis of schizophrenia. Results Most studies were of an exploratory nature. The professional discourse about the use of different technologies was overlain by concerns with surveillance and control, focusing on the Internet as a potential site of risk and danger. The critical synthesis of findings showed that the key focus of the available studies was on the delivery of existing traditional approaches (e.g. improving medications adherence, provision of medical information about the condition, symptom monitoring and cognitive behavioural therapy). Even though it was clear that the Internet has considerable potential in terms of accessing and utilising lay support, the potential of communication technologies in mobilising of resources for personal self-management or peer support was a relatively absent or hidden a focus of the available studies. Conclusions Based on an interpretive synthesis of available studies, people with a diagnosis of schizophrenia or psychosis use the Internet primarily for the purposes of disclosure and information gathering. Empowerment, regulation and surveillance emerged as the key dimensions of engagement (or not) with telehealth interventions. The findings suggest that telehealth interventions are disproportionately used by particular patient groups (e.g.women, people who are employed). Further research needs to ascertain the mechanisms by which telehealth interventions may be potentially beneficial or harmful for engagement and management to people with a diagnosis of schizophrenia. PMID:24180273

  10. Depicting individual responses to physical therapist led chronic pain self-management support with pain science education and exercise in primary health care: multiple case studies.

    PubMed

    Miller, Jordan; MacDermid, Joy C; Richardson, Julie; Walton, David M; Gross, Anita

    2017-01-01

    Previous evidence suggests self-management programs for people with chronic pain improve knowledge and self-efficacy, but result in small to negligible changes in function. The purpose of this multiple case studies design was to describe the unique responses of six participants to a new self-management program aimed at improving function, to detail each component of the program, and to explore potential explanations for the varied trajectories of each of the participants. Six participants who had been experiencing chronic pain for at least 5 years were included. All participants were enrolled 6 weeks of ChrOnic pain self-ManageMent support with pain science EducatioN and exercise (COMMENCE). Participants completed an assessment at baseline, 7 weeks (1-week follow-up), and 18 weeks (12-week follow-up). Each participant had a unique initial presentation and goals. Assessments included: function as measured by the Short Musculoskeletal Function Assessment - Dysfunction Index, how much participants are bothered by functional difficulties, pain intensity, fatigue, pain interference, cognitive and psychological factors associated with pain and disability, pain neurophysiology, self-efficacy, satisfaction, and perceived change. The self-management program was 6-weeks in length, consisting of one individual visit and one group visit per week. The program incorporated three novel elements not commonly included in self-management programs: pain neurophysiology education, individualized exercises determined by the participants' goals, and additional cognitive behavioural approaches. Participants were all satisfied with self-management support received. Change in function was variable ranging from 59% improvement to 17% decline. Two potential explanations for variances in response, attendance and social context, are discussed. Several challenges were identified by participants as barriers to attendance. A primary care self-management intervention including pain education and individualized exercise has potential to improve function for some people with chronic pain, although strategies to improve adherence and reduce barriers to participation may be needed to optimize the impact.

  11. Physiology can contribute to better understanding, management, and conservation of coral reef fishes.

    PubMed

    Illing, Björn; Rummer, Jodie L

    2017-01-01

    Coral reef fishes, like many other marine organisms, are affected by anthropogenic stressors such as fishing and pollution and, owing to climate change, are experiencing increasing water temperatures and ocean acidification. Against the backdrop of these various stressors, a mechanistic understanding of processes governing individual organismal performance is the first step for identifying drivers of coral reef fish population dynamics. In fact, physiological measurements can help to reveal potential cause-and-effect relationships and enable physiologists to advise conservation management by upscaling results from cellular and individual organismal levels to population levels. Here, we highlight studies that include physiological measurements of coral reef fishes and those that give advice for their conservation. A literature search using combined physiological, conservation and coral reef fish key words resulted in ~1900 studies, of which only 99 matched predefined requirements. We observed that, over the last 20 years, the combination of physiological and conservation aspects in studies on coral reef fishes has received increased attention. Most of the selected studies made their physiological observations at the whole organism level and used their findings to give conservation advice on population dynamics, habitat use or the potential effects of climate change. The precision of the recommendations differed greatly and, not surprisingly, was least concrete when studies examined the effects of projected climate change scenarios. Although more and more physiological studies on coral reef fishes include conservation aspects, there is still a lack of concrete advice for conservation managers, with only very few published examples of physiological findings leading to improved management practices. We conclude with a call to action to foster better knowledge exchange between natural scientists and conservation managers to translate physiological findings more effectively in order to obtain evidence-based and adaptive management strategies for the conservation of coral reef fishes.

  12. Assessment of the effects of multiple extreme floods on flow and transport processes under competing flood protection and environmental management strategies.

    PubMed

    Tu, Tongbi; Carr, Kara J; Ercan, Ali; Trinh, Toan; Kavvas, M Levent; Nosacka, John

    2017-12-31

    Extreme floods are regarded as one of the most catastrophic natural hazards and can result in significant morphological changes induced by pronounced sediment erosion and deposition processes over the landscape. However, the effects of extreme floods of different return intervals on the floodplain and river channel morphological evolution with the associated sediment transport processes are not well explored. Furthermore, different basin management action plans, such as engineering structure modifications, may also greatly affect the flood inundation, sediment transport, solute transport and morphological processes within extreme flood events. In this study, a coupled two-dimensional hydrodynamic, sediment transport and morphological model is applied to evaluate the impact of different river and basin management strategies on the flood inundation, sediment transport dynamics and morphological changes within extreme flood events of different magnitudes. The 10-year, 50-year, 100-year and 200-year floods are evaluated for the Lower Cache Creek system in California under existing condition and a potential future modification scenario. Modeling results showed that select locations of flood inundation within the study area tend to experience larger inundation depth and more sediment is likely to be trapped in the study area under potential modification scenario. The proposed two dimensional flow and sediment transport modeling approach implemented with a variety of inflow conditions can provide guidance to decision-makers when considering implementation of potential modification plans, especially as they relate to competing management strategies of large water bodies, such as the modeling area in this study. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Comparing organic versus conventional soil management on soil respiration.

    PubMed

    Mátyás, Bence; Chiluisa Andrade, Maritza Elizabeth; Yandun Chida, Nora Carmen; Taipe Velasco, Carina Maribel; Gavilanes Morales, Denisse Estefania; Miño Montero, Gisella Nicole; Ramirez Cando, Lenin Javier; Lizano Acevedo, Ronnie Xavier

    2018-01-01

    Soil management has great potential to affect soil respiration. In this study, we investigated the effects of organic versus conventional soil management on soil respiration.  We measured the main soil physical-chemical properties from conventional and organic managed soil in Ecuador. Soil respiration was determined using alkaline absorption according to Witkamp.  Soil properties such as organic matter, nitrogen, and humidity, were comparable between conventional and organic soils in the present study, and in a further analysis there was no statically significant correlation with soil respiration. Therefore, even though organic farmers tend to apply more organic material to their fields, but this did not result in a significantly higher CO2 production in their soils in the present study.

  14. Comparing organic versus conventional soil management on soil respiration

    PubMed Central

    Mátyás, Bence; Chiluisa Andrade, Maritza Elizabeth; Yandun Chida, Nora Carmen; Taipe Velasco, Carina Maribel; Gavilanes Morales, Denisse Estefania; Miño Montero, Gisella Nicole; Ramirez Cando, Lenin Javier; Lizano Acevedo, Ronnie Xavier

    2018-01-01

    Soil management has great potential to affect soil respiration. In this study, we investigated the effects of organic versus conventional soil management on soil respiration.  We measured the main soil physical-chemical properties from conventional and organic managed soil in Ecuador. Soil respiration was determined using alkaline absorption according to Witkamp.  Soil properties such as organic matter, nitrogen, and humidity, were comparable between conventional and organic soils in the present study, and in a further analysis there was no statically significant correlation with soil respiration. Therefore, even though organic farmers tend to apply more organic material to their fields, but this did not result in a significantly higher CO2 production in their soils in the present study. PMID:29623193

  15. An exploration of opportunities and challenges facing cervical cancer managers in Kenya

    PubMed Central

    2013-01-01

    Background Kenya like other developing countries is low in resource setting and is facing a number of challenges in the management of cervical cancer. This study documents opportunities and challenges encountered in managing cervical cancer from the health care workers’ perspectives. A qualitative study was conducted among cervical cancer managers who were defined as nurses and doctors involved in operational level management of cervical cancer. The respondents were drawn from four provincial hospitals and the only two main National public referral hospitals in Kenya. Twenty one [21] nurse managers and twelve [12] medical doctors were interviewed using a standardized interview guide. The responses were audio recorded, transcribed verbatim and the content analyzed in emerging themes. Findings Four themes were identified. Patient related challenges included a large number of patients, presenting in the late stage of disease, low levels of knowledge on cancer of the cervix, low levels of screening and a poor attitude towards screening procedure. Individual health care providers identified a lack of specialised training, difficulty in disclosure of diagnosis to patients, a poor attitude towards cervical cancer screening procedure and a poor attitude towards cervical cancer patients. Health facilities were lacking in infrastructure and medical supplies. Some managers felt ill-equipped in technological skills while the majority lacked access to the internet. Mobile phones were identified as having great potential for improving the management of cervical cancer in Kenya. Conclusion Kenya faces a myriad of challenges in the management of cervical cancer. The peculiar negative attitude towards screening procedure and the negative attitude of some managers towards cervical cancer patients need urgent attention. The potential use of mobile phones in cervical cancer management should be explored. PMID:23566436

  16. What role could community pharmacists in Malaysia play in diabetes self-management education and support? The views of individuals with type 2 diabetes.

    PubMed

    Lee, E Lyn; Wong, Pei Se; Tan, Ming Yeong; Sheridan, Janie

    2018-04-01

    This study explored the experiences and views of individuals with type 2 diabetes mellitus (T2D) on their diabetes self-management and potential roles for community pharmacists in diabetes self-management education and support (DSME/S) in Malaysia. A qualitative study, using semi-structured, face-to-face interviews, was conducted with patients with T2D attending a primary care health clinic in Kuala Lumpur, Malaysia. The interviews were audio-recorded, transcribed verbatim and analysed inductively. Fourteen participants with T2D were interviewed. Data were coded into five main themes: experience and perception of diabetes self-management, constraints of the current healthcare system, perception of the community pharmacist and community pharmacies, perceived roles for community pharmacists in diabetes care, and challenges in utilising community pharmacies to provide DSME/S. There were misconceptions about diabetes management that may be attributed to a lack of knowledge. Although participants described potential roles for community pharmacists in education, medication review and continuity of care, these roles were mostly non-clinically oriented. Participants were not confident about community pharmacists making recommendations and changes to the prescribed treatment regimens. While participants recognised the advantages of convenience of a community pharmacy-based diabetes care service, they raised concerns over the retail nature and the community pharmacy environment for providing such services. This study highlighted the need to improve the care provision for people with T2D. Participants with T2D identified potential, but limited roles for community pharmacists in diabetes care. Participants expressed concerns that need to be addressed if effective diabetes care is to be provided from community pharmacies in Malaysia. © 2017 Royal Pharmaceutical Society.

  17. Self-management of chronic low back pain: Four viewpoints from patients and healthcare providers.

    PubMed

    Stenner, Paul; Cross, Vinnette; McCrum, Carol; McGowan, Janet; Defever, Emmanuel; Lloyd, Phil; Poole, Robert; Moore, Ann P

    2015-07-01

    A move towards self-management is central to health strategy around chronic low back pain, but its concept and meaning for those involved are poorly understood. In the reported study, four distinct and shared viewpoints on self-management were identified among people with pain and healthcare providers using Q methodology. Each construes self-management in a distinctive manner and articulates a different vision of change. Identification of similarities and differences among the viewpoints holds potential for enhancing communication between patients and healthcare providers and for better understanding the complexities of self-management in practice.

  18. Self-management of chronic low back pain: Four viewpoints from patients and healthcare providers

    PubMed Central

    Stenner, Paul; Cross, Vinnette; McCrum, Carol; McGowan, Janet; Defever, Emmanuel; Lloyd, Phil; Poole, Robert; Moore, Ann P

    2015-01-01

    A move towards self-management is central to health strategy around chronic low back pain, but its concept and meaning for those involved are poorly understood. In the reported study, four distinct and shared viewpoints on self-management were identified among people with pain and healthcare providers using Q methodology. Each construes self-management in a distinctive manner and articulates a different vision of change. Identification of similarities and differences among the viewpoints holds potential for enhancing communication between patients and healthcare providers and for better understanding the complexities of self-management in practice. PMID:28070378

  19. Reducing the risk of potential hazard in tourist activities of Mount Bromo

    NASA Astrophysics Data System (ADS)

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

    2018-05-01

    Mount Bromo has been crowned as one of the most beautiful mountains in the world, having a particular landscape uniqueness. Not only volcano, Bromo also has savanna, sea of sands, and culture of Tengger tribe. Its panoramic landscape has attracted a large number of tourists, both domestic and foreign, despites the threat of eruption. To ensure tourists safety and satisfaction, the potentials hazard, both from eruption and other features should be managed carefully. The study objective was to identify and map hazard potentials and identify the existing hazard management. It was carried out in Mei – June 2017. Lava, tephra, eruption cloud, ash, earthquake, land sliding, extreme weather, slope, transportation modes (jeep, motorcycle, and horse), human, and land fire were found as potential hazards in Mount Bromo. Five locations had been identified as hazard area in the tourism areas, i.e. savanna, sea of sand, Bromo caldera and Pananjakan I trail and viewing point. Early warning system should be developed as part of hazard management in the area. Capacity building of local stakeholders and visitors would be needed to reduce risk of the hazard.

  20. Application of gaseous core reactors for transmutation of nuclear waste

    NASA Technical Reports Server (NTRS)

    Schnitzler, B. G.; Paternoster, R. R.; Schneider, R. T.

    1976-01-01

    An acceptable management scheme for high-level radioactive waste is vital to the nuclear industry. The hazard potential of the trans-uranic actinides and of key fission products is high due to their nuclear activity and/or chemical toxicity. Of particular concern are the very long-lived nuclides whose hazard potential remains high for hundreds of thousands of years. Neutron induced transmutation offers a promising technique for the treatment of problem wastes. Transmutation is unique as a waste management scheme in that it offers the potential for "destruction" of the hazardous nuclides by conversion to non-hazardous or more manageable nuclides. The transmutation potential of a thermal spectrum uranium hexafluoride fueled cavity reactor was examined. Initial studies focused on a heavy water moderated cavity reactor fueled with 5% enriched U-235-F6 and operating with an average thermal flux of 6 times 10 to the 14th power neutrons/sq cm-sec. The isotopes considered for transmutation were I-129, Am-241, Am-242m, Am-243, Cm-243, Cm-244, Cm-245, and Cm-246.

  1. Improving agricultural knowledge management: The AgTrials experience

    PubMed Central

    Hyman, Glenn; Espinosa, Herlin; Camargo, Paola; Abreu, David; Devare, Medha; Arnaud, Elizabeth; Porter, Cheryl; Mwanzia, Leroy; Sonder, Kai; Traore, Sibiry

    2017-01-01

    Background: Opportunities to use data and information to address challenges in international agricultural research and development are expanding rapidly. The use of agricultural trial and evaluation data has enormous potential to improve crops and management practices. However, for a number of reasons, this potential has yet to be realized. This paper reports on the experience of the AgTrials initiative, an effort to build an online database of agricultural trials applying principles of interoperability and open access. Methods: Our analysis evaluates what worked and what did not work in the development of the AgTrials information resource. We analyzed data on our users and their interaction with the platform. We also surveyed our users to gauge their perceptions of the utility of the online database. Results: The study revealed barriers to participation and impediments to interaction, opportunities for improving agricultural knowledge management and a large potential for the use of trial and evaluation data.  Conclusions: Technical and logistical mechanisms for developing interoperable online databases are well advanced.  More effort will be needed to advance organizational and institutional work for these types of databases to realize their potential. PMID:28580127

  2. Contribution of mobile health applications to self-management by consumers: review of published evidence.

    PubMed

    Anderson, Kevin; Emmerton, Lynne M

    2016-11-01

    Objective The aim of the present study was to review the contribution of mobile health applications ('apps') to consumers' self-management of chronic health conditions, and the potential for this practice to inform health policy, procedures and guidelines. Methods A search was performed on the MEDLINE, Cochrane Library, ProQuest and Global Health (Ovid) databases using the search terms 'mobile app*', 'self-care', 'self-monitoring', 'trial', 'intervention*' and various medical conditions. The search was supplemented with manual location of emerging literature and government reports. Mapping review methods identified relevant titles and abstracts, followed by review of content to determine extant research, reports addressing the key questions, and gaps suggesting areas for future research. Available studies were organised by disease state, and presented in a narrative analysis. Results Four studies describing the results of clinical trials were identified from Canada, England, Taiwan and Australia; all but the Australian study used custom-made apps. The available studies examined the effect of apps in health monitoring, reporting positive but not robust findings. Australian public policy and government reports acknowledge and support self-management, but do not address the potential contribution of mobile interventions. Conclusions There are limited controlled trials testing the contribution of health apps to consumers' self-management. Further evidence in this field is required to inform health policy and practice relating to self-management. What is known about the topic? Australian health policy encourages self-care by health consumers to reduce expenditure in health services. A fundamental component of self-care in chronic health conditions is self-monitoring, which can be used to assess progress towards treatment goals, as well as signs and symptoms of disease exacerbation. An abundance of mobile health apps is available for self-monitoring. What does this study add? A limited number of randomised control trials have assessed the clinical impact of health apps for self-monitoring. The body of evidence relating to current and long-term clinical impact is developing. Despite endorsing self-care, Australian health policy does not address the use and potential contribution of mobile health apps to health care. What are the implications? Widespread and sustained use of validated mobile health apps for chronic health conditions should have potential to improve consumer independence, confidence and burden on health services in the longer term. However, a significant body of scientific evidence has not yet been established; this is mirrored in the lack of acknowledgement of health apps in Australian health policy referring to consumers' self-management.

  3. Aspirin-Exacerbated Respiratory Disease: Evaluation and Management

    DTIC Science & Technology

    2011-01-01

    will be to discuss the specific issues related to aspirin desensitization , the clinical benefits, patient selection, aspirin dosing, potential ...to the potential of “silent desensitization ” (under the blocking influence of montelukast), we recommend that all patients with history consistent...that this procedure could potentially improve existing protocols for aspi- rin challenges and desensitization . In our study, we found that patients

  4. Additive Manufacturing: Which DLA-Managed Legacy Parts are Potential AM Candidates

    DTIC Science & Technology

    2016-07-01

    R G ADDITIVE MANUFACTURING : WHICH DLA-MANAGED LEGACY PARTS ARE POTENTIAL AM CANDIDATES? REPORT DL501T1 J UL Y 2016...L Y 2 0 1 6 ADDITIVE MANUFACTURING : WHICH DLA-MANAGED LEGACY PARTS ARE POTENTIAL AM CANDIDATES? REPORT DL501T1 Thomas K . Pa rk s...DESIGNATED BY OTHER OFFICIAL DOCUMENTATION. LMI © 2016. ALL RIGHTS RESERVED. iii Additive Manufacturing : Which DLA-Managed Legacy Parts Are

  5. Traumatic intrathoracic tracheobronchial injuries: a study of 78 cases.

    PubMed

    Alassal, Mohamed A; Ibrahim, Bedir M; Elsadeck, Nabil

    2014-09-01

    Tracheobronchial injuries are encountered with increasing frequency because of improvements in pre-hospital care. We reviewed our experience of these injuries to determine how to better recognize them and facilitate their correct management. Patients with traumatic non-iatrogenic intrathoracic tracheobronchial injuries managed in 2 tertiary centers in Saudi Arabia between 2000 and 2012, were studied. Clinical presentation, diagnostic evaluation, management, and outcome were reviewed. 78 patients with tracheobronchial injuries were included in this study. They were divided into 2 groups according to the management strategy. Forty-seven patients who were managed conservatively, and 31 underwent surgery. Surgery allowed shorter intensive care unit and hospital stays; otherwise, the results were comparable between the two groups. Early recognition and expedient appropriate management are essential in these potentially lethal injuries. Operative management can be achieved with acceptable mortality, and conservative treatment should be considered as a valuable alternative to the well-established surgical treatment. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  6. Biomass production of herbaceous energy crops in the United States: Field trial results and yield potential maps from the multiyear regional feedstock partnership

    USDA-ARS?s Scientific Manuscript database

    Current knowledge of yield potential and best agronomic management practices for perennial bioenergy grasses is primarily derived from small-scale and short-term studies, yet these studies inform policy at the national scale. In an effort to learn more about how bioenergy grasses perform at the farm...

  7. Future directions for simulation of recreation use

    Treesearch

    David N. Cole

    2005-01-01

    As the case studies in Chapter 4 illustrate, simulation modeling can be a valuable tool for recreation planning and management. Although simulation modeling is already well developed for business applications, its adaptation to recreation management is less developed. Relatively few resources have been devoted to realizing its potential. Further progress is needed in...

  8. Grassland bats and land management in the Southwest

    Treesearch

    Alice L. Chung-MacCoubrey

    1996-01-01

    Of the bat research that has been conducted in the Southwestern states, few studies have addressed species inhabiting grasslands and the potential effects of management activities on these populations. Up to 17 bat species may be found regularly or occasionally in Southwestern grasslands or short-grass prairie. Main habitat requirements of grassland-dwelling bats are...

  9. Effectiveness of best management practices for sediment reduction at operation forest stream crossings

    Treesearch

    Laura R. Wear; Michael W. Aust; M. Chad Bolding; Brian D. Strahm; C. Andrew Dolloff

    2013-01-01

    Temporary skid trail stream crossings have repeatedly been identified as having considerable potential to introduce sediment to streams. Forestry Best Management Practices (BMPs) have proven to be effective for controlling erosion and subsequent sedimentation, yet few studies have quantified sedimentation associated with various levels of BMPs for skidder stream...

  10. Exploring Young Children's Understanding of Risks Associated with Internet Usage and Their Concepts of Management Strategies

    ERIC Educational Resources Information Center

    Ey, Lesley-Anne; Cupit, C. Glenn

    2011-01-01

    The Internet provides remarkable opportunities for children's learning and development. Nevertheless, it is unregulated and hard to control, which potentially places children at risk of exploitation. This study examined five-eight-year-old children's understanding of dangers associated with the Internet, management strategies and sources of their…

  11. Status and potential of terrestrial carbon sequestration in West Virginia

    Treesearch

    Benktesh D. Sharma; Jingxin Wang

    2011-01-01

    Terrestrial ecosystem management offers cost-effective ways to enhance carbon (C) sequestration. This study utilized C stock and C sequestration in forest and agricultural lands, abandoned mine lands, and harvested wood products to estimate the net current annual C sequestration in West Virginia. Several management options within these components were simulated using a...

  12. Manage postharvest deficit irrigation of peach trees using canopy to air temperature

    USDA-ARS?s Scientific Manuscript database

    A field study was conducted to use mid-day canopy to air temperature difference (delta T) to manage postharvest deficit irrigation of peach trees in San Joaquin Valley of California and its performance was evaluated. Delta T thresholds were selected, based on previous years’ stem water potential and...

  13. Managing conflict over biological control: the case of strawberry guava in Hawaii

    Treesearch

    Tracy Johnson

    2016-01-01

    Biological control researchers commonly avoid targets with potential for high conflict, but for certain highly damaging invaders with no viable management alternatives, it may be necessary to consider biological control even when it is likely to generate conflict. Discussed here is a case study, strawberry guava (Psidium cattleianum Sabine...

  14. An Exploration of the Working Alliance in Mental Health Case Management

    ERIC Educational Resources Information Center

    Kondrat, David C.; Early, Theresa J.

    2010-01-01

    The working alliance between clients and helpers has been identified as a common factor of treatment effectiveness, yet very little research has explored variables associated with working alliance between mental health case managers and their consumers. This study explored the potential covariates of working alliance within community mental health…

  15. Evaluator and Program Manager Perceptions of Evaluation Capacity and Evaluation Practice

    ERIC Educational Resources Information Center

    Fierro, Leslie A.; Christie, Christina A.

    2017-01-01

    The evaluation community has demonstrated an increased emphasis and interest in evaluation capacity building in recent years. A need currently exists to better understand how to measure evaluation capacity and its potential outcomes. In this study, we distributed an online questionnaire to managers and evaluation points of contact working in…

  16. Associations of Newly Qualified Teachers' Beliefs with Classroom Management Practices and Approaches to Instruction over One School Year

    ERIC Educational Resources Information Center

    Aus, Kati; Jõgi, Anna-Liisa; Poom-Valickis, Katrin; Eisenschmidt, Eve; Kikas, Eve

    2017-01-01

    We focus on assessing whether newly qualified teachers' professional outcome expectations and their beliefs about students' intellectual potential are associated with teachers' self-reported classroom management and instructional practices. One hundred and eighteen novice teachers participating in the induction year programme were studied during…

  17. Improving the Resilience of Best Management Practices in a Changing Environment: Urban Stormwater Modeling Studies (Final Report)

    EPA Science Inventory

    The purpose of this report is to respond to EPA's identified need for an improved understanding of the potential impacts of changes in long term weather conditions on the occurrence and management of urban stormwater runoff. EPA conducted continuous simulation modeling of the hy...

  18. Stakeholder Participation in Freshwater Monitoring and Evaluation Programs: Applying Thresholds of Potential Concern within Environmental Flows

    NASA Astrophysics Data System (ADS)

    Conallin, John; McLoughlin, Craig A.; Campbell, Josh; Knight, Roger; Bright, Troy; Fisher, Ian

    2018-03-01

    The complex nature of freshwater systems provides challenges for incorporating evidence-based techniques into management. This paper investigates the potential of participatory evidence-based techniques to involve local stakeholders and make decisions based on different "knowledge" sources within adaptive management programs. It focuses on the application of thresholds of potential concern (TPC) within strategic adaptive management (SAM) for facilitating inclusive decision-making. The study is based on the case of the Edward-Wakool (E-W) "Fish and Flows" SAM project in the Murray-Darling River Basin, Australia. We demonstrate the application of TPCs for improving collaborative decision-making within the E-W, associated with environmental watering requirements, and other natural resource management programs such as fish stocking. The development of TPCs in the E-W fish and flows SAM project helped improve stakeholder involvement and understanding of the system, and also the effectiveness of the implemented management interventions. TPCs ultimately helped inform environmental flow management activities. The TPC process complemented monitoring that was already occurring in the system and provided a mechanism for linking formal and informal knowledge to form explicit and measurable endpoints from objectives. The TPC process faced challenges due to the perceived reduction in scientific rigor within initial TPC development and use. However, TPCs must remain tangible to managers and other stakeholders, in order to aid in the implementation of adaptive management. Once accepted by stakeholders, over time TPCs should be reviewed and refined in order to increase their scientific rigor, as new information is generated.

  19. Perspectives on the Transition From Bacterial Phytopathogen Genomics Studies to Applications Enhancing Disease Management: From Promise to Practice.

    PubMed

    Sundin, George W; Wang, Nian; Charkowski, Amy O; Castiblanco, Luisa F; Jia, Hongge; Zhao, Youfu

    2016-10-01

    The advent of genomics has advanced science into a new era, providing a plethora of "toys" for researchers in many related and disparate fields. Genomics has also spawned many new fields, including proteomics and metabolomics, furthering our ability to gain a more comprehensive view of individual organisms and of interacting organisms. Genomic information of both bacterial pathogens and their hosts has provided the critical starting point in understanding the molecular bases of how pathogens disrupt host cells to cause disease. In addition, knowledge of the complete genome sequence of the pathogen provides a potentially broad slate of targets for the development of novel virulence inhibitors that are desperately needed for disease management. Regarding plant bacterial pathogens and disease management, the potential for utilizing genomics resources in the development of durable resistance is enhanced because of developing technologies that enable targeted modification of the host. Here, we summarize the role of genomics studies in furthering efforts to manage bacterial plant diseases and highlight novel genomics-enabled strategies heading down this path.

  20. Switchgrass (Panicum virgatum) Intercropping within Managed Loblolly Pine (Pinus taeda) Does Not Affect Wild Bee Communities.

    PubMed

    Campbell, Joshua W; Miller, Darren A; Martin, James A

    2016-11-04

    Intensively-managed pine ( Pinus spp.) have been shown to support diverse vertebrate communities, but their ability to support invertebrate communities, such as wild bees, has not been well-studied. Recently, researchers have examined intercropping switchgrass ( Panicum virgatum ), a native perennial, within intensively managed loblolly pine ( P. taeda ) plantations as a potential source for cellulosic biofuels. To better understand potential effects of intercropping on bee communities, we investigated visitation of bees within three replicates of four treatments of loblolly pine in Mississippi, U.S.A.: 3-4 year old pine plantations and 9-10 year old pine plantations with and without intercropped switchgrass. We used colored pan traps to capture bees during the growing seasons of 2013 and 2014. We captured 2507 bees comprised of 18 different genera during the two-year study, with Lasioglossum and Ceratina being the most common genera captured. Overall, bee abundances were dependent on plantation age and not presence of intercropping. Our data suggests that switchgrass does not negatively impact or promote bee communities within intensively-managed loblolly pine plantations.

  1. Robots in food systems: a review and assessment of potential uses.

    PubMed

    Adams, E A; Messersmith, A M

    1986-04-01

    Management personnel in foodservice, food processing, and robot industries were surveyed to evaluate potential job functions for robots in the food industry. The survey instrument listed 64 different food-related job functions that participants were asked to assess as appropriate or not appropriate for robotic implementation. Demographic data were collected from each participant to determine any positive or negative influence on job function responses. The survey responses were statistically evaluated using frequencies and the chi-square test of significance. Sixteen of the 64 job functions were identified as appropriate for robot implementation in food industries by both robot manufacturing and food managers. The study indicated, first, that food managers lack knowledge about robots and robot manufacturing managers lack knowledge about food industries. Second, robots are not currently being used to any extent in the food industry. Third, analysis of the demographic data in relation to the 16 identified job functions showed no significant differences in responses.

  2. Assessment of RFID Investment in the Military Logistics Systems Through The Cost of Ownership Model (COO)

    DTIC Science & Technology

    2010-03-01

    managers seek ways to increase the efficiency of their organizations by improving their logistics operations . According to Logistics Today journal ...S. (2009). RFID Adoption by Indian Retailers: An Exploratory Study. The Icfai University Journal of Supply Chain Management , 6 (1), 60-77...and will continue to be one of the hot topics in operations and supply chain management . It will potentially receive widespread adoption in the long

  3. Let's Face It: Patient and Parent Perspectives on Incorporating a Facebook Group into a Multidisciplinary Weight Management Program

    PubMed Central

    Esperanza Menchaca, Alicia D. M.; Sami, Areej; Blake, Natalie

    2013-01-01

    Abstract Background Social media may have the potential to enhance weight management efforts. However, the acceptability of incorporating this entity into pediatrics is unknown. The objective of this project was to explore patients' and parents' perspectives about developing a Facebook group as a component of a pediatric weight management program. Methods Semistructured interviews were performed between September, 2011, and February, 2012, with patients and parents in a multidisciplinary weight management program. Interviews explored participants' perceptions of potential benefits, concerns, and preferences related to a program-specific Facebook group. Transcripts were reviewed and themes identified. The study concluded when thematic saturation was achieved. Results Participants (n=32) were largely enthusiastic about the idea of a program-specific Facebook group for adolescents. Most preferred a secret group, where only participants would know of the group's existence or group members' identity. No parents expressed concern about security or privacy related to a program-specific Facebook group; one parent expressed concern about undesirable advertisements. Participants endorsed a variety of ideas for inclusion on the page, including weight loss tips, live chats with providers, quizzes, and an incentive system where participants could gain points for making healthy choices. Many parents requested a separate parent-focused page, an idea that was supported by the adolescents. Conclusions This study suggests that participants perceive potential benefits from incorporating social media interventions into pediatric weight management efforts. Privacy and security issues do not appear to be major parental concerns. Future work should explore the impact of program-specific social media interventions on outcomes for patients in weight management programs. PMID:23869854

  4. Monitoring in the context of structured decision-making and adaptive management

    USGS Publications Warehouse

    Lyons, J.E.; Runge, M.C.; Laskowski, H.P.; Kendall, W.L.

    2008-01-01

    In a natural resource management setting, monitoring is a crucial component of an informed process for making decisions, and monitoring design should be driven by the decision context and associated uncertainties. Monitoring itself can play >3 roles. First, it is important for state-dependent decision-making, as when managers need to know the system state before deciding on the appropriate course of action during the ensuing management cycle. Second, monitoring is critical for evaluating the effectiveness of management actions relative to objectives. Third, in an adaptive management setting, monitoring provides the feedback loop for learning about the system; learning is sought not for its own sake but primarily to better achieve management objectives. In this case, monitoring should be designed to reduce the critical uncertainties in models of the managed system. The United States Geological Survey and United States Fish and Wildlife Service are conducting a large-scale management experiment on 23 National Wildlife Refuges across the Northeast and Midwest Regions. The primary management objective is to provide habitat for migratory waterbirds, particularly during migration, using water-level manipulations in managed wetlands. Key uncertainties are related to the potential trade-offs created by management for a specific waterbird guild (e.g., migratory shorebirds) and the response of waterbirds, plant communities, and invertebrates to specific experimental hydroperiods. We reviewed the monitoring program associated with this study, and the ways that specific observations fill >1 of the roles identified above. We used observations from our monitoring to improve state-dependent decisions to control undesired plants, to evaluate management performance relative to shallow-water habitat objectives, and to evaluate potential trade-offs between waterfowl and shorebird habitat management. With limited staff and budgets, management agencies need efficient monitoring programs that are used for decision-making, not comprehensive studies that elucidate all manner of ecological relationships.

  5. A decade of precision agriculture impacts on grain yield and yield variation

    USDA-ARS?s Scientific Manuscript database

    Targeting management practices and inputs with precision agriculture has high potential to meet some of the grand challenges of sustainability in the coming century, including simultaneously improving crop yields and reducing environmental impacts. Although the potential is high, few studies have do...

  6. Irrigation potential of suspended solids and nutrients from tailwater recovery systems

    USDA-ARS?s Scientific Manuscript database

    Within the Lower Mississippi Alluvial Valley (Mississippi Delta), best management practices (BMP) are being utilized to mitigate nutrient loading from agricultural landscapes to downstream waters. This study was conducted to determine the potential to use solids, P and N captured by tailwater recove...

  7. Long-term impact of precision agriculture on a farmer’s field

    USDA-ARS?s Scientific Manuscript database

    Targeting management practices and inputs with precision agriculture has high potential to meet some of the grand challenges of sustainability in the coming century. Although potential is high, few studies have documented long-term effects of precision agriculture on crop production and environmenta...

  8. Grassland Management and Conversion into Grassland: Effects on Soil Carbon

    DOE Data Explorer

    Conant, Richard T. [Natural Resource Ecology Laboratory, Colorada State University, Fort Collins, CO (USA); Paustian, Keith [Natural Resource Ecology Laboratory, Colorada State University, Fort Collins, CO (USA); Elliott, Edward T. [Natural Resource Ecology Laboratory, Colorada State University, Fort Collins, CO (USA)

    2003-01-01

    Grasslands are heavily relied upon for food and forage production. A key component for sustaining production in grassland ecosystems is the maintenance of soil organic matter (SOM), which can be strongly influenced by management. Many management techniques intended to increase forage production may potentially increase SOM, thus sequestering atmospheric carbon (C). Further, conversion from either cultivation or native vegetation into grassland could also sequester atmospheric carbon. We reviewed studies examining the influence of improved grassland management practices and conversion into grasslands on soil C worldwide to assess the potential for C sequestration. Results from 115 studies containing over 300 data points were analyzed. Management improvements included fertilization (39%), improved grazing management (24%), conversion from cultivation (15%) and native vegetation (15%), sowing of legumes (4%) and grasses (2%), earthworm introduction (1%), and irrigation (1%). Soil C content and concentration increased with improved management in 74% of the studies, and mean soil C increased with all types of improvement. Carbon sequestration rates were highest during the first 40 y after treatments began and tended to be greatest in the top 10 cm of soil. Impacts were greater in woodland and grassland biomes than in forest, desert, rain forest, or shrubland biomes. Conversion from cultivation, the introduction of earthworms, and irrigation resulted in the largest increases. Rates of C sequestration by type of improvement ranged from 0.11 to 3.04 Mg C · ha–1 y–1, with a mean of 0.54 Mg C · ha –1 · y–1, and were highly influenced by biome type and climate. We conclude that grasslands can act as a significant carbon sink with the implementation of improved management.

  9. How to support forest management in a world of change: results of some regional studies.

    PubMed

    Fürst, C; Lorz, C; Vacik, H; Potocic, N; Makeschin, F

    2010-12-01

    This article presents results of several studies in Middle, Eastern and Southeastern Europe on needs and application areas, desirable attributes and marketing potentials of forest management support tools. By comparing present and future application areas, a trend from sectoral planning towards landscape planning and integration of multiple stakeholder needs is emerging. In terms of conflicts, where management support tools might provide benefit, no clear tendencies were found, neither on local nor on regional level. In contrast, on national and European levels, support of the implementation of laws, directives, and regulations was found to be of highest importance. Following the user-requirements analysis, electronic tools supporting communication are preferred against paper-based instruments. The users identified most important attributes of optimized management support tools: (i) a broad accessibility for all users at any time should be guaranteed, (ii) the possibility to integrate iteratively experiences from case studies and from regional experts into the knowledge base (learning system) should be given, and (iii) a self-explanatory user interface is demanded, which is also suitable for users rather inexperienced with electronic tools. However, a market potential analysis revealed that the willingness to pay for management tools is very limited, although the participants specified realistic ranges of maximal amounts of money, which would be invested if the products were suitable and payment inevitable. To bridge the discrepancy between unwillingness to pay and the need to use management support tools, optimized financing or cooperation models between practice and science must be found.

  10. Sustainable water management in the southwestern United States: reality or rhetoric?

    PubMed

    Marshall, Robert M; Robles, Marcos D; Majka, Daniel R; Haney, Jeanmarie A

    2010-07-21

    While freshwater sustainability is generally defined as the provisioning of water for both people and the environment, in practice it is largely focused only on supplying water to furnish human population growth. Symptomatic of this is the state of Arizona, where rapid growth outside of the metropolitan Phoenix-Tucson corridor relies on the same groundwater that supplies year-round flow in rivers. Using Arizona as a case study, we present the first study in the southwestern United States that evaluates the potential impact of future population growth and water demand on streamflow depletion across multiple watersheds. We modeled population growth and water demand through 2050 and used four scenarios to explore the potential effects of alternative growth and water management strategies on river flows. Under the base population projection, we found that rivers in seven of the 18 study watersheds could be dewatered due to municipal demand. Implementing alternative growth and water management strategies, however, could prevent four of these rivers from being dewatered. The window of opportunity to implement water management strategies is narrowing. Because impacts from groundwater extraction are cumulative and cannot be immediately reversed, proactive water management strategies should be implemented where groundwater will be used to support new municipal demand. Our approach provides a low-cost method to identify where alternative water and growth management strategies may have the most impact, and demonstrates that such strategies can maintain a continued water supply for both people and the environment.

  11. How to Support Forest Management in a World of Change: Results of Some Regional Studies

    NASA Astrophysics Data System (ADS)

    Fürst, C.; Lorz, C.; Vacik, H.; Potocic, N.; Makeschin, F.

    2010-12-01

    This article presents results of several studies in Middle, Eastern and Southeastern Europe on needs and application areas, desirable attributes and marketing potentials of forest management support tools. By comparing present and future application areas, a trend from sectoral planning towards landscape planning and integration of multiple stakeholder needs is emerging. In terms of conflicts, where management support tools might provide benefit, no clear tendencies were found, neither on local nor on regional level. In contrast, on national and European levels, support of the implementation of laws, directives, and regulations was found to be of highest importance. Following the user-requirements analysis, electronic tools supporting communication are preferred against paper-based instruments. The users identified most important attributes of optimized management support tools: (i) a broad accessibility for all users at any time should be guaranteed, (ii) the possibility to integrate iteratively experiences from case studies and from regional experts into the knowledge base (learning system) should be given, and (iii) a self-explanatory user interface is demanded, which is also suitable for users rather inexperienced with electronic tools. However, a market potential analysis revealed that the willingness to pay for management tools is very limited, although the participants specified realistic ranges of maximal amounts of money, which would be invested if the products were suitable and payment inevitable. To bridge the discrepancy between unwillingness to pay and the need to use management support tools, optimized financing or cooperation models between practice and science must be found.

  12. Scoping the common antecedents of job stress and job satisfaction for nurses (2000-2013) using the job demands-resources model of stress.

    PubMed

    McVicar, Andrew

    2016-03-01

    To identify core antecedents of job stress and job satisfaction, and to explore the potential of stress interventions to improve job satisfaction. Decreased job satisfaction for nurses is strongly associated with increased job stress. Stress management strategies might have the potential to improve job satisfaction. Comparative scoping review of studies (2000-2013) and location of their outcomes within the 'job demands-job resources' (JD-R) model of stress to identify commonalities and trends. Many, but not all, antecedents of both phenomena appeared consistently suggesting they are common mediators. Others were more variable but the appearance of 'emotional demands' as a common antecedent in later studies suggests an evolving influence of the changing work environment. The occurrence of 'shift work' as a common issue in later studies points to further implications for nurses' psychosocial well-being. Job satisfaction problems in nursing might be co-responsive to stress management intervention. Improving the buffering effectiveness of increased resilience and of prominent perceived job resource issues are urgently required. Participatory, psychosocial methods have the potential to raise job resources but will require high-level collaboration by stakeholders, and participative leadership and facilitation by managers to enable better decision-latitude, support for action planning and responsive changes. © 2015 John Wiley & Sons Ltd.

  13. The potential role of adult stem cells in the management of the rheumatic diseases

    PubMed Central

    Franceschetti, Tiziana; De Bari, Cosimo

    2017-01-01

    Adult stem cells are considered as appealing therapeutic candidates for inflammatory and degenerative musculoskeletal diseases. A large body of preclinical research has contributed to describing their immune-modulating properties and regenerative potential. Additionally, increasing evidence suggests that stem cell differentiation and function are disrupted in the pathogenesis of rheumatic diseases. Clinical studies have been limited, for the most part, to the application of adult stem cell-based treatments on small numbers of patients or as a ‘salvage’ therapy in life-threatening disease cases. Nevertheless, these preliminary studies indicate that adult stem cells are promising tools for the long-term treatment of rheumatic diseases. This review highlights recent knowledge acquired in the fields of hematopoietic and mesenchymal stem cell therapy for the management of systemic sclerosis (SSc), systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) and osteoarthritis (OA) and the potential mechanisms mediating their function. PMID:28717403

  14. Risk assessment and rehabilitation potential of a millennium city dumpsite in Sub-Saharan Africa.

    PubMed

    Ojuri, O O; Ayodele, F O; Oluwatuyi, O E

    2018-06-01

    Management of the ever-increasing generated solid waste had been a difficulty for state governments in Nigeria. The high costs connected to this waste management which had encumbered the state budget, ignorance or lack of understanding of resourceful waste management and insensitivity to environmental concerns may have led to partial neglect of this sector. This research paper is aimed at evaluating the rehabilitation potential and the risk level of Igbatoro dumpsite, an Ondo state-managed waste dumpsite which predominantly receives the waste of Akure and its environs. In determining rehabilitation/reconstruction potentials and assessing the risk of the dumpsite, an Integrated Risk Based Approach (IRBA) was considered. The Risk Index (RI) was calculated from the addition of the sensitivity index output with the attribute weightage of the twenty-seven (27) parameters studied. A total risk index of 571.58 was obtained for Igbatoro dumpsite indicating moderate hazard evaluation. Questionnaires distributed to dwellers around the dumpsite also showed that 83.6% of those interviewed agreed that the present management of the dumpsite is poor while 81.8% supported rehabilitation of the dumpsite. Hence, reconstruction of the Igbatoro dumpsite to an endurable and controlled landfill is hereby recommended. Copyright © 2018 Elsevier Ltd. All rights reserved.

  15. Mitigating Greenhouse Gas and Ammonia Emissions from Swine Manure Management: A System Analysis.

    PubMed

    Wang, Yue; Dong, Hongmin; Zhu, Zhiping; Gerber, Pierre J; Xin, Hongwei; Smith, Pete; Opio, Carolyn; Steinfeld, Henning; Chadwick, Dave

    2017-04-18

    Gaseous emissions from animal manure are considerable contributor to global ammonia (NH 3 ) and agriculture greenhouse gas (GHG) emissions. Given the demand to promote mitigation of GHGs while fostering sustainable development of the Paris Agreement, an improvement of management systems is urgently needed to help mitigate climate change and to improve atmospheric air quality. This study presents a meta-analysis and an integrated assessment of gaseous emissions and mitigation potentials for NH 3 , methane (CH 4 ), and nitrous oxide (N 2 O) (direct and indirect) losses from four typical swine manure management systems (MMSs). The resultant emission factors and mitigation efficiencies allow GHG and NH 3 emissions to be estimated, as well as mitigation potentials for different stages of swine operation. In particular, changing swine manure management from liquid systems to solid-liquid separation systems, coupled with mitigation measures, could simultaneously reduce GHG emissions by 65% and NH 3 emissions by 78%. The resultant potential reduction in GHG emissions from China's pig production alone is greater than the entire GHG emissions from agricultural sector of France, Australia, or Germany, while the reduction in NH 3 emissions is equivalent to 40% of the total NH 3 emissions from the European Union. Thus, improved swine manure management could have a significant impact on global environment issues.

  16. Adaption of the LUCI framework to account for detailed farm management: a case study exploring potential for achieving locally and nationally significant greenhouse gas, flooding and nutrient mitigation without compromising livelihoods on New Zealand farm

    NASA Astrophysics Data System (ADS)

    Jackson, Bethanna; Trodahl, Martha; Maxwell, Deborah; Easton, Stuart

    2016-04-01

    This talk discusses recent progress in adapting the Land Utilisation and Capability Indicator (LUCI) framework to take account of the impact of detailed farm management on greenhouse gas emissions and on water, sediment and nutrient delivery to waterways. LUCI is a land management decision support framework which examines the impact of current and potential interventions on a variety of outcomes, including flood mitigation, water supply, greenhouse gas emissions, biodiversity, erosion, sediment and nutrient delivery to waterways, and agricultural production. The potential of the landscape to provide benefits is a function of both the biophysical properties of individual landscape elements and their configuration. Both are respected in LUCI where possible. For example, the hydrology, sediment and chemical routing algorithms are based on physical principles of hillslope flow, taking information on the storage and permeability capacity of elements within the landscape from soil and land use data and honoring physical thresholds, mass and energy balance constraints. LUCI discretizes hydrological response units within the landscape according to similarity of their hydraulic properties and preserves spatially explicit topographical routing. Implications of keeping the "status quo" or potential scenarios of land management change can then be evaluated under different meteorological or climatic events (e.g. flood return periods, rainfall events, droughts), cascading water through the hydrological response units using a "fill and spill" approach. These and other component algorithms are designed to be fast-running while maintaining physical consistency and fine spatial detail. This allows it to operate from subfield level scale to catchment, or even national scale, simultaneously. It analyses and communicates the spatial pattern of individual provision and tradeoffs/synergies between desired outcomes at detailed resolutions and provides suggestions on where management change could be most efficiently targeted to meet water quality targets while maintaining production. Historically, LUCI has inferred land management from nationally available land cover categorisations, so lacked the capacity to discriminate between differences in more detailed management (tillage information, type of irrigation system, stocking numbers and type, etc). However, recently a collaboration with a farmer cooperative has commenced. LUCI is being further developed to take in a range of more detailed management information, which can be entered directly to LUCI or easily integrated via existing farm management files. Example output using a variety of management scenarios and ongoing "validation" of LUCI's performance at the farm scale will be presented using New Zealand crop, beef and dairy farms as case studies.

  17. Effects of performance measure implementation on clinical manager and provider motivation.

    PubMed

    Damschroder, Laura J; Robinson, Claire H; Francis, Joseph; Bentley, Douglas R; Krein, Sarah L; Rosland, Ann-Marie; Hofer, Timothy P; Kerr, Eve A

    2014-12-01

    Clinical performance measurement has been a key element of efforts to transform the Veterans Health Administration (VHA). However, there are a number of signs that current performance measurement systems used within and outside the VHA may be reaching the point of maximum benefit to care and in some settings, may be resulting in negative consequences to care, including overtreatment and diminished attention to patient needs and preferences. Our research group has been involved in a long-standing partnership with the office responsible for clinical performance measurement in the VHA to understand and develop potential strategies to mitigate the unintended consequences of measurement. Our aim was to understand how the implementation of diabetes performance measures (PMs) influences management actions and day-to-day clinical practice. This is a mixed methods study design based on quantitative administrative data to select study facilities and quantitative data from semi-structured interviews. Sixty-two network-level and facility-level executives, managers, front-line providers and staff participated in the study. Qualitative content analyses were guided by a team-based consensus approach using verbatim interview transcripts. A published interpretive motivation theory framework is used to describe potential contributions of local implementation strategies to unintended consequences of PMs. Implementation strategies used by management affect providers' response to PMs, which in turn potentially undermines provision of high-quality patient-centered care. These include: 1) feedback reports to providers that are dissociated from a realistic capability to address performance gaps; 2) evaluative criteria set by managers that are at odds with patient-centered care; and 3) pressure created by managers' narrow focus on gaps in PMs that is viewed as more punitive than motivating. Next steps include working with VHA leaders to develop and test implementation approaches to help ensure that the next generation of PMs motivate truly patient-centered care and are clinically meaningful.

  18. The Potential of MicroRNAs as Prostate Cancer Biomarkers.

    PubMed

    Fabris, Linda; Ceder, Yvonne; Chinnaiyan, Arul M; Jenster, Guido W; Sorensen, Karina D; Tomlins, Scott; Visakorpi, Tapio; Calin, George A

    2016-08-01

    Short noncoding RNAs known as microRNAs (miRNAs) control protein expression through the degradation of RNA or the inhibition of protein translation. The miRNAs influence a wide range of biologic processes and are often deregulated in cancer. This family of small RNAs constitutes potentially valuable markers for the diagnosis, prognosis, and therapeutic choices in prostate cancer (PCa) patients, as well as potential drugs (miRNA mimics) or drug targets (anti-miRNAs) in PCa management. To review the currently available data on miRNAs as biomarkers in PCa and as possible tools for early detection and prognosis. A systematic review was performed searching the PubMed database for articles in English using a combination of the following terms: microRNA, miRNA, cancer, prostate cancer, miRNA profiling, diagnosis, prognosis, therapy response, and predictive marker. We summarize the existing literature regarding the profiling of miRNA in PCa detection, prognosis, and response to therapy. The articles were reviewed with the main goal of finding a common recommendation that could be translated from bench to bedside in future clinical practice. The miRNAs are important regulators of biologic processes in PCa progression. A common expression profile characterizing each tumor subtype and stage has still not been identified for PCa, probably due to molecular heterogeneity as well as differences in study design and patient selection. Large-scale studies that should provide additional important information are still missing. Further studies, based on common clinical parameters and guidelines, are necessary to validate the translational potential of miRNAs in PCa clinical management. Such common signatures are promising in the field and emerge as potential biomarkers. The literature shows that microRNAs hold potential as novel biomarkers that could aid prostate cancer management, but additional studies with larger patient cohorts and common guidelines are necessary before clinical implementation. Copyright © 2016 European Association of Urology. Published by Elsevier B.V. All rights reserved.

  19. Scaling up our understanding of non-consumptive effects in insect systems

    DOE PAGES

    Hermann, Sara L.; Landis, Douglas A.

    2017-04-06

    Here, non-consumptive effects (NCEs) of predators on prey is an important topic in insect ecology with potential applications for pest management. NCEs are changes in prey behavior and physiology that aid in predation avoidance. While NCEs can have positive outcomes for prey survival there may also be negative consequences including increased stress and reduced growth. These effects can cascade through trophic systems influencing ecosystem function. Most NCEs have been studied at small spatial and temporal scales. However, recent studies show promise for the potential to manipulate NCEs for pest management. We suggest the next frontier for NCE studies includes manipulatingmore » the landscape of fear to improve pest control, which requires scaling-up to field and landscape levels, over ecologically relevant time frames.« less

  20. Scaling up our understanding of non-consumptive effects in insect systems

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

    Hermann, Sara L.; Landis, Douglas A.

    Here, non-consumptive effects (NCEs) of predators on prey is an important topic in insect ecology with potential applications for pest management. NCEs are changes in prey behavior and physiology that aid in predation avoidance. While NCEs can have positive outcomes for prey survival there may also be negative consequences including increased stress and reduced growth. These effects can cascade through trophic systems influencing ecosystem function. Most NCEs have been studied at small spatial and temporal scales. However, recent studies show promise for the potential to manipulate NCEs for pest management. We suggest the next frontier for NCE studies includes manipulatingmore » the landscape of fear to improve pest control, which requires scaling-up to field and landscape levels, over ecologically relevant time frames.« less

  1. POLICY IMPLICATIONS OF ADJUSTING RANDOMIZED TRIAL DATA FOR ECONOMIC EVALUATIONS: A DEMONSTRATION FROM THE ASCUS-LSIL TRIAGE STUDY

    PubMed Central

    Campos, Nicole G.; Castle, Philip E.; Schiffman, Mark; Kim, Jane J.

    2013-01-01

    Background Although the randomized controlled trial (RCT) is widely considered the most reliable method for evaluation of health care interventions, challenges to both internal and external validity exist. Thus, the efficacy of an intervention in a trial setting does not necessarily represent the real-world performance that decision makers seek to inform comparative effectiveness studies and economic evaluations. Methods Using data from the ASCUS-LSIL Triage Study (ALTS), we performed a simplified economic evaluation of age-based management strategies to detect cervical intraepithelial neoplasia grade 3 (CIN3) among women who were referred to the study with low-grade squamous intraepithelial lesions (LSIL). We used data from the trial itself to adjust for 1) potential lead time bias and random error that led to variation in the observed prevalence of CIN3 by study arm, and 2) potential ascertainment bias among providers in the most aggressive management arm. Results We found that using unadjusted RCT data may result in counterintuitive cost-effectiveness results when random error and/or bias are present. Following adjustment, the rank order of management strategies changed for two of the three age groups we considered. Conclusion Decision analysts need to examine study design, available trial data and cost-effectiveness results closely in order to detect evidence of potential bias. Adjustment for random error and bias in RCTs may yield different policy conclusions relative to unadjusted trial data. PMID:22147881

  2. Projected Scenarios for Coastal First Nations' Fisheries Catch Potential under Climate Change: Management Challenges and Opportunities.

    PubMed

    Weatherdon, Lauren V; Ota, Yoshitaka; Jones, Miranda C; Close, David A; Cheung, William W L

    2016-01-01

    Studies have demonstrated ways in which climate-related shifts in the distributions and relative abundances of marine species are expected to alter the dynamics and catch potential of global fisheries. While these studies assess impacts on large-scale commercial fisheries, few efforts have been made to quantitatively project impacts on small-scale subsistence and commercial fisheries that are economically, socially and culturally important to many coastal communities. This study uses a dynamic bioclimate envelope model to project scenarios of climate-related changes in the relative abundance, distribution and richness of 98 exploited marine fishes and invertebrates of commercial and cultural importance to First Nations in coastal British Columbia, Canada. Declines in abundance are projected for most of the sampled species under both the lower (Representative Concentration Pathway [RCP] 2.6) and higher (RCP 8.5) emission scenarios (-15.0% to -20.8%, respectively), with poleward range shifts occurring at a median rate of 10.3 to 18.0 km decade(-1) by 2050 relative to 2000. While a cumulative decline in catch potential is projected coastwide (-4.5 to -10.7%), estimates suggest a strong positive correlation between the change in relative catch potential and latitude, with First Nations' territories along the northern and central coasts of British Columbia likely to experience less severe declines than those to the south. Furthermore, a strong negative correlation is projected between latitude and the number of species exhibiting declining abundance. These trends are shown to be robust to alternative species distribution models. This study concludes by discussing corresponding management challenges that are likely to be encountered under climate change, and by highlighting the value of joint-management frameworks and traditional fisheries management approaches that could aid in offsetting impacts and developing site-specific mitigation and adaptation strategies derived from local fishers' knowledge.

  3. Projected Scenarios for Coastal First Nations’ Fisheries Catch Potential under Climate Change: Management Challenges and Opportunities

    PubMed Central

    Weatherdon, Lauren V.; Ota, Yoshitaka; Jones, Miranda C.; Close, David A.; Cheung, William W. L.

    2016-01-01

    Studies have demonstrated ways in which climate-related shifts in the distributions and relative abundances of marine species are expected to alter the dynamics and catch potential of global fisheries. While these studies assess impacts on large-scale commercial fisheries, few efforts have been made to quantitatively project impacts on small-scale subsistence and commercial fisheries that are economically, socially and culturally important to many coastal communities. This study uses a dynamic bioclimate envelope model to project scenarios of climate-related changes in the relative abundance, distribution and richness of 98 exploited marine fishes and invertebrates of commercial and cultural importance to First Nations in coastal British Columbia, Canada. Declines in abundance are projected for most of the sampled species under both the lower (Representative Concentration Pathway [RCP] 2.6) and higher (RCP 8.5) emission scenarios (-15.0% to -20.8%, respectively), with poleward range shifts occurring at a median rate of 10.3 to 18.0 km decade-1 by 2050 relative to 2000. While a cumulative decline in catch potential is projected coastwide (-4.5 to -10.7%), estimates suggest a strong positive correlation between the change in relative catch potential and latitude, with First Nations’ territories along the northern and central coasts of British Columbia likely to experience less severe declines than those to the south. Furthermore, a strong negative correlation is projected between latitude and the number of species exhibiting declining abundance. These trends are shown to be robust to alternative species distribution models. This study concludes by discussing corresponding management challenges that are likely to be encountered under climate change, and by highlighting the value of joint-management frameworks and traditional fisheries management approaches that could aid in offsetting impacts and developing site-specific mitigation and adaptation strategies derived from local fishers’ knowledge. PMID:26761439

  4. Analysis of the pattern of potential woody cover in Texas savanna

    NASA Astrophysics Data System (ADS)

    Yang, Xuebin; Crews, Kelley A.; Yan, Bowei

    2016-10-01

    While woody plant encroachment has been observed worldwide in savannas and adversely affected the ecosystem structure and function, a thorough understanding of the nature of this phenomenon is urgently required for savanna management and restoration. Among others, potential woody cover (the maximum realizable woody cover that a given site can support), especially its variation over environment has huge implication on the encroachment management in particular, and on tree-grass interactions in general. This project was designed to explore the pattern of potential woody cover in Texas savanna, an ecosystem with a large rainfall gradient in west-east direction. Substantial random pixels were sampled across the study area from MODIS Vegetation Continuous Fields (VCF) tree cover layer (250 m). Since potential woody cover is suggested to be limited by water availability, a nonlinear 99th quantile regression was performed between the observed woody cover and mean annual precipitation (MAP) to model the pattern of potential woody cover. Research result suggests a segmented relationship between potential woody cover and MAP at MODIS scale. Potential biases as well as the practical and theoretical implications were discussed. Through this study, the hypothesis about the primary role of water availability in determining savanna woody cover was further confirmed in a relatively understudied US-located savanna.

  5. Risk Management and Crisis Response: Are You Prepared?

    ERIC Educational Resources Information Center

    Schirick, Ed

    2002-01-01

    How a camp responds to a crisis may determine whether it can survive financially. Effective risk management requires total commitment from ownership and management, and staff involvement. Steps in formulating a risk management plan include identifying all potential crises and their frequency and severity potential, developing responses,…

  6. Risks associated with borrowing and sharing of prescription analgesics among patients observed by pain management physicians in Croatia: a qualitative study.

    PubMed

    Markotic, Filipa; Puljak, Livia

    2016-01-01

    Understanding and improving patient safety is a key issue in medicine. One of the potential threats to patient safety is the sharing of medication among patients, which is a form of self-medication. This study analyzed experiences and attitudes of pain management physicians (PMPs) about sharing prescription analgesics among patients. This qualitative study was conducted by semi-structured interviews among PMPs employed in Croatian pain clinics. The study involved two researchers and 15 PMPs. Among PMPs, 80% have seen patients who share their prescription analgesics with other patients for whom prescription is not intended. Most PMPs consider prescription analgesics sharing a risky and negative behavior. Some of them, however, found certain positive aspects associated to it, such as being a benevolent behavior, helping patients to get medications when they need them, and helping them cope with pain. The majority of physicians specialized in pain management encountered patients sharing prescription analgesics. Most of them considered this as risky behavior with a number of potential consequences. It has been noted that this problem is neglected and that physicians should inquire about medication sharing. Direct-to-consumers advertising was perceived as a factor contributing to such behavior. Patient education and more involvement of physicians in identifying this behavior were cited as potential remedies for preventing sharing of prescription analgesics.

  7. Potential for Metabolomics-Based Markers of Exposure:Encouraging Evidence from Studies using Model Organisms

    EPA Science Inventory

    Genomic techniques (transcriptomics, proteomics, and metabolomics) have the potential to significantly improve the way chemical risk is managed in the 21st century. Indeed, a significant amount of research has been devoted to the use of these techniques to screen chemicals for h...

  8. Potential revenue sources for Virginia's transportation safety programs : review of Virginia's revenue sources and a survey of other states : final report.

    DOT National Transportation Integrated Search

    1992-01-01

    Fearful that inflation and the gradual erosion of federal support for highway safety programs were undermining Virginia's historic position of national leadership in highway safety; management directed a study of potential sources of new revenue for ...

  9. Global Simulation of Bioenergy Crop Productivity: Analytical Framework and Case Study for Switchgrass

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

    Kang, Shujiang; Kline, Keith L; Nair, S. Surendran

    A global energy crop productivity model that provides geospatially explicit quantitative details on biomass potential and factors affecting sustainability would be useful, but does not exist now. This study describes a modeling platform capable of meeting many challenges associated with global-scale agro-ecosystem modeling. We designed an analytical framework for bioenergy crops consisting of six major components: (i) standardized natural resources datasets, (ii) global field-trial data and crop management practices, (iii) simulation units and management scenarios, (iv) model calibration and validation, (v) high-performance computing (HPC) simulation, and (vi) simulation output processing and analysis. The HPC-Environmental Policy Integrated Climate (HPC-EPIC) model simulatedmore » a perennial bioenergy crop, switchgrass (Panicum virgatum L.), estimating feedstock production potentials and effects across the globe. This modeling platform can assess soil C sequestration, net greenhouse gas (GHG) emissions, nonpoint source pollution (e.g., nutrient and pesticide loss), and energy exchange with the atmosphere. It can be expanded to include additional bioenergy crops (e.g., miscanthus, energy cane, and agave) and food crops under different management scenarios. The platform and switchgrass field-trial dataset are available to support global analysis of biomass feedstock production potential and corresponding metrics of sustainability.« less

  10. Ayurvedic management of pulmonary tuberculosis: A systematic review.

    PubMed

    Samal, Janmejaya

    2016-01-01

    Tuberculosis (TB) is a global public health crisis. 25% of world's TB cases are found in India. Ayurveda, an ancient medical science may offer some solution to this problem. Hence, a systematic review was carried out to assess the role of Ayurveda for the management of TB. A systematic review was carried out using published literature obtained through "PubMed" until April 2015. The key words used for literature search include "Ayurveda, role and TB." It was observed that a couple of single and compound drugs have been used for the management of TB. However, none of the studies could reflect the true anti-TB activities of any drug, both single and compound. Two of the studies revealed in vitro anti-TB properties of some herbs which can potentially be brought into the realm of a clinical trial to test their efficacy in a human subject. Most of these Ayurvedic therapeutic preparations studied in different clinical settings primarily reflected their adjunct properties for the management of TB. These studies revealed that Ayurvedic therapeutics was able to reduce associated symptoms and the adverse drug effects of ATDs (anti-TB drugs). Furthermore, some of the preparations showed potential hepato-protective properties that can be simultaneously administered with ATDs. Distressingly research on the role of Ayurveda in the management of TB is very scanty and mostly limited to adjunct or supportive therapy. Being a global public health crisis, it is highly recommended to carry out clinical trials on TB patients using Ayurvedic drugs and therapeutic regimens.

  11. The Effectiveness of Self-Management Mobile Phone and Tablet Apps in Long-term Condition Management: A Systematic Review

    PubMed Central

    2016-01-01

    Background Long-term conditions and their concomitant management place considerable pressure on patients, communities, and health care systems worldwide. International clinical guidelines on the majority of long-term conditions recommend the inclusion of self-management programs in routine management. Self-management programs have been associated with improved health outcomes; however, the successful and sustainable transfer of research programs into clinical practice has been inconsistent. Recent developments in mobile technology, such as mobile phone and tablet computer apps, could help in developing a platform for the delivery of self-management interventions that are adaptable, of low cost, and easily accessible. Objective We conducted a systematic review to assess the effectiveness of mobile phone and tablet apps in self-management of key symptoms of long-term conditions. Methods We searched PubMed, Embase, EBSCO databases, the Cochrane Library, and The Joanna Briggs Institute Library for randomized controlled trials that assessed the effectiveness of mobile phone and tablet apps in self-management of diabetes mellitus, cardiovascular disease, and chronic lung diseases from 2005–2016. We searched registers of current and ongoing trials, as well as the gray literature. We then checked the reference lists of all primary studies and review papers for additional references. The last search was run in February 2016. Results Of the 9 papers we reviewed, 6 of the interventions demonstrated a statistically significant improvement in the primary measure of clinical outcome. Where the intervention comprised an app only, 3 studies demonstrated a statistically significant improvement. Interventions to address diabetes mellitus (5/9) were the most common, followed by chronic lung disease (3/9) and cardiovascular disease (1/9). A total of 3 studies included multiple intervention groups using permutations of an intervention involving an app. The duration of the intervention ranged from 6 weeks to 1 year, and final follow-up data ranged from 3 months to 1 year. Sample size ranged from 48 to 288 participants. Conclusions The evidence indicates the potential of apps in improving symptom management through self-management interventions. The use of apps in mHealth has the potential to improve health outcomes among those living with chronic diseases through enhanced symptom control. Further innovation, optimization, and rigorous research around the potential of apps in mHealth technology will move the field toward the reality of improved health care delivery and outcomes. PMID:27185295

  12. [Instruments of management accounting in german hospitals - potentials for competitive advantage and status quo].

    PubMed

    Berens, W; Lachmann, M; Wömpener, A

    2011-03-01

    The aim of this study is to provide an analysis of the status quo for the usage of instruments of management accounting in German hospitals. 600 managing directors of German hospitals were asked to answer a questionnaire about the usage of management accounting instruments in their hospitals. We obtained 121 usable datasets, which are evaluated in this study. A significant increase in the usage of management accounting instruments can be observed over time. The respondents have an overall positive perception of the usage of these instruments. Cost accounting and information systems are among the most widely used instruments, while widely discussed concepts like the balanced scorecard or clinical pathways show surprisingly low usage rates. © Georg Thieme Verlag KG Stuttgart · New York.

  13. State-of-the-Art management of knee osteoarthritis.

    PubMed

    Fibel, Kenton H; Hillstrom, Howard J; Halpern, Brian C

    2015-02-16

    Osteoarthritis (OA) is the most common type of arthritis found in the United States' population and is also the most common disease of joints in adults throughout the world with the knee being the most frequently affected of all joints. As the United States' population ages along with the increasing trends in obesity prevalence in other parts of the world, it is expected that the burden of OA on the population, healthcare system, and overall economy will continue to increase in the future without making major improvements in managing knee OA. Numerous therapies aim to reduce symptoms of knee OA and continued research has helped to further understand the complex pathophysiology of its disease mechanism attempting to uncover new potential targets for the treatment of OA. This review article seeks to evaluate the current practices for managing knee OA and discusses emerging therapies on the horizon. These practices include non-pharmacological treatments such as providing patient education and self-management strategies, advising weight loss, strengthening programs, and addressing biomechanical issues with bracing or foot orthoses. Oral analgesics and anti-inflammatories are pharmacologicals that are commonly used and the literature overall supports that some of these medications can be helpful for managing knee OA in the short-term but are less effective for long-term management. Additionally, more prolonged use significantly increases the risk of serious associated side effects that are not too uncommon. Disease-modifying osteoarthritis drugs are being researched as a treatment modality to potentially halt or slow disease progression but data at this time is limited and continued studies are being conducted to further investigate their effectiveness. Intra-articular injectables are also implemented to manage knee OA ranging from corticosteroids to hyaluronans to more recently platelet-rich plasma and even stem cells while several other injection therapies are presently being studied. The goal of developing new treatment strategies for knee OA is to prolong the need for total knee arthroplasty which should be utilized only if other strategies have failed. High tibial osteotomy and unicompartmental knee arthroplasty are potential alternatives if only a single compartment is involved with more data supporting unicompartmental knee arthroplasty as a good treatment option in this scenario. Arthroscopy has been commonly used for many years to treat knee OA to address degenerative articular cartilage and menisci, however, several high-quality studies have shown that it is not a very effective treatment for the majority of cases and should generally not be considered when managing knee OA. Improving the management of knee OA requires a multi-faceted treatment approach along with continuing to broaden our understanding of this complex disease so that therapeutic advancements can continue to be developed with the goal of preventing further disease progression and even potentially reversing the degenerative process.

  14. Wireworms’ Management: An Overview of the Existing Methods, with Particular Regards to Agriotes spp. (Coleoptera: Elateridae)

    PubMed Central

    Barsics, Fanny; Haubruge, Eric; Verheggen, François J.

    2013-01-01

    Wireworms (Coleoptera: Elateridae) are important soil dwelling pests worldwide causing yield losses in many crops. The progressive restrictions in the matter of efficient synthetic chemicals for health and environmental care brought out the need for alternative management techniques. This paper summarizes the main potential tools that have been studied up to now and that could be applied together in integrated pest management systems and suggests guidelines for future research. PMID:26466799

  15. Beyond strategy: exploring the brokerage role of facilities manager in hospitals.

    PubMed

    Heng, H K S; McGeorge, W D; Loosemore, M

    2005-01-01

    Seeks to explore the brokerage role of facilities manager in hospitals, based on the premise that facilities management (FM) is largely concerned with "strategic brokerage". Strategic brokerage is the term coined by Akhaghi to explain the integration of a wide range of support services to ensure the effective operation of the core business of an organization. The research was conducted in the health service sector using a single case study approach to examine the brokerage potential for FM in a hospital in the Sydney Metropolitan area. A social network analysis technique was used to identify and analyse the communication networks of players in a hospital environment. Two general questions guided the analysis. First, what is the brokerage potential within the FM process? Second, where are the opportunities for brokerage? The results indicate that identifying relationship linkages between different functional units can create potential brokerage opportunities. The proposition is made that viewing FM from a brokerage perspective can add value to the delivery of health-care services.

  16. Managing wilderness recreation use: common problems and potential solutions

    Treesearch

    David N. Cole; Margaret E. Petersen; Robert C. Lucas

    1987-01-01

    Describes pros and cons of potential solutions to common wilderness recreation problems. Covers the purpose of each potential solution, costs to visitors and management, effectiveness, other considerations, and sources of additional information.

  17. Residue management increases fallow water conservation and yield deficit irrigated crops grown in rotation with wheat

    USDA-ARS?s Scientific Manuscript database

    No-tillage (NT) residue management provides cover to increase precipitation capture compared with disk tillage (DT) or in the absence of a cover crop. Therefore, NT has the potential to reduce irrigation withdrawals from the declining Ogallala Aquifer. In a 4-year study, we quantified DT and NT effe...

  18. Balancing tradeoffs in the Denali Wilderness: an expanded approach to normative research using stated choice analysis

    Treesearch

    Steven R. Lawson; Robert Manning

    2002-01-01

    Wilderness experiences are thought to be comprised of or defined by three dimensions, including social, resource, and management conditions. Decisions about how to manage wilderness recreation in Denali National Park involve potential tradeoffs among the conditions of resource, social, and managerial attributes of the wilderness experience. This study expands the...

  19. Biomass, Nitrogen, and Phosphorus Accumulation in 4-Year-Old Intensively Managed Loblolly Pine and Sweetgum Plantations

    Treesearch

    Charles A. Gresham; Thomas M. William

    2002-01-01

    Knowing the nutrient uptake potential of plantations of fast-growing species is essential to designing land-based tertiary water treatment facilities. This study was conducted to estimate the biomass of 4-year-old, intensively managed loblolly pine (Pinus taeda) and sweetgum (Liquidambar styraciflua) plantations and to estimate the...

  20. Syntheses of the current model applications for managing water and needs for experimental data and model improvements to enhance these applications

    USDA-ARS?s Scientific Manuscript database

    This volume of the Advances in Agricultural Systems Modeling series presents 14 different case studies of model applications to help make the best use of limited water in agriculture. These examples show that models have tremendous potential and value in enhancing site-specific water management for ...

  1. Weed management practice and cropping sequence impact on soil residual nitrogen

    USDA-ARS?s Scientific Manuscript database

    Inefficient N uptake by crops from N fertilization and/or N mineralized from crop residue and soil organic matter results in the accumulation of soil residual N (NH4-N and NO3-N) which increases the potential for N leaching. The objective of this study was to evaluate the effects of weed management ...

  2. NASA cryogenic fluid management space experiment efforts, 1960-1990

    NASA Technical Reports Server (NTRS)

    Glover, Daniel

    1991-01-01

    A history of technological development for subcritical cryogenic fluid management (CFM) through space experiments is given for the period 1960 to 1990. Space experiments with liquid hydrogen were conducted in the early 1960's. Efforts since then have consisted of studies and designs of potential space experiments. A chronology of CFM space experiments and design efforts is included.

  3. NASA cryogenic fluid management space experiment efforts

    NASA Technical Reports Server (NTRS)

    Glover, Daniel

    1991-01-01

    A history of technological development for subcritical cryogenic fluid management (CFM) through space experiments is given for the period 1960 to 1990. Space experiments with liquid hydrogen were conducted in the early 1960s. Efforts since then have consisted of studies and designs of potential space experiments. A chronology of CFM space experiments and design efforts is included.

  4. Closing the Loop--Improving Energy Management in Schools. Energy Research Group Report.

    ERIC Educational Resources Information Center

    Isaacs, Nigel; Donn, Michael

    A study of the energy savings potential in New Zealand schools demonstrates that considerable reductions in energy costs can be achieved through energy management. An initial examination of available 1985 light, heat, and water expenditures for 268 secondary schools (84 percent of the secondary schools in New Zealand) is followed by the selection…

  5. Managing the space-time-load continuum in TMDL planning: A case study for understanding groundwater loads through advanced mapping techniques

    EPA Science Inventory

    The lag time between groundwater recharge and discharge in a watershed and the potential groundwater load to streams is an important factor in forecasting responses to future land use practices. We call this concept managing the “space-time-load continuum”. It’s understood that i...

  6. Potential of three trap crops in managing Nezara viridula (Hemiptera: Pentatomidae) on tomatoes in Florida

    USDA-ARS?s Scientific Manuscript database

    The southern green stink bug, Nezara viridula (Hemiptera: Pentatomidae), is a serious insect pest of tomatoes in Florida. In this study, we examined the use of three species of trap crops to manage N. viridula in North Florida tomato crops in 2014 and 2015. We used striped sunflower (Helianthus ann...

  7. Research to guide trail management at Acadia National Park, Maine

    Treesearch

    Kelly Goonan; Robert Manning; William Valliere

    2009-01-01

    Acadia National Park, Maine, is the tenth most-visited national park in the United States. Managers face the challenge of protecting the park's trail system from damage while maintaining a high quality recreation experience. For this study, an initial phase of research was conducted to identify potential indicators of quality for trail resources and the visitor...

  8. Young-stand management options and their implications for wood quality and other values.

    Treesearch

    R. James Barbour; Richard R. Zaborskeb; Michael H. McClellan; Linda Christian; Donald. Golnick

    2005-01-01

    This study used the forest vegetation Simulator (FVS), empirical wood product recovery information, and expert judgments to examine volume production and potential revenues for different silvicultural prescriptions grown to rotation ages of 70, 110, and 150 years. Our intention was to provide policymakers and managers with some of the information needed to evaluate the...

  9. The Efficacy of Asthma Case Management in an Urban School District in Reducing School Absences and Hospitalizations for Asthma

    ERIC Educational Resources Information Center

    Levy, Marian; Heffner, Brenda; Stewart, Tara; Beeman, Gail

    2006-01-01

    Pediatric asthma rates are reaching epidemic proportions, adversely affecting children's quality of life, educational potential, and health care costs, especially those in the inner city. This study evaluated the effectiveness of a school-based asthma case management (CM) approach with medically undeserved inner-city children attending Memphis…

  10. Information Technologies as Health Management Tools: Urban Elders' Interest and Ability in Using the Internet

    ERIC Educational Resources Information Center

    Cresci, M. Kay; Novak, Julie M.

    2012-01-01

    Older adults represent an increasing percentage of both the whole U.S. population and persons living with one or more chronic health conditions. However, extant research has largely overlooked older adults when examining current Internet users and the potential for the Internet as a health management resource. In this study, the researchers…

  11. How Project Managers Really Manage: An Indepth Look at Some Managers of Large, Complex NASA Projects

    NASA Technical Reports Server (NTRS)

    Mulenburg, Gerald M.; Impaeilla, Cliff (Technical Monitor)

    2000-01-01

    This paper reports on a research study by the author that examined ten contemporary National Aeronautics and Space Administration (NASA) complex projects. In-depth interviews with the project managers of these projects provided qualitative data about the inner workings of the project and the methodologies used in establishing and managing the projects. The inclusion of a variety of space, aeronautics, and ground based projects from several different NASA research centers helped to reduce potential bias in the findings toward any one type of project, or technical discipline. The findings address the participants and their individual approaches. The discussion includes possible implications for project managers of other large, complex, projects.

  12. Ecological impact of historical and future land-use patterns in Senegal

    USGS Publications Warehouse

    Parton, W.; Tappan, G. Gray; Ojima, D.; Tschakert, P.

    2004-01-01

    The CENTURY model was used to simulate changes in total system carbon resulting from land-use history (1850–2000), and impacts of climatic changes and improved land-use management practices in Senegal. Results show that 0.477 Gtons of carbon have been lost from 1850 to 2000. Improved management practices have the potential of increasing carbon levels by 0.116 Gtons from 2000 to 2100. Potential to store carbon exists for improved forest management and agriculture practices in southern Senegal. Potential climatic changes decrease plant production (30 percent), total system carbon (14 percent), and the potential to store carbon from improved management practices (31 percent).

  13. Disease management: a leap of faith to lower-cost, higher-quality health care.

    PubMed

    Short, Ashley; Mays, Glen; Mittler, Jessica

    2003-10-01

    With managed care's promise to reduce costs and improve quality waning, employers and health plans are exploring more targeted ways to control rapidly rising health costs. Disease management programs, which focus on patients with chronic conditions such as asthma and diabetes, are growing in popularity, according to findings from the Center for Studying Health System Change's (HSC) 2002-03 site visits to 12 nationally representative communities. In addition to condition-based disease management programs, some health plans and employers are using intensive case management services to coordinate care for high-risk patients with potentially costly and complex medical conditions. Despite high expectations, evidence of both disease management and case management programs' success in controlling costs and improving quality remains limited.

  14. Model-based estimators of density and connectivity to inform conservation of spatially structured populations

    USGS Publications Warehouse

    Morin, Dana J.; Fuller, Angela K.; Royle, J. Andrew; Sutherland, Chris

    2017-01-01

    Conservation and management of spatially structured populations is challenging because solutions must consider where individuals are located, but also differential individual space use as a result of landscape heterogeneity. A recent extension of spatial capture–recapture (SCR) models, the ecological distance model, uses spatial encounter histories of individuals (e.g., a record of where individuals are detected across space, often sequenced over multiple sampling occasions), to estimate the relationship between space use and characteristics of a landscape, allowing simultaneous estimation of both local densities of individuals across space and connectivity at the scale of individual movement. We developed two model-based estimators derived from the SCR ecological distance model to quantify connectivity over a continuous surface: (1) potential connectivity—a metric of the connectivity of areas based on resistance to individual movement; and (2) density-weighted connectivity (DWC)—potential connectivity weighted by estimated density. Estimates of potential connectivity and DWC can provide spatial representations of areas that are most important for the conservation of threatened species, or management of abundant populations (i.e., areas with high density and landscape connectivity), and thus generate predictions that have great potential to inform conservation and management actions. We used a simulation study with a stationary trap design across a range of landscape resistance scenarios to evaluate how well our model estimates resistance, potential connectivity, and DWC. Correlation between true and estimated potential connectivity was high, and there was positive correlation and high spatial accuracy between estimated DWC and true DWC. We applied our approach to data collected from a population of black bears in New York, and found that forested areas represented low levels of resistance for black bears. We demonstrate that formal inference about measures of landscape connectivity can be achieved from standard methods of studying animal populations which yield individual encounter history data such as camera trapping. Resulting biological parameters including resistance, potential connectivity, and DWC estimate the spatial distribution and connectivity of the population within a statistical framework, and we outline applications to many possible conservation and management problems.

  15. An introduction to adaptive management for threatened and endangered species

    USGS Publications Warehouse

    Runge, Michael C.

    2011-01-01

    Management of threatened and endangered species would seem to be a perfect context for adaptive management. Many of the decisions are recurrent and plagued by uncertainty, exactly the conditions that warrant an adaptive approach. But although the potential of adaptive management in these settings has been extolled, there are limited applications in practice. The impediments to practical implementation are manifold and include semantic confusion, institutional inertia, misperceptions about the suitability and utility, and a lack of guiding examples. In this special section of the Journal of Fish and Wildlife Management, we hope to reinvigorate the appropriate application of adaptive management for threatened and endangered species by framing such management in a decision-analytical context, clarifying misperceptions, classifying the types of decisions that might be amenable to an adaptive approach, and providing three fully developed case studies. In this overview paper, I define terms, review the past application of adaptive management, challenge perceived hurdles, and set the stage for the case studies which follow.

  16. Managing Epilepsy Well: Emerging e-Tools for epilepsy self-management.

    PubMed

    Shegog, Ross; Bamps, Yvan A; Patel, Archna; Kakacek, Jody; Escoffery, Cam; Johnson, Erica K; Ilozumba, Ukwuoma O

    2013-10-01

    The Managing Epilepsy Well (MEW) Network was established in 2007 by the Centers for Disease Control and Prevention Epilepsy Program to expand epilepsy self-management research. The network has employed collaborative research strategies to develop, test, and disseminate evidence-based, community-based, and e-Health interventions (e-Tools) for epilepsy self-management for people with epilepsy, caregivers, and health-care providers. Since its inception, MEW Network collaborators have conducted formative studies (n=7) investigating the potential of e-Health to support epilepsy self-management and intervention studies evaluating e-Tools (n=5). The MEW e-Tools (the MEW website, WebEase, UPLIFT, MINDSET, and PEARLS online training) and affiliated e-Tools (Texting 4 Control) are designed to complement self-management practices in each phase of the epilepsy care continuum. These tools exemplify a concerted research agenda, shared methodological principles and models for epilepsy self-management, and a communal knowledge base for implementing e-Health to improve quality of life for people with epilepsy. © 2013.

  17. Risk preferences in strategic wildfire decision making: a choice experiment with U.S. wildfire managers.

    PubMed

    Wibbenmeyer, Matthew J; Hand, Michael S; Calkin, David E; Venn, Tyron J; Thompson, Matthew P

    2013-06-01

    Federal policy has embraced risa management as an appropriate paradigm for wildfire management. Economic theory suggests that over repeated wildfire events, potential economic costs and risas of ecological damage are optimally balanced when management decisions are free from biases, risa aversion, and risa seeking. Of primary concern in this article is how managers respond to wildfire risa, including the potential effect of wildfires (on ecological values, structures, and safety) and the likelihood of different fire outcomes. We use responses to a choice experiment questionnaire of U.S. federal wildfire managers to measure attitudes toward several components of wildfire risa and to test whether observed risa attitudes are consistent with the efficient allocation of wildfire suppression resources. Our results indicate that fire managers' decisions are consistent with nonexpected utility theories of decisions under risa. Managers may overallocate firefighting resources when the likelihood or potential magnitude of damage from fires is low, and sensitivity to changes in the probability of fire outcomes depends on whether probabilities are close to one or zero and the magnitude of the potential harm. © 2012 Society for Risk Analysis.

  18. Cannabinoids: is there a potential treatment role in epilepsy?

    PubMed

    Blair, Robert E; Deshpande, Laxmikant S; DeLorenzo, Robert J

    2015-01-01

    Cannabinoids have been used medicinally for centuries, and in the last decade, attention has focused on their broad therapeutic potential particularly in seizure management. While some cannabinoids have demonstrated anticonvulsant activity in experimental studies, their efficacy for managing clinical seizures has not been fully established. This commentary will touch on our understanding of the brain endocannabinoid system's regulation of synaptic transmission in both physiological and pathophysiological conditions, and review the findings from both experimental and clinical studies on the effectiveness of cannabinoids to suppress epileptic seizures. At present, there is preliminary evidence that non-psychoactive cannabinoids may be useful as anticonvulsants, but additional clinical trials are needed to fully evaluate the efficacy and safety of these compounds for the treatment of epilepsy.

  19. Cannabinoids: is there a potential treatment role in epilepsy?

    PubMed Central

    Blair, Robert E; Deshpande, Laxmikant S; DeLorenzo, Robert J

    2016-01-01

    Cannabinoids have been used medicinally for centuries, and in the last decade, attention has focused on their broad therapeutic potential particularly in seizure management. While some cannabinoids have demonstrated anticonvulsant activity in experimental studies, their efficacy for managing clinical seizures has not been fully established. This commentary will touch on our understanding of the brain endocannabinoid system’s regulation of synaptic transmission in both physiological and pathophysiological conditions, and review the findings from both experimental and clinical studies on the effectiveness of cannabinoids to suppress epileptic seizures. At present, there is preliminary evidence that non-psychoactive cannabinoids may be useful as anticonvulsants, but additional clinical trials are needed to fully evaluate the efficacy and safety of these compounds for the treatment of epilepsy. PMID:26234319

  20. Conducting qualitative research within Clinical Trials Units: avoiding potential pitfalls.

    PubMed

    Cooper, Cindy; O'Cathain, Alicia; Hind, Danny; Adamson, Joy; Lawton, Julia; Baird, Wendy

    2014-07-01

    The value of using qualitative research within or alongside randomised controlled trials (RCTs) is becoming more widely accepted. Qualitative research may be conducted concurrently with pilot or full RCTs to understand the feasibility and acceptability of the interventions being tested, or to improve trial conduct. Clinical Trials Units (CTUs) in the United Kingdom (UK) manage large numbers of RCTs and, increasingly, manage the qualitative research or collaborate with qualitative researchers external to the CTU. CTUs are beginning to explicitly manage the process, for example, through the use of standard operating procedures for designing and implementing qualitative research with trials. We reviewed the experiences of two UK Clinical Research Collaboration (UKCRC) registered CTUs of conducting qualitative research concurrently with RCTs. Drawing on experiences gained from 15 studies, we identify the potential for the qualitative research to undermine the successful completion or scientific integrity of RCTs. We show that potential problems can arise from feedback of interim or final qualitative findings to members of the trial team or beyond, in particular reporting qualitative findings whilst the trial is on-going. The problems include: We make recommendations for improving the management of qualitative research within CTUs. Copyright © 2014. Published by Elsevier Inc.

  1. Enhancing faecal sludge management in peri-urban areas of Lusaka through faecal sludge valorisation: challenges and opportunities

    NASA Astrophysics Data System (ADS)

    Tembo, J. M.; Nyirenda, E.; Nyambe, I.

    2017-03-01

    Lusaka, the capital city of Zambia, has two million inhabitants with 70% residing in peri-urban areas. Ninety (90) % of this population employ pit latrines for excretion generating approximately 22,680 tons of faecal sludge per annum. This sludge is inadequately managed hence of the generated amount, over 60% remains within the residential environment thereby compromising both the environment and public health. To foster a solution to this problem, a study was commissioned to assess faecal sludge valorisation potential and how it would impact on Faecal Sludge Management. The study evaluated policy, institutional and regulatory frameworks, sanitation practices including latrine construction and usage aspects and also characterised the faecal sludge for selected parameters relevant to valorisation. Four peri-urban areas were adopted as study sites. Policy issues together with existing institutional and regulatory frameworks were assessed through literature review. Sanitation practices were evaluated through physical observations, focus group discussions, interviews and questionnaire administration. Faecal sludge characterisation was through sampling and analysis. It was observed that there are policy gaps in fostering faecal sludge valorisation. Sanitation practices and latrines construction also do not favour valorisation. The quality of the raw sludge has potential for valorisation though again, some parameters like solid waste content require drastic changes in sanitation practices in order not to compromise the reuse potential of the sludge. It was concluded that if faecal sludge management is to be enhanced through valorisation, there is need to have policies promoting pit latrine faecal sludge reuse and strengthened regulatory and institutional frameworks in this respect.

  2. Re-examining the Evidence in Radiation Dermatitis Management Literature: An Overview and a Critical Appraisal of Systematic Reviews

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

    Chan, Raymond Javan, E-mail: email.rchan@gmail.com; School of Nursing and Midwifery, University of Queensland, and Research Centre for Clinical and Community Practice Innovation, Griffith University; Larsen, Emily

    2012-11-01

    Purpose: To provide an overview and a critical appraisal of systematic reviews (SRs) of published interventions for the prevention/management of radiation dermatitis. Methods and Materials: We searched Medline, CINAHL, Embase, and the Cochrane Library. We also manually searched through individual reference lists of potentially eligible articles and a number of key journals in the topic area. Two authors screened all potential articles and included eligible SRs. Two authors critically appraised and extracted key findings from the included reviews using AMSTAR (the measurement tool for 'assessment of multiple systematic reviews'). Results: Of 1837 potential titles, 6 SRs were included. A numbermore » of interventions have been reported to be potentially beneficial for managing radiation dermatitis. Interventions evaluated in these reviews included skin care advice, steroidal/nonsteroidal topical agents, systemic therapies, modes of radiation delivery, and dressings. However, all the included SRs reported that there is insufficient evidence supporting any single effective intervention. The methodological quality of the included studies varied, and methodological shortfalls in these reviews might create biases to the overall results or recommendations for clinical practice. Conclusions: An up-to-date high-quality SR in the prevention/management of radiation dermatitis is needed to guide practice and direction for future research. We recommend that clinicians or guideline developers critically evaluate the information of SRs in their decision making.« less

  3. Improving the relevance and impact of decision support research: A co-production framework and water management case study

    NASA Astrophysics Data System (ADS)

    Smith, R.; Kasprzyk, J. R.; Dilling, L.; Basdekas, L.; Kaatz, L.

    2016-12-01

    In light of the unpredictable effects of climate change and population shifts, responsible resource management will require new types of information and strategies going forward. For water utilities, this means that water supply infrastructure systems must be expanded and/or managed for changes in overall supply and increased extremes. Utilities have begun seeking innovative tools and methods to support planning and decision making, but there are limited channels through which they can gain exposure to emerging tools from the research world, and for researchers to uptake important real-world planning and decision context. A transdisciplinary team of engineers, social and climate scientists, and water managers designed this study to develop and apply a co-production framework which explores the potential of an emerging decision support tool to enhance flexibility and adaptability in water utility planning. It also demonstrates how to improve the link between research and practice in the water sector. In this study we apply the co-production framework to the use of Multiobjective Evolutionary Algorithms (MOEAs). MOEAs have shown promise in being able to generate and evaluate new planning alternatives but they have had little testing or application in water utilities. Anchored by two workshops, this study (1) elicited input from water managers from six water suppliers on the Front Range of Colorado, USA, to create a testbed MOEA application, and (2) evaluated the managers' responses to multiobjective optimization results. The testbed consists of a Front Range-relevant hypothetical water supply model, the Borg MOEA, hydrology and demand scenarios, and a set of planning decisions and performance objectives that drive the link between the algorithm and the model. In this presentation we describe researcher-manager interactions at the initial workshop that served to establish relationships and provide in-depth information to researchers about regional water management context. We also describe the development of, and experiences from, the second workshop which included activities for water managers to interact directly with MOEA testbed results. Finally, we evaluate the co-production framework itself and the potential for the feedback from managers to shape future development of decision support tools.

  4. Soil Organic Carbon for Global Benefits - assessing potential SOC increase under SLM technologies worldwide and evaluating tradeoffs and gains of upscaling SLM technologies

    NASA Astrophysics Data System (ADS)

    Wolfgramm, Bettina; Hurni, Hans; Liniger, Hanspeter; Ruppen, Sebastian; Milne, Eleanor; Bader, Hans-Peter; Scheidegger, Ruth; Amare, Tadele; Yitaferu, Birru; Nazarmavloev, Farrukh; Conder, Malgorzata; Ebneter, Laura; Qadamov, Aslam; Shokirov, Qobiljon; Hergarten, Christian; Schwilch, Gudrun

    2013-04-01

    There is a fundamental mutual interest between enhancing soil organic carbon (SOC) in the world's soils and the objectives of the major global environmental conventions (UNFCCC, UNCBD, UNCCD). While there is evidence at the case study level that sustainable land management (SLM) technologies increase SOC stocks and SOC related benefits, there is no quantitative data available on the potential for increasing SOC benefits from different SLM technologies and especially from case studies in the developing countries, and a clear understanding of the trade-offs related to SLM up-scaling is missing. This study aims at assessing the potential increase of SOC under SLM technologies worldwide, evaluating tradeoffs and gains in up-scaling SLM for case studies in Tajikistan, Ethiopia and Switzerland. It makes use of the SLM technologies documented in the online database of the World Overview of Conservation Approaches and Technologies (WOCAT). The study consists of three components: 1) Identifying SOC benefits contributing to the major global environmental issues for SLM technologies worldwide as documented in the WOCAT global database 2) Validation of SOC storage potentials and SOC benefit predictions for SLM technologies from the WOCAT database using results from existing comparative case studies at the plot level, using soil spectral libraries and standardized documentations of ecosystem service from the WOCAT database. 3) Understanding trade-offs and win-win scenarios of up-scaling SLM technologies from the plot to the household and landscape level using material flow analysis. This study builds on the premise that the most promising way to increase benefits from land management is to consider already existing sustainable strategies. Such SLM technologies from all over the world documented are accessible in a standardized way in the WOCAT online database. The study thus evaluates SLM technologies from the WOCAT database by calculating the potential SOC storage increase and related benefits by comparing SOC estimates before-and-after establishment of the SLM technology. These results are validated using comparative case studies of plots with-and-without SLM technologies (existing SLM systems versus surrounding, degrading systems). In view of upscaling SLM technologies, it is crucial to understand tradeoffs and gains supporting or hindering the further spread. Systemic biomass management analysis using material flow analysis allows quantifying organic carbon flows and storages for different land management options at the household, but also at landscape level. The study shows results relevant for science, policy and practice for accounting, monitoring and evaluating SOC related ecosystem services: - A comprehensive methodology for SLM impact assessments allowing quantification of SOC storage and SOC related benefits under different SLM technologies, and - Improved understanding of upscaling options for SLM technologies and tradeoffs as well as win-win opportunities for biomass management, SOC content increase, and ecosystem services improvement at the plot and household level.

  5. How best management practices affect emissions in gas turbine power plants-An important factor to consider when strengthening emission standards.

    PubMed

    Zeng, Jinghai; Xing, Min; Hou, Min; England, Glenn C; Yan, Jing

    2018-04-27

    The Beijing Municipal Environmental Protection Bureau (EPB) is considering strengthening the Emission Standard of Air Pollutants for Stationary Gas Turbines, originally published in 2011 (DB11/847-2011), with a focus on reducing nitrogen oxides (NOx) emissions. A feasibility study was conducted to evaluate the current operation of 12 existing combined-cycle gas turbine power plants and the design of two new plants in Beijing and their emission reduction potential, in comparison with a state-of-the-art power plant in California. The study found that best management practices (BMPs) could potentially improve the emission level of the power plants, and should be implemented to minimize emissions under current design characteristics. These BMPs include (1) more frequent tuning of turbine combustors; (2) onsite testing of natural gas characteristics in comparison to turbine manufacturer's specifics and tuning of turbine to natural gas quality; (3) onsite testing of aqueous ammonia to ensure adequate ammonia concentration in the mixed solution, and the purity of the solution; (4) more careful inspection of the heat recovery steam generator (HRSG), and the selective catalytic reduction (SCR) during operation and maintenance; (5) annual testing of the catalyst coupon on the SCR to ensure catalyst effectiveness; and (6) annual ammonia injection grid (AIG) tuning. The study found that without major modification to the plants, improving the management of the Beijing gas turbine power plants may potentially reduce the current hourly average NOx emission level of 5-10 parts per million (ppm; ranges reflects plant variation) by up to 20%. The exact improvement associated with each BMP for each facility requires more detailed analysis, and requires engagement of turbine, HRSG, and SCR manufacturers. This potential improvement is an important factor to consider when strengthening the emission standard. However, note that with the continuous needs of improving air quality within the area, more expensive control measures, such as retrofitting the turbines or the HRSGs, may be considered. This study analyzed the potential emission reductions associated with implementing the best management practices (BMPs) on the combined cycle and cogeneration power plants in Beijing. It determined that implementing the BMPs could potentially achieve up to 580 metric tonnes, or 0.6%, reductions of all NOx emissions in Beijing. Many other cities in China and Asia battling air quality issues may find the information useful in order to evaluate the emission reduction potential of their own gas turbine power plants.

  6. Managed Retreat: A Global Analysis of Drivers, Barriers, and Outcomes

    NASA Astrophysics Data System (ADS)

    Hino, M.; Mach, K. J.; Field, C. B.

    2016-12-01

    Managed retreat is the strategic relocation of structures or abandonment of land to reduce natural hazard risk. Although managed retreat is a potentially important climate change adaptation option, it has not yet been deployed or studied as extensively as traditional protection or accommodation measures such as levees and beach nourishment. Its application faces numerous social and legal challenges that complicate its integration into a risk-management portfolio. However, a deeper understanding of its potential future use is urgently needed given the projected scope of climate-induced displacement in the coming decades. We evaluate the drivers, barriers, and outcomes of 27 recent cases of managed retreat that have resettled 1.6-2.7 million people. The examples originate in 19 countries, occur in pre- and post-disaster settings, and address flooding, erosion, earthquakes, and tsunamis. A model based on two key factors—who benefits from retreat and who initiates it—organizes the diverse set of cases into four quadrants and provides a structure for deeper analysis of case-specific complexities. Different sociopolitical features, such as the distribution of power, strength of governance, and attachment to place, emerge as particularly influential in each quadrant. The model acts as a point of departure for unpacking these complexities. By integrating these wide-ranging examples, the model enables a broader understanding of the landscape of managed retreat and the underlying social dynamics. It provides insight on how such dimensions can be incorporated into decision-making in a changing climate, advancing consideration and potential implementation of retreat.

  7. How to report and monitor the performance of waiting list management.

    PubMed

    Torkki, Markus; Linna, Miika; Seitsalo, Seppo; Paavolainen, Pekka

    2002-01-01

    Potential problems concerning waiting list management are often monitored using mean waiting times based on empirical samples. However, the appropriateness of mean waiting time as an indicator of access can be questioned if a waiting list is not managed well, e.g., if the queue discipline is violated. This study was performed to find out about the queue discipline in waiting lists for elective surgery to reveal potential discrepancies in waiting list management. There were 1,774 waiting list patients for hallux valgus or varicose vein surgery or sterilization. The waiting time distributions of patients receiving surgery and of patients still waiting for an operation are presented in column charts. The charts are compared with two model charts. One model chart presents a high queue discipline (first in-first out) and another a poor queue discipline (random) queue. There were significant differences in waiting list management across hospitals and patient categories. Examples of a poor queue discipline were found in queues for hallux valgus and varicose vein operations. A routine waiting list reporting should be used to guarantee the quality of waiting list management and to pinpoint potential problems in access. It is important to monitor not only the number of patients in the waiting list but also the queue discipline and the balance between demand and supply of surgical services. The purpose for this type of reporting is to ensure that the priority setting made at health policy level also works in practise.

  8. Internet-based stress management for distressed managers: results from a randomised controlled trial

    PubMed Central

    Dagöö, Jesper; Fjellström, Ida; Niemi, Linnea; Hansson, Katja; Zeraati, Forough; Ziuzina, Masha; Geraedts, Anna; Ljótsson, Brjánn; Carlbring, Per; Andersson, Gerhard

    2018-01-01

    Objective The aim of this randomised controlled trial (RCT) was to evaluate the efficacy of a guided internet-based stress management intervention (iSMI) among distressed managers compared with a attention control group (AC) with full access to treatment-as-usual. Method A total sample of 117 distressed managers, mainly employed in the healthcare, IT, communication and educational sector, were randomised to either iSMI (n=59) or an AC group (n=58). The iSMI consisted of eight modules including cognitive behavioural stress management and positive management techniques. Participants received a minimal and weekly guidance from a psychologist or master-level psychology student focusing on support, feedback and adherence to the intervention. Self-report data were assessed at pre, post and 6 months after the intervention. The primary outcome was perceived stress (Perceived Stress Scale-14). The secondary outcomes included mental and work-related health outcomes. Results Participants in the iSMI intervention reported significantly less symptoms of perceived stress (d=0.74, 95% CI 0.30 to 1.19) and burnout (d=0.95, 95% CI 0.53 to 1.37) compared with controls, at postassessment. Significant medium-to-large effect sizes were also found for depression, insomnia and job satisfaction. Long-term effects (6 months) were seen on the mental health outcomes. Conclusion This is one of the first studies showing that iSMIs can be an effective, accessible and potentially time-effective approach of reducing stress and other mental-related and work-related health symptoms among distressed managers. Future studies are needed addressing distressed managers and the potential of indirect effects on employee stress and satisfaction at work. PMID:28855344

  9. ASD Closure in Structural Heart Disease.

    PubMed

    Wiktor, Dominik M; Carroll, John D

    2018-04-17

    While the safety and efficacy of percutaneous ASD closure has been established, new data have recently emerged regarding the negative impact of residual iatrogenic ASD (iASD) following left heart structural interventions. Additionally, new devices with potential advantages have recently been studied. We will review here the potential indications for closure of iASD along with new generation closure devices and potential late complications requiring long-term follow-up. With the expansion of left-heart structural interventions and large-bore transseptal access, there has been growing experience gained with management of residual iASD. Some recently published reports have implicated residual iASD after these procedures as a potential source of diminished clinical outcomes and mortality. Additionally, recent trials investigating new generation closure devices as well as expanding knowledge regarding late complications of percutaneous ASD closure have been published. While percutaneous ASD closure is no longer a novel approach to managing septal defects, there are several contemporary issues related to residual iASD following large-bore transseptal access and new generation devices which serve as an impetus for this review. Ongoing attention to potential late complications and decreasing their incidence with ongoing study is clearly needed.

  10. Implication of novel thiazolo-thiophene derivative (MCD-KV-10) for management of asthma.

    PubMed

    Patil, Dhiraj; Dash, Ranjeet Prasad; Thakur, Sandeep Kumar; Pandya, Amit N; Venkatesh, P; Vasu, Kamala K; Nivsarkar, Manish

    2015-04-01

    Asthma is multifaceted disease where many targets contribute towards its development and progression. Among these, adenosine receptor subtypes play a major role. MCD-KV-10, a novel thiazolo-thiophene was designed and evaluated pre-clinically for its implication in management of asthma. This compound showed good affinity and selectivity towards A(2A)/A3 adenosine receptor (AR) subtypes. Furthermore, MCD-KV-10 was evaluated for in vitro lipoxygenase inhibition activity; in vivo mast cell stabilization potential and in vivo anti-asthmatic activity was done in ovalbumin-induced airway inflammation model in guinea pigs. The compound showed good (>57%) inhibition of lipoxygenase enzyme and also effectively protected mast cell degranulation (>63%). The compound showed good anti-asthmatic activity as inferred from the in vivo studies. These results indicate that MCD-KV-10 has an inhibitory effect on airway inflammation. Though, we have identified a potential candidate for management of asthma, further mechanistic studies are needed.

  11. Managing mobility outcomes in vulnerable seniors ( MMOVeS): a randomized controlled pilot study.

    PubMed

    Figueiredo, Sabrina; Morais, Jose A; Mayo, Nancy

    2017-12-01

    To estimate feasibility and potential for efficacy of an individualized, exercise-focused, self-management program (i.e. Managing Mobility Outcomes In Vulnerable Seniors ( MMOVeS)), in comparison to exercise information in improving mobility after six months among seniors recently discharged from hospital. Randomized pilot study. Two McGill University-teaching hospitals. Community dwelling seniors, aged 70 years and older, recently discharged from either participating hospitals. The physiotherapy-facilitated intervention consisted of (1) evaluation of mobility capacity, (2) setting short- and long-term goals, (3) delineation of an exercise treatment plan, (4) an educational booklet to enhance mobility self-management skills, and (5) six monthly telephone calls. Control group received a booklet with information on exercises targeting mobility limitations in seniors. Mobility, pain, and health status were assessed at baseline and at six months using multiple indicators drawn from Disabilities of the Arm, Shoulder, and Hand (DASH) Score, Lower Extremity Functional Scale (LEFS) and Short-Form (SF)-36. In all, 26 people were randomized to the intervention (mean age: 81 ± 8; 39% women), and 23 were randomized to the control (mean age: 79 ± 7; 33% women). The odds ratio for the mobility outcomes combined was 3.08 and the 95% confidence interval excluded 1 (1.65-5.77). The odds ratio for pain and health perception favored the MMOVeS group, but the 95% confidence interval included the null value. This feasibility study highlights the potential for efficacy of an individualized, exercise-focused, self-management program in comparison to exercise information in improving mobility outcome for seniors. Furthermore, a home-program combining self-management skills and exercise taught with minimal supervision prove to be feasible. Finally, data from this study can be used to estimate sample size for a confirmatory trial.

  12. Non-autonomous multi-rogue waves for spin-1 coupled nonlinear Gross-Pitaevskii equation and management by external potentials.

    PubMed

    Li, Li; Yu, Fajun

    2017-09-06

    We investigate non-autonomous multi-rogue wave solutions in a three-component(spin-1) coupled nonlinear Gross-Pitaevskii(GP) equation with varying dispersions, higher nonlinearities, gain/loss and external potentials. The similarity transformation allows us to relate certain class of multi-rogue wave solutions of the spin-1 coupled nonlinear GP equation to the solutions of integrable coupled nonlinear Schrödinger(CNLS) equation. We study the effect of time-dependent quadratic potential on the profile and dynamic of non-autonomous rogue waves. With certain requirement on the backgrounds, some non-autonomous multi-rogue wave solutions exhibit the different shapes with two peaks and dip in bright-dark rogue waves. Then, the managements with external potential and dynamic behaviors of these solutions are investigated analytically. The results could be of interest in such diverse fields as Bose-Einstein condensates, nonlinear fibers and super-fluids.

  13. Results from the NASA Spacecraft Fault Management Workshop: Cost Drivers for Deep Space Missions

    NASA Technical Reports Server (NTRS)

    Newhouse, Marilyn E.; McDougal, John; Barley, Bryan; Stephens Karen; Fesq, Lorraine M.

    2010-01-01

    Fault Management, the detection of and response to in-flight anomalies, is a critical aspect of deep-space missions. Fault management capabilities are commonly distributed across flight and ground subsystems, impacting hardware, software, and mission operations designs. The National Aeronautics and Space Administration (NASA) Discovery & New Frontiers (D&NF) Program Office at Marshall Space Flight Center (MSFC) recently studied cost overruns and schedule delays for five missions. The goal was to identify the underlying causes for the overruns and delays, and to develop practical mitigations to assist the D&NF projects in identifying potential risks and controlling the associated impacts to proposed mission costs and schedules. The study found that four out of the five missions studied had significant overruns due to underestimating the complexity and support requirements for fault management. As a result of this and other recent experiences, the NASA Science Mission Directorate (SMD) Planetary Science Division (PSD) commissioned a workshop to bring together invited participants across government, industry, and academia to assess the state of the art in fault management practice and research, identify current and potential issues, and make recommendations for addressing these issues. The workshop was held in New Orleans in April of 2008. The workshop concluded that fault management is not being limited by technology, but rather by a lack of emphasis and discipline in both the engineering and programmatic dimensions. Some of the areas cited in the findings include different, conflicting, and changing institutional goals and risk postures; unclear ownership of end-to-end fault management engineering; inadequate understanding of the impact of mission-level requirements on fault management complexity; and practices, processes, and tools that have not kept pace with the increasing complexity of mission requirements and spacecraft systems. This paper summarizes the findings and recommendations from that workshop, particularly as fault management development issues affect operations and the development of operations capabilities.

  14. Definition of management zones for enhancing cultivated land conservation using combined spatial data.

    PubMed

    Li, Yan; Shi, Zhou; Wu, Hao-Xiang; Li, Feng; Li, Hong-Yi

    2013-10-01

    The loss of cultivated land has increasingly become an issue of regional and national concern in China. Definition of management zones is an important measure to protect limited cultivated land resource. In this study, combined spatial data were applied to define management zones in Fuyang city, China. The yield of cultivated land was first calculated and evaluated and the spatial distribution pattern mapped; the limiting factors affecting the yield were then explored; and their maps of the spatial variability were presented using geostatistics analysis. Data were jointly analyzed for management zone definition using a combination of principal component analysis with a fuzzy clustering method, two cluster validity functions were used to determine the optimal number of cluster. Finally one-way variance analysis was performed on 3,620 soil sampling points to assess how well the defined management zones reflected the soil properties and productivity level. It was shown that there existed great potential for increasing grain production, and the amount of cultivated land played a key role in maintaining security in grain production. Organic matter, total nitrogen, available phosphorus, elevation, thickness of the plow layer, and probability of irrigation guarantee were the main limiting factors affecting the yield. The optimal number of management zones was three, and there existed significantly statistical differences between the crop yield and field parameters in each defined management zone. Management zone I presented the highest potential crop yield, fertility level, and best agricultural production condition, whereas management zone III lowest. The study showed that the procedures used may be effective in automatically defining management zones; by the development of different management zones, different strategies of cultivated land management and practice in each zone could be determined, which is of great importance to enhance cultivated land conservation, stabilize agricultural production, promote sustainable use of cultivated land and guarantee food security.

  15. The Prevalence of Potential Bacterial Pathogens on Inanimate Objects in a State School

    ERIC Educational Resources Information Center

    Dandy, Tonja Denise

    2012-01-01

    Cleaning and disinfection of environmental surfaces can reduce the transmissibility of potential pathogens on school surfaces. Determining the number of bacteria and investigating the presence of pathogens on school surfaces are beginning steps in managing the well-being of students contacting those surfaces. This research study examines the…

  16. ASSESSING ASTHMATIC CHILDREN'S EXPOSURES TO TOXIC AIR POLLUTANTS AND THE POTENTIAL INHALED DOSES USING TIME ACTIVITY INFORMATION AND ENERGY EXPENDITURE DATA

    EPA Science Inventory

    Accurately quantifying human exposures and the potential doses of various populations to environmental pollutants is critical for the U.S. Environmental Protection Agency to assess and manage human health risks. The Tampa Asthmatic Children's Study (TACS) was a pilot research stu...

  17. Wind erosion potential of a winter wheat–summer fallow rotation after land application of biosolids

    USDA-ARS?s Scientific Manuscript database

    While land application of biosolids is recognized as a sustainable management practice for enhancing soil health, no studies have determined the effects of biosolids on soil wind erosion. Wind erosion potential of a silt loam was assessed using a portable wind tunnel after applying synthetic and bio...

  18. Dengue fever in the San Juan Bay Estuary: Evaluating the Role of Wetland Ecosystem Services

    EPA Science Inventory

    Dengue is transmitted by Aedes aegypti, a species that thrives in cities. Here we ask which elements within the urban environment could be managed to reduce the potential for Dengue occurrence. In particular, we study the potential of wetlands in the SJBE to buffer from vector pr...

  19. Impact of Future Climate and Development on Agricultural Water Management: A Case Study of the Huai Sat Bat Sub-basin in Northeastern Thailand

    NASA Astrophysics Data System (ADS)

    Polpanich, O. U.; Lyon, S. W.; Krittasudthacheewa, C.; Bush, A. L.; Kemp-Benedict, E.

    2016-12-01

    In this study, we used the Water Evaluation And Planning (WEAP) model to provide a participatory framework to outline choices (and consequences) for river managers, stakeholders and policy makers. The water balance was created for the data-limited Huay Sai Bat (HSB) sub-basin located in northeastern Thailand. Leveraging the involvement of stakeholders, we developed an appropriate representation of the catchment hydrology utilizing the best available data. In addition, WEAP allowed for simulation of impacts from alternative scenarios of climate change, land-use development and water resource management in HSB. These scenarios were developed iteratively across several participatory exercises. Our modeling results indicate that regional climatic changes tend to increase streamflow during the wet (monsoon) season while land-use and management changes only had minor impacts on streamflow. However, the scenarios of land-use and management changes, specifically those reflecting increases in irrigated rice and sugarcane production and/or shifts toward small-scale or regional irrigation schemes, lead to relatively large unmet water demands (particularly during the dry season). In addition, and perhaps more importantly, the WEAP modeling facilitated communication with stakeholders across various management levels, allowing for assessment of the main concerns surrounding ongoing and future potential changes in HSB. The outcomes of these interactions were then used to formulate recommendations addressing potential gaps between policy and implementation. The study indicates that a participatory modeling approach is a promising way of incorporating problem-relevant knowledge and values of stakeholders to influence decisions as well as strengthen civic capacity.

  20. Space Station Freedom data management system growth and evolution report

    NASA Technical Reports Server (NTRS)

    Bartlett, R.; Davis, G.; Grant, T. L.; Gibson, J.; Hedges, R.; Johnson, M. J.; Liu, Y. K.; Patterson-Hine, A.; Sliwa, N.; Sowizral, H.

    1992-01-01

    The Information Sciences Division at the NASA Ames Research Center has completed a 6-month study of portions of the Space Station Freedom Data Management System (DMS). This study looked at the present capabilities and future growth potential of the DMS, and the results are documented in this report. Issues have been raised that were discussed with the appropriate Johnson Space Center (JSC) management and Work Package-2 contractor organizations. Areas requiring additional study have been identified and suggestions for long-term upgrades have been proposed. This activity has allowed the Ames personnel to develop a rapport with the JSC civil service and contractor teams that does permit an independent check and balance technique for the DMS.

  1. Environmental Assessment, Project MOUNTAINVIEW Facility, Buckley Air Force Base, Colorado

    DTIC Science & Technology

    2011-10-01

    Overall, construction and demolition activities would have the potential to result in adverse effects on surface water quality, but the development of a ... Studied in Detail This EA examines potential effects of the Proposed Action and No Action Alternative on 10 resource areas: noise, land use, air...not in a floodplain. Any potential indirect effects on floodplains would be addressed through the use of storm water best management practices

  2. Health information management in the home: a human factors assessment.

    PubMed

    Zayas-Cabán, Teresa

    2012-01-01

    Achieving optimal health outcomes requires that consumers maintain myriad health data and understand how to utilize appropriate health information management applications. This case study investigated four families' health information management tasks in their homes. Four different families participated in the study: a single parent household; two nuclear family households; and an extended family household. A work system model known as the balance model was used as a guiding framework for data collection. Data collection consisted of three stages: (1) primary health information manager interviews; (2) family interviews; and (3) task observations. Overall, families reported 69 unique health information management tasks that took place in nine different locations, using 22 different information storage artifacts. Frequently occurring tasks related to health management or health coordination were conducted in public spaces. Less frequent or more time-consuming tasks, such as researching a health concern or storing medical history, were performed in private spaces such as bedrooms or studies. Similarities across households suggest potential foundational design elements that consumer health information technology application designers need to balance with tailored interventions to successfully support variations in individuals' health information management needs.

  3. Information management system study results. Volume 1: IMS study results

    NASA Technical Reports Server (NTRS)

    1971-01-01

    The information management system (IMS) special emphasis task was performed as an adjunct to the modular space station study, with the objective of providing extended depth of analysis and design in selected key areas of the information management system. Specific objectives included: (1) in-depth studies of IMS requirements and design approaches; (2) design and fabricate breadboard hardware for demonstration and verification of design concepts; (3) provide a technological base to identify potential design problems and influence long range planning (4) develop hardware and techniques to permit long duration, low cost, manned space operations; (5) support SR&T areas where techniques or equipment are considered inadequate; and (6) permit an overall understanding of the IMS as an integrated component of the space station.

  4. Pathways to sustainable intensification through crop water management

    NASA Astrophysics Data System (ADS)

    MacDonald, Graham K.; D'Odorico, Paolo; Seekell, David A.

    2016-09-01

    How much could farm water management interventions increase global crop production? This is the central question posed in a global modelling study by Jägermeyr et al (2016 Environ. Res. Lett. 11 025002). They define the biophysical realm of possibility for future gains in crop production related to agricultural water practices—enhancing water availability to crops and expanding irrigation by reducing non-productive water consumption. The findings of Jägermeyr et al offer crucial insight on the potential for crop water management to sustainably intensify agriculture, but they also provide a benchmark to consider the broader role of sustainable intensification targets in the global food system. Here, we reflect on how the global crop water management simulations of Jägermeyr et al could interact with: (1) farm size at more local scales, (2) downstream water users at the river basin scale, as well as (3) food trade and (4) demand-side food system strategies at the global scale. Incorporating such cross-scale linkages in future research could highlight the diverse pathways needed to harness the potential of farm-level crop water management for a more productive and sustainable global food system.

  5. Optimal waste-to-energy strategy assisted by GIS For sustainable solid waste management

    NASA Astrophysics Data System (ADS)

    Tan, S. T.; Hashim, H.

    2014-02-01

    Municipal solid waste (MSW) management has become more complex and costly with the rapid socio-economic development and increased volume of waste. Planning a sustainable regional waste management strategy is a critical step for the decision maker. There is a great potential for MSW to be used for the generation of renewable energy through waste incineration or landfilling with gas capture system. However, due to high processing cost and cost of resource transportation and distribution throughout the waste collection station and power plant, MSW is mostly disposed in the landfill. This paper presents an optimization model incorporated with GIS data inputs for MSW management. The model can design the multi-period waste-to-energy (WTE) strategy to illustrate the economic potential and tradeoffs for MSW management under different scenarios. The model is capable of predicting the optimal generation, capacity, type of WTE conversion technology and location for the operation and construction of new WTE power plants to satisfy the increased energy demand by 2025 in the most profitable way. Iskandar Malaysia region was chosen as the model city for this study.

  6. Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study

    PubMed Central

    Whitford, David L; Hickey, Anne; Horgan, Frances; O'Sullivan, Bernadette; McGee, Hannah; O'Neill, Desmond

    2009-01-01

    Background Stroke is a major cause of mortality and morbidity with potential for improved care and prevention through general practice. A national survey was undertaken to determine current resources and needs for optimal stroke prevention and care. Methods Postal survey of random sample of general practitioners undertaken (N = 204; 46% response). Topics included practice organisation, primary prevention, acute management, secondary prevention, long-term care and rehabilitation. Results Service organisation for both primary and secondary prevention was poor. Home management of acute stroke patients was used at some stage by 50% of responders, accounting for 7.3% of all stroke patients. Being in a structured cardiovascular management scheme, a training practice, a larger practice, or a practice employing a practice nurse were associated with structures and processes likely to support stroke prevention and care. Conclusion General practices were not fulfilling their potential to provide stroke prevention and long-term management. Systems of structured stroke management in general practice are essential to comprehensive national programmes of stroke care. PMID:19402908

  7. Effect of a food waste disposer policy on solid waste and wastewater management with economic implications of environmental externalities.

    PubMed

    Maalouf, Amani; El-Fadel, Mutasem

    2017-11-01

    In this study, the carbon footprint of introducing a food waste disposer (FWD) policy was examined in the context of its implications on solid waste and wastewater management with economic assessment of environmental externalities emphasizing potential carbon credit and increased sludge generation. For this purpose, a model adopting a life cycle inventory approach was developed to integrate solid waste and wastewater management processes under a single framework and test scenarios for a waste with high organic food content typical of developing economies. For such a waste composition, the results show that a FWD policy can reduce emissions by nearly ∼42% depending on market penetration, fraction of food waste ground, as well as solid waste and wastewater management schemes, including potential energy recovery. In comparison to baseline, equivalent economic gains can reach ∼28% when environmental externalities including sludge management and emissions variations are considered. The sensitivity analyses on processes with a wide range in costs showed an equivalent economic impact thus emphasizing the viability of a FWD policy although the variation in the cost of sludge management exhibited a significant impact on savings. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Categorization of potential project cost overrun factors in construction industry

    NASA Astrophysics Data System (ADS)

    Karunakaran, P.; Abdullah, A. H.; Nagapan, S.; Sohu, S.; Kasvar, K. K.

    2018-04-01

    Cost overrun has been severely hit down the economy and reputations for many construction industry around the world. Many project management tools developed to control the budget of a project. However, the cost management is still considered poor as there are many cost overrun issues occurred in the construction industry. Thus, this paper aims to identify and cluster the potential construction project cost overrun factors according to their originating groups using the thematic approach. Basically, through literature review, all the potential factors that may cause cost overrun were screened thoroughly before they were clustered into seven (7) groups of the originating factors, namely project, contract, client, contractor, consultant, labour and external. Each potential factor was explained clearly with some examples based on the Malaysian case studies to illustrate the cost overrun scenario. These findings may aid in the future to highlight on how to mitigate the critical potential factors of cost overrun to reduce or overcome its impact on all the stakeholders involved.

  9. Cassia fistula Linn: Potential candidate in the health management

    PubMed Central

    Rahmani, Arshad H.

    2015-01-01

    Cassia fistula Linn is known as Golden shower has therapeutics importance in health care since ancient times. Research findings over the last two decade have confirmed the therapeutics consequence of C. fistula in the health management via modulation of biological activities due to the rich source of antioxidant. Several findings based on the animal model have confirmed the pharmacologically safety and efficacy and have opened a new window for human health management. This review reveals additional information about C. fistula in the health management via in vivo and in vitro study which will be beneficial toward diseases control. PMID:26130932

  10. Knowledge Management Orientation: An Innovative Perspective to Hospital Management.

    PubMed

    Ghasemi, Matina; Ghadiri Nejad, Mazyar; Bagzibagli, Kemal

    2017-12-01

    By considering innovation as a new project in hospitals, all the project management's standard steps should be followed in execution. This study investigated the validation of a new set of measures in terms of providing a procedure for knowledge management-oriented innovation that enriches the hospital management system. The relation between innovation and all the knowledge management areas, as the main constructs of project management, was illustrated by referring to project management standard steps and previous studies. Through consultations and meetings with a committee of professional project managers, a questionnaire was developed to measure ten knowledge management areas in hospital's innovation process. Additionally, a group of experts from hospital managers were invited to comment on the applicability of the questionnaires by considering if the items are measurable in hospitals practically. A close-ended, Likert-type scale items, consisted of ten sections, were developed based on project management body of knowledge thorough Delphi technique. It enables the managers to evaluate hospitals' situation to be aware whether the organization follows the knowledge management standards in innovation process or not. By pilot study, confirmatory factor analysis and exploratory factor analysis were conducted to ensure the validity and reliability of the measurement items. The developed items seem to have a potential to help hospital managers and subsequently delivering new products/services successfully based on the standard procedures in their organization. In all innovation processes, the knowledge management areas and their standard steps help hospital managers by a new tool as questionnaire format.

  11. Environmental assessment of incinerator residue utilisation.

    PubMed

    Toller, S; Kärrman, E; Gustafsson, J P; Magnusson, Y

    2009-07-01

    Incineration ashes may be treated either as a waste to be dumped in landfill, or as a resource that is suitable for re-use. In order to choose the best management scenario, knowledge is needed on the potential environmental impact that may be expected, including not only local, but also regional and global impact. In this study, A life cycle assessment (LCA) based approach was outlined for environmental assessment of incinerator residue utilisation, in which leaching of trace elements as well as other emissions to air and water and the use of resources were regarded as constituting the potential environmental impact from the system studied. Case studies were performed for two selected ash types, bottom ash from municipal solid waste incineration (MSWI) and wood fly ash. The MSWI bottom ash was assumed to be suitable for road construction or as drainage material in landfill, whereas the wood fly ash was assumed to be suitable for road construction or as a nutrient resource to be recycled on forest land after biofuel harvesting. Different types of potential environmental impact predominated in the activities of the system and the use of natural resources and the trace element leaching were identified as being relatively important for the scenarios compared. The scenarios differed in use of resources and energy, whereas there is a potential for trace element leaching regardless of how the material is managed. Utilising MSWI bottom ash in road construction and recycling of wood ash on forest land saved more natural resources and energy than when these materials were managed according to the other scenarios investigated, including dumping in landfill.

  12. Predicting the potential distributions of the invasive cycad scale Aulacaspis yasumatsui (Hemiptera: Diaspididae) under different climate change scenarios and the implications for management.

    PubMed

    Wei, Jiufeng; Zhao, Qing; Zhao, Wanqing; Zhang, Hufang

    2018-01-01

    Cycads are an ancient group of gymnosperms that are popular as landscaping plants, though nearly all of them are threatened or endangered in the wild. The cycad aulacaspis scale (CAS), Aulacaspis yasumatsui Takagi (Hemiptera: Diaspididae), has become one of the most serious pests of cycads in recent years; however, the potential distribution range and the management approach for this pest are unclear. A potential risk map of cycad aulacaspis scale was created based on occurrence data under different climatic conditions and topology factors in this study. Furthermore, the future potential distributions of CAS were projected for the periods 2050s and 2070s under three different climate change scenarios (GFDL-CM3, HADGEM2-AO and MIROC5) described in the Special Report on Emissions Scenarios of the IPCC (Intergovernmental Panel on Climate Change). The model suggested high environmental suitability for the continents of Asia and North America, where the species has already been recorded. The potential distribution expansions or reductions were also predicted under different climate change conditions. Temperature of Driest Quarter (Bio9) was the most important factor, explaining 48.1% of the distribution of the species. The results also suggested that highly suitable habitat for CAS would exist in the study area if the mean temperature of 15-20 °C in the driest quarter and a mean temperature of 25-28 °C the wettest quarter. This research provides a theoretical reference framework for developing policy to manage and control this invasive pest.

  13. How sampling and scale limit accuracy assessment of vegetation maps: A comment on Loehle et al. (2015)

    Treesearch

    David M. Bell; Matthew J. Gregory; Heather M. Roberts; Raymond J. Davis; Janet L. Ohmann

    2015-01-01

    Accuracy assessments of remote sensing products are necessary for identifying map strengths and weaknesses in scientific and management applications. However, not all accuracy assessments are created equal. Motivated by a recent study published in Forest Ecology and Management (Volume 342, pages 8–20), we explored the potential limitations of accuracy assessments...

  14. Designing a Feasibility Study: A Starting Point for Considering New Management Initiatives for Working Parents.

    ERIC Educational Resources Information Center

    Friedman, Dana E.

    This brief paper was prepared as a starting point for employers considering the adoption of a new management initiative for working parents. It is not an exhaustive outline of all considerations in the decision-making process, nor does it provide solutions to all the known pitfalls. It does, however, suggest the potential scope and complexity of…

  15. Impact of Alternative Timber Management Policies on Availability of Forest Land in the Northeast

    Treesearch

    Owen W. Herrick

    1977-01-01

    Gaging the ability of the forest resource to satisfy future timber requirements is central to solving many problems arising from competition for use of forest land. In this study, production potentials of forest acreage in the Northeastern United States under management alternatives that range from extensive to intensive are weighed against several estimates of timber...

  16. Comparing the effectiveness of thinning and prescribed fire for modifying structure in dry coniferous forests

    Treesearch

    Richy J. Harrod; Nicholas A. Povak; David W. Peterson

    2007-01-01

    Forest thinning and prescribed fires are the main practices used by managers to address concerns over ecosystem degradation and severe wildland fire potential in dry forests of the Western United States. There is some debate, however, about treatment effectiveness in meeting management objectives as well as their ecological consequences. This study assesses the...

  17. An ecosystem approach to determining effects of prescribed fire on southwestern borderlands oak savannas: A baseline study

    Treesearch

    Gerald J. Gottfried; Daniel G. Neary; Peter F. Ffolliott

    2007-01-01

    Many traditional land management activities and supporting research have concentrated on one or two resources, with limited evaluations of interactions among other potential values. An ecosystem approach to land management requires an evaluation of the blend of physical and biological factors needed to assure productive, healthy ecosystems. Ideally, social and economic...

  18. Carbon storage in managed forests of the northern Great Lake States

    Treesearch

    Jeanette L. Rollinger; Terry F. Strong

    1996-01-01

    Carbon (C) storage in forest ecosystems is a significant part of the total terrestrial C pool, and may potentially be manipulated as an important C sink. The influence of management on C pools must be understood before guidelines can be suggested for maximizing C sequestration in forests. Studies of hardwood, red pine (Pinus resinosa Ait.), aspen and...

  19. [Use of urine drug screening in the emergency department of a paediatric hospital].

    PubMed

    Ferrer Bosch, Núria; Martínez Sánchez, Lidia; Trenchs Sainz de la Maza, Victoria; Velasco Rodríguez, Jesús; García González, Elsa; Luaces Cubells, Carles

    2018-01-01

    To describe the situations in which urine drug screening is used in a Paediatric Emergency Department (ED). An analysis is also made on its potential usefulness on whether it changes the patient management, and if the results are confirmed by using specific techniques. A retrospective study was conducted on patients under the age of 18 attended in the ED during 2014 and in whom urine drug screening was requested. Depending on the potential capacity of the screening result to change patient management, two groups were defined (potentially useful and not potentially useful). Urine drug screening was performed on a total of 161 patients. The screening was considered not to be potentially useful in 87 (54.0%). This was because the clinical history already explained the symptoms the patient had in 55 (34.1%) patients, in 29 (18.0%) because the patient was asymptomatic, and in 3 (1.9%) because the suspected drug was not detectable in the screening. The drug screening results changed the patient management in 5 (3.1%) cases. A toxic substance was detected in 44 (27.3%). Two out of the 44 that were positive (2.1%) were re-tested by specific techniques, and presence of the toxic substance was ruled out in both of them (false positives). Most of the drug screening tests are not justified, and it is very infrequent that they change patient management. It is very rare that the results are confirmed using more specific methods. Urine drug screening tests should be restricted to particular cases and if the result has legal implications, or if the patient denies using the drug, it should be followed by a specific toxicological study to provide a conclusive result. Copyright © 2016 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  20. Increasing the realism of projected tree species ranges by incorporating migration potential: an eastern US case study

    NASA Astrophysics Data System (ADS)

    Rogers, B. M.; Jantz, P.; Goetz, S. J.

    2015-12-01

    Models of vegetation distributions are used for a wide variety of purposes, from global assessments of biome shifts and biogeochemical feedbacks to local management planning. Dynamic vegetation models, mostly mechanistic in origin, are valuable for regional to global studies but remain limited for more local-scale applications, especially those that require species-specific responses to climate change. Species distribution models (SDMs) are broadly used for such applications, but these too have several outstanding limitations, one of the most prominent being a lack of dispersal and migration. Several hybrid models have recently been developed, but these generally require detailed parameterization of species-level attributes that may not be known. Here we present an approach to couple migration potential with SDM output for a large number of species in order to more realistically project future range shifts. We focus on 40 tree species in the eastern US of potential management concern, either because of their canopy dominance, ecosystem functions, or potential for utilizing future climates. Future climates were taken from a CMIP5 model ensemble average using RCP 4.5 and 8.5 scenarios. We used Random Forests to characterize current and future environmental suitability, and modeled migration as a negative exponential kernel that is affected by forest fragmentation and the density of current seed sources. We present results in a vulnerability framework relevant for a number of ongoing management activities in the region. We find an overarching pattern of northward and eastward range shifts, with high-elevation and northern species being the most adversely impacted. Because of limitations to migration, many newly suitable areas could not be utilized without active intervention. Only a few areas exhibited consistently favorable conditions that could be utilized by the relevant species, including the central Appalachian foothills and the Florida panhandle. We suggest that a continued effort to include migration potential into vegetation models can lead to more realistic results and management-relevant products.

  1. Coastal management strategy for small island: ecotourism potency development in Karimata Island, West Kalimantan

    NASA Astrophysics Data System (ADS)

    Rudiastuti, A. W.; Munawaroh; Setyawan, I. E.; Pramono, G. H.

    2018-04-01

    Sustainable coastal management is playing an important role in coastal resources conservation, particularly on small islands. Karimata archipelago has unique characteristics and great potential to be developed as a tourism object, one of which is Karimata Island as the largest island and also reserve area. The concept of ecotourism focuses on the ecology conservation, economic benefits, and social life. Ecotourism aims to build sustainable tourism that provides economically viable and social benefits to the community. This study aims to develop coastal management strategy based on ecotourism at Karimata Island. Spatial approaching through coastal type was done. Qualitative descriptive analysis and SWOT are used to develop sustainable management strategies for the coast of Karimata Island, where the opportunities and challenges to the development of coastal ecotourism Karimata Island also included. If this potential is optimally utilized, it can be relied as an economic opportunity for local communities. Structurally shaped coast, marine depositional coast and coast build by organism are several of coastal types found at Karimata Island. Coastal ecosystems inhabited Karimata Island are mangroves, coral reefs, and macro-algae. Karimata Island have not been optimally utilized for tourist destinations. The biggest obstacle encountered is the accessibility from Kalimantan or other island at Karimata islands. Several problems related to the utilization of coastal resources were found such as mangrove and coral reef damage, also regulation that less supportive. The results of this study are expected to provide an overview of solutions for the development of coastal tourism potentials in Karimata Island.

  2. Management of Postembolization Syndrome Following Hepatic Transarterial Chemoembolization for Primary or Metastatic Liver Cancer.

    PubMed

    Blackburn, Helen; West, Sandra

    2016-01-01

    Transarterial chemoembolization (TACE) is an established treatment in managing liver primary neoplasms or liver metastases. Postembolization syndrome (PES) is a common adverse event defined as fever without associated sepsis, pain in the right upper quadrant, and nausea and/or vomiting. This integrative review aims to identify effective management strategies for PES or one of its characterizing symptoms (fever, pain, and nausea and/or vomiting). Searches of electronic databases MEDLINE, EMBASE, and CINAHL were conducted. Fifteen articles were identified for inclusion. Seven addressed all symptoms of PES, and 8 studies focused on individual symptoms of PES. Interventions identified are intra-arterial lidocaine, oral and intravenous analgesics, steroids, wrist-ankle acupuncture, antibiotics, and 5-HT3 receptor antagonists. Findings are explicated according to individual symptoms of PES. Intra-arterial lidocaine, steroids, and a 5-HT3 receptor antagonist are found to offer potential benefit in the management of PES symptoms. A number of interventions have shown potential benefit in the management of PES. A systemic approach using combination therapy is necessary to effectively manage characterizing symptoms. Further research is needed to determine the impact of primary disease site, TACE technique, and chemotherapeutic agent on PES. Oncology nurses are uniquely placed to undertake thorough patient assessment after TACE and implement early intervention to effectively manage PES.

  3. What roles do middle managers play in implementation of innovative practices?

    PubMed Central

    Engle, Ryann L.; Lopez, Emily R.; Gormley, Katelyn E.; Chan, Jeffrey A.; Charns, Martin P.; Lukas, Carol VanDeusen

    2017-01-01

    Background: Middle managers play key roles in hospitals as the bridge between senior leaders and frontline staff. Yet relatively little research has focused on their role in implementing new practices. Purpose: The aim of this study was to expand the understanding of middle managers’ influence in organizations by looking at their activities through the lens of two complementary conceptual frameworks. Methodology/Approach: We analyzed qualitative data from 17 Veterans Affairs Medical Centers with high and low potential to change organizational practices. We analyzed 98 interviews with staff ranging from senior leaders to frontline staff to identify themes within an a priori framework reflecting middle manager activities. Findings: Analyses yielded 14 emergent themes that allowed us to classify specific expressions of middle manager commitment to implementation of innovative practices (e.g., facilitate improvement innovation, garner staff buy-in). In comparing middle manager behaviors in high and low change potential sites, we found that most emergent themes were present in both groups. However, the activities and interactions described differed between the groups. Practice Implications: Middle managers can use the promising strategies identified by our analyses to guide and improve their effectiveness in implementing new practices. These strategies can also inform senior leaders striving to guide middle managers in those efforts. PMID:26488239

  4. Text Messaging as a Tool for Behavior Change in Disease Prevention and Management

    PubMed Central

    Cole-Lewis, Heather; Kershaw, Trace

    2011-01-01

    Mobile phone text messaging is a potentially powerful tool for behavior change because it is widely available, inexpensive, and instant. This systematic review provides an overview of behavior change interventions for disease management and prevention delivered through text messaging. Evidence on behavior change and clinical outcomes was compiled from randomized or quasi-experimental controlled trials of text message interventions published in peer-reviewed journals by June 2009. Only those interventions using text message as the primary mode of communication were included. Study quality was assessed by using a standardized measure. Seventeen articles representing 12 studies (5 disease prevention and 7 disease management) were included. Intervention length ranged from 3 months to 12 months, none had long-term follow-up, and message frequency varied. Of 9 sufficiently powered studies, 8 found evidence to support text messaging as a tool for behavior change. Effects exist across age, minority status, and nationality. Nine countries are represented in this review, but it is problematic that only one is a developing country, given potential benefits of such a widely accessible, relatively inexpensive tool for health behavior change. Methodological issues and gaps in the literature are highlighted, and recommendations for future studies are provided. PMID:20354039

  5. Development and field testing of a smartphone "App" for tinnitus management.

    PubMed

    Henry, James A; Thielman, Emily; Zaugg, Tara; Kaelin, Christine; Choma, Christie; Chang, Bill; Hahn, Shira; Fuller, Bret

    2017-10-01

    This study's objective was to develop and test a smartphone app that supports learning and using coping skills for managing tinnitus. The app's content was based on coping skills that are taught as a part of progressive tinnitus management (PTM). The study involved three phases: (1) develop a prototype app and conduct usability testing; (2) conduct two focus groups to obtain initial feedback from individuals representing potential users; and (3) conduct a field study to evaluate the app, with three successive groups of participants. Participants were adults with bothersome tinnitus. For Phase 2, two focus groups were attended by a total of 17 participants. Phase 3 involved three consecutive rounds of participants: five from the focus groups followed by two rounds with 10 participants each who had not seen the app previously. In both the focus groups and field studies, participants responded favourably to the content. Certain features, however, were deemed too complex. Completion of this project resulted in the development and testing of the delivery of PTM coping skills via a smartphone app. This new approach has the potential to improve access to coping skills for those with bothersome tinnitus.

  6. Text messaging as a tool for behavior change in disease prevention and management.

    PubMed

    Cole-Lewis, Heather; Kershaw, Trace

    2010-01-01

    Mobile phone text messaging is a potentially powerful tool for behavior change because it is widely available, inexpensive, and instant. This systematic review provides an overview of behavior change interventions for disease management and prevention delivered through text messaging. Evidence on behavior change and clinical outcomes was compiled from randomized or quasi-experimental controlled trials of text message interventions published in peer-reviewed journals by June 2009. Only those interventions using text message as the primary mode of communication were included. Study quality was assessed by using a standardized measure. Seventeen articles representing 12 studies (5 disease prevention and 7 disease management) were included. Intervention length ranged from 3 months to 12 months, none had long-term follow-up, and message frequency varied. Of 9 sufficiently powered studies, 8 found evidence to support text messaging as a tool for behavior change. Effects exist across age, minority status, and nationality. Nine countries are represented in this review, but it is problematic that only one is a developing country, given potential benefits of such a widely accessible, relatively inexpensive tool for health behavior change. Methodological issues and gaps in the literature are highlighted, and recommendations for future studies are provided.

  7. GeoVision Study | Geothermal Technologies | NREL

    Science.gov Websites

    and technical issues of advanced technologies and potential future impacts and calculating geothermal : Exploration Reservoir development and management Social and environmental impacts Hybrid systems Thermal

  8. Long Term Sugarcane Crop Residue Retention Offers Limited Potential to Reduce Nitrogen Fertilizer Rates in Australian Wet Tropical Environments.

    PubMed

    Meier, Elizabeth A; Thorburn, Peter J

    2016-01-01

    The warming of world climate systems is driving interest in the mitigation of greenhouse gas (GHG) emissions. In the agricultural sector, practices that mitigate GHG emissions include those that (1) reduce emissions [e.g., those that reduce nitrous oxide (N2O) emissions by avoiding excess nitrogen (N) fertilizer application], and (2) increase soil organic carbon (SOC) stocks (e.g., by retaining instead of burning crop residues). Sugarcane is a globally important crop that can have substantial inputs of N fertilizer and which produces large amounts of crop residues ('trash'). Management of N fertilizer and trash affects soil carbon and nitrogen cycling, and hence GHG emissions. Trash has historically been burned at harvest, but increasingly is being retained on the soil surface as a 'trash blanket' in many countries. The potential for trash retention to alter N fertilizer requirements and sequester SOC was investigated in this study. The APSIM model was calibrated with data from field and laboratory studies of trash decomposition in the wet tropics of northern Australia. APSIM was then validated against four independent data sets, before simulating location × soil × fertilizer × trash management scenarios. Soil carbon increased in trash blanketed soils relative to SOC in soils with burnt trash. However, further increases in SOC for the study region may be limited because the SOC in trash blanketed soils could be approaching equilibrium; future GHG mitigation efforts in this region should therefore focus on N fertilizer management. Simulated N fertilizer rates were able to be reduced from conventional rates regardless of trash management, because of low yield potential in the wet tropics. For crops subjected to continuous trash blanketing, there was substantial immobilization of N in decomposing trash so conventional N fertilizer rates were required for up to 24 years after trash blanketing commenced. After this period, there was potential to reduce N fertilizer rates for crops when trash was retained (≤20 kg N ha(-1) per plant or ratoon crop) while maintaining ≥95% of maximum yields. While these savings in N fertilizer use were modest at the field scale, they were potentially important when aggregated at the regional level.

  9. Engaging recreational fishers in management and conservation: global case studies.

    PubMed

    Granek, E F; Madin, E M P; Brown, M A; Figueira, W; Cameron, D S; Hogan, Z; Kristianson, G; de Villiers, P; Williams, J E; Post, J; Zahn, S; Arlinghaus, R

    2008-10-01

    Globally, the number of recreational fishers is sizeable and increasing in many countries. Associated with this trend is the potential for negative impacts on fish stocks through exploitation or management measures such as stocking and introduction of non-native fishes. Nevertheless, recreational fishers can be instrumental in successful fisheries conservation through active involvement in, or initiation of, conservation projects to reduce both direct and external stressors contributing to fishery declines. Understanding fishers' concerns for sustained access to the resource and developing methods for their meaningful participation can have positive impacts on conservation efforts. We examined a suite of case studies that demonstrate successful involvement of recreational fishers in conservation and management activities that span developed and developing countries, temperate and tropical regions, marine and freshwater systems, and open- and closed-access fisheries. To illustrate potential benefits and challenges of involving recreational fishers in fisheries management and conservation, we examined the socioeconomic and ecological contexts of each case study. We devised a conceptual framework for the engagement of recreational fishers that targets particular types of involvement (enforcement, advocacy, conservation, management design [type and location], research, and monitoring) on the basis of degree of stakeholder stewardship, scale of the fishery, and source of impacts (internal or external). These activities can be enhanced by incorporating local knowledge and traditions, taking advantage of leadership and regional networks, and creating collaborations among various stakeholder groups, scientists, and agencies to maximize the probability of recreational fisher involvement and project success.

  10. Transit Feasibility Analysis and Recommendations : Arapaho-Roosevelt National Forest Transportation System Alternatives Study

    DOT National Transportation Integrated Search

    2015-06-01

    The purpose of the ArapahoRoosevelt National Forest Transportation System Alternatives Study is to identify and evaluate the feasibility of potential alternative transportation solutions to improve recreation and resource management at three of th...

  11. Integrating model abstraction into monitoring strategies

    USDA-ARS?s Scientific Manuscript database

    This study was designed and performed to investigate the opportunities and benefits of integrating model abstraction techniques into monitoring strategies. The study focused on future applications of modeling to contingency planning and management of potential and actual contaminant release sites wi...

  12. How fisheries management can benefit from genomics?

    PubMed

    Valenzuela-Quiñonez, Fausto

    2016-09-01

    Fisheries genomics is an emerging field that advocates the application of genomic tools to address questions in fisheries management. Genomic approaches bring a new paradigm for fisheries management by making it possible to integrate adaptive diversity to understand fundamental aspects of fisheries resources. Hence, this review is focused on the relevance of genomic approaches to solve fisheries-specific questions. Particularly the detection of adaptive diversity (outlier loci) provides unprecedented opportunity to understand bio-complexity, increased power to trace processed sample origin to allow enforcement and the potential to understand the genetic basis of micro-evolutionary effects of fisheries-induced evolution and climate change. The understanding of adaptive diversity patterns will be the cornerstone of the future links between fisheries and genomics. These studies will help stakeholders anticipate the potential effects of fishing or climate change on the resilience of fisheries stocks; consequently, in the near future, fisheries sciences might integrate evolutionary principles with fisheries management. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  13. Cultural border crossing: The interaction between fundamental Christian beliefs and scientific explanations

    NASA Astrophysics Data System (ADS)

    Elimbi, Celestine Nakeli

    The purpose of this study is to investigate the interaction between people's fundamental Christian beliefs and scientific explanations. When people with fundamental Christian beliefs encounter scientific explanations, such explanations may interact with their deeply rooted beliefs in a way that is likely to produce tensions. It is expedient to understand the classroom/professional experiences of such individuals and how they manage these tensions. I will apply Jegede's collateral learning theory as a lens to look at how individuals manage the tensions between their religious and scientific worldviews. Gaining insight into people's experiences in the classroom/work place and how they manage these tensions will potentially inform classroom instruction and ways by which we can help students with fundamental Christian beliefs maintain their pursuit of science related careers by easing the nature of the borders they cross. Sources of data will include participant reported perspectives of how they manage the tensions and observations of real-time resolution of potentially conflicting explanations from their religious and scientific worldviews.

  14. Source water assessment and nonpoint sources of acutely toxic contaminants: A review of research related to survival and transport of Cryptosporidium parvum

    NASA Astrophysics Data System (ADS)

    Walker, Mark J.; Montemagno, Carlo D.; Jenkins, Michael B.

    1998-12-01

    Amendments to the Safe Drinking Water Act (PL-930123) in 1996 required that public water supply managers identify potential sources of contamination within contributing areas. Nonpoint sources of acutely toxic microbial contaminants, such as Cryptosporidium parvum, challenge current approaches to source identification and management as a first step toward developing management plans for public water supply protection. Little may be known about survival and transport in the field environment, prescribed practices may not be designed to manage such substances, and infective stages may be present in vast numbers and may resist water treatment and disinfection processes. This review summarizes research related to survival and transport of C. parvum oocysts, as an example of an acutely toxic contaminant with nonpoint sources in animal agriculture. It discusses ∥1) significance of infected domesticated animals as potential sources of C. parvum, (2) laboratory and field studies of survival and transport, and (3) approaches to source control in the context of public health protection.

  15. Weak signal detection: A discrete window of opportunity for achieving 'Vision 90:90:90'?

    PubMed

    Burman, Christopher J; Aphane, Marota; Delobelle, Peter

    2016-01-01

    UNAIDS' Vision 90:90:90 is a call to 'end AIDS'. Developing predictive foresight of the unpredictable changes that this journey will entail could contribute to the ambition of 'ending AIDS'. There are few opportunities for managing unpredictable changes. We introduce 'weak signal detection' as a potential opportunity to fill this void. Combining futures and complexity theory, we reflect on two pilot case studies that involved the Archetype Extraction technique and the SenseMaker(®) Collector(™) tool. Both the piloted techniques have the potentials to surface weak signals--but there is room for improvement. A management response to a complex weak signal requires pattern management, rather than an exclusive focus on behaviour management. Weak signal detection is a window of opportunity to improve resilience to unpredictable changes in the HIV/AIDS landscape that can both reduce the risk that emerges from the changes and increase the visibility of opportunities to exploit the unpredictable changes that could contribute to 'ending AIDS'.

  16. GIS habitat analysis for lesser prairie-chickens in southeastern New Mexico.

    PubMed

    Johnson, Kristine; Neville, Teri B; Neville, Paul

    2006-12-04

    We conducted Geographic Information System (GIS) habitat analyses for lesser prairie-chicken (LPCH, Tympanuchus pallidicinctus) conservation planning. The 876,799 ha study area included most of the occupied habitat for the LPCH in New Mexico. The objectives were to identify and quantify: 1. suitable LPCH habitat in New Mexico, 2. conversion of native habitats, 3. potential for habitat restoration, and 4. unsuitable habitat available for oil and gas activities. We found 16% of suitable habitat (6% of the study area) distributed in 13 patches of at least 3,200 ha and 11% of suitable habitat (4% of the study area) distributed in four patches over 7,238 ha. The area converted from native vegetation types comprised 17% of the study area. Ninety-five percent of agricultural conversion occurred on private lands in the northeastern corner of the study area. Most known herbicide-related conversions (82%) occurred in rangelands in the western part of the study area, on lands managed primarily by the US Bureau of Land Management (BLM). We identified 88,190 ha (10% of the study area) of habitats with reasonable restoration potential. Sixty-two percent of the primary population area (PPA) contained occupied, suitable, or potentially suitable habitat, leaving 38% that could be considered for oil and gas development. Although suitable LPCH habitat appears at first glance to be abundant in southeastern New Mexico, only a fraction of apparently suitable vegetation types constitute quality habitat. However, we identified habitat patches that could be restored through mesquite control or shin-oak reintroduction. The analysis also identified areas of unsuitable habitat with low restoration potential that could be targeted for oil and gas exploration, in lieu of occupied, high-quality habitats. Used in combination with GIS analysis and current LPCH population data, the habitat map represents a powerful conservation and management tool.

  17. GIS habitat analysis for lesser prairie-chickens in southeastern New Mexico

    PubMed Central

    Johnson, Kristine; Neville, Teri B; Neville, Paul

    2006-01-01

    Background We conducted Geographic Information System (GIS) habitat analyses for lesser prairie-chicken (LPCH, Tympanuchus pallidicinctus) conservation planning. The 876,799 ha study area included most of the occupied habitat for the LPCH in New Mexico. The objectives were to identify and quantify: 1. suitable LPCH habitat in New Mexico, 2. conversion of native habitats, 3. potential for habitat restoration, and 4. unsuitable habitat available for oil and gas activities. Results We found 16% of suitable habitat (6% of the study area) distributed in 13 patches of at least 3,200 ha and 11% of suitable habitat (4% of the study area) distributed in four patches over 7,238 ha. The area converted from native vegetation types comprised 17% of the study area. Ninety-five percent of agricultural conversion occurred on private lands in the northeastern corner of the study area. Most known herbicide-related conversions (82%) occurred in rangelands in the western part of the study area, on lands managed primarily by the US Bureau of Land Management (BLM). We identified 88,190 ha (10% of the study area) of habitats with reasonable restoration potential. Sixty-two percent of the primary population area (PPA) contained occupied, suitable, or potentially suitable habitat, leaving 38% that could be considered for oil and gas development. Conclusion Although suitable LPCH habitat appears at first glance to be abundant in southeastern New Mexico, only a fraction of apparently suitable vegetation types constitute quality habitat. However, we identified habitat patches that could be restored through mesquite control or shin-oak reintroduction. The analysis also identified areas of unsuitable habitat with low restoration potential that could be targeted for oil and gas exploration, in lieu of occupied, high-quality habitats. Used in combination with GIS analysis and current LPCH population data, the habitat map represents a powerful conservation and management tool. PMID:17144922

  18. Health workforce development: a needs assessment study in French speaking African countries.

    PubMed

    Chastonay, Philippe; Moretti, Roberto; Zesiger, Véronique; Cremaschini, Marco; Bailey, Rebecca; Pariyo, George; Kabengele, Emmanuel Mpinga

    2013-05-01

    In 2006, WHO alerted the world to a global health workforce crisis, demonstrated through critical shortages of health workers, primarily in Sub-Saharan Africa (WHO in World Health Report, 2006). The objective of our study was to assess, in a participative way, the educational needs for public health and health workforce development among potential trainees and training institutions in nine French-speaking African countries. A needs assessment was conducted in the target countries according to four approaches: (1) Review at national level of health challenges. (2) Semi-directed interviews with heads of relevant training institutions. (3) Focus group discussions with key-informants. (4) A questionnaire-based study targeting health professionals identified as potential trainees. A needs assessment showed important public health challenges in the field of health workforce development among the target countries (e.g. unequal HRH distribution in the country, ageing of HRH, lack of adequate training). It also showed a demand for education and training institutions that are able to offer a training programme in health workforce development, and identified training objectives and core competencies useful to potential employers and future trainees (e.g. leadership, planning/evaluation, management, research skill). In combining various approaches our study was able to show a general demand for health managers who are able to plan, develop and manage a nation's health workforce. It also identified specific competencies that should be developed through an education and training program in public health with a focus on health workforce development.

  19. SPEAR Trial: Smartphone Pediatric ElectrocARdiogram Trial

    PubMed Central

    Nguyen, Hoang H.; Van Hare, George F.; Rudokas, Michael; Bowman, Tammy; Silva, Jennifer N. A.

    2015-01-01

    Objectives Smartphone-enabled ECG devices have the potential to improve patient care by enabling remote ECG assessment of patients with potential and diagnosed arrhythmias. This prospective study aimed to assess the usefulness of pediatric ECG tracings generated by the AliveCor device (Oklahoma City, OK) and to assess user satisfaction. Study Design Enrolled pediatric patients with documented paroxysmal arrhythmia used the AliveCor device over a yearlong study period. Pediatric electrophysiologists reviewed all transmitted ECG tracings. Patient completed surveys were analyzed to assess user satisfaction. Results 35 patients were enrolled with the following diagnoses: supraventricular tachycardia (SVT, 57%), atrial fibrillation (AF, 11%), ectopic atrial tachycardia (EAT, 6%), atrial tachycardia (AT, 3%), and ventricular tachycardia (VT, 23%). A total of 238 tracings were received from 20 patients, 96% of which were of diagnostic quality for sinus rhythm, sinus tachycardia, SVT, and AF. 126 patient satisfaction surveys (64% from parents) were completed. 98% of the survey responses indicated that it was easy to obtain tracings, 93% found it easy to transmit the tracings, 98% showed added comfort in managing arrhythmia by having the device, and 93% showed interest in continued use of the device after the study period ended. Conclusions Smartphone-enabled ECG devices can generate tracings of diagnostic quality in children. User satisfaction was extremely positive. Use of the device to manage certain patients with AF and SVT showcases the future role of remote ECGs in the successful outpatient management of arrhythmias in children by potentially reducing Emergency Department visits and healthcare costs. PMID:26295569

  20. Customer relationship management in the contract pharmaceutical industry: an exploratory study for measuring success.

    PubMed

    Kros, John F; Nadler, Scott; Molis, Justin

    2007-01-01

    Managing customer relationships is a very important issue in business-to-business markets. This research investigates the growing number of available resources defining Customer Relationship Management (CRM) efforts, and how they are being applied within the Contract Pharmaceutical Manufacturing industry. Exploratory study results using face-to-face and telephone questionnaires based on four criteria for rating a company's CRM efforts are presented. Data was collected from large Contract Pharmaceutical Manufacturing companies in the US market. The results and conclusions are discussed relating how the Contract Pharmaceutical Manufacturing industry is implementing CRM including some potential steps to take when considering a CRM initiative.

  1. Determinants of public support for threatened and endangered species management: A case study of Cape Lookout National Seashore

    USGS Publications Warehouse

    Le, Lena; Bagstad, Kenneth J.; Cook, Philip S.; Leong, Kirsten M.; DiDonato, Eva

    2015-01-01

    Gaining public support for management actions is important to the success of public land management agencies’ efforts to protect threatened and endangered species. This is especially relevant at national parks, where managers balance two aspects of their conservation mission: to protect resources and to provide for public enjoyment. This study examined variables potentially associated with support for management actions at Cape Lookout National Seashore, a unit of the National Park Service. Two visitor surveys were conducted at the park at different seasons, and a resident survey was conducted for households in Carteret County, North Carolina, where the park is located. The goal of the project was to provide park managers with information that may help with the development of communication strategies concerning the park’s conservation mission. These communication strategies may help to facilitate mutual understanding and garner public support for management actions. Several variables were examined as potential determinants that park managers ought to consider when developing communication strategies. Multinomial logistic regression was applied to examine the relationships between these variables and the likelihood of support for or opposition to management actions. The variables examined included perceived shared values of park resources, general environmental attitudes, level of familiarity with park resources and regulations, knowledge about threatened and endangered species, level of trust in the decision-making process, and perceived shared values with park management. In addition, demographic variables such as income level, respondent age, residency status, and visitor type were also used. The results show that perceived values of threatened and endangered species, trust in park managers and the decision-making process, and perceived share values with park managers were among the strongest indicators of support for management actions. Different user groups also exhibited different levels of support, with groups engaged in specialized recreation activities (fishers) being the most likely to oppose management actions. While our findings are not surprising, they corroborate past research that has shown an effective communications strategy should be customized to target different audiences. In addition, management should focus on developing long-term relationships that build trust in and foster credibility of decision-making processes.

  2. Climate change and the effects of dengue upon Australia: An analysis of health impacts and costs

    NASA Astrophysics Data System (ADS)

    Newth, D.; Gunasekera, D.

    2010-08-01

    Projected regional warming and climate change analysis and health impact studies suggest that Australia is potentially vulnerable to increased occurrence of vector borne diseases such as dengue fever. Expansion of the dengue fever host, Aedes aegypti could potentially pose a significant public health risk. To manage such health risks, there is a growing need to focus on adaptive risk management strategies. In this paper, we combine analyses from climate, biophysical and economic models with a high resolution population model for disease spread, the EpiCast model to analyse the health impacts and costs of spread of dengue fever. We demonstrate the applicability of EpiCast as a decision support tool to evaluate mitigation strategies to manage the public health risks associated with shifts in the distribution of dengue fever in Australia.

  3. Savings estimate for a Medicare insured group

    PubMed Central

    Birnbaum, Howard; Holland, Stephen K.; Lenhart, Gregory; Reilly, Helena L.; Hoffman, Kevin; Pardo, Dennis P.

    1991-01-01

    Estimates of the savings potential of a managed-care program for a Medicare retiree population in Michigan under a hypothetical Medicare insured group (MIG) are presented in this article. In return for receiving an experience-rated capitation payment, a MIG would administer all Medicare and employer complementary benefits for its enrollees. A study of the financial and operational feasibility of implementing a MIG for retirees of a national corporation involving an analysis of 1986 claims data finds that selected managed-care initiatives implemented by a MIG would generate an annual savings of 3.8 percent of total (Medicare plus complementary) expenditures. Although savings are less than the 5 percent to be retained by Medicare, this finding illustrates the potential for savings from managed-care initiatives to Medicare generally and to MIGs elsewhere, where savings may be greater if constraints are less restrictive. PMID:10113700

  4. Physiology can contribute to better understanding, management, and conservation of coral reef fishes

    PubMed Central

    Rummer, Jodie L.

    2017-01-01

    Abstract Coral reef fishes, like many other marine organisms, are affected by anthropogenic stressors such as fishing and pollution and, owing to climate change, are experiencing increasing water temperatures and ocean acidification. Against the backdrop of these various stressors, a mechanistic understanding of processes governing individual organismal performance is the first step for identifying drivers of coral reef fish population dynamics. In fact, physiological measurements can help to reveal potential cause-and-effect relationships and enable physiologists to advise conservation management by upscaling results from cellular and individual organismal levels to population levels. Here, we highlight studies that include physiological measurements of coral reef fishes and those that give advice for their conservation. A literature search using combined physiological, conservation and coral reef fish key words resulted in ~1900 studies, of which only 99 matched predefined requirements. We observed that, over the last 20 years, the combination of physiological and conservation aspects in studies on coral reef fishes has received increased attention. Most of the selected studies made their physiological observations at the whole organism level and used their findings to give conservation advice on population dynamics, habitat use or the potential effects of climate change. The precision of the recommendations differed greatly and, not surprisingly, was least concrete when studies examined the effects of projected climate change scenarios. Although more and more physiological studies on coral reef fishes include conservation aspects, there is still a lack of concrete advice for conservation managers, with only very few published examples of physiological findings leading to improved management practices. We conclude with a call to action to foster better knowledge exchange between natural scientists and conservation managers to translate physiological findings more effectively in order to obtain evidence-based and adaptive management strategies for the conservation of coral reef fishes. PMID:28852508

  5. Investigating potential transferability of place-based research in land system science

    NASA Astrophysics Data System (ADS)

    Václavík, Tomáš; Langerwisch, Fanny; Cotter, Marc; Fick, Johanna; Häuser, Inga; Hotes, Stefan; Kamp, Johannes; Settele, Josef; Spangenberg, Joachim H.; Seppelt, Ralf

    2016-09-01

    Much of our knowledge about land use and ecosystem services in interrelated social-ecological systems is derived from place-based research. While local and regional case studies provide valuable insights, it is often unclear how relevant this research is beyond the study areas. Drawing generalized conclusions about practical solutions to land management from local observations and formulating hypotheses applicable to other places in the world requires that we identify patterns of land systems that are similar to those represented by the case study. Here, we utilize the previously developed concept of land system archetypes to investigate potential transferability of research from twelve regional projects implemented in a large joint research framework that focus on issues of sustainable land management across four continents. For each project, we characterize its project archetype, i.e. the unique land system based on a synthesis of more than 30 datasets of land-use intensity, environmental conditions and socioeconomic indicators. We estimate the transferability potential of project research by calculating the statistical similarity of locations across the world to the project archetype, assuming higher transferability potentials in locations with similar land system characteristics. Results show that areas with high transferability potentials are typically clustered around project sites but for some case studies can be found in regions that are geographically distant, especially when values of considered variables are close to the global mean or where the project archetype is driven by large-scale environmental or socioeconomic conditions. Using specific examples from the local case studies, we highlight the merit of our approach and discuss the differences between local realities and information captured in global datasets. The proposed method provides a blueprint for large research programs to assess potential transferability of place-based studies to other geographical areas and to indicate possible gaps in research efforts.

  6. Improving the effectiveness of health care innovation implementation: middle managers as change agents.

    PubMed

    Birken, Sarah A; Lee, Shoou-Yih Daniel; Weiner, Bryan J; Chin, Marshall H; Schaefer, Cynthia T

    2013-02-01

    The rate of successful health care innovation implementation is dismal. Middle managers have a potentially important yet poorly understood role in health care innovation implementation. This study used self-administered surveys and interviews of middle managers in health centers that implemented an innovation to reduce health disparities to address the questions: Does middle managers' commitment to health care innovation implementation influence implementation effectiveness? If so, in what ways does their commitment influence implementation effectiveness? Although quantitative survey data analysis results suggest a weak relationship, qualitative interview data analysis results indicate that middle managers' commitment influences implementation effectiveness when middle managers are proactive. Scholars should account for middle managers' influence in implementation research, and health care executives may promote implementation effectiveness by hiring proactive middle managers and creating climates in which proactivity is rewarded, supported, and expected.

  7. Tablet-Aided BehavioraL intervention EffecT on Self-management skills (TABLETS) for Diabetes.

    PubMed

    Lynch, Cheryl P; Williams, Joni S; J Ruggiero, Kenneth; G Knapp, Rebecca; Egede, Leonard E

    2016-03-22

    Multiple randomized controlled trials (RCTs) show that behavioral lifestyle interventions are effective in improving diabetes management and that comprehensive risk factor management improves cardiovascular disease (CVD) outcomes. The role of technology has been gaining strong support as evidence builds of its potential to improve diabetes management; however, evaluation of its impact in minority populations is limited. This study intends to provide early evidence of a theory-driven intervention, Tablet-Aided BehavioraL intervention EffecT on Self-management skills (TABLETS), using real-time videoconferencing for education and skills training. We examine the potential for TABLETS to improve health risk behaviors and reduce CVD risk outcomes among a low-income African American (AA) population with poorly controlled type 2 diabetes. The study is a two-arm, pilot controlled trial that randomizes 30 participants to the TABLETS intervention and 30 participants to a usual care group. Blinded outcome assessments will be completed at baseline, 2.5 months (immediate post-intervention), and 6.5 months (follow-up). The TABLETS intervention consists of culturally tailored telephone-delivered diabetes education and skills training delivered via videoconferencing on tablet devices, with two booster sessions delivered via tablet-based videoconferencing at 3 months and 5 months to stimulate ongoing use of the tablet device with access to intervention materials via videoconferencing slides and a manual of supplementary materials. The primary outcomes are physical activity, diet, medication adherence, and self-monitoring behavior, whereas the secondary outcomes are HbA1c, low-density lipoprotein cholesterol (LDL-C), BP, CVD risk, and quality of life. This study provides a unique opportunity to assess the feasibility and efficacy of a theory-driven, tablet-aided behavioral intervention that utilizes real-time videoconferencing technology for education and skills training on self-management behaviors and quality of life among a high-risk, low-income AA population with an uncontrolled dyad or triad of CVD risk factors (diabetes with or without hypertension or hyperlipidemia). The intervention leverages the use of novel technology for education and skill-building to foster improved diabetes self-management. The findings of this study will inform the process of disseminating the intervention to a broader and larger sample of people and can potentially be refined to align with clinical workflows that target a subsample of patients with poor diabetes self-management. The trial was registered in April 2014 with the United States National Institutes of Health Clinical Trials Registry (ClinicalTrials.gov identifier NCT02128854), available online at: http://clinicaltrials.gov/ct2/show/NCT02128854 .

  8. The Potential of Mobile Apps for Improving Asthma Self-Management: A Review of Publicly Available and Well-Adopted Asthma Apps.

    PubMed

    Tinschert, Peter; Jakob, Robert; Barata, Filipe; Kramer, Jan-Niklas; Kowatsch, Tobias

    2017-08-02

    Effective disease self-management lowers asthma's burden of disease for both individual patients and health care systems. In principle, mobile health (mHealth) apps could enable effective asthma self-management interventions that improve a patient's quality of life while simultaneously reducing the overall treatment costs for health care systems. However, prior reviews in this field have found that mHealth apps for asthma lack clinical evaluation and are often not based on medical guidelines. Yet, beyond the missing evidence for clinical efficacy, little is known about the potential apps might have for improving asthma self-management. The aim of this study was to assess the potential of publicly available and well-adopted mHealth apps for improving asthma self-management. The Apple App store and Google Play store were systematically searched for asthma apps. In total, 523 apps were identified, of which 38 apps matched the selection criteria to be included in the review. Four requirements of app potential were investigated: app functions, potential to change behavior (by means of a behavior change technique taxonomy), potential to promote app use (by means of a gamification components taxonomy), and app quality (by means of the Mobile Application Rating Scale [MARS]). The most commonly implemented functions in the 38 reviewed asthma apps were tracking (30/38, 79%) and information (26/38, 68%) functions, followed by assessment (20/38, 53%) and notification (18/38, 47%) functions. On average, the reviewed apps applied 7.12 of 26 available behavior change techniques (standard deviation [SD]=4.46) and 4.89 of 31 available gamification components (SD=4.21). Average app quality was acceptable (mean=3.17/5, SD=0.58), whereas subjective app quality lied between poor and acceptable (mean=2.65/5, SD=0.87). Additionally, the sum scores of all review frameworks were significantly correlated (lowest correlation: r 36 =.33, P=.04 between number of functions and gamification components; highest correlation: r 36 =.80, P<.001 between number of behavior change techniques and gamification components), which suggests that an app's potential tends to be consistent across review frameworks. Several apps were identified that performed consistently well across all applied review frameworks, thus indicating the potential mHealth apps offer for improving asthma self-management. However, many apps suffer from low quality. Therefore, app reviews should be considered as a decision support tool before deciding which app to integrate into a patient's asthma self-management. Furthermore, several research-practice gaps were identified that app developers should consider addressing in future asthma apps. ©Peter Tinschert, Robert Jakob, Filipe Barata, Jan-Niklas Kramer, Tobias Kowatsch. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 02.08.2017.

  9. The Potential of Mobile Apps for Improving Asthma Self-Management: A Review of Publicly Available and Well-Adopted Asthma Apps

    PubMed Central

    Tinschert, Peter; Jakob, Robert; Barata, Filipe; Kramer, Jan-Niklas

    2017-01-01

    Background Effective disease self-management lowers asthma’s burden of disease for both individual patients and health care systems. In principle, mobile health (mHealth) apps could enable effective asthma self-management interventions that improve a patient’s quality of life while simultaneously reducing the overall treatment costs for health care systems. However, prior reviews in this field have found that mHealth apps for asthma lack clinical evaluation and are often not based on medical guidelines. Yet, beyond the missing evidence for clinical efficacy, little is known about the potential apps might have for improving asthma self-management. Objective The aim of this study was to assess the potential of publicly available and well-adopted mHealth apps for improving asthma self-management. Methods The Apple App store and Google Play store were systematically searched for asthma apps. In total, 523 apps were identified, of which 38 apps matched the selection criteria to be included in the review. Four requirements of app potential were investigated: app functions, potential to change behavior (by means of a behavior change technique taxonomy), potential to promote app use (by means of a gamification components taxonomy), and app quality (by means of the Mobile Application Rating Scale [MARS]). Results The most commonly implemented functions in the 38 reviewed asthma apps were tracking (30/38, 79%) and information (26/38, 68%) functions, followed by assessment (20/38, 53%) and notification (18/38, 47%) functions. On average, the reviewed apps applied 7.12 of 26 available behavior change techniques (standard deviation [SD]=4.46) and 4.89 of 31 available gamification components (SD=4.21). Average app quality was acceptable (mean=3.17/5, SD=0.58), whereas subjective app quality lied between poor and acceptable (mean=2.65/5, SD=0.87). Additionally, the sum scores of all review frameworks were significantly correlated (lowest correlation: r36=.33, P=.04 between number of functions and gamification components; highest correlation: r36=.80, P<.001 between number of behavior change techniques and gamification components), which suggests that an app’s potential tends to be consistent across review frameworks. Conclusions Several apps were identified that performed consistently well across all applied review frameworks, thus indicating the potential mHealth apps offer for improving asthma self-management. However, many apps suffer from low quality. Therefore, app reviews should be considered as a decision support tool before deciding which app to integrate into a patient’s asthma self-management. Furthermore, several research-practice gaps were identified that app developers should consider addressing in future asthma apps. PMID:28768606

  10. First-line nurse managers in university hospitals--captives to their own professional culture?

    PubMed

    Viitanen, Elina; Wiili-Peltola, Erja; Tampsi-Jarvala, Tiina; Lehto, Juhani

    2007-01-01

    This study investigates whether first-line nurse managers in hospitals share common dispositions related to managerial work and leadership, what they are like, and what their relationship is with the various expectations set on them. The first data were collected by focus group interviews in the autumn of 2000 and analysed using qualitative content analysis and frame analysis. The second data set were part of a questionnaire survey addressed to the same managers in 2001 with a focus on their diverse leadership roles. Among first-line nurse managers, the management frameworks of a nurturing mother and an administrative nurse displayed the strongest prominence, and the emphasis seemed to be evolving towards the administrative. The results from the survey confirmed the findings of this study in relation to first-line nurse managers' management frameworks. The line of development found in this study may add to the permanence of operations and the stability of the operative culture at a university hospital. It may also diminish the opportunities for nursing development in university hospital wards and weaken the potential for a new kind of competence among both managers and their subordinates.

  11. Practice development: implementing a change of practice as a team.

    PubMed

    Covill, Carl; Hope, Angela

    2012-08-01

    Practice development (PD), as a framework for multiprofessional working, has immense potential, specifically within change management and the clinical governance agenda. It has been acknowledged as a vehicle for 'continuous improvement'. This article discusses PD through collaborative working using the example of a case study on change of practice in falls reduction within a localised community setting. The process is underpinned by a PD framework and facilitated by leaders of PD within a university setting. The article identifies that PD frameworks are conducive to developing leadership and management roles within a democratic process. The article discusses the potential for multiprofessional PD within the locality and further afield.

  12. Nanotechnology-based restorative materials for dental caries management

    PubMed Central

    Melo, Mary A.S.; Guedes, Sarah F.F.; Xu, Hockin H.K.; Rodrigues, Lidiany K.A.

    2013-01-01

    Nanotechnology has been applied to dental materials as an innovative concept for the development of materials with better properties and anticaries potential. In this review we discuss the current progress and future applications of functional nanoparticles incorporated in dental restorative materials as useful strategies to dental caries management. We also overview proposed antimicrobial and remineralizing mechanisms. Nanomaterials have great potential to decrease biofilm accumulation, inhibit the demineralization process, to be used for remineralizing tooth structure, and to combat caries-related bacteria. These results are encouraging and open the doors to future clinical studies that will allow the therapeutic value of nanotechnology-based restorative materials to be established. PMID:23810638

  13. Business education in veterinary schools: the potential role of the Veterinary Business Management Association.

    PubMed

    Kieves, Nina R; Roark, Andrew W; Sparks, Tonya K

    2007-01-01

    Studies have indicated the importance of business education in improving the income level attained by veterinarians and the quality of service they provide. The Veterinary Business Management Association (VBMA), a national organization of veterinary students, has the potential to augment veterinary curricula by providing additional education to help ensure professional success. Local chapters at 27 of the 28 veterinary colleges in the United States (as of 2007) supplement the curriculum by focusing on business topics. A national governing board oversees the chapters, helping to ensure that high-quality educational programs are conducted and providing a conduit for communication.

  14. Model or Myopia? Exploiting Water Markets to Address Population and Drought Risks in a Changing World

    NASA Astrophysics Data System (ADS)

    Reed, P. M.

    2012-12-01

    Climate change, population demands, and evolving land-use represent strong risks to the sustainable development and stability of world-wide urban water supplies. There is a growing consensus that non-structural supply management instruments such as water markets have significant potential to reduce the risks and vulnerabilities in complex urban water systems. This paper asks a common question, what are the tradeoffs for a city using water market supply instruments?. This question emerges quickly in policy and management, but its answer is deceptively difficult to attain using traditional planning tools and management frameworks. This research demonstrates new frameworks that facilitate rapid evaluation of hypotheses on the reliability, resiliency, adaptability, and cost-effectiveness of urban water supply systems. This study considers a broader exploration of the issues of "nonstationarity" and "uncertainty" in urban water planning. As we invest in new information and prediction frameworks for the coupled human-natural systems that define our water, our problem definitions (i.e., objectives, constraints, preferences, and hypotheses) themselves evolve. From a formal mathematical perspective, this means that our management problems are structurally uncertain and nonstationary (i.e., the definition of optimality changes across regions, times, and stakeholders). This uncertainty and nonstationarity in our problem definitions needs to be more explicitly acknowledged in adaptive management and integrated water resources management. This study demonstrates the potential benefits of exploring these issues in the context of a city in the Lower Rio Grande Valley (LRGV) of Texas, USA determining how to use its regional water market to manage population and drought risks.

  15. Reconciling Biodiversity Conservation and Timber Production in Mixed Uneven-Aged Mountain Forests: Identification of Ecological Intensification Pathways.

    PubMed

    Lafond, Valentine; Cordonnier, Thomas; Courbaud, Benoît

    2015-11-01

    Mixed uneven-aged forests are considered favorable to the provision of multiple ecosystem services and to the conciliation of timber production and biodiversity conservation. However, some forest managers now plan to increase the intensity of thinning and harvesting operations in these forests. Retention measures or gap creation are considered to compensate potential negative impacts on biodiversity. Our objectives were to assess the effect of these management practices on timber production and biodiversity conservation and identify potential compensating effects between these practices, using the concept of ecological intensification as a framework. We performed a simulation study coupling Samsara2, a simulation model designed for spruce-fir uneven-aged mountain forests, an uneven-aged silviculture algorithm, and biodiversity models. We analyzed the effect of parameters related to uneven-aged management practices on timber production, biodiversity, and sustainability indicators. Our study confirmed that the indicators responded differently to management practices, leading to trade-offs situations. Increasing management intensity had negative impacts on several biodiversity indicators, which could be partly compensated by the positive effect of retention measures targeting large trees, non-dominant species, and deadwood. The impact of gap creation was more mitigated, with a positive effect on the diversity of tree sizes and deadwood but a negative impact on the spruce-fir mixing balance and on the diversity of the understory layer. Through the analysis of compensating effects, we finally revealed the existence of possible ecological intensification pathways, i.e., the possibility to increase management intensity while maintaining biodiversity through the promotion of nature-based management principles (gap creation and retention measures).

  16. Meta-analysis of the effectiveness of chronic care management for diabetes: investigating heterogeneity in outcomes.

    PubMed

    Elissen, Arianne M J; Steuten, Lotte M G; Lemmens, Lidwien C; Drewes, Hanneke W; Lemmens, Karin M M; Meeuwissen, Jolanda A C; Baan, Caroline A; Vrijhoef, Hubertus J M

    2013-10-01

    The study aims to support decision making on how best to redesign diabetes care by investigating three potential sources of heterogeneity in effectiveness across trials of diabetes care management. Medline, CINAHL and PsycInfo were searched for systematic reviews and empirical studies focusing on: (1) diabetes mellitus; (2) adult patients; and (3) interventions consisting of at least two components of the chronic care model (CCM). Systematic reviews were analysed descriptively; empirical studies were meta-analysed. Pooled effect measures were estimated using a meta-regression model that incorporated study quality, length of follow-up and number of intervention components as potential predictors of heterogeneity in effects. Overall, reviews (n = 15) of diabetes care programmes report modest improvements in glycaemic control. Empirical studies (n = 61) show wide-ranging results on HbA1c, systolic blood pressure and guideline adherence. Differences between studies in methodological quality cannot explain this heterogeneity in effects. Variety in length of follow-up can explain (part of) the variability, yet not across all outcomes. Diversity in the number of included intervention components can explain 8-12% of the heterogeneity in effects on HbA1c and systolic blood pressure. The outcomes of chronic care management for diabetes are generally positive, yet differ considerably across trials. The most promising results are attained in studies with limited follow-up (<1 year) and by programmes including more than two CCM components. These factors can, however, explain only part of the heterogeneity in effectiveness between studies. Other potential sources of heterogeneity should be investigated to ensure implementation of evidence-based improvements in diabetes care. © 2012 John Wiley & Sons Ltd.

  17. A mixed-methods study of health worker migration from Jamaica.

    PubMed

    Tomblin Murphy, Gail; MacKenzie, Adrian; Waysome, Benjamin; Guy-Walker, Joan; Palmer, Rowena; Elliott Rose, Annette; Rigby, Janet; Labonté, Ronald; Bourgeault, Ivy Lynn

    2016-06-30

    This study sought to better understand the drivers of migration, its consequences, and the various strategies countries have employed to mitigate its negative impacts. The study was conducted in four countries-Jamaica, India, the Philippines, and South Africa-that have historically been 'sources' of health workers migrating to other countries. The aim of this paper is to present the findings from the Jamaica portion of the study. Data were collected using surveys of Jamaica's generalist and specialist physicians, nurses, midwives, and dental auxiliaries, as well as structured interviews with key informants representing government ministries, professional associations, regional health authorities, healthcare facilities, and educational institutions. Quantitative data were analyzed using descriptive statistics and regression models. Qualitative data were analyzed thematically. Multiple stakeholder engagement workshops were held across Jamaica to share and validate the study findings and discuss implications for the country. Migration of health workers from Jamaica continues to be prevalent. Its causes are numerous, long-standing, and systemic, and are largely based around differences in living and working conditions between Jamaica and 'destination' countries. There is minimal formal tracking of health worker migration from Jamaica, making scientific analysis of its consequences difficult. Although there is evidence of numerous national and international efforts to manage and mitigate the negative impacts of migration, there is little evidence of the implementation or effectiveness of such efforts. Potential additional strategies for better managing the migration of Jamaica's health workers include the use of information systems to formally monitor migration, updating the national cadre system for employment of health personnel, ensuring existing personnel management policies, such as bonding, are both clearly understood and equitably enforced, and providing greater formal and informal recognition of health personnel. Although historically common, migration of Jamaica's health workers is poorly monitored and understood. Improved management of the migration of Jamaica's health workers requires collaboration from stakeholders across multiple sectors. Indeed, participating stakeholders identified a wide range of potential strategies to better manage migration of Jamaica's health workers, the implementation and testing of which will have potential benefits to Jamaica as well as other 'source' countries.

  18. Plant polyphenols as natural drugs for the management of Down syndrome and related disorders.

    PubMed

    Vacca, Rosa Anna; Valenti, Daniela; Caccamese, Salvatore; Daglia, Maria; Braidy, Nady; Nabavi, Seyed Mohammad

    2016-12-01

    Polyphenols are secondary metabolites of plants largely found in fruits, vegetables, cereals and beverages, and therefore represent important constituents of the human diet. Increasing studies have demonstrated the potential beneficial effects of polyphenols on human health. Extensive reviews have discussed the protective effects of polyphenols against a series of diseases such as cancer, cardiovascular diseases, diabetes, and neurodegenerative disorders. Limited studies have investigated the potential therapeutic effects of these natural compounds on neurodevelopmental disorders associated with intellectual disability, such as Down syndrome (DS), for which mitochondrial dysfunctions and oxidative stress are hallmarks and contribute to the deleterious symptoms and cognitive decline. This review, starting from the structure, source, bioavailability and pharmacokinetics of relevant polyphenols, highlights recent studies on the effect and potential molecular mechanism(s) of action of the phenolic compounds epigallocatechin-3-gallate, resveratrol and hydroxytyrosol in restoring mitochondrial energy deficit and in reversing phenotypical alteration in DS. The clinical implications of plant polyphenol dietary supplements as therapeutic tools in managing DS and other intellectual disability-related diseases, is also discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. C balance, carbon dioxide emissions and global warming potentials in LCA-modelling of waste management systems.

    PubMed

    Christensen, Thomas H; Gentil, Emmanuel; Boldrin, Alessio; Larsen, Anna W; Weidema, Bo P; Hauschild, Michael

    2009-11-01

    Global warming potential (GWP) is an important impact category in life-cycle-assessment modelling of waste management systems. However, accounting of biogenic CO(2) emissions and sequestered biogenic carbon in landfills and in soils, amended with compost, is carried out in different ways in reported studies. A simplified model of carbon flows is presented for the waste management system and the surrounding industries, represented by the pulp and paper manufacturing industry, the forestry industry and the energy industry. The model calculated the load of C to the atmosphere, under ideal conditions, for 14 different waste management scenarios under a range of system boundary conditions and a constant consumption of C-product (here assumed to be paper) and energy production within the combined system. Five sets of criteria for assigning GWP indices to waste management systems were applied to the same 14 scenarios and tested for their ability to rank the waste management alternatives reflecting the resulting CO(2) load to the atmosphere. Two complete criteria sets were identified yielding fully consistent results; one set considers biogenic CO(2) as neutral, the other one did not. The results showed that criteria for assigning global warming contributions are partly linked to the system boundary conditions. While the boundary to the paper industry and the energy industry usually is specified in LCA studies, the boundary to the forestry industry and the interaction between forestry and the energy industry should also be specified and accounted for.

  20. Mineral resource assessment of selected areas in Clark and Nye Counties, Nevada [Chapters A-L

    USGS Publications Warehouse

    Ludington, Steve

    2006-01-01

    During 2004-2006, the U.S. Geological Survey conducted a mineral resource assessment of selected areas administered by the Bureau of Land Management in Clark and Nye Counties, Nevada. The purpose of this study is to provide the BLM with information for land planning and management and, specifically, to determine mineral resource potential in accordance with regulations in 43 CFR 2310, which governs the withdrawal of public lands. The Clark County Conservation of Public Land and Natural Resources Act of 2002 (Public Law 107-282) temporarily withdraws a group of areas designated as Areas of Critical Environmental Concern (ACECs) from mineral entry, pending final approval of an application for permanent withdrawal by the BLM. This study provides information about mineral resource potential of the ACECs. Existing information was compiled about the ACECs, including geology, geophysics, geochemistry, and mineral-deposit information. Field examinations of selected areas and mineral occurrences were conducted to determine their geologic setting and mineral potential.

  1. Identifying key areas of ecosystem services potential to improve ecological management in Chongqing City, southwest China.

    PubMed

    Xiao, Yang; Xiao, Qiang

    2018-03-29

    Because natural ecosystems and ecosystem services (ES) are both critical to the well-being of humankind, it is important to understand their relationships and congruence for conservation planning. Spatial conservation planning is required to set focused preservation priorities and to assess future ecological implications. This study uses the combined measures of ES models and ES potential to estimate and analyze all four groups of ecosystem services to generate opportunities to maximize ecosystem services. Subsequently, we identify the key areas of conservation priorities as future forestation and conservation hotspot zones to improve the ecological management in Chongqing City, located in the upper reaches of the Three Gorges Reservoir Area, China. Results show that ecosystem services potential is extremely obvious. Compared to ecosystem services from 2000, we determined that soil conservation could be increased by 59.11%, carbon sequestration by 129.51%, water flow regulation by 83.42%, and water purification by 84.42%. According to our prioritization results, approximately 48% of area converted to forests exhibited high improvements in all ecosystem services (categorized as hotspot-1, hotspot-2, and hotspot-3). The hotspots identified in this study can be used as an excellent surrogate for evaluation ecological engineering benefits and can be effectively applied in improving ecological management planning.

  2. Impacts of Human Recreation on Brown Bears (Ursus arctos): A Review and New Management Tool.

    PubMed

    Fortin, Jennifer K; Rode, Karyn D; Hilderbrand, Grant V; Wilder, James; Farley, Sean; Jorgensen, Carole; Marcot, Bruce G

    2016-01-01

    Increased popularity of recreational activities in natural areas has led to the need to better understand their impacts on wildlife. The majority of research conducted to date has focused on behavioral effects from individual recreations, thus there is a limited understanding of the potential for population-level or cumulative effects. Brown bears (Ursus arctos) are the focus of a growing wildlife viewing industry and are found in habitats frequented by recreationists. Managers face difficult decisions in balancing recreational opportunities with habitat protection for wildlife. Here, we integrate results from empirical studies with expert knowledge to better understand the potential population-level effects of recreational activities on brown bears. We conducted a literature review and Delphi survey of brown bear experts to better understand the frequencies and types of recreations occurring in bear habitats and their potential effects, and to identify management solutions and research needs. We then developed a Bayesian network model that allows managers to estimate the potential effects of recreational management decisions in bear habitats. A higher proportion of individual brown bears in coastal habitats were exposed to recreation, including photography and bear-viewing than bears in interior habitats where camping and hiking were more common. Our results suggest that the primary mechanism by which recreation may impact brown bears is through temporal and spatial displacement with associated increases in energetic costs and declines in nutritional intake. Killings in defense of life and property were found to be minimally associated with recreation in Alaska, but are important considerations in population management. Regulating recreation to occur predictably in space and time and limiting recreation in habitats with concentrated food resources reduces impacts on food intake and may thereby, reduce impacts on reproduction and survival. Our results suggest that decisions managers make about regulating recreational activities in time and space have important consequences for bear populations. The Bayesian network model developed here provides a new tool for managers to balance demands of multiple recreational activities while supporting healthy bear populations.

  3. The impacts of human recreation on brown bears (Ursus arctos): A review and new management tool

    USGS Publications Warehouse

    Fortin-noreus, Jennifer; Rode, Karyn D.; Hilderbrand, Grant V.; Wilder, James; Farley, Sean; Jorgensen, Carole; Marcot, Bruce G.

    2016-01-01

    Increased popularity of recreational activities in natural areas has led to the need to better understand their impacts on wildlife. The majority of research conducted to date has focused on behavioral effects from individual recreations, thus there is a limited understanding of the potential for population-level or cumulative effects. Brown bears (Ursus arctos) are the focus of a growing wildlife viewing industry and are found in habitats frequented by recreationists. Managers face difficult decisions in balancing recreational opportunities with habitat protection for wildlife. Here, we integrate results from empirical studies with expert knowledge to better understand the potential population-level effects of recreational activities on brown bears. We conducted a literature review and Delphi survey of brown bear experts to better understand the frequencies and types of recreations occurring in bear habitats and their potential effects, and to identify management solutions and research needs. We then developed a Bayesian network model that allows managers to estimate the potential effects of recreational management decisions in bear habitats. A higher proportion of individual brown bears in coastal habitats were exposed to recreation, including photography and bear-viewing than bears in interior habitats where camping and hiking were more common. Our results suggest that the primary mechanism by which recreation may impact brown bears is through temporal and spatial displacement with associated increases in energetic costs and declines in nutritional intake. Killings in defense of life and property were found to be minimally associated with recreation in Alaska, but are important considerations in population management. Regulating recreation to occur predictably in space and time and limiting recreation in habitats with concentrated food resources reduces impacts on food intake and may thereby, reduce impacts on reproduction and survival. Our results suggest that decisions managers make about regulating recreational activities in time and space have important consequences for bear populations. The Bayesian network model developed here provides a new tool for managers to balance demands of multiple recreational activities while supporting healthy bear populations.

  4. Impacts of Human Recreation on Brown Bears (Ursus arctos): A Review and New Management Tool

    PubMed Central

    Fortin, Jennifer K.; Rode, Karyn D.; Hilderbrand, Grant V.; Wilder, James; Farley, Sean; Jorgensen, Carole; Marcot, Bruce G.

    2016-01-01

    Increased popularity of recreational activities in natural areas has led to the need to better understand their impacts on wildlife. The majority of research conducted to date has focused on behavioral effects from individual recreations, thus there is a limited understanding of the potential for population-level or cumulative effects. Brown bears (Ursus arctos) are the focus of a growing wildlife viewing industry and are found in habitats frequented by recreationists. Managers face difficult decisions in balancing recreational opportunities with habitat protection for wildlife. Here, we integrate results from empirical studies with expert knowledge to better understand the potential population-level effects of recreational activities on brown bears. We conducted a literature review and Delphi survey of brown bear experts to better understand the frequencies and types of recreations occurring in bear habitats and their potential effects, and to identify management solutions and research needs. We then developed a Bayesian network model that allows managers to estimate the potential effects of recreational management decisions in bear habitats. A higher proportion of individual brown bears in coastal habitats were exposed to recreation, including photography and bear-viewing than bears in interior habitats where camping and hiking were more common. Our results suggest that the primary mechanism by which recreation may impact brown bears is through temporal and spatial displacement with associated increases in energetic costs and declines in nutritional intake. Killings in defense of life and property were found to be minimally associated with recreation in Alaska, but are important considerations in population management. Regulating recreation to occur predictably in space and time and limiting recreation in habitats with concentrated food resources reduces impacts on food intake and may thereby, reduce impacts on reproduction and survival. Our results suggest that decisions managers make about regulating recreational activities in time and space have important consequences for bear populations. The Bayesian network model developed here provides a new tool for managers to balance demands of multiple recreational activities while supporting healthy bear populations. PMID:26731652

  5. Sources and sinks of carbon in boreal ecosystems of interior Alaska: a review

    USGS Publications Warehouse

    Douglas, Thomas A.; Jones, Miriam C.; Hiemstra, Christopher A.

    2014-01-01

    Boreal regions store large quantities of carbon but are increasingly vulnerable to carbon loss due to disturbance and climate warming. The boreal region, underlain by discontinuous permafrost, presents a challenging landscape for itemizing current and potential carbon sources and sinks in the boreal soil and vegetation. The roles of fire, forest succession, and the presence (or absence) of permafrost on carbon cycle, vegetation, and hydrologic processes have been the focus of multidisciplinary research in this area for the past 20 years. However, projections of a warming future climate, an increase in fire severity and extent, and the potential degradation of permafrost could lead to major landscape process changes over the next 20 to 50 years. This provides a major challenge for predicting how the interplay between land management activities and impacts of climate warming will affect carbon sources and sinks in Interior Alaska. To assist land managers in adapting and managing for potential changes in the Interior Alaska carbon cycle we developed this review paper incorporating an overview of the climate, ecosystem processes, vegetation types, and soil regimes in Interior Alaska with a focus on ramifications for the carbon cycle. Our objective is to provide a synthesis of the most current carbon storage estimates and measurements to support policy and land management decisions on how to best manage carbon sources and sinks in Interior Alaska. To support this we have surveyed relevant peer reviewed estimates of carbon stocks in aboveground and belowground biomass for Interior Alaska boreal ecosystems. We have also summarized methane and carbon dioxide fluxes from the same ecosystems. These data have been converted into the same units to facilitate comparison across ecosystem compartments. We identify potential changes in the carbon cycle with climate change and human disturbance including how compounding disturbances can affect the boreal system. Finally, we provide recommendations to address the challenges facing land managers in efforts to manage carbon cycle processes. The results of this study can be used for carbon cycle management in other locations within the boreal biome which encompass a broad distribution from 45° to 83° north.

  6. The risky business of being an entomologist: A systematic review.

    PubMed

    Stanhope, Jessica; Carver, Scott; Weinstein, Philip

    2015-07-01

    Adverse work-related health outcomes are a significant problem worldwide. Entomologists, including arthropod breeders, are a unique occupational group exposed to potentially harmful arthropods, pesticides, and other more generic hazards. These exposures may place them at risk of a range of adverse work-related health outcomes. To determine what adverse work-related health outcomes entomologists have experienced, the incidence/prevalence of these outcomes, and what occupational management strategies have been employed by entomologists, and their effectiveness. A systematic search of eight databases was undertaken to identify studies informing the review objectives. Data pertaining to country, year, design, work-exposure, adverse work-related health outcomes, incidence/prevalence of these outcomes, and occupational management strategies were extracted, and reported descriptively. Results showed entomologists experienced work-related allergies, venom reactions, infections, infestations and delusional parasitosis. These related to exposure to insects, arachnids, chilopods and entognathans, and non-arthropod exposures, e.g. arthropod feed. Few studies reported the incidence/prevalence of such conditions, or work-related management strategies utilised by entomologists. There were no studies that specifically investigated the effectiveness of potential management strategies for entomologists as a population. Indeed, critical appraisal analysis indicated poor research quality in this area, which is a significant research gap. Entomologists are a diverse, unique occupational group, at risk of a range of adverse work-related health outcomes. This study represents the first systematic review of their work-related health risks. Future studies investigating the prevalence of adverse work-related health outcomes for entomologists, and the effectiveness of management strategies are warranted to decrease the disease burden of this otherwise understudied group. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Short-term stream water temperature observations permit rapid assessment of potential climate change impacts

    Treesearch

    Peter Caldwell; Catalina Segura; Shelby Gull Laird; Ge Sun; Steven G. McNulty; Maria Sandercock; Johnny Boggs; James M. Vose

    2015-01-01

    Assessment of potential climate change impacts on stream water temperature (Ts) across large scales remains challenging for resource managers because energy exchange processes between the atmosphere and the stream environment are complex and uncertain, and few long-term datasets are available to evaluate changes over time. In this study, we...

  8. Development and Validation of an Instrument for Early Assessment of Management Potential in a Mid-Size Chemical Company

    ERIC Educational Resources Information Center

    Zehner, Robert L.; Holton, Elwood F., III

    2004-01-01

    This study reports on development and concurrent validation of a competency instrument to identify potential leaders in a mid-size chemical company. Four competencies were identified: courageous problem solving, perceived energy, networking, and perceived motivation. Four different comparison groups were examined in logistic regression analyses.…

  9. The hardwood ecosystem experiment: extension and outreach

    Treesearch

    Brian J. MacGowan; Lenny D. Farlee; Robert N. Chapman

    2013-01-01

    The Hardwood Ecosystem Experiment (HEE) in Indiana is a long-term, large-scale experimental study of forest management and its impacts on plants and animals. Information from the HEE should and will be made available to a diverse group of potential users. This paper summarizes educational efforts during the pre-treatment period and highlights potential mechanisms and...

  10. Guidelines for contingency planning NASA (National Aeronautics and Space Administration) ADP security risk reduction decision studies

    NASA Technical Reports Server (NTRS)

    Tompkins, F. G.

    1984-01-01

    Guidance is presented to NASA Computer Security Officials for determining the acceptability or unacceptability of ADP security risks based on the technical, operational and economic feasibility of potential safeguards. The risk management process is reviewed as a specialized application of the systems approach to problem solving and information systems analysis and design. Reporting the results of the risk reduction analysis to management is considered. Report formats for the risk reduction study are provided.

  11. Potential Impacts of Increased Management Intensities on Planted Pine Growth and Yield and Timber Supply Modeling in the South

    Treesearch

    Jacek P. Siry; Frederick W. Cubbage; Andy J. Malmquist

    1999-01-01

    The South can increase pine productivity on its forest lands as increased timber prices make returns from intensified forest management more profitable. We determined the most likely management intensities on industrial lands resulting in five management intensity classes. They are used to estimate the potential growth and yield levels, and compare these to empirical...

  12. Reflection on Mobile Applications for Blood Pressure Management: A Systematic Review on Potential Effects and Initiatives.

    PubMed

    Mohammadi, Reyhaneh; Ayatolahi Tafti, Movahhedeh; Hoveidamanesh, Soodabeh; Ghanavati, Reza; Pournik, Omid

    2018-01-01

    Ischemic heart disease and stroke have been considered as the first global leading cause of death in last decades [1]. Blood pressure (BP) management is one of the easiest ways suggested for preventing and controlling cardiovascular diseases before the patient develops complications and death-following outcomes. Appearance of technology advancements in the health system has motivated researchers and health providers to study its different aspects and applications in order to improve disease prevention and management. Following these efforts, mobile health (mHealth) technologies were presented to provide people with fast and easier-to-use services. Although there are some unsolved challenges, these technologies have become popular among many people. As an important part of mHealth, mobile applications (apps) have been the focused subject of many studies in the last decade. The objective of this systematic review is to assess the potential effects of mobile apps designed for BP management by scrutinizing the related studies. Search methods: We searched the following electronic databases in December 2016: Medline (PubMed), National Center for Biotechnology Information (NCBI), Cochrane Central Register of Controlled Trials (CENTRAL), PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information Center(ERIC), Web of Science, ProQuest, and Google Scholar. No language restriction and start point limitation were imposed. We included studies that evaluated and assessed mobile apps for BP management and related clinical trials that considered mobile app as the only difference between intervention and control groups. Two review authors applied the eligibility criteria, extracted data and assessed the quality of included studies. Literature search resulted in 13 included studies and 27 reviews. 12 records of 13 included studies identified as interventional studies. The review showed that the mobile apps may improve individual's BP condition and medication adherence. Most of the studies had emphasized positive effects of mobile apps in BP management. However, there is a necessity for performing further investigations due to the identified issues in this study such as low number of participants and limited intervention period in randomized controlled trials, and interventions limited to only hypertensive or high-risked individual.

  13. Managing nuclear power plant induced disasters.

    PubMed

    Kyne, Dean

    2015-01-01

    To understand the management process of nuclear power plant (NPP) induced disasters. The study shields light on phases and issues associated with the NPP induced disaster management. This study uses Palo Verde Nuclear Generation Station as study subject and Arizona State as study area. This study uses the Radiological Assessment System for Consequence Analysis (RASCAL) Source Term to Dose (STDose) of the Nuclear Regulatory Commission, a computer software to project and assess the source term dose and release pathway. This study also uses ArcGIS, a geographic information system to analyze geospatial data. A detailed case study of Palo Verde Nuclear Power Generation (PVNPG) Plant was conducted. The findings reveal that the NPP induced disaster management process is conducted by various stakeholders. To save lives and to minimize the impacts, it is vital to relate planning and process of the disaster management. Number of people who expose to the radioactive plume pathway and level of radioactivity could vary depending on the speed and direction of wind on the day the event takes place. This study findings show that there is a need to address the burning issue of different racial and ethnic groups' unequal exposure and unequal protection to potential risks associated with the NPPs.

  14. Mineral Resources of the Black Mountains North and Burns Spring Wilderness Study Areas, Mohave County, Arizona

    USGS Publications Warehouse

    Conrad, James E.; Hill, Randall H.; Jachens, Robert C.; Neubert, John T.

    1990-01-01

    At the request of the U.S. Bureau of Land Management, approximately 19,300 acres of the Black Mountains North Wilderness Study Area (AZ-020-009) and 23,310 acres of the Burns Spring Wilderness Study Area (AZ-02D-010) were evaluated for mineral resources and mineral resource potential. In this report, the area studied is referred to, collectively or individually, as the 'wilderness study area' or simply 'the study area'; any reference to the Black Mountains North or Burns Spring Wilderness Study Areas refers only to that part of the wilderness study area for which a mineral survey was requested by the U.S. Bureau of Land Management. The study area is located in western Arizona, about 30 mi northwest of Kingman. There are no identified resources in the study area. An area surrounding the Portland mine and including the southern part of the Black Mountains North Wilderness Study Area and the extreme northwestern part of the Burns Spring Wilderness Study Area has high resource potential for gold and moderate resource potential for silver, lead, and mercury. The area surrounding this and including much of the northern part of the Burns Spring Wilderness Study Area has moderate potential for gold, silver, and lead. The northeastern corner of the Black Mountains North Wilderness Study Area has moderate potential for gold and low potential for silver, copper, and molybdenum resources. The central part, including the narrow strip of land just west of the central part, of the Black Mountains North Wilderness Study Area and the southern and extreme eastern parts of the Burns Spring Wilderness Study Area have low resource potential for gold. The central and southern parts of the Black Mountains North Wilderness Study Area and all but the southwestern part of the Burns Spring Wilderness Study Area have moderate resource potential for perlite. Moderate resource potential for zeolites is assigned to a large area around the Portland mine that includes parts of both study areas, to a narrow strip of land just west of the central part of the Black Mountains North Wilderness Study Area, and to all but the southwest corner of the Burns Spring Wilderness Study Area. There is no potential for oil and gas in either study area. Sand and gravel are present in both study areas, but abundant quantities of these resources are available closer to existing markets.

  15. Organisational performance and business continuity management: a theoretical perspective and a case study.

    PubMed

    Sawalha, Ihab Hanna Salman

    2013-01-01

    This paper seeks to extend the research relating to the strategic view of business continuity management (BCM) to the context of organisational performance (OP). It discusses potential performance consequences resulting from applying BCM aspects/elements within an organisation. The paper contributes to the understanding of the role of BCM in OP by discussing how deployment of BCM key aspects/elements can improve OP. Two main issues are discussed: first, background to performance and the elements of OP; and secondly, the role of BCM in achieving optimised OP. These issues are significant, as they go further than the extant literature relating to the significance of BCM and its potential influence on OP. The study focuses on Jordanian banks as a case study and as a way of illustrating how BCM helps improve OP for those organisations facing performance shortcomings or difficulties.

  16. Coupling Radar Rainfall to Hydrological Models for Water Abstraction Management

    NASA Astrophysics Data System (ADS)

    Asfaw, Alemayehu; Shucksmith, James; Smith, Andrea; MacDonald, Ken

    2015-04-01

    The impacts of climate change and growing water use are likely to put considerable pressure on water resources and the environment. In the UK, a reform to surface water abstraction policy has recently been proposed which aims to increase the efficiency of using available water resources whilst minimising impacts on the aquatic environment. Key aspects to this reform include the consideration of dynamic rather than static abstraction licensing as well as introducing water trading concepts. Dynamic licensing will permit varying levels of abstraction dependent on environmental conditions (i.e. river flow and quality). The practical implementation of an effective dynamic abstraction strategy requires suitable flow forecasting techniques to inform abstraction asset management. Potentially the predicted availability of water resources within a catchment can be coupled to predicted demand and current storage to inform a cost effective water resource management strategy which minimises environmental impacts. The aim of this work is to use a historical analysis of UK case study catchment to compare potential water resource availability using modelled dynamic abstraction scenario informed by a flow forecasting model, against observed abstraction under a conventional abstraction regime. The work also demonstrates the impacts of modelling uncertainties on the accuracy of predicted water availability over range of forecast lead times. The study utilised a conceptual rainfall-runoff model PDM - Probability-Distributed Model developed by Centre for Ecology & Hydrology - set up in the Dove River catchment (UK) using 1km2 resolution radar rainfall as inputs and 15 min resolution gauged flow data for calibration and validation. Data assimilation procedures are implemented to improve flow predictions using observed flow data. Uncertainties in the radar rainfall data used in the model are quantified using artificial statistical error model described by Gaussian distribution and propagated through the model to assess its influence on the forecasted flow uncertainty. Furthermore, the effects of uncertainties at different forecast lead times on potential abstraction strategies are assessed. The results show that over a 10 year period, an average of approximately 70 ML/d of potential water is missed in the study catchment under a convention abstraction regime. This indicates a considerable potential for the use of flow forecasting models to effectively implement advanced abstraction management and more efficiently utilize available water resources in the study catchment.

  17. An early-killed rye cover crop has potential for weed management in edamame

    USDA-ARS?s Scientific Manuscript database

    The potential role of fall-seeded cover crops for weed management in edamame is unknown. Field experiments were conducted over three edamame growing seasons to test the following objectives: 1) determine the extent to which cover crop residue management systems influence edamame emergence while sele...

  18. 7 CFR 1470.6 - Eligibility requirements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... producer must be the operator in the Farm Service Agency (FSA) farm records management system. Potential applicants that are not in the FSA farm records management system must establish records with FSA. Potential applicants whose records are not current in the FSA farm records management system must update those records...

  19. 7 CFR 1470.6 - Eligibility requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... producer must be the operator in the Farm Service Agency (FSA) farm records management system. Potential applicants that are not in the FSA farm records management system must establish records with FSA. Potential applicants whose records are not current in the FSA farm records management system must update those records...

  20. 7 CFR 1470.6 - Eligibility requirements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... producer must be the operator in the Farm Service Agency (FSA) farm records management system. Potential applicants that are not in the FSA farm records management system must establish records with FSA. Potential applicants whose records are not current in the FSA farm records management system must update those records...

  1. 7 CFR 1470.6 - Eligibility requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... producer must be the operator in the Farm Service Agency (FSA) farm records management system. Potential applicants that are not in the FSA farm records management system must establish records with FSA. Potential applicants whose records are not current in the FSA farm records management system must update those records...

  2. Modeling trade-offs between fire threat reduction and late-seral forest structure.

    Treesearch

    David E. Calkin; Susan Stevens Hummel; James K. Agee

    2005-01-01

    Evaluating the effects of managing for one forest resource in terms of associated impacts on other resources is not easy. Yet methods to identify potential trade-offs among forest resources are necessary to inform people about the implications of management options on public land. This paper uses a case study from a forest reserve in the northwestern United States to...

  3. Exploring New Potentials of Blogs for Learning: Can Children Use Blogs for Personal Information Management (PIM)?

    ERIC Educational Resources Information Center

    Yeo, Hwan-Ik; Lee, Yekyung Lisa

    2014-01-01

    This study explores the use of blogs for personal information management (PIM) as a learning tool that could bring increased efficiency and academic self-efficacy for carrying out learning tasks. In order to identify the uses and effects of using blogs for PIM by children, a control group that used personal spaces within the class website and an…

  4. Thinning and prescribed fire effects on overstory tree and snag structure in dry coniferous forests of the interior Pacific Northwest

    Treesearch

    Richy J. Harrod; David W. Peterson; Nicholas A. Povak; Erich Kyle Dodson

    2009-01-01

    Forest thinning and prescribed fires are practices used by managers to address concerns over ecosystem degradation and severe wildland fire potential in dry forests. There is some debate, however, about treatment effectiveness in meeting management objectives as well as their ecological consequences. The purpose of this study was to assess changes to forest stand...

  5. A Potential Approach for Low Flow Selection in Water Resource Supply and Management

    Treesearch

    Ying Ouyang

    2012-01-01

    Low flow selections are essential to water resource management, water supply planning, and watershed ecosystem restoration. In this study, a new approach, namely the frequent-low (FL) approach (or frequent-low index), was developed based on the minimum frequent-low flow or level used in minimum flows and/or levels program in northeast Florida, USA. This FL approach was...

  6. Incorporating Video Feedback into Self-Management Training to Promote Generalization of Social Initiations by Children with Autism

    ERIC Educational Resources Information Center

    Deitchman, Carole; Reeve, Sharon A.; Reeve, Kenneth F.; Progar, Patrick R.

    2010-01-01

    Self-monitoring is a well-studied and widely used self-management skill in which a person observes and records his or her own behavior. Video feedback (VFB) occurs when an instructor videotapes a child's performances and reviews the footage with the child and potentially allows the child to score or evaluate their own behavior. A multiple-probe…

  7. Privacy: The Small and Large of It

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

    NUSBAUM,ANNA W.

    1999-10-22

    The topic of Privacy is complex, multi-faceted, and often emotionally laden. This paper will cover the following topics, in an effort to further understanding of federal regulations and activities, the balancing act that necessarily occurs in business, and what role a records manager can play. The topics are: Definitions; The Privacy Act; ''Private'' companies; Potential areas of concern; Expectations; Corporate responsibilities; Case studies; and Records Manager's role.

  8. First Destination Transportation Study

    DTIC Science & Technology

    1978-03-03

    avoidance potentials on a daily procurement basis. A "total" sys- tematic cost evaluation program, including specific de - cision rules needed on an...implementation priority :x needed. The rec- ommended priority is as follows: [ (1) Develop improved system management concepts that will "form the framework ...priority as it provides the overall framework for better system management. Cost evaluation and CCSS Enhancement Programs deserve next consideration, as

  9. Stand development and yields of Appalachian hardwood stands managed with single-tree selection for at least 30 years

    Treesearch

    Neil I Lamson; H. Clay Smith; H. Clay Smith

    1991-01-01

    Appalachian hardwood stands in West Virginia were managed for 30 or more years using single-tree selection regeneration practices. Stand yield data suggest that current stand growth will provide economical harvest cuts for several future cutting cycles. This case study indicates that the single-tree selection practice has potential for landowners who want to maintain...

  10. Field-scale study of the influence of differing remediation strategies on trace metal geochemistry in metal mine tailings from the Irish Midlands.

    PubMed

    Perkins, William T; Bird, Graham; Jacobs, Suzanne R; Devoy, Cora

    2016-03-01

    Mine tailings represent a globally significant source of potentially harmful elements (PHEs) to the environment. The management of large volumes of mine tailings represents a major challenge to the mining industry and environmental managers. This field-scale study evaluates the impact of two highly contrasting remediation approaches to the management and stabilisation of mine tailings. The geochemistry of the tailings, overlying amendment layers and vegetation are examined in the light of the different management approaches. Pseudo-total As, Cd and Pb concentrations and solid-state partitioning (speciation), determined via sequential extraction, were established for two Tailings Management Facilities (TMFs) in Ireland subjected to the following: (1) a 'walk-away' approach (Silvermines) and (2) application of an amendment layer (Galmoy). PHE concentrations in roots and herbage of grasses growing on the TMFs were also determined. Results identify very different PHE concentration profiles with depth through the TMFs and the impact of remediation approach on concentrations and their potential bioavailability in the rooting zone of grass species. Data also highlight the importance of choice of grass species in remediation approaches and the benefits of relatively shallow-rooting Agrostis capillaris and Festuca rubra varieties. In addition, data from the Galmoy TMF indicate the importance of regional soil geochemistry for interpreting the influence of the PHE geochemistry of capping and amendment layers applied to mine tailings.

  11. Parasite pressures on feral honey bees (Apis mellifera sp.).

    PubMed

    Thompson, Catherine E; Biesmeijer, Jacobus C; Allnutt, Theodore R; Pietravalle, Stéphane; Budge, Giles E

    2014-01-01

    Feral honey bee populations have been reported to be in decline due to the spread of Varroa destructor, an ectoparasitic mite that when left uncontrolled leads to virus build-up and colony death. While pests and diseases are known causes of large-scale managed honey bee colony losses, no studies to date have considered the wider pathogen burden in feral colonies, primarily due to the difficulty in locating and sampling colonies, which often nest in inaccessible locations such as church spires and tree tops. In addition, little is known about the provenance of feral colonies and whether they represent a reservoir of Varroa tolerant material that could be used in apiculture. Samples of forager bees were collected from paired feral and managed honey bee colonies and screened for the presence of ten honey bee pathogens and pests using qPCR. Prevalence and quantity was similar between the two groups for the majority of pathogens, however feral honey bees contained a significantly higher level of deformed wing virus than managed honey bee colonies. An assessment of the honey bee race was completed for each colony using three measures of wing venation. There were no apparent differences in wing morphometry between feral and managed colonies, suggesting feral colonies could simply be escapees from the managed population. Interestingly, managed honey bee colonies not treated for Varroa showed similar, potentially lethal levels of deformed wing virus to that of feral colonies. The potential for such findings to explain the large fall in the feral population and the wider context of the importance of feral colonies as potential pathogen reservoirs is discussed.

  12. Basic Knowledge of Tracheoesophageal Fistula and Esophageal Atresia.

    PubMed

    Lee, Sura

    2018-02-01

    Tracheoesophageal fistula (TEF) and esophageal atresia (EA) are rare anomalies in neonates. Up to 50% of neonates with TEF/EA will have Vertebral anomalies (V), Anal atresia (A), Cardiac anomalies (C), Tracheoesophageal fistula (T), Esophageal atresia (E), Renal anomalies (R), and Limb anomalies (L) (VACTERL) association, which has the potential to cause serious morbidity. Timely management of the neonate can greatly impact the infant's overall outcome. Spreading latest evidence-based knowledge and sharing practical experience with clinicians across various levels of the neonatal intensive care unit and well-baby units have the potential to decrease the rate of morbidity and mortality. PubMed, CINAHL, Cochrane Review, and Google Scholar were used to search key words- tracheoesophageal fistula, esophageal atresia, TEF/EA, VACTERL, long gap, post-operative management, NICU, pediatric surgery-for articles that were relevant and current. Advancements in both technology and medicine have helped identify and decrease postsurgical complications. More understanding and clarity are needed to manage acid suppression and its effects in a timely way. Knowing the clinical signs of potential TEF/EA, clinicians can initiate preoperative management and expedite transfer to a hospital with pediatric surgeons who are experts in TEF/EA management to prevent long-term morbidity. Various methods of perioperative management exist, and future studies should look into standardizing perioperative care. Other areas of research should include acid suppression recommendation, reducing long-term morbidity seen in patients with TEF/EA, postoperative complications, and how we can safely and effectively decrease the length of time to surgery for long-gap atresia in neonates.

  13. Parasite Pressures on Feral Honey Bees (Apis mellifera sp.)

    PubMed Central

    Thompson, Catherine E.; Biesmeijer, Jacobus C.; Allnutt, Theodore R.; Pietravalle, Stéphane; Budge, Giles E.

    2014-01-01

    Feral honey bee populations have been reported to be in decline due to the spread of Varroa destructor, an ectoparasitic mite that when left uncontrolled leads to virus build-up and colony death. While pests and diseases are known causes of large-scale managed honey bee colony losses, no studies to date have considered the wider pathogen burden in feral colonies, primarily due to the difficulty in locating and sampling colonies, which often nest in inaccessible locations such as church spires and tree tops. In addition, little is known about the provenance of feral colonies and whether they represent a reservoir of Varroa tolerant material that could be used in apiculture. Samples of forager bees were collected from paired feral and managed honey bee colonies and screened for the presence of ten honey bee pathogens and pests using qPCR. Prevalence and quantity was similar between the two groups for the majority of pathogens, however feral honey bees contained a significantly higher level of deformed wing virus than managed honey bee colonies. An assessment of the honey bee race was completed for each colony using three measures of wing venation. There were no apparent differences in wing morphometry between feral and managed colonies, suggesting feral colonies could simply be escapees from the managed population. Interestingly, managed honey bee colonies not treated for Varroa showed similar, potentially lethal levels of deformed wing virus to that of feral colonies. The potential for such findings to explain the large fall in the feral population and the wider context of the importance of feral colonies as potential pathogen reservoirs is discussed. PMID:25126840

  14. An examination on the influence of small and medium enterprise (SME) stakeholder on green supply chain management practices

    NASA Astrophysics Data System (ADS)

    Shahlan, M. Z.; Sidek, A. A.; Suffian, S. A.; Hazza, M. H. F. A.; Daud, M. R. C.

    2018-01-01

    In this paper, climate change and global warming are the biggest current issues in the industrial sectors. The green supply chain managements (GSCM) is one of the crucial input to these issues. Effective GSCM can potentially secure the organization’s competitive advantage and improve the environmental performance of the network activities. In this study, the aim is to investigate and examine how a small and medium enterprises (SMEs) stakeholder pressure and top management influence green supply chain management practices. The study is further advance green supply chain management research in Malaysia focusing on SMEs manufacturing sector using structural equation modelling. Structural equation modelling is a multivariate statistical analysis technique used to examine structural relationship. It is the combination of factor analysis and multi regression analysis and used to analyse structural relationship between measure variable and latent factor. This research found that top management support and stakeholder pressure is the major influence for SMEs to adopt green supply chain management. The research also found that top management is fully mediate with the relationship between stakeholder pressure and monitoring supplier environmental performance.

  15. How Technology in Care at Home Affects Patient Self-Care and Self-Management: A Scoping Review

    PubMed Central

    Peeters, José M.; Wiegers, Therese A.; Friele, Roland D.

    2013-01-01

    The use of technology in care at home has potential benefits such as improved quality of care. This includes greater focus on the patients’ role in managing their health and increased patient involvement in the care process. The objective of this scoping review is to analyse the existing evidence for effects of technology in home-based care on patients’ self-care and self-management. Using suitable search terms we searched the databases of Pubmed, Embase, Cochrane Library, Cinahl, Picarta and NIVEL dating from 2002 to 2012. Thirty-three studies (six review studies and twenty-seven individual studies) were selected. Effects were extracted from each study and were classified. In almost all the studies, the concepts self-care and self-management are not clearly defined or operationalized. Therefore, based on a meta-analysis, we made a new classification of outcome measures, with hierarchical levels: (1) competence (2) illness-management (3) independence (social participation, autonomy). In general, patient outcomes appear to be positive or promising, but most studies were pilot studies. We did not find strong evidence that technology in care at home has (a positive) effect on patient self-care and self-management according to the above classification. Future research is needed to clarify how technology can be used to maximize its benefits. PMID:24173139

  16. Ecological requirements for pallid sturgeon reproduction and recruitment in the Missouri River—A synthesis of science, 2005 to 2012

    USGS Publications Warehouse

    Delonay, Aaron J.; Chojnacki, Kimberly A.; Jacobson, Robert B.; Albers, Janice L.; Braaten, Patrick J.; Bulliner, Edward A.; Elliott, Caroline M.; Erwin, Susannah O.; Fuller, David B; Haas, Justin D.; Ladd, Hallie L.A.; Mestl, Gerald E.; Papoulias, Diana M.; Wildhaber, Mark L.

    2016-01-20

    Scientific understanding of the ecological requirements of pallid sturgeon has increased almost exponentially in the last two decades, and efforts are now turning from understanding fundamental biology of the species to quantifying how population dynamics relate to potential management actions. Progress in developing the science needed to inform management actions on the Missouri River may benefit from continuation of monitoring of reproductive cycles, reproductive movements, growth, and survival of telemetry tagged adults, increased emphasis on focused, complementary field and laboratory studies of factors influencing early life history, implementation of studies to resolve the role of food limitations in growth, survival, and reproductive condition, and implementation of studies designed specifically to parameterize models linking management to populations.

  17. What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts.

    PubMed

    Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Bosch-Capblanch, Xavier; Wyss, Kaspar

    2015-01-01

    Ineffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana. All 21 district health managers working in three districts of the Eastern Region were included in the study and followed for a period of three months. Daily retrospective interviews about their time use were conducted, covering 1182 person-days of observation. Total time use of the sample population was assessed as well as time use stratified by managerial position. Differences of time use over time were also evaluated. District health managers used most of their working time for data management (16.6%), attending workshops (12.3%), financial management (8.7%), training of staff (7.1%), drug and supply management (5.0%), and travelling (9.6%). The study found significant variations of time use across the managerial cadres as well as high weekly variations of time use impulsed mainly by a national vertical program. District health managers in Ghana use substantial amounts of their working time in only few activities and vertical programs greatly influence their time use. Our findings suggest that efficiency gains are possible for district health managers. However, these are unlikely to be achieved without improvements within the general health system, as inefficiencies seem to be largely caused by external factors.

  18. The Use of Videogames, Gamification, and Virtual Environments in the Self-Management of Diabetes: A Systematic Review of Evidence.

    PubMed

    Theng, Yin-Leng; Lee, Jason W Y; Patinadan, Paul V; Foo, Schubert S B

    2015-10-01

    The use of videogames in healthcare interventions is gaining popularity, but there is still a gap in the understanding on how these types of interventions are used for the management of diabetes. The purpose of this review is to examine published research on the use of videogames for diabetes management. With the increased use of mobile technology, the review was expanded to understand whether games, gamification, and virtual environments can be used for diabetes self-management. Out of the 307 articles identified, only 10 articles met the inclusion criteria of the study. The duration of most studies was short, with small sample sizes. All interventions targeted behavioral changes examining risk reduction of diabetes-related risk and promotion of healthy behavior among study participants. Videogames appeared to be helpful tools for education in some interventions, whereas gamification and virtual environments increased extrinsic motivation and provided positive reinforcement. This review concludes by discussing the potential of using videogames and gamification for the self-management of diabetes.

  19. How can we improve the environmental sustainability of poultry production?

    PubMed

    Leinonen, Ilkka; Kyriazakis, Ilias

    2016-08-01

    The review presents results of recent life cycle assessment studies aiming to quantify and improve the environmental performance of UK poultry production systems, including broiler meat, egg and turkey meat production. Although poultry production has been found to be relatively environmentally friendly compared with the production of other livestock commodities, it still contributes to environmental impacts, such as global warming, eutrophication and acidification. Amongst different sub-processes, feed production and transport contributes about 70 % to the global warming potential of poultry systems, whereas manure management contributes about 40-60 % to their eutrophication potential and acidification potential, respectively. All these impacts can be reduced by improving the feed efficiency, either by changing the birds through genetic selection or by making the feed more digestible (e.g. by using additives such as enzymes). However, although genetic selection has the potential to reduce the resources needed for broiler production (including feed consumption), the changing need of certain feed ingredients, most notably protein sources as a result of changes in bird requirements may limit the benefits of this strategy. The use of alternative feed ingredients, such as locally grown protein crops and agricultural by-products, as a replacement of South American grown soya, can potentially also lead to improvements in several environmental impact categories, as long as such feeding strategies have no negative effect on bird performance. Other management options, such as improving poultry housing and new strategies for manure management have also the potential to further improve the environmental sustainability of the poultry industries in Europe.

  20. Managing 'Generation Y' occupational therapists: optimising their potential.

    PubMed

    Hills, Caroline; Ryan, Susan; Warren-Forward, Helen; Smith, Derek R

    2013-08-01

    'Generation Y' is a descriptor of those therapists born between 1982 and 2000. According to generational theory, each generation have unique characteristics due to the social and historical factors they have experienced during their formative years. Occupational therapy educators have reported on 'Generation Y' characteristics observed in occupational therapy students. This study aimed to investigate if managers considered there was a 'Generation Y' therapist and their observed characteristics in practice, as well as successful management strategies used to maximise their potential in the workplace. A hard copy survey based on the 'Generation Y' literature was sent to all managers listed on an Australian University database. Almost all respondents considered there was a 'Generation Y' therapist. Overall, managers reported characteristics of this staff group as being hard working, confident with technology, needing positive feedback and demanding professional development opportunities. Managers also reported that this group may be a challenge to retain in work positions. Managers also viewed 'Generation Y' staff as a positive energy and considered that in the future they will be of benefit to the profession. While there may be generational differences between therapists in the workplace, inclusive management styles may be the most appropriate management approach. Career guidance, facilitating creativity, increasing work responsibility and integrating new technologies like social networking into practice may be appropriate strategies for this staff group, to facilitate both their professional development and to retain them in the profession. © 2013 Occupational Therapy Australia.

  1. Emergent Risks In Critical Infrastructures

    NASA Astrophysics Data System (ADS)

    Dynes, Scott

    Firms cannot function successfully without managing a host of internal and external organizational and process interdependencies. Part of this involves business continuity planning, which directly aects how resilient arm and its business sector are in the face of disruptions. This paper presents the results of eld studies related to information risk management practices in the health care and retail sectors. The studies explore information risk management coordinating signals within and across rms in these sectors as well as the potential eects of cyber disruptions on the rms as stand-alone entities and as part of a critical infrastructure. The health care case study investigates the impact of the Zotob worm on the ability to deliver medical care and treatment. The retail study examines the resilience of certain elements of the food supply chain to cyber disruptions.

  2. Adapting environmental function analysis for management of protected areas in small islands--case of Pico Island (the Azores).

    PubMed

    Calado, Helena; Bragagnolo, Chiara; Silva, Susana; Vergílio, Marta

    2016-04-15

    Protected areas (PAs) are considered key priorities for ensuring long-term sustainability of small islands. The traditional approach of conservation versus development is currently being replaced by an approach of "win-win" relationships. During the last decades PAs have been increasingly requested to simultaneously ensure biodiversity conservation, mainstream ecosystem services into main development policies, and accounting for leisure-related revenues to sustain local and regional economies. Following this new paradigm, the Smartparks project (Planning and Management System for Small Islands Protected Areas), encompassing this study, aimed at an innovative approach for supporting the management of PAs in small islands. In this study, we propose a methodology based on Environmental Functional Analyses (EFA) to compare the potential for conservation and the potential for use of PAs that can be used not only on small islands but also in other territories. For this purpose, a set of environmental and socio-economic components was defined and selected indicators describing each component to calculate conservation and use/development functions of PAs were established. Pico Island, in the Azores archipelago (Portugal), was selected as the case study for testing the methodology. The EFA for all PAs of Pico Island was performed identifying those with more potential for conservation or for development of human activities, and also those with high levels of conflict. A total of 34 indicators was applied (assigning a value from 1 to 3) to the 22 PAs composing the INP of Pico Island: 44% were scored with a value of 1, in both ecological and social components; 22% and 29% were scored 3 in ecological and social components respectively. Social indicators were generally considered less important than environmental ones. In general, PAs presented higher values for conservation. The results further show that the potential for conservation and/or development was consistent with the IUCN category and the objectives assigned to each PA at the time of its classification. However, most PAs are located in the conflict zone of the EFA matrix, revealing a high interaction between PAs conservation objectives and human activities, which brings concern to decision makers and PAs managers. Despite several limitations, the method allowed the performances of PAs to be compared, providing a suitable tool to support rapid assessments and monitoring of PA networks in small islands. The adaptation of the EFA to the PA domain traces a new path for estimating the multiple values of PAs and it may contribute to improve PA management and decision-making. The method could be further included as part of scenario exercise and adaptive management, supporting the prediction of the future evolution of PAs and assessing their potential for conservation in the future throughout the proposed indicators. Thus, the methodology is not exclusive for small islands contexts and, with necessary adaptations and rescaling, it could be a powerful tool in PAs network management worldwide. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. A review on disaster risk mitigation in the oil and gas project

    NASA Astrophysics Data System (ADS)

    Rodhi, N. N.; Anwar, N.; Wiguna, I. P. A.

    2018-01-01

    In addition to the very complex risks, hazards potentially lead to disasters in the oil and gas projects. These risks can certainly be anticipated with the application of risk management, but an unsystematic and ineffective implementation of risk management will still bring adverse impacts. According to the eleven risk management principles in ISO 31000:2009, the application of risk management must pay attention to all aspects, both internal and external factors. Thus, this paper aims to identify variables that could affect the disaster mitigation efforts of oil and gas projects. This research began with literature study to determine the problems of risk management in oil and gas projects, so the affecting variables as the study objectives can be specified subsequently based on the literature review as well. The variables that must be considered in the efforts of disaster risk mitigation of oil and gas project are the risk factors and sustainability aspect.

  4. Adjunct High Frequency Transcutaneous Electric Stimulation (TENS) for Postoperative Pain Management during Weaning from Epidural Analgesia Following Colon Surgery: Results from a Controlled Pilot Study.

    PubMed

    Bjerså, Kristofer; Jildenstaal, Pether; Jakobsson, Jan; Egardt, Madelene; Fagevik Olsén, Monika

    2015-12-01

    The potential benefit of nonpharmacological adjunctive therapy is not well-studied following major abdominal surgery. The aim of the present study was to investigate transcutaneous electrical nerve stimulation (TENS) as a complementary nonpharmacological analgesia intervention during weaning from epidural analgesia (EDA) after open lower abdominal surgery. Patients were randomized to TENS and sham TENS during weaning from EDA. The effects on pain at rest, following short walk, and after deep breath were assessed by visual analog scale (VAS) grading. Number of patients assessed was lower than calculated because of change in clinical routine. Pain scores overall were low. A trend of lower pain scores was observed in the active TENS group of patients; a statistical significance between the groups was found for the pain lying prone in bed (p < .05). This controlled pilot study indicates benefits of TENS use in postoperative pain management during weaning from EDA after open colon surgery. Further studies are warranted in order to verify the potential beneficial effects from TENS during weaning from EDA after open, lower abdominal surgery. Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  5. Evaluating Soil Carbon Sequestration in Central Iowa

    NASA Astrophysics Data System (ADS)

    Doraiswamy, P. C.; Hunt, E. R.; McCarty, G. W.; Daughtry, C. S.; Izaurralde, C.

    2005-12-01

    The potential for reducing atmospheric carbon dioxide (CO2) concentration through landuse and management of agricultural systems is of great interest worldwide. Agricultural soils can be a source of CO2 when not properly managed but can also be a sink for sequestering CO2 through proper soil and crop management. The EPIC-CENTURY biogeochemical model was used to simulate the baseline level of soil carbon from soil survey data and project changes in soil organic carbon (SOC) under different tillage and crop management practices for corn and soybean crops. The study was conducted in central Iowa (50 km x 100 km) to simulate changes in soil carbon over the next 50 years. The simulations were conducted in two phases; initially a 25-year period (1971-1995) was simulated using conventional tillage practices since there was a transition in new management after 1995. In the second 25-year period (1996-2020), four different modeling scenarios were applied namely; conventional tillage, mulch tillage, no-tillage and no-tillage with a rye cover crop over the winter. The model simulation results showed potential gains in soil carbon in the top layers of the soil for conservation tillage. The simulations were made at a spatial resolution of 1.6 km x 1.6 km and mapped for the study area. There was a mean reduction in soil organic carbon of 0.095 T/ha per year over the 25-year period starting with 1996 for the conventional tillage practice. However, for management practices of mulch tillage, no tillage and no tillage with cover crop there was an increase in soil organic carbon of 0.12, 0.202 and 0.263 T/ha respectively over the same 25-year period. These results are in general similar to studies conducted in this region.

  6. Going up, going down: the experience, control and management of gestational diabetes mellitus among Southeast Asian migrant women living in urban Australia.

    PubMed

    Jirojwong, Sansnee; Brownhill, Suzanne; Dahlen, Hannah G; Johnson, Maree; Schmied, Virginia

    2017-08-01

    Issue addressed In many developed countries the rate of gestational diabetes mellitus (GDM) for Asian-born women is higher than other groups. Studies suggest that some women have limited knowledge of the disease and poor self-management leading to health problems for themselves and their baby. Few studies report the experience of GDM among Southeast Asian migrant women living in Australia and factors that influence their management of the disease. Methods A qualitative interpretive design was used to explore Southeast Asian migrant women's experience and management of GDM. Women diagnosed with the disease during pregnancy were recruited from an antenatal clinic at two Sydney metropolitan hospitals. Nineteen women were interviewed in their first language. Thematic analysis was used to analyse the data. Results A diagnosis of GDM conferred an unanticipated 'up and down' experience for this group of Southeast Asian women. Their experience of the disease, likened to an elevator ride, was modulated by 'insulin' and 'information' used to control the disease and manage blood glucose levels, dietary levels, exercise levels and anxiety levels. Conclusions Health promotion material that captures the fluctuating experience of GDM has the potential to help women, particularly at the time of diagnosis, to be better prepared, and health professionals to be better informed to control and manage the disease more effectively. So what? GDM is a serious problem. The model generated from our study has the potential to better inform health professionals to prepare women for the inevitable fluctuating physical and emotional effects of the disease. Culturally sensitive material and an educational strategy based on the model may also facilitate women's lifestyle changes and compliance, and improve migrant women's relationship with, and trust in, health professionals involved in their GDM care.

  7. Amniocentesis for PPROM management: a feasibility study.

    PubMed

    Lacerte, Maxime; Bujold, Emmanuel; Audibert, François; Mayrand, Marie-Hélène

    2008-08-01

    In Canada, most mothers whose amniotic membranes rupture before 34 weeks' gestation are hospitalized and delivered when signs of chorioamnionitis or fetal distress are observed or when a predetermined gestational age between 34 and 37 weeks is reached. This management approach can be questioned because in utero exposure to infection is a risk factor for cerebral palsy in neonates. Amniocentesis has the potential to detect markers of intra-amniotic infection. Our objective was to determine the acceptability of a randomized study comparing expectant management with amniocentesis-based management in women with premature rupture of the membranes. Between November 2005 and January 2007, we conducted a qualitative study involving 40 patients admitted to a tertiary care centre with premature rupture of the membranes between 28 and 34 weeks. The participants read an information booklet and answered a questionnaire. They were asked if they would agree to participate in a randomized study comparing expectant management with amniocentesis-based management. They graded the importance of a series of statements in their decision-making process. Seventy percent (28/40) of patients would have participated in the proposed study. Determining the presence of amniotic fluid infection or lung maturity was the main reason motivating their choice. The reasons for refusing to participate were related to complications of amniocentesis (fetal trauma, iatrogenic preterm labour, infection, or pain). The majority of patients with premature rupture of the membranes would participate in a study comparing expectant management to management based on amniocentesis results. This study helped us to better understand their motivations and fears.

  8. Some Observations from Behavioral Economics for Consideration in Promoting Money Management among Those with Substance Use Disorders

    PubMed Central

    Chivers, Laura L.; Higgins, Stephen T.

    2016-01-01

    Background Behavioral economics research has revealed systematic biases in decision making that merit consideration in efforts to promote money management skills among those with substance use disorders (SUDs). Objectives The objective of this article was to briefly review the literature on five of those biases (i.e., hyperbolic delay discounting, defaults and preference for the status quo, loss aversion, mental accounting, and failure to account for opportunity cost) that may have particular relevance to the topic of money management. Methods Selected studies are reviewed to illustrate these biases and how they may relate to efforts to promote money management skills among those with substance use disorders. Studies were identified by searching PubMed using the terms “behavioral economics” and “substance use disorders”, reviewing bibliographies of published articles, and discussions with colleagues. Results Only one of these biases (i.e., hyperbolic delay discounting) has been investigated extensively among those with SUDs. Indeed, it has been found to be sufficiently prevalent among those with SUDs to be considered as a potential risk factor for those disorders and certainly merits careful consideration in efforts to improve money management skills in that population. There has been relatively little empirical research reported regarding the other biases among those with SUDs, although they appear to be sufficiently fundamental to human behavior and relevant to the topic of money management (e.g., loss aversion) to also merit consideration. There is precedent of effective leveraging of behavioral economics principles in treatment development for SUDs (e.g., contingency management), including at least one intervention that explicitly focuses on money management (i.e., advisor–teller money management therapy). Conclusions and Scientific Significance The consideration of the systematic biases in human decision making that have been revealed in behavioral economics research has the potential to enhance efforts to devise effective strategies for improving money management skills among those with SUDs. PMID:22211484

  9. Some observations from behavioral economics for consideration in promoting money management among those with substance use disorders.

    PubMed

    Chivers, Laura L; Higgins, Stephen T

    2012-01-01

    Behavioral economics research has revealed systematic biases in decision making that merit consideration in efforts to promote money management skills among those with substance use disorders (SUDs). The objective of this article was to briefly review the literature on five of those biases (i.e., hyperbolic delay discounting, defaults and preference for the status quo, loss aversion, mental accounting, and failure to account for opportunity cost) that may have particular relevance to the topic of money management. Selected studies are reviewed to illustrate these biases and how they may relate to efforts to promote money management skills among those with substance use disorders. Studies were identified by searching PubMed using the terms "behavioral economics" and "substance use disorders", reviewing bibliographies of published articles, and discussions with colleagues. Only one of these biases (i.e., hyperbolic delay discounting) has been investigated extensively among those with SUDs. Indeed, it has been found to be sufficiently prevalent among those with SUDs to be considered as a potential risk factor for those disorders and certainly merits careful consideration in efforts to improve money management skills in that population. There has been relatively little empirical research reported regarding the other biases among those with SUDs, although they appear to be sufficiently fundamental to human behavior and relevant to the topic of money management (e.g., loss aversion) to also merit consideration. There is precedent of effective leveraging of behavioral economics principles in treatment development for SUDs (e.g., contingency management), including at least one intervention that explicitly focuses on money management (i.e., advisor-teller money management therapy). The consideration of the systematic biases in human decision making that have been revealed in behavioral economics research has the potential to enhance efforts to devise effective strategies for improving money management skills among those with SUDs.

  10. Medical-device risk management and public safety: using cost-benefit as a measurement of effectiveness

    NASA Astrophysics Data System (ADS)

    Hughes, Allen A.

    1994-12-01

    Public safety can be enhanced through the development of a comprehensive medical device risk management. This can be accomplished through case studies using a framework that incorporates cost-benefit analysis in the evaluation of risk management attributes. This paper presents a framework for evaluating the risk management system for regulatory Class III medical devices. The framework consists of the following sixteen attributes of a comprehensive medical device risk management system: fault/failure analysis, premarket testing/clinical trials, post-approval studies, manufacturer sponsored hospital studies, product labeling, establishment inspections, problem reporting program, mandatory hospital reporting, medical literature surveillance, device/patient registries, device performance monitoring, returned product analysis, autopsy program, emergency treatment funds/interim compensation, product liability, and alternative compensation mechanisms. Review of performance histories for several medical devices can reveal the value of information for many attributes, and also the inter-dependencies of the attributes in generating risk information flow. Such an information flow network is presented as a starting point for enhancing medical device risk management by focusing on attributes with high net benefit values and potential to spur information dissemination.

  11. What's in a bin: A case study of dental clinical waste composition and potential greenhouse gas emission savings.

    PubMed

    Richardson, J; Grose, J; Manzi, S; Mills, I; Moles, D R; Mukonoweshuro, R; Nasser, M; Nichols, A

    2016-01-22

    Dental practices have a unique position as dental staff use a high number of dental materials and instruments on a daily basis. It is unclear how dentists' and dental care professionals' choices and behaviours around selecting and using materials impact on the amount of unnecessary waste production. Although there are a number of articles exploring the quality and quantity of waste in dental practices, there are no studies on organisational strategies to decrease unnecessary waste. There is no clear economic analysis of the impact on associated cost to dental practices which consequently can affect the access of dental care for disadvantaged groups. This study used an audit approach to explore the potential for sustainability in dental practice by measuring the nature and quantity of dental clinical waste, and assessing the feasibility of measuring the financial costs and potential carbon savings in the management of dental clinical waste. The data from our study would appear to support the view that it is possible to reduce carbon emissions and increase profitability. Successful implementation of an environmentally sustainable approach to waste management will be dependent on the practicalities involved and the financial incentives for adopting such practices.

  12. Analysis of Stakeholder's Behaviours for an Improved Management of an Agricultural Coastal Region in Oman

    NASA Astrophysics Data System (ADS)

    Khatri, Ayisha Al; Jens, Grundmann; der Weth Rüdiger, van; Niels, Schütze

    2015-04-01

    Al Batinah coastal area is the main agricultural region in Oman. Agriculture is concentrated in Al Batinah, because of more fertile soils and easier access to water in the form of groundwater compared to other administrative areas in the country. The region now is facing a problem as a result of over abstraction of fresh groundwater for irrigation from the main aquifer along the coast. This enforces the inflow of sea water into the coastal aquifer and causes salinization of the groundwater. As a consequence the groundwater becomes no longer suitable for irrigation which impacts the social and economical situation of farmers as well as the environment. Therefore, the existing situation generates conflicts between different stakeholders regarding water availability, sustainable aquifer management, and profitable agricultural production in Al Batinah region. Several management measures to maintain the groundwater aquifer in the region, were implemented by the government. However, these solutions showed only limited successes for the existing problem. The aim of this study now is to evaluate the implementation potential of several management interventions and their combinations by analysing opinions and responses of all relevant stakeholders in the region. This is done in order to identify potential conflicts among stakeholders to a participatory process within the frame of an integrated water resources management and to support decision makers in taking more informed decisions. Questionnaires were designed for collecting data from different groups of stakeholders e.g. water professionals, farmers from the study area and decision makers of different organizations and ministries. These data were analysed statistically for each group separately as well as regarding relations amongst groups by using the SPSS (Statistical Package for Social Science) software package. Results show, that the need to improve the situation is supported by all groups. However, significant differences exist between groups on how to achieve this improvement, since farmers prefer management interventions operating more on the water resources side while decision makers support measures for a better management on the water demand side. Furthermore, the opinions within single groups are sometimes contradicting for several management interventions. The use of more advanced statistical methods like discriminant analysis or Bayesian network allow for identifying factors and drivers to explain these differences. Both approaches, will help to understand stakeholder's behaviours and to evaluate the implementation potential of several management interventions. Keywords IWRM, Stakeholder participation, field survey, statistical analysis, Oman

  13. Analysis of the UCSF Symptom Management Theory: Implications for Pediatric Oncology Nursing

    PubMed Central

    Linder, Lauri

    2015-01-01

    Symptom management research is a priority for both children and adults with cancer. The UCSF Symptom Management Theory (SMT) is a middle range theory depicting symptom management as a multidimensional process. A theory analysis using the process described by Walker and Avant evaluated the SMT with attention to application in research involving children with cancer. Application of the SMT in studies involving children has been limited to descriptive studies testing only portions of the theory. Findings of these studies have provided empiric support for the relationships proposed within the SMT. Considerations for future research involving children include attention to measurement of symptoms and clarity regarding the location of the parents and family within the model. With additional testing and refinement, the SMT has the potential to guide nursing research and practice to improve symptoms for children with cancer. PMID:20639345

  14. Growing the Field: Current Approaches to Data Collection at Farmers' Markets.

    PubMed

    Karpyn, Allison; Kim, Sonia A; DaCosta, Rosa V; Gasinu, Sika; Law, Yi-Ming

    There is limited published research about the dietary impacts of farmers' markets. We sought to understand whether market managers collect data about markets and to examine the instruments and strategies used. Of the 359 market managers contacted across the United States, representing 543 markets, 185 managers participated in a telephone survey. A subset supplied copies of data collection tools for further analysis. Ninety-three percent of market managers collect data such as customer surveys, vendor applications, customer counts, or demographics. The potential utility of the data collected by mangers and suggestions for study of the dietary impacts of farmers markets are discussed.

  15. What tourist business managers must learn from disaster research.

    PubMed

    Drabek, Thomas E

    2016-01-01

    Death and social disruption caused by disasters of varying forms will continue to increase in the future. So too will the impacts on tourism, now one of the fastest growing and largest sectors of the worldwide economy. Tourist business managers must implement evidence-based preparedness activities to enhance the survival potential and future profitability of their firms. Drawing upon recent research studies of the tourist industry during times of crisis and the broad social science knowledge base regarding human responses to disaster, seven key lessons are described. Emergency managers must facilitate the incorporation of these lessons into the culture of tourist business managers.

  16. Can species traits predict the susceptibility of riverine fish to water resource development? An Australian case study.

    PubMed

    Rolls, Robert J; Sternberg, David

    2015-06-01

    Water resource developments alter riverine environments by disrupting longitudinal connectivity, transforming lotic habitats, and modifying in-stream hydraulic conditions. Effective management of anthropogenic disturbances therefore requires an understanding of the range of potential ecosystem effects and the inherent traits symptomatic of elevated vulnerability to disturbance. Using 42 riverine fish native to South Eastern Australia as a case study, we quantified six morphological, behavioral, and life-history traits to classify species into groups reflecting potential differences in their response to ecosystem changes as a result of water resource development. Classification analysis identified five strategies based on fish life-history dispersal requirements, climbing potential, and habitat preference. These strategies in turn highlight the potential species at risk from the separate impacts of water resource development and inform management decisions to mitigate those risks. Swimming ability did not contribute to distinguishing species into functional groups, likely due to methodological inconsistencies in quantifying swimming performance that may ultimately hinder the ability of fish passage facilities to function within the physical capabilities of species at risk of habitat fragmentation. This study improves our ability to predict the performance of groups of species at risk from the multiple environmental changes imposed by humans and goes beyond broad-scale dispersal requirements as a predictor of individual species response.

  17. Care Management in Germany and the U.S.: An Expanded Laboratory

    PubMed Central

    Pittman, Patricia M.; Arnold, Sharon B.; Schlette, Sophia

    2005-01-01

    Germany and the U.S. share a keen interest in exploring the potential of care management programs for the chronically ill. Despite obvious health system differences, in both countries there has been a proliferation of disease management models, initiated by a variety of actors, paid for in different ways, targeting different types of population groups, and encompassing a broad menu of interventions and services. Comparison of three case studies from the U.S. and four from Germany reveals greater differences among models within countries than between them. PMID:17288074

  18. A new specimen management system using RFID technology.

    PubMed

    Shim, Hun; Uh, Young; Lee, Seung Hwan; Yoon, Young Ro

    2011-12-01

    The specimen management system with barcode needs to be improved in order to solve inherent problems in work performance. This study describes the application of Radio Frequency Identification (RFID) which is the solution for the problems associated with specimen labeling and management. A new specimen management system and architecture with RFID technology for clinical laboratory was designed. The suggested system was tested in various conditions such as durability to temperature and aspect of effective utilization of new work flow under a virtual hospital clinical laboratory environment. This system demonstrates its potential application in clinical laboratories for improving work flow and specimen management. The suggested specimen management system with RFID technology has advantages in comparison to the traditional specimen management system with barcode in the aspect of mass specimen processing, robust durability of temperature, humidity changes, and effective specimen tracking.

  19. The sensitivity of current and future forest managers to climate-induced changes in ecological processes.

    PubMed

    Seidl, Rupert; Aggestam, Filip; Rammer, Werner; Blennow, Kristina; Wolfslehner, Bernhard

    2016-05-01

    Climate vulnerability of managed forest ecosystems is not only determined by ecological processes but also influenced by the adaptive capacity of forest managers. To better understand adaptive behaviour, we conducted a questionnaire study among current and future forest managers (i.e. active managers and forestry students) in Austria. We found widespread belief in climate change (94.7 % of respondents), and no significant difference between current and future managers. Based on intended responses to climate-induced ecosystem changes, we distinguished four groups: highly sensitive managers (27.7 %), those mainly sensitive to changes in growth and regeneration processes (46.7 %), managers primarily sensitive to regeneration changes (11.2 %), and insensitive managers (14.4 %). Experiences and beliefs with regard to disturbance-related tree mortality were found to particularly influence a manager's sensitivity to climate change. Our findings underline the importance of the social dimension of climate change adaptation, and suggest potentially strong adaptive feedbacks between ecosystems and their managers.

  20. Projected climate and vegetation changes and potential biotic effects for Fort Benning, Georgia; Fort Hood, Texas; and Fort Irwin, California

    USGS Publications Warehouse

    Shafer, S.L.; Atkins, J.; Bancroft, B.A.; Bartlein, P.J.; Lawler, J.J.; Smith, B.; Wilsey, C.B.

    2012-01-01

    The responses of species and ecosystems to future climate changes will present challenges for conservation and natural resource managers attempting to maintain both species populations and essential habitat. This report describes projected future changes in climate and vegetation for three study areas surrounding the military installations of Fort Benning, Georgia, Fort Hood, Texas, and Fort Irwin, California. Projected climate changes are described for the time period 2070–2099 (30-year mean) as compared to 1961–1990 (30-year mean) for each study area using data simulated by the coupled atmosphere-ocean general circulation models CCSM3, CGCM3.1(T47), and UKMO-HadCM3, run under the B1, A1B, and A2 future greenhouse gas emissions scenarios. These climate data are used to simulate potential changes in important components of the vegetation for each study area using LPJ, a dynamic global vegetation model, and LPJ-GUESS, a dynamic vegetation model optimized for regional studies. The simulated vegetation results are compared with observed vegetation data for the study areas. Potential effects of the simulated future climate and vegetation changes for species and habitats of management concern are discussed in each study area, with a particular focus on federally listed threatened and endangered species.

  1. Using intensive case management to reduce violence by mentally ill persons in the community.

    PubMed

    Dvoskin, J A; Steadman, H J

    1994-07-01

    Aggressive and intensive case management and a comprehensive array of community support services are the keys to reducing the risk of violence by people with serious mental illness in the community. The authors describe the elements of intensive case management for potentially violent clients, including use of individual case managers responsible for small caseloads, 24-hour availability of case managers, and strong linkages to agencies providing mental health services, substance abuse treatment, and social services as well as to the criminal justice system. They summarize the results of three recent studies of intensive case management programs suggesting that this intervention is effective in reducing clients' dangerousness in the community. They discuss cultural and human resource issues that affect planning of intensive case management services. Intensive case managers need to be "boundary spanners" with the training, experience, and personality to bridge the often-broad gap between human service and criminal justice systems.

  2. Knowledge Management Orientation: An Innovative Perspective to Hospital Management

    PubMed Central

    GHASEMI, Matina; GHADIRI NEJAD, Mazyar; BAGZIBAGLI, Kemal

    2017-01-01

    Background: By considering innovation as a new project in hospitals, all the project management’s standard steps should be followed in execution. This study investigated the validation of a new set of measures in terms of providing a procedure for knowledge management-oriented innovation that enriches the hospital management system. Methods: The relation between innovation and all the knowledge management areas, as the main constructs of project management, was illustrated by referring to project management standard steps and previous studies. Through consultations and meetings with a committee of professional project managers, a questionnaire was developed to measure ten knowledge management areas in hospital’s innovation process. Additionally, a group of experts from hospital managers were invited to comment on the applicability of the questionnaires by considering if the items are measurable in hospitals practically. Results: A close-ended, Likert-type scale items, consisted of ten sections, were developed based on project management body of knowledge thorough Delphi technique. It enables the managers to evaluate hospitals’ situation to be aware whether the organization follows the knowledge management standards in innovation process or not. By pilot study, confirmatory factor analysis and exploratory factor analysis were conducted to ensure the validity and reliability of the measurement items. Conclusion: The developed items seem to have a potential to help hospital managers and subsequently delivering new products/services successfully based on the standard procedures in their organization. In all innovation processes, the knowledge management areas and their standard steps help hospital managers by a new tool as questionnaire format. PMID:29259938

  3. Innovative railroad information displays : executive summary

    DOT National Transportation Integrated Search

    1998-01-01

    The objectives ofthis study were to explore the potential of advanced digital technology, : novel concepts of information management, geographic information databases and : display capabilities in order to enhance planning and decision-making process...

  4. British Airways' pre-command training program

    NASA Technical Reports Server (NTRS)

    Holdstock, L. F. J.

    1980-01-01

    Classroom, flight simulator, and in-flight sessions of an airline pilot training program are briefly described. Factors discussed include initial command potential assessment, precommand airline management studies course, precommand course, and command course.

  5. Customer-Specific Transaction Risk Management in E-Commerce

    NASA Astrophysics Data System (ADS)

    Ruch, Markus; Sackmann, Stefan

    Increasing potential for turnover in e-commerce is inextricably linked with an increase in risk. Online retailers (e-tailers), aiming for a company-wide value orientation should manage this risk. However, current approaches to risk management either use average retail prices elevated by an overall risk premium or restrict the payment methods offered to customers. Thus, they neglect customer-specific value and risk attributes and leave turnover potentials unconsidered. To close this gap, an innovative valuation model is proposed in this contribution that integrates customer-specific risk and potential turnover. The approach presented evaluates different payment methods using their risk-turnover characteristic, provides a risk-adjusted decision basis for selecting payment methods and allows e-tailers to derive automated risk management decisions per customer and transaction without reducing turnover potential.

  6. Adoption of online health management tools among healthy older adults: An exploratory study.

    PubMed

    Zettel-Watson, Laura; Tsukerman, Dmitry

    2016-06-01

    As the population ages and chronic diseases abound, overburdened healthcare systems will increasingly require individuals to manage their own health. Online health management tools, quickly increasing in popularity, have the potential to diminish or even replace in-person contact with health professionals, but overall efficacy and usage trends are unknown. The current study explored perceptions and usage patterns among users of online health management tools, and identified barriers and barrier-breakers among non-users. An online survey was completed by 169 computer users (aged 50+). Analyses revealed that a sizable minority (37%) of participants use online health management tools and most users (89%) are satisfied with these tools, but a limited range of tools are being used and usage occurs in relatively limited domains. Improved awareness and education for online health management tools could enhance people's abilities to remain at home as they age, reducing the financial burden on formal assistance programs. © The Author(s) 2014.

  7. Key principles of community-based natural resource management: a synthesis and interpretation of identified effective approaches for managing the commons.

    PubMed

    Gruber, James S

    2010-01-01

    This article examines recent research on approaches to community-based environmental and natural resource management and reviews the commonalities and differences between these interdisciplinary and multistakeholder initiatives. To identify the most effective characteristics of Community-based natural resource management (CBNRM), I collected a multiplicity of perspectives from research teams and then grouped findings into a matrix of organizational principles and key characteristics. The matrix was initially vetted (or "field tested") by applying numerous case studies that were previously submitted to the World Bank International Workshop on CBNRM. These practitioner case studies were then compared and contrasted with the findings of the research teams. It is hoped that the developed matrix may be useful to researchers in further focusing research, understanding core characteristics of effective and sustainable CBNRM, providing practitioners with a framework for developing new CBNRM initiatives for managing the commons, and providing a potential resource for academic institutions during their evaluation of their practitioner-focused environmental management and leadership curriculum.

  8. The quality of emergency room radiograph interpretations.

    PubMed

    McLain, P L; Kirkwood, C R

    1985-05-01

    Primary care physicians often make patient management decisions based in part on their own interpretations of radiographs. This important area of clinical decision making has not been previously analyzed in the literature. In this series of 294 consecutive radiographs from rural practice, interpretative disagreement between primary care providers and backup radiologists occurred 9.2 percent of the time, a discordance rate similar to that seen among radiologists in other studies. Although a majority of the films for which interpretative disagreement occurred had potential implications for influencing patient management, in only seven cases did actual case management vary from appropriate norms. Follow-up of cases where interpretative disagreement occurred revealed that in only two cases did unsatisfactory outcomes occur. Primary care physicians can provide high-quality radiographic interpretations that, when coupled with clinical information, yield extremely low rates of error or potential for poor patient outcomes.

  9. The law of incidental findings in human subjects research: establishing researchers' duties.

    PubMed

    Wolf, Susan M; Paradise, Jordan; Caga-anan, Charlisse

    2008-01-01

    Research technologies can now produce so much information that there is significant potential for incidental findings (IFs). These are findings generated in research that are beyond the aims of the study. Current law and federal regulations offer no direct guidance on how to deal with IFs in research, nor is there adequate professional or institutional guidance. We advocate a defined set of researcher duties based on law and ethics and recommend a pathway to be followed in handling IFs in research. This article traces the underlying ethical and legal theories supporting researcher duties to manage IFs, including duties to develop a plan for management in the research protocol, to discuss the possibility of and management plan for IFs in the informed consent process, and to address, evaluate, and ultimately offer to disclose IFs of potential clinical or reproductive significance to research participants when they arise.

  10. Perceptions of Physical Inspections as a Tool to Protect Housing Quality and Promote Health Equity.

    PubMed

    Holtzen, Holly; Klein, Elizabeth G; Keller, Brittney; Hood, Nancy

    2016-01-01

    Physical inspections that assess how well affordable housing properties meet quality and safety standards help to ensure that low-income tenants live in a healthy built environment. This study was part of a larger Health Impact Assessment (HIA) conducted between January 2012 and November 2013 to inform policymakers about the potential health consequences of a proposed policy decision to align the physical inspections required by housing funding agencies, which would result in a reduction of the frequency of physical inspections. Key informant interviews (n=18) of property managers and tenants were used to explore the inspection process, identification of housing quality issues, and potential effects on the health of affordable housing tenants and the impact on property management practices. Results indicate that physical inspection frequency may be an important trigger for property managers and tenants to adhere to proper maintenance schedules.

  11. Applications of Endothermic Reaction Technology to the High Speed Civil Transport

    NASA Technical Reports Server (NTRS)

    Glickstein, Marvin R.; Spadaccini, Louis J.

    1998-01-01

    The success of strategies for controlling emissions and enhancing performance in High Speed Research applications may be Increased by more effective utilization of the heat sink afforded by the fuel in the vehicle thermal management system. This study quantifies the potential benefits associated with the use of supercritical preheating and endothermic cracking of let fuel prior to combustion to enhance the thermal management capabilities of the propulsion systems in the High Speed Civil Transport (HSCT). A fuel-cooled thermal management system, consisting of plate-fin heat exchangers and a small auxiliary compressor, is defined for the HSCT, Integrated with the engine, and an assessment of the effect on engine performance, weight, and operating cost is performed. The analysis indicates significant savings due a projected improvement in fuel economy, and the potential for additional benefit if the cycle is modified to take full advantage of all the heat sink available in the fuel.

  12. Active ingredients of ginger as potential candidates in the prevention and treatment of diseases via modulation of biological activities

    PubMed Central

    Rahmani, Arshad H; shabrmi, Fahad M Al; Aly, Salah M

    2014-01-01

    The current mode of treatment based on synthetic drugs is expensive and also causes genetic and metabolic alterations. However, safe and sound mode of treatment is needed to control the diseases development and progression. In this regards, medicinal plant and its constituents play an important role in diseases management via modulation of biological activities. Ginger, the rhizome of the Zingiber officinale, has shown therapeutic role in the health management since ancient time and considered as potential chemopreventive agent. Numerous studies based on clinical trials and animal model has shown that ginger and its constituents shows significant role in the prevention of diseases via modulation of genetic and metabolic activities. In this review, we focused on the therapeutics effects of ginger and its constituents in the diseases management, and its impact on genetic and metabolic activities. PMID:25057339

  13. Mapping soil erosion hotspots and assessing the potential impacts of land management practices in the highlands of Ethiopia

    NASA Astrophysics Data System (ADS)

    Tamene, Lulseged; Adimassu, Zenebe; Ellison, James; Yaekob, Tesfaye; Woldearegay, Kifle; Mekonnen, Kindu; Thorne, Peter; Le, Quang Bao

    2017-09-01

    An enormous effort is underway in Ethiopia to address soil erosion and restore overall land productivity. Modelling and participatory approaches can be used to delineate erosion hotspots, plan site- and context-specific interventions and assess their impacts. In this study, we employed a modelling interface developed based on the Revised Universal Soil Loss Equation adjusted by the sediment delivery ratio to map the spatial distribution of net soil loss and identify priority areas of intervention. Using the modelling interface, we also simulated the potential impacts of different soil and water conservation measures in reducing net soil loss. Model predictions showed that net soil loss in the study area ranges between 0.4 and 88 t ha- 1 yr- 1 with an average of 12 t ha- 1 yr- 1. The dominant soil erosion hotspots were associated with steep slopes, gullies, communal grazing and cultivated areas. The average soil loss observed in this study is higher than the tolerable soil loss rate estimated for the highland of Ethiopia. The scenario analysis results showed that targeting hotspot areas where soil loss exceeds 10 t ha- 1 yr- 1 could reduce net soil loss to the tolerable limit (< 2 t ha- 1 yr- 1). The spatial distribution of soil loss and the sediment yield reduction potential of different options provided essential information to guide prioritization and targeting. In addition, the results can help promoting awareness within the local community of the severity of the soil erosion problem and the potential of management interventions. Future work should include cost-benefit and tradeoff analyses of the various management options for achieving a given level of erosion reduction.

  14. Flight-Deck Strategies and Outcomes When Flying Schedule-Matching Descents

    NASA Technical Reports Server (NTRS)

    Kaneshige, John T.; Sharma, Shivanjli; Martin Lynne; Lozito, Sandra; Dulchinos, Victoria

    2013-01-01

    Recent studies at NASA Ames Research Center have investigated the development and use of ground-based (air traffic controller) tools to manage and schedule air traffic in future terminal airspace. An exploratory study was undertaken to investigate the impacts that such tools (and concepts) could have on the flight-deck. Ten Boeing 747-400 crews flew eight optimized profile descents in the Los Angeles terminal airspace, while receiving scripted current day and futuristic speed clearances, to ascertain their ability to fly schedulematching descents without prior training. Although the study was exploratory in nature, four variables were manipulated: route constraints, winds, speed changes, and clearance phraseology. Despite flying the same scenarios with the same events and timing, there were significant differences in the time it took crews to fly the approaches. This variation is the product of a number of factors but highlights potential difficulties for scheduling tools that would have to accommodate this amount of natural variation in descent times. The focus of this paper is the examination of the crews' aircraft management strategies and outcomes. This includes potentially problematic human-automation interaction issues that may negatively impact arrival times, speed and altitude constraint compliance, and energy management efficiency.

  15. The Dirac equation in Schwarzschild black hole coupled to a stationary electromagnetic field

    NASA Astrophysics Data System (ADS)

    Al-Badawi, A.; Owaidat, M. Q.

    2017-08-01

    We study the Dirac equation in a spacetime that represents the nonlinear superposition of the Schwarzschild solution to an external, stationary electromagnetic field. The set of equations representing the uncharged Dirac particle in the Newman-Penrose formalism is decoupled into a radial and an angular parts. We obtain exact analytical solutions of the angular equations. We manage to obtain the radial wave equations with effective potentials. Finally, we study the potentials by plotting them as a function of radial distance and examine the effect of the twisting parameter and the frequencies on the potentials.

  16. The interconnectedness between landowner knowledge, value, belief, attitude, and willingness to act: policy implications for carbon sequestration on private rangelands.

    PubMed

    Cook, Seth L; Ma, Zhao

    2014-02-15

    Rangelands can be managed to increase soil carbon and help mitigate emissions of carbon dioxide. This study assessed Utah rangeland owner's environmental values, beliefs about climate change, and awareness of and attitudes towards carbon sequestration, as well as their perceptions of potential policy strategies for promoting carbon sequestration on private rangelands. Data were collected from semi-structured interviews and a statewide survey of Utah rangeland owners, and were analyzed using descriptive and bivariate statistics. Over two-thirds of respondents reported some level of awareness of carbon sequestration and a generally positive attitude towards it, contrasting to their lack of interest in participating in a relevant program in the future. Having a positive attitude was statistically significantly associated with having more "biocentric" environmental values, believing the climate had been changing over the past 30 years, and having a stronger belief of human activities influencing the climate. Respondents valued the potential ecological benefits of carbon sequestration more than the potential financial or climate change benefits. Additionally, respondents indicated a preference for educational approaches over financial incentives. They also preferred to work with a private agricultural entity over a non-profit or government entity on improving land management practices to sequester carbon. These results suggest potential challenges for developing technically sound and socially acceptable policies and programs for promoting carbon sequestration on private rangelands. Potential strategies for overcoming these challenges include emphasizing the ecological benefits associated with sequestering carbon to appeal to landowners with ecologically oriented management objectives, enhancing the cooperation between private agricultural organizations and government agencies, and funneling resources for promoting carbon sequestration into existing land management and conservation programs that may produce carbon benefits. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. Clinical Practice Guidelines for Delirium Management: Potential Application in Palliative Care

    PubMed Central

    Bush, Shirley H.; Bruera, Eduardo; Lawlor, Peter G.; Kanji, Salmaan; Davis, Daniel H.J.; Agar, Meera; Wright, David; Hartwick, Michael; Currow, David C.; Gagnon, Bruno; Simon, Jessica; Pereira, José L.

    2014-01-01

    Context Delirium occurs in patients across a wide array of health care settings. The extent to which formal management guidelines exist or are adaptable to palliative care is unclear. Objectives This review aims to 1) source published delirium management guidelines with potential relevance to palliative care settings, 2) discuss the process of guideline development, 3) appraise their clinical utility, and 4) outline the processes of their implementation and evaluation and make recommendations for future guideline development. Methods We searched PubMed (1990–2013), Scopus, U.S. National Guideline Clearinghouse, Google, and relevant reference lists to identify published guidelines for the management of delirium. This was supplemented with multidisciplinary input from delirium researchers and other relevant stakeholders at an international delirium study planning meeting. Results There is a paucity of high-level evidence for pharmacological and non-pharmacological interventions in the management of delirium in palliative care. However, multiple delirium guidelines for clinical practice have been developed, with recommendations derived from “expert opinion” for areas where research evidence is lacking. In addition to their potential benefits, limitations of clinical guidelines warrant consideration. Guidelines should be appraised and then adapted for use in a particular setting before implementation. Further research is needed on the evaluation of guidelines, as disseminated and implemented in a clinical setting, focusing on measurable outcomes in addition to their impact on quality of care. Conclusion Delirium clinical guidelines are available but the level of evidence is limited. More robust evidence is required for future guideline development. PMID:24766743

  18. Potential for using visual, auditory, and olfactory cues to manage foraging behaviour and spatial distribution of rangeland livestock

    USDA-ARS?s Scientific Manuscript database

    This paper reviews the literature and reports on the current state of knowledge regarding the potential for managers to use visual (VC), auditory (AC), and olfactory (OC) cues to manage foraging behavior and spatial distribution of rangeland livestock. We present evidence that free-ranging livestock...

  19. GIS applications to wilderness management: potential uses and limitations

    Treesearch

    Peter Landres; David R. Spildie; Lloyd P. Queen

    2001-01-01

    Geographic Information Systems (GIS) are increasingly being used in all areas of natural resource management. This paper first presents a brief primer on GIS, and then discusses potential applications of GIS to wilderness management in the areas of inventorying, monitoring, analysis, planning, and communication. Outlined are the limitations and pitfalls that could...

  20. Future enhanced clinical role of pharmacists in Emergency Departments in England: multi-site observational evaluation.

    PubMed

    Hughes, Elizabeth; Terry, David; Huynh, Chi; Petridis, Konstantinos; Aiello, Matthew; Mazard, Louis; Ubhi, Hirminder; Terry, Alex; Wilson, Keith; Sinclair, Anthony

    2017-08-01

    Background There are concerns about maintaining appropriate clinical staffing levels in Emergency Departments. Pharmacists may be one possible solution. Objective To determine if Emergency Department attendees could be clinically managed by pharmacists with or without advanced clinical practice training. Setting Prospective 49 site cross-sectional observational study of patients attending Emergency Departments in England. Method Pharmacist data collectors identified patient attendance at their Emergency Department, recorded anonymized details of 400 cases and categorized each into one of four possible options: cases which could be managed by a community pharmacist; could be managed by a hospital pharmacist independent prescriber; could be managed by a hospital pharmacist independent prescriber with additional clinical training; or medical team only (unsuitable for pharmacists to manage). Impact indices sensitive to both workload and proportion of pharmacist manageable cases were calculated for each clinical group. Main outcome measure Proportion of cases which could be managed by a pharmacist. Results 18,613 cases were observed from 49 sites. 726 (3.9%) of cases were judged suitable for clinical management by community pharmacists, 719 (3.9%) by pharmacist prescribers, 5202 (27.9%) by pharmacist prescribers with further training, and 11,966 (64.3%) for medical team only. Impact Indices of the most frequent clinical groupings were general medicine (13.18) and orthopaedics (9.69). Conclusion The proportion of Emergency Department cases that could potentially be managed by a pharmacist was 36%. Greatest potential for pharmacist management was in general medicine and orthopaedics (usually minor trauma). Findings support the case for extending the clinical role of pharmacists.

  1. Depletion mapping and constrained optimization to support managing groundwater extraction

    USGS Publications Warehouse

    Fienen, Michael N.; Bradbury, Kenneth R.; Kniffin, Maribeth; Barlow, Paul M.

    2018-01-01

    Groundwater models often serve as management tools to evaluate competing water uses including ecosystems, irrigated agriculture, industry, municipal supply, and others. Depletion potential mapping—showing the model-calculated potential impacts that wells have on stream baseflow—can form the basis for multiple potential management approaches in an oversubscribed basin. Specific management approaches can include scenarios proposed by stakeholders, systematic changes in well pumping based on depletion potential, and formal constrained optimization, which can be used to quantify the tradeoff between water use and stream baseflow. Variables such as the maximum amount of reduction allowed in each well and various groupings of wells using, for example, K-means clustering considering spatial proximity and depletion potential are considered. These approaches provide a potential starting point and guidance for resource managers and stakeholders to make decisions about groundwater management in a basin, spreading responsibility in different ways. We illustrate these approaches in the Little Plover River basin in central Wisconsin, United States—home to a rich agricultural tradition, with farmland and urban areas both in close proximity to a groundwater-dependent trout stream. Groundwater withdrawals have reduced baseflow supplying the Little Plover River below a legally established minimum. The techniques in this work were developed in response to engaged stakeholders with various interests and goals for the basin. They sought to develop a collaborative management plan at a watershed scale that restores the flow rate in the river in a manner that incorporates principles of shared governance and results in effective and minimally disruptive changes in groundwater extraction practices.

  2. Depletion Mapping and Constrained Optimization to Support Managing Groundwater Extraction.

    PubMed

    Fienen, Michael N; Bradbury, Kenneth R; Kniffin, Maribeth; Barlow, Paul M

    2018-01-01

    Groundwater models often serve as management tools to evaluate competing water uses including ecosystems, irrigated agriculture, industry, municipal supply, and others. Depletion potential mapping-showing the model-calculated potential impacts that wells have on stream baseflow-can form the basis for multiple potential management approaches in an oversubscribed basin. Specific management approaches can include scenarios proposed by stakeholders, systematic changes in well pumping based on depletion potential, and formal constrained optimization, which can be used to quantify the tradeoff between water use and stream baseflow. Variables such as the maximum amount of reduction allowed in each well and various groupings of wells using, for example, K-means clustering considering spatial proximity and depletion potential are considered. These approaches provide a potential starting point and guidance for resource managers and stakeholders to make decisions about groundwater management in a basin, spreading responsibility in different ways. We illustrate these approaches in the Little Plover River basin in central Wisconsin, United States-home to a rich agricultural tradition, with farmland and urban areas both in close proximity to a groundwater-dependent trout stream. Groundwater withdrawals have reduced baseflow supplying the Little Plover River below a legally established minimum. The techniques in this work were developed in response to engaged stakeholders with various interests and goals for the basin. They sought to develop a collaborative management plan at a watershed scale that restores the flow rate in the river in a manner that incorporates principles of shared governance and results in effective and minimally disruptive changes in groundwater extraction practices. © 2017, National Ground Water Association.

  3. Outcomes of management for potential deceased donors.

    PubMed

    Jeong, J C; Kim, M G; Ro, H; Kim, Y J; Park, H C; Kwon, H Y; Jeon, H J; Ha, J; Ahn, C; Yang, J

    2012-05-01

    Potential deceased donor management optimization is important for organ recovery maximization. Before optimization, the current state of donor management and predictors for organ recovery require analysis. We retrospectively analyzed organ procurement activity and medical management for 2005 to 2010 potential brain death donors at Seoul National University Hospital. Of 316 contacts for potential brain-dead donors, 129 (39.7%) patients were transferred to the donor management team. Among the causes of transfer failure, issues related to proper donor management affected 33%. Expanded criteria donors were 17.9% of transferred donors. Organ recovery was successful in 111 (90.2%) donors. A total of 360 organs were recovered, corresponding to a mean of 2.92 ± 1.37 organs per donor. The absence of organ demand was an important cause of recovery failure among less transplanted organs. Brain death-related complications were identified as follows: acute kidney injury (AKI), defined by AKI network criteria, occurred in 19 (15.4%); cardiopulmonary resuscitation in 5 (3.1%); bacteremia in 12 (9.7%); thrombocytopenia in 24 (19.5%); and diabetes insipidus in 42 (34.1%). AKI was a significant independent risk factor for organ recovery failure in both the liver and kidney (odds ratio [OR] 0.147, 95% confidence interval [0.045, 0.473], P = .001; OR 0.096, 95% confidence interval [0.023, 0.392], P = .001, for kidney and liver, respectively). Both the transfer success rate and rate of organs transplanted per donor of potential deceased donors remained low in Korea. AKI during potential donor management was a risk factor for kidney and liver recovery failure. Copyright © 2012 Elsevier Inc. All rights reserved.

  4. Chronic care management for patients with COPD: a critical review of available evidence.

    PubMed

    Lemmens, Karin M M; Lemmens, Lidwien C; Boom, José H C; Drewes, Hanneke W; Meeuwissen, Jolanda A C; Steuten, Lotte M G; Vrijhoef, Hubertus J M; Baan, Caroline A

    2013-10-01

    Clinical diversity and methodological heterogeneity exists between studies on chronic care management. This study aimed to examine the effectiveness of chronic care management in chronic obstructive pulmonary disease (COPD) while taking heterogeneity into account, enabling the understanding of and the decision making about such programmes. Three investigated sources of heterogeneity were study quality, length of follow-up, and number of intervention components. We performed a review of previously published reviews and meta-analyses on COPD chronic care management. Their primary studies that were analyzed as statistical, clinical and methodological heterogeneity were present. Meta-regression analyses were performed to explain the variances among the primary studies. Generally, the included reviews showed positive results on quality of life and hospitalizations. Inconclusive effects were found on emergency department visits and no effects on mortality. Pooled effects on hospitalizations, emergency department visits and quality of life of primary studies did not reach significant improvement. No effects were found on mortality. Meta-regression showed that the number of components of chronic care management programmes explained present heterogeneity for hospitalizations and emergency department visits. Four components showed significant effects on hospitalizations, whereas two components had significant effects on emergency department visits. Methodological study quality and length of follow-up did not significantly explain heterogeneity. This study demonstrated that COPD chronic care management has the potential to improve outcomes of care; heterogeneity in outcomes was explained. Further research is needed to elucidate the diversity between COPD chronic care management studies in terms of the effects measured and strengthen the support for chronic care management. © 2011 John Wiley & Sons Ltd.

  5. Ada and software management in NASA: Assessment and recommendations

    NASA Technical Reports Server (NTRS)

    1989-01-01

    Recent NASA missions have required software systems that are larger, more complex, and more critical than NASA software systems of the past. The Ada programming language and the software methods and support environments associated with it are seen as potential breakthroughs in meeting NASA's software requirements. The findings of a study by the Ada and Software Management Assessment Working Group (ASMAWG) are presented. The study was chartered to perform three tasks: (1) assess the agency's ongoing and planned Ada activities; (2) assess the infrastructure (standards, policies, and internal organizations) supporting software management and the Ada activities; and (3) present an Ada implementation and use strategy appropriate for NASA over the next 5 years.

  6. Coastal forests and groundwater: Using case studies to understand the effects of drivers and stressors for resource management

    Treesearch

    Timothy Callahan; Devendra Amatya; Peter Stone

    2017-01-01

    Forests are receiving more attention for the ecosystem goods and services they provide and the potential change agents that may affect forest health and productivity. Highlighting case examples from coastal forests in South Carolina, USA, we describe groundwater processes with respect to stressors and potential responses of a wetland-rich forested landscape,...

  7. Biomass production and potential water stress increase with planting density in four highly productive clonal Eucalyptus genotypes

    Treesearch

    Rodrigo Hakamada; Robert M. Hubbard; Silvio Ferraz; Jose Luiz Stape; Cristiane Lemos

    2017-01-01

    The choice of planting density and tree genotype are basic decisions when establishing a forest stand. Understanding the interaction between planting density and genotype, and their relationship with biomass production and potential water stress, is crucial as forest managers are faced with a changing climate. However, few studies have investigated this relationship,...

  8. The current state of knowledge on the interaction of Escherichia coli within vegetative filter strips as a sustainable best management practice to reduce fecal pathogen loading into surface waters

    PubMed Central

    Olilo, Casianes Owino; Muia, Anastasia Wairimu; Moturi, Wilkister Nyaora; Onyando, Japhet Ogalo; Amber, Ford Roegner

    2016-01-01

    Agro-pastoral operations have the potential to threaten public health with loading of diverse pathogens into surface waters through overland flow; increasing awareness of the limitations of fecal indicators has led to development of a number of advancements in detection, source tracking and predictive modeling of public health risk. These tools and techniques are beginning to be integrated into management strategies. The objective of this review was to determine the status of current knowledge and challenges of the fate and transport of Escherichia coli in overland flow and their interaction within vegetative filter strip (VFS) as one of these implemented best management practices and to critically evaluate its use in that setting as an indicator organism. With few studies directly focusing on VFS removal of E. coli from overland flow, we critically evaluated the available data on movement of E. coil from fecal source loading to retention and decay or re-release for potential contamination of water ways and pointed out potential limitations in both pathogen-specific removal and its use as an indicator organisms within overland flow and VFS. Critical areas of focus for future studies to reduce gaps in knowledge were identified, and the integration of newer approaches in source tracking, alternative indicators and the use of non-pathogenic surrogates for field testing of existing VFS models was encouraged. With VFS as a growing field of interest as an economical conservation practice and as an avenue for conservation of resources for small-scale agro-pastoral operations, management strategies to reduce initial fecal load from either applied manure constituents or shedding from free-range animals will continue to test the limits in the applications of models to overland flow and VFS management strategies. Further studies at the microscale in understanding discrepancies between low and high pathogenicity strains of E. coil and between E. coil and other fecal pathogens in the context of VFS will be critical. However, nuanced studies are needed to understand either biological or environmental differences in the fate and transport of the diverse types of fecal pathogens within these settings PMID:28042601

  9. Determining Potential in the Army’s Officer Corps: Leveraging Technology to Manage and Promote Active Duty Captains Based on Merit

    DTIC Science & Technology

    2017-06-09

    DETERMINING POTENTIAL IN THE ARMY’S OFFICER CORPS: LEVERAGING TECHNOLOGY TO MANAGE AND PROMOTE ACTIVE DUTY CAPTAINS BASED ON MERIT...Determining Potential in the Army’s Officer Corps: Leveraging Technology to Manage and Promote Active Duty Captains Based on Merit 5a. CONTRACT...NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Major Ross Carlos Pixler 5d. PROJECT NUMBER 5e. TASK NUMBER 5f

  10. Living With Diabetes in Appalachia: A Focus Group Study.

    PubMed

    Carpenter, Roger; Smith, Mary Jane

    This article presents an innovative holistic practice application based on evidence from a focus group study on managing diabetes. The purpose of this study addressed the research question: How do persons with type 2 diabetes describe ways of managing the challenge of living with diabetes? A second purpose was to link the findings on ways to manage diabetes to holistic nursing practice through story theory. Nine adults with type 2 diabetes living in rural West Virginia participated in 3 focus groups. Using content analysis, the study findings integrated themes with core qualities, and are as follows: living life as an evolving process is awakening to the present and doing it your way, being on guard is a vigilant ongoing responsibility, attending to bodily experience is awareness of body and facing life stress, and knowing the consequences is awareness of potential problems and taking charge. Merging the study findings with the concepts of story theory led to the development of an innovative practice application for managing diabetes. Managing diabetes in this practice application goes beyond problem-centeredness to a patient-centered approach, offering attention to individual preferences. Since managing diabetes is a major problem in Appalachia, there a need for innovative approaches. This study adds to the body of knowledge on how persons from Appalachia manage diabetes. In addition, it offers a story practice approach for managing diabetes-replacing a problem focus to a more holistic approach to practice leading to more meaningful and fulfilling outcomes.

  11. Bioenergy Development Policy and Practice Must Recognize Potential Hydrologic Impacts: Lessons from the Americas.

    PubMed

    Watkins, David W; de Moraes, Márcia M G Alcoforado; Asbjornsen, Heidi; Mayer, Alex S; Licata, Julian; Lopez, Jose Gutierrez; Pypker, Thomas G; Molina, Vivianna Gamez; Marques, Guilherme Fernandes; Carneiro, Ana Cristina Guimaraes; Nuñez, Hector M; Önal, Hayri; da Nobrega Germano, Bruna

    2015-12-01

    Large-scale bioenergy production will affect the hydrologic cycle in multiple ways, including changes in canopy interception, evapotranspiration, infiltration, and the quantity and quality of surface runoff and groundwater recharge. As such, the water footprints of bioenergy sources vary significantly by type of feedstock, soil characteristics, cultivation practices, and hydro-climatic regime. Furthermore, water management implications of bioenergy production depend on existing land use, relative water availability, and competing water uses at a watershed scale. This paper reviews previous research on the water resource impacts of bioenergy production-from plot-scale hydrologic and nutrient cycling impacts to watershed and regional scale hydro-economic systems relationships. Primary gaps in knowledge that hinder policy development for integrated management of water-bioenergy systems are highlighted. Four case studies in the Americas are analyzed to illustrate relevant spatial and temporal scales for impact assessment, along with unique aspects of biofuel production compared to other agroforestry systems, such as energy-related conflicts and tradeoffs. Based on the case studies, the potential benefits of integrated resource management are assessed, as is the need for further case-specific research.

  12. Development of a system of indicators for sustainable port management.

    PubMed

    Peris-Mora, E; Diez Orejas, J M; Subirats, A; Ibáñez, S; Alvarez, P

    2005-12-01

    The 1998 project ECOPORT, "Towards A Sustainable Transport Network", developed by the Valencia Port Authority (VPA), established the bases for implementing an Environmental Management System (EMS) in industrial harbours. The use of data and information shall always be required to develop an efficient EMS. The objective of the present research (INDAPORT) study is to propose a system of sustainable environmental management indicators to be used by any port authorities. All activities performed within a port area are analysed for any potential environmental impacts and risks. An environmental analysis of port activities has been carried out with the objective of designing the indicators system. Twenty-one corresponding activities have been identified for large industrial ports. Subsequently, the same methodology developed to date will be later applied to other Spanish and European ports. The study has been developed by using an original system and a methodology, which simultaneously use stage diagrams and systemic models (material and energy flow charts). Multi-criteria analysis techniques were used to evaluate potential impacts (identification of factors and evaluation of impacts).

  13. Bioenergy Development Policy and Practice Must Recognize Potential Hydrologic Impacts: Lessons from the Americas

    NASA Astrophysics Data System (ADS)

    Watkins, David W.; de Moraes, Márcia M. G. Alcoforado; Asbjornsen, Heidi; Mayer, Alex S.; Licata, Julian; Lopez, Jose Gutierrez; Pypker, Thomas G.; Molina, Vivianna Gamez; Marques, Guilherme Fernandes; Carneiro, Ana Cristina Guimaraes; Nuñez, Hector M.; Önal, Hayri; da Nobrega Germano, Bruna

    2015-12-01

    Large-scale bioenergy production will affect the hydrologic cycle in multiple ways, including changes in canopy interception, evapotranspiration, infiltration, and the quantity and quality of surface runoff and groundwater recharge. As such, the water footprints of bioenergy sources vary significantly by type of feedstock, soil characteristics, cultivation practices, and hydro-climatic regime. Furthermore, water management implications of bioenergy production depend on existing land use, relative water availability, and competing water uses at a watershed scale. This paper reviews previous research on the water resource impacts of bioenergy production—from plot-scale hydrologic and nutrient cycling impacts to watershed and regional scale hydro-economic systems relationships. Primary gaps in knowledge that hinder policy development for integrated management of water-bioenergy systems are highlighted. Four case studies in the Americas are analyzed to illustrate relevant spatial and temporal scales for impact assessment, along with unique aspects of biofuel production compared to other agroforestry systems, such as energy-related conflicts and tradeoffs. Based on the case studies, the potential benefits of integrated resource management are assessed, as is the need for further case-specific research.

  14. Innovative railroad information displays : video guide

    DOT National Transportation Integrated Search

    1998-01-01

    The objectives of this study were to explore the potential of advanced digital technology, : novel concepts of information management, geographic information databases and : display capabilities in order to enhance planning and decision-making proces...

  15. Managing systems faults on the commercial flight deck: Analysis of pilots' organization and prioritization of fault management information

    NASA Technical Reports Server (NTRS)

    Rogers, William H.

    1993-01-01

    In rare instances, flight crews of commercial aircraft must manage complex systems faults in addition to all their normal flight tasks. Pilot errors in fault management have been attributed, at least in part, to an incomplete or inaccurate awareness of the fault situation. The current study is part of a program aimed at assuring that the types of information potentially available from an intelligent fault management aiding concept developed at NASA Langley called 'Faultfinde' (see Abbott, Schutte, Palmer, and Ricks, 1987) are an asset rather than a liability: additional information should improve pilot performance and aircraft safety, but it should not confuse, distract, overload, mislead, or generally exacerbate already difficult circumstances.

  16. Exploring staff diabetes medication knowledge and practices in regional residential care: triangulation study.

    PubMed

    Wellard, Sally Jane; Rasmussen, Bodil; Savage, Sally; Dunning, Trisha

    2013-07-01

    This study is drawn from a larger project that aimed to identify the staffing and organisational factors influencing the quality of diabetes care for older people living in residential care in regional Victoria, Australia. The focus of the current study is on medication management for residents with diabetes. With a continuous rise in diabetes in the population, there is an associated increase in the prevalence of diabetes in aged care residential settings. However, there is little specific guidance on how to manage diabetes in older people living in institutional settings who experience multiple concurrent chronic conditions. A triangulation strategy consisting of three phases. A one-shot cross-sectional survey (n = 68) focus group interviews and a case file audit (n = 20). Data were collected between May 2009-January 2010. Staff knowledge of diabetes and its contemporary medication management was found to be suboptimal. Challenges to managing residents with diabetes included limited time, resident characteristics and communication systems. Additionally, the variability in medical support available to residents and a high level of polypharmacy added to the complexity of medication management of resident. The current study suggests administering medicine to residents in aged care settings is difficult and has potentially serious medical, professional and economic consequences. Limitations to staff knowledge of contemporary diabetes care and medications potentially place residents with diabetes at risk of receiving less than optimal diabetes care. Providing evidence-based guidelines about diabetes care in residential care settings is essential to achieve acceptable outcomes and increase the quality of life for residents in public aged care. Continuing education programs in diabetes care specifically related to medication must be provided to all health professionals and encompass scope of practice. © 2013 John Wiley & Sons Ltd.

  17. Patients with rotator cuff tendinopathy can successfully self-manage, but with certain caveats: a qualitative study.

    PubMed

    Littlewood, Chris; Malliaras, Peter; Mawson, Sue; May, Stephen; Walters, Stephen

    2014-03-01

    Evidence has emerged supporting the value of loaded exercises for rotator cuff tendinopathy but there are barriers that might prevent implementation of this intervention in the real-world. The purpose of this study was to explore these potential barriers with participants involved in a pilot randomised controlled trial (RCT) investigating a self-managed loaded exercise intervention. A qualitative study within the framework of a mixed methods design. Data were collected using individual interviews and analysed using the framework method. One private physiotherapy clinic in northern England. Six patients and two physiotherapists were purposively sampled from those allocated to the self-managed exercise group within the RCT. Three themes were generated: (1) Expectations and preferences, (2) characteristics of an unsuccessful outcome, (3) characteristics of a successful outcome. Most patients expressed expectations contrary to the philosophy of a self-managed approach. But this did not serve as a barrier when the intervention was offered within a positive and supporting environment where patients understood the reasons for undertaking the exercise, effectively self-monitored and engaged with pro-active follow-up. An early and appreciable response to therapy was also a key factor influencing continuing engagement with the exercise programme. With certain caveats including the need to recognise and respond to individual characteristics, implement effective knowledge translation strategies and the need to engage with appropriately timed pro-active follow-up, the potential to implement programmes of self-managed loaded exercise for patients with rotator cuff tendinopathy in the real-world and in further research studies appears feasible but challenging. Copyright © 2013 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

  18. Patient participation in quality pain management during an acute care admission.

    PubMed

    McTier, Lauren J; Botti, Mari; Duke, Maxine

    2014-04-01

    The objective of the study was to explore patient participation in the context of pain management during a hospital admission for a cardiac surgical intervention of patients with cardiovascular disease. This is a single-institution study, with a case-study design. The unit of analysis was a cardiothoracic ward of a major metropolitan, tertiary referral hospital in Melbourne, Australia. Multiple methods of data collection were used including preadmission and predischarge patient interviews (n=98), naturalistic observations (n=48), and focus group interviews (n=2). Patients' preference for participation in pain management was not always commensurate with their involvement in pain management. Patients displayed a greater understanding of their role in pain management in terms of reporting pain and the use of multimodal analgesics after surgery. The majority of patients, however, did not understand the importance of reporting pain to avoid complications. Patients had limited opportunity to participate in their pain management. On occasions in which clinicians did involve patients, the involvement appeared to be focused on reporting pain rather than treatment of pain. Patient participation in pain management during hospitalization is not optimal. This has implications for the quality of pain management patients receive. Higher engagement of patients in their pain management during hospitalization is required to ensure comfort, reduce potential for complications, and adequately prepare the patients to manage their pain following discharge from hospital.

  19. Estimating individual tree leaf area in loblolly pine plantations using LiDAR-derived measurments of height and crown dimensions

    Treesearch

    Scott D. Roberts; Thomas J. Dean; David L. Evans; John W. McCombs; Richard L. Harrington; Partick A. Glass

    2005-01-01

    Accurate estimates of leaf area index (LAI) could provide useful information to forest managers, but due to difficulties in measurement, leaf area is rarely used in decision-making. A reliable approach to remotely estimating LA1 would greatly facilitate its use in forest management. This study investigated the potential for using small-footprint iDAR, a laser-based...

  20. Can entomophagous nematodes slow the spread of invasive pest populations? The case study of Beddingia siricidicola released for the management of Sirex noctilio

    Treesearch

    Juan C. Corley; José M. Villacide; Andrew M. Liebhold

    2014-01-01

    Though rarely used in this way, biological control could potentially be exploited for managing spread of invasive species. Because spread of invasive species emerges from the combined action of population growth and dispersal, natural enemies that affect either of these processes should also affect spread. Dispersal of parasitoid species plays a key role in determining...

  1. The Relationship of Self-Efficacy and Complacency in Pilot-Automation Interaction

    NASA Technical Reports Server (NTRS)

    Prinzel, Lawrence J., III

    2002-01-01

    Pilot 'complacency' has been implicated as a contributing factor in numerous aviation accidents and incidents. The term has become more prominent with the increase in automation technology in modern cockpits and, therefore, research has been focused on understanding the factors that may mitigate its effect on pilot-automation interaction. The study examined self-efficacy of supervisory monitoring and the relationship between complacency on strategy of pilot use of automation for workload management under automation schedules that produce the potential for complacency. The results showed that self-efficacy can be a 'double-edged' sword in reducing potential for automation-induced complacency but limiting workload management strategies and increasing other hazardous states of awareness.

  2. Utilisation of inorganic salts in fungal crop disease management in the U.K.

    PubMed

    Deliopoulos, T; Kettlewell, P S; Hare, M C

    2009-01-01

    The overaLl aim of the study described in this communication was to utilise the findings of a global scientific and technical literature survey on the use of inorganic salts against crop fungal diseases in order to assess the potential of using these substances to reduce the reliance of UK growers on conventional fungicides. A summary of the main findings of the Literature survey is provided followed by information on the current commercial use of inorganic salt-based products in fungal disease management. Finally, the scope of potential use of inorganic salts on high disease risk crops in the UK is assessed and specific crop/pathogen combinations are prioritised for further research.

  3. Early management of patients with acute heart failure: state of the art and future directions. A consensus document from the society for academic emergency medicine/heart failure society of America acute heart failure working group.

    PubMed

    Collins, Sean; Storrow, Alan B; Albert, Nancy M; Butler, Javed; Ezekowitz, Justin; Felker, G Michael; Fermann, Gregory J; Fonarow, Gregg C; Givertz, Michael M; Hiestand, Brian; Hollander, Judd E; Lanfear, David E; Levy, Phillip D; Pang, Peter S; Peacock, W Frank; Sawyer, Douglas B; Teerlink, John R; Lenihan, Daniel J

    2015-01-01

    Heart failure (HF) afflicts nearly 6 million Americans, resulting in one million emergency department (ED) visits and over one million annual hospital discharges. An aging population and improved survival from cardiovascular diseases is expected to further increase HF prevalence. Emergency providers play a significant role in the management of patients with acute heart failure (AHF). It is crucial that emergency physicians and other providers involved in early management understand the latest developments in diagnostic testing, therapeutics and alternatives to hospitalization. Further, clinical trials must be conducted in the ED in order to improve the evidence base and drive optimal initial therapy for AHF. Should ongoing and future studies suggest early phenotype-driven therapy improves in-hospital and post-discharge outcomes, ED treatment decisions will need to evolve accordingly. The potential impact of future studies which incorporate risk-stratification into ED disposition decisions cannot be underestimated. Predictive instruments that identify a cohort of patients safe for ED discharge, while simultaneously addressing barriers to successful outpatient management, have the potential to significantly impact quality of life and resource expenditures. Copyright © 2015 Elsevier Inc. All rights reserved.

  4. Mineral resources of the Mount Tipton Wilderness Study Area, Mohave County, Arizona

    USGS Publications Warehouse

    Greene, Robert C.; Turner, Robert L.; Jachens, Robert C.; Lawson, William A.; Almquist, Carl L.

    1989-01-01

    The Mount Tipton Wilderness Study Area (AZ-020-012/ 042) comprises 33,950 acres in Mohave County, Ariz. At the request of the U.S. Bureau of Land Management, this area was evaluated for identified mineral resources (known) and mineral resource potential (undiscovered). This work was carried out by the U.S. Bureau of Mines and the U.S. Geological Survey in 1984-87. In this report, the area studied is referred to as the "wilderness study area" or simply "the study area." There are no identified mineral resources in the study area. The southernmost part of the study area is adjacent to the Wallapai (Chloride) mining district and has low mineral resource potential for gold, silver, copper, lead, zinc, and molybdenum in hydrothermal veins. This area also has a low mineral resource potential for tungsten in vein deposits and for uranium in vein deposits or pegmatites. In the central part of the wilderness study area, one small area has low mineral resource potential for uranium in vein deposits or pegmatites and another small area has low resource potential for thorium in vein deposits. The entire study area has low resource potential for geothermal energy but no potential for oil or gas resources.

  5. Hydroxynaphthoquinone ultrathin films obtained by diazonium electroreduction: toward design of biosensitive electroactive interfaces.

    PubMed

    March, Gregory; Reisberg, Steeve; Piro, Benoit; Pham, Minh-Chau; Fave, Claire; Noel, Vincent

    2010-05-01

    Electroactive 2-(phenylsulfanyl)-8-hydroxy-1,4-naphthoquinone has been electrodeposited via the reduction of the corresponding diazonium salt on Au electrodes. Surface characterizations by X-ray photoelectron spectroscopy (XPS) and infrared reflection-absorption spectroscopy (IRRAS) reveal that the mechanism of film deposition follows an aryl radical formation and its immobilization on the electrode surface. Electrochemical study shows that the surface coverage can be finely tuned (thickness between one and four layers) by adjusting the potential and the deposition time. By managing the potential applied when reducing diazonium in potentiostatic mode, the formed layer could mediate or not charge transfer. This is the first time that the films obtained by diazonium process are demonstrated to act as mediators in the growth process. Hence, with potentials higher than the formal potential of quinone group, very thin and homogeneous layers are obtained, whereas thicker films are formed when more cathodic potentials than that of quinone are applied. The possibility to manage the charge-transfer kinetics, the thickness, and the homogeneity of electroactive deposits is interesting in the scope of designing electrochemical transducers.

  6. A total quality management approach to healthcare waste management in Namazi Hospital, Iran.

    PubMed

    Askarian, Mehrdad; Heidarpoor, Peigham; Assadian, Ojan

    2010-11-01

    Healthcare waste comprises all wastes generated at healthcare facilities, medical research centers and laboratories. Although 75-90% of these wastes are classified as household waste posing no potential risk, 10-25% are deemed to be hazardous, representing a potential threat to healthcare workers, patients, the environment and even the general population, if not disposed of appropriately. If hazardous and non-hazardous waste is mixed and not segregated prior to disposal, costs will increase substantially. Medical waste management is a worldwide issue. In Iran, the majority of problems are associated with an exponential growth in the healthcare sector together with low- or non-compliance with guidelines and recommendations. The aim of this study was to reduce the amounts of infectious waste by clear definition and segregation of waste at the production site in Namazi Hospital in Shiraz, Iran. Namazi Hospital was selected as a study site with an aim to achieving a significant decrease in infectious waste and implementing a total quality management (TQM) method. Infectious and non-infectious waste was weighed at 29 admission wards over a 1-month period. Before the introduction of the new guidelines and the new waste management concept, weight of total waste was 6.67 kg per occupied bed per day (kg/occupied bed/day), of which 73% was infectious and 27% non-infectious waste. After intervention, total waste was reduced to 5.92 kg/occupied bed/day, of which infectious waste represented 61% and non-infectious waste 30%. The implementation of a new waste management concept achieved a 26% reduction in infectious waste. A structured waste management concept together with clear definitions and staff training will result in waste reduction, consequently leading to decreased expenditure in healthcare settings. Copyright © 2010 Elsevier Ltd. All rights reserved.

  7. Socioeconomic inequalities in mortality, morbidity and diabetes management for adults with type 1 diabetes: A systematic review

    PubMed Central

    Chambers, Duncan; Goyder, Elizabeth; O’Cathain, Alicia

    2017-01-01

    Aims To systematically review the evidence of socioeconomic inequalities for adults with type 1 diabetes in relation to mortality, morbidity and diabetes management. Methods We carried out a systematic search across six relevant databases and included all studies reporting associations between socioeconomic indicators and mortality, morbidity, or diabetes management for adults with type 1 diabetes. Data extraction and quality assessment was undertaken for all included studies. A narrative synthesis was conducted. Results A total of 33 studies were identified. Twelve cohort, 19 cross sectional and 2 case control studies met the inclusion criteria. Regardless of healthcare system, low socioeconomic status was associated with poorer outcomes. Following adjustments for other risk factors, socioeconomic status was a statistically significant independent predictor of mortality in 9/10 studies and morbidity in 8/10 studies for adults with type 1 diabetes. There appeared to be an association between low socioeconomic status and some aspects of diabetes management. Although only 3 of 16 studies made adjustments for confounders and other risk factors, poor diabetes management was associated with lower socioeconomic status in 3/3 of these studies. Conclusions Low socioeconomic status is associated with higher levels of mortality and morbidity for adults with type 1 diabetes even amongst those with access to a universal healthcare system. The association between low socioeconomic status and diabetes management requires further research given the paucity of evidence and the potential for diabetes management to mitigate the adverse effects of low socioeconomic status. PMID:28489876

  8. A Case Study Approach to Marine and Aquatic Issues.

    ERIC Educational Resources Information Center

    Snively, Gloria

    1993-01-01

    Suggests using case studies of resource management conflict involving marine and aquatic resource issues to increase student involvement in decision-making processes. Provides information for a potential case involving oyster farms and six steps to help students explore problems and make decisions. (MDH)

  9. North Carolina Library Networking Feasibility Study.

    ERIC Educational Resources Information Center

    Griffiths, Jose-Marie; King, Donald W.

    This report presents the results of a feasibility study of statewide multitype library networking in North Carolina. Potential network functions, products, services, sources, and costs are covered, but questions of network governance, management, and funding are not directly addressed. The report begins with background information and a…

  10. Are Behavioural Interventions Doomed to Fail? Challenges to Self-Management Support in Chronic Diseases.

    PubMed

    Vallis, Michael

    2015-08-01

    Self-management and self-management support are concepts very familiar to those of us in diabetes care. These concepts require openness to understanding the behaviours of persons with diabetes broadly, not only behaviours restricted to the biomedical perspective. Understanding the importance of health behaviour change and working within the Expanded Chronic Care Model define the context within which self-management support should occur. The purpose of this perspective is to identify a potential limitation in existing self-management support initiatives. This potential limitation reflects provider issues, not patient issues; that is, true self-management support might require changes by healthcare providers. Specifically, although behavioural interventions within the context of academic research studies are evidence based, behaviour change interventions implemented in general practice settings might prove less effective unless healthcare providers are able to shift from a practice based on the biomedical model to a practice based on the self-management support model. The purpose of this article is to facilitate effective self-management support by encouraging providers to switch from a model of care based on the expert clinician encountering the uninformed help seeker (the biomedical model) to one guided by collaboration grounded in the principles of description, prediction and choice. Key to understanding the value of making this shift are patient-centered communication principles and the tenets of complexity theory. Copyright © 2015 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

  11. Influences of health literacy, judgment skills, and empowerment on asthma self-management practices.

    PubMed

    Londoño, Ana Maria Moreno; Schulz, Peter J

    2015-07-01

    Asthma self-management has been recognized as an essential factor for the improvement of asthma outcomes and patients' quality of life (WHO, 2013). Likewise, empowerment and health literacy have been noted as important elements for the management of chronic diseases. To study the influence of health literacy and empowerment on asthma self-management. This cross-sectional study used a self-reported questionnaire assessing health literacy, judgment skills, empowerment, and asthma self-management; 236 patients were recruited from medical offices in Switzerland and Italy. Judgment skills (B=2.28, p<0.001) and empowerment (B=0.19, p<0.05) have a significant and positive influence on several asthma self-management practices such as use of medicines, timely medical consultation, and asthma triggers control whereas health literacy (B=-0.15, p<0.175) appeared to have a negative effect on self-management practices. However, this was not significant. These findings suggest that empowered patients with adequate judgment skills carry out key self-management tasks more appropriately, which in turn will potentially result in better asthma control. This study recommends that both empowerment and judgment skills should be addressed in patient education as they serve as essential motivators to engage patients in these behaviors. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  12. Hydrology of Malaria: A New Class of Models for Environmental Management and Studies of Climate Change

    NASA Astrophysics Data System (ADS)

    Eltahir, E. A.

    2011-12-01

    A mechanistic and spatially-explicit model of hydrological and entomological processes that lead to malaria transmission is developed and tested against field observations. HYDREMATS (HYDRology, Entomology, and MAlaria Transmission Simulator) is described in (Bomblies and Eltahir, WRR, 44,2008). HYDREMATS is suitable for low cost screening of environmental management interventions, and for studying the impact of climate change on malaria transmission. Examples of specific applications will be presented from Niger in Africa. The potential for using HYDREMATS to study the impact of water reservoirs on malaria transmission will be discussed.

  13. Disease management index of potential years of life lost as a tool for setting priorities in national disease control using OECD health data.

    PubMed

    Jang, Sung-In; Nam, Jung-Mo; Choi, Jongwon; Park, Eun-Cheol

    2014-03-01

    Limited healthcare resources make it necessary to maximize efficiency in disease management at the country level by priority-setting according to disease burden. To make the best priority settings, it is necessary to measure health status and have standards for its judgment, as well as consider disease management trends among nations. We used 17 International Classification of Diseases (ICD) categories of potential years of life lost (YPLL) from Organization for Economic Co-operation and Development (OECD) health data for 2012, 37 disease diagnoses YPLL from OECD health data for 2009 across 22 countries and disability-adjusted life years (DALY) from the World Health Organization (WHO). We set a range of 1-1 for each YPLL per disease in a nation (position value for relative comparison, PARC). Changes over 5 years were also accounted for in this disease management index (disease management index, DMI). In terms of ICD categories, the DMI indicated specific areas for priority setting for different countries with regard to managing disease treatment and diagnosis. Our study suggests that DMI is a realistic index that reflects trend changes over the past 5 years to the present state, and PARC is an easy index for identifying relative status. Moreover, unlike existing indices, DMI and PARC make it easy to conduct multiple comparisons among countries and diseases. DMI and PARC are therefore useful tools for policy implications and for future studies incorporating them and other existing indexes. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  14. Do self-perceptions of emotional intelligence predict health-related quality of life? A case study in hospital managers in Greece.

    PubMed

    Gourzoulidis, George; Kontodimopoulos, Nick; Kastanioti, Catherine; Bellali, Thaleia; Goumas, Konstantinos; Voudigaris, Dikaios; Polyzos, Nikolaos

    2014-08-31

    The aim of this study was to examine HRQoL outcome and EI of managers of Health Organizations. We collected data from 120 general managers of Greek public hospitals who completed the Assessing Emotions Scale (AES) and the SF-36 Health Survey. The results showed that male managers generally exhibited better HRQoL and slightly worse EI than females, although differences were not significant throughout. The three EI factors of the AES addressing appraisal, optimism/regulation and utilization of emotions correlated from 0.18 to 0.39 with sub-dimensions of HRQoL mostly related to mental -rather than physical- aspects of health, and were also significant predictors of HRQoL. There was a noteworthy gender difference in the manner in which EI predicted HRQoL and this suggests more testing. Overall, this study might enrich the potential for EI studies in Greece as well as to contribute to the international literature.

  15. Answering to the domesticability of exotic options and strategies in managing Africa's urban landscapes for sustainability beyond 2015.

    PubMed

    Chirisa, Innocent Ew; Kawadza, Shingai T; Bandauko, Elmond

    2014-01-01

    This study aims at critically assessing the land management strategies that can be instrumental in bringing sound governance to urban landscapes in Africa with the view of mapping the potential, minimum conditions for success and constraints to doing so. This study is qualitative by approach and case study based by design, assesses practices in land management from a few cities (Nairobi, Abuja, Harare, Kigali, Johannesburg and Addis Ababa). Peculiarities and differences in the practices of land management in these cities is the basis for their purposeful selection. The evaluation of the land management practices in these cities is in terms of the current realities and the possibility for the acceptability of new, exotic but deemed sustainable urban land management styles. Noted strongly in this current discourse is that Africa is a region with varied of contexts requiring a critical assessment of issues before policy strategies are implemented in terms of land tenure, land administration corruption, political will and receptivity of the so-called foreign philosophies in urban land governance. The study recommends relevant training of the land and planning experts in Africa. In addition, there is general need to balance between 'place prosperity' with 'people prosperity' as they relate to land management noting that space and capital make the difference in sustainable human habitats' creation and management.

  16. Low level laser therapy (photobiomodulation) for the management of breast cancer-related lymphedema: an update

    NASA Astrophysics Data System (ADS)

    Baxter, G. David; Liu, Lizhou; Chapple, Cathy; Petrich, Simone; Anders, Juanita J.; Tumilty, Steve

    2018-04-01

    Breast cancer related lymphedema (BCRL) is prevalent among breast cancer survivors, and may be painful and disfiguring with associated psychological impact. Previous research shows increasing use of low level laser therapy (LLLT), now commonly referred to as photobiomodulation (PBM) therapy for managing BCRL, in countries including the United States and Australia. However, conclusions were limited by the paucity, heterogeneity, and poor quality of previous studies. LLLT (PBM) has been barely used in clinical practice in New Zealand, and no clinical studies on LLLT (PBM) for BCRL have been conducted in this country. In order to promote this potentially useful treatment modality for BCRL patients, the Laser Lymphedema Trial Team at the University of Otago conducted a program to assess the effectiveness of LLLT (PBM) in management of BCRL. The program comprises three phases including a systematic review (completed), a feasibility study (completed), and a full-scale randomized controlled trial (proposed). This current paper provides an update on the program. Based upon the systematic review, LLLT (PBM) is considered a potentially effective treatment approach for women with BCRL; the review also indicated the need for further research including exploration of the relevance of dosage and other LLLT (PBM) parameters. The feasibility study demonstrated that it is feasible to conduct a fully powered RCT to definitively test the effectiveness of the additional use of LLLT (PBM) in the management of BCRL, and 114 participants will be needed at baseline in the main study. Currently, the full-scale RCT is under preparation.

  17. Management of preschool recurrent wheezing and asthma: a phenotype-based approach.

    PubMed

    Beigelman, Avraham; Bacharier, Leonard B

    2017-04-01

    The purpose of this review is to summarize the recent evidence on the management of preschool children with wheezing and asthma, and to propose a phenotype-based approach to the management of these children. Recent studies have begun to identify populations of preschool children that are likely to benefit from inhaled corticosteroids (ICS) therapy and defined ICS regimens: daily ICS in preschool children with persistent asthma, and pre-emptive high-dose intermittent ICS among preschool children with intermittent disease reduce the risk of exacerbation. In addition, among preschool children with mild persistent asthma, the presence of aeroallergen sensitivity and/or blood eosinophil counts of 300/μL or greater are predictors of good response to daily ICS therapy. Other studies identified intermittent azithromycin as a therapy to prevent, and potentially to treat, acute exacerbations.The uncertainty of the role of oral corticosteroids (OCS) as a therapy for acute exacerbations continues, as a recent meta-analysis showed that OCS did not prevent hospitalizations or urgent visits, and did not reduce the need for additional courses of OCS. Whereas previous epidemiologic studies suggested acetaminophen may increase risk of exacerbations, a clinical trial clearly demonstrated acetaminophen use, compared to ibuprofen use,does not increase exacerbation risk among preschool children with mild-persistent asthma. Recent studies have shown potential for phenotypic-driven therapies for the management of preschool children with asthma. Targeting airway bacteria has emerged as a promising therapeutic approach, but its effect on antibiotic resistance still needs to be investigated. Finally, more studies are required to evaluate if oral corticosteroids provide any benefits for acute episodic wheeze.

  18. Consumer behavior in the setting of over-the-counter statin availability: lessons from the consumer use study of OTC Mevacor.

    PubMed

    Brass, Eric P

    2004-11-04

    Despite the proven benefits of statins, large numbers of patients meeting guideline criteria for therapy are not receiving these drugs. It has been suggested that over-the-counter (OTC) availability of statins would allow more consumers to use statins and achieve cardiovascular risk reduction. However, concerns have been raised as to the consumers' ability to self-manage hyperlipidemia and use statins safely. The Consumer Use Study of OTC Mevacor (CUSTOM) was designed to define consumer behaviors in the setting of OTC statin availability. The study was conducted in a simulated OTC setting and allowed consumers to purchase once-daily lovastatin 20 mg. The CUSTOM dataset includes >3,300 consumers who evaluated OTC lovastatin for potential purchase at study sites and follow-up information on purchasers for up to 6 months of self-managed therapy. These data have been analyzed to address consumers' knowledge of their cholesterol concentrations as well as their ability to make OTC use decisions based on their cardiovascular risk, avoid drug-drug interactions, self-manage their cholesterol treatment after deciding to use the OTC product, and maintain interactions with physicians while using lovastatin OTC. The results showed that most study participants appropriately self-selected OTC statin therapy and managed their treatment. Use of OTC statins by consumers needing more intensive statin therapy or facing the risk of potential drug-drug interactions remains an area of concern but occurred infrequently in CUSTOM. These data are important for making an informed risk-benefit decision concerning OTC statin availability.

  19. Pharmacologic therapy for acute pancreatitis

    PubMed Central

    Kambhampati, Swetha; Park, Walter; Habtezion, Aida

    2014-01-01

    While conservative management such as fluid, bowel rest, and antibiotics is the mainstay of current acute pancreatitis management, there is a lot of promise in pharmacologic therapies that target various aspects of the pathogenesis of pancreatitis. Extensive review of preclinical studies, which include assessment of therapies such as anti-secretory agents, protease inhibitors, anti-inflammatory agents, and anti-oxidants are discussed. Many of these studies have shown therapeutic benefit and improved survival in experimental models. Based on available preclinical studies, we discuss potential novel targeted pharmacologic approaches that may offer promise in the treatment of acute pancreatitis. To date a variety of clinical studies have assessed the translational potential of animal model effective experimental therapies and have shown either failure or mixed results in human studies. Despite these discouraging clinical studies, there is a great clinical need and there exist several preclinical effective therapies that await investigation in patients. Better understanding of acute pancreatitis pathophysiology and lessons learned from past clinical studies are likely to offer a great foundation upon which to expand future therapies in acute pancreatitis. PMID:25493000

  20. Is ambiguity tolerance malleable? Experimental evidence with potential implications for future research.

    PubMed

    Endres, Megan L; Camp, Richaurd; Milner, Morgan

    2015-01-01

    We conducted two research studies to address the malleability of tolerance of ambiguity (TA) by manipulating situational ambiguity. Students participated in a semester-end assessment of their management skills (n = 306). In Study 1, students in low and moderate ambiguity conditions had significantly higher post-experiment TA, more positive change in self-efficacy, and marginally higher faculty ratings. In Study 2, a control group (n = 103) did not participate in the assessment and was established for comparison to the first study results. The Study 2 students reported TA significantly lower than Study 1 students in the low and moderate ambiguity conditions. The control group TA was not significantly different from that of the Study 1 high ambiguity condition. This further suggested TA's situational malleability, as those who had controlled access to structured information appeared to have increased their TA over that observed in the other two groups. These results suggest that TA may be malleable. We review the relevant literature, offer hypotheses, report our analyses and findings, and then propose future research, and potential prescriptive applications in such areas as management development, assessment, and decision-making.

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