Quality management in health care: a 20-year journey.

PubMed

Ruiz, Ulises

2004-01-01

In this article, the total quality programme in the Spanish healthcare system (1986-1992) and the subsequent quality improvement steps that have led to definition and implementation of such an integrated framework, seeking a quality management system and patient safety, are discussed.

Software cost/resource modeling: Software quality tradeoff measurement

NASA Technical Reports Server (NTRS)

Lawler, R. W.

1980-01-01

A conceptual framework for treating software quality from a total system perspective is developed. Examples are given to show how system quality objectives may be allocated to hardware and software; to illustrate trades among quality factors, both hardware and software, to achieve system performance objectives; and to illustrate the impact of certain design choices on software functionality.

Total integrated performance excellence system (TIPES): A true north direction for a clinical trial support center.

PubMed

Sather, Mike R; Parsons, Sherry; Boardman, Kathy D; Warren, Stuart R; Davis-Karim, Anne; Griffin, Kevin; Betterton, Jane A; Jones, Mark S; Johnson, Stanley H; Vertrees, Julia E; Hickey, Jan H; Salazar, Thelma P; Huang, Grant D

2018-03-01

This paper presents the quality journey taken by a Federal organization over more than 20 years. These efforts have resulted in the implementation of a Total Integrated Performance Excellence System (TIPES) that combines key principles and practices of established quality systems. The Center has progressively integrated quality system frameworks including the Malcom Baldrige National Quality Award (MBNQA) Framework and Criteria for Performance Excellence, ISO 9001, and the Organizational Project Management Maturity Model (OPM3), as well as supplemental quality systems of ISO 15378 (packaging for medicinal products) and ISO 21500 (guide to project management) to systematically improve all areas of operations. These frameworks were selected for applicability to Center processes and systems, consistency and reinforcement of complimentary approaches, and international acceptance. External validations include the MBNQA, the highest quality award in the US, continued registration and conformance to ISO standards and guidelines, and multiple VA and state awards. With a focus on a holistic approach to quality involving processes, systems and personnel, this paper presents activities and lessons that were critical to building TIPES and establishing the quality environment for conducting clinical research in support of Veterans and national health care.

Creating Quality in the Classroom.

ERIC Educational Resources Information Center

Arcaro, Janice

This guide explores using Total Quality Management/Developmental System Education (TQM/DSE) as a framework to improve educational outcomes in the classroom. Within the Total Quality paradigm, students and society are viewed as the customers of education; all programs provided at the school focus on meeting customer needs, resulting in improved…

Toward a System of Total Quality Management: Applying the Deming Approach to the Education Setting.

ERIC Educational Resources Information Center

McLeod, Willis B.; And Others

1992-01-01

Recently, the Petersburg (Virginia) Public Schools have moved away from a highly centralized organizational structure to a Total Quality Management system featuring shared decision making and school-based management practices. The district was guided by Deming's philosophy that all stakeholders should be involved in defining the level of products…

Leadership and Quality Management: An Analysis of Three Key Features of the Greek Education System

ERIC Educational Resources Information Center

Saiti, Anna

2012-01-01

Purpose: This paper aims to investigate whether educational leadership in Greece implements the values of total quality management and contributes to the improvement of the educational process, and to offer proposals for a framework of total quality management that would contribute to an improvement in the overall quality of the education process.…

Quality in Web-Supported Learning.

ERIC Educational Resources Information Center

Fresen, Jill

2002-01-01

Discusses quality assurance for Web-based courses, based on experiences at the University of Pretoria. Topics include evaluation of courseware; the concept of quality, including quality control, quality assurance, and total quality management; implementing a quality management system; measurement techniques; and partnerships. (LRW)

Total quality management in blood transfusion.

PubMed

Smit-Sibinga, C T

2000-01-01

Quality management is an ongoing development resulting in consistency products and services and ever increasing customer satisfaction. The ultimum is Total Quality Management. Quality systems and quality management in transfusion medicine have gained considerable attention since the outbreak of the AIDS epidemic. Where product orientation has long been applied through quality control, Good Manufacturing Practice (GMP) principles were introduced, shifting the developments in the direction of process orientation. Globally, and particularly in the more industrialised world people and system orientation has come along with the introduction of the ISO9001 concept. Harmonisation and a degree of uniformity are needed to implement a universally applicable Quality System and related Quality Management. Where the American Association of Blood Banks (AABB) is the professional organisation with the most extensive experience in quality systems in blood transfusion, the European Union and the Council of Europe now are in the process to design a quality system and management applicable to a larger variety of countries, based on a hybrid of current GMP and ISO9001 principles. The International Federation of Red Cross and Red Crescent Societies has developed a more universally to implement Quality Manual, with a pilot project in Honduras. It is recommendable to harmonise the various designs and bring the approaches under one common denominator.

Total Quality Management in the Classroom: Applications to University-Level Mathematics.

ERIC Educational Resources Information Center

Williams, Frank

1995-01-01

Describes a Total Quality Management-based system of instruction that is used in a variety of undergraduate mathematics courses. The courses that incorporate this approach include mathematics appreciation, introductory calculus, and advanced applied linear algebra. (DDR)

QUALITY SYSTEMS AND IMPLEMENTATION PLAN FOR A PILOT STUDY OF CHILDREN'S TOTAL EXPOSURE TO PERSISTENT PESTICIDES AND OTHER PERSISTENT ORGANIC PESTICIDES (CTEPP)

EPA Science Inventory

The Quality System Implementation Plan (QSIP) describes the quality assurance and quality control procedures developed for the CTEPP study. It provides the QA/QC procedures used in recruitment of subjects, sample field collection, sample extraction and analysis, data storage, and...

RT-MATRIX: Measuring Total Organic Carbon by Photocatalytic Oxidation of Volatile Organic Compounds

NASA Technical Reports Server (NTRS)

2008-01-01

Volatile organic compounds (VOCs) inevitably accumulate in enclosed habitats such as the International Space Station and the Crew Exploration Vehicle (CEV) as a result of human metabolism, material off-gassing, and leaking equipment. Some VOCs can negatively affect the quality of the crew's life, health, and performance; and consequently, the success of the mission. Air quality must be closely monitored to ensure a safe living and working environment. Currently, there is no reliable air quality monitoring system that meets NASA's stringent requirements for power, mass, volume, or performance. The ultimate objective of the project -- the development of a Real-Time, Miniaturized, Autonomous Total Risk Indicator System (RT.MATRIX).is to provide a portable, dual-function sensing system that simultaneously determines total organic carbon (TOC) and individual contaminants in air streams.

Comparative analysis of the outflow water quality of two sustainable linear drainage systems.

PubMed

Andrés-Valeri, V C; Castro-Fresno, D; Sañudo-Fontaneda, L A; Rodriguez-Hernandez, J

2014-01-01

Three different drainage systems were built in a roadside car park located on the outskirts of Oviedo (Spain): two sustainable urban drainage systems (SUDS), a swale and a filter drain; and one conventional drainage system, a concrete ditch, which is representative of the most frequently used roadside drainage system in Spain. The concentrations of pollutants were analyzed in the outflow of all three systems in order to compare their capacity to improve water quality. Physicochemical water quality parameters such as dissolved oxygen, total suspended solids, pH, electrical conductivity, turbidity and total petroleum hydrocarbons were monitored and analyzed for 25 months. Results are presented in detail showing significantly smaller amounts of outflow pollutants in SUDS than in conventional drainage systems, especially in the filter drain which provided the best performance.

Total Quality Management (TQM): Group Dynamics Workshop

DTIC Science & Technology

1990-05-15

interactions with other OSD decision-making bodies. " Remove barriers /facilitate implementation. " Direct action on unresolved process problems referred...TQM leadership. - Total Quality Management FUNCTIONS: * Translate goals to tangible internal initiatives. " Remove barriers . " Establish and...Quality Management FUNCTIONS: • Identify and remove barriers . " Develop practical process improvements. " Install solutions and measurement systems for

Total Quality Management and Media Services: The Deming Method.

ERIC Educational Resources Information Center

Richie, Mark L.

1992-01-01

W. Edwards Deming built a 40-year record of quality management in Japan known as Total Quality Management (TQM). His 14 points require a change in the belief system of managers and media directors, but their implementation in government agencies and schools will produce increased time for better services, better communications, and new programs.…

Controls on the quality of harvested rainwater in residential systems

NASA Astrophysics Data System (ADS)

Sojka, S. L.; Phung, D.; Hollingsworth, C.

2014-12-01

Rainwater harvesting systems, in which runoff from roofs is collected and used for irrigation, toilets and other purposes, present a viable solution to limited freshwater supplies and excess stormwater runoff. However, a lack of data on the quality of harvested rainwater hinders adoption of rainwater harvesting systems and makes development of rainwater harvesting regulations difficult. We conducted monthly surveys of 6 existing residential rainwater harvesting systems ranging in age from 1 to 11 years measuring pH, temperature, dissolved oxygen, total suspended solids, dissolved organic carbon, and coliform bacteria. We also examined a subset of the samples for iron, lead, mercury and arsenic. Many of the systems routinely met the water quality requirements for non-potable use without additional treatment, which is often required by regulations. In addition, while previous studies have shown that roof runoff contains heavy metals, the water in all systems showed very low or undetectable levels of metal contamination. Coliform bacteria concentration ranged from 20 to greater than 1400 CFU's per 100 mL and correlated with total suspended solids, which ranged from 2 - 7 mg l-1. The relationship between suspended solids and bacteria population was confirmed in a controlled experiment on the impact of filtering the rainwater before storage. Filtration decreased total suspended solids and total coliforms and increased dissolved oxygen concentration. This project provides insight into the effects of system design and a baseline assessment of the quality of harvested rainwater in existing systems.

Prediction of wastewater quality indicators at the inflow to the wastewater treatment plant using data mining methods

NASA Astrophysics Data System (ADS)

Szeląg, Bartosz; Barbusiński, Krzysztof; Studziński, Jan; Bartkiewicz, Lidia

2017-11-01

In the study, models developed using data mining methods are proposed for predicting wastewater quality indicators: biochemical and chemical oxygen demand, total suspended solids, total nitrogen and total phosphorus at the inflow to wastewater treatment plant (WWTP). The models are based on values measured in previous time steps and daily wastewater inflows. Also, independent prediction systems that can be used in case of monitoring devices malfunction are provided. Models of wastewater quality indicators were developed using MARS (multivariate adaptive regression spline) method, artificial neural networks (ANN) of the multilayer perceptron type combined with the classification model (SOM) and cascade neural networks (CNN). The lowest values of absolute and relative errors were obtained using ANN+SOM, whereas the MARS method produced the highest error values. It was shown that for the analysed WWTP it is possible to obtain continuous prediction of selected wastewater quality indicators using the two developed independent prediction systems. Such models can ensure reliable WWTP work when wastewater quality monitoring systems become inoperable, or are under maintenance.

Quality Management Framework for Total Diet Study centres in Europe.

PubMed

Pité, Marina; Pinchen, Hannah; Castanheira, Isabel; Oliveira, Luisa; Roe, Mark; Ruprich, Jiri; Rehurkova, Irena; Sirot, Veronique; Papadopoulos, Alexandra; Gunnlaugsdóttir, Helga; Reykdal, Ólafur; Lindtner, Oliver; Ritvanen, Tiina; Finglas, Paul

2018-02-01

A Quality Management Framework to improve quality and harmonization of Total Diet Study practices in Europe was developed within the TDS-Exposure Project. Seventeen processes were identified and hazards, Critical Control Points and associated preventive and corrective measures described. The Total Diet Study process was summarized in a flowchart divided into planning and practical (sample collection, preparation and analysis; risk assessment analysis and publication) phases. Standard Operating Procedures were developed and implemented in pilot studies in five organizations. The flowchart was used to develop a quality framework for Total Diet Studies that could be included in formal quality management systems. Pilot studies operated by four project partners were visited by project assessors who reviewed implementation of the proposed framework and identified areas that could be improved. The quality framework developed can be the starting point for any Total Diet Study centre and can be used within existing formal quality management approaches. Copyright © 2017 Elsevier Ltd. All rights reserved.

Revitalizing Space Operations through Total Quality Management

NASA Technical Reports Server (NTRS)

Baylis, William T.

1995-01-01

The purpose of this paper is to show the reader what total quality management (TQM) is and how to apply TQM in the space systems and management arena. TQM is easily understood, can be implemented in any type of business organization, and works.

Image recording requirements for earth observation applications in the next decade

NASA Technical Reports Server (NTRS)

Peavey, B.; Sos, J. Y.

1975-01-01

Future requirements for satellite-borne image recording systems are examined from the standpoints of system performance, system operation, product type, and product quality. Emphasis is on total system design while keeping in mind that the image recorder or scanner is the most crucial element which will affect the end product quality more than any other element within the system. Consideration of total system design and implementation for sustained operational usage must encompass the requirements for flexibility of input data and recording speed, pixel density, aspect ratio, and format size. To produce this type of system requires solution of challenging problems in interfacing the data source with the recorder, maintaining synchronization between the data source and the recorder, and maintaining a consistent level of quality. Film products of better quality than is currently achieved in a routine manner are needed. A 0.1 pixel geometric accuracy and 0.0001 d.u. radiometric accuracy on standard (240 mm) size format should be accepted as a goal to be reached in the near future.

An analysis of total quality management in Aeronautical Systems Division

NASA Astrophysics Data System (ADS)

Caudle, Mark D.

1991-09-01

This study investigated the major schools of thought on various aspects of quality management and quality improvement. Areas covered included definitions of waste and quality, views on the cost of quality, tools and techniques used for quality improvement, and management philosophies and frameworks for continuous improvement. In addition, this study analyzed the structure and training content of the current Total Quality Management program at Aeronautical Systems Division (ASD). Pre- and post-test surveys on employee attitudes toward organizational effectiveness were analyzed from the Advanced Cruise Missile System Program Office (SPO), the F-15 SPO, and the ASD Deputy Chief of Staff for Human Resources (ASD/DP). Data was supplemented with semi-structured, personal interviews with ASD personnel involved in TQM. Survey analysis showed that the ACM SPO significantly improved, ASD/DP significantly digressed, and the F-15 SPO remained basically consistent. This led to the conclusion that ASD allows too much flexibility in the implementation of TQM in the three-letter organizations.

NATIONAL EXPOSURE RESEARCH LABORATORY (NERL) INTEGRATED INFORMATOIN AND QUALITY MANAGEMENT PLAN TRAINING

EPA Science Inventory

The success of the NERL quality system relies on participation by all managers and staff. This training was developed for the purpose of communicating the basic features of the quality system in a convenient and efficient manner. The total time to complete a review of all five ...

Total chemical management in photographic processing

USGS Publications Warehouse

Luden, Charles; Schultz, Ronald

1985-01-01

The mission of the U. S. Geological Survey's Earth Resources Observation Systems (EROS) Data Center is to produce high-quality photographs of the earth taken from aircraft and Landsat satellite. In order to meet the criteria of producing research-quality photographs, while at the same time meeting strict environmental restrictions, a total photographic chemical management system was installed. This involved a three-part operation consisting of the design of a modern chemical analysis laboratory, the implementation of a chemical regeneration system, and the installation of a waste treatment system, including in-plant pretreatment and outside secondary waste treatment. Over the last ten years the result of this program has yielded high-quality photographs while saving approximately 30,000 per year and meeting all Environmental Protection Agency (EPA) restrictions.

User’s manual to update the National Wildlife Refuge System Water Quality Information System (WQIS)

USGS Publications Warehouse

Chojnacki, Kimberly A.; Vishy, Chad J.; Hinck, Jo Ellen; Finger, Susan E.; Higgins, Michael J.; Kilbride, Kevin

2013-01-01

National Wildlife Refuges may have impaired water quality resulting from historic and current land uses, upstream sources, and aerial pollutant deposition. National Wildlife Refuge staff have limited time available to identify and evaluate potential water quality issues. As a result, water quality–related issues may not be resolved until a problem has already arisen. The National Wildlife Refuge System Water Quality Information System (WQIS) is a relational database developed for use by U.S. Fish and Wildlife Service staff to identify existing water quality issues on refuges in the United States. The WQIS database relies on a geospatial overlay analysis of data layers for ownership, streams and water quality. The WQIS provides summary statistics of 303(d) impaired waters and total maximum daily loads for the National Wildlife Refuge System at the national, regional, and refuge level. The WQIS allows U.S. Fish and Wildlife Service staff to be proactive in addressing water quality issues by identifying and understanding the current extent and nature of 303(d) impaired waters and subsequent total maximum daily loads. Water quality data are updated bi-annually, making it necessary to refresh the WQIS to maintain up-to-date information. This manual outlines the steps necessary to update the data and reports in the WQIS.

Water Quality Improvement through Reductions of Pollutant Loads on Small Scale of Bioretention System

NASA Astrophysics Data System (ADS)

Elyza Muha, Norshafa; Mohd Sidek, Lariyah; Jajarmizadeh, Milad

2016-03-01

Bioretention system is introduced as an important topic namely Urban Storm Water Management Manual for Malaysia (MSMA) by the Department of Irrigation and Drainage Malaysia (DID) in May 2012. The main objective of this paper is to evaluate the performance of water quality for small scale bioretention system under tropical climate via MUSIC model. Two bioretention systems 1 and 2 are observed based on the difference media depth. The result of bioretention system is compared with a reference model which has infrastructure with Urban Stormwater Improvement Conceptualisation (MUSIC) for pollutants load reduction and water quality results. Assessment of results via MUSIC software indicates a significant percentage of reduction for Total Suspended Solid (TSS), Total Phosphorus (TP) and Total Nitrogen (TN). The prediction of pollutant reduction via using MUSIC has the harmony for requirement in MSMA. TSS pollutant reduction is more than 80%, while for TP and TN more than 50%. The outcome of this study can be helpful for improvement of the existing MSMA guidelines for application of bioretention systems in Malaysia.

The Perfect Process Storm: Integration of CMMI, Agile, and Lean Six Sigma

DTIC Science & Technology

2012-12-01

struggled over the past few decades with a blizzard of process improvement methodologies such as Total Quality Manage- ment (TQM), Kaizen , JIT...the Japanese Kaizen system, targeting quality, effort, employee involvement, willingness to change, communication, and elimina- tion of waste in...blizzard of process improvement methodologies such as Total Quality Management (TQM), Kaizen , JIT Production, and Re-Engineering. These operations are

High Performance Work Systems and Organizational Outcomes: The Mediating Role of Information Quality.

ERIC Educational Resources Information Center

Preuss, Gil A.

2003-01-01

A study of the effect of high-performance work systems on 935 nurses and 182 nurses aides indicated that quality of decision-making information depends on workers' interpretive skills and partially mediated effects of work design and total quality management on organizational performance. Providing relevant knowledge and opportunities to use…

Using TQM and ISO 9000 Principles in Assuring Education Service Quality.

ERIC Educational Resources Information Center

Kabashkin, Igor; Michnev, Boris; Utchin, Georgy

1998-01-01

Describes Riga Aviation University's movement from a controlled professional-education program to a system of contract relations with students as education service customers. Discusses a study of students' demands, requirements, and issues and the development of a quality assurance system based on Total Quality Management and ISO 9000 standards.…

Space Station Freedom - Configuration management approach to supporting concurrent engineering and total quality management. [for NASA Space Station Freedom Program

NASA Technical Reports Server (NTRS)

Gavert, Raymond B.

1990-01-01

Some experiences of NASA configuration management in providing concurrent engineering support to the Space Station Freedom program for the achievement of life cycle benefits and total quality are discussed. Three change decision experiences involving tracing requirements and automated information systems of the electrical power system are described. The potential benefits of concurrent engineering and total quality management include improved operational effectiveness, reduced logistics and support requirements, prevention of schedule slippages, and life cycle cost savings. It is shown how configuration management can influence the benefits attained through disciplined approaches and innovations that compel consideration of all the technical elements of engineering and quality factors that apply to the program development, transition to operations and in operations. Configuration management experiences involving the Space Station program's tiered management structure, the work package contractors, international partners, and the participating NASA centers are discussed.

Relationship between Hydrodynamic Conditions and Water Quality in Landscape Water Body

NASA Astrophysics Data System (ADS)

Kang, Mengxin; Tian, Yimei; Zhang, Haiya; Wang, Dehong

2018-01-01

The urban landscape water usually lacks necessary water cycle and water speed is closed to zero, which easily lead to eutrophication in water system and deterioration of water quality. Therefore, understanding the impact of water circulation on the water quality is of great significance. With that significance, this research has been done to investigate the relationship between hydrodynamic conditions and water quality of urban landscape water based on adopted water quality indexes such as chemical oxygen demand (COD), total nitrogen (TN), total phosphorus (TP) and nitrogen-ammonia (NH3-N). Moreover, MIKE 21 model is used to simulate the hydrodynamics and water quality under different cases in an urban landscape lake. The results of simulation show that water circulation system could effectively improve current speeds, reduce the proportion of stagnation area, and solve the problem of water quality deterioration caused by reclaimed water in the lake.

Total Quality Management in Education.

ERIC Educational Resources Information Center

Johnson, James H.

1993-01-01

Ways to apply the concepts and processes of Total Quality Management (TQM) to education are discussed in this document. Following the introduction and the preface, chapter 1 provides a historical overview and describes the four cornerstones of TQM--an understanding of systems, psychology, knowledge, and statistics. Chapter 2 describes some of the…

[The organization of system of quality management in large multitype hospital].

PubMed

Taĭts, B M; Krichmar, G N; Stvolinskiĭ, I Iu; Grandilevskaia, O L

2013-01-01

The article presents the characteristics and assessment of functioning of model of quality management in large multitype hospital. The results of work of the municipal hospital of Saint Venerable martyr Elizabeth of St Petersburg concerning the implementation of system of quality management in 2001-2011 of the foundation of principles of total quality management of medical service and principles of quality management according international standards ISO and their Russian analogues.

Flexible optical metrology strategies for the control and quality assurance of small series production

NASA Astrophysics Data System (ADS)

Schmitt, R.; Pavim, A.

2009-06-01

The demand for achieving smaller and more flexible production series with a considerable diversity of products complicates the control of the manufacturing tasks, leading to big challenges for the quality assurance systems. The quality assurance strategy that is nowadays used for mass production is unable to cope with the inspection flexibility needed among automated small series production, because the measuring strategy is totally dependent on the fixed features of the few manufactured object variants and on process parameters that can be controlled/compensated during production time. The major challenge faced by a quality assurance system applied to small series production facilities is to guarantee the needed quality level already at the first run, and therefore, the quality assurance system has to adapt itself constantly to the new manufacturing conditions. The small series production culture requires a change of paradigms, because its strategies are totally different from mass production. This work discusses the tight inspection requirements of small series production and presents flexible metrology strategies based on optical sensor data fusion techniques, agent-based systems as well as cognitive and self-optimised systems for assuring the needed quality level of flexible small series. Examples of application scenarios are provided among the automated assembly of solid state lasers and the flexible inspection of automotive headlights.

Launch vehicle systems design analysis

NASA Technical Reports Server (NTRS)

Ryan, Robert; Verderaime, V.

1993-01-01

Current launch vehicle design emphasis is on low life-cycle cost. This paper applies total quality management (TQM) principles to a conventional systems design analysis process to provide low-cost, high-reliability designs. Suggested TQM techniques include Steward's systems information flow matrix method, quality leverage principle, quality through robustness and function deployment, Pareto's principle, Pugh's selection and enhancement criteria, and other design process procedures. TQM quality performance at least-cost can be realized through competent concurrent engineering teams and brilliance of their technical leadership.

Using Quality To Redesign School Systems: The Cutting Edge of Common Sense.

ERIC Educational Resources Information Center

Siegel, Peggy; Byrne, Sandra

Quality is an important part of the process of managing institutional change. This book focuses on how Total Quality Management (TQM) as a management philosophy translates into practice, both in school systems and corporations. Data were obtained through observations and interviews conducted at 11 sites--4 companies and 7 educational facilities.…

[Navigated implantation of total knee endoprostheses--a comparative study with conventional instrumentation].

PubMed

Jenny, J Y; Boeri, C

2001-01-01

A navigation system should improve the quality of a total knee prosthesis implantation in comparison to the classical, surgeon-controlled operative technique. The authors have implanted 40 knee total prostheses with an optical infrared navigation system (Orthopilot AESCULAP, Tuttlingen--group A). The quality of implantation was studied on postoperative long leg AP and lateral X-rays, and compared to a control group of 40 computer-paired total knee prostheses o the same model (Search Prosthesis, AESCULAP, Tuttlingen) implanted with a classical, surgeon-controlled technique (group B). An optimal mechanical femorotibial angle (3 degrees valgus to 3 degrees varus) was obtained by 33 cases in group A and 31 cases in group B (p > 0.05). Better results were seen for the coronal and sagittal orientation of both tibial and femoral components in group A. Globally, 26 cases of the group A and 12 cases of the group B were implanted in an optimal manner for all studied criteria (p < 0.01). The used navigation system allows a significant improvement of the quality of implantation of a knee total prosthesis in comparison to a classical, surgeon-controlled instrumentation. Long-term outcome could be consequently improved.

Systems design analysis applied to launch vehicle configuration

NASA Technical Reports Server (NTRS)

Ryan, R.; Verderaime, V.

1993-01-01

As emphasis shifts from optimum-performance aerospace systems to least lift-cycle costs, systems designs must seek, adapt, and innovate cost improvement techniques in design through operations. The systems design process of concept, definition, and design was assessed for the types and flow of total quality management techniques that may be applicable in a launch vehicle systems design analysis. Techniques discussed are task ordering, quality leverage, concurrent engineering, Pareto's principle, robustness, quality function deployment, criteria, and others. These cost oriented techniques are as applicable to aerospace systems design analysis as to any large commercial system.

Systems Science in Support of Total Quality Management,

DTIC Science & Technology

Quality Management (TQM). This paper bridges the gap between these two subjects to illustrate specific means by which systems science can begin to augment TQM. This construction is based upon the consideration of two topics. First, a brief introduction to systems science is provided. Second, systems science is applied through the concept of the Conant-Ashby

Importance of implementing an analytical quality control system in a core laboratory.

PubMed

Marques-Garcia, F; Garcia-Codesal, M F; Caro-Narros, M R; Contreras-SanFeliciano, T

2015-01-01

The aim of the clinical laboratory is to provide useful information for screening, diagnosis and monitoring of disease. The laboratory should ensure the quality of extra-analytical and analytical process, based on set criteria. To do this, it develops and implements a system of internal quality control, designed to detect errors, and compare its data with other laboratories, through external quality control. In this way it has a tool to detect the fulfillment of the objectives set, and in case of errors, allowing corrective actions to be made, and ensure the reliability of the results. This article sets out to describe the design and implementation of an internal quality control protocol, as well as its periodical assessment intervals (6 months) to determine compliance with pre-determined specifications (Stockholm Consensus(1)). A total of 40 biochemical and 15 immunochemical methods were evaluated using three different control materials. Next, a standard operation procedure was planned to develop a system of internal quality control that included calculating the error of the analytical process, setting quality specifications, and verifying compliance. The quality control data were then statistically depicted as means, standard deviations, and coefficients of variation, as well as systematic, random, and total errors. The quality specifications were then fixed and the operational rules to apply in the analytical process were calculated. Finally, our data were compared with those of other laboratories through an external quality assurance program. The development of an analytical quality control system is a highly structured process. This should be designed to detect errors that compromise the stability of the analytical process. The laboratory should review its quality indicators, systematic, random and total error at regular intervals, in order to ensure that they are meeting pre-determined specifications, and if not, apply the appropriate corrective actions. Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.

Restoring water quality in the polluted Turag-Tongi-Balu river system, Dhaka: Modelling nutrient and total coliform intervention strategies.

PubMed

Whitehead, Paul; Bussi, Gianbattista; Hossain, Mohammed Abed; Dolk, Michaela; Das, Partho; Comber, Sean; Peters, Rebecca; Charles, Katrina J; Hope, Rob; Hossain, Md Sarwar

2018-08-01

River water quality in rapidly urbanising Asian cities threatens to damage the resource base on which human health, economic growth and poverty reduction all depend. Dhaka reflects the challenges and opportunities for balancing these dynamic and complex trade-offs which goals can be achieved through effective policy interventions. There is a serious problem of water pollution in central Dhaka, in the Turag-Tongi-Balu River system in Bangladesh with the river system being one of the most polluted in the world at the moment. A baseline survey of water chemistry and total coliforms has been undertaken and shows dissolved oxygen close to zero in the dry season, high organic loading together with extreme levels of Ammonium-N and total coliform in the water. Models have been applied to assess hydrochemical processes in the river and evaluate alternative strategies for policy and the management of the pollution issues. In particular models of flow, Nitrate-N, Ammonium-N and indicator bacteria (total coliforms) are applied to simulate water quality in the river system. Various scenarios are explored to clean up the river system, including flow augmentation and improved effluent treatment. The model results indicate that improved effluent treatment is likely to have a more significant impact on reducing Ammonium-N and total coliforms than flow augmentation, but a combined strategy would greatly reduce the pollution problems in the Turag-Tongi-Balu River System. Copyright © 2018. Published by Elsevier B.V.

Using Total Quality Management Principles To Implement School-Based Management.

ERIC Educational Resources Information Center

Terry, Paul M.

Those engaged in school restructuring can find direction in the philosophy of W. Edwards Deming, which has guided the operations of many American corporations. This paper provides an overview of Deming's Fourteen Points of Total Quality Management (TQM) and discusses their applications to education. To develop a successful TQM system, the school…

The Quality Education Challenge.

ERIC Educational Resources Information Center

Downey, Carolyn J.; And Others

Attempts to implement W. Edwards Deming's Total Quality Management (TQM) principles in education and transform school systems into world-class, quality learning environments have proved somewhat disappointing. This book asserts that educators need a way to translate the ideas about corporate quality for adaptation and use in schools. The…

Improving NAVFAC's total quality management of construction drawings with CLIPS

NASA Technical Reports Server (NTRS)

Antelman, Albert

1991-01-01

A diagnostic expert system to improve the quality of Naval Facilities Engineering Command (NAVFAC) construction drawings and specification is described. C Language Integrated Production System (CLIPS) and computer aided design layering standards are used in an expert system to check and coordinate construction drawings and specifications to eliminate errors and omissions.

[Construction of NIRS-based total quality control system for compound Ejiao oral liquid and relative thinking].

PubMed

Zhang, Yan; Zhang, Lu; Tian, Shou-Sheng; Zhou, Xiang-Shan; Li, Wen-Long; Qu, Hai-Bin

2016-10-01

In this paper, near infrared spectroscopy (NIRS)-based total quality control system of compound Ejiao oral liquid is introduced briefly, including the quality control of raw traditional Chinese medicine (TCM) materials, monitoring and control of the extract and the alkaline precipitation technics, and also the inspection of finished products in both open bottle and non-opening modes. By analyzing and summing up the significance and difficulties, several important problems in the practical applications of NIRS technology are proposed, which will provide references for the similar studies of other TCM products. Copyright© by the Chinese Pharmaceutical Association.

Assessment of river quality in a subtropical Austral river system: a combined approach using benthic diatoms and macroinvertebrates

NASA Astrophysics Data System (ADS)

Nhiwatiwa, Tamuka; Dalu, Tatenda; Sithole, Tatenda

2017-12-01

River systems constitute areas of high human population densities owing to their favourable conditions for agriculture, water supply and transportation network. Despite human dependence on river systems, anthropogenic activities severely degrade water quality. The main aim of this study was to assess the river health of Ngamo River using diatom and macroinvertebrate community structure based on multivariate analyses and community metrics. Ammonia, pH, salinity, total phosphorus and temperature were found to be significantly different among the study seasons. The diatom and macroinvertebrate taxa richness increased downstream suggesting an improvement in water as we moved away from the pollution point sources. Canonical correspondence analyses identified nutrients (total nitrogen and reactive phosphorus) as important variables structuring diatom and macroinvertebrate community. The community metrics and diversity indices for both bioindicators highlighted that the water quality of the river system was very poor. These findings indicate that both methods can be used for water quality assessments, e.g. sewage and agricultural pollution, and they show high potential for use during water quality monitoring programmes in other regions.

Stormwater quality of spring-summer-fall effluent from three partial-infiltration permeable pavement systems and conventional asphalt pavement.

PubMed

Drake, Jennifer; Bradford, Andrea; Van Seters, Tim

2014-06-15

This study examined the spring, summer and fall water quality performance of three partial-infiltration permeable pavement (PP) systems and a conventional asphalt pavement in Ontario. The study, conducted between 2010 and 2012, compared the water quality of effluent from two Interlocking Permeable Concrete Pavements (AquaPave(®) and Eco-Optiloc(®)) and a Hydromedia(®) Pervious Concrete pavement with runoff from an Asphalt control pavement. The usage of permeable pavements can mitigate the impact of urbanization on receiving surface water systems through quantity control and stormwater treatment. The PP systems provided excellent stormwater treatment for petroleum hydrocarbons, total suspended solids, metals (copper, iron, manganese and zinc) and nutrients (total-nitrogen and total-phosphorus) by reducing event mean concentrations (EMC) as well as total pollutant loadings. The PPs significantly reduced the concentration and loading of ammonia (NH4(+)+NH3), nitrite (NO2(-)) and organic-nitrogen (Org-N) but increased the concentration and loading of nitrate (NO3(-)). The PP systems had mixed performances for the treatment of phosphate (PO4(3-)). The PP systems increased the concentration of sodium (Na) and chloride (Cl) but EMCs remained well below recommended levels for drinking water quality. Relative to the observed runoff, winter road salt was released more slowly from the PP systems resulting in elevated spring and early-summer Cl and Na concentrations in effluent. PP materials were found to introduce dissolved solids into the infiltrating stormwater. The release of these pollutants was verified by additional laboratory scale testing of the individual pavement and aggregate materials at the University of Guelph. Pollutant concentrations were greatest during the first few months after construction and declined rapidly over the course of the study. Copyright © 2014 Elsevier Ltd. All rights reserved.

Hydrogeology and water quality of the Dublin and Midville aquifer systems at Waynesboro, Burke County, Georgia, 2011

USGS Publications Warehouse

Gonthier, Gerard

2013-01-01

The hydrogeology and water quality of the Dublin and Midville aquifer systems were characterized in the City of Waynesboro area in Burke County, Georgia, based on geophysical and drillers’ logs, flowmeter surveys, a 24-houraquifer test, and the collection and chemical analysis of water samples in a newly constructed well. At the test site, the Dublin aquifer system consists of interlayered sands and clays between depths of 396 and 691 feet, and the Midville aquifer system consists of a sandy clay layer overlying a sand and gravel layer between depths of 728 and 936 feet. The new well was constructed with three screened intervals in the Dublin aquifer system and four screened intervals in the Midville aquifer system. Wellbore-flowmeter testing at a pumping rate of 1,000 gallons per minute indicated that 52.2 percent of the total flow was from the shallower Dublin aquifer system with the remaining 47.8 percent from the deeper Midville aquifer system. The lower part of the lower Midville aquifer (900 to 930 feet deep), contributed only 0.1 percent of the total flow. Hydraulic properties of the two aquifer systems were estimated using data from two wellbore-flowmeter surveys and a 24-hour aquifer test. Estimated values of transmissivity for the Dublin and Midville aquifer systems were 2,000 and 1,000 feet squared per day, respectively. The upper and lower Dublin aquifers have a combined thickness of about 150 feet and the horizontal hydraulic conductivity of the Dublin aquifer system averages 10 feet per day. The upper Midville aquifer, lower Midville confining unit, and lower Midville aquifer have a combined thickness of about 210 feet, and the horizontal hydraulic conductivity of the Midville aquifer system averages 6 feet per day. Storage coefficient of the Dublin aquifer system, computed using the Theis method on water-level data from one observation well, was estimated to be 0.0003. With a thickness of about 150 feet, the specific storage of the Dublin aquifer system averages about 2×10-6 per foot. Water quality of the Dublin and Midville aquifer systems was characterized during the aquifer test on the basis of water samples collected from composite well flow originating from five depths in the completed production well during the aquifer test. Samples were analyzed for total dissolved solids, specific conductance, pH, alkalinity, and major ions. Water-quality results from composite samples, known flow contribution from individual screens, and a mixing equation were used to calculate water-quality values for sample intervals between sample depths or below the bottom sample depth. With the exception of iron and manganese, constituent concentrations of water from each of the sampled intervals and total flow from the well were within U.S. Environmental Protection Agency primary and secondary drinking-water standards. Water from the bottommost sample interval in the lower part of the lower Midville aquifer (900 to 930 feet) contained manganese and iron concentrations of 59.1 and 1,160 micrograms per liter, respectively, which exceeded secondary drinking-water standards. Because this interval contributed only 0.1 percent of the total flow to the well, water quality of this interval had little effect on the composite well water quality. Two other sample intervals from the Midville aquifer system and the total flow from both aquifer systems contained iron concentrations that slightly exceeded the secondary drinking-water standard of 300 micrograms per liter.

Producing Quality Water for Industrial Use.

ERIC Educational Resources Information Center

Schaezler, Donald J.

1978-01-01

This article discusses the quality of water demanded by industrial plants and the techniques which are currently employed to achieve them. Both quality and quantity requirements are considered including total plant operation, physical and chemical operating controls, and systems monitoring. (CS)

Deming's Quality: Our Last but Best Hope.

ERIC Educational Resources Information Center

Schenkat, Randy

1993-01-01

If educators endorse Alfie Kohn's surface message about Total Quality Management, they may miss opportunity to professionalize education. Deming's system of profound knowledge (interaction of theories of systems, knowledge, psychology, and variation) is a model for educated people grappling with life's complexities. Moreover, gaining community…

Faculty Opinions Regarding the Philosophical Principles of Total Quality Management (TQM).

ERIC Educational Resources Information Center

Aliff, John Vincent

The 14 points of the Total Quality Management (TQM) model can be distilled into the following 5 main guiding principles: establish a moral purpose for the institution, use cooperative efforts instead of individual efforts, stop the use of inspection (testing) to improve students and teachers, continuously improve the system and its products, and…

Comparison of RNA Isolation Methods From Insect Larvae

PubMed Central

Ridgeway, J. A.; Timm, A. E.

2014-01-01

Abstract Isolating RNA from insects is becoming increasingly important in molecular entomology. Four methods including three commercial kits RNeasy Mini Kit (Qiagen), SV Total RNA isolation system (Promega), TRIzol reagent (Invitrogen), and a cetyl trimethylammonium bromide (CTAB)-based method were compared regarding their ability to isolate RNA from whole-body larvae of Thaumatotibia leucotreta (Meyrick), Thanatophilus micans (F.), Plutella xylostella (L.), and Tenebrio molitor (L.). A difference was observed among the four methods regarding RNA quality but not quantity. However, RNA quality and quantity obtained was not dependent on the insect species. The CTAB-based method produced low-quality RNA and the Trizol reagent produced partially degraded RNA, whereas the RNeasy Mini Kit and SV Total RNA isolation system produced RNA of consistently high quality. However, after reverse transcription to cDNA, RNA produced using all four extraction methods could be used to successfully amplify a 708 bp fragment of the cytochrome oxidase I gene. Of the four methods, the SV Total RNA isolation system showed the least amount of DNA contamination with the highest RNA integrity number and is thus recommended for stringent applications where high-quality RNA is required. This is the first comparison of RNA isolation methods among different insect species and the first to compare RNA isolation methods in insects in the last 20 years. PMID:25527580

Comparison of Carcass Characteristics, Meat Quality, and Blood Parameters of Slow and Fast Grown Female Broiler Chickens Raised in Organic or Conventional Production System

PubMed Central

Cömert, Muazzez; Şayan, Yılmaz; Kırkpınar, Figen; Bayraktar, Ö. Hakan; Mert, Selim

2016-01-01

The objective of the study was to compare the carcass characteristics, meat quality, and blood parameters of slow and fast grown female broiler chickens fed in organic or conventional production system. The two genotypes tested were medium slow-growing chickens (SG, Hubbard Red JA) and commercial fast-growing chickens (FG, Ross 308). Both genotypes (each represented by 400 chickens) were divided into two sub-groups fed either organic (O) or conventional (C) systems. Chickens of each genotype and system were raised in a semi environmentally controlled poultry house until 21 d of age and were assigned to 5 pens of 40 chickens each. Then, O system chickens were transferred into an open-side poultry house with an outdoor run. At 81 d of age, 10 female chickens from each genotype and from each production system (n = 40) were randomly chosen to provide material for analysis, and were weighed and brought to the slaughterhouse to assess carcass characteristics and meat quality. The blood parameters were determined by using 5 female chickens from each genotype and from each production system (n = 20). FG had the higher live weight, along with carcass, breast, and thigh-drumstick weights compared to SG (p<0.05). FG had the higher breast yield, whereas SG had the higher thigh-drumstick yield (p<0.05). The O system resulted in a higher amount of abdominal fat (p<0.05). In addition, the O system values were higher for dry matter, crude ash, crude protein, and pH15 values in breast meat, and for crude ash, crude protein, and pH15 values in drumstick meat (p<0.05). In addition, total saturated fatty acids, total mono-unsaturated fatty acids, and total omega 3 were significantly higher in the O system than in the C system. Thus, the O system showed a positive advantage compared to the C system regarding female chicken meat quality, primarily within the ash, protein, and total omega 3 fatty acid profiles. In conclusion, the present study indicated that the main factor affecting the carcass characteristics of female chickens was genotype, whereas the organic system contributed to enhanced meat quality. These findings provide a better understanding of the relative roles of genotype and production systems in female broiler characteristics, and might aid producers in designing their facilities to optimize yield and quality while maintaining acceptable animal welfare standards. PMID:26954206

Assessment of Water-Quality Monitoring and a Proposed Water-Quality Monitoring Network for the Mosquito Lagoon Basin, East-Central Florida

USGS Publications Warehouse

Kroening, Sharon E.

2008-01-01

Surface- and ground-water quality data from the Mosquito Lagoon Basin were compiled and analyzed to: (1) describe historical and current monitoring in the basin, (2) summarize surface- and ground-water quality conditions with an emphasis on identifying areas that require additional monitoring, and (3) develop a water-quality monitoring network to meet the goals of Canaveral National Seashore (a National Park) and to fill gaps in current monitoring. Water-quality data were compiled from the U.S. Environmental Protection Agency's STORET system, the U.S. Geological Survey's National Water Information System, or from the agency which collected the data. Most water-quality monitoring focused on assessing conditions in Mosquito Lagoon. Significant spatial and/or seasonal variations in water-quality constituents in the lagoon were quantified for pH values, fecal coliform bacteria counts, and concentrations of dissolved oxygen, total nitrogen, total phosphorus, chlorophyll-a, and total suspended solids. Trace element, pesticide, and ground-water-quality data were more limited. Organochlorine insecticides were the major class of pesticides analyzed. A surface- and ground-water-quality monitoring network was designed for the Mosquito Lagoon Basin which emphasizes: (1) analysis of compounds indicative of human activities, including pesticides and other trace organic compounds present in domestic and industrial waste; (2) greater data collection in the southern part of Mosquito Lagoon where spatial variations in water-quality constituents were quantified; and (3) additional ground-water-quality data collection in the surficial aquifer system and Upper Floridan aquifer. Surface-water-quality data collected as part of this network would include a fixed-station monitoring network of eight sites in the southern part of the basin, including a canal draining Oak Hill. Ground-water quality monitoring should be done routinely at about 20 wells in the surficial aquifer system and Upper Floridan aquifer, distributed between developed and undeveloped parts of the basin. Water samples collected should be analyzed for a wide range of constituents, including physical properties, nutrients, suspended sediment, and constituents associated with increased urban development such as pesticides, other trace organic compounds associated with domestic and industrial waste, and trace elements.

Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice.

PubMed

Chang, Ching-Sheng; Chen, Su-Yueh; Lan, Yi-Ting

2012-11-21

No previous studies have addressed the integrated relationships among system quality, service quality, job satisfaction, and system performance; this study attempts to bridge such a gap with evidence-based practice study. The convenience sampling method was applied to the information system users of three hospitals in southern Taiwan. A total of 500 copies of questionnaires were distributed, and 283 returned copies were valid, suggesting a valid response rate of 56.6%. SPSS 17.0 and AMOS 17.0 (structural equation modeling) statistical software packages were used for data analysis and processing. The findings are as follows: System quality has a positive influence on service quality (γ11= 0.55), job satisfaction (γ21= 0.32), and system performance (γ31= 0.47). Service quality (β31= 0.38) and job satisfaction (β32= 0.46) will positively influence system performance. It is thus recommended that the information office of hospitals and developers take enhancement of service quality and user satisfaction into consideration in addition to placing b on system quality and information quality when designing, developing, or purchasing an information system, in order to improve benefits and gain more achievements generated by hospital information systems.

Control by quality: proposition of a typology.

PubMed

Pujo, P; Pillet, M

The application of Quality tools and methods in industrial management has always had a fundamental impact on the control of production. It influences the behavior of the actors concerned, while introducing the necessary notions and formalizations, especially for production systems with little or no automation, which constitute a large part of the industrial activity. Several quality approaches are applied in the workshop and are implemented at the level of the control. In this paper, the authors present a typology of the various approaches that have successively influenced control, such as statistical process control, quality assurance, and continuous improvement. First the authors present a parallel between production control and quality organizational structure. They note the duality between control, which is aimed at increasing productivity, and quality, which aims to satisfy the needs of the customer. They also note the hierarchical organizational structure of these two systems of management with, at each level, the notion of a feedback loop. This notion is fundamental to any kind of decision making. The paper is organized around the operational, tactical, and strategic levels, by describing for each level the main methods and tools for control by quality. The overview of these tools and methods starts at the operational level, with the Statistical Process Control, the Taguchi technique, and the "six sigma" approach. On the tactical level, we find a quality system approach, with a documented description of the procedures introduced in the firm. The management system can refer here to Quality Assurance, Total Productive Maintenance, or Management by Total Quality. The formalization through procedures of the rules of decision governing the process control enhances the validity of these rules. This leads to the enhancement of their reliability and to their consolidation. All this counterbalances the human, intrinsically fluctuating, behavior of the control operators. Strategic control by quality is then detailed, and the two main approaches, the continuous improvement approach and the proactive improvement approach, are introduced. Finally, the authors observe that at each of the three levels, the continuous process improvement, which is a component of Total Quality, becomes an essential preoccupation for the control. Ultimately, the recursive utilization of the Deming cycle remains the best practice for the control by quality.

Total quality management and shared governance: synergistic processes.

PubMed

Gardner, D B; Cummings, C

1994-01-01

"Synergism" accurately describes the gains that can be made when total quality management (TQM) and shared governance are employed for reciprocal development. This article explores the relationship between TQM and shared governance from a systems perspective. Systems thinking is the fundamental framework that must be learned by nursing managers. An example of this synergistic process is described from the National Institutes of Health nursing department's experience in implementing TQM and shared governance. The idea that structure is fundamental to problems and solutions when implementing change and focusing upon interdependency issues are the systemic competencies nursing managers need to develop in order to become strong nursing leaders.

Three Experts on Quality Management: Philip B. Crosby, W. Edwards Deming, Joseph M. Juran

DTIC Science & Technology

1992-07-01

Department of the Navy Office of the Under Secretary of the Navy Total Quality Leadership Omce THREE EXPERTS ON QUALITY MANAGEMENT : PHILIP B. CROSBY W...research, as the "price of nonconformance." To aid managers in statistical theory , statistical thinking, and the application tracking the cost of doing...Quality Management emphasizes that the process must become a way of life in Theory of Systems. "A system is a series of the organization. Continuance is

TQE, Technology, and Teaching.

ERIC Educational Resources Information Center

Hertzke, Eugene R.; Olson, Warren E.

This book provides a total "how-to" approach for the use of technology, including information on the types of systems, hardware, and software available. It offers guidelines for determining how to match specific systems and needs, as well as strategies for implementing technology and Total Quality Education (TQE) to improve teaching. It…

Managerial Systems as Measures of Quality Management in Universities in Uganda

ERIC Educational Resources Information Center

Neema-Abooki, P.

2014-01-01

This paper envisions that, since universities are basically consent organizations university management has an obligation to processes that engender total participation and passion of all employees. This study aimed at delving into management stances at universities. It based on Likert's systems of management, which depict the total organization…

National Survey on Internal Quality Control Practice for Lipid Parameters in Laboratories of China from 2014 to 2016.

PubMed

Ye, Yuanyuan; Wang, Wei; Zhao, Haijian; He, Falin; Zhong, Kun; Yuan, Shuai; Wang, Zhiguo

2017-09-01

To investigate the situation of Internal Quality Control (IQC) practice for total cholesterol, triglycerides, HDL-cholesterol and LDL-cholesterol from 2014 to 2016 in laboratories in China and provide improvement measurements. A web-based External Quality Assessment (EQA) system was used to collect IQC data of lipid parameters in laboratories which continuously participated in the national EQA programs in China from 2014 to 2016. Pass rate of the coefficients of variation (CVs) of two level quality controls in four lipid parameters were calculated according to six quality specifications for precision to evaluate the current status of precision level of the four lipid parameters and their change over time in China. 533, 512, 504, and 466 laboratories continuously reported the data of level one for total cholesterol, triglyceride, HDL-cholesterol and LDL-cholesterol, and 212, 210, 208 and 198 laboratories reported the level two, respectively. The percentage of laboratories meeting the quality specification varied based on different criteria. Non-significant change can be found in the pass rate of CVs over time. The number of laboratories using a closed system increased over time, but still only accounted for a small proportion. There is no significant difference in the pass rate of CVs between closed and open systems. Triglycerides currently have a fairly good performance in China. While the performance of laboratories on total cholesterol, HDL-cholesterol and LDL-cholesterol has yet to be improved.

Achievements and Lessons Learned from Vietnam's Higher Education Quality Assurance System after a Decade of Establishment

ERIC Educational Resources Information Center

Nguyen, Huu Cuong; Ta, Thi Thu Hien; Nguyen, Thi Thu Huong

2017-01-01

Higher education quality assurance and accreditation were officially implemented in Vietnam over twelve years ago. From a totally centralized model, Vietnam's accreditation system has been becoming more independent, especially with the establishment of accrediting agencies. The first accreditation certificates were also awarded to universities…

Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice

PubMed Central

2012-01-01

Background No previous studies have addressed the integrated relationships among system quality, service quality, job satisfaction, and system performance; this study attempts to bridge such a gap with evidence-based practice study. Methods The convenience sampling method was applied to the information system users of three hospitals in southern Taiwan. A total of 500 copies of questionnaires were distributed, and 283 returned copies were valid, suggesting a valid response rate of 56.6%. SPSS 17.0 and AMOS 17.0 (structural equation modeling) statistical software packages were used for data analysis and processing. Results The findings are as follows: System quality has a positive influence on service quality (γ11= 0.55), job satisfaction (γ21= 0.32), and system performance (γ31= 0.47). Service quality (β31= 0.38) and job satisfaction (β32= 0.46) will positively influence system performance. Conclusions It is thus recommended that the information office of hospitals and developers take enhancement of service quality and user satisfaction into consideration in addition to placing b on system quality and information quality when designing, developing, or purchasing an information system, in order to improve benefits and gain more achievements generated by hospital information systems. PMID:23171394

Are university rankings useful to improve research? A systematic review.

PubMed

Vernon, Marlo M; Balas, E Andrew; Momani, Shaher

2018-01-01

Concerns about reproducibility and impact of research urge improvement initiatives. Current university ranking systems evaluate and compare universities on measures of academic and research performance. Although often useful for marketing purposes, the value of ranking systems when examining quality and outcomes is unclear. The purpose of this study was to evaluate usefulness of ranking systems and identify opportunities to support research quality and performance improvement. A systematic review of university ranking systems was conducted to investigate research performance and academic quality measures. Eligibility requirements included: inclusion of at least 100 doctoral granting institutions, be currently produced on an ongoing basis and include both global and US universities, publish rank calculation methodology in English and independently calculate ranks. Ranking systems must also include some measures of research outcomes. Indicators were abstracted and contrasted with basic quality improvement requirements. Exploration of aggregation methods, validity of research and academic quality indicators, and suitability for quality improvement within ranking systems were also conducted. A total of 24 ranking systems were identified and 13 eligible ranking systems were evaluated. Six of the 13 rankings are 100% focused on research performance. For those reporting weighting, 76% of the total ranks are attributed to research indicators, with 24% attributed to academic or teaching quality. Seven systems rely on reputation surveys and/or faculty and alumni awards. Rankings influence academic choice yet research performance measures are the most weighted indicators. There are no generally accepted academic quality indicators in ranking systems. No single ranking system provides a comprehensive evaluation of research and academic quality. Utilizing a combined approach of the Leiden, Thomson Reuters Most Innovative Universities, and the SCImago ranking systems may provide institutions with a more effective feedback for research improvement. Rankings which extensively rely on subjective reputation and "luxury" indicators, such as award winning faculty or alumni who are high ranking executives, are not well suited for academic or research performance improvement initiatives. Future efforts should better explore measurement of the university research performance through comprehensive and standardized indicators. This paper could serve as a general literature citation when one or more of university ranking systems are used in efforts to improve academic prominence and research performance.

Managed care and total quality management: a necessary integration.

PubMed

Phoon, J; Corder, K; Barter, M

1996-01-01

The process of quality improvement/total quality management (QI/TQM) plays a key role in the delivery of health care in a managed care system. The concepts and ideas surrounding QI/TQM and managed care are interrelated, and the success of health care delivery depends on the integration and coexistence of these two philosophies. In looking more closely at these concepts, it becomes clear that the principles of QI/TQM must underlie strategic decisions involved in the implementation of a managed care system. Nurses play a key role in the success of this integration as nurse case managers, nurse practitioners, and nurse administrators. They have a direct impact on the many variables and goals of both QI/TQM and managed care.

Personal and macro-systemic factors as predictors of quality of life in chronic schizophrenia.

PubMed

Fontanil-Gómez, Yolanda; Alcedo Rodríguez, María A; Gutiérrez López, María I

2017-05-01

The goal of this research was to establish possible predictive factors for both subjective and externally assessed quality of life in people with chronic schizophrenia. Sixty-eight people with schizophrenia took part in the study and were assessed using the World Health Organisation Quality of Life Assessment - Brief Version (WHOQOL-BREF), the Quality of Life Scale (QLS), the Positive and Negative Syndrome Scale for Schizophrenia (PANSS), the Global Assessment of Functioning (GAF), the Social Functioning Scale (SFS) tests. Correlations and multiple regression analysis were conducted to determine possible predictors of quality of life. The residential environment (rural/urban), diagnosis, age at onset of disorder, global functioning and social functioning explained 68% of the total variance based on proxies’ assessment quality of life. Living arrangements and social functioning emerged as predictor variables for subjective quality of life, explaining a 47.3% of the total variance. Socio-cultural factors, such as social integration or the quality of interpersonal relationships, have more influence on these peoples’ physical and psychological health than certain personal factors, such as psychopathology. It is therefore advisable to pay attention to the environment and macro-systemic variables when developing intervention plans to improve their quality of life.

Sociotechnical factors influencing unsafe use of hospital information systems: A qualitative study in Malaysian government hospitals.

PubMed

Salahuddin, Lizawati; Ismail, Zuraini; Hashim, Ummi Rabaah; Raja Ikram, Raja Rina; Ismail, Nor Haslinda; Naim Mohayat, Mohd Hariz

2018-03-01

The objective of this study is to identify factors influencing unsafe use of hospital information systems in Malaysian government hospitals. Semi-structured interviews with 31 medical doctors in three Malaysian government hospitals implementing total hospital information systems were conducted between March and May 2015. A thematic qualitative analysis was performed on the resultant data to deduce the relevant themes. A total of five themes emerged as the factors influencing unsafe use of a hospital information system: (1) knowledge, (2) system quality, (3) task stressor, (4) organization resources, and (5) teamwork. These qualitative findings highlight that factors influencing unsafe use of a hospital information system originate from multidimensional sociotechnical aspects. Unsafe use of a hospital information system could possibly lead to the incidence of errors and thus raises safety risks to the patients. Hence, multiple interventions (e.g. technology systems and teamwork) are required in shaping high-quality hospital information system use.

Effect of a commercial housing system on egg quality during extended storage.

PubMed

Jones, D R; Karcher, D M; Abdo, Z

2014-05-01

Egg producers in the United States are utilizing a variety of commercial egg production systems to provide consumer choice and meet legislative requirements. Consumer egg grades in the United States were developed for conventional cage production, and it is unclear what effect alternative production systems might have on egg quality during retail and consumer home storage. The current study was undertaken to determine what changes in egg quality characteristics occur during extended cold storage for commercially produced conventional cage, enriched colony cage, and cage-free aviary eggs. During 12 wk of cold storage, egg weight, albumen height, Haugh unit, static compression shell strength, vitelline membrane strength and deformation, yolk index, shell dynamic stiffness, and whole egg total solids were monitored. Overall, aviary and enriched eggs were significantly (P < 0.05) heavier than conventional cage. Albumen height and Haugh unit (P < 0.05) were significantly greater for conventional cage than enriched eggs. Static compression shell strength was greatest (P < 0.05) for enriched eggs compared with aviary. No overall housing system effects for yolk measurements, shell dynamic stiffness, or whole egg total solids were observed. Albumen height, Haugh unit, and yolk quality measurements were all greatest at 0 and lowest at 12 wk of storage (P < 0.05). The rate of quality change among the housing systems for each measured attribute at 4, 6, and 12 wk was determined. Other than differences in the change of egg weight at 4 wk, no significant differences in the rate of quality decline were found among the housing systems. The results of the current study indicate that current US egg quality standards should effectively define quality for commercially produced conventional cage, enriched colony cage, and cage-free aviary eggs.

Quality Assurance Systems, TQM, and the New Collegialism.

ERIC Educational Resources Information Center

Harvey, Lee

This report discusses the application of the International Organization for Standards's ISO9000 quality assurance standard and Total Quality Management (TQM) to higher education in light of the "new collegialism." It defines the basic elements of ISO9000 and TQM, reviews the strengths and weaknesses of both approaches, and notes efforts…

Stormwater quality processes for three land-use areas in Broward County, Florida

USGS Publications Warehouse

Mattraw, H.C.; Miller, Robert A.

1981-01-01

Systematic collection and chemical analysis of stormwater runoff samples from three small urban areas in Broward County, Florida, were obtained between 1974 and 1977. Thirty or more runoff-constituent loads were computed for each of the homogeneous land-use areas. The areas sampled were single family residential, highway, and a commercial shopping center. Rainfall , runoff, and nutrient and metal analyses were stored in a data-management system. The data-management system permitted computation of loads, publication of basic-data reports and the interface of environmental and load information with a comprehensive statistical analysis system. Seven regression models relating water quality loads to characteristics of peak discharge, antecedent conditions, season, storm duration and rainfall intensity were constructed for each of the three sites. Total water-quality loads were computed for the collection period by summing loads for individual storms. Loads for unsampled storms were estimated by using regression models and records of storm precipitation. Loadings, pounds per day per acre of hydraulically effective impervious area, were computed for the three land-use types. Total nitrogen, total phosphorus, and total residue loadings were highest in the residential area. Chemical oxygen demand and total lead loadings were highest in the commercial area. Loadings of atmospheric fallout on each watershed were estimated by bulk precipitation samples collected at the highway and commercial site. (USGS)

Redefining and expanding quality assurance.

PubMed

Robins, J L

1992-12-01

To meet the current standards of excellence necessary for blood establishments, we have learned from industry that a movement toward organization-wide quality assurance/total quality management must be made. Everyone in the organization must accept responsibility for participating in providing the highest quality products and services. Quality must be built into processes and design systems to support these quality processes. Quality assurance has been redefined to include a quality planning function described as the most effective way of designing quality into processes. A formalized quality planning process must be part of quality assurance. Continuous quality improvement has been identified as the strategy every blood establishment must support while striving for error-free processing as the long-term objective. The auditing process has been realigned to support and facilitate this same objective. Implementing organization-wide quality assurance/total quality management is one proven plan for guaranteeing the quality of the 20 million products that are transfused into 4 million patients each year and for moving toward the new order.

Impact of increased collection rates and the use of commingled collection systems on the quality of recovered paper. Part 1: increased collection rates.

PubMed

Miranda, Ruben; Monte, M; Blanco, Angeles

2011-11-01

The recovery and utilization of recovered paper have increased over past decades all over the world due to economic, environmental, and social issues. However, it is well known that an extended recovered paper collection is detrimental to its quality, either by the exploitation of lower quality sources such as households, or the spreading of commingled systems instead of selective collection systems. The influence of these two factors was assessed by analyzing the quality of different recovered paper grades used as raw material in a mill located in Madrid (Spain) producing newsprint and light weight coated paper from recovered paper. Part 1 of the paper deals with the impact of increased collection rates on the quality of recovered paper and Part 2 with the use of commingled collection systems. Results of Part 1 show that increased collection rates have a large impact on the quality of the recovered paper. The quality, measured as total unusable material and moisture contents, had deteriorated very rapidly in only 4 years (2005-2008) as a consequence of increased collection rates. Collection rates increased in Spain from 58.5% to 68.6% during this period, resulting in more than 50% increase of total unusable material and 25% of moisture content. The downgrading of the quality of recovered paper is one of the major threats for extending the current limits of paper recycling. Therefore, future challenge is to increase its availability but maintaining its quality. Copyright © 2011 Elsevier Ltd. All rights reserved.

Total Quality Management: A Guide to Implementation

DTIC Science & Technology

1989-08-01

Kaizen. New York: Random House. 1986. Ishikawa , Kaoru . Guide to Quality Control. Asian Productivity Organization. 1984. Ishikawa , Kaoru . What is Total...with the problems and the new management principles are based on the complexities of the new Systems Age. The theories of Deming, Juran, Ishikawa , and...Progress. Jun 1985. Miller, Jeffery G. and Thomas E. Vollmann. "The Hidden Factory." Harvard Business Review. Sep-Oct 1985. Shimoyamada, Kaoru . "The

Predictive Effects of Online Peer Feedback Types on Performance Quality

ERIC Educational Resources Information Center

Yu, Fu-Yun; Wu, Chun-Ping

2013-01-01

This study examined the individual and combined predictive effects of two types of feedback (i.e., quantitative ratings and descriptive comments) in online peer-assessment learning systems on the quality of produced work. A total of 233 students participated in the study for six weeks. An online learning system that allows students to contribute…

Evaluating the Environmental Performance of the U.S. Next Generation Air Transportation System

NASA Technical Reports Server (NTRS)

Graham, Michael; Augustine, Stephen; Ermatinger, Christopher; Difelici, John; Thompson, Terence R.; Marcolini, Michael A.; Creedon, Jeremiah F.

2009-01-01

The environmental impacts of several possible U.S. Next Generation Air Transportation scenarios have been quantitatively evaluated for noise, air-quality, fuel-efficiency, and CO2 impacts. Three principal findings have emerged. (1) 2025 traffic levels about 30% higher than 2006 are obtained by increasing traffic according to FAA projections while also limiting traffic at each airport using reasonable ratios of demand to capacity. NextGen operational capabilities alone enable attainment of an additional 10-15% more flights beyond that 2025 baseline level with negligible additional noise, air-quality, and fuel-efficiency impacts. (2) The addition of advanced engine and airframe technologies provides substantial additional reductions in noise and air-quality impacts, and further improves fuel efficiency. 2025 environmental goals based on projected system-wide improvement rates of about 1% per year for noise and fuel-efficiency (an air-quality goal is not yet formulated) are achieved using this new vehicle technology. (3) Overall air-transport "product", as measured by total flown distance or total payload distance, increases by about 50% relative to 2006, but total fuel consumption and CO2 production increase by only about 40% using NextGen operational capabilities. With the addition of advanced engine/airframe technologies, the increase in total fuel consumption and CO2 production can be reduced to about 30%.

Total Water Management - slides

EPA Science Inventory

Total Water Management (TWM) examines urban water systems in an interconnected manner. It encompasses reducing water demands, increasing water recycling and reuse, creating water supply assets from stormwater management, matching water quality to end-use needs, and achieving envi...

Expert Water Quality Panel Review of Responses to the NASA Request for Information for the International Space Station On-Board Environmental Monitoring System

NASA Technical Reports Server (NTRS)

Fishman, Julianna L.; Mudgett, Paul D.; Packham, Nigel J.; Schultz, John R.; Straub, John E., II

2005-01-01

On August 9, 2003, NASA, with the cooperative support of the Vehicle Office of the International Space Station Program, the Advanced Human Support Technology Program, and the Johnson Space Center Habitability and Environmental Factors Office released a Request for Information, or RFI, to identify next-generation environmental monitoring systems that have demonstrated ability or the potential to meet defined requirements for monitoring air and water quality onboard the International Space Station. This report summarizes the review and analysis of the proposed solutions submitted to meet the water quality monitoring requirements. Proposals were to improve upon the functionality of the existing Space Station Total Organic Carbon Analyzer (TOCA) and monitor additional contaminants in water samples. The TOCA is responsible for in-flight measurement of total organic carbon, total inorganic carbon, total carbon, pH, and conductivity in the Space Station potable water supplies. The current TOCA requires hazardous reagents to accomplish the carbon analyses. NASA is using the request for information process to investigate new technologies that may improve upon existing capabilities, as well as reduce or eliminate the need for hazardous reagents. Ideally, a replacement for the TOCA would be deployed in conjunction with the delivery of the Node 3 water recovery system currently scheduled for November 2007.

Quality management systems for your in vitro fertilization clinic's laboratory: Why bother?

PubMed

Olofsson, Jan I; Banker, Manish R; Sjoblom, Late Peter

2013-01-01

Several countries have in recent years introduced prescribed requirements for treatment and monitoring of outcomes, as well as a licensing or accreditation requirement for in vitro fertilization (IVF) clinics and their laboratories. It is commonplace for Assisted Reproductive Technology (ART) laboratories to be required to have a quality control system. However, more effective Total Quality Management systems are now being implemented by an increasing number of ART clinics. In India, it is now a requirement to have a quality management system in order to be accredited and to help meet customer demand for improved delivery of ART services. This review contains the proceedings a quality management session at the Indian Fertility Experts Meet (IFEM) 2010 and focuses on the creation of a patient-oriented best-in-class IVF laboratory.

Quality management systems for your in vitro fertilization clinic's laboratory: Why bother?

PubMed Central

Olofsson, Jan I; Banker, Manish R; Sjoblom, Late Peter

2013-01-01

Several countries have in recent years introduced prescribed requirements for treatment and monitoring of outcomes, as well as a licensing or accreditation requirement for in vitro fertilization (IVF) clinics and their laboratories. It is commonplace for Assisted Reproductive Technology (ART) laboratories to be required to have a quality control system. However, more effective Total Quality Management systems are now being implemented by an increasing number of ART clinics. In India, it is now a requirement to have a quality management system in order to be accredited and to help meet customer demand for improved delivery of ART services. This review contains the proceedings a quality management session at the Indian Fertility Experts Meet (IFEM) 2010 and focuses on the creation of a patient-oriented best-in-class IVF laboratory. PMID:23869142

Six Sigma Quality Management System and Design of Risk-based Statistical Quality Control.

PubMed

Westgard, James O; Westgard, Sten A

2017-03-01

Six sigma concepts provide a quality management system (QMS) with many useful tools for managing quality in medical laboratories. This Six Sigma QMS is driven by the quality required for the intended use of a test. The most useful form for this quality requirement is the allowable total error. Calculation of a sigma-metric provides the best predictor of risk for an analytical examination process, as well as a design parameter for selecting the statistical quality control (SQC) procedure necessary to detect medically important errors. Simple point estimates of sigma at medical decision concentrations are sufficient for laboratory applications. Copyright © 2016 Elsevier Inc. All rights reserved.

A hydrologic retention system and water quality monitoring program for a human decomposition research facility: concept and design.

PubMed

Wozniak, Jeffrey R; Thies, Monte L; Bytheway, Joan A; Lutterschmidt, William I

2015-01-01

Forensic taphonomy is an essential research field; however, the decomposition of human cadavers at forensic science facilities may lead to nutrient loading and the introduction of unique biological compounds to adjacent areas. The infrastructure of a water retention system may provide a mechanism for the biogeochemical processing and retention of nutrients and compounds, ensuring the control of runoff from forensic facilities. This work provides a proof of concept for a hydrologic retention system and an autonomous water quality monitoring program designed to mitigate runoff from The Southeast Texas Applied Forensic Science (STAFS) Facility. Water samples collected along a sample transect were analyzed for total phosphorous, total nitrogen, NO3-, NO2-, NH4, F(-), and Cl(-). Preliminary water quality analyses confirm the overall effectiveness of the water retention system. These results are discussed with relation to how this infrastructure can be expanded upon to monitor additional, more novel, byproducts of forensic science research facilities. © 2014 American Academy of Forensic Sciences.

40 CFR 132.5 - Procedures for adoption and EPA review.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PROGRAMS WATER QUALITY GUIDANCE FOR THE GREAT LAKES SYSTEM § 132.5 Procedures for adoption and EPA review... water quality standards that were derived, or are as protective as or more protective than could be... procedure by which water quality-based effluent limits and total maximum daily loads are developed using the...

Managing Change to a Quality Philosophy: A Partnership Perspective.

ERIC Educational Resources Information Center

Snyder, Karolyn J.; Acker-Hocevar, Michele

Within the past 5 years there has been an international movement to adapt the principles and practices of Total Quality Management work environments to school-restructuring agendas. This paper reports on the development of a model called the Educational Quality System, a benchmark assessment tool for identifying the essential elements of quality…

Evaluation of the ride quality of a light twin engine airplane using a ride quality meter

NASA Technical Reports Server (NTRS)

Stewart, Eric C.

1989-01-01

A ride quality meter was used to establish the baseline ride quality of a light twin-engine airplane planned for use as a test bed for an experimental gust alleviation system. The ride quality meter provides estimates of passenger ride discomfort as a function of cabin noise and vibration (acceleration) in five axes (yaw axis omitted). According to the ride quality meter, in smooth air the cabin noise was the dominant source of passenger discomfort, but the total discomfort was approximately the same as that for the smooth-air condition. The researcher's subjective opinion, however, is that the total ride discomfort was much worse in the moderate turbulence than it was in the smooth air. The discrepancy is explained by the lack of measurement of the low-frequency accelerations by the ride quality meter.

48 CFR 7.101 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... produce quality systems. This includes ensuring that only necessary and cost-effective requirements are... that involve redesign of systems or subsystems. Life-cycle cost means the total cost to the Government...

48 CFR 7.101 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... produce quality systems. This includes ensuring that only necessary and cost-effective requirements are... that involve redesign of systems or subsystems. Life-cycle cost means the total cost to the Government...

An Analysis of Total Quality Management in Aeronautical Systems Division

DTIC Science & Technology

1991-09-01

Annual Review ..... ......... . 3-51 Disease 4: Mobility of Top Management ................... .3-52 Disease 5: Running a Company on Visible Figures...range Planning .................... 5-4 Merit Rating Systems and Annual Evaluation of Performance .. ..... ........... 5-4 Mobility of Management...generations of careful quality-conscious buyers. The indus- trial engine ran on the talents of designers, packagers, and advertisers . Turning out new

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--QUALITY SYSTEMS AND IMPLEMENTATION PLAN (QSIP) FOR TOTAL HUMAN EXPOSURE IN ARIZONA: A COMPARISON OF THE BORDER COMMUNITIES AND THE STATE

EPA Science Inventory

Prior to initiation of the Arizona Border Survey, a quality systems implementation plan (QSIP) addressing all aspects of the project was developed by the investigating consortium composed of researchers from The University of Arizona (UA), Battelle Memorial Institute (BMI), and t...

Linking land cover and water quality in New York City's water supply watersheds.

PubMed

Mehaffey, M H; Nash, M S; Wade, T G; Ebert, D W; Jones, K B; Rager, A

2005-08-01

The Catskill/Delaware reservoirs supply 90% of New York City's drinking water. The City has implemented a series of watershed protection measures, including land acquisition, aimed at preserving water quality in the Catskill/Delaware watersheds. The objective of this study was to examine how relationships between landscape and surface water measurements change between years. Thirty-two drainage areas delineated from surface water sample points (total nitrogen, total phosphorus, and fecal coliform bacteria concentrations) were used in step-wise regression analyses to test landscape and surface-water quality relationships. Two measurements of land use, percent agriculture and percent urban development, were positively related to water quality and consistently present in all regression models. Together these two land uses explained 25 to 75% of the regression model variation. However, the contribution of agriculture to water quality condition showed a decreasing trend with time as overall agricultural land cover decreased. Results from this study demonstrate that relationships between land cover and surface water concentrations of total nitrogen, total phosphorus, and fecal coliform bacteria counts over a large area can be evaluated using a relatively simple geographic information system method. Land managers may find this method useful for targeting resources in relation to a particular water quality concern, focusing best management efforts, and maximizing benefits to water quality with minimal costs.

Simulating the Response of Urban Water Quality to Climate and Land Use Change in Partially Urbanized Basins

NASA Astrophysics Data System (ADS)

Sun, N.; Yearsley, J. R.; Nijssen, B.; Lettenmaier, D. P.

2014-12-01

Urban stream quality is particularly susceptible to extreme precipitation events and land use change. Although the projected effects of extreme events and land use change on hydrology have been resonably well studied, the impacts on urban water quality have not been widely examined due in part to the scale mismatch between global climate models and the spatial scales required to represent urban hydrology and water quality signals. Here we describe a grid-based modeling system that integrates the Distributed Hydrology Soil Vegetation Model (DHSVM) and urban water quality module adpated from EPA's Storm Water Management Model (SWMM) and Soil and water assessment tool (SWAT). Using the model system, we evaluate, for four partially urbanized catchments within the Puget Sound basin, urban water quality under current climate conditions, and projected potential changes in urban water quality associated with future changes in climate and land use. We examine in particular total suspended solids, toal nitrogen, total phosphorous, and coliform bacteria, with catchment representations at the 150-meter spatial resolution and the sub-daily timestep. We report long-term streamflow and water quality predictions in response to extreme precipitation events of varying magnitudes in the four partially urbanized catchments. Our simulations show that urban water quality is highly sensitive to both climatic and land use change.

The Quality Revolution in Education.

ERIC Educational Resources Information Center

Bonstingl, John Jay

1992-01-01

Whether viewed through Deming's 14 points, Juran's Trilogy, or Kaoru Ishikawa's Thought Revolution, Total Quality Management embodies 4 fundamental tenets: primary focus on customers and suppliers, universal commitment to continuous improvement, a systems approach, and top management responsibility. Educational organizations are recreating their…

Measurement of IgE antibodies using liquid allergens--an inter-method and inter-laboratory quality assessment.

PubMed

Aberer, Werner; Kränke, Birger

2002-11-30

The determination of IgE antibodies is important for the in vitro diagnosis of allergic diseases. However, not all systems currently available in the market fulfill essential quality criteria, e.g. regarding characteristics such as sensitivity and specificity, and the data do not always reflect true clinical relevance in the required fashion. Recent innovations may reduce the workload for the technician, and thus help save time and money. More importantly, they might reduce potential sources of error. Two allergy systems, the well established Pharmacia CAP system that uses the allergens conventionally in a solid phase and the ALLERgen system that employs liquid allergens, were compared with regard to quality criteria and practicability. Defined serum pools were checked for within-run and between-days imprecision of IgE antibody detection in two independent laboratories. Serum specimens from allergic patients and controls were tested in parallel using both methods for total and antigen-specific IgE antibody detection under standardized conditions. In addition, one laboratory working exclusively with the ALLERgen system participated in the Austrian inter-laboratory quality assessment program. The two systems were comparable in terms of sensitivity and specificity, and also showed good correlation. Within-run evaluations were excellent for total IgE and antigen-specific IgE, and the between-days imprecision was satisfactory. Coefficients of variation were within an acceptable range for the different groups of allergens. In the external quality control program the data obtained with the ALLERgen system showed good concordance with other systems in use; up to 94% of the results were identical when considering clinically relevant sensitizations. Regarding practicability, both systems were most satisfactory for the operator. The ALLERgen system offered a certain advantage in terms of automated operation, which resulted in shorter fixed and variable phases of personnel time. Both the Pharmacia CAP system and the ALLERgen system belong to an advanced generation of allergy test systems and are easy to handle. The reproducibility of results is good with both methods, and the imprecision data fall within an acceptable range. Thus, the ALLERgen system is a reliable in vitro system for evaluating specific and total IgE in serum, providing data equivalent to those obtained with the CAP system.

Are university rankings useful to improve research? A systematic review

PubMed Central

Momani, Shaher

2018-01-01

Introduction Concerns about reproducibility and impact of research urge improvement initiatives. Current university ranking systems evaluate and compare universities on measures of academic and research performance. Although often useful for marketing purposes, the value of ranking systems when examining quality and outcomes is unclear. The purpose of this study was to evaluate usefulness of ranking systems and identify opportunities to support research quality and performance improvement. Methods A systematic review of university ranking systems was conducted to investigate research performance and academic quality measures. Eligibility requirements included: inclusion of at least 100 doctoral granting institutions, be currently produced on an ongoing basis and include both global and US universities, publish rank calculation methodology in English and independently calculate ranks. Ranking systems must also include some measures of research outcomes. Indicators were abstracted and contrasted with basic quality improvement requirements. Exploration of aggregation methods, validity of research and academic quality indicators, and suitability for quality improvement within ranking systems were also conducted. Results A total of 24 ranking systems were identified and 13 eligible ranking systems were evaluated. Six of the 13 rankings are 100% focused on research performance. For those reporting weighting, 76% of the total ranks are attributed to research indicators, with 24% attributed to academic or teaching quality. Seven systems rely on reputation surveys and/or faculty and alumni awards. Rankings influence academic choice yet research performance measures are the most weighted indicators. There are no generally accepted academic quality indicators in ranking systems. Discussion No single ranking system provides a comprehensive evaluation of research and academic quality. Utilizing a combined approach of the Leiden, Thomson Reuters Most Innovative Universities, and the SCImago ranking systems may provide institutions with a more effective feedback for research improvement. Rankings which extensively rely on subjective reputation and “luxury” indicators, such as award winning faculty or alumni who are high ranking executives, are not well suited for academic or research performance improvement initiatives. Future efforts should better explore measurement of the university research performance through comprehensive and standardized indicators. This paper could serve as a general literature citation when one or more of university ranking systems are used in efforts to improve academic prominence and research performance. PMID:29513762

Community-based wastewater treatment systems and water quality of an Indonesian village.

PubMed

Lim, H S; Lee, L Y; Bramono, S E

2014-03-01

This paper examines the impact of community-based water treatment systems on water quality in a peri-urban village in Yogyakarta, Indonesia. Water samples were taken from the wastewater treatment plants (WWTPs), irrigation canals, paddy fields and wells during the dry and wet seasons. The samples were tested for biological and chemical oxygen demand, nutrients (ammonia, nitrate, total nitrogen and total phosphorus) and Escherichia coli. Water quality in this village is affected by the presence of active septic tanks, WWTP effluent discharge, small-scale tempe industries and external sources. We found that the WWTPs remove oxygen-demanding wastes effectively but discharged nutrients, such as nitrate and ammonia, into irrigation canals. Irrigation canals had high levels of E. coli as well as oxygen-demanding wastes. Well samples had high E. coli, nitrate and total nitrogen levels. Rainfall tended to increase concentrations of biological and chemical oxygen demand and some nutrients. All our samples fell within the drinking water standards for nitrate but failed the international and Indonesian standards for E. coli. Water quality in this village can be improved by improving the WWTP treatment of nutrients, encouraging more villagers to be connected to WWTPs and controlling hotspot contamination areas in the village.

Relationship between total quality management, critical paths, and outcomes management.

PubMed

Lynn, P A

1996-09-01

Total quality management (TQM), clinical paths, and outcomes management are high-profile strategies in today's health care environment. Each strategy is distinct, yet there are interrelationships among them. TQM supports a customer-focused organizational culture, providing tools and techniques to identify and solve problems. Clinical paths are tools for enhancing patient care coordination and for identifying system-wide and patient population specific issues. Outcomes management is an integrated system for measuring the results in patient populations over time. There is a recent shift in outcomes measurement towards expanding both the nature of the outcomes examined and the timeframes in which they are studied.

From Empiricism to Total Quality Management in Greek Education

NASA Astrophysics Data System (ADS)

Karavasilis, Ioannis; Samoladas, Ioannis; Nedos, Apostolos

Nowadays the education system in Greece moves towards democratization and decentralization. School unit is the cell and the base of the education system. Principal's role is highly demanding, multi-dimensional, and a critical determinant of school performance and effectiveness. The paper proposes an effective organizational plan of school units in Primary Education based on basic administration processes and Total Quality Management. Using theory of emotional intelligence and Blake-Mouton's grid it emphasizes the impact of Principal's leadership on democratizing the school unit, on creating a safe and secure environment and positive school climate and motivating teachers committee to participate in the decision making process.

7th Annual NASA/Contractors Conference on Quality and Productivity: "Total Quality Leadership"

NASA Technical Reports Server (NTRS)

1991-01-01

More than 750 NASA, government, contractor, and academic representatives attended the Seventh Annual NASA/Contractors Conference on Quality and Productivity on October 12-13, 1990, in Grenelefe, Florida. The panel presentations and keynote speeches revolving around the theme of 'Total Quality Leadership' provided a solid base of understanding of the importance, benefits, and principles of total quality management. The implementation of these strategies is critical if we are to effectively pursue our mission of continuous quality improvement and reliability in our products, processess, and services. The annual NASA/contractors conferences serve as catalysts for achieving success in this mission. The conference was highlighted by the announcement of the first recipients of the George M. Low Trophy: NASA's Quality and Excellence Award. My congratulations go out to all nine finalist organizations and to the two recipients of this prestigious honor: Rockwell Space Systems Division and Marotta Scientific Controls, Inc. (the first small business to achieve this honor). These organizations have demonstrated a commitment to quality that is unsurpassed in the aerospace industry. This report summarizes the presentations and is not intended to be a verbatim proceedings document. You are encouraged to contact the speakers with any requests for further information.

A case study on the influences of long-range transport to Taiwan`s acid deposition using Taiwan air quality model

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

Ken-Hui Chang; Fu-Tien Jeng

1996-12-31

The long-range and transboundary transport of precursors of add deposition in East Asia became important due to the industrial development around this area. We started to develop Taiwan Air Quality Model (TAQM) system since 1992, which is based on regional Acid Deposition Model (RADM) system. A typical episode in Mei-Yu season has been selected to study. A case considering all emissions within simulated domain has been run as a reference case, and another perturbed case, not including Taiwan`s emission, has been also run for analyzing quantitatively the influence of long-range transport to Taiwan`s wet deposition during the episode are 31%more » and 24% for total sulfur compounds and total nitrogen compounds respectively; but for dry deposition, only 6% is contributed by long range transport for sulfur compounds and 29% for total nitrogen compounds. Therefore, the percentages of total acid deposition contributed by long-range transport are 27% and 25% for total sulfur compounds and total nitrogen compounds, respectively.« less

Healthcare delivery systems: designing quality into health information systems.

PubMed

Joyce, Phil; Green, Rosamund; Winch, Graham

2007-01-01

To ensure that quality is 'engineered in' a holistic, integrated and quality approach is required, and Total Quality Management (TQM) principles are the obvious foundations for this. This paper describes a novel approach to viewing the operations of a healthcare provider where electronic means could be used to distribute information (including electronic fund settlements), building around the Full Service Provider core. Specifically, an approach called the "triple pair flow" model is used to provide a view of healthcare delivery that is integrated, yet detailed, and that combines the strategic enterprise view with a business process view.

National Assessment of Data Quality and Associated Systems-Level Factors in Malawi

PubMed Central

O'Hagan, Richael; Marx, Melissa A; Finnegan, Karen E; Naphini, Patrick; Ng'ambi, Kumbukani; Laija, Kingsley; Wilson, Emily; Park, Lois; Wachepa, Sautso; Smith, Joseph; Gombwa, Lewis; Misomali, Amos; Mleme, Tiope; Yosefe, Simeon

2017-01-01

ABSTRACT Background: Routine health data can guide health systems improvements, but poor quality of these data hinders use. To address concerns about data quality in Malawi, the Ministry of Health and National Statistical Office conducted a data quality assessment (DQA) in July 2016 to identify systems-level factors that could be improved. Methods: We used 2-stage stratified random sampling methods to select health centers and hospitals under Ministry of Health auspices, included those managed by faith-based entities, for this DQA. Dispensaries, village clinics, police and military facilities, tertiary-level hospitals, and private facilities were excluded. We reviewed client registers and monthly reports to verify availability, completeness, and accuracy of data in 4 service areas: antenatal care (ANC), family planning, HIV testing and counseling, and acute respiratory infection (ARI). We also conducted interviews with facility and district personnel to assess health management information system (HMIS) functioning and systems-level factors that may be associated with data quality. We compared systems and quality factors by facility characteristics using 2-sample t tests with Welch's approximation, and calculated verification ratios comparing total entries in registers to totals from summarized reports. Results: We selected 16 hospitals (of 113 total in Malawi), 90 health centers (of 466), and 16 district health offices (of 28) in 16 of Malawi's 28 districts. Nearly all registers were available and complete in health centers and district hospitals, but data quality varied across service areas; median verification ratios comparing register and report totals at health centers ranged from 0.78 (interquartile range [IQR]: 0.25, 1.07) for ARI and 0.99 (IQR: 0.82, 1.36) for family planning to 1.00 (IQR: 0.96, 1.00) for HIV testing and counseling and 1.00 (IQR: 0.80, 1.23) for ANC. More than half (60%) of facilities reported receiving a documented supervisory visit for HMIS in the prior 6 months. A recent supervision visit was associated with better availability of data (P=.05), but regular district- or central-level supervision was not. Use of data by the facility to track performance toward targets was associated with both improved availability (P=.04) and completeness of data (P=.02). Half of facilities had a full-time statistical clerk, but their presence did not improve the availability or completeness of data (P=.39 and P=.69, respectively). Conclusion: Findings indicate both strengths and weaknesses in Malawi's HMIS performance, with key weaknesses including infrequent data quality checks and unreliable supervision. Efforts to strengthen HMIS in low- and middle-income countries should be informed by similar assessments. PMID:28963173

Evaluation of a cost effective technique for treating aquaculture water discharge using Lolium perenne Lam as a biofilter.

PubMed

Nduwimana, André; Yang, Xiang-Long; Wang, Li-Ren

2007-01-01

Wastewater stabilization ponds generate low cost by-products that are useful for agriculture. The utilization of these by-products for soil amendment and as a source of nutrients for plants requires a high level of sanitation and stabilization of the organic matter, to maintain acceptable levels of soil, water and air quality. In this study, two aquaculture wastewater treatment systems; recirculating system and a floating plant bed system were designed to improve the quality of irrigation water in local communities with low income. In both systems the grass species Lolium perenne Lam was used as a plant biofilter while vegetable specie Amaranthus viridis was used to evaluate the performance of the system and the suitability of the phyto-treated water for irrigation. It was found that the harmful material removal rate for recirculating system was 88.9% for TAN (total ammonia nitrogen), 90% for NO2(-)-N, 64.8% for NO3(-)-N while for floating plant bed system 82.7% for TAN, 82% for NO2(-)-N and 60.5% for NO3(-)-N. Comparative analysis of the efficiency of waste element removal between the two systems revealed that both systems performed well, however, plant growth was not robust for floating plant bed system while recirculating system is energy consuming. Although both systems did not attain sufficient levels of TN (total nitrogen) and TP (total phosphorus) load reduction, the treatment with L. perenne remarkably improved the irrigation water quality. A. viridis plants irrigated with the phyto-treated discharge water had lesser concentrations of heavy metals in their tissues compared to those irrigated with untreated discharge. The control plants irrigated with untreated discharge were also found to be highly lignified with few stems and small leaves.

The Total Quality Classroom.

ERIC Educational Resources Information Center

Bonstingl, John Jay

1992-01-01

Deming's quality-focused principles contradict Taylor's top-down, authoritarian industrial model. Deming advises educators to fix the system instead of blaming individual teachers for student apathy and low achievement. In the new paradigm, education will be a process that encourages continual progress through improving one's abilities, expanding…

Total Quality Management: Will It Work in the System Program Office?

DTIC Science & Technology

1990-05-01

Quality Management (TQM) is a relatively new philosophy of management which has high-level Department of Defense support and is presently being implemented in the Air Force. In the Air Force Systems Command, weapon system development and acquisition are carried out in System Program Offices (SPOs), staffed with various functionally oriented specialists supplied to the System Program Director by functional ’home offices’ via a matrix management scheme. Can TQM, relying as it does on cross-functional cooperation and on processes which cross functional lines, be

Implementing a Quality Management System in the Medical Microbiology Laboratory.

PubMed

Carey, Roberta B; Bhattacharyya, Sanjib; Kehl, Sue C; Matukas, Larissa M; Pentella, Michael A; Salfinger, Max; Schuetz, Audrey N

2018-07-01

This document outlines a comprehensive practical approach to a laboratory quality management system (QMS) by describing how to operationalize the management and technical requirements described in the ISO 15189 international standard. It provides a crosswalk of the ISO requirements for quality and competence for medical laboratories to the 12 quality system essentials delineated by the Clinical and Laboratory Standards Institute. The quality principles are organized under three main categories: quality infrastructure, laboratory operations, and quality assurance and continual improvement. The roles and responsibilities to establish and sustain a QMS are outlined for microbiology laboratory staff, laboratory management personnel, and the institution's leadership. Examples and forms are included to assist in the real-world implementation of this system and to allow the adaptation of the system for each laboratory's unique environment. Errors and nonconforming events are acknowledged and embraced as an opportunity to improve the quality of the laboratory, a culture shift from blaming individuals. An effective QMS encourages "systems thinking" by providing a process to think globally of the effects of any type of change. Ultimately, a successful QMS is achieved when its principles are adopted as part of daily practice throughout the total testing process continuum. Copyright © 2018 American Society for Microbiology.

Influence of water quality on nitrifier regrowth in two full-scale drinking water distribution systems.

PubMed

Scott, Daniel B; Van Dyke, Michele I; Anderson, William B; Huck, Peter M

2015-12-01

The potential for regrowth of nitrifying microorganisms was monitored in 2 full-scale chloraminated drinking water distribution systems in Ontario, Canada, over a 9-month period. Quantitative PCR was used to measure amoA genes from ammonia-oxidizing bacteria (AOB) and ammonia-oxidizing archaea (AOA), and these values were compared with water quality parameters that can influence nitrifier survival and growth, including total chlorine, ammonia, temperature, pH, and organic carbon. Although there were no severe nitrification episodes, AOB and AOA were frequently detected at low concentrations in samples collected from both distribution systems. A culture-based presence-absence test confirmed the presence of viable nitrifiers. AOB were usually present in similar or greater numbers than AOA in both systems. As well, AOB showed higher regrowth potential compared with AOA in both systems. Statistically significant correlations were measured between several water quality parameters of relevance to nitrification. Total chlorine was negatively correlated with both nitrifiers and heterotrophic plate count (HPC) bacteria, and ammonia levels were positively correlated with nitrifiers. Of particular importance was the strong correlation between HPC and AOB, which reinforced the usefulness of HPC as an operational parameter to measure general microbiological conditions in distribution systems.

Dosimetric evaluation of total marrow irradiation using 2 different planning systems

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

Nalichowski, Adrian, E-mail: nalichoa@karmanos.org; Eagle, Don G.; Burmeister, Jay

This study compared 2 different treatment planning systems (TPSs) for quality and efficiency of total marrow irradiation (TMI) plans. The TPSs used in this study were VOxel-Less Optimization (VoLO) (Accuray Inc, Sunnyvale, CA) using helical dose delivery on a Tomotherapy Hi-Art treatment unit and Eclipse (Varian Medical Systems Inc, Palo Alto, CA) using volumetric modulated arc therapy (VMAT) dose delivery on a Varian iX treatment unit. A total dose of 1200 cGy was prescribed to cover 95% of the planning target volume (PTV). The plans were optimized and calculated based on a single CT data and structure set using themore » Alderson Rando phantom (The Phantom Laboratory, Salem, NY) and physician contoured target and organ at risk (OAR) volumes. The OARs were lungs, heart, liver, kidneys, brain, and small bowel. The plans were evaluated based on plan quality, time to optimize the plan and calculate the dose, and beam on time. The resulting mean and maximum doses to the PTV were 1268 and 1465 cGy for VoLO and 1284 and 1541 cGy for Eclipse, respectively. For 5 of 6 OAR structures the VoLO system achieved lower mean and D10 doses ranging from 22% to 52% and 3% to 44%, respectively. Total computational time including only optimization and dose calculation were 0.9 hours for VoLO and 3.8 hours for Eclipse. These times do not include user-dependent target delineation and field setup. Both planning systems are capable of creating high-quality plans for total marrow irradiation. The VoLO planning system was able to achieve more uniform dose distribution throughout the target volume and steeper dose fall off, resulting in superior OAR sparing. VoLO's graphics processing unit (GPU)–based optimization and dose calculation algorithm also allowed much faster creation of TMI plans.« less

Value-based purchasing and hospital acquired conditions: are we seeing improvement?

PubMed

Spaulding, Aaron; Zhao, Mei; Haley, D Rob

2014-12-01

To determine if the Value-Based Purchasing Performance Scoring system correlates with hospital acquired condition quality indicators. This study utilizes the following secondary data sources: the American Hospital Association (AHA) annual survey and the Centers for Medicare and Medicaid (CMS) Value-Based Purchasing and Hospital Acquired Conditions databases. Zero-inflated negative binomial regression was used to examine the effect of CMS total performance score on counts of hospital acquired conditions. Hospital structure variables including size, ownership, teaching status, payer mix, case mix, and location were utilized as control variables. The secondary data sources were merged into a single database using Stata 10. Total performance scores, which are used to determine if hospitals should receive incentive money, do not correlate well with quality outcome in the form of hospital acquired conditions. Value-based purchasing does not appear to correlate with improved quality and patient safety as indicated by Hospital Acquired Condition (HAC) scores. This leads us to believe that either the total performance score does not measure what it should, or the quality outcome measurements do not reflect the quality of the total performance scores measure. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

12 CFR 615.5200 - Capital planning.

Code of Federal Regulations, 2010 CFR

2010-01-01

... the capital adequacy plan: (1) Capability of management and the board of directors; (2) Quality of... of Directors of each Farm Credit System institution shall determine the amount of total capital, core surplus, total surplus, and unallocated surplus needed to assure the institution's continued financial...

12 CFR 615.5200 - Capital planning.

Code of Federal Regulations, 2011 CFR

2011-01-01

... the capital adequacy plan: (1) Capability of management and the board of directors; (2) Quality of... of Directors of each Farm Credit System institution shall determine the amount of total capital, core surplus, total surplus, and unallocated surplus needed to assure the institution's continued financial...

Study on the influence on water ecosystem by a lake inflow filtration system

NASA Astrophysics Data System (ADS)

Wu, Sushu; Gao, Shipei; Hu, Xiaodong; Weng, Songgan; Guo, Liuchao

2018-06-01

Lakes play important roles in the economic-social sustainable development. However, due to unreasonable development and urbanization in recent years, lake water pollution and ecological degradation have occurred in China. The improvement of the lake inflow water quality is very important. A filtration system includes Gravel filtering system, Aquatic plant area and Ecological bag area was established. The test river is one of the typical lake inflow river and located in the river network in the Chang Dang lake, China. Water quality, zooplankton and phytoplankton in the inflow river were observed form July to mid-August in order to analyze the general process. The average removal rate of NH3-N (ammonia nitrogen) TN (total nitrogen) and TP (total phosphorus) is 28.33, 25.76 and 24.43 %, respectively. The Pantle-Buck method was used to evaluate the water quality and the B/T index was used to evaluate the nutrition situation. The B/T values were reduced by 20 % and the SI pollution index was reduced by 11.8 %. Therefore, a positive effect on the water's ecological restoration was achieved by the filtration system.

MATLAB Simulation of UPQC for Power Quality Mitigation Using an Ant Colony Based Fuzzy Control Technique

PubMed Central

Kumarasabapathy, N.; Manoharan, P. S.

2015-01-01

This paper proposes a fuzzy logic based new control scheme for the Unified Power Quality Conditioner (UPQC) for minimizing the voltage sag and total harmonic distortion in the distribution system consequently to improve the power quality. UPQC is a recent power electronic module which guarantees better power quality mitigation as it has both series-active and shunt-active power filters (APFs). The fuzzy logic controller has recently attracted a great deal of attention and possesses conceptually the quality of the simplicity by tackling complex systems with vagueness and ambiguity. In this research, the fuzzy logic controller is utilized for the generation of reference signal controlling the UPQC. To enable this, a systematic approach for creating the fuzzy membership functions is carried out by using an ant colony optimization technique for optimal fuzzy logic control. An exhaustive simulation study using the MATLAB/Simulink is carried out to investigate and demonstrate the performance of the proposed fuzzy logic controller and the simulation results are compared with the PI controller in terms of its performance in improving the power quality by minimizing the voltage sag and total harmonic distortion. PMID:26504895

Effectiveness of Learning Process Using "Web Technology" in the Distance Learning System

ERIC Educational Resources Information Center

Killedar, Manoj

2008-01-01

Web is a globally distributed, still highly personalized media for cost-effective delivery of multimedia information and services. Web is expected to have a strong impact on almost every aspect of how we learn. "Total Quality" is the totality of features, as perceived by the customers of the product or service. Totality of features…

Effects of coal-mine discharges on the quality of the Stonycreek River and its tributaries, Somerset and Cambria counties, Pennsylvania

USGS Publications Warehouse

Williams, Donald R.; Sams, James I.; Mulkerrin, Mary E.

1996-01-01

This report describes the results of a study by the U.S. Geological Survey, done in cooperation with the Somerset Conservation District, to locate and sample abandoned coal-mine discharges in the Stonycreek River Basin, to prioritize the mine discharges for remediation, and to determine the effects of the mine discharges on water quality of the Stonycreek River and its major tributaries. From October 1991 through November 1994, 270 abandoned coal-mine discharges were located and sampled. Discharges from 193 mines exceeded U.S. Environmental Protection Agency effluent standards for pH, discharges from 122 mines exceeded effluent standards for total-iron concentration, and discharges from 141 mines exceeded effluent standards for total-manganese concentration. Discharges from 94 mines exceeded effluent standards for all three constituents. Only 40 mine discharges met effluent standards for pH and concentrations of total iron and total manganese.A prioritization index (PI) was developed to rank the mine discharges with respect to their loading capacity on the receiving stream. The PI lists the most severe mine discharges in a descending order for the Stonycreek River Basin and for subbasins that include the Shade Creek, Paint Creek, Wells Creek, Quemahoning Creek, Oven Run, and Pokeytown Run Basins.Passive-treatment systems that include aerobic wetlands, compost wetlands, and anoxic limestone drains (ALD's) are planned to remediate the abandoned mine discharges. The successive alkalinity-producing-system treatment combines ALD technology with the sulfate reduction mechanism of the compost wetland to effectively remediate mine discharge. The water quality and flow of each mine discharge will determine which treatment system or combination of treatment systems would be necessary for remediation.A network of 37 surface-water sampling sites was established to determine stream-water quality during base flow. A series of illustrations show how water quality in the mainstem deteriorates downstream because of inflows from tributaries affected by acidic mine discharges. From the upstream mainstem site (site 801) to the outflow mainstem site (site 805), pH decreased from 6.8 to 4.2, alkalinity was completely depleted by inflow acidities, and total-iron discharges increased from 30 to 684 pounds per day. Total-manganese and total-sulfate discharges increased because neither constituent precipitates readily. Also, discharges of manganese and sulfate entering the mainstem from tributary streams have a cumulative effect.Oven Run and Pokeytown Run are two small tributary streams significantly affected by acidic mine drainage (AMD) that flow into the Stonycreek River near the town of Hooversville. The Pokeytown Run inflow is about 0.5 mile downstream from the Oven Run inflow. These two streams are the first major source of AMD flowing into the Stonycreek River. Data collected on the Stonycreek River above the Oven Run inflow and below the Pokeytown Run inflow show a decrease in pH from 7.6 to 5.1, a decrease in alkalinity concentration from 42 to 2 milligrams per liter, an increase in total sulfate discharge from 18 to 41 tons per day, and an increase in total iron discharge from 29 to 1,770 pounds per day. Data collected at three mainstem sites on the Stonycreek River below Oven Run and Pokeytown Run show a progressive deterioration in river water quality from AMD.Shade Creek and Paint Creek are other tributary streams to the Stonycreek River that have a significant negative effect on water quality of the Stonycreek River. One third of the abandoned-mine discharges sampled were in the Shade Creek and Paint Creek Basins.

Optimizing an estuarine water quality monitoring program through an entropy-based hierarchical spatiotemporal Bayesian framework

NASA Astrophysics Data System (ADS)

Alameddine, Ibrahim; Karmakar, Subhankar; Qian, Song S.; Paerl, Hans W.; Reckhow, Kenneth H.

2013-10-01

The total maximum daily load program aims to monitor more than 40,000 standard violations in around 20,000 impaired water bodies across the United States. Given resource limitations, future monitoring efforts have to be hedged against the uncertainties in the monitored system, while taking into account existing knowledge. In that respect, we have developed a hierarchical spatiotemporal Bayesian model that can be used to optimize an existing monitoring network by retaining stations that provide the maximum amount of information, while identifying locations that would benefit from the addition of new stations. The model assumes the water quality parameters are adequately described by a joint matrix normal distribution. The adopted approach allows for a reduction in redundancies, while emphasizing information richness rather than data richness. The developed approach incorporates the concept of entropy to account for the associated uncertainties. Three different entropy-based criteria are adopted: total system entropy, chlorophyll-a standard violation entropy, and dissolved oxygen standard violation entropy. A multiple attribute decision making framework is adopted to integrate the competing design criteria and to generate a single optimal design. The approach is implemented on the water quality monitoring system of the Neuse River Estuary in North Carolina, USA. The model results indicate that the high priority monitoring areas identified by the total system entropy and the dissolved oxygen violation entropy criteria are largely coincident. The monitoring design based on the chlorophyll-a standard violation entropy proved to be less informative, given the low probabilities of violating the water quality standard in the estuary.

The correlation of Acanthamoeba from the ventilation system with other environmental parameters in commercial buildings as possible indicator for indoor air quality.

PubMed

Ooi, Soo Shen; Mak, Joon Wah; Chen, Donald K F; Ambu, Stephen

2017-02-07

The free-living protozoan Acanthamoeba is an opportunistic pathogen that is ubiquitous in our environment. However, its role in affecting indoor air quality and ill-health of indoor occupants is relatively unknown. The present study investigated the presence of Acanthamoeba from the ventilation system and its correlation with other indoor air quality parameters, used in the industry code of practice and its potential as an indicator for indoor air quality. Indoor air quality assessments were carried out in nine commercial buildings with approval from the building management, and the parameters assessed were as recommended by the Department of Occupational Safety and Health. The presence of Acanthamoeba was determined through dust swabs from the ventilation system and indoor furniture. Logistic regression was performed to study the correlation between assessed parameters and occupants' complaints. A total of 107 sampling points were assessed and 40.2% of the supplying air diffuser and blowing fan and 15% of the furniture were positive for cysts. There was a significant correlation between Acanthamoeba detected from the ventilation system with ambient total fungus count (r=0.327; p=0.01) and respirable particulates (r=0.276; p=0.01). Occupants' sick building syndrome experience also correlated with the presence of Acanthamoeba in the ventilation system (r=0.361; p=0.01) and those detected on the furniture (r=0.290; p=0.01). Logistic regression showed that there was a five-fold probability of sick building syndrome among occupants when Acanthamoeba was detected in the ventilation system.

The correlation of Acanthamoeba from the ventilation system with other environmental parameters in commercial buildings as possible indicator for indoor air quality

PubMed Central

OOI, Soo Shen; MAK, Joon Wah; CHEN, Donald K.F.; AMBU, Stephen

2016-01-01

The free-living protozoan Acanthamoeba is an opportunistic pathogen that is ubiquitous in our environment. However, its role in affecting indoor air quality and ill-health of indoor occupants is relatively unknown. The present study investigated the presence of Acanthamoeba from the ventilation system and its correlation with other indoor air quality parameters, used in the industry code of practice and its potential as an indicator for indoor air quality. Indoor air quality assessments were carried out in nine commercial buildings with approval from the building management, and the parameters assessed were as recommended by the Department of Occupational Safety and Health. The presence of Acanthamoeba was determined through dust swabs from the ventilation system and indoor furniture. Logistic regression was performed to study the correlation between assessed parameters and occupants’ complaints. A total of 107 sampling points were assessed and 40.2% of the supplying air diffuser and blowing fan and 15% of the furniture were positive for cysts. There was a significant correlation between Acanthamoeba detected from the ventilation system with ambient total fungus count (r=0.327; p=0.01) and respirable particulates (r=0.276; p=0.01). Occupants’ sick building syndrome experience also correlated with the presence of Acanthamoeba in the ventilation system (r=0.361; p=0.01) and those detected on the furniture (r=0.290; p=0.01). Logistic regression showed that there was a five-fold probability of sick building syndrome among occupants when Acanthamoeba was detected in the ventilation system. PMID:27476379

Quality assurance in China: a sleeping tiger awakens

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

Baehr, R.M.

1996-12-31

The People`s Republic of China has undergone major economic reform in the past decade producing a new free-market system that is distinctly Chinese. The Chinese realize that to be successful in world trade, quality management and export trading must be given the highest priority in China`s strategic economic plans. Many manufacturing companies are now implementing Total Quality Management (TQM) and the ISO 9000 i quality management standards. A first hand survey of the quality movement in China today is the objective of this paper.

Sports Injury Surveillance Systems: A Review of Methods and Data Quality.

PubMed

Ekegren, Christina L; Gabbe, Belinda J; Finch, Caroline F

2016-01-01

Data from sports injury surveillance systems are a prerequisite to the development and evaluation of injury prevention strategies. This review aimed to identify ongoing sports injury surveillance systems and determine whether there are gaps in our understanding of injuries in certain sport settings. A secondary aim was to determine which of the included surveillance systems have evaluated the quality of their data, a key factor in determining their usefulness. A systematic search was carried out to identify (1) publications presenting methodological details of sports injury surveillance systems within clubs and organisations; and (2) publications describing quality evaluations and the quality of data from these systems. Data extracted included methodological details of the surveillance systems, methods used to evaluate data quality, and results of these evaluations. Following literature search and review, a total of 15 sports injury surveillance systems were identified. Data relevant to each aim were summarised descriptively. Most systems were found to exist within professional and elite sports. Publications concerning data quality were identified for seven (47%) systems. Validation of system data through comparison with alternate sources has been undertaken for only four systems (27%). This review identified a shortage of ongoing injury surveillance data from amateur and community sport settings and limited information about the quality of data in professional and elite settings. More surveillance systems are needed across a range of sport settings, as are standards for data quality reporting. These efforts will enable better monitoring of sports injury trends and the development of sports safety strategies.

12 CFR 8.2 - Semiannual assessment.

Code of Federal Regulations, 2010 CFR

2010-01-01

... system (which rates risk management, operational controls, compliance, and asset quality) at its most... follows: If the bank's total assets (consolidated domestic and foreign subsidiaries) are: Over— But not.... The excess is assessed at the marginal rate shown in Column D. (3) The total semiannual assessment is...

Total Water Management: A Research Project of the United States Environmental Protection Agency

EPA Science Inventory

Total Water Management (TWM) examines urban water systems in an interconnected manner. It encompasses reducing water demands, increasing water recycling and reuse, creating water supply assets from stormwater management, matching water quality to end-use needs, and achieving envi...

Efficiency of temporary storage of geothermal waters in a lake system: Monitoring the changes of water quality and bacterial community structures.

PubMed

Szirányi, Barbara; Krett, Gergely; Kosáros, Tünde; Janurik, Endre; Pekár, Ferenc; Márialigeti, Károly; Borsodi, Andrea K

2017-12-01

Disposal of used geothermal waters in Hungary often means temporary storage in reservoir lakes to reduce temperature and improve water quality. In this study, the physical and chemical properties and changes in the bacterial community structure of a reservoir lake system in southeast region of Hungary were monitored and compared through 2 years, respectively. The values of biological oxygen demand, concentrations of ammonium ion, total inorganic nitrogen, total phosphorous, and total phenol decreased, whereas oxygen saturation, total organic nitrogen, pH, and conductivity increased during the storage period. Bacterial community structure of water and sediment samples was compared by denaturing gradient gel electrophoresis (DGGE) following the amplification of the 16S rRNA gene. According to the DGGE patterns, greater seasonal than spatial differences of bacterial communities were revealed in both water and sediment of the lakes. Representatives of the genera Arthrospira and Anabaenopsis (cyanobacteria) were identified as permanent and dominant members of the bacterial communities.

Quality Measures in Orthopaedic Sports Medicine: A Systematic Review.

PubMed

Abrams, Geoffrey D; Greenberg, Daniel R; Dragoo, Jason L; Safran, Marc R; Kamal, Robin N

2017-10-01

To report the current quality measures that are applicable to orthopaedic sports medicine physicians. Six databases were searched with a customized search term to identify quality measures relevant to orthopaedic sports medicine surgeons: MEDLINE/PubMed, EMBASE, the National Quality Forum (NQF) Quality Positioning System (QPS), the Agency for Healthcare Research and Quality (AHRQ) National Quality Measures Clearinghouse (NQMC), the Physician Quality Reporting System (PQRS) database, and the American Academy of Orthopaedic Surgeons (AAOS) website. Results were screened by 2 Board-certified orthopaedic surgeons with fellowship training in sports medicine and dichotomized based on sports medicine-specific or general orthopaedic (nonarthroplasty) categories. Hip and knee arthroplasty measures were excluded. Included quality measures were further categorized based on Donabedian's domains and the Center for Medicare and Medicaid (CMS) National Quality Strategy priorities. A total of 1,292 quality measures were screened and 66 unique quality measures were included. A total of 47 were sports medicine-specific and 19 related to the general practice of orthopaedics for a fellowship-trained sports medicine specialist. Nineteen (29%) quality measures were collected within PQRS, with 5 of them relating to sports medicine and 14 relating to general orthopaedics. AAOS Clinical Practice Guidelines (CPGs) comprised 40 (60%) of the included measures and were all within sports medicine. Five (8%) additional measures were collected within AHRQ and 2 (3%) within NQF. Most quality measures consist of process rather than outcome or structural measures. No measures addressing concussions were identified. There are many existing quality measures relating to the practice of orthopaedic sports medicine. Most quality measures are process measures described within PQRS or AAOS CPGs. Knowledge of quality measures are important as they may be used to improve care, are increasingly being used to determine physician reimbursement, and can inform future quality measure development efforts. Published by Elsevier Inc.

Rootstock and fruit canopy position affect peach [Prunus persica (L.) Batsch] (cv. Rich May) plant productivity and fruit sensorial and nutritional quality.

PubMed

Gullo, Gregorio; Motisi, Antonio; Zappia, Rocco; Dattola, Agostino; Diamanti, Jacopo; Mezzetti, Bruno

2014-06-15

The right combination of rootstock and training system is important for increased yield and fruit sensorial and nutritional homogeneity and quality with peach [Prunus persica (L.) Batsch]. We investigated the effects of rootstock and training system on these parameters, testing the effect of vigorous GF677 and weaker Penta rootstock on 'Rich May' peach cultivar. Fruit position effects regarding photosynthetically active radiation availability, along the canopy profile using the Y training system, were investigated. The positive relationships between total polyphenols content and antioxidant capacity according to canopy vigour and architecture were determined for the two scion/stock combinations. Changes in fruit epicarp colour and content of bioactive compounds were also determined. Lower-vigour trees from Penta rootstock grafting yielded larger fruit with improved skin overcolour, and greater total polyphenols content and antioxidant capacity. GF677 rootstock produced more vigorous trees with fruit with lower sensorial and nutritional parameters. Canopy position strongly affects fruit sensorial and nutritional qualities. These data define potential for improvements to peach production efficiency and fruit quality, particularly for southern Europe peach cultivation conditions. Copyright © 2013 Elsevier Ltd. All rights reserved.

[The application of operating room quality backward system in instrument place management].

PubMed

Du, Hui; He, Anjie; Zeng, Leilei

2010-09-01

Improvement of the surgery instrument's clean quality, the optimized preparation way, reasonable arrangement in groups, raising the working efficiency. We use the quality backward system into the instrument clean, the pack and the preparation way's question, carry on the analysis and the optimization, and appraise the effect after trying out 6 months. After finally the way optimized, instrument clean quality distinct enhancement; The flaws in the instrument clean, the pack way and the total operating time reduce; the contradictory between nurses and the cleans arising from the unclear connection reduces, the satisfaction degree of nurse and doctor to the instrument enhances. Using of operating room quality backward system in the management of the instrument clean, the pack and the preparation way optimized, may reduce flaws in the work and the waste of human resources, raise the working efficiency.

Patient Information Websites About Medically Induced Second-Trimester Abortions: A Descriptive Study of Quality, Suitability, and Issues

PubMed Central

Axelsson, Ove

2017-01-01

Background Patients undergoing medically induced second-trimester abortions feel insufficiently informed and use the Web for supplemental information. However, it is still unclear how people who have experience with pregnancy termination appraise the quality of patient information websites about medically induced second-trimester abortions, whether they consider the websites suitable for patients, and what issues they experience with the websites. Objective Our objective was to investigate the quality of, suitability of, and issues with patient information websites about medically induced second-trimester abortions and potential differences between websites affiliated with the health care system and private organizations. Methods We set out to answer the objective by using 4 laypeople who had experience with pregnancy termination as quality assessors. The first 50 hits of 26 systematic searches were screened (N=1300 hits) using search terms reported by the assessors. Of these hits, 48% (628/1300) were irrelevant and 51% (667/1300) led to websites about medically induced second-trimester abortions. After correcting for duplicate hits, 42 patient information websites were included, 18 of which were affiliated with the health care system and 24 with private organizations. The 4 assessors systematically assessed the websites with the DISCERN instrument (total score range 16-80), the Ensuring Quality Information for Patients (EQIP) tool (total score range 0-100), as well as questions concerning website suitability and perceived issues. Results The interrater reliability was 0.8 for DISCERN and EQIP, indicating substantial agreement between the assessors. The total mean score was 36 for DISCERN and 40 for EQIP, indicating poor overall quality. Websites from the health care system had greater total EQIP (45 vs 37, P>.05) and reliability scores (22 vs 20, P>.05). Only 1 website was recommended by all assessors and 57% (24/42) were rated as very unsuitable by at least one assessor. The most reported issues with the websites involved lack of information (76%, 32/42), and poor design (36%, 15/42). Conclusions The high number of irrelevant hits and poor quality of patient information websites are considerable issues that must be addressed and considered when consulting patients awaiting medically induced second-trimester abortions. In clinical encounters, health professionals should initiate discussions concerning websites about medically induced second-trimester abortions and inform patients about the issues and quality deficits associated with these websites. PMID:28073735

Effects of different rearing systems on growth performance, carcass traits, meat quality and serum biochemical parameters of Chaohu ducks.

PubMed

Zhang, Cheng; Ah Kan Razafindrabe, Richard-Hermann; Chen, Kaikai; Zhao, Xiaohui; Yang, Lei; Wang, Li; Chen, Xingyong; Jin, Sihua; Geng, Zhaoyu

2018-04-01

This study was conducted using a total of 360 22-day-old Chaohu ducks to evaluate the effect of rearing system on growth performance, carcass traits, meat quality and serum parameters of male and female Chaohu ducks. The birds were divided and raised in separate pens according to sex and rearing system, with three replicate pens of 30 male or 30 female ducks per pen for each rearing system. The rearing systems consisted of a floor rearing system (FRS) and a net rearing system (NRS). Results showed that ducks raised in NRS had better growth performance, whereas, ducks raised in FRS exhibited better carcass traits and meat color, and lower intramuscular fat. For the serum parameters, NRS significantly decreased high-density lipoprotein cholesterol content, and enhanced total protein and triacylglycerol contents. Male ducks had lower abdominal fat percentage, and higher growth performance and shear force, but there were no other significant differences between sexes. No rearing system × sex interaction was observed in the present study, revealing that rearing system had the same effect on both sexes. In conclusion, NRS was beneficial to the growth performance of Chaohu ducks, whereas this system had some negative effects on carcass traits, meat quality and serum profiles. © 2018 Japanese Society of Animal Science.

Seasonality of water quality and diarrheal disease counts in urban and rural settings in south India

NASA Astrophysics Data System (ADS)

Kulinkina, Alexandra V.; Mohan, Venkat R.; Francis, Mark R.; Kattula, Deepthi; Sarkar, Rajiv; Plummer, Jeanine D.; Ward, Honorine; Kang, Gagandeep; Balraj, Vinohar; Naumova, Elena N.

2016-02-01

The study examined relationships among meteorological parameters, water quality and diarrheal disease counts in two urban and three rural sites in Tamil Nadu, India. Disease surveillance was conducted between August 2010 and March 2012; concurrently water samples from street-level taps in piped distribution systems and from household storage containers were tested for pH, nitrate, total dissolved solids, and total and fecal coliforms. Methodological advances in data collection (concurrent prospective disease surveillance and environmental monitoring) and analysis (preserving temporality within the data through time series analysis) were used to quantify independent effects of meteorological conditions and water quality on diarrheal risk. The utility of a local calendar in communicating seasonality is also presented. Piped distribution systems in the study area showed high seasonal fluctuations in water quality. Higher ambient temperature decreased and higher rainfall increased diarrheal risk with temperature being the predominant factor in urban and rainfall in rural sites. Associations with microbial contamination were inconsistent; however, disease risk in the urban sites increased with higher median household total coliform concentrations. Understanding seasonal patterns in health outcomes and their temporal links to environmental exposures may lead to improvements in prospective environmental and disease surveillance tailored to addressing public health problems.

Phoenix: Quantum Quality at Maricopa: TQM on Campus, Case Study Number Two.

ERIC Educational Resources Information Center

Assar, Kathleen E.

1993-01-01

Implementation of the Total Quality Management approach in the Maricopa County Community College District (Arizona), a large 10-campus system, is described. The program's current early stages are reported noting the serious administrative commitment and thorough training, seen as key factors in potential success. (MSE)

Isolating the impact of septic systems on fecal pollution in streams of suburban watersheds in Georgia, United States.

PubMed

Sowah, Robert A; Habteselassie, Mussie Y; Radcliffe, David E; Bauske, Ellen; Risse, Mark

2017-01-01

The presence of multiple sources of fecal pollution at the watershed level presents challenges to efforts aimed at identifying the influence of septic systems. In this study multiple approaches including targeted sampling and monitoring of host-specific Bacteroidales markers were used to identify the impact of septic systems on microbial water quality. Twenty four watersheds with septic density ranging from 8 to 373 septic units/km 2 were monitored for water quality under baseflow conditions over a 3-year period. The levels of the human-associated HF183 marker, as well as total and ruminant Bacteroidales, were quantified using quantitative polymerase chain reaction. Human-associated Bacteroidales yield was significantly higher in high density watersheds compared to low density areas and was negatively correlated (r = -0.64) with the average distance of septic systems to streams in the spring season. The human marker was also positively correlated with the total Bacteroidales marker, suggesting that the human source input was a significant contributor to total fecal pollution in the study area. Multivariable regression analysis indicates that septic systems, along with forest cover, impervious area and specific conductance could explain up to 74% of the variation in human fecal pollution in the spring season. The results suggest septic system impact through contributions to groundwater recharge during baseflow or failing septic system input, especially in areas with >87 septic units/km 2 . This study supports the use of microbial source tracking approaches along with traditional fecal indicator bacteria monitoring and land use characterization in a tiered approach to isolate the influence of septic systems on water quality in mixed-use watersheds. Copyright © 2016 Elsevier Ltd. All rights reserved.

Assessment of the Efficacy of Home Remedial Methods to Improve Drinking Water Quality in Two Major Aquifer Systems in Jaffna Peninsula, Sri Lanka

PubMed Central

Subanky, Suvendran

2017-01-01

Chunnakam and Vadamaradchi are two major aquifer systems in Jaffna Peninsula, Sri Lanka. This study was performed to compare water quality in the domestic wells in these aquifers and to assess the efficacy of household water treatments for treating contaminated water. Replicate well water samples were collected from each aquifer and pH, dissolved oxygen (DO), conductivity, total dissolved solids (TDS), salinity, temperature, total solids (TS), total hardness (TH), chemical oxygen demand (COD), oil and grease (OG), nitrate N (N), and total phosphate (TP) were measured. The sampled water from the domestic wells was filtered through commercial mineral filter and Moringa oleifera leaf powder and boiled at 100°C for 10 minutes and the TH, OG, N, and TP were measured. Both OG and N in Chunnakam were significantly higher and the DO were significantly lower than those of Vadamaradchi. TH, N, and OG of some wells exceeded the drinking water quality standards established by Sri Lanka Standards Institution. Moringa oleifera leaf powder filtration reduced N significantly and filtering through commercial mineral filter reduced OG, TH, and N significantly. Boiling at 100°C could remove TH significantly but may cause significant increase in N which might result in health impacts. PMID:29181225

Assessment of the Efficacy of Home Remedial Methods to Improve Drinking Water Quality in Two Major Aquifer Systems in Jaffna Peninsula, Sri Lanka.

PubMed

Wijeyaratne, W M Dimuthu Nilmini; Subanky, Suvendran

2017-01-01

Chunnakam and Vadamaradchi are two major aquifer systems in Jaffna Peninsula, Sri Lanka. This study was performed to compare water quality in the domestic wells in these aquifers and to assess the efficacy of household water treatments for treating contaminated water. Replicate well water samples were collected from each aquifer and pH, dissolved oxygen (DO), conductivity, total dissolved solids (TDS), salinity, temperature, total solids (TS), total hardness (TH), chemical oxygen demand (COD), oil and grease (OG), nitrate N (N), and total phosphate (TP) were measured. The sampled water from the domestic wells was filtered through commercial mineral filter and Moringa oleifera leaf powder and boiled at 100°C for 10 minutes and the TH, OG, N, and TP were measured. Both OG and N in Chunnakam were significantly higher and the DO were significantly lower than those of Vadamaradchi. TH, N, and OG of some wells exceeded the drinking water quality standards established by Sri Lanka Standards Institution. Moringa oleifera leaf powder filtration reduced N significantly and filtering through commercial mineral filter reduced OG, TH, and N significantly. Boiling at 100°C could remove TH significantly but may cause significant increase in N which might result in health impacts.

Analysis of trends in water-quality data for water conservation area 3A, the Everglades, Florida

USGS Publications Warehouse

Mattraw, H.C.; Scheidt, D.J.; Federico, A.C.

1987-01-01

Rainfall and water quality data bases from the South Florida Water Management District were used to evaluate water quality trends at 10 locations near or in Water Conservation Area 3A in The Everglades. The Seasonal Kendall test was applied to specific conductance, orthophosphate-phosphorus, nitrate-nitrogen, total Kjeldahl nitrogen, and total nitrogen regression residuals for the period 1978-82. Residuals of orthophosphate and nitrate quadratic models, based on antecedent 7-day rainfall at inflow gate S-11B, were the only two constituent-structure pairs that showed apparent significant (p < 0.05) increases in constituent concentrations. Elimination of regression models with distinct residual patterns and data outlines resulted in 17 statistically significant station water quality combinations for trend analysis. No water quality trends were observed. The 1979 Memorandum of Agreement outlining the water quality monitoring program between the Everglades National Park and the U.S. Army Corps of Engineers stressed collection four times a year at three stations, and extensive coverage of water quality properties. Trend analysis and other rigorous statistical evaluation programs are better suited to data monitoring programs that include more frequent sampling and that are organized in a water quality data management system. Pronounced areal differences in water quality suggest that a water quality monitoring system for Shark River Slough in Everglades National Park include collection locations near the source of inflow to Water Conservation Area 3A. (Author 's abstract)

Space Shuttle food galley design concept

NASA Technical Reports Server (NTRS)

Heidelbaugh, N. D.; Smith, M. C.; Fischer, R.; Cooper, B.

1974-01-01

A food galley has been designed for the crew compartment of the NASA Space Shuttle Orbiter. The rationale for the definition of this design was based upon assignment of priorities to each functional element of the total food system. Principle priority categories were assigned in the following order: food quality, nutrition, food packaging, menu acceptance, meal preparation efficiency, total system weight, total system volume, and total power requirements. Hence, the galley was designed using an 'inside-out' approach which first considered the food and related biological functions and subsequently proceeded 'outward' from the food to encompass supporting hardware. The resulting galley is an optimal design incorporating appropriate priorities for trade-offs between biological and engineering constraints. This design approach is offered as a model for the design of life support systems.

Analyses and tests of the B-1 aircraft structural mode control system

NASA Technical Reports Server (NTRS)

Wykes, J. H.; Byar, T. R.; Macmiller, C. J.; Greek, D. C.

1980-01-01

Analyses and flight tests of the B-1 structural mode control system (SMCS) are presented. Improvements in the total dynamic response of a flexible aircraft and the benefits to ride qualities, handling qualities, crew efficiency, and reduced dynamic loads on the primary structures, were investigated. The effectiveness and the performance of the SMCS, which uses small aerodynamic surfaces at the vehicle nose to provide damping to the structural modes, were evaluated.

Hospital employs TQM principles to rework its evaluation system.

PubMed

Burda, D

1992-02-24

One Kansas hospital has taken the traditional employee evaluation process--with all its performance criteria, point systems and rankings--and turned it on its head. The new system employs total quality management principles and promotes personal development, education and teamwork. And everyone gets the same raise.

Maximizing Total QoS-Provisioning of Image Streams with Limited Energy Budget

NASA Astrophysics Data System (ADS)

Lee, Wan Yeon; Kim, Kyong Hoon; Ko, Young Woong

To fully utilize the limited battery energy of mobile electronic devices, we propose an adaptive adjustment method of processing quality for multiple image stream tasks running with widely varying execution times. This adjustment method completes the worst-case executions of the tasks with a given budget of energy, and maximizes the total reward value of processing quality obtained during their executions by exploiting the probability distribution of task execution times. The proposed method derives the maximum reward value for the tasks being executable with arbitrary processing quality, and near maximum value for the tasks being executable with a finite number of processing qualities. Our evaluation on a prototype system shows that the proposed method achieves larger reward values, by up to 57%, than the previous method.

Solar-hydrogen energy system for Pakistan

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

Lutfi, N.

1990-01-01

A solar-hydrogen energy system has been proposed for Pakistan as the best replacement for the present fossil fuel based energy system. It has been suggested to produce hydrogen via photovoltaic-electrolysis, utilizing the available non-agricultural sunny terrain in Baluchistan region. There will be a desalination plant for sea water desalination. The area under the photovoltaic panels with the availability of water would provide suitable environment for growing some cash crops. This would change the cast useless desert land into green productive farms. In order to show the quantitative benefits of the proposed system, future trends of important energy and economical parametersmore » have been studied with and without hydrogen introduction. The following parameters have been included: population, energy demand (fossil + hydrogen), energy production (fossil + hydrogen), gross national product, fossil energy imports, world energy prices, air pollution, quality of life, environmental savings due to hydrogen introduction, savings due to the higher utilization efficiency of hydrogen, by-product credit, agricultural income, income from hydrogen sale, photovoltaic cell area, total land area, water desalination plant capacity, capital investment, operating and maintenance cost, and total income from the system. The results indicate that adopting the solar-hydrogen energy system would eliminate the import dependency of fossil fuels, increase gross product per capita, reduce pollution, improve quality of life and establish a permanent and clean energy system. The total annual expenditure on the proposed system is less than the total income from the proposed system. The availability of water, the cash crop production, electricity and hydrogen would result in rapid development of Baluchistan, the largest province of Pakistan.« less

Implementation and implication of total quality management on client- contractor relationship in residential projects

NASA Astrophysics Data System (ADS)

Murali, Swetha; Ponmalar, V.

2017-07-01

To make innovation and continuous improvement as a norm, some traditional practices must become unlearnt. Change for growth and competitiveness are required for sustainability for any profitable business such as the construction industry. The leading companies are willing to implement Total Quality Management (TQM) principles, to realise potential advantages and improve growth and efficiency. Ironically, researches recollected quality as the most significant provider for competitive advantage in industrial leadership. The two objectives of this paper are 1) Identify TQM effectiveness in residential projects and 2) Identify the client satisfaction/dissatisfaction areas using Analytical Hierarchy Process (AHP) and suggest effective mitigate measures. Using statistical survey techniques like set of questionnaire survey, it is observed that total quality management was applied in some leading successful organization to an extent. The main attributes for quality achievement can be defined as teamwork and better communication with single agreed goal between client and contractor. Onsite safety is a paramount attribute in the identifying quality within the residential projects. It was noticed that the process based quality methods such as onsite safe working condition; safe management system and modern engineering process safety controls etc. as interlinked functions. Training and effective communication with all stakeholders on quality management principles is essential for effective quality work. Late Only through effective TQM principles companies can avoid some contract litigations with an increased client satisfaction Index.

Water quality in Atlantic rainforest mountain rivers (South America): quality indices assessment, nutrients distribution, and consumption effect.

PubMed

Avigliano, Esteban; Schenone, Nahuel

2016-08-01

The South American Atlantic rainforest is a one-of-a-kind ecosystem considered as a biodiversity hotspot; however, in the last decades, it was intensively reduced to 7 % of its original surface. Water resources and water quality are one of the main goods and services this system provides to people. For monitoring and management recommendations, the present study is focused on (1) determining the nutrient content (nitrate, nitrite, ammonium, and phosphate) and physiochemical parameters (temperature, pH, electrical conductivity, turbidity, dissolved oxygen, and total dissolved solids) in surface water from 24 rainforest mountain rivers in Argentina, (2) analyzing the human health risk, (3) assessing the environmental distribution of the determined pollutants, and (4) analyzing water quality indices (WQIobj and WQImin). In addition, for total coliform bacteria, a dataset was used from literature. Turbidity, total dissolved solids, and nitrite (NO2 (-)) exceeded the guideline value recommended by national or international guidelines in several sampling stations. The spatial distribution pattern was analyzed by Principal Component Analysis and Factor Analysis (PCA/FA) showing well-defined groups of rivers. Both WQI showed good adjustment (R (2) = 0.89) and rated water quality as good or excellent in all sampling sites (WQI > 71). Therefore, this study suggests the use of the WQImin for monitoring water quality in the region and also the water treatment of coliform, total dissolved solids, and turbidity.

Current pulse: can a production system reduce medical errors in health care?

PubMed

Printezis, Antonios; Gopalakrishnan, Mohan

2007-01-01

One of the reasons for rising health care costs is medical errors, a majority of which result from faulty systems and processes. Health care in the past has used process-based initiatives such as Total Quality Management, Continuous Quality Improvement, and Six Sigma to reduce errors. These initiatives to redesign health care, reduce errors, and improve overall efficiency and customer satisfaction have had moderate success. Current trend is to apply the successful Toyota Production System (TPS) to health care since its organizing principles have led to tremendous improvement in productivity and quality for Toyota and other businesses that have adapted them. This article presents insights on the effectiveness of TPS principles in health care and the challenges that lie ahead in successfully integrating this approach with other quality initiatives.

A Panel Data Analysis of the Relationships of Nursing Home Staffing Levels and Standards to Regulatory Deficiencies

PubMed Central

Kovner, Christine; Harrington, Charlene; Greene, William; Mezey, Mathy

2009-01-01

Objective To examine the relationships between nursing staffing levels and nursing home deficiencies. Methods This panel data analysis employed random-effect models that adjusted for unobserved, nursing home–specific heterogeneity over time. Data were obtained from California's long-term care annual cost report data and the Automated Certification and Licensing Administrative Information and Management Systems data from 1999 to 2003, linked with other secondary data sources. Results Both total nursing staffing and registered nurse (RN) staffing levels were negatively related to total deficiencies, quality of care deficiencies, and serious deficiencies that may cause harm or jeopardy to nursing home residents. Nursing homes that met the state staffing standard received fewer total deficiencies and quality of care deficiencies than nursing homes that failed to meet the standard. Meeting the state staffing standard was not related to receiving serious deficiencies. Conclusions Total nursing staffing and RN staffing levels were predictors of nursing home quality. Further research is needed on the effectiveness of state minimum staffing standards. PMID:19181692

Ninth Annual NASA/Contractors Conference on Quality and Productivity. World Class Excellence: The Journey Continues. Conference presentations

NASA Technical Reports Server (NTRS)

Templeton, Geoffrey B. (Editor); Stewart, Lynne M. (Editor)

1992-01-01

The topics covered include the following: The George M. Low Trophy; total quality assessment and measurement; using award criteria to improve organizational effectiveness; results--keeping an eye on the bottom line; capturing customer satisfaction; moving from management to leadership; leadership versus management; transforming the management team; leadership success stories; success stories in the quest for excellence; small business successes; education success stories; government success stories; tools and techniques for total quality management (TQM) integration; planning and organizing for TQM integration; successful stories for implementing system level TQM/CI tools; assessing TQM results; establishing an environment for continuous improvement at NASA; empowerment; synergism of partnering; and partnerships in education.

Can terraced pond wetland systems improve urban watershed water quality?

NASA Astrophysics Data System (ADS)

Li, S.; Ho, M.; Flanagan, N. E.; Richardson, C. J.

2017-12-01

Properly built constructed wetlands are a more economic and efficient way of wastewater treatment compared with traditional methods, although their mechanisms are far from completely understood. As part of the Stream and Wetland Assessment Management Park (SWAMP), which is aimed to improve the water quality of downstream and thereby enhance watershed ecosystem services, a terraced three-pond wetland system was created near Duke University in 2014. This project is expected to promote the retention and settling of pollutants and sediment before runoffs enter downstream flow. The goal of this study is to examine: (1) whether a terraced pond wetland system improves water quality, during both baseline (low flow) and storm events (high flow), which increases pollutant inputs; and (2) how this system functions to remove pollutants, namely what components of this system (plant, soil or water) increase or decrease the level of pollutants. By analyzing a dataset consisting of more than four-year monthly samplings from Pond 1 (first pond in the system) and Pond 3 (last pond in the system), we found that the pond system has reduced total suspended solids (TSS) but only when elevated inputs occur. Dissolved oxygen (DO) is closely related to temperature and macrophytes growth; whereas acidity (pH), total nitrogen (TN), and total phosphorus (TP) did not show retention in the early stages of the system development. This system reaches its optimum for reducing TSS at the second pond, but the third pond has important effects on DO, pH, TN and TP. A monitoring in 2017 shows this pond system significantly reduces TSS while increasing dissolved oxygen and neutralizing pH after a storm event; although greater variations incurred within the system as time progresses after storm, overall retention function remained valid. Retention of the pollutants is primarily accomplished by the settling process, which occurs in stilled waterbody of the ponds and by the filtration of macrophytes. We expect more quantitative soil/plant uptake relations to be explored as the system ages.

Assessment and mapping of water pollution indices in zone-III of municipal corporation of hyderabad using remote sensing and geographic information system.

PubMed

Asadi, S S; Vuppala, Padmaja; Reddy, M Anji

2005-01-01

A preliminary survey of area under Zone-III of MCH was undertaken to assess the ground water quality, demonstrate its spatial distribution and correlate with the land use patterns using advance techniques of remote sensing and geographical information system (GIS). Twenty-seven ground water samples were collected and their chemical analysis was done to form the attribute database. Water quality index was calculated from the measured parameters, based on which the study area was classified into five groups with respect to suitability of water for drinking purpose. Thematic maps viz., base map, road network, drainage and land use/land cover were prepared from IRS ID PAN + LISS III merged satellite imagery forming the spatial database. Attribute database was integrated with spatial sampling locations map in Arc/Info and maps showing spatial distribution of water quality parameters were prepared in Arc View. Results indicated that high concentrations of total dissolved solids (TDS), nitrates, fluorides and total hardness were observed in few industrial and densely populated areas indicating deteriorated water quality while the other areas exhibited moderate to good water quality.

Monitoring on The Quality and Quantity of DIY Rainwater Harvesting System

NASA Astrophysics Data System (ADS)

Kasmin, H.; Bakar, N. H.; Zubir, M. M.

2016-07-01

Rainwater harvesting is an alternative sources of water supply and can be used for potable and non-potable uses. It could helps to store treated rainwater for more beneficial use and also for flood mitigation. Sustainable approach for flooding problem reduction in urban areas is by slowing down the rate of surface runoff flows at source by providing more storage area/tank. In order to understand the performance of a rainwater harvesting system (RWH), a preliminary monitoring on a ‘do it yourself’ (DIY) RWH model with additional first -flush strategy for water quality treatment was done. The main concept behind first flush diversion is to prevent initial polluted rainwater from entering the storage tank. Based on seven rainfall events observed in Parit Raja, both quality and quantity of the rainfalls were analysed. For rainwater quality, the samples from first flush diverter and storage tank were taken to understand their performance based on pH, dissolved oxygen (DO), turbidity, total dissolved solid (TDS), total suspended solid (TSS), chemical oxygen demand (COD) and biochemical oxygen demand (BOD) parameters. While for rainwater quantity, hydrograph analysis were done based on the performance of total rainfall and runoff, peak flow of rainfall and runoff; and delayed time parameters. Based on Interim National Water Quality Standard (INWQS) and National Drinking Water Quality Standard (NDWQS), first flush diverter apparently helps on water quality improvement in storage tanks when pH, DO, TDS, TSS and turbidity were classified as Class I (INWQS) and is allowable for drinking; but BOD and COD parameters were classified as Class III (INWQS). Hence, it has potential to be used as potable usage but will need extensive treatment to reduce its poor microbial quality. Based on the maximum observed rainfall event which had total volume of 3195.5 liter, had peakflow reduction from 0.00071 m3/s to 0.00034 m3/s and delayed runoff between 5 and 10 minutes after rainfall started. It concludes that the performance of water retention could be due to total rainfall and the tank capacity. Therefore, RWH has a potential to be used as potable use and at the same time it also has a potential to reduce local urban flooding.

Cost-of-illness in patients with moderate to severe psoriasis: a cross-sectional survey in Hungarian dermatological centres.

PubMed

Balogh, Orsolya; Brodszky, Valentin; Gulácsi, László; Herédi, Emese; Herszényi, Krisztina; Jókai, Hajnalka; Kárpáti, Sarolta; Baji, Petra; Remenyik, Éva; Szegedi, Andrea; Holló, Péter

2014-05-01

Despite the widespread availability of biological drugs in psoriasis, there is a shortage of disease burden studies. To assess the cost-of-illness and quality of life of patients with moderate to severe psoriasis in Hungary. Consecutive patients with Psoriasis Area and Severity Index (PASI) > 10 and Dermatology Life Quality Index (DLQI) > 10, or treated with traditional systemic (TST) or biological systemic treatment (BST) were included. Demographic data, clinical characteristics, psoriasis related medication, health care utilizations and employment status in the previous 12 months were recorded. Costing was performed from the societal perspective applying the human capital approach. Quality of life was assessed using DLQI and EQ-5D measures. Two-hundred patients were involved (females 32%) with a mean age of 51 (SD 13) years, 103 (52%) patients were on BST. Mean PASI, DLQI and EQ-5D scores were 8 (SD 10), 6 (SD 7) and 0.69 (SD 0.3), respectively. The mean total cost was €9,254/patient/year (SD 8,502) with direct costs accounting for 86%. The main cost driver was BST (mean €7,339/patient/year). Total costs differed significantly across treatment subgroups, mean (SD): no systemic therapy €2,186 (4,165), TST €2,388 (4,106) and BST €15,790 (6,016) (p < 0,001). Patients with BST had better PASI and DLQI scores (p < 0.01) than the other two subgroups. Patients with biological treatment have a significantly better quality of life and higher total costs than patients with or without traditional systemic treatment. Our study is the largest in Europe and the first in the CEE region that provides cost-of-illness data in psoriasis involving patients with BST.

Using Modified Fagan Inspections to Control Rapid System Development

NASA Technical Reports Server (NTRS)

Griesel, M. A.; Welz, L. L.

1994-01-01

The Jet Propulsion Laboratory (JPL) has been developing new approaches to software and system development to shorten life cycle time and reduce total life-cycle cost, while maintaining product quality. One such approach has been taken by the Just-In-Time (JIT) Materiel Acquisition System Development Project.

Planning and Implementing Total Quality Management in the Royal Australian Air Force: A Multiple Case Study Analysis

DTIC Science & Technology

1990-09-01

change barriers, and necessary checks and balances built into processes. Furthermore, this assessment should address management system variables which...organisation’s 69 immediate product and their worklife . Focus must be maintained on improving RAAF processes. In addition to a quality committee structure as

Kids without Family Privilege: Mobilizing Youth Development

ERIC Educational Resources Information Center

Seita, John R.

2005-01-01

While many youth are disconnected from adults, the people seem clueless as to what to do about this serious problem. The quality of connections is directly related to the quality of the total interpersonal environment. This article takes a systems perspective on the problem of connecting with youth, with particular emphasis on what communities,…

Does litigation increase or decrease health care quality?: a national study of negligence claims against nursing homes.

PubMed

Stevenson, David G; Spittal, Matthew J; Studdert, David M

2013-05-01

The tort system is supposed to help improve the quality and safety of health care, but whether it actually does so is controversial. Most previous studies modeling the effect of negligence litigation on quality of care are ecologic. To assess whether the experience of being sued and incurring litigation costs affects the quality of care subsequently delivered in nursing homes. We linked information on 6471 negligence claims brought against 1514 nursing homes between 1998 and 2010 to indicators of nursing home quality drawn from 2 US national datasets (Online Survey, Certification, and Reporting system; Minimum Data Set Quality Measure/Indicator Reports). At the facility level, we tested for associations between 9 quality measures and 3 variables indicating the nursing homes' litigation experience in the preceding 12-18 months (total indemnity payments; total indemnity payments plus administrative costs; ≥ 1 paid claims vs. none). The analyses adjusted for quality at baseline, case-mix, ownership, occupancy, year, and facility and state random effects. Nearly all combinations of the 3 litigation exposure measures and 9 quality measures--27 models in all--showed an inverse relationship between litigation costs and quality. However, only a few of these associations were statistically significant, and the effect sizes were very small. For example, a doubling of indemnity payments was associated with a 1.1% increase in the number of deficiencies and a 2.2% increase in pressure ulcer rates. Tort litigation does not increase the quality performance of nursing homes, and may decrease it slightly.

Does litigation increase or decrease health care quality? A national study of negligence claims against nursing homes

PubMed Central

Stevenson, David G.; Spittal, Matthew J.; Studdert, David M.

2016-01-01

Background The tort system is supposed to help improve the quality and safety of health care, but whether it actually does so is controversial. Most previous studies modeling the effect of negligence litigation on quality of care are ecologic. Objective To assess whether the experience of being sued and incurring litigation costs affects the quality of care subsequently delivered in nursing homes. Research Design, Subjects, Measures We linked information on 6,471 negligence claims brought against 1,514 nursing homes between 1998 and 2010 to indicators of nursing home quality drawn from two U.S. national datasets (Online Survey, Certification, and Reporting system; Minimum Data Set Quality Measure/Indicator Reports). At the facility level, we tested for associations between 9 quality measures and 3 variables indicating the nursing homes’ litigation experience in the preceding 12–18 months (total indemnity payments; total indemnity payments plus administrative costs; ≥1 paid claims vs. none). The analyses adjusted for quality at baseline, case-mix, ownership, occupancy, year, and facility and state random effects. Results Nearly all combinations of the 3 litigation exposure measures and 9 quality measures—27 models in all—showed an inverse relationship between litigation costs and quality. However only a few of these associations were statistically significant, and the effect sizes were very small. For example, a doubling of indemnity payments was associated with a 1.1% increase in the number of deficiencies and a 2.2% increase in pressure ulcer rates. Conclusions Tort litigation does not increase the quality performance of nursing homes, and may decrease it slightly. PMID:23552438

Assessment of undiscovered hydrocarbon resources of sub-Saharan Africa

USGS Publications Warehouse

Brownfield, Michael E.

2016-01-01

The assessment was geology-based and used the total petroleum system (TPS) concept. The geologic elements of a TPS are hydrocarbon source rocks (source rock maturation and hydrocarbon generation and migration), reservoir rocks (quality and distribution), and traps where hydrocarbon accumulates. Using these geologic criteria, 16 conventional total petroleum systems and 18 assessment units in the 13 provinces were defined. The undiscovered, technically recoverable oil and gas resources were assessed for all assessment units.

Differences in seminal plasma and spermatozoa antioxidative systems and seminal plasma lipid and protein levels among boar breeds and hybrid genetic traits.

PubMed

Žura Žaja, Ivona; Samardžija, Marko; Vince, Silvijo; Vilić, Marinko; Majić-Balić, Ivanka; Đuričić, Dražen; Milinković-Tur, Suzana

2016-07-01

The objectives of this study were to determine the influence of breed and hybrid genetic traits of boars on lipid and protein concentrations and antioxidative system variables in seminal plasma (SP) and spermatozoa and their correlations with semen quality variables. Semen samples from 27 boars: Swedish Landraces (SL), German Landraces (GL), Large Whites (LW), Pietrains (P) and Pig Improvement Company hybrids (PIC-hybrid), aged from 1.5 to 3 years old, were collected. SP was spectrophotometrically analyzed to determine total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triacylglycerol (TAG), total protein (TP), albumin, and zinc concentrations. The antioxidative system in SP and spermatozoa was established spectrophotometrically by determining total antioxidative status (TAS), total superoxide dismutase (TSOD) and glutathione peroxidase (GSH-Px) parameters, as well as copper-zinc superoxide dismutase (CuZnSOD) and manganese superoxide dismutase (MnSOD) activity in spermatozoa. The hybrid boars had higher (P<0.05) SP concentrations of: TC, LDL-C and TAG than P and GL; HDL-C than P, GL and SL; and TP than P and LW. PIC-hybrid had lower values (P<0.05) in spermatozoa of: TAS and CuZnSOD than SL; TSOD and GSH-Px than SL and P; and MnSOD than SL and LW. Differences in SP and spermatozoa antioxidative system variables and the significant differences in SP protein and lipid variables exist among boars of different breeds and hybrid. Novel data and observed differences in semen variables among boar breeds and hybrids and their correlations with semen quality parameters in this study could contribute to better assessment of boar semen quality. Copyright © 2016 Elsevier B.V. All rights reserved.

Variation in nutritional quality and chemical composition of fresh strawberry fruit: combined effect of cultivar and storage.

PubMed

Dragišić Maksimović, Jelena; Poledica, Milena; Mutavdžić, Dragosav; Mojović, Miloš; Radivojević, Dragan; Milivojević, Jasminka

2015-03-01

Bioclimatic air ionisation system (BI) works by neutralising air pollutants and microorganisms by means of oxidation with "activated oxygen". We investigated the effects of storage on changes in weight loss, chemical and sensory fruit properties in eight cultivars of strawberries (Fragaria x ananassa Duch.). All cultivars were evaluated for their standard parameters of quality (soluble solids content, total acidity, vitamin C content, total antioxidant activity - TAC, total phenolic and anthocyanins content) at different store conditions: fresh fruits-control, cold stored (at 4 °C) fruits without controlled atmospheres and cold stored (at 4 °C) fruits in BI. The present study outlines that anthocyanins of the strawberries stored in BI were subjected to significant degradation. These strawberries have prolonged shelf-life accompanied by weight loss reduction, TAC increment, and sensory properties improvement in tested cultivars, retaining other nutritional fruit qualities.

Metabolomic profiling and sensorial quality of 'Golden Delicious', 'Liberty', 'Santana', and 'Topaz' apples grown using organic and integrated production systems.

PubMed

Vanzo, Andreja; Jenko, Mojca; Vrhovsek, Urska; Stopar, Matej

2013-07-03

Apple quality was investigated in the scab-resistant 'Liberty', 'Santana', and 'Topaz' cultivars and the scab-susceptible 'Golden Delicious' cultivar. Trees subjected to the same crop load were cultivated using either an organic (ORG) or an integrated production (IP) system. Physicochemical properties, phenolic content, and sensorial quality of fruit from both systems were compared. There were no significant differences in fruit mass, starch, and total soluble solid content (the latter was higher in ORG 'Liberty') between ORG and IP fruit, whereas significantly higher flesh firmness was found in ORG fruit (except no difference in 'Golden Delicious'). Significantly higher total phenolic content in ORG fruit was found in 'Golden Delicious', whereas differences in other cultivars were not significant. Targeted metabolomic profiling of multiple classes of phenolics confirmed the impact of the production system on the 'Golden Delicious' phenolic profile as higher levels of 4-hydroxybenzoic acid, neo- and chlorogenic acids, phloridzin, procyanidin B2+B4, -3-O-glucoside and -3-O-galactoside of quercetin, kaempferol-3-O-rutinoside, and rutin being found in ORG fruit. The results obtained suggested that scab resistance influenced the phenolic biosynthesis in relation to the agricultural system. Sensorial evaluation indicated significantly better flavor (except for 'Topaz') and better appearance of IP fruit.

Identification of water quality management policy of watershed system with multiple uncertain interactions using a multi-level-factorial risk-inference-based possibilistic-probabilistic programming approach.

PubMed

Liu, Jing; Li, Yongping; Huang, Guohe; Fu, Haiyan; Zhang, Junlong; Cheng, Guanhui

2017-06-01

In this study, a multi-level-factorial risk-inference-based possibilistic-probabilistic programming (MRPP) method is proposed for supporting water quality management under multiple uncertainties. The MRPP method can handle uncertainties expressed as fuzzy-random-boundary intervals, probability distributions, and interval numbers, and analyze the effects of uncertainties as well as their interactions on modeling outputs. It is applied to plan water quality management in the Xiangxihe watershed. Results reveal that a lower probability of satisfying the objective function (θ) as well as a higher probability of violating environmental constraints (q i ) would correspond to a higher system benefit with an increased risk of violating system feasibility. Chemical plants are the major contributors to biological oxygen demand (BOD) and total phosphorus (TP) discharges; total nitrogen (TN) would be mainly discharged by crop farming. It is also discovered that optimistic decision makers should pay more attention to the interactions between chemical plant and water supply, while decision makers who possess a risk-averse attitude would focus on the interactive effect of q i and benefit of water supply. The findings can help enhance the model's applicability and identify a suitable water quality management policy for environmental sustainability according to the practical situations.

British standard (BS) 5750--quality assurance?

PubMed

Pratt, D J

1995-04-01

BS5750 is the British Standard on "Quality Systems". Its equivalent in European Standards is EN29000 and in the International Standards Organisation ISO9000. This paper points out that these standards lay down formalised procedures and require documentation but do not ipso facto lead to quality assurance. The author points to the Japanese post-war industrial success as being an example of Total Quality Management within the framework provided by the philosophy of Dr. W. Edwards Deming (1988 and 1993). This philosophy on the management of "systems" to provide high quality products and services is briefly outlined. The author argues that improvement in prosthetic and orthotic services will not be reached through implementation of BS5750 but rather through radical rethinking and the adoption and application of the Deming philosophy.

Quality of fresh-cut baby spinach grown under a floating trays system as affected by nitrogen fertilisation and innovative packaging treatments.

PubMed

Rodríguez-Hidalgo, Stephanie; Artés-Hernández, Francisco; Gómez, Perla A; Fernández, Juan Antonio; Artés, Francisco

2010-04-30

Alternative techniques for cultivation of leafy vegetables such as a floating tray system and unconventional gas mixtures for post-harvest active modified atmosphere packaging (MAP) could be of interest in the minimally processed vegetable industry. The combined effect of three pre-harvest fertilisation doses (8, 12 or 16 mmol N L(-1)) and three post-harvest MAP conditions (passive, super-atmospheric or N2O-enriched) on the main quality attributes of fresh-cut baby spinach leaves throughout 10 days at 5 degrees C was studied. After 8 days of shelf life, spinach leaves fertilised with 8 and 16 mmol N L(-1) and stored under N2O-enriched MAP showed the lowest microbial growth, with good sensory quality. Such combined treatments also preserved the total antioxidant capacity sampled at harvest (8 g ascorbic acid equivalent antioxidant capacity kg(-1) f.w.). A decrease of 10-20% in total vitamin C content regardless of N fertilisation and packaging treatment was found during shelf life. Total phenolics content at harvest was 2 g gallic acid equivalents kg(-1) f.w., which was slightly decreased or preserved during shelf life while total chlorophylls were preserved for all treatments assayed around 550 mg kg(-1) f.w. No clear effect of fertilisation doses was observed during post-harvest storage on overall quality of fresh-cut baby spinach leaves, while N2O-enriched atmospheres seems to be a promising alternative to passive MAP for extending shelf life.

Solid Waste, Air Pollution and Health

ERIC Educational Resources Information Center

Kupchik, George J.; Franz, Gerald J.

1976-01-01

This article examines the relationships among solid waste disposal, air pollution, and human disease. It is estimated that solid waste disposal contributes 9.7 percent of the total air pollution and 9.9 percent of the total air pollution health effect. Certain disposal-resource recovery systems can be implemented to meet air quality standards. (MR)

Energy management: total program considers all building's systems.

PubMed

Blan, G J; Browne, K H

1978-09-16

Managing energy consumption, containing fuel usage, and preparing for alternate fuel sources are immediate areas for concern and action for all health care providers. The authors describe how they are meeting the challenge of increased energy costs and reduced availability while maintaining high-quality care by applying the concept of total energy management.

Predicting Trihalomethanes (THMs) in the New York City Water Supply

NASA Astrophysics Data System (ADS)

Mukundan, R.; Van Dreason, R.

2013-12-01

Chlorine, a commonly used disinfectant in most water supply systems, can combine with organic carbon to form disinfectant byproducts including carcinogenic trihalomethanes (THMs). We used water quality data from 24 monitoring sites within the New York City (NYC) water supply distribution system, measured between January 2009 and April 2012, to develop site-specific empirical models for predicting total trihalomethane (TTHM) levels. Terms in the model included various combinations of the following water quality parameters: total organic carbon, pH, specific conductivity, and water temperature. Reasonable estimates of TTHM levels were achieved with overall R2 of about 0.87 and predicted values within 5 μg/L of measured values. The relative importance of factors affecting TTHM formation was estimated by ranking the model regression coefficients. Site-specific models showed improved model performance statistics compared to a single model for the entire system most likely because the single model did not consider locational differences in the water treatment process. Although never out of compliance in 2011, the TTHM levels in the water supply increased following tropical storms Irene and Lee with 45% of the samples exceeding the 80 μg/L Maximum Contaminant Level (MCL) in October and November. This increase was explained by changes in water quality parameters, particularly by the increase in total organic carbon concentration and pH during this period.

Quality of life factors and survival after total or extended maxillectomy for sinonasal malignancies.

PubMed

Murphy, James; Isaiah, Amal; Wolf, Jeffrey S; Lubek, Joshua E

2015-04-01

Total and extended maxillectomy results in significant morbidity that can have an effect on quality of life factors. Modern reconstructive techniques have ameliorated this effect, but they have not been quantified. The purpose of the present study was to evaluate the quality of life factors and survival of patients undergoing total or extended maxillectomy for malignant disease. A retrospective study was performed of all patients who had undergone total or extended maxillectomy at a tertiary care cancer center from January 2008 to May 2013. The minimum follow-up period was 6 months. The quality of life factors analyzed included swallowing function and diet consistency, pain control, and postoperative complications. A total of 25 patients (13 women and 12 men) met the inclusion criteria. Using the American Joint Committee on Cancer staging system, 76% of the patients had stage IV disease. Of the 25 patients, 13 received a free tissue transfer, 11 an obturator flap, and 1 a regional flap. None of the patients with a free tissue transfer experienced failure. The tumor size had no systemic influence on the reconstructive method chosen (P = .32 to P = .98). The median follow-up period was 41 weeks (range 24 to 252). One death was recorded, and 10 patients were lost to follow-up. Eleven patients progressed to a regular diet. Fifteen patients required a tracheostomy, and all were decannulated at a mean of 14 days postoperatively. One patient had dental implants placed. The type of reconstruction did not influence swallowing function (P = .49) or long-term pain (P = .38). The mean pain score was 4.9 ± 2.7. Pain management proved difficult in 7 patients. Also, 6 patients developed a surgical site infection, 3 of whom required a return to the operating room. Seven patients were readmitted to the hospital for complications; however, the reconstructive method did not influence the incidence of complications (P = .64). The inevitable morbidity, with respect to quality of life factors, that result from the disfiguring effects of total or extended maxillectomy can be deemed acceptable by patients. We recommend discussing all reconstructive options regarding the management of late-stage maxillary malignancies and the potential effect they can have on patients' quality of life. Copyright © 2015 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Potential Applications for AQUATOX

EPA Pesticide Factsheets

AQUATOX has a myriad of potential applications to water management issues and programs, including water quality criteria and standards, TMDLs (Total Maximum Daily Loads), and ecological risk assessments of aquatic systems.

AQUATOX Model Validation Reports

EPA Pesticide Factsheets

AQUATOX has a myriad of potential applications to water management issues and programs, including water quality criteria and standards, TMDLs (Total Maximum Daily Loads), and ecological risk assessments of aquatic systems.

An integrated system dynamics model developed for managing lake water quality at the watershed scale.

PubMed

Liu, Hui; Benoit, Gaboury; Liu, Tao; Liu, Yong; Guo, Huaicheng

2015-05-15

A reliable system simulation to relate socioeconomic development with water environment and to comprehensively represent a watershed's dynamic features is important. In this study, after identifying lake watershed system processes, we developed a system dynamics modeling framework for managing lake water quality at the watershed scale. Two reinforcing loops (Development and Investment Promotion) and three balancing loops (Pollution, Resource Consumption, and Pollution Control) were constituted. Based on this work, we constructed Stock and Flow Diagrams that embedded a pollutant load model and a lake water quality model into a socioeconomic system dynamics model. The Dianchi Lake in Yunnan Province, China, which is the sixth largest and among the most severely polluted freshwater lakes in China, was employed as a case study to demonstrate the applicability of the model. Water quality parameters considered in the model included chemical oxygen demand (COD), total nitrogen (TN), and total phosphorus (TP). The business-as-usual (BAU) scenario and three alternative management scenarios on spatial adjustment of industries and population (S1), wastewater treatment capacity construction (S2), and structural adjustment of agriculture (S3), were simulated to assess the effectiveness of certain policies in improving water quality. Results showed that S2 is most effective scenario, and the COD, TN, and TP concentrations in Caohai in 2030 are 52.5, 10.9, and 0.8 mg/L, while those in Waihai are 9.6, 1.2, and 0.08 mg/L, with sustained development in the watershed. Thus, the model can help support the decision making required in development and environmental protection strategies. Copyright © 2015 Elsevier Ltd. All rights reserved.

Patient Information Websites About Medically Induced Second-Trimester Abortions: A Descriptive Study of Quality, Suitability, and Issues.

PubMed

Carlsson, Tommy; Axelsson, Ove

2017-01-10

Patients undergoing medically induced second-trimester abortions feel insufficiently informed and use the Web for supplemental information. However, it is still unclear how people who have experience with pregnancy termination appraise the quality of patient information websites about medically induced second-trimester abortions, whether they consider the websites suitable for patients, and what issues they experience with the websites. Our objective was to investigate the quality of, suitability of, and issues with patient information websites about medically induced second-trimester abortions and potential differences between websites affiliated with the health care system and private organizations. We set out to answer the objective by using 4 laypeople who had experience with pregnancy termination as quality assessors. The first 50 hits of 26 systematic searches were screened (N=1300 hits) using search terms reported by the assessors. Of these hits, 48% (628/1300) were irrelevant and 51% (667/1300) led to websites about medically induced second-trimester abortions. After correcting for duplicate hits, 42 patient information websites were included, 18 of which were affiliated with the health care system and 24 with private organizations. The 4 assessors systematically assessed the websites with the DISCERN instrument (total score range 16-80), the Ensuring Quality Information for Patients (EQIP) tool (total score range 0-100), as well as questions concerning website suitability and perceived issues. The interrater reliability was 0.8 for DISCERN and EQIP, indicating substantial agreement between the assessors. The total mean score was 36 for DISCERN and 40 for EQIP, indicating poor overall quality. Websites from the health care system had greater total EQIP (45 vs 37, P>.05) and reliability scores (22 vs 20, P>.05). Only 1 website was recommended by all assessors and 57% (24/42) were rated as very unsuitable by at least one assessor. The most reported issues with the websites involved lack of information (76%, 32/42), and poor design (36%, 15/42). The high number of irrelevant hits and poor quality of patient information websites are considerable issues that must be addressed and considered when consulting patients awaiting medically induced second-trimester abortions. In clinical encounters, health professionals should initiate discussions concerning websites about medically induced second-trimester abortions and inform patients about the issues and quality deficits associated with these websites. ©Tommy Carlsson, Ove Axelsson. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 10.01.2017.

Dynamics of Russian Employers' Perceptions on the Training Quality of Specialists in the System of Secondary Vocational Education

ERIC Educational Resources Information Center

Vlasova, Tatiana; Krasnova, Evgenia; Abraukhova, Valentina; Safontseva, Natalya

2018-01-01

The paper deals with the evaluation of specialists' professional training quality within the framework of intersectoral, transborder, public and private models of social partnership described in theories by foreign and Russian scientists. Special attention is paid to providing methodological grounds for cooperation between the total subjects…

Preliminary Final Environmental Impact Statement

DTIC Science & Technology

2000-12-01

Suitabilities - Brooks AFB .................................................................... 3-49 3.5-2 National and Texas Ambient Air Quality...night average sound level NAAQS = National Ambient Air Quality Standards NPDES = National Pollutant Discharge Elimination System ROI = region of...Dos Rios, and Medio Creek plants. These plants treat an average of 130 MG of wastewater per day, with a total capacity (including an excess margin

Using TQM to Improve the Quality of Race/Ethnicity Reporting. AIR 1995 Annual Forum Paper.

ERIC Educational Resources Information Center

Matier, Michael W.; Larson, Oscar W., III

Total quality management (TQM) was employed to improve the collection, storage, and use of racial/ethnic information at Cornell University. The initiative began with the task of standardizing ethnic codes across a number of university systems. The project to improve race/ethnicity reporting was undertaken by a team representing various university…

Ground and flight test results of a total main rotor isolation system

NASA Technical Reports Server (NTRS)

Halwes, Dennis R.

1987-01-01

A six degree-of-freedom (DOF) isolation system using six LIVE units has been installed under an Army/NASA contract on a Bell 206LM helicopter. This system has been named the Total Rotor Isolation System, or TRIS. To determine the effectiveness of TRIS in reducing helicopter vibration, a flight verification study was conducted at Bell's Flight Research Center in Arlington, Texas. The flight test data indicate that the 4/rev vibration level at the pilot's seat were suppressed below the 0.04g level throughout the transition envelope. Flight tests indicate over 95% suppression of vibration level from the rotor hub to the pilot's seat. The TRIS installation was designed with a decoupled control system and has shown a significant improvement in aircraft flying qualities, such that it permitted the trimmed aircraft to be flown hands-off for a significant period of time, over 90 seconds. The TRIS flight test program has demonstrated a system that greatly reduces vibration levels of a current-generation helicopter, while significantly improving the flying qualities to a point where stability augmentation is no longer a requirement.

The role of metrics and measurements in a software intensive total quality management environment

NASA Technical Reports Server (NTRS)

Daniels, Charles B.

1992-01-01

Paramax Space Systems began its mission as a member of the Rockwell Space Operations Company (RSOC) team which was the successful bidder on a massive operations consolidation contract for the Mission Operations Directorate (MOD) at JSC. The contract awarded to the team was the Space Transportation System Operations Contract (STSOC). Our initial challenge was to accept responsibility for a very large, highly complex and fragmented collection of software from eleven different contractors and transform it into a coherent, operational baseline. Concurrently, we had to integrate a diverse group of people from eleven different companies into a single, cohesive team. Paramax executives recognized the absolute necessity to develop a business culture based on the concept of employee involvement to execute and improve the complex process of our new environment. Our executives clearly understood that management needed to set the example and lead the way to quality improvement. The total quality management policy and the metrics used in this endeavor are presented.

Ground-water quality of the surficial aquifer system and the upper Floridan Aquifer, Ocala National Forest and Lake County, Florida, 1990-99

USGS Publications Warehouse

Adamski, J.C.; Knowles, Leel

2001-01-01

Data from 217 ground-water samples were statistically analyzed to assess the water quality of the surficial aquifer system and Upper Floridan aquifer in the Ocala National Forest and Lake County, Florida. Samples were collected from 49 wells tapping the surficial aquifer system, 141 wells tapping the Upper Floridan aquifer, and from 27 springs that discharge water from the Upper Floridan aquifer. A total of 136 samples was collected by the U.S. Geological Survey from 1995 through 1999. These data were supplemented with 81 samples collected by the St. Johns River Water Management District and Lake County Water Resources Management from 1990 through 1998. In general, the surficial aquifer system has low concentrations of total dissolved solids (median was 41 milligrams per liter) and major ions. Water quality of the surficial aquifer system, however, is not homogeneous throughout the study area. Concentrations of total dissolved solids, many major ions, and nutrients are greater in samples from Lake County outside the Ocala National Forest than in samples from within the Forest. These results indicate that the surficial aquifer system in Lake County outside the Ocala National Forest probably is being affected by agricultural and (or) urban land-use practices. High concentrations of dissolved oxygen (less than 0.1 to 8.2 milligrams per liter) in the surficial aquifer system underlying the Ocala National Forest indicate that the aquifer is readily recharged by precipitation and is susceptible to surface contamination. Concentrations of total dissolved solids were significantly greater in the Upper Floridan aquifer (median was 182 milligrams per liter) than in the surficial aquifer system. In general, water quality of the Upper Floridan aquifer was homogeneous, primarily being a calcium or calciummagnesium- bicarbonate water type. Near the St. Johns River, the water type of the Upper Floridan aquifer is sodium-chloride, corresponding to an increase in total dissolved solids. Dissolvedoxygen concentrations in the Upper Floridan aquifer ranged from less than 0.1 to 7.3 milligrams per liter, indicating that, in parts of the aquifer, ground water is rapidly recharged by rainfall and is susceptible to surface contamination. Median concentrations of nutrients in the Upper Floridan aquifer were not significantly different between the Ocala National Forest and the area of Lake County outside the Forest. The maximum nitrate concentration in the Upper Floridan aquifer in Ocala National Forest was only 0.20 milligram per liter, whereas, 9 of 39 samples from the Upper Floridan aquifer in Lake County had elevated nitrate concentrations (greater than 1.0 milligram per liter). Hence, nitrate concentrations of the Upper Floridan aquifer appear to be affected by land use in Lake County.

Why We Should Establish a National System of Standards.

ERIC Educational Resources Information Center

Hennen, Thomas J., Jr.

2000-01-01

Explains the need to establish a national system of standards for public libraries. Discusses local standards, state standards, and international standards, and suggests adopting a tiered approach including three levels: minimum standards; target standards; and benchmarking standards, as found in total quality management. (LRW)

Useful measures and models for analytical quality management in medical laboratories.

PubMed

Westgard, James O

2016-02-01

The 2014 Milan Conference "Defining analytical performance goals 15 years after the Stockholm Conference" initiated a new discussion of issues concerning goals for precision, trueness or bias, total analytical error (TAE), and measurement uncertainty (MU). Goal-setting models are critical for analytical quality management, along with error models, quality-assessment models, quality-planning models, as well as comprehensive models for quality management systems. There are also critical underlying issues, such as an emphasis on MU to the possible exclusion of TAE and a corresponding preference for separate precision and bias goals instead of a combined total error goal. This opinion recommends careful consideration of the differences in the concepts of accuracy and traceability and the appropriateness of different measures, particularly TAE as a measure of accuracy and MU as a measure of traceability. TAE is essential to manage quality within a medical laboratory and MU and trueness are essential to achieve comparability of results across laboratories. With this perspective, laboratory scientists can better understand the many measures and models needed for analytical quality management and assess their usefulness for practical applications in medical laboratories.

Demand and Supply of High Quality Sailors.

DTIC Science & Technology

1981-12-01

AO, AM, AV, AF Aviation Ground Support AB, AS Air Traffic Control AC Ordnance Systems GM, NM, TM Sensor Operations EW, OT Weapons Systems Support TD ...53 20.8 4 39 25.6 5 8 50.0 Total 338 18.9 LEGALMAN (LN) LOS N IHQ 1 8 50.0 2 45 51.1 3 55 50.9 4 75 53.3 5 25 44.0 Total 208 51.0 969 MASTER-AT-ARMS...Total 934 27.5 110 TRADEMAN ( TD ) LOS N % HQ 1 417 64.7 2 432 78.0 3 293 77.8 4 182 85.2 5 48 89.6 Total 1,372 75.3 TORPEDOMAN’S MATE (TM) LOS %HO 1 1,605

Development of a laboratory prototype water quality monitoring system suitable for use in zero gravity

NASA Technical Reports Server (NTRS)

Misselhorn, J. E.; Witz, S.; Hartung, W. H.

1973-01-01

The development of a laboratory prototype water quality monitoring system for use in the evaluation of candidate water recovery systems and for study of techniques for measuring potability parameters is reported. Sensing techniques for monitoring of the most desirable parameters are reviewed in terms of their sensitivities and complexities, and their recommendations for sensing techniques are presented. Rationale for selection of those parameters to be monitored (pH, specific conductivity, Cr(+6), I2, total carbon, and bacteria) in a next generation water monitor is presented along with an estimate of flight system specifications. A master water monitor development schedule is included.

Comprehensive assessment of patient image quality and radiation dose in latest generation cardiac x-ray equipment for percutaneous coronary interventions

PubMed Central

Gislason-Lee, Amber J.; Keeble, Claire; Egleston, Daniel; Bexon, Josephine; Kengyelics, Stephen M.; Davies, Andrew G.

2017-01-01

Abstract. This study aimed to determine whether a reduction in radiation dose was found for percutaneous coronary interventional (PCI) patients using a cardiac interventional x-ray system with state-of-the-art image enhancement and x-ray optimization, compared to the current generation x-ray system, and to determine the corresponding impact on clinical image quality. Patient procedure dose area product (DAP) and fluoroscopy duration of 131 PCI patient cases from each x-ray system were compared using a Wilcoxon test on median values. Significant reductions in patient dose (p≪0.001) were found for the new system with no significant change in fluoroscopy duration (p=0.2); procedure DAP reduced by 64%, fluoroscopy DAP by 51%, and “cine” acquisition DAP by 76%. The image quality of 15 patient angiograms from each x-ray system (30 total) was scored by 75 clinical professionals on a continuous scale for the ability to determine the presence and severity of stenotic lesions; image quality scores were analyzed using a two-sample t-test. Image quality was reduced by 9% (p≪0.01) for the new x-ray system. This demonstrates a substantial reduction in patient dose, from acquisition more than fluoroscopy imaging, with slightly reduced image quality, for the new x-ray system compared to the current generation system. PMID:28491907

Safety of community drinking-water and outbreaks of waterborne enteric disease: Israel, 1976-97.

PubMed Central

Tulchinsky, T. H.; Burla, E.; Clayman, M.; Sadik, C.; Brown, A.; Goldberger, S.

2000-01-01

Waterborne disease remains a major public health problem in many countries. We report findings on nearly three decades of waterborne disease in Israel and the part these diseases play in the total national burden of enteric disease. During the 1970s and 1980s, Israel's community water supplies were frequently of poor quality according to the microbiological standards at that time, and the country experienced many outbreaks of waterborne enteric disease. New regulations raised water quality standards and made chlorination of community water supplies mandatory, as well as imposing more stringent guidelines on maintaining water sources and distribution systems for both surface water and groundwater. This was followed by improved compliance and water quality, and a marked decline in the number of outbreaks of waterborne disease; no outbreaks were detected between 1992 and 1997. The incidence of waterborne salmonellosis, shigellosis, and typhoid declined markedly as proportions of the total burden of these diseases, but peaked during the time in which there were frequent outbreaks of waterborne disease (1980-85). Long-term trends in the total incidence of reported infectious enteric diseases from all sources, including typhoid, shigellosis, and viral hepatitis (all types) declined, while the total incidence of salmonellosis increased. Mandatory chlorination has had an important impact on improving water quality, in reducing outbreaks of waterborne disease in Israel, and reducing the total burden of enteric disease in the country. PMID:11196499

The influence of different electrical conductivity values in a simplified recirculating soilless system on inner and outer fruit quality characteristics of tomato.

PubMed

Krauss, Sandra; Schnitzler, Wilfried H; Grassmann, Johanna; Woitke, Markus

2006-01-25

Irrigation with saline water affects tomato fruit quality. While total fruit yield decreases with salinity, inner quality characterized by taste and health-promoting compounds can be improved. For a detailed description of this relationship, the influence of three different salt levels [electrical conductivity (EC) 3, 6.5, and 10] in hydroponically grown tomatoes was investigated. Rising salinity levels in the nutrient solution significantly increased vitamin C, lycopene, and beta-carotene in fresh fruits up to 35%. The phenol concentration was tendentiously enhanced, and the antioxidative capacity of phenols and carotenoids increased on a fresh weight basis. Additionally, the higher EC values caused an increase of total soluble solids and organic acids, parameters determining the taste of tomatoes. Total fruit yield, single fruit weight, and firmness significantly decreased with rising EC levels. Regression analyses revealed significant correlations between the EC level and the dependent variables single fruit weight, total soluble solids, titrable acids, lycopene, and antioxidative capacities of carotenoids and phenols, whereas vitamin C and phenols correlated best with truss number, and beta-carotene correlated best with temperature. Only pressure firmness showed no correlation with any of the measured parameters. As all desirable characteristics in the freshly produced tomato increased when exposed to salinity, salinity itself constitutes an alternative method of quality improvement. Moreover, it can compensate for the loss of yield by the higher inner quality due to changing demands by the market and the consumer. This investigation is to our knowledge the first comprehensive overview regarding parameters of outer quality (yield and firmness), taste (total soluble solids and acids), nutritional value (vitamin C, carotenoids, and phenolics), as well as antioxidative capacity in tomatoes grown under saline conditions.

Methods for assessing the quality of data in public health information systems: a critical review.

PubMed

Chen, Hong; Yu, Ping; Hailey, David; Wang, Ning

2014-01-01

The quality of data in public health information systems can be ensured by effective data quality assessment. In order to conduct effective data quality assessment, measurable data attributes have to be precisely defined. Then reliable and valid measurement methods for data attributes have to be used to measure each attribute. We conducted a systematic review of data quality assessment methods for public health using major databases and well-known institutional websites. 35 studies were eligible for inclusion in the study. A total of 49 attributes of data quality were identified from the literature. Completeness, accuracy and timeliness were the three most frequently assessed attributes of data quality. Most studies directly examined data values. This is complemented by exploring either data users' perception or documentation quality. However, there are limitations of current data quality assessment methods: a lack of consensus on attributes measured; inconsistent definition of the data quality attributes; a lack of mixed methods for assessing data quality; and inadequate attention to reliability and validity. Removal of these limitations is an opportunity for further improvement.

Performance evaluation of algebraic reconstruction technique (ART) for prototype chest digital tomosynthesis (CDT) system

NASA Astrophysics Data System (ADS)

Lee, Haenghwa; Choi, Sunghoon; Jo, Byungdu; Kim, Hyemi; Lee, Donghoon; Kim, Dohyeon; Choi, Seungyeon; Lee, Youngjin; Kim, Hee-Joung

2017-03-01

Chest digital tomosynthesis (CDT) is a new 3D imaging technique that can be expected to improve the detection of subtle lung disease over conventional chest radiography. Algorithm development for CDT system is challenging in that a limited number of low-dose projections are acquired over a limited angular range. To confirm the feasibility of algebraic reconstruction technique (ART) method under variations in key imaging parameters, quality metrics were conducted using LUNGMAN phantom included grand-glass opacity (GGO) tumor. Reconstructed images were acquired from the total 41 projection images over a total angular range of +/-20°. We evaluated contrast-to-noise ratio (CNR) and artifacts spread function (ASF) to investigate the effect of reconstruction parameters such as number of iterations, relaxation parameter and initial guess on image quality. We found that proper value of ART relaxation parameter could improve image quality from the same projection. In this study, proper value of relaxation parameters for zero-image (ZI) and back-projection (BP) initial guesses were 0.4 and 0.6, respectively. Also, the maximum CNR values and the minimum full width at half maximum (FWHM) of ASF were acquired in the reconstructed images after 20 iterations and 3 iterations, respectively. According to the results, BP initial guess for ART method could provide better image quality than ZI initial guess. In conclusion, ART method with proper reconstruction parameters could improve image quality due to the limited angular range in CDT system.

Translating Deming's 14 Points for Education.

ERIC Educational Resources Information Center

Melvin, Charles A., III

1991-01-01

A consortium of four Wisconsin school districts has decided to stop tinkering with the educational system and apply W. Edward Deming's 14 management points to total system improvement. The rewritten precepts involve creating and adopting a fitting purpose, infusing quality into the educational "product," and working toward zero defects…

Quality aspects of ex vivo root canal treatments done by undergraduate dental students using four different endodontic treatment systems.

PubMed

Jungnickel, Luise; Kruse, Casper; Vaeth, Michael; Kirkevang, Lise-Lotte

2018-04-01

To evaluate factors associated with treatment quality of ex vivo root canal treatments performed by undergraduate dental students using different endodontic treatment systems. Four students performed root canal treatment on 80 extracted human teeth using four endodontic treatment systems in designated treatment order following a Latin square design. Lateral seal and length of root canal fillings was radiographically assessed; for lateral seal, a graded visual scale was used. Treatment time was measured separately for access preparation, biomechanical root canal preparation, obturation and for the total procedure. Mishaps were registered. An ANOVA mirroring the Latin square design was performed. Use of machine-driven nickel-titanium systems resulted in overall better quality scores for lateral seal than use of the manual stainless-steel system. Among systems with machine-driven files, scores did not significantly differ. Use of machine-driven instruments resulted in shorter treatment time than manual instrumentation. Machine-driven systems with few files achieved shorter treatment times. With increasing number of treatments, root canal-filling quality increased, treatment time decreased; a learning curve was plotted. No root canal shaping file separated. The use of endodontic treatment systems with machine-driven files led to higher quality lateral seal compared to the manual system. The three contemporary machine-driven systems delivered comparable results regarding quality of root canal fillings; they were safe to use and provided a more efficient workflow than the manual technique. Increasing experience had a positive impact on the quality of root canal fillings while treatment time decreased.

Space Station Environmental Health System water quality monitoring

NASA Technical Reports Server (NTRS)

Vincze, Johanna E.; Sauer, Richard L.

1990-01-01

One of the unique aspects of the Space Station is that it will be a totally encapsulated environment and the air and water supplies will be reclaimed for reuse. The Environmental Health System, a subsystem of CHeCS (Crew Health Care System), must monitor the air and water on board the Space Station Freedom to verify that the quality is adequate for crew safety. Specifically, the Water Quality Subsystem will analyze the potable and hygiene water supplies regularly for organic, inorganic, particulate, and microbial contamination. The equipment selected to perform these analyses will be commercially available instruments which will be converted for use on board the Space Station Freedom. Therefore, the commercial hardware will be analyzed to identify the gravity dependent functions and modified to eliminate them. The selection, analysis, and conversion of the off-the-shelf equipment for monitoring the Space Station reclaimed water creates a challenging project for the Water Quality engineers and scientists.

Evaluation of food drying with air dehumidification system: a short review

NASA Astrophysics Data System (ADS)

Djaeni, M.; Utari, F. D.; Sasongko, S. B.; Kumoro, A. C.

2018-01-01

Energy efficient drying for food and agriculture products resulting high quality products has been an important issue. Currently, about 50% of total energy for postharvest treatment was used for drying. This paper presents the evaluation of new approach namely air dehumidification system with zeolite for food drying. Zeolite is a material having affinity to water in which reduced the moisture in air. With low moisture content and relative humidity, the air can improve driving force for drying even at low temperature. Thus, the energy efficiency can be potentially enhanced and the product quality can be well retained. For proving the hypothesis, the paddy and onion have been dried using dehumidified air. As performance indicators, the drying time, product quality, and heat efficiency were evaluated. Results indicated that the drying with zeolite improved the performances significantly. At operating temperature ranging 50 - 60°C, the efficiency of drying system can reach 75% with reasonable product quality.

Cause-and-effect mapping of critical events.

PubMed

Graves, Krisanne; Simmons, Debora; Galley, Mark D

2010-06-01

Health care errors are routinely reported in the scientific and public press and have become a major concern for most Americans. In learning to identify and analyze errors health care can develop some of the skills of a learning organization, including the concept of systems thinking. Modern experts in improving quality have been working in other high-risk industries since the 1920s making structured organizational changes through various frameworks for quality methods including continuous quality improvement and total quality management. When using these tools, it is important to understand systems thinking and the concept of processes within organization. Within these frameworks of improvement, several tools can be used in the analysis of errors. This article introduces a robust tool with a broad analytical view consistent with systems thinking, called CauseMapping (ThinkReliability, Houston, TX, USA), which can be used to systematically analyze the process and the problem at the same time. Copyright 2010 Elsevier Inc. All rights reserved.

Accumulated state assessment of the Peace-Athabasca-Slave River system.

PubMed

Dubé, Monique G; Wilson, Julie E

2013-07-01

Effects-based analysis is a fundamental component of watershed cumulative effects assessment. This study conducted an effects-based analysis for the Peace-Athabasca-Slave River System, part of the massive Mackenzie River Basin, encompassing 20% of Canada's total land mass and influenced by cumulative contributions of the W.A.C. Bennett Dam (Peace River) and industrial activities including oil sands mining (Athabasca River). This study assessed seasonal changes in 1) Peace River water quality and quantity before and after dam development, 2) Athabasca River water quality and quantity before and after oil sands developments, 3) tributary inputs from the Peace and Athabasca Rivers to the Slave River, and 4) upstream to downstream differences in water quality in the Slave River. In addition, seasonal benchmarks were calculated for each river based on pre-perturbation post-perturbation data for future cumulative effects assessments. Winter discharge (January-March) from the Peace and Slave Rivers was significantly higher than before dam construction (pre-1967) (p < 0.05), whereas summer peak flows (May-July) were significantly lower than before the dam showing that regulation has significantly altered seasonal flow regimes. During spring freshet and summer high flows, the Peace River strongly influenced the quality of the Slave River, as there were no significant differences in loadings of dissolved N, total P (TP), total organic C (TOC), total As, total Mn, total V, and turbidity and specific conductance between these rivers. In the Athabasca River, TP and specific conductance concentrations increased significantly since before oil sands developments (1967-2010), whereas dissolved N and sulfate have increased after the oil sands developments (1977-2010). Recently, the Athabasca River had significantly higher concentrations of dissolved N, TP, TOC, dissolved sulfate, specific conductance, and total Mn than either the Slave or the Peace Rivers during the winter months. The transboundary nature of the Peace, Athabasca, and Slave River basins has resulted in fragmented monitoring and reporting of the state of these rivers, and a more consistent monitoring framework is recommended. Copyright © 2012 SETAC.

Wastewater quality monitoring system using sensor fusion and machine learning techniques.

PubMed

Qin, Xusong; Gao, Furong; Chen, Guohua

2012-03-15

A multi-sensor water quality monitoring system incorporating an UV/Vis spectrometer and a turbidimeter was used to monitor the Chemical Oxygen Demand (COD), Total Suspended Solids (TSS) and Oil & Grease (O&G) concentrations of the effluents from the Chinese restaurant on campus and an electrocoagulation-electroflotation (EC-EF) pilot plant. In order to handle the noise and information unbalance in the fused UV/Vis spectra and turbidity measurements during the calibration model building, an improved boosting method, Boosting-Iterative Predictor Weighting-Partial Least Squares (Boosting-IPW-PLS), was developed in the present study. The Boosting-IPW-PLS method incorporates IPW into boosting scheme to suppress the quality-irrelevant variables by assigning small weights, and builds up the models for the wastewater quality predictions based on the weighted variables. The monitoring system was tested in the field with satisfactory results, underlying the potential of this technique for the online monitoring of water quality. Copyright © 2011 Elsevier Ltd. All rights reserved.

Total Quality Management Implementation Strategy: Directorate of Quality Assurance

DTIC Science & Technology

1989-05-01

Total Quality Control Harrington, H. James The Improvement Process Imai, Masaaki Kaizen Ishikawa , Kaoru What is Total Quality Control Ishikawa ... Kaoru Statistical Quality Control Juran, J. M. Managerial Breakthrough Juran, J. M. Quality Control Handbook Mizuno, Ed Managing for Quality Improvements

The study of recirculating aquaculture system in pond and its purification effect

NASA Astrophysics Data System (ADS)

Qu, Jiangqi; Zhang, Qingjing; Jia, Chengxia; Liu, Pan; Yang, Mu

2017-05-01

In this paper, a recirculating aquaculture purification system (RAPS) was designed to solve the problems of aquaculture pollution and shortage of freshwater resource according to the characteristic of northern freshwater ponds of China. The system were arranged in series and composed of high density culture pond, deposit pond, floating and submerged plant pond, ecological floating bed pond and biofilm filtrate pond. At the fish density of 20~30kg/m3 in the high density culture pond, the water quality parameters were monitored seasonally. The results indicated that the removal rate of total nitrogen, total phosphorus, ammonia nitrogen and nitrite nitrogen in the recirculating aquaculture system were 69.59%, 77.89%, 72.54% and 68.68%, respectively. The floating and submerged plant pond and ecological floating bed pond can remove TN and TP obviously, and increase dissolved oxygen and transparency significantly. And the biofilm filtrate pond has good effect of removing ammonium nitrogen and nitrite nitrogen, meanwhile, the microbial communities in the recirculating aquaculture system regulate on the water quality. Therefore, the RAPS show significant effects on water saving and pollution emission reducing.

The Role of "Meeting Pupil Needs and Empowering Staff" in Quality Management System

ERIC Educational Resources Information Center

Cheng, Alison Lai Fong; Yau, Hon Keung

2012-01-01

The study aims to examine the effectiveness of the implementation of "Meeting Pupil Needs and Empowering Staff" in the quality management in Hong Kong primary schools. A case study of nine primary schools was conducted and a qualitative method of interviews was adopted in this study. A total of 9 principals and 9 teachers from 9 primary…

Supplementary physicians' fees: a sustainable system?

PubMed

Calcoen, Piet; van de Ven, Wynand P M M

2018-01-25

In Belgium and France, physicians can charge a supplementary fee on top of the tariff set by the mandatory basic health insurance scheme. In both countries, the supplementary fee system is under pressure because of financial sustainability concerns and a lack of added value for the patient. Expenditure on supplementary fees is increasing much faster than total health expenditure. So far, measures taken to curb this trend have not been successful. For certain categories of physicians, supplementary fees represent one-third of total income. For patients, however, the added value of supplementary fees is not that clear. Supplementary fees can buy comfort and access to physicians who refuse to treat patients who are not willing to pay supplementary fees. Perceived quality of care plays an important role in patients' willingness to pay supplementary fees. Today, there is no evidence that physicians who charge supplementary fees provide better quality of care than physicians who do not. However, linking supplementary fees to objectively proven quality of care and limiting access to top quality care to patients able and willing to pay supplementary fees might not be socially acceptable in many countries. Our conclusion is that supplementary physicians' fees are not sustainable.

[Sperm quality and features of the antioxidant defense system in men living in various regions of Siberia].

PubMed

Kolesnikova, L I; Kurashova, N A; Dolgikh, M I; Natyaganova, L V; Dashiyev, B G

2016-12-01

To investigate the quality of sperm, total antioxidant activity, concentrations of -tocopherol and lipid peroxidation in men of reproductive age living in Ulan-Ude, Irkutsk, and Novosibirsk. The analysis of sperm quality included measuring the volume and pH of the ejaculate, sperm cell count, the proportion of motile sperm cells of A and B categories. Healthy men living in Irkutsk were found to have 34.4 and 23.6% higher sperm count (millions per ml) compared to men living in the city of Novosibirsk and Ulan-Ude, respectively. They also had a 44 and 38% statistically significantly greater concentration of alpha-tocopherol than men living in Ulan-Ude and Novosibirsk, respectively. Men from Ulan-Ude had 16 and 11% greater counts of active spermatozoa than men from Novosibirsk, respectively, and 34 and 13% higher levels of total antioxidant activity of ejaculate, respectively. The findings on quality of the ejaculate and features of lipid peroxidation in men living in various Siberian cities show that the place of residence and ecological and geographical location affect functioning of the reproductive system and the heterogeneity of male infertility under anthropogenic pressure.

Total Quality and Organization Development. Total Quality Series.

ERIC Educational Resources Information Center

Lindsay, William M.; Petrick, Joseph A.

As the global business environment becomes more turbulent, quality management seems more indispensable. This book offers strategies for integrating the theory and practice of Total Quality Management (TQM) with organizational-development (OD) theory at all organizational levels. Chapter 1 answers the question "Why Total Quality Management and…

Redesigning the work system of rubber industries based on total ergonomics and ergo-micmac integration

NASA Astrophysics Data System (ADS)

Setiawan, H.

2018-01-01

The factory capacity achievement and the bottleneck reduction of production process at wet-blanket workstations are influenced by the balance of life quality rates and worker’s productivity, along with the worker’s ability and limitations, tasks, organization and work environment. The life quality of workers is indicated by: the reduction of workload, and fatigue. Meanwhile, work productivity is measured by increasing production results per work shift. The optimization of the quality of life and productivity of workers is achieved by redesigning the system and workstations based on ergonomics integrating Total Ergonomics with Ergo-MicMac (Micro Ergonomics and Macro Ergonomics), which includes redesigning wet-blanket folding worktable, regulating the system pattern of working in pairs, giving official break time, giving extra nutritious intakes such as sweet tea and snack Pempek, giving personal protective equipments, and redesigning physical working environments.This study was an experimental study, with treatment by subject design involving 30 workers sampled at a workstation condition before and after Ergonomics based redesign. The findings and conclusions of the study were derived from the reduction of the workload by 16.06%, fatigue by 18.84% and the increase of production results per work shift by 20.29%.

Optimized design of total energy systems: The RETE project

NASA Astrophysics Data System (ADS)

Alia, P.; Dallavalle, F.; Denard, C.; Sanson, F.; Veneziani, S.; Spagni, G.

1980-05-01

The RETE (Reggio Emilia Total Energy) project is discussed. The total energy system (TES) was developed to achieve the maximum quality matching on the thermal energy side between plant and user and perform an open scheme on the electrical energy side by connection with the Italian electrical network. The most significant qualitative considerations at the basis of the plant economic energy optimization and the selection of the operating criterion most fitting the user consumption characteristics and the external system constraints are reported. The design methodology described results in a TES that: in energy terms achieves a total efficiency evaluated on a yearly basis to be equal to about 78 percent and a fuel saving of about 28 percent and in economic terms allows a recovery of the investment required as to conventional solutions, in about seven years.

Reduction of accounts receivable through total quality management.

PubMed

LaFleur, N

1994-01-01

On October 1, 1990, The Miriam Hospital in Providence, R.I., converted to a new computer system for patient accounting applications and on-line registration functions. The new system automated the hospital's patient accounting, registration, and medical records functions and interfaced registration with patient accounts for billing purposes.

Effects of the per diem prospective payment system with DRG-like grouping system (DPC/PDPS) on resource usage and healthcare quality in Japan.

PubMed

Hamada, Hironori; Sekimoto, Miho; Imanaka, Yuichi

2012-10-01

In 2003, Japan introduced the prospective payment system (PPS) with diagnosis-related groups (DRG) rearranged grouping system called the diagnostic procedure combination/per-diem payment system (DPC/PDPS). Even after eight years, little is known about the effects of DPC/PDPS. The purpose of this study was to examine the effects of DPC/PDPS on resource usage and healthcare quality. Using 2001-2009 (fiscal year) administrative data of acute myocardial infarction patients, four indices, including inpatient total accumulated medical charges, length of stay (LOS), mortality rate, and readmission rate, were compared between patients reimbursed by DPC/PDPS or by fee-for-service. DPC/PDPS significantly reduced total accumulated medical charges by $1061 (95% confidence interval [CI], -2007, -116) and LOS by 2.29 days (95% CI, -3.71, -0.88) after risk adjustment. However, mortality rate (Odds ratio [OR], 0.94; 95% CI, 0.73, 1.21) was unchanged. Furthermore, DPC/PDPS increased the readmission rate (OR, 1.37; 95% CI, 1.03, 1.82). This study showed that DPC/PDPS was associated with reduced resource usage, but not improved healthcare quality, as with DRG/PPSs in other countries. To achieve successful healthcare reform, further discussion on additional motives will be required. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Software quality in 1997

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

Jones, C.

1997-11-01

For many years, software quality assurance lagged behind hardware quality assurance in terms of methods, metrics, and successful results. New approaches such as Quality Function Deployment (QFD) the ISO 9000-9004 standards, the SEI maturity levels, and Total Quality Management (TQM) are starting to attract wide attention, and in some cases to bring software quality levels up to a parity with manufacturing quality levels. Since software is on the critical path for many engineered products, and for internal business systems as well, the new approaches are starting to affect global competition and attract widespread international interest. It can be hypothesized thatmore » success in mastering software quality will be a key strategy for dominating global software markets in the 21st century.« less

Towards Sustainable Water Quality In Estuarine Impoundments: The Current State.

NASA Astrophysics Data System (ADS)

Wright, J.; Worrall, F.

Several estuarine impoundment schemes have been built or are proposed in the UK and worldwide. The impounding of estuaries is currently a popular approach to urban regeneration in the UK. By creation of an aesthetically pleasing amenity impound- ment, including the drowning of "unsightly" tidal mud flats, it is hoped that prestige development will be encouraged in the estuarine area. Impounding fundamentally alters the dynamics of estuaries, with consequences in terms of sedimentation patterns and rates, and water quality. The SIMBA Project at- tempts to understand the controls on water quality in impoundments, with a view to- wards long term and sustainable high water quality through good barrage design and management practice. Detailed water quality surveys have been carried out on a total of 79 dates on the Tees, Tawe, Wansbeck and Blyth estuaries. Water quality parameters which have been determined are pH, Eh, dissolved oxygen (DO), biochemical oxygen demand (BOD), conductivity, transparency, suspended solids, alkalinity, temperature, nutri- ents (nitrate+nitrite, ammonium and orthophosphate), and a large range of dissolved metals. Statistical analyses are used to demonstrate the major controls on water qual- ity in impoundments. A distinction is made between total tidal exclusion (freshwater) systems, in which water quality is primarily influenced by external/catchment factors, and partial tidal exclusion systems, in which water quality is processed internally. This internal processing is due to density stratification creating compartments of saline wa- ter in contact with oxygen demanding sediments and isolated from the atmosphere, which leads to conditions of low DO and changes in redox conditions which may lead to release of metals and phosphate from the sediment.

Removal Efficiency of COD, Total P and Total N Components from Municipal Wastewater using Hollow-fibre MBR.

PubMed

Petrinić, Irena; Curlin, Mirjana; Korenak, Jasmina; Simonič, Marjana

2011-06-01

The membrane bioreactor (MBR) integrates well within the conventionally activated sludge system regarding advanced membrane separation for wastewater treatment. Over the last decade, a number of MBR systems have been constructed worldwide and this system is now accepted as a technology of choice for wastewater treatment especially for municipal wastewater. The aim of this work was to investigate and compare submerged MBR with conventionally-activated sludge system for the treatment of municipal wastewater in Maribor, Slovenia. It can be concluded from the results, that the efficiencies being determined by the parameters were satisfied, such as, chemical oxygen demand, total phosphorous, and total nitrogen, which were 97%, 75%, and 90%, respectively. The efficiencies of ultrafiltration membrane for the same parameters were also determined, and compared with biological treatment. The results of this analysis show an additional effect regarding an improvement in the quality of the permeate but primary treatment is also very important. For successfully application of MBR system smaller grid for primary treatment is needed.

Implementing total quality management in an academic surgery setting: lessons learned.

PubMed

Townes, C; Petit, B; Young, B

1995-01-01

Total Quality Management, a philosophy developed by W. Edwards Deming, has been used successfully in many countries and in many types of organizations to improve the quality of processes. The system is based upon the scientific method and provides the ability to solve long-standing, recalcitrant problems. The application of the TQM philosophy to health care, although recommended by many medical economists, is still in its infancy. At our medical center, three departments (Surgery, Anesthesiology, and Operating Room Services) joined forces to implement TQM. Critical activities early in implementation included establishing a Steering Committee, training key employees, providing systems for communicating TQM activities, and developing the leadership, facilitator, and other resources needed to support teams. Two of our first teams studied very different processes (one in the Operating Room, the other in outpatient Surgery clinics), providing many useful insights regarding keys to successful application of the TQM philosophy. We have learned strategies for increasing acceptance of and participation in TQM efforts on the part of staff members and, in particular, physicians, and for initiating the cultural change needed for TQM. Although the teams have met with resistance to behavioral changes and a lack of full support from some upper-level administrators in the Medical Center and the Hospital, most of them have been quite successful in improving the processes under study. We conclude that, with the proper leadership and facilitation, the TQM philosophy can be successfully implemented in the health care environment. Total Quality Management (TQM) as a system for improving the quality of processes has been successful in many countries throughout the world for organizations offering a wide variety of products and services. This article will describe specific TQM endeavors, both successful and unsuccessful, undertaken in an academic surgery department in the United States. This description will illustrate the lessons we have learned in our attempt to change a complex organization and will enable readers to determine whether an analogy exists between our organization's response to problem solving and theirs.

Water quality at points-of-use in the Galapagos Islands.

PubMed

Gerhard, William A; Choi, Wan Suk; Houck, Kelly M; Stewart, Jill R

2017-04-01

Piped drinking water is often considered a gold standard for protecting public health but research is needed to explicitly evaluate the effect of centralized treatment systems on water quality in developing world settings. This study examined the effect of a new drinking water treatment plant (DWTP) on microbial drinking water quality at the point-of-use on San Cristobal Island, Galapagos using fecal indicator bacteria total coliforms and Escherichia coli. Samples were collected during six collection periods before and after operation of the DWTP began from the freshwater sources (n=4), the finished water (n=6), and 50 sites throughout the distribution system (n=287). This study found that there was a significant decrease in contamination by total coliforms (two orders of magnitude) and E. coli (one order of magnitude) after DWTP operation began (p<0.001). However, during at least one post-construction collection cycle, total coliforms and E. coli were still found at 66% and 28% of points-of-use (n=50), respectively. During the final collection period, conventional methods were augmented with human-specific Bacteroides assays - validated herein - with the goal of elucidating possible microbial contamination sources. Results show that E. coli contamination was not predictive of contamination by human wastes and suggests that observed indicator bacteria contamination may have environmental origins. Together these findings highlight the necessity of a holistic approach to drinking water infrastructure improvements in order to deliver high quality water through to the point-of-use. Copyright © 2017 Elsevier GmbH. All rights reserved.

Optimal implementation of green infrastructure practices to reduce adverse impacts of urban areas on hydrology and water quality

NASA Astrophysics Data System (ADS)

Liu, Y.; Collingsworth, P.; Pijanowski, B. C.; Engel, B.

2016-12-01

Nutrient loading from Maumee River watershed is a significant reason for the harmful algal blooms (HABs) problem in Lake Erie. Although studies have explored strategies to reduce nutrient loading from agricultural areas in the Maumee River watershed, the nutrient loading in urban areas also needs to be reduced. Green infrastructure practices are popular approaches for stormwater management and useful for improving hydrology and water quality. In this study, the Long-Term Hydrologic Impact Assessment-Low Impact Development 2.1 (L-THIA-LID 2.1) model was used to determine how different strategies for implementing green infrastructure practices can be optimized to reduce impacts on hydrology and water quality in an urban watershed in the upper Maumee River system. Community inputs, such as the types of green infrastructure practices of greatest interest and environmental concerns for the community, were also considered during the study. Based on community input, the following environmental concerns were considered: runoff volume, Total Suspended Solids (TSS), Total Phosphorous (TP), Total Kjeldahl Nitrogen (TKN), and Nitrate+Nitrite (NOx); green infrastructure practices of interest included rain barrel, cistern, green roof, permeable patio, porous pavement, grassed swale, bioretention system, grass strip, wetland channel, detention basin, retention pond, and wetland basin. Spatial optimization of green infrastructure practice implementation was conducted to maximize environmental benefits while minimizing the cost of implementation. The green infrastructure practice optimization results can be used by the community to solve hydrology and water quality problems.

Is meat quality of forage-fed steers comparable to the meat quality of conventional beef from concentrate-fed bulls?

PubMed

Blanco, Mireia; Casasús, Isabel; Ripoll, Guillermo; Albertí, Pere; Panea, Begoña; Joy, Margalida

2017-11-01

Replacing concentrates with forages in the diet of finishing cattle to satisfy societal demands and for economic reasons is a target for beef farmers, but this change may affect meat acceptance. In the Mediterranean area, young bulls are usually finished on concentrates (Conventional beef). Alternatively, steers can be finished on grass with supplements (G-supp); however, if carcasses are too lean, meat quality may be negatively affected. To increase fat deposition, grazing steers were finished on a total mixed ration composed of alfalfa hay and corn (TMR). Thus the objective of the study was to compare the quality of Longissimus muscle of the three systems. Conventional beef had low yellowness and similar lightness and redness values compared with the beef from the forage-based systems, which differed slightly. The meat of the G-supp and TMR steers had higher conjugated linoleic acid (CLA) and total n-3 polyunsaturated fatty acid (PUFA) contents and lower n-6/n-3 PUFA ratio (more appropriate from a human health point of view) but was tougher than the Conventional beef. The Conventional beef was better accepted by consumers than the beef from both forage-based systems because it was the most tender. Thus tenderness of meat from forage-fed steers should be improved to ensure consumer acceptance. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

Effects of marketing group and production focus on quality and variability of adipose tissue and bellies sourced from a commercial processing facility.

PubMed

Overholt, M F; Arkfeld, E K; Wilson, K B; Mohrhauser, D A; King, D A; Wheeler, T L; Dilger, A C; Shackelford, S D; Boler, D D

2016-12-01

Objectives were to determine the effects of marketing group on quality and variability of belly and adipose tissue quality traits of pigs sourced from differing production focuses (lean vs. quality). Pigs ( = 8,042) raised in 8 barns representing 2 seasons (cold and hot) were used. Three groups were marketed from each barn with 2 barns per production focus marketed per season. Data were collected on 7,684 carcasses at a commercial abattoir. Fresh belly characteristics, American Oil Chemists' Society iodine value (AOCS-IV), and near-infrared iodine value were measured on a targeted 50, 10, and 100% of carcasses, respectively. Data were analyzed as a split-plot design in the MIXED procedure of SAS 9.4 with production focus as the whole-plot factor and marketing group as the split-plot factor. Barn (block), season, and sex were random variables. A multivariance model was fit using the REPEATED statement with the marketing group × production focus interaction as the grouping variable. Variances for production focus and marketing groups were calculated using the MEANS procedure. Homogeneity of variance was tested on raw data using the Levene's test of the GLM procedure. Among quality focus carcasses, marketing group 3 bellies weighed less ( ≤ 0.03) than those from either marketing group 1 or 2, but there was no difference ( ≥ 0.99) among marketing groups of the lean focus carcasses. There was no effect ( ≥ 0.11) of production focus on fresh belly measures, SFA, or iodine value (IV), but lean focus carcasses had decreased ( = 0.04) total MUFA and increased ( < 0.01) total PUFA compared with quality focus carcasses. Marketing group did not affect ( ≥ 0.10) fresh belly dimensions, total SFA, total MUFA, total PUFA, or IV. Belly weight, flop score, width, and all depth measurements were less variable ( ≤ 0.01); whereas, belly length, total SFA, and total MUFA were more variable ( < 0.0001) in lean focus carcasses than in quality focus carcasses. There was no difference ( ≥ 0.17) in total PUFA or AOCS-IV variability between production focuses. Variance of flop score, total MUFA, and total PUFA were not equal ( ≤ 0.01) among marketing groups. Belly weight, length, width, and depth measurements; SFA; or IV variance did not differ ( ≥ 0.06) among marketing groups. Although a multiple-marketing strategy was effective at minimizing differences in belly characteristics, differences in the variability of these traits exist among marketing groups and are likely dependent on the production system used.

Total Quality Management Implementation Plan: Defense Depot, Ogden

DTIC Science & Technology

1989-07-01

NUMBERS Total Quality Management Implementation Plan Defense Depot Ogden 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING...PAGES TQM (Total Quality Management ), Continuous Process Improvement, Depot Operations, Process Action Teams 16. PRICE CODE 17. SECURITY...034 A Message From The Commander On Total Quality Management i fully support the DLA aoproacii to Total Quality Management . As stated by General

Assessment of Air Quality in the International Space Station (ISS) and Space Shuttle Based on Samples Returned Aboard STS-110 (ISS-8A) in April 2002

NASA Technical Reports Server (NTRS)

James, John T.

2002-01-01

The toxicological assessment of grab sample canisters (GSCs) returned aboard STS-110 is reported. Analytical methods have not changed from earlier reports, and surrogate standard recoveries from the GSCs were 77-121%, with one exception. Pressure tracking indicated no leaks in the canisters. Recoveries from lab and trip controls for formaldehyde analyses ranged from 87 to 96%. The two general criteria used to assess air quality are the total-non-methane-volatile organic hydrocarbons (NMVOCs) and the total T-value (minus the CO2 and formaldehyde contributions). Because of the inertness of Freon 218 (octafluoropropane, OFP), its contribution to the NMVOC is subtracted and tabulated separately. Control of atmospheric alcohols is important to the water recovery system engineers, hence total alcohols are also shown for each sample. Because formaldehyde is quantified from sorbent badges, its concentration is listed separately. These five indices of air quality are summarized.

Assessment of Air Quality in the Shuttle and International Space Station (ISS) Based on Samples Returned by STS-102 at the Conclusion of 5A.1

NASA Technical Reports Server (NTRS)

James, John T.

2001-01-01

The toxicological assessment of air samples returned at the end of the STS-102 (5A.1) flight to the ISS is reported. ISS air samples were taken in late February 2001 from the Service Module, FGB, and U.S. Laboratory using grab sample canisters (GSCs) and/or formaldehyde badges . A "first-entry" sample of the multipurpose logistics module (MPLM) atmosphere was taken with a GSC, and preflight and end-of-mission samples were obtained from Discovery using GSCs. Analytical methods have not changed from earlier reports, and all quality control measures were met for the data presented herein. The two general criteria used to assess air quality are the total-non-methane-volatile organic hydrocarbons (NMVOCs) and the total T-value (minus the CO2 contribution). Control of atmospheric alcohols is important to the water recovery system engineers, hence total alcohols were also assessed in each sample. Formaldehyde is quantified separately.

Effects of changes in nutrient loading and composition on hypoxia dynamics and internal nutrient cycling of a stratified coastal lagoon

NASA Astrophysics Data System (ADS)

Zhu, Yafei; McCowan, Andrew; Cook, Perran L. M.

2017-10-01

The effects of changes in catchment nutrient loading and composition on the phytoplankton dynamics, development of hypoxia and internal nutrient dynamics in a stratified coastal lagoon system (the Gippsland Lakes) were investigated using a 3-D coupled hydrodynamic biogeochemical water quality model. The study showed that primary production was equally sensitive to changed dissolved inorganic and particulate organic nitrogen loads, highlighting the need for a better understanding of particulate organic matter bioavailability. Stratification and sediment carbon enrichment were the main drivers for the hypoxia and subsequent sediment phosphorus release in Lake King. High primary production stimulated by large nitrogen loading brought on by a winter flood contributed almost all the sediment carbon deposition (as opposed to catchment loads), which was ultimately responsible for summer bottom-water hypoxia. Interestingly, internal recycling of phosphorus was more sensitive to changed nitrogen loads than total phosphorus loads, highlighting the potential importance of nitrogen loads exerting a control over systems that become phosphorus limited (such as during summer nitrogen-fixing blooms of cyanobacteria). Therefore, the current study highlighted the need to reduce both total nitrogen and total phosphorus for water quality improvement in estuarine systems.

Catchment-wide impacts on water quality: the use of 'snapshot' sampling during stable flow

NASA Astrophysics Data System (ADS)

Grayson, R. B.; Gippel, C. J.; Finlayson, B. L.; Hart, B. T.

1997-12-01

Water quality is usually monitored on a regular basis at only a small number of locations in a catchment, generally focused at the catchment outlet. This integrates the effect of all the point and non-point source processes occurring throughout the catchment. However, effective catchment management requires data which identify major sources and processes. As part of a wider study aimed at providing technical information for the development of integrated catchment management plans for a 5000 km 2 catchment in south eastern Australia, a 'snapshot' of water quality was undertaken during stable summer flow conditions. These low flow conditions exist for long periods so water quality at these flow levels is an important constraint on the health of in-stream biological communities. Over a 4 day period, a study of the low flow water quality characteristics throughout the Latrobe River catchment was undertaken. Sixty-four sites were chosen to enable a longitudinal profile of water quality to be established. All tributary junctions and sites along major tributaries, as well as all major industrial inputs were included. Samples were analysed for a range of parameters including total suspended solids concentration, pH, dissolved oxygen, electrical conductivity, turbidity, flow rate and water temperature. Filtered and unfiltered samples were taken from 27 sites along the main stream and tributary confluences for analysis of total N, NH 4, oxidised N, total P and dissolved reactive P concentrations. The data are used to illustrate the utility of this sampling methodology for establishing specific sources and estimating non-point source loads of phosphorous, total suspended solids and total dissolved solids. The methodology enabled several new insights into system behaviour including quantification of unknown point discharges, identification of key in-stream sources of suspended material and the extent to which biological activity (phytoplankton growth) affects water quality. The costs and benefits of the sampling exercise are reviewed.

NASA Construction of Facilities Validation Processes - Total Building Commissioning (TBCx)

NASA Technical Reports Server (NTRS)

Hoover, Jay C.

2004-01-01

Key Atributes include: Total Quality Management (TQM) System that looks at all phases of a project. A team process that spans boundaries. A Commissioning Authority to lead the process. Commissioning requirements in contracts. Independent design review to verify compliance with Facility Project Requirements (FPR). Formal written Commissioning Plan with Documented Results. Functional performance testing (FPT) against the requirements document.

Contrasting Eutrophication Risks and Countermeasures in Different Water Bodies: Assessments to Support Targeted Watershed Management.

PubMed

Li, Tong; Chu, Chunli; Zhang, Yinan; Ju, Meiting; Wang, Yuqiu

2017-06-29

Eutrophication is a major problem in China. To combat this issue, the country needs to establish water quality targets, monitoring systems, and intelligent watershed management. This study explores a new watershed management method. Water quality is first assessed using a single factor index method. Then, changes in total nitrogen/total phosphorus (TN/TP) are analyzed to determine the limiting factor. Next, the study compares the eutrophication status of two water function districts, using a comprehensive nutritional state index method and geographic information system (GIS) visualization. Finally, nutrient sources are qualitatively analyzed. Two functional water areas in Tianjin, China were selected and analyzed: Qilihai National Wetland Nature Reserve and Yuqiao Reservoir. The reservoir is a drinking water source. Results indicate that total nitrogen (TN) and total phosphorus (TP) pollution are the main factors driving eutrophication in the Qilihai Wetland and Yuqiao Reservoir. Phosphorus was the limiting factor in the Yuqiao Reservoir; nitrogen was the limiting factor in the Qilihai Wetland. Pollution in Qilihai Wetland is more serious than in Yuqiao Reservoir. The study found that external sources are the main source of pollution. These two functional water areas are vital for Tianjin; as such, the study proposes targeted management measures.

Honing the accuracy of extreme-ultraviolet optical system testing: at-wavelength and visible-light measurements of the ETS Set-2 projection optic

NASA Astrophysics Data System (ADS)

Goldberg, Kenneth A.; Naulleau, Patrick P.; Bokor, Jeffrey; Chapman, Henry N.

2002-07-01

As the quality of optical systems for extreme ultraviolet lithography improves, high-accuracy wavefront metrology for alignment and qualification becomes ever more important. To enable the development of diffraction-limited EUV projection optics, visible-light and EUV interferometries must work in close collaboration. We present a detailed comparison of EUV and visible-light wavefront measurements performed across the field of view of a lithographic-quality EUV projection optical system designed for use in the Engineering Test Stand developed by the Virtual National Laboratory and the EUV Limited Liability Company. The comparisons reveal that the present level of RMS agreement lies in the 0.3-0.4-nm range. Astigmatism is the most significant aberration component for the alignment of this optical system; it is also the dominant term in the discrepancy, and the aberration with the highest measurement uncertainty. With EUV optical systems requiring total wavefront quality in the (lambda) EUV/50 range, and even higher surface-figure quality for the individual mirror elements, improved accuracy through future comparisons, and additional studies, are required.

Nutrient, suspended-sediment, and total suspended-solids data for surface water in the Great Salt Lake basins study unit, Utah, Idaho, and Wyoming, 1980-95

USGS Publications Warehouse

Hadley, Heidi K.

2000-01-01

Selected nitrogen and phosphorus (nutrient), suspended-sediment and total suspended-solids surface-water data were compiled from January 1980 through December 1995 within the Great Salt Lake Basins National Water-Quality Assessment study unit, which extends from southeastern Idaho to west-central Utah and from Great Salt Lake to the Wasatch and western Uinta Mountains. The data were retrieved from the U.S. Geological Survey National Water Information System and the State of Utah, Department of Environmental Quality, Division of Water Quality database. The Division of Water Quality database includes data that are submitted to the U.S. Environmental Protection Agency STOrage and RETrieval system. Water-quality data included in this report were selected for surface-water sites (rivers, streams, and canals) that had three or more nutrient, suspended-sediment, or total suspended-solids analyses. Also, 33 percent or more of the measurements at a site had to include discharge, and, for non-U.S. Geological Survey sites, there had to be 2 or more years of data. Ancillary data for parameters such as water temperature, pH, specific conductance, streamflow (discharge), dissolved oxygen, biochemical oxygen demand, alkalinity, and turbidity also were compiled, as available. The compiled nutrient database contains 13,511 samples from 191 selected sites. The compiled suspended-sediment and total suspended-solids database contains 11,642 samples from 142 selected sites. For the nutrient database, the median (50th percentile) sample period for individual sites is 6 years, and the 75th percentile is 14 years. The median number of samples per site is 52 and the 75th percentile is 110 samples. For the suspended-sediment and total suspended-solids database, the median sample period for individual sites is 9 years, and the 75th percentile is 14 years. The median number of samples per site is 76 and the 75th percentile is 120 samples. The compiled historical data are being used in the basinwide sampling strategy to characterize the broad-scale geographic and seasonal water-quality conditions in relation to major contaminant sources and background conditions. Data for this report are stored on a compact disc.

"Power quality system," a new system of quality management for globalization: towards innovation and competitive advantages.

PubMed

Abdul-Rahman, H; Berawi, M A

Knowledge Management (KM) addresses the critical issues of organizational adoption, survival and competence in the face of an increasingly changing environment. KM embodies organizational processes that seek a synergistic combination of the data and information processing capabilities of information and communication technologies (ICT), and the creative and innovative capacity of human beings to improve ICT In that role, knowledge management will improve quality management and avoid or minimize losses and weakness that usually come from poor performance as well as increase the competitive level of the company and its ability to survive in the global marketplace. To achieve quality, all parties including the clients, company consultants, contractors, entrepreneurs, suppliers, and the governing bodies (i.e., all involved stake-holders) need to collaborate and commit to achieving quality. The design based organizations in major business and construction companies have to be quality driven to support healthy growth in today's competitive market. In the march towards vision 2020 and globalization (i.e., the one world community) of many companies, their design based organizations need to have superior quality management and knowledge management to anticipate changes. The implementation of a quality system such as the ISO 9000 Standards, Total Quality Management, or Quality Function Deployment (QFD) focuses the company's resources towards achieving faster and better results in the global market with less cost. To anticipate the needs of the marketplace and clients as the world and technology change, a new system, which we call Power Quality System (PQS), has been designed. PQS is a combination of information and communication technologies (ICT) and the creative and innovative capacity of human beings to meet the challenges of the new world business and to develop high quality products.

Factors Affecting Quality of Laboratory Services in Public and Private Health Facilities in Addis Ababa, Ethiopia.

PubMed

Mesfin, Eyob Abera; Taye, Binyam; Belay, Getachew; Ashenafi, Aytenew; Girma, Veronica

2017-10-01

Quality laboratory service is an essential component of health care system but in Sub-Saharan Africa such as Ethiopia, laboratories quality system remains weak due to several factors and it needs more attention to strengthen its capacity and quality system. A cross sectional study was conducted using a questionnaire to assess factors affecting the quality of laboratory service at private and public health institutions in Addis Ababa. A total of 213 laboratory professionals participated in the study and 131 (61.5%) participants had bachelor degree. Majority, 133 (62.4%), of the professionals did not attend any work related training. Seventy five (35.2%) respondents believed that their laboratories did not provide quality laboratory services and the major reported factors affecting provision of quality services were shortage of resources (64.3%), poor management support (57.3%), poor equipment quality (53.4%), high workload (41.1%), lack of equipment calibration (38.3%) and lack of knowledge (23.3%). Moreover logistic regression analysis showed that provision of quality laboratory service was significantly associated with result verification (AOR=9.21, 95% CI=2.26, 37.48), internal quality control (AOR= 6.11, 95% CI=2.11, 17.70), turnaround time (AOR=5.11, 95% CI=1.94, 13.46), shortage of equipment (AOR=7.76, 95% CI=2.55, 23.66), communication with clinicians (AOR=3.24, 95% CI=1.25, 8.41) and lack of job description (AOR=3.67, 95% CI=1.319, 10.22). In conclusion, the major factors that affecting the quality of laboratory service were associated with poor human resource management, poor resources provision, poor management commitment, ineffective communication system and lack of well-established quality management system.

Factors Affecting Quality of Laboratory Services in Public and Private Health Facilities in Addis Ababa, Ethiopia

PubMed Central

Taye, Binyam; Belay, Getachew; Ashenafi, Aytenew; Girma, Veronica

2017-01-01

Background Quality laboratory service is an essential component of health care system but in Sub-Saharan Africa such as Ethiopia, laboratories quality system remains weak due to several factors and it needs more attention to strengthen its capacity and quality system. Methodology A cross sectional study was conducted using a questionnaire to assess factors affecting the quality of laboratory service at private and public health institutions in Addis Ababa. Results A total of 213 laboratory professionals participated in the study and 131 (61.5%) participants had bachelor degree. Majority, 133 (62.4%), of the professionals did not attend any work related training. Seventy five (35.2%) respondents believed that their laboratories did not provide quality laboratory services and the major reported factors affecting provision of quality services were shortage of resources (64.3%), poor management support (57.3%), poor equipment quality (53.4%), high workload (41.1%), lack of equipment calibration (38.3%) and lack of knowledge (23.3%). Moreover logistic regression analysis showed that provision of quality laboratory service was significantly associated with result verification (AOR=9.21, 95% CI=2.26, 37.48), internal quality control (AOR= 6.11, 95% CI=2.11, 17.70), turnaround time (AOR=5.11, 95% CI=1.94, 13.46), shortage of equipment (AOR=7.76, 95% CI=2.55, 23.66), communication with clinicians (AOR=3.24, 95% CI=1.25, 8.41) and lack of job description (AOR=3.67, 95% CI=1.319, 10.22). Conclusion In conclusion, the major factors that affecting the quality of laboratory service were associated with poor human resource management, poor resources provision, poor management commitment, ineffective communication system and lack of well-established quality management system. PMID:29075171

[The conceptual bases for an entrepreneurial management of local health systems].

PubMed

Yepes, F J; Durán-Arenas, L

1994-01-01

Health management has become a fashion and it is now common to talk about strategic or service management, or of total quality management applied to health systems. However, all these elements of business management are being translated to health systems without a previous analysis on the implicit health model and the rationality of the prevalent production functions, which can lead to a higher level of efficiency but with an inadequate use of resources. This paper suggests the importance of integrating the advances in management and health sciences and proposes what are considered to be the conceptual basis for the design of a management tool geared to conduct local health systems with effectiveness, efficiency, quality and equity.

Systemic lidocaine to improve quality of recovery after laparoscopic bariatric surgery: a randomized double-blinded placebo-controlled trial.

PubMed

De Oliveira, Gildasio S; Duncan, Kenyon; Fitzgerald, Paul; Nader, Antoun; Gould, Robert W; McCarthy, Robert J

2014-02-01

Few multimodal strategies to minimize postoperative pain and improve recovery have been examined in morbidly obese patients undergoing laparoscopic bariatric surgery. The main objective of this study was to evaluate the effect of systemic intraoperative lidocaine on postoperative quality of recovery when compared to saline. The study was a prospective randomized, double-blinded placebo-controlled clinical trial. Subjects undergoing laparoscopic bariatric surgery were randomized to receive lidocaine (1.5 mg/kg bolus followed by a 2 mg/kg/h infusion until the end of the surgical procedure) or the same volume of saline. The primary outcome was the quality of recovery 40 questionnaire at 24 h after surgery. Fifty-one subjects were recruited and 50 completed the study. The global QoR-40 scores at 24 h were greater in the lidocaine group median (IQR) of 165 (151 to 170) compared to the saline group, median (IQR) of 146 (130 to 169), P = 0.01. Total 24 h opioid consumption was lower in the lidocaine group, median (IQR) of 26 (19 to 46) mg IV morphine equivalents compared to the saline group, median (IQR) of 36 (24 to 65) mg IV morphine equivalents, P = 0.03. Linear regression demonstrated an inverse relationship between the total 24 h opioid consumption (IV morphine equivalents) and 24 h postoperative quality of recovery (P < 0.0001). Systemic lidocaine improves postoperative quality of recovery in patients undergoing laparoscopic bariatric surgery. Patients who received lidocaine had a lower opioid consumption which translated to a better quality of recovery.

Orienting health care information systems toward quality: how Group Health Cooperative of Puget Sound did it.

PubMed

Goverman, I L

1994-11-01

Group Health Cooperative of Puget Sound (GHC), a large staff-model health maintenance organization based in Seattle, is redesigning its information systems to provide the systems and information needed to support its quality agenda. Long-range planning for GHC's information resources was done in three phases. In assessment, interviews, surveys, and a benchmarking effort identified strengths and weaknesses of the existing information systems. We concluded that we needed to improve clinical care and patient management systems and enhance health plan applications. In direction setting, we developed six objectives (for example, approach information systems in a way that is consistent with quality improvement principles). Detailed planning was used to define projects, timing, and resource allocations. Some of the most important efforts in the resulting five-year plan include the development of (1) a computerized patient record; (2) a provider-based clinical workstation for access to patient information, order entry, results reporting, guidelines, and reminders; (3) a comprehensive set of patient management and service quality systems; (4) reengineered structures, policies, and processes within the health plan, supported by a complete set of integrated information systems; (5) a standardized, high-capacity communications network to provide linkages both within GHC and among its business partners; and (6) a revised oversight structure for information services, which forms partnerships with users. A quality focus ensured that each project not only produced its own benefits but also supported the larger organizational goals associated with "total" quality.

Japanese style total quality control: A first hand experience

NASA Astrophysics Data System (ADS)

Cook, S. C.

1991-11-01

The scope, concepts and practices of Total Quality Control (TQC) as operated in Japan today are described. The following mechanisms and elements are introduced: policy deployment, cross functional management, small group activities, suggestion systems, standardization, the TQC promotion department, and TQC education. It is shown on a practical level, how TQC operates in the research and engineering divisions of the aeroengine and space operation at Ishikawajima Harima Industries in Japan. Japanese style TQC is a well developed, well promoted, well structured, common approach to achieving customer satisfaction through continuous improvements. Furthermore, TQC itself is being continuously improved with the Japanese still refining, extending, and developing TQC.

Total quality management in American industry.

PubMed

Widtfeldt, A K; Widtfeldt, J R

1992-07-01

The definition of total quality management is conformance to customer requirements and specifications, fitness for use, buyer satisfaction, and value at an affordable price. The three individuals who have developed the total quality management concepts in the United States are W.E. Deming, J.M. Juran, and Philip Crosby. The universal principles of total quality management are (a) a customer focus, (b) management commitment, (c) training, (d) process capability and control, and (e) measurement through quality improvement tools. Results from the National Demonstration Project on Quality Improvement in Health Care showed the principles of total quality management could be applied to healthcare.

Associated Effects of Automated Essay Evaluation Software on Growth in Writing Quality for Students with and without Disabilities

ERIC Educational Resources Information Center

Wilson, Joshua

2017-01-01

The present study examined growth in writing quality associated with feedback provided by an automated essay evaluation system called PEG Writing. Equal numbers of students with disabilities (SWD) and typically-developing students (TD) matched on prior writing achievement were sampled (n = 1196 total). Data from a subsample of students (n = 655)…

Critical appraisal of clinical trials in multiple system atrophy: Toward better quality.

PubMed

Castro Caldas, Ana; Levin, Johannes; Djaldetti, Ruth; Rascol, Olivier; Wenning, Gregor; Ferreira, Joaquim J

2017-10-01

Multiple system atrophy (MSA) is a rare neurodegenerative disease of undetermined cause. Although many clinical trials have been conducted, there is still no treatment that cures the disease or slows its progression. We sought to assess the clinical trials, methodology, and quality of reporting of clinical trails conducted in MSA patients. We conducted a systematic review of all trials with at least 1 MSA patient subject to any pharmacological/nonpharmacological interventions. Two independent reviewers evaluated the methodological characteristics and quality of reporting of trials. A total of 60 clinical trials were identified, including 1375 MSA patients. Of the trials, 51% (n = 31) were single-arm studies. A total of 28% (n = 17) had a parallel design, half of which (n = 13) were placebo controlled. Of the studies, 8 (13.3%) were conducted in a multicenter setting, 3 of which were responsible for 49.3% (n = 678) of the total included MSA patients. The description of primary outcomes was unclear in 60% (n = 40) of trials. Only 10 (16.7%) clinical trials clearly described the randomization process. Blinding of the participants, personnel, and outcome assessments were at high risk of bias in the majority of studies. The number of dropouts/withdrawals was high (n = 326, 23.4% among the included patients). Overall, the design and quality of reporting of the reviewed studies is unsatisfactory. The most frequent clinical trials were small and single centered. Inadequate reporting was related to the information on the randomization process, sequence generation, allocation concealment, blinding of participants, and sample size calculations. Although improved during the recent years, methodological quality and trial design need to be optimized to generate more informative results. © 2017 International Parkinson and Movement Disorder Society. © 2017 International Parkinson and Movement Disorder Society.

[Ecosystem services of Chongyi Hakka Terraces].

PubMed

Miao, Jian Qun; Wang, Zhi Qiang; Yang, Wen Ting; Sun, Song; Huang, Guo Qin

2017-05-18

An economic evaluation of the main ecosystem services of Chongyi Hakka Terraces can help to demonstrate the contributions of the terrace system to Hakka society, on the basis of which the protection of Hakka Terrace system could be undertaken by the local government. In view of the social and economic characteristics of Chongyi Hakka Terrace ecosystem and its location, an index system was established to evaluate the service function, and a qualitative analysis was conducted for these functions and their importance. Besides, based on the data collected in 2014, with a combination of physical quality and economic value, a quantitative analysis was carried out for its nine ser-vice indicators. The findings were as follows: firstly, among the nine evaluation indicators, the phy-sical quality and the economic value of soil conservation both ranked the highest, the former being 76457 kg·hm -2 and the latter 105033 yuan·hm -2 , accounting respectively for 72.2% and 30.0% of the total mass and total value of the Hakka Terrace ecosystem. Secondly, the unique service functions of Hakka Terrace ecosystem could be embodied in its cultural heritage and landscape, the corresponding economic values reaching up to 100000 yuan·hm -2 and 46333 yuan·hm -2 respectively, ranking the second and third highest among the nine indicators. Thirdly, the agricultural pro-ducts from the Hakka Terrace were vital welfare for the local residents, but their physical quality and the economic value only accounted for 6.1% and 10.4% of its total mass and total value respectively. As a result, the service functions of the Hakka Terrace ecosystem would be dramatically undervalued with respect to agricultural products only. These economic figures could reveal the huge contributions which the Hakka Terrace ecosystem had made to the society, not only raising awareness of the necessity to preserve the agricultural heritage by the administrators and the public, but also providing efficient data support for the government when making ecological compensation criteria for the Hakka Terrace system.

Response surface optimization of extraction protocols to obtain phenolic rich antioxidant from sea buckthorn and their potential application into model meat system.

PubMed

Wagh, Rajesh V; Chatli, Manish K

2017-05-01

In the present study, processing parameters for the extraction of phenolic rich sea buckthorn seed (SBTE) extract were optimised using response surface method and subjected for in vitro efficacy viz. total phenolic, ABTS, DPPH and SASA activity. The optimised model depicted MeOH as a solvent at 60% concentration level with a reaction time of 20 min and extracting temperature of 55 °C for the highest yield and total phenolic content. The efficacy of different concentration of obtained SBT was evaluated in raw ground pork as a model meat system on the basis of various physico-chemical, microbiological, sensory quality characteristics. Addition of 0.3% SBTE significantly reduced the lipid peroxidation (PV, TBARS and FFA) and improved instrumental colour ( L* , a*, b* ) attributes of raw ground pork during refrigerated storage of 9 days. Results concluded that SBTE at 0.3% level can successfully improve the oxidative stability, microbial, sensory quality attributes in the meat model system.

Estimated power quality for line commutated photovoltaic residential system

NASA Astrophysics Data System (ADS)

McNeill, B. W.; Mirza, M. A.

1983-10-01

A residential photovoltaic system using a line commutated inverter is modeled using a single diode model for the solar cells and a four switch model for the inverter. The model predicts power factor and total harmonic distortion as a function of solar radiation, array voltage, inverter output voltage, and inverter filter capacitor and inductor size. The model was run using parameter values appropriate for the John F. Long PV System and the predicted results compared well with measured results from the system. The model shows that improvements in total harmonic distortion are made at the expense of the power factor. The harmonic distortion is least when the inverter is operating at just continuous conduction. The total harmonic distortion can be kept to less than 0.17 all day if a variable inductor is used in the inverter's input filters.

DLA-X Total Quality Management (TQM) Implementation Plan

DTIC Science & Technology

1989-07-01

PAGES TOM (Total Quality Management ), Continuous Process Improvement.( .) 4L-- Administration 16. PRICE CODE 17. SECURITY CLASSIFICATION 18. SECURITY...NSN 7540-01-280-5500 Standard Form 298 (Rev. 2-89) Pr.-cr,bed by ANSI Std ,,fl.f 296-102 DLA-X TOTAL QUALITY MANAGEMENT (TQM) IMPLEMENTATION PLAN o...application of proven Total Quality Management techniques. Quality Policy: Responsibility for quality is delegated to every employee ;11 DLA-X. Every

Software Design Improvements. Part 2; Software Quality and the Design and Inspection Process

NASA Technical Reports Server (NTRS)

Lalli, Vincent R.; Packard, Michael H.; Ziemianski, Tom

1997-01-01

The application of assurance engineering techniques improves the duration of failure-free performance of software. The totality of features and characteristics of a software product are what determine its ability to satisfy customer needs. Software in safety-critical systems is very important to NASA. We follow the System Safety Working Groups definition for system safety software as: 'The optimization of system safety in the design, development, use and maintenance of software and its integration with safety-critical systems in an operational environment. 'If it is not safe, say so' has become our motto. This paper goes over methods that have been used by NASA to make software design improvements by focusing on software quality and the design and inspection process.

Mercury Deposition Network Site Operator Training for the System Blank and Blind Audit Programs

USGS Publications Warehouse

Wetherbee, Gregory A.; Lehmann, Christopher M.B.

2008-01-01

The U.S. Geological Survey operates the external quality assurance project for the National Atmospheric Deposition Program/Mercury Deposition Network. The project includes the system blank and blind audit programs for assessment of total mercury concentration data quality for wet-deposition samples. This presentation was prepared to train new site operators and to refresh experienced site operators to successfully process and submit system blank and blind audit samples for chemical analysis. Analytical results are used to estimate chemical stability and contamination levels of National Atmospheric Deposition Program/Mercury Deposition Network samples and to evaluate laboratory variability and bias.

Monitoring the Quality of Medicines: Results from Africa, Asia, and South America

PubMed Central

Hajjou, Mustapha; Krech, Laura; Lane-Barlow, Christi; Roth, Lukas; Pribluda, Victor S.; Phanouvong, Souly; El-Hadri, Latifa; Evans, Lawrence; Raymond, Christopher; Yuan, Elaine; Siv, Lang; Vuong, Tuan-Anh; Boateng, Kwasi Poku; Okafor, Regina; Chibwe, Kennedy M.; Lukulay, Patrick H.

2015-01-01

Monitoring the quality of medicines plays a crucial role in an integrated medicines quality assurance system. In a publicly available medicines quality database (MQDB), the U.S. Pharmacopeial Convention (USP) reports results of data collected from medicines quality monitoring (MQM) activities spanning the period of 2003–2013 in 17 countries of Africa, Asia, and South America. The MQDB contains information on 15,063 samples collected and tested using Minilab® screening methods and/or pharmacopeial methods. Approximately 71% of the samples reported came from Asia, 23% from Africa, and 6% from South America. The samples collected and tested include mainly antibiotic, antimalarial, and antituberculosis medicines. A total of 848 samples, representing 5.6% of total samples, failed the quality test. The failure proportion per region was 11.5%, 10.4%, and 2.9% for South America, Africa, and Asia, respectively. Eighty-one counterfeit medicines were reported, 86.4% of which were found in Asia and 13.6% in Africa. Additional analysis of the data shows the distribution of poor-quality medicines per region and by therapeutic indication as well as possible trends of counterfeit medicines. PMID:25897073

Integrated propulsion/energy transfer control systems for lift-fan V/STOL aircraft. [reduction of total propulsion system and control system installation requirements

NASA Technical Reports Server (NTRS)

Deckert, W. H.; Rolls, L. S.

1974-01-01

An integrated propulsion/control system for lift-fan transport aircraft is described. System behavior from full-scale experimental and piloted simulator investigations are reported. The lift-fan transport is a promising concept for short-to-medium haul civil transportation and for other missions. The lift-fan transport concept features high cruise airspeed, favorable ride qualities, small perceived noise footprints, high utilization, transportation system flexibility, and adaptability to VTOL, V/STOL, or STOL configurations. The lift-fan transport has high direct operating costs in comparison to conventional aircraft, primarily because of propulsion system and aircraft low-speed control system installation requirements. An integrated lift-fan propulsion system/aircraft low-speed control system that reduces total propulsion system and control system installation requirements is discussed.

Mechanisms affecting water quality in an intermittent piped water supply.

PubMed

Kumpel, Emily; Nelson, Kara L

2014-01-01

Drinking water distribution systems throughout the world supply water intermittently, leaving pipes without pressure between supply cycles. Understanding the multiple mechanisms that affect contamination in these intermittent water supplies (IWS) can be used to develop strategies to improve water quality. To study these effects, we tested water quality in an IWS system with infrequent and short water delivery periods in Hubli-Dharwad, India. We continuously measured pressure and physicochemical parameters and periodically collected grab samples to test for total coliform and E. coli throughout supply cycles at 11 sites. When the supply was first turned on, water with elevated turbidity and high concentrations of indicator bacteria was flushed out of pipes. At low pressures (<10 psi), elevated indicator bacteria were frequently detected even when there was a chlorine residual, suggesting persistent contamination had occurred through intrusion or backflow. At pressures between 10 and 17 psi, evidence of periodic contamination suggested that transient intrusion, backflow, release of particulates, or sloughing of biofilms from pipe walls had occurred. Few total coliform and no E. coli were detected when water was delivered with a chlorine residual and at pressures >17 psi.

Effect of Shift Work on Sleep, Health, and Quality of Life of Health-care Workers.

PubMed

Nena, Evangelia; Katsaouni, Maria; Steiropoulos, Paschalis; Theodorou, Evangelos; Constantinidis, Theodoros C; Tripsianis, Grigorios

2018-01-01

Shift work is associated with sleep disruption, impaired quality of life, and is a risk factor for several health conditions. Aim of this study was to investigate the impact of shift work on sleep and quality of life of health-care workers (HCW). Tertiary University hospital in Greece. Cross-sectional study. Included were HCW, working either in an irregular shift system or exclusively in morning shifts. All participants answered the WHO-5 Well-Being Index (WHO-5) and a questionnaire on demographics and medical history. Shift workers filled the Shift Work Disorders Screening Questionnaire (SWDSQ). Descriptive statistics, Student's t -test, one-way analysis of variance (ANOVA), Pearson's r correlation coefficient, and multivariate stepwise linear regression analysis were applied. Included were 312 employees (87.9% females), 194 working in irregular shift system and 118 in morning shifts. Most shift-workers (58.2%) were somehow or totally dissatisfied with their sleep quality. Regression analysis revealed the following independent determinants for sleep impairment: parenthood ( P < 0.001), age 36-45 years ( P < 0.001), >3 night shifts/week ( P < 0.001), work >5 years in an irregular shift system ( P < 0.001). Diabetes mellitus was the most common medical condition reported by shift workers ( P = 0.008). Comparison between the two groups revealed a significantly impairment in WHO-5 total score, as well as in 4 of 5 of its items ( P < 0.001). Shift-work impairs quality of life, whereas its duration and frequency, along with age and family status of employees can have adverse effects on sleep.

Process Improvement Teams: A TQM Strategy for Improving Community College Systems.

ERIC Educational Resources Information Center

Needham, Robbie Lee; And Others

The three principle elements of Total Quality Management (TQM) are a focus on customers; an attitude of continuous improvement of a system; and the involvement of everyone within an organization. At Delaware County Community College (DCCC) in Media, Pennsylvania, the first phase of implementing TQM focused on educating top management for the…

Developing a Water Quality Index (WQI) for an Irrigation Dam.

PubMed

De La Mora-Orozco, Celia; Flores-Lopez, Hugo; Rubio-Arias, Hector; Chavez-Duran, Alvaro; Ochoa-Rivero, Jesus

2017-04-29

Pollution levels have been increasing in water ecosystems worldwide. A water quality index (WQI) is an available tool to approximate the quality of water and facilitate the work of decision-makers by grouping and analyzing numerous parameters with a single numerical classification system. The objective of this study was to develop a WQI for a dam used for irrigation of about 5000 ha of agricultural land. The dam, La Vega, is located in Teuchitlan, Jalisco, Mexico. Seven sites were selected for water sampling and samples were collected in March, June, July, September, and December 2014 in an initial effort to develop a WQI for the dam. The WQI methodology, which was recommended by the Mexican National Water Commission (CNA), was used. The parameters employed to calculate the WQI were pH, electrical conductivity (EC), dissolved oxygen (DO), total dissolved solids (TDS), total hardness (TH), alkalinity (Alk), total phosphorous (TP), Cl - , NO₃, SO₄, Ca, Mg, K, B, As, Cu, and Zn. No significant differences in WQI values were found among the seven sampling sites along the dam. However, seasonal differences in WQI were noted. In March and June, water quality was categorized as poor. By July and September, water quality was classified as medium to good. Quality then decreased, and by December water quality was classified as medium to poor. In conclusion, water treatment must be applied before waters from La Vega dam reservoir can be used for irrigation or other purposes. It is recommended that the water quality at La Vega dam is continually monitored for several years in order to confirm the findings of this short-term study.

Specific conductance measurements in central and western New York streams - A retrospective characterization

USGS Publications Warehouse

Kappel, William M.; Sinclair, Gaylen J.; Reddy, James E.; Eckhardt, David A.; deVries, M. Peter; Phillips, Margaret E.

2012-01-01

U.S. Geological Survey (USGS) Data Rescue Program funds were used to recover data from paper records for 139 streamgages across central and western New York State; 6,133 different streamflow measurement forms, collected between 1970-80, contained field water-quality measurements. The water-quality data were entered, reviewed, and uploaded into the USGS National Water Information System. In total, 4,285 unique site visits were added to the database. The new values represent baseline water quality from which to measure change and will lead to a comparison of water-quality change over the last 40 years and into the future. Specific conductance was one of the measured properties and represents a simple way to determine if ambient inorganic water quality has been altered by anthropogenic (road salt runoff, wastewater discharges, or natural gas development) or natural sources. The objective of this report is to describe ambient specific conductance characteristics of surface water across the central and western part of New York. This report presents median specific conductance of stream discharge for the period 1970-80 and a description of the relation between specific conductance and concentrations of total dissolved solids (TDS) retrieved from the USGS National Water Information System (NWIS) database from 1955 to present. The data descriptions provide a baseline of surface-water specific conductance data that can used for comparison to current and future measurements in New York streams.

Quality improvement: the nurse's role.

PubMed

Moran, M J; Johnson, J E

1992-06-01

Continuous quality improvement is a concept which includes: Quality assurance--the provision of services that meet an appropriate standard. Problem resolution--including all departments involved in the issue at hand. Quality improvement--a continuous process involving all levels of the organization working together across departmental lines to produce better services for health care clients. Deming (1982b) and others have espoused total system reform to achieve quality improvement--not merely altering the current system, but radically changing it. It must be assumed that those who provide services at the staff level are acting in good faith and are not willfully failing to do what is correct (Berwick, 1991). Those who perform direct services are in an excellent position to identify the need for change in service delivery processes. Based on this premise, the staff nurse--who is at the heart of the system--is the best person to assess the status of health care services and to work toward improving the processes by which these services are provided to clients in the health care setting. The nurse manager must structure the work setting to facilitate the staff nurse's ability to undertake constructive action for improving care. The use of quality circles, quality councils, or quality improvement forums to facilitate the coordination of quality improvement efforts is an effective way to achieve success. The QA coordinator assists departments in documenting that the quality improvement efforts are effective across all departments of the organization, and aggregates data to demonstrate that they meet the requirements of external regulatory agencies, insurers, and professional standards. The nurse executive provides the vision and secures the necessary resources to ensure that the organization's quality improvement efforts are successful. By inspiring and empowering the staff in their efforts to improve the process by which health care is provided, nurse managers participate in reshaping the health care environment. The professional nurse plays a vital role in the quality improvement of health care services. However, nurses cannot make these improvements in a vacuum; they must include other professionals and ancillary personnel in their efforts. Total quality commitment must include all levels of an organization's structure. Quality patient care services will be achieved as the result of positive interactions among departments working together to build a dynamic mechanism that continuously improves the processes and outcomes of health care services.

[Applications of the hospital statistics management system].

PubMed

Zhai, Hong; Ren, Yong; Liu, Jing; Li, You-Zhang; Ma, Xiao-Long; Jiao, Tao-Tao

2008-01-01

The Hospital Statistics Management System is built on an Office Automation Platform of Shandong provincial hospital system. Its workflow, role and popedom technologies are used to standardize and optimize the management program of statistics in the total quality control of hospital statistics. The system's applications have combined the office automation platform with the statistics management in a hospital and this provides a practical example of a modern hospital statistics management model.

A Two-Stage Microbial Fuel Cell and Anaerobic Fluidized Bed Membrane Bioreactor (MFC-AFMBR) System for Effective Domestic Wastewater Treatment

PubMed Central

2014-01-01

Microbial fuel cells (MFCs) are a promising technology for energy-efficient domestic wastewater treatment, but the effluent quality has typically not been sufficient for discharge without further treatment. A two-stage laboratory-scale combined treatment process, consisting of microbial fuel cells and an anaerobic fluidized bed membrane bioreactor (MFC-AFMBR), was examined here to produce high quality effluent with minimal energy demands. The combined system was operated continuously for 50 days at room temperature (∼25 °C) with domestic wastewater having a total chemical oxygen demand (tCOD) of 210 ± 11 mg/L. At a combined hydraulic retention time (HRT) for both processes of 9 h, the effluent tCOD was reduced to 16 ± 3 mg/L (92.5% removal), and there was nearly complete removal of total suspended solids (TSS; from 45 ± 10 mg/L to <1 mg/L). The AFMBR was operated at a constant high permeate flux of 16 L/m2/h over 50 days, without the need or use of any membrane cleaning or backwashing. Total electrical energy required for the operation of the MFC-AFMBR system was 0.0186 kWh/m3, which was slightly less than the electrical energy produced by the MFCs (0.0197 kWh/m3). The energy in the methane produced in the AFMBR was comparatively negligible (0.005 kWh/m3). These results show that a combined MFC-AFMBR system could be used to effectively treat domestic primary effluent at ambient temperatures, producing high effluent quality with low energy requirements. PMID:24568605

Microbial quality and bioactive constituents of sweet peppers from sustainable production systems.

PubMed

Marín, Alicia; Gil, María I; Flores, Pilar; Hellín, Pilar; Selma, María V

2008-12-10

Integrated, organic, and soil-less production systems are the principal production practices that have emerged to encourage more sustainable agricultural practices and safer edible plants, reducing inputs of plaguicides, pesticides, and fertilizers. Sweet peppers grown commercially under integrated, organic, and soil-less production systems were compared to study the influence of these sustainable production systems on the microbial quality and bioactive constituents (vitamin C, individual and total carotenoids, hydroxycinnamic acids, and flavonoids). The antioxidant composition of peppers was analyzed at green and red maturity stages and at three harvest times (initial, middle, and late season). Irrigation water, manure, and soil were shown to be potential transmission sources of pathogens to the produce. Coliform counts of soil-less peppers were up to 2.9 log units lower than those of organic and integrated peppers. Soil-less green and red peppers showed maximum vitamin C contents of 52 and 80 mg 100 g(-1) fresh weight (fw), respectively, similar to those grown in the organic production system. Moreover, the highest content of total carotenoids was found in the soil-less red peppers, which reached a maximum of 148 mg 100 g(-1) fw, while slightly lower contents were found in integrated and organic red peppers. Hydroxycinnamic acids and flavonoids represented 15 and 85% of the total phenolic content, respectively. Total phenolic content, which ranged from 1.2 to 4.1 mg 100 g(-1) fw, was significantly affected by the harvest time but not by the production system assayed. Soil-less peppers showed similar or even higher concentrations of bioactive compounds (vitamin C, provitamin A, total carotenoid, hydroxycinnamic acids, and flavonoids) than peppers grown under organic and integrated practices. Therefore, in the commercial conditions studied, soil-less culture was a more suitable alternative than organic or integrated practices, because it improved the microbial safety of sweet peppers without detrimental effects on the bioactive compound content.

Total Quality Management in Education. Second Edition.

ERIC Educational Resources Information Center

Sallis, Edward

Quality is at the top of most agendas, and improving quality is probably the most important task facing any institution. In addition, quality is difficult to define or measure. This book, the second edition of "Total Quality Management in Education," introduces the key concepts of Total Quality Management (TQM) and demonstrates how they…

[Value of sepsis single-disease manage system in predicting mortality in patients with sepsis].

PubMed

Chen, J; Wang, L H; Ouyang, B; Chen, M Y; Wu, J F; Liu, Y J; Liu, Z M; Guan, X D

2018-04-03

Objective: To observe the effect of sepsis single-disease manage system on the improvement of sepsis treatment and the value in predicting mortality in patients with sepsis. Methods: A retrospective study was conducted. Patients with sepsis admitted to the Department of Surgical Intensive Care Unit of Sun Yat-Sen University First Affiliated Hospital from September 22, 2013 to May 5, 2015 were enrolled in this study. Sepsis single-disease manage system (Rui Xin clinical data manage system, China data, China) was used to monitor 25 clinical quality parameters, consisting of timeliness, normalization and outcome parameters. Based on whether these quality parameters could be completed or not, the clinical practice was evaluated by the system. The unachieved quality parameter was defined as suspicious parameters, and these suspicious parameters were used to predict mortality of patients with receiver operating characteristic curve (ROC). Results: A total of 1 220 patients with sepsis were enrolled, included 805 males and 415 females. The mean age was (59±17) years, and acute physiology and chronic health evaluation (APACHE Ⅱ) scores was 19±8. The area under ROC curve of total suspicious numbers for predicting 28-day mortality was 0.70; when the suspicious parameters number was more than 6, the sensitivity was 68.0% and the specificity was 61.0% for predicting 28-day mortality. In addition, the area under ROC curve of outcome suspicious number for predicting 28-day mortality was 0.89; when the suspicious outcome parameters numbers was more than 1, the sensitivity was 88.0% and the specificity was 78.0% for predicting 28-day mortality. Moreover, the area under ROC curve of total suspicious number for predicting 90-day mortality was 0.73; when the total suspicious parameters number was more than 7, the sensitivity was 60.0% and the specificity was 74.0% for predicting 90-day mortality. Finally, the area under ROC curve of outcome suspicious numbers for predicting 90-day mortality was 0.92; when suspicious outcome parameters numbers was more than 1, the sensitivity was 88.0% and the specificity was 81.0% for predicting 90-day mortality. Conclusion: The single center study suggests that this sepsis single-disease manage system could be used to monitor the completion of clinical practice for intensivist in managing sepsis, and the number of quality parameters failed to complete could be used to predict the mortality of the patients.

Evaluation of soil quality indicators in paddy soils under different crop rotation systems

NASA Astrophysics Data System (ADS)

Nadimi-Goki, Mandana; Bini, Claudio; Haefele, Stephan; Abooei, Monireh

2013-04-01

Evaluation of soil quality indicators in paddy soils under different crop rotation systems Soil quality, by definition, reflects the capacity to sustain plant and animal productivity, maintain or enhance water and air quality, and promote plant and animal health. Soil quality assessment is an essential issue in soil management for agriculture and natural resource protection. This study was conducted to detect the effects of four crop rotation systems (rice-rice-rice, soya-rice-rice, fallow-rice and pea-soya-rice) on soil quality indicators (soil moisture, porosity, bulk density, water-filled pore space, pH, extractable P, CEC, OC, OM, microbial respiration, active carbon) in paddy soils of Verona area, Northern Italy. Four adjacent plots which managed almost similarly, over five years were selected. Surface soil samples were collected from each four rotation systems in four times, during growing season. Each soil sample was a composite of sub-samples taken from 3 points within 350 m2 of agricultural land. A total of 48 samples were air-dried and passed through 2mm sieve, for some chemical, biological, and physical measurements. Statistical analysis was done using SPSS. Statistical results revealed that frequency distribution of most data was normal. The lowest CV% was related to pH. Analysis of variance (ANOVA) and comparison test showed that there are significant differences in soil quality indicators among crop rotation systems and sampling times. Results of multivariable regression analysis revealed that soil respiration had positively correlation coefficient with soil organic matter, soil moisture and cation exchange capacity. Overall results indicated that the rice rotation with legumes such as bean and soybean improved soil quality over a long time in comparison to rice-fallow rotation, and this is reflected in rice yield. Keywords: Soil quality, Crop Rotation System, Paddy Soils, Italy

A Comparison of Air Force Data Systems

DTIC Science & Technology

1993-08-01

a software cost model, SPQR . This model was chosen because it provides a straightforward means of modeling the enhancements as they V i VII-25 I would...estimated by SPQR (23,917) by $69 per hour for a total of $1,650,273. An additional 10 percent was added for generating or modifying the Middleware...equipment3 SLOC source lines of code SPO System Program Office SPQR System Product Quality Reporting SSC Standard Systems Center SSI system-to-system

Survey of the prevalence and methodology of quality assurance for B-mode ultrasound image quality among veterinary sonographers.

PubMed

Hoscheit, Larry P; Heng, Hock Gan; Lim, Chee Kin; Weng, Hsin-Yi

2018-05-01

Image quality in B-mode ultrasound is important as it reflects the diagnostic accuracy and diagnostic information provided during clinical scanning. Quality assurance programs for B-mode ultrasound systems/components are comprised of initial quality acceptance testing and subsequent regularly scheduled quality control testing. The importance of quality assurance programs for B-mode ultrasound image quality using ultrasound phantoms is well documented in the human medical and medical physics literature. The purpose of this prospective, cross-sectional, survey study was to determine the prevalence and methodology of quality acceptance testing and quality control testing of image quality for ultrasound system/components among veterinary sonographers. An online electronic survey was sent to 1497 members of veterinary imaging organizations: the American College of Veterinary Radiology, the Veterinary Ultrasound Society, and the European Association of Veterinary Diagnostic Imaging, and a total of 167 responses were received. The results showed that the percentages of veterinary sonographers performing quality acceptance testing and quality control testing are 42% (64/151; 95% confidence interval 34-52%) and 26% (40/156: 95% confidence interval 19-33%) respectively. Of the respondents who claimed to have quality acceptance testing or quality control testing of image quality in place for their ultrasound system/components, 0% have performed quality acceptance testing or quality control testing correctly (quality acceptance testing 95% confidence interval: 0-6%, quality control testing 95% confidence interval: 0-11%). Further education and guidelines are recommended for veterinary sonographers in the area of quality acceptance testing and quality control testing for B-mode ultrasound equipment/components. © 2018 American College of Veterinary Radiology.

A multiparametric automatic method to monitor long-term reproducibility in digital mammography: results from a regional screening programme.

PubMed

Gennaro, G; Ballaminut, A; Contento, G

2017-09-01

This study aims to illustrate a multiparametric automatic method for monitoring long-term reproducibility of digital mammography systems, and its application on a large scale. Twenty-five digital mammography systems employed within a regional screening programme were controlled weekly using the same type of phantom, whose images were analysed by an automatic software tool. To assess system reproducibility levels, 15 image quality indices (IQIs) were extracted and compared with the corresponding indices previously determined by a baseline procedure. The coefficients of variation (COVs) of the IQIs were used to assess the overall variability. A total of 2553 phantom images were collected from the 25 digital mammography systems from March 2013 to December 2014. Most of the systems showed excellent image quality reproducibility over the surveillance interval, with mean variability below 5%. Variability of each IQI was 5%, with the exception of one index associated with the smallest phantom objects (0.25 mm), which was below 10%. The method applied for reproducibility tests-multi-detail phantoms, cloud automatic software tool to measure multiple image quality indices and statistical process control-was proven to be effective and applicable on a large scale and to any type of digital mammography system. • Reproducibility of mammography image quality should be monitored by appropriate quality controls. • Use of automatic software tools allows image quality evaluation by multiple indices. • System reproducibility can be assessed comparing current index value with baseline data. • Overall system reproducibility of modern digital mammography systems is excellent. • The method proposed and applied is cost-effective and easily scalable.

Defense Depot Tracy Total Quality Management Plan

DTIC Science & Technology

1989-07-01

PAGES TQM (Total Quality Management ), Depot Operations, Continuous Process Improvement 16. PRICE CODE 17. SECURITY CLASSIFICATION 18. SECURITY...make up our pcrceptions of Total Quality Management . Our goal is to improve those proven management processes that have brought us success while being...MANIAGEMENT F. QUALITY AUDITS OF PRODUCTS AND OPERATIONS ASSETS MANAGEMENT 00 i .......... / ~899 29 03 1 EFENSE DEPOT TACY TOTAL QUALITY MANAGEMENT PLAN

48 CFR 49.202 - Profit.

Code of Federal Regulations, 2011 CFR

2011-10-01

....202 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT... with the total work required by the contract (engineering estimates of the percentage of completion... contractor, with particular regard to— (i) Attainment of quantity and quality production; (ii) Reduction of...

Earthworms and litter management contributions to ecosystem services in a tropical agroforestry system.

PubMed

Fonte, Steven J; Six, Johan

2010-06-01

The development of sustainable agricultural systems depends in part upon improved management of non-crop species to enhance the overall functioning and provision of services by agroecosystems. To address this need, our research examined the role of earthworms and litter management on nutrient dynamics, soil organic matter (SOM) stabilization, and crop growth in the Quesungual agroforestry system of western Honduras. Field mesocosms were established with two earthworm treatments (0 vs. 8 Pontoscolex corethrurus individuals per mesocosm) and four litter quality treatments: (1) low-quality Zea mays, (2) high-quality Diphysa robinioides, (3) a mixture of low- and high-quality litters, and (4) a control with no organic residues applied. Mesocosms included a single Z. mays plant and additions of 15N-labeled inorganic nitrogen. At maize harvest, surface soils (0-15 cm) in the mesocosms were sampled to determine total and available P as well as the distribution of C, N, and 15N among different aggregate-associated SOM pools. Maize plants were divided into grain and non-grain components and analyzed for total P, N, and 15N. Earthworm additions improved soil structure as demonstrated by a 10% increase in mean weight diameter and higher C and N storage within large macro-aggregates (>2000 microm). A corresponding 17% increase in C contained in micro-aggregates within the macro-aggregates indicates that earthworms enhance the stabilization of SOM in these soils; however, this effect only occurred when organic residues were applied. Earthworms also decreased available P and total soil P, indicating that earthworms may facilitate the loss of labile P added to this system. Earthworms decreased the recovery of fertilizer-derived N in the soil but increased the uptake of 15N by maize by 7%. Litter treatments yielded minimal effects on soil properties and plant growth. Our results indicate that the application of litter inputs and proper management of earthworm populations can have important implications for the provision of ecosystem services (e.g., C sequestration, soil fertility, and plant production) by tropical agroforestry systems.

Quantification of Water Quality Parameters for the Wabash River Using Hyperspectral Remote Sensing

NASA Astrophysics Data System (ADS)

Tan, J.; Cherkauer, K. A.; Chaubey, I.

2011-12-01

Increasingly impaired water bodies in the agriculturally dominated Midwestern United States pose a risk to water supplies, aquatic ecology and contribute to the eutrophication of the Gulf of Mexico. Improving regional water quality calls for new techniques for monitoring and managing water quality over large river systems. Optical indicators of water quality enable a timely and cost-effective method for observing and quantifying water quality conditions by remote sensing. Compared to broad spectral sensors such as Landsat, which observe reflectance over limited spectral bands, hyperspectral sensors should have significant advantages in their ability to estimate water quality parameters because they are designed to split the spectral signature into hundreds of very narrow spectral bands increasing their ability to resolve optically sensitive water quality indicators. Two airborne hyperspectral images were acquired over the Wabash River using a ProSpecTIR-VS2 sensor system on May 15th, 2010. These images were analyzed together with concurrent in-stream water quality data collected to assess our ability to extract optically sensitive constituents. Utilizing the correlation between in-stream data and reflectance from the hyperspectral images, models were developed to estimate the concentrations of chlorophyll a, dissolved organic carbon and total suspended solids. Models were developed using the full array of hyperspectral bands, as well as Landsat bands synthesized by averaging hyperspectral bands within the Landsat spectral range. Higher R2 and lower RMSE values were found for the models taking full advantage of the hyperspectral sensor, supporting the conclusion that the hyperspectral sensor was better at predicting the in-stream concentrations of chlorophyll a, dissolved organic carbon and total suspended solids in the Wabash River. Results also suggest that predictive models may not be the same for the Wabash River as for its tributaries.

[Process orientation as a tool of strategic approaches to corporate governance and integrated management systems].

PubMed

Sens, Brigitte

2010-01-01

The concept of general process orientation as an instrument of organisation development is the core principle of quality management philosophy, i.e. the learning organisation. Accordingly, prestigious quality awards and certification systems focus on process configuration and continual improvement. In German health care organisations, particularly in hospitals, this general process orientation has not been widely implemented yet - despite enormous change dynamics and the requirements of both quality and economic efficiency of health care processes. But based on a consistent process architecture that considers key processes as well as management and support processes, the strategy of excellent health service provision including quality, safety and transparency can be realised in daily operative work. The core elements of quality (e.g., evidence-based medicine), patient safety and risk management, environmental management, health and safety at work can be embedded in daily health care processes as an integrated management system (the "all in one system" principle). Sustainable advantages and benefits for patients, staff, and the organisation will result: stable, high-quality, efficient, and indicator-based health care processes. Hospitals with their broad variety of complex health care procedures should now exploit the full potential of total process orientation. Copyright © 2010. Published by Elsevier GmbH.

[European Union Network for Patient Safety and Quality of Care (PASQ). Development and preliminary results in Europe and in the Spanish National Health System].

PubMed

Agra-Varela, Y; Fernández-Maíllo, M; Rivera-Ariza, S; Sáiz-Martínez-Acitorez, I; Casal-Gómez, J; Palanca-Sánchez, I; Bacou, J

2015-01-01

The joint action, European Union Network for Patient Safety and Quality of Care: PaSQ, aims to promote patient safety (PS) in the European Union (EU) and to facilitate the exchange of experiences among Member States (MS) and stakeholders on issues related to quality of care, PS, and patient involvement. The development and preliminary results are presented here, especially as regards the Spanish National Health System (SNHS). PaSQ is developed through 7 work packages, primarily aimed at sharing good practices (GP), which were identified using specific questionnaires and selected by means of explicit criteria, as well as to implement safe clinical practices (SCP) of proven effectiveness and agreed among MS. A total of 482 GP (39% provided by Spanish professionals) were identified. The 34 events organised in the EU, 11 including Spanish participation, facilitate sharing these practices. A total of 194 Health Care centres (49% in Spain) are implementing SCP (hand hygiene, safe surgery, medication reconciliation, and paediatric early warning scores) ACHIEVEMENTS AND FUTURE PERSPECTIVES: PaSQ is making it possible to strengthen collaboration between organizations and professionals at EU and SNHS level regarding PS and quality of care. Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.

Impact of volunteer rice infestation on yield and grain quality of rice.

PubMed

Singh, Vijay; Burgos, Nilda R; Singh, Shilpa; Gealy, David R; Gbur, Edward E; Caicedo, Ana L

2017-03-01

Volunteer rice (Oryza sativa L.) grains may differ in physicochemical traits from cultivated rice, which may reduce the quality of harvested rice grain. To evaluate the effect of volunteer rice on cultivated rice, fields were surveyed in Arkansas in 2012. Cropping history that included hybrid cultivars in the previous two years (2010 and 2011) had higher volunteer rice infestation (20%) compared with fields planted previously with inbred rice (5.5%). The total grain yield of rice was reduced by 0.4% for every 1% increase in volunteer rice density. The grain quality did not change in fields planted with the same cultivar for three years. Volunteer rice density of at least 7.6% negatively impacted the head rice and when infestation reached 17.7%, it also reduced the rice grain yield. The protein and amylose contents of rice were not affected until volunteer rice infestation exceeded 30%. Crop rotation systems that include hybrid rice are expected to have higher volunteer rice infestation than systems without hybrid rice. It is predicted that, at 8% infestation, volunteer rice will start to impact head rice yield and will reduce total yield at 18% infestation. It could alter the chemical quality of rice grain at >30% infestation. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

Evaluation of milk quality in delivering sterilized milk with soft tank transportation system.

PubMed

Tsukamoto, C; Rula, Sa; Asano, H; Ando, K

2009-09-01

A new transportation system is proposed recently to improve the defects of liquid transportation by tank trucks. This method is called "soft tank transportation system"; a driver installs a sac-like container (soft tank), which is made from a tarpaulin with high-pressure resistant-waterproof zippers, in a general cargo vehicle. To evaluate the quality of sterilized milk by using the soft tank transportation system, ground and marine transportation for a long distance which took about 36 h from the shipper's loading to the receiver's unloading in a high-temperature summer season (average outside temperature was 33.4 degrees C) were carried out. Although the difference of milk temperature before and after the delivery varied from -0.7 to +1.4 degrees C, there was no difference in milk quality (fat, nonfat solids, total dissolved solids, and pH) and no coliform bacteria were detected. It can be evaluated that sterilized milk was carried in keeping good conditions by soft tank transportation system.

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

PubMed

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

2018-05-01

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

Data Quality: 1979 Southeastern Virginia Urban Plume Study (SEV-UPS): Surface and Airborne studies

NASA Technical Reports Server (NTRS)

White, J. H.; Strong, R. B.; Saeger, M. L.; Eaton, W. C.; Lommerdahl, J. B.

1981-01-01

The SEV-UPS field study conducted during August 1979 involved the coordinated air quality data collection efforts of three different organizations operating a total of four aircraft and 12 ground stations. Incorporated into plans for that program were numerous quality assurance activities designed to identify potential hazards for data quality in time for their correction and to take data to allow assessment of the consistency of the data from different stations. The purpose of this study was to document QA procedures that were performed by participating agencies and revise data from all platforms for mutual compatibility. For the latter effort, cases were identified on 21 occasions on seven different days where two or more monitoring systems were operating in the same location at nearly the same time. Data from the systems involved were tabulated in 200 m altitude segments, averaged and compared to detect any bias between measurements made from different systems. The results of these comparisons along with the results of independent performance audits are presented.

The application of exergy to human-designed systems

NASA Astrophysics Data System (ADS)

Hamilton, P.

2012-12-01

Exergy is the portion of the total energy of a system that is available for conversion to useful work. Exergy takes into account both the quantity and quality of energy. Heat is the inevitable product of using any form of high-quality energy such as electricity. Modern commercial buildings and industrial facilities use large amounts of electricity and so produce huge amounts of heat. This heat energy typically is treated as a waste product and discharged to the environment and then high-quality energy sources are consumed to satisfy low-quality energy heating and cooling needs. Tens of thousands of buildings and even whole communities could meet much of their heating and cooling needs through the capture and reuse of heat energy. Yet the application of exergy principles often faces resistance because it challenges conventions about how we design, construct and operate human-engineered systems. This session will review several exergy case studies and conclude with an audience discussion of how exergy principles may be both applied and highlighted in formal and informal education settings.

Construction and application of an intelligent air quality monitoring system for healthcare environment.

PubMed

Yang, Chao-Tung; Liao, Chi-Jui; Liu, Jung-Chun; Den, Walter; Chou, Ying-Chyi; Tsai, Jaw-Ji

2014-02-01

Indoor air quality monitoring in healthcare environment has become a critical part of hospital management and policy. Manual air sampling and analysis are cost-inhibitive and do not provide real-time air quality data and response measures. In this month-long study over 14 sampling locations in a public hospital in Taiwan, we observed a positive correlation between CO(2) concentration and population, total bacteria, and particulate matter concentrations, thus monitoring CO(2) concentration as a general indicator for air quality could be a viable option. Consequently, an intelligent environmental monitoring system consisting of a CO(2)/temperature/humidity sensor, a digital plug, and a ZigBee Router and Coordinator was developed and tested. The system also included a backend server that received and analyzed data, as well as activating ventilation and air purifiers when CO(2) concentration exceeded a pre-set value. Alert messages can also be delivered to offsite users through mobile devices.

Viewing zones in three-dimensional imaging systems based on lenticular, parallax-barrier, and microlens-array plates.

PubMed

Son, Jung-Young; Saveljev, Vladmir V; Kim, Jae-Soon; Kim, Sung-Sik; Javidi, Bahram

2004-09-10

The viewing zone of autostereoscopic imaging systems that use lenticular, parallax-barrier, and microlens-array plates as the viewing-zone-forming optics is analyzed in order to verify the image-quality differences between different locations of the zone. The viewing zone consists of many subzones. The images seen at most of these subzones are composed of at least one image strip selected from the total number of different view images displayed. These different view images are not mixed but patched to form a complete image. This image patching deteriorates the quality of the image seen at different subzones. We attempt to quantify the quality of the image seen at these viewing subzones by taking the inverse of the number of different view images patched together at different subzones. Although the combined viewing zone can be extended to almost all of the front space of the imaging system, in reality it is limited mainly by the image quality.

Impact of CNG implementation on PAHs concentration in the ambient air of Delhi: a comparative assessment of pre- and post-CNG scenario.

PubMed

Khillare, P S; Agarwal, Tripti; Shridhar, Vijay

2008-12-01

The use of alternative fuel is considered to be an effective measure to improve the urban air quality. Concerned over deteriorating air quality in Delhi, the Delhi government initiated different measures including stringent emission norms, improved fuel quality and above all introduction of cleaner fuel-CNG in public transport system. The entire city bus fleet was converted to CNG mode by 2002. The present study reports the comparative assessment of the status of air quality with respect to PM(10) and PAH before and after the introduction of CNG in public transport system in Delhi. The study has been carried out for two different time periods: first in the year 1998 and second in the year 2004. Following the total conversion of public transport system to CNG in 2002, Post-CNG data indicate a sharp reduction of 51-74% in the PM(10) concentration and 58-68% in the TPAH concentration as compared to the Pre-CNG data.

Mission operations and command assurance: Instilling quality into flight operations

NASA Technical Reports Server (NTRS)

Welz, Linda L.; Witkowski, Mona M.; Bruno, Kristin J.; Potts, Sherrill S.

1993-01-01

Mission Operations and Command Assurance (MO&CA) is a Total Quality Management (TQM) task on JPL projects to instill quality in flight mission operations. From a system engineering view, MO&CA facilitates communication and problem-solving among flight teams and provides continuous process improvement to reduce the probability of radiating incorrect commands to a spacecraft. The MO&CA task has evolved from participating as a member of the spacecraft team to an independent team reporting directly to flight project management and providing system level assurance. JPL flight projects have benefited significantly from MO&CA's effort to contain risk and prevent rather than rework errors. MO&CA's ability to provide direct transfer of knowledge allows new projects to benefit from previous and ongoing flight experience.

Modeling of a lot scale rainwater tank system in XP-SWMM: a case study in Western Sydney, Australia.

PubMed

van der Sterren, Marlène; Rahman, Ataur; Ryan, Garry

2014-08-01

Lot scale rainwater tank system modeling is often used in sustainable urban storm water management, particularly to estimate the reduction in the storm water run-off and pollutant wash-off at the lot scale. These rainwater tank models often cannot be adequately calibrated and validated due to limited availability of observed rainwater tank quantity and quality data. This paper presents calibration and validation of a lot scale rainwater tank system model using XP-SWMM utilizing data collected from two rainwater tank systems located in Western Sydney, Australia. The modeling considers run-off peak and volume in and out of the rainwater tank system and also a number of water quality parameters (Total Phosphorus (TP), Total Nitrogen (TN) and Total Solids (TS)). It has been found that XP-SWMM can be used successfully to develop a lot scale rainwater system model within an acceptable error margin. It has been shown that TP and TS can be predicted more accurately than TN using the developed model. In addition, it was found that a significant reduction in storm water run-off discharge can be achieved as a result of the rainwater tank up to about one year average recurrence interval rainfall event. The model parameter set assembled in this study can be used for developing lot scale rainwater tank system models at other locations in the Western Sydney region and in other parts of Australia with necessary adjustments for the local site characteristics. Copyright © 2014 Elsevier Ltd. All rights reserved.

DESC (Defense Electronics Supply Center) Total Quality Management Plan

DTIC Science & Technology

1989-04-01

Paoerwort Reduction Proodt(0704.01 ge. Washington. DC 20S03 4. TITLE AND SUBTITLE Api598 . FUNDING NUMBERS DESC Total Quality Management Master Plan...OF PAGES TQM (Total Quality Management ), Continuous Process Improvement,_________ cTainingManagement 16. PRICE CODE 17. SECURITY CLASSIFICATION 18... QUALITY MANAGEMENT As you read the DESC Total Quality Management Plan, I ask each of you to make a commitment to continuously strive for improvement

Correlations between impairment, psychological distress, disability, and quality of life in peripheral facial palsy.

PubMed

Díaz-Aristizabal, U; Valdés-Vilches, M; Fernández-Ferreras, T R; Calero-Muñoz, E; Bienzobas-Allué, E; Moracén-Naranjo, T

2017-05-23

This paper analyses the correlations between scores on scales assessing impairment, psychological distress, disability, and quality of life in patients with peripheral facial palsy (PFP). We conducted a retrospective cross-sectional study including 30 patients in whom PFP had not resolved completely. We used tools for assessing impairment (Sunnybrook Facial Grading System [FGS]), psychological distress (Hospital Anxiety and Depression Scale [HADS]), disability (Facial Disability Index [FDI]), and quality of life (Facial Clinimetric Evaluation [FaCE] scale). We found no correlations between FGS and HADS scores, or between FGS and FDI social function scores. However, we did find a correlation between FGS and FDI physical function scores (r=0.54; P<.01), FDI total score (r=0.4; P<.05), FaCE total scores (ρ=0.66; P<.01), and FaCE social function scores (ρ=0.5; P<.01). We also observed a correlation between HADS Anxiety scores and FDI physical function (r=-0.47; P<.01), FDI social function (r=-0.47; P<.01), FDI total (r=-0.55; P<.01), FaCE total (ρ=-0.49; P<.01), and FaCE social scores (ρ=-0.46; P<.05). Significant correlations were also found between HADS Depression scores and FDI physical function (r=-0.61; P<.01), FDI social function (r=-0.53; P<.01), FDI total (r=-0.66; P<.01), FaCE total (ρ=-0.67; P<.01), and FaCE social scores (ρ=-0.68; P<.01), between FDI physical function scores and FaCE total scores (ρ=0.87; P<.01) and FaCE social function (ρ=0.74; P<.01), between FDI social function and FaCE total (ρ=0.66; P<.01) and FaCE social function scores (ρ=0.72; P<.01), and between FDI total scores and FaCE total (ρ = 0,87; P<.01) and FaCE social function scores (ρ=0.84; P<.01). In our sample, patients with more severe impairment displayed greater physical and global disability and poorer quality of life without significantly higher levels of social disability and psychological distress. Patients with more disability experienced greater psychological distress and had a poorer quality of life. Lastly, patients with more psychological distress also had a poorer quality of life. Copyright © 2017 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

Level of Adoption of Quality Management Systems Into the Mexican Pork Industry

NASA Astrophysics Data System (ADS)

Maldonado-Siman, Em; Ruíz-Flores, Agustín; Núñez-Domínguez, Rafael; González-Alcorta, Mariano; Hernández-Rodríguez, Bertha Alicia

This research studies the characteristics of the Mexican pork sector; adoption status of quality management systems, and product destinations. Ninety six percent of fifty enterprises have fully answered a questionnaire. Ninety percent are small and medium-sized, the rest are large-sized firms. Nineteen percent of them have totally adopted HACCP, sixty three percent are implementing or planning to do it, the rest have no plans to adopt it. Thirteen percent of the enterprises had ISO 9000. Thirty four percent of their sales go to supermarkets, 57% to other retail chains and 9% to exportation. Product destinations are mainly Central America, United States of America, Asia and Mexico. To improve efficiency and the quality of process it is necessary to implement HACCP. Besides, customers and legal requirements are the external factors, which result in this adoption. In the process of implementing, there are some problems, such as staff motivation and training. The results suggest that HACCP system operating is important for the Mexican pork industry. It also has relevant implications in domestic trade. It is necessary to encourage adoption of quality management systems in the sector.

A nationwide genetic testing survey in Italy, year 2007.

PubMed

Dallapiccola, Bruno; Torrente, Isabella; Agolini, Emanuele; Morena, Arnaldo; Mingarelli, Rita

2010-02-01

The aim of this study was to collect the practices of cytogenetic and molecular genetic testing and genetic counseling activities in Italy in the year 2007 and provide guidance to the national and regional health systems to improve the organization of genetic services. A web-based survey was carried out to assess the total number and the type of analyses, the number and type of genetic counseling sessions, and the personnel attending these activities. The quality management system of the responding structures, in terms of certification and accreditation standards, was also investigated. The appropriateness of requests for genetic testing was evaluated for six disorders. Data were collected from 278 responding centers, half of which were located in the northern regions of the country. Twenty-eight percent of the total were certified according to quality standards. A total of 217 molecular genetic and 171 cytogenetic laboratories, and 102 clinical genetic services were surveyed. About 560,000 genetic tests, including 311,069 cytogenetic and 248,691 molecular genetic analyses of 556 genes, were recorded. The fetal karyotype was examined on either trophoblast or amniocytes in about one of every 4.4 pregnancies. Only 11.5% of cytogenetic analyses and 13.5% of molecular tests were accompanied by genetic counseling. Concerning the appropriateness of a request for genetic testing, a low congruity was found between the clinical diagnosis and the laboratory results. This study highlights the need for reorganizing the genetic structure network in Italy, which at present is oversized, improving the quality management systems, expanding the availability of testing for rare disease genes, and improving access to pretest and posttest genetic counseling.

The role of non-financial performance measures in predicting hospital financial performance: the case of for-profit system hospitals.

PubMed

Vélez-González, Heltie; Pradhan, Rohit; Weech-Maldonado, Robert

2011-01-01

Non-financial measures have found increasing acceptance in the business world--however, their application in the health care industry remains limited. The purpose of this article is to understand the influence of non-financial measures (efficiency, productivity, and quality) on the financial performance of for-profit system hospitals. The sample consists of 499 for-profit system hospitals in the United States from 1999 to 2002. Data analyzed include the American Hospital Association's Annual Survey, Medicare Cost Reports, Joint Commission's quality scores, and the Centers for Medicare & Medicaid Services' Hospital Case Mix Index. Dependent variables consist of financial measures (operating and total margins), while independent variables include measures of efficiency, productivity, and quality. Our results suggest the influence of non-financial performance measures on financial performance; occupancy rate positively influences financial performance while greater labor intensity may have negative implications for financial performance. In addition, we show that quality positively influences financial performance thereby offering a potential business case for quality. This result has important managerial and policy implications as it may incentivize capital and human resource investments required to improve hospital quality of care.

Status of serum-calcium and -albumin measurement in Argentina assessed in 300 representative laboratories with 20 fresh frozen single donation sera.

PubMed

Stepman, Hedwig C M; Stöckl, Dietmar; Acheme, Rosana; Sesini, Sandra; Mazziotta, Daniel; Thienpont, Linda M

2011-11-01

The Fundación Bioquímica Argentina (FBA) performs external quality assessment (EQA) of >3200 laboratories. However, FBA realizes that sample non-commutability and predominant use of heterogeneous systems may bias the estimated performance and standardization status. To eliminate these confounding factors, a study using frozen single donation sera was undertaken with the focus on serum-calcium and -albumin measurement. Target values were established from the results produced with homogeneous systems. In groups of n=7, system effects were investigated. Laboratory performance was evaluated from the correlation coefficient r between the measurement results for all sera and the target values. This allowed ranking of the laboratories and judgment of the deviation for individual samples (total error) against a 10% limit. The total error specification was a deviation for ≥ 5 samples exceeding 10% and/or causing a result outside the laboratory's reference interval. For calcium (n=303) (range: 2.06-2.42 mmol/L), 81 laboratories had an r-value <0.6, 43 even <0.4; the total error was relevant for 97 (10% limit) and 111 (reference interval) laboratories. For albumin (n=311) (range: 34.7-45.7 g/L) r was <0.7 (<0.4) in 44 (16) laboratories; 83 and 36 laboratories exceeded the total error criteria. Laboratories using homogeneous systems were generally ranked higher by correlation. System effects were moderate for calcium, but significant for albumin. The study demonstrated the need to improve the quality and harmonization of calcium and albumin testing in the investigated laboratories. To achieve this objective, we promote co-operation between laboratories, EQA provider and manufacturers.

Investigating the quality of expectorated sputum for tuberculosis diagnosis in Bolivia.

PubMed

Hernández, P; Punchak, M; Camacho, M; Hepple, P; McNerney, R

2015-09-01

A low-power microscope-based cytological system to assess the quality of expectorated sputum provided for tuberculosis (TB) diagnosis was piloted in Bolivia. A total of 3688 samples were subjected to visual and cytological examination in nine laboratories: of these, 591 (16%) were misclassified by visual examination and 294 (8%) were found to be degraded. The degree of discordance varied between locations, and laboratories received a higher number of degraded specimens from isolated health clinics. Cytological assessment of sputum was found to be feasible and identified areas for improvement in the Bolivian diagnostic system for TB.

Reconciling quality and cost: A case study in interventional radiology.

PubMed

Zhang, Li; Domröse, Sascha; Mahnken, Andreas

2015-10-01

To provide a method to calculate delay cost and examine the relationship between quality and total cost. The total cost including capacity, supply and delay cost for running an interventional radiology suite was calculated. The capacity cost, consisting of labour, lease and overhead costs, was derived based on expenses per unit time. The supply cost was calculated according to actual procedural material use. The delay cost and marginal delay cost derived from queueing models was calculated based on waiting times of inpatients for their procedures. Quality improvement increased patient safety and maintained the outcome. The average daily delay costs were reduced from 1275 € to 294 €, and marginal delay costs from approximately 2000 € to 500 €, respectively. The one-time annual cost saved from the transfer of surgical to radiological procedures was approximately 130,500 €. The yearly delay cost saved was approximately 150,000 €. With increased revenue of 10,000 € in project phase 2, the yearly total cost saved was approximately 290,000 €. Optimal daily capacity of 4.2 procedures was determined. An approach for calculating delay cost toward optimal capacity allocation was presented. An overall quality improvement was achieved at reduced costs. • Improving quality in terms of safety, outcome, efficiency and timeliness reduces cost. • Mismatch of demand and capacity is detrimental to quality and cost. • Full system utilization with random demand results in long waiting periods and increased cost.

Benchmarking the performance of fixed-image receptor digital radiographic systems part 1: a novel method for image quality analysis.

PubMed

Lee, Kam L; Ireland, Timothy A; Bernardo, Michael

2016-06-01

This is the first part of a two-part study in benchmarking the performance of fixed digital radiographic general X-ray systems. This paper concentrates on reporting findings related to quantitative analysis techniques used to establish comparative image quality metrics. A systematic technical comparison of the evaluated systems is presented in part two of this study. A novel quantitative image quality analysis method is presented with technical considerations addressed for peer review. The novel method was applied to seven general radiographic systems with four different makes of radiographic image receptor (12 image receptors in total). For the System Modulation Transfer Function (sMTF), the use of grid was found to reduce veiling glare and decrease roll-off. The major contributor in sMTF degradation was found to be focal spot blurring. For the System Normalised Noise Power Spectrum (sNNPS), it was found that all systems examined had similar sNNPS responses. A mathematical model is presented to explain how the use of stationary grid may cause a difference between horizontal and vertical sNNPS responses.

Rewarding Teachers without Pay Increases.

ERIC Educational Resources Information Center

Hayden, Gary

1993-01-01

Today's educational institutions should establish a system of intrinsic rewards for teachers and other staff. This article reviews research on intrinsic motivators, including Deming's total quality concepts, and recommends providing teachers with more individualized instruction, reorganizing faculty supervision practices, giving teachers greater…

Rapid Total Synthesis of DARPin pE59 and RNase B. a

PubMed Central

Mong, Surin K.; Vinogradov, Alexander A.; Simon, Mark D.

2014-01-01

Here we report the convergent total synthesis of two proteins: DARPin pE59 and RNase B. a. (Barnase). Leveraging our recently developed fast flow peptide synthesis platform, we rapidly explored numerous conditions for the assembly of long polypeptides and were able to mitigate common side reactions including deletion and aspartimide products. We report general strategies for improving the synthetic quality of difficult peptide sequences with our system. High-quality protein fragments produced under optimal synthetic conditions were subjected to convergent native chemical ligation, which afforded native full-length proteins after a final desulfurization step. Both DARPin and Barnase were folded and found to be as active as their recombinant analogues. PMID:24616257

An evaluation of the total quality management implementation strategy for the advanced solid rocket motor project at NASA's Marshall Space Flight Center. M.S. Thesis - Tennessee Univ.

NASA Technical Reports Server (NTRS)

Schramm, Harry F.; Sullivan, Kenneth W.

1991-01-01

An evaluation of the NASA's Marshall Space Flight Center (MSFC) strategy to implement Total Quality Management (TQM) in the Advanced Solid Rocket Motor (ASRM) Project is presented. The evaluation of the implementation strategy reflected the Civil Service personnel perspective at the project level. The external and internal environments at MSFC were analyzed for their effects on the ASRM TQM strategy. Organizational forms, cultures, management systems, problem solving techniques, and training were assessed for their influence on the implementation strategy. The influence of ASRM's effort was assessed relative to its impact on mature projects as well as future projects at MSFC.

A scientific operations plan for the large space telescope. [ground support system design

NASA Technical Reports Server (NTRS)

West, D. K.

1977-01-01

The paper describes an LST ground system which is compatible with the operational requirements of the LST. The goal of the approach is to minimize the cost of post launch operations without seriously compromising the quality and total throughput of LST science. Attention is given to cost constraints and guidelines, the telemetry operations processing systems (TELOPS), the image processing facility, ground system planning and data flow, and scientific interfaces.

Impact of water quality on chlorine demand of corroding copper

EPA Pesticide Factsheets

Copper is widely used in drinking water premise plumbing system materials. In buildings such ashospitals, large and complicated plumbing networks make it difficult to maintain good water quality.Sustaining safe disinfectant residuals throughout a building to protect against waterborne pathogenssuch as Legionella is particularly challenging since copper and other reactive distribution system materialscan exert considerable demands. The objective of this work was to evaluate the impact of pH andorthophosphate on the consumption of free chlorine associated with corroding copper pipes over time. Acopper test-loop pilot system was used to control test conditions and systematically meet the studyobjectives. Chlorine consumption trends attributed to abiotic reactions with copper over time weredifferent for each pH condition tested, and the total amount of chlorine consumed over the test runsincreased with increasing pH. Orthophosphate eliminated chlorine consumption trends with elapsedtime (i.e., chlorine demand was consistent across entire test runs). Orthophosphate also greatly reducedthe total amount of chlorine consumed over the test runs. Interestingly, the total amount of chlorineconsumed and the consumption rate were not pH dependent when orthophosphate was present. Thefindings reflect the complex and competing reactions at the copper pipe wall including corrosion,oxidation of Cu(I) minerals and ions, and possible oxidation of Cu(II) minerals, and the change in

DPSC (Defense Personnel Support Center) Total Quality Management Master Plan

DTIC Science & Technology

1989-07-01

SUBTITLE 5. FUNDING NUMBERS DPSC Total Quality Management Master Plan 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) B. PERFORMING...quality supported solider, sailor, airman and marine. % j cl 1 14. SUBJECT TERMS I 1S. NUMBER OF PAGES TQM (Total Quality Management ), Continuous...THE COMMANDER ON TOTAL QUALITY MANAGEMENT i SECTION I INTRODUCTION 1 II CONCEPTS 6 TQM Basics 7 Continuous Process Improvement 7 DoD TQM Philosophy 9

A review of data quality assessment methods for public health information systems.

PubMed

Chen, Hong; Hailey, David; Wang, Ning; Yu, Ping

2014-05-14

High quality data and effective data quality assessment are required for accurately evaluating the impact of public health interventions and measuring public health outcomes. Data, data use, and data collection process, as the three dimensions of data quality, all need to be assessed for overall data quality assessment. We reviewed current data quality assessment methods. The relevant study was identified in major databases and well-known institutional websites. We found the dimension of data was most frequently assessed. Completeness, accuracy, and timeliness were the three most-used attributes among a total of 49 attributes of data quality. The major quantitative assessment methods were descriptive surveys and data audits, whereas the common qualitative assessment methods were interview and documentation review. The limitations of the reviewed studies included inattentiveness to data use and data collection process, inconsistency in the definition of attributes of data quality, failure to address data users' concerns and a lack of systematic procedures in data quality assessment. This review study is limited by the coverage of the databases and the breadth of public health information systems. Further research could develop consistent data quality definitions and attributes. More research efforts should be given to assess the quality of data use and the quality of data collection process.

A Review of Data Quality Assessment Methods for Public Health Information Systems

PubMed Central

Chen, Hong; Hailey, David; Wang, Ning; Yu, Ping

2014-01-01

High quality data and effective data quality assessment are required for accurately evaluating the impact of public health interventions and measuring public health outcomes. Data, data use, and data collection process, as the three dimensions of data quality, all need to be assessed for overall data quality assessment. We reviewed current data quality assessment methods. The relevant study was identified in major databases and well-known institutional websites. We found the dimension of data was most frequently assessed. Completeness, accuracy, and timeliness were the three most-used attributes among a total of 49 attributes of data quality. The major quantitative assessment methods were descriptive surveys and data audits, whereas the common qualitative assessment methods were interview and documentation review. The limitations of the reviewed studies included inattentiveness to data use and data collection process, inconsistency in the definition of attributes of data quality, failure to address data users’ concerns and a lack of systematic procedures in data quality assessment. This review study is limited by the coverage of the databases and the breadth of public health information systems. Further research could develop consistent data quality definitions and attributes. More research efforts should be given to assess the quality of data use and the quality of data collection process. PMID:24830450

Spatiotemporal classification of environmental monitoring data in the Yeongsan River basin, Korea, using self-organizing maps.

PubMed

Jin, Y-H; Kawamura, A; Park, S-C; Nakagawa, N; Amaguchi, H; Olsson, J

2011-10-01

Environmental monitoring data for planning, implementing and evaluating the Total Maximum Daily Loads (TMDL) management system have been measured at about 8-day intervals in a number of rivers in Korea since 2004. In the present study, water quality parameters such as Suspended Solids (SS), Biochemical Oxygen Demand (BOD), Dissolved Oxygen (DO), Total Nitrogen (TN), and Total Phosphorus (TP) and the corresponding runoff were collected from six stations in the Yeongsan River basin for six years and transformed into monthly mean values. With the primary objective to understand spatiotemporal characteristics of the data, a methodologically systematic application of a Self-Organizing Map (SOM) was made. The SOM application classified the environmental monitoring data into nine clusters showing exclusively distinguishable patterns. Data frequency at each station on a monthly basis identified the spatiotemporal distribution for the first time in the study area. Consequently, the SOM application provided useful information that the sub-basin containing a metropolitan city is associated with deteriorating water quality and should be monitored and managed carefully during spring and summer for water quality improvement in the river basin.

Contrasting Eutrophication Risks and Countermeasures in Different Water Bodies: Assessments to Support Targeted Watershed Management

PubMed Central

Li, Tong; Chu, Chunli; Zhang, Yinan; Ju, Meiting; Wang, Yuqiu

2017-01-01

Eutrophication is a major problem in China. To combat this issue, the country needs to establish water quality targets, monitoring systems, and intelligent watershed management. This study explores a new watershed management method. Water quality is first assessed using a single factor index method. Then, changes in total nitrogen/total phosphorus (TN/TP) are analyzed to determine the limiting factor. Next, the study compares the eutrophication status of two water function districts, using a comprehensive nutritional state index method and geographic information system (GIS) visualization. Finally, nutrient sources are qualitatively analyzed. Two functional water areas in Tianjin, China were selected and analyzed: Qilihai National Wetland Nature Reserve and Yuqiao Reservoir. The reservoir is a drinking water source. Results indicate that total nitrogen (TN) and total phosphorus (TP) pollution are the main factors driving eutrophication in the Qilihai Wetland and Yuqiao Reservoir. Phosphorus was the limiting factor in the Yuqiao Reservoir; nitrogen was the limiting factor in the Qilihai Wetland. Pollution in Qilihai Wetland is more serious than in Yuqiao Reservoir. The study found that external sources are the main source of pollution. These two functional water areas are vital for Tianjin; as such, the study proposes targeted management measures. PMID:28661417

Developing a Water Quality Index (WQI) for an Irrigation Dam

PubMed Central

De La Mora-Orozco, Celia; Flores-Lopez, Hugo; Rubio-Arias, Hector; Chavez-Duran, Alvaro; Ochoa-Rivero, Jesus

2017-01-01

Pollution levels have been increasing in water ecosystems worldwide. A water quality index (WQI) is an available tool to approximate the quality of water and facilitate the work of decision-makers by grouping and analyzing numerous parameters with a single numerical classification system. The objective of this study was to develop a WQI for a dam used for irrigation of about 5000 ha of agricultural land. The dam, La Vega, is located in Teuchitlan, Jalisco, Mexico. Seven sites were selected for water sampling and samples were collected in March, June, July, September, and December 2014 in an initial effort to develop a WQI for the dam. The WQI methodology, which was recommended by the Mexican National Water Commission (CNA), was used. The parameters employed to calculate the WQI were pH, electrical conductivity (EC), dissolved oxygen (DO), total dissolved solids (TDS), total hardness (TH), alkalinity (Alk), total phosphorous (TP), Cl−, NO3, SO4, Ca, Mg, K, B, As, Cu, and Zn. No significant differences in WQI values were found among the seven sampling sites along the dam. However, seasonal differences in WQI were noted. In March and June, water quality was categorized as poor. By July and September, water quality was classified as medium to good. Quality then decreased, and by December water quality was classified as medium to poor. In conclusion, water treatment must be applied before waters from La Vega dam reservoir can be used for irrigation or other purposes. It is recommended that the water quality at La Vega dam is continually monitored for several years in order to confirm the findings of this short-term study. PMID:28468230

Use of olive oil-in-water gelled emulsions in model turkey breast emulsions

NASA Astrophysics Data System (ADS)

Serdaroğlu, M.; Öztürk, B.

2017-09-01

Today, gelled emulsion systems offer a novel possibility in lipid modification of meat products. In this study, we aimed to investigate the quality characteristics of model turkey emulsions that were prepared with olive oil-in-water gelled emulsion (GE) as partial or total beef fat replacer. The results indicated that while most of the GE treatments showed equivalent emulsion characteristics in terms of emulsion stability, water-holding capacity and cook yield, utilization of 100% GE as the lipid source could increase total expressible fluid of the model turkey emulsion and thus negatively affect the quality. Utilization of GE was effective in total fat reduction, as the model turkey emulsions formulated with more than 50% GE had significantly lower fat content compared to full-beef fat control model emulsion. However, beef fat replacement with GE produced considerable changes in colour parameters. Finally, it was concluded that utilization of GE as a partial beef fat replacer has good potential to enhance stability and reduce total fat in turkey meat emulsion products.

Comparative survey of the influent and effluent water quality of shrimp ponds on Mexican farms.

PubMed

Ruiz-Fernández, A C; Páez-Osuna, F

2004-01-01

The influent and effluent water quality of two ponds at four aquaculture facilities (two intensive and two semiintensive growout systems) located on the Northwest coast of Mexico was monitored. Temperature, salinity, pH, dissolved oxygen, biochemical oxygen demand (self-consumption in 48 hours), total suspended solids, particulate organic material, nitrite, nitrate, ammonium, reactive and total phosphate, and chlorophyll a were analyzed every 2 weeks during two consecutive growout cycles. Changes recorded in most of these water quality variables were not strongly related to the management practices of the ponds, but rather to environmental factors. The mean percent differences between inflowing and outflowing water that were observed indicated that water used for culture returned to the natural environment depleted of nutrients (inorganic nitrogen and reactive phosphate), and it was evident that the rearing activities promoted the exportation of particulate material to the surrounding environment.

Total Quality Management: Implications for Nursing Information Systems

DTIC Science & Technology

1992-01-01

the Defense Department’s TQM model (see Appendix M) and TQM master plan (see Appendix N) (Hunt, 1992). Ishikawa . Kaoru Ishikawa was the best known of...the subject -- Deming, Juran, Crosby, Feigenbaum, Ishikawa , etc. (see Chapter 2). One of the most concise definitions on TQM was given in a speech by...with the contributions of key quality authors, including Deming, Juran, Crosby, Costello, and Ishikawa . The use of TQM in business and in healthcare

NASA, John F. Kennedy Space Center environmental impact statement

NASA Technical Reports Server (NTRS)

1971-01-01

The probable total impact of the John F. Kennedy Space Center (KSC) operations on the environment is discussed in terms of launch operations emissions and environmental quality. A schedule of planned launches through 1973 is included with a description of the systems for eliminating harmful emissions during launch operations. The effects of KSC on wild life and environmental quality are discussed along with the irreversible and irretrievable commitments of natural resources.

The Relationship between Costs and Quality in Veterans Health Administration Community Living Centers: An Analysis Using Longitudinal Data.

PubMed

Burgess, James F; Shwartz, Michael; Stolzmann, Kelly; Sullivan, Jennifer L

2018-05-18

To examine the relationship between cost and quality in Veterans Health Administration (VA) nursing homes (called Community Living Centers, CLCs) using longitudinal data. One hundred and thirty CLCs over 13 quarters (from FY2009 to FY2012) were studied. Costs, resident days, and resident severity (RUGs score) were obtained from the VA Managerial Cost Accounting System. Clinical quality measures were obtained from the Minimum Data Set, and resident-centered care (RCC) was measured using the Artifacts of Culture Change Tool. We used a generalized estimating equation model with facilities included as fixed effects to examine the relationship between total cost and quality after controlling for resident days and severity. The model included linear and squared terms for all independent variables and interactions with resident days. With the exception of RCC, all other variables had a statistically significant relationship with total costs. For most poorer performing smaller facilities (lower size quartile), improvements in quality were associated with higher costs. For most larger facilities, improvements in quality were associated with lower costs. The relationship between cost and quality depends on facility size and current level of performance. © Published 2018. This article is a U.S. Government work and is in the public domain in the USA.

Performance of a pilot demonstration-scale hybrid constructed wetland system for on-site treatment of polluted urban river water in Northwestern China.

PubMed

Zheng, Yucong; Wang, Xiaochang C; Dzakpasu, Mawuli; Ge, Yuan; Zhao, Yaqian; Xiong, Jiaqing

2016-01-01

Hybrid constructed wetland (HCW) systems have been used to treat various wastewaters across the world. However, large-scale applications of HCWs are scarce, particularly for on-site improvement of the water quality of highly polluted urban rivers in semi-arid regions. In this study, a large pilot-scale HCW system was constructed to improve the water quality of the Zaohe River in Xi'an, China. With a total area of about 8000 m(2), the pilot HCW system, composed of different configurations of surface and subsurface flow wetlands, was operated for 2 years at an average inflow volume rate of 362 m(3)/day. Local Phragmites australis and Typha orientalis from the riverbank were planted in the HCW system. Findings indicate a higher treatment efficiency for organics and suspended solids than nutrients. The inflow concentrations of 5-day biochemical oxygen demand (BOD5), chemical oxygen demand (COD), suspended solids (SS), total nitrogen (TN), NH3-N, and total phosphorus (TP) were 125.6, 350.9, 334.2, 38.5, 27.2, and 3.9 mg/L, respectively. Average removal efficiencies of 94.4, 74.5, 92.0, 56.3, 57.5, and 69.2%, respectively, were recorded. However, the pollutant removal rates were highly seasonal especially for nitrogen. Higher removals were recorded for all pollutants in the autumn while significantly lower removals were recorded in the winter. Plant uptake and assimilation accounted for circa 19-29 and 16-23% of the TN and TP removal, respectively. Moreover, P. australis demonstrated a higher nutrient uptake ability and competitive potential. Overall, the high efficiency of the pilot HCW for improving the water quality of such a highly polluted urban river provided practical evidence of the applicability of the HCW technology for protecting urban water environments.

Design of a Hypermedia-Based Educating System for the Construction of Knowledge

DTIC Science & Technology

1989-09-01

the variety they confront, promote short-term learning . This thesis provides the required background for developing an educating system which promotes...an effective educating system stems frm ever-increasing requirements for learning . Ine Total Quality Management (TQM) program, a Department of Defense...Japan has realized that best efforts ’nly pay off when the workforce is properly educated . Learning has become a pivotal element in the Japanese

Sharing Craft Knowledge: The Soul of Principal Peer Assessment.

ERIC Educational Resources Information Center

Abbott, James E.

1996-01-01

Describes the implementation of a peer assessment process for school principals using a New Skills Profile of essential craft skills: teaching methods, budgetary competence, networking, technological literacy, communication, leadership, conflict resolution, diversity, systems thinking, and Total Quality Management principles. Participating…

Summary of available state ambient stream-water-quality data, 1990-98, and limitations for national assessment

USGS Publications Warehouse

Pope, Larry M.; Rosner, Stacy M.; Hoffman, Darren C.; Ziegler, Andrew C.

2004-01-01

The investigation described in this report summarized data from State ambient stream-water-quality monitoring sites for 10 water-quality constituents or measurements (suspended solids, fecal coliform bacteria, ammonia as nitrogen, nitrite plus nitrate as nitrogen, total phosphorus, total arsenic, dissolved solids, chloride, sulfate, and pH). These 10 water-quality constituents or measurements commonly are listed nationally as major contributors to degradation of surface water. Water-quality data were limited to that electronically accessible from the U.S. Environmental Protection Agency Storage and Retrieval System (STORET), the U.S. Geological Survey National Water Information System (NWIS), or individual State databases. Forty-two States had ambient stream-water-quality data electronically accessible for some or all of the constituents or measurements summarized during this investigation. Ambient in this report refers to data collected for the purpose of evaluating stream ecosystems in relation to human health, environmental and ecological conditions, and designated uses. Generally, data were from monitoring sites assessed for State 305(b) reports. Comparisons of monitoring data among States are problematic for several reasons, including differences in the basic spatial design of monitoring networks; water-quality constituents for which samples are analyzed; water-quality criteria to which constituent concentrations are compared; quantity and comprehensiveness of water-quality data; sample collection, processing, and handling; analytical methods; temporal variability in sample collection; and quality-assurance practices. Large differences among the States in number of monitoring sites precluded a general assumption that statewide water-quality conditions were represented by data from these sites. Furthermore, data from individual monitoring sites may not represent water-quality conditions at the sites because sampling conditions and protocols are unknown. Because of these factors, a high level of uncertainty exists in a national assessment of water quality. The purpose of this report is to present a summary of electronically available State ambient stream-water-quality data for 10 selected constituents and measurements from monitoring sites with nine or more analyses for 199098 and to discuss limitations for use of the data for national assessment. These analyses were statistiscally summarized by monitoring site and State, and the results presented in tabular format. Most of the selected constituents or measurements have U.S. Environmental Protection Agency criteria or guidelines for aquatic-life or drinking-water purposes. A significant finding of this investigation is that for a large percentage of monitoring sites in the Nation, there are insufficient data to meet U.S. Environmental Protection Agency recommendations for determining if water-quality conditions are degraded and for making informed decisions regarding total maximum daily loads.

Nutrient and metal loads estimated by using discrete, automated, and continuous water-quality monitoring techniques for the Blackstone River at the Massachusetts-Rhode Island State line, water years 2013–14

USGS Publications Warehouse

Sorenson, Jason R.; Granato, Gregory E.; Smith, Kirk P.

2018-01-10

Flow-proportional composite water samples were collected in water years 2013 and 2014 by the U.S. Geological Survey, in cooperation with the Massachusetts Department of Environmental Protection, from the Blackstone River at Millville, Massachusetts (U.S. Geological Survey station 01111230), about 0.5 mile from the border with Rhode Island. Samples were collected in order to better understand the dynamics of selected nutrient and metal constituents, assist with planning, guide activities to meet water-quality goals, and provide real-time water-quality information to the public. An automated system collected the samples at 14-day intervals to determine total and dissolved nitrogen and phosphorus concentrations, to provide accurate monthly nutrient concentration data, and to calculate monthly load estimates. Concentrations of dissolved trace metals and total aluminum were determined from 4-day composite water samples that were collected twice monthly by the automated system. Results from 4-day composites provide stakeholders with information to evaluate trace metals on the basis of chronic 4-day exposure criteria for aquatic life, and the potential to use the biotic ligand model to evaluate copper concentrations. Nutrient, trace metal, suspended sediment, dissolved organic carbon, and chlorophyll a concentrations were determined from discrete samples collected at the Millville station and from across the stream transect at the upstream railroad bridge, and these concentrations served as a means to evaluate the representativeness of the Millville point location.Analytical results from samples collected with the automated flow-proportional sampling system provided the means to calculate monthly and annual loading data. Total nitrogen and total phosphorus loads in water year (WY) 2013 were about 447,000 and 36,000 kilograms (kg), respectively. In WY 2014, annual loads of total nitrogen and total phosphorus were about 342,000 and 21,000 kg, respectively. Total nitrogen and total phosphorus loads from WYs 2013 and 2014 were about 56 and 65 percent lower than those reported for WYs 2008 and 2009. The higher loads in 2008 and 2009 may be explained by the higher than average flows in WY 2009 and by facility upgrades made by wastewater treatment facilities in the basin.Median loads were determined from composite samples collected with the automated system between October 2012 and October 2014. Median dissolved cadmium and chromium 4-day loads were 0.55 and 0.84 kg, respectively. Dissolved copper and total lead median 4-day loads were 8.02 and 1.42 kg, respectively. The dissolved nickel median 4-day load was 5.45 kg, and the dissolved zinc median 4-day load was 36 kg. Median total aluminum 4-day loads were about 197 kg.Spearman’s rank correlation analyses were used with discrete sample concentrations and continuous records of temperature, specific conductance, turbidity, and chlorophyll a to identify correlations between variables that could be used to develop regression equations for estimating real-time concentrations of constituents. Correlation coefficients were generated for flow, precipitation, antecedent precipitation, physical parameters, and chemical constituents. A 95-percent confidence limit for each value of Spearman’s rho was calculated, and multiple linear regression analysis using ordinary least squares regression techniques was used to develop regression equations for concentrations of total phosphorus, total nitrogen, suspended sediment concentration, total copper, and total aluminum. Although the correlations are based on the limited amount of data collected as part of this study, the potential to monitor water-quality changes in real time may be of value to resource managers and decision makers.

Surfing for mouth guards: assessing quality of online information.

PubMed

Magunacelaya, Macarena B; Glendor, Ulf

2011-10-01

The Internet is an easily accessible and commonly used source of health-related information, but evaluations of the quality of this information within the dental trauma field are still lacking. The aims of this study are (i) to present the most current scientific knowledge regarding mouth guards used in sport activities, (ii) to suggest a scoring system to evaluate the quality of information pertaining to mouth guard protection related to World Wide Web sites and (iii) to employ this scoring system when seeking reliable mouth guard-related websites. First, an Internet search using the keywords 'athletic injuries/prevention and control' and 'mouth protector' or 'mouth guards' in English was performed on PubMed, Cochrane, SvedMed+ and Web of Science to identify scientific knowledge about mouth guards. Second, an Internet search using the keywords 'consumer health information Internet', 'Internet information public health' and 'web usage-seeking behaviour' was performed on PubMed and Web of Science to obtain scientific articles seeking to evaluate the quality of health information on the Web. Based on the articles found in the second search, two scoring systems were selected. Then, an Internet search using the keywords 'mouth protector', 'mouth guards' and 'gum shields' in English was performed on the search engines Google, MSN and Yahoo. The websites selected were evaluated for reliability and accuracy. Of the 223 websites retrieved, 39 were designated valid and evaluated. Nine sites scored 22 or higher. The mean total score of the 39 websites was 14.2. Fourteen websites scored higher than the mean total score, and 25 websites scored less. The highest total score, presented by a Public Institution Web site (Health Canada), was 31 from a maximum possible score of 34, and the lowest score was 0. This study shows that there is a high amount of information about mouth guards on the Internet but that the quality of this information varies. It should be the responsibility of health care professionals to suggest and provide reliable Internet URL addresses to patients. In addition, an appropriate search terminology and search strategy should be made available to persons who want to search beyond the recommended sites. © 2011 John Wiley & Sons A/S.

Comparison of nutritional quality of the vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diet.

PubMed

Clarys, Peter; Deliens, Tom; Huybrechts, Inge; Deriemaeker, Peter; Vanaelst, Barbara; De Keyzer, Willem; Hebbelinck, Marcel; Mullie, Patrick

2014-03-24

The number of studies comparing nutritional quality of restrictive diets is limited. Data on vegan subjects are especially lacking. It was the aim of the present study to compare the quality and the contributing components of vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diets. Dietary intake was estimated using a cross-sectional online survey with a 52-items food frequency questionnaire (FFQ). Healthy Eating Index 2010 (HEI-2010) and the Mediterranean Diet Score (MDS) were calculated as indicators for diet quality. After analysis of the diet questionnaire and the FFQ, 1475 participants were classified as vegans (n = 104), vegetarians (n = 573), semi-vegetarians (n = 498), pesco-vegetarians (n = 145), and omnivores (n = 155). The most restricted diet, i.e., the vegan diet, had the lowest total energy intake, better fat intake profile, lowest protein and highest dietary fiber intake in contrast to the omnivorous diet. Calcium intake was lowest for the vegans and below national dietary recommendations. The vegan diet received the highest index values and the omnivorous the lowest for HEI-2010 and MDS. Typical aspects of a vegan diet (high fruit and vegetable intake, low sodium intake, and low intake of saturated fat) contributed substantially to the total score, independent of the indexing system used. The score for the more prudent diets (vegetarians, semi-vegetarians and pesco-vegetarians) differed as a function of the used indexing system but they were mostly better in terms of nutrient quality than the omnivores.

Comparison of Nutritional Quality of the Vegan, Vegetarian, Semi-Vegetarian, Pesco-Vegetarian and Omnivorous Diet

PubMed Central

Clarys, Peter; Deliens, Tom; Huybrechts, Inge; Deriemaeker, Peter; Vanaelst, Barbara; De Keyzer, Willem; Hebbelinck, Marcel; Mullie, Patrick

2014-01-01

The number of studies comparing nutritional quality of restrictive diets is limited. Data on vegan subjects are especially lacking. It was the aim of the present study to compare the quality and the contributing components of vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diets. Dietary intake was estimated using a cross-sectional online survey with a 52-items food frequency questionnaire (FFQ). Healthy Eating Index 2010 (HEI-2010) and the Mediterranean Diet Score (MDS) were calculated as indicators for diet quality. After analysis of the diet questionnaire and the FFQ, 1475 participants were classified as vegans (n = 104), vegetarians (n = 573), semi-vegetarians (n = 498), pesco-vegetarians (n = 145), and omnivores (n = 155). The most restricted diet, i.e., the vegan diet, had the lowest total energy intake, better fat intake profile, lowest protein and highest dietary fiber intake in contrast to the omnivorous diet. Calcium intake was lowest for the vegans and below national dietary recommendations. The vegan diet received the highest index values and the omnivorous the lowest for HEI-2010 and MDS. Typical aspects of a vegan diet (high fruit and vegetable intake, low sodium intake, and low intake of saturated fat) contributed substantially to the total score, independent of the indexing system used. The score for the more prudent diets (vegetarians, semi-vegetarians and pesco-vegetarians) differed as a function of the used indexing system but they were mostly better in terms of nutrient quality than the omnivores. PMID:24667136

Exploring the potential of the permanganate oxidation method as a tool to monitor soil quality in agricultural upland systems of Southeast Asia

NASA Astrophysics Data System (ADS)

Hepp, Catherine M.; Bruun, Thilde Bech; de Neergaard, Andreas

2014-05-01

The transition to more intensified upland systems is having an impact on the soil quality, defined as the ability of a soil to both provide and maintain essential services to an ecosystem. As many tropical upland soils are inherently low in quality, it is essential that impacts be monitored. Soil quality is assessed by using a combination of parameters that serve as indicators and cover the soil chemical, biological and physical properties. An ideal indicator should be sensitive to changes in the environment and management practices and should be widely accessible, meaning low resource requirement (i.e. time and equipment). Total organic carbon (TOC) content is a commonly used indicator of soil quality as it is linked to many soil functions and processes; however analysis is costly and requires access to advanced instrumental facilities, rendering it unsuited for many developing countries. An alternative indicator is the soil fraction dominated by easily decomposable carbon; this may be measured by treating soil samples with 0.2M potassium permanganate (KMnO4), an oxidizing agent which is thought to mimic the enzymes released by the soil microbial community. The advantage of this method is that it is accessible: it is fast, requires little resource input and is field appropriate. There is no consensus however as to which soil carbon fraction the method targets. Furthermore Skjemstad et al. (2006) has indicated that KMnO4 may oxidise charcoal, a component of the non-labile carbon pool; this has implications for the suitability of the method when used for soils of shifting cultivation systems. The purpose of this study was to investigate the potential of permanganate oxidizable carbon (Pox C) as a reliable indicator of soil quality in agricultural upland systems in Northern Lao PDR. Focus was placed on the relations between Pox C and other soil quality parameters (bulk density, pH, CEC, TOC, total N, exchangeable K, plant available P) and upland rice yields. The ability of KMnO4 to oxidize charcoal was also a focus however, as the study is still in its initial stage, no results can be discussed. Volumetric soil samples (at the surface and at 10 cm) and upland rice yield measurements were taken from three fields with three plots that were previously left fallow for five years (n=9; soil n=81). Pearson's Correlation test and Stepwise Regression analysis was done using SPSS v 16.0 for Windows. Results show that Pox C is significantly correlated to the measured soil parameters in a manner similar to TOC. Both are positively correlated to the soil nutrients: Total N %, P Avail and K Exch; Pox C however had a stronger correlation to K Exch than TOC. This affirms the important role of Pox C in soil processes in the biological, chemical and physical spheres. Furthermore, the regression analysis identified Pox C as an influencing factor for the variations seen in upland rice yields. It is concluded that Pox C is a suitable indicator for soil quality and may be useful in monitoring changes in the soil quality of agricultural upland systems.

Fatty acids and plasmalogens of the phospholipids of the sperm membranes and their relation with the post-thaw quality of stallion spermatozoa.

PubMed

Macías García, B; González Fernández, L; Ortega Ferrusola, C; Morillo Rodríguez, A; Gallardo Bolaños, J M; Rodríguez Martinez, H; Tapia, J A; Morcuende, D; Peña, F J

2011-03-15

Fatty acids and plasmalogens were extracted from the phospholipids of the plasma membrane of stallion spermatozoa, to determine their relation with sperm quality after freezing and thawing. Sperm quality was rated using a quality index that combined the results of the analysis of sperm motility and velocity (CASA analysis), membrane status and mitochondrial membrane potential (flow cytometry) post thaw. Receiving operating system (ROC) curves were used to evaluate the value of specific lipid components of the sperm membrane herein studied as forecast of potential freezeability. From all parameters studied the ratio of percentage of C16 plasmalogens related to total phospholipids was the one with the better diagnostic value. For potentially bad freezers, the significant area under the ROC-curve was 0.74, with 75% sensitivity and 79.9% specificity for a cut off value of 26.9. Also the percentage of plasmalogens respect to total phospholipids gave good diagnostic value for bad freezers. On the other hand, the percentage of C18 fatty aldehydes related to total phospholipids of the sperm membrane properly forecasted freezeability with an area under the ROC curve of 0.70 with 70% sensitivity and 62.5% specificity for a cut off value of 0.32. Copyright © 2011 Elsevier Inc. All rights reserved.

EPA Office of Water (OW): Impaired Waters with TMDLs NHDPlus Indexed Dataset

EPA Pesticide Factsheets

The Total Maximum Daily Load (TMDL) Tracking System contains information on waters that are Not Supporting their designated uses. These waters are listed by the state as impaired under Section 303(d) of the Clean Water Act. The status of TMDLs are also tracked. TMDLs are pollution control measures that reduce the discharge of pollutants into impaired waters. A TMDL or Total Maximum Daily Load is a calculation of the maximum amount of a pollutant that a waterbody can receive and still meet water quality standards, and an allocation of that amount to the pollutant's sources. What is a total maximum daily load (TMDL)? Water quality standards are set by States, Territories, and Tribes. They identify the uses for each waterbody, for example, drinking water supply, contact recreation (swimming), and aquatic life support (fishing), and the scientific criteria to support that use. A TMDL is the sum of the allowable loads of a single pollutant from all contributing point and nonpoint sources. The calculation must include a margin of safety to ensure that the waterbody can be used for the purposes the state has designated. The calculation must also account for seasonal variation in water quality. The Clean Water Act, section 303, establishes the water quality standards and TMDL programs.

[Spatio-temporal characteristics and source identification of water pollutants in Wenruitang River watershed].

PubMed

Ma, Xiao-xue; Wang, La-chun; Liao, Ling-ling

2015-01-01

Identifying the temp-spatial distribution and sources of water pollutants is of great significance for efficient water quality management pollution control in Wenruitang River watershed, China. A total of twelve water quality parameters, including temperature, pH, dissolved oxygen (DO), total nitrogen (TN), ammonia nitrogen (NH4+ -N), electrical conductivity (EC), turbidity (Turb), nitrite-N (NO2-), nitrate-N(NO3-), phosphate-P(PO4(3-), total organic carbon (TOC) and silicate (SiO3(2-)), were analyzed from September, 2008 to October, 2009. Geographic information system(GIS) and principal component analysis(PCA) were used to determine the spatial distribution and to apportion the sources of pollutants. The results demonstrated that TN, NH4+ -N, PO4(3-) were the main pollutants during flow period, wet period, dry period, respectively, which was mainly caused by urban point sources and agricultural and rural non-point sources. In spatial terms, the order of pollution was tertiary river > secondary river > primary river, while the water quality was worse in city zones than in the suburb and wetland zone regardless of the river classification. In temporal terms, the order of pollution was dry period > wet period > flow period. Population density, land use type and water transfer affected the water quality in Wenruitang River.

Rapid non-destructive assessment of pork edible quality by using VIS/NIR spectroscopic technique

NASA Astrophysics Data System (ADS)

Zhang, Leilei; Peng, Yankun; Dhakal, Sagar; Song, Yulin; Zhao, Juan; Zhao, Songwei

2013-05-01

The objectives of this research were to develop a rapid non-destructive method to evaluate the edible quality of chilled pork. A total of 42 samples were packed in seal plastic bags and stored at 4°C for 1 to 21 days. Reflectance spectra were collected from visible/near-infrared spectroscopy system in the range of 400nm to 1100nm. Microbiological, physicochemical and organoleptic characteristics such as the total viable counts (TVC), total volatile basic-nitrogen (TVB-N), pH value and color parameters L* were determined to appraise pork edible quality. Savitzky-Golay (SG) based on five and eleven smoothing points, Multiple Scattering Correlation (MSC) and first derivative pre-processing methods were employed to eliminate the spectra noise. The support vector machines (SVM) and partial least square regression (PLSR) were applied to establish prediction models using the de-noised spectra. A linear correlation was developed between the VIS/NIR spectroscopy and parameters such as TVC, TVB-N, pH and color parameter L* indexes, which could gain prediction results with Rv of 0.931, 0.844, 0.805 and 0.852, respectively. The results demonstrated that VIS/NIR spectroscopy technique combined with SVM possesses a powerful assessment capability. It can provide a potential tool for detecting pork edible quality rapidly and non-destructively.

An integrated optimization method for river water quality management and risk analysis in a rural system.

PubMed

Liu, J; Li, Y P; Huang, G H; Zeng, X T; Nie, S

2016-01-01

In this study, an interval-stochastic-based risk analysis (RSRA) method is developed for supporting river water quality management in a rural system under uncertainty (i.e., uncertainties exist in a number of system components as well as their interrelationships). The RSRA method is effective in risk management and policy analysis, particularly when the inputs (such as allowable pollutant discharge and pollutant discharge rate) are expressed as probability distributions and interval values. Moreover, decision-makers' attitudes towards system risk can be reflected using a restricted resource measure by controlling the variability of the recourse cost. The RSRA method is then applied to a real case of water quality management in the Heshui River Basin (a rural area of China), where chemical oxygen demand (COD), total nitrogen (TN), total phosphorus (TP), and soil loss are selected as major indicators to identify the water pollution control strategies. Results reveal that uncertainties and risk attitudes have significant effects on both pollutant discharge and system benefit. A high risk measure level can lead to a reduced system benefit; however, this reduction also corresponds to raised system reliability. Results also disclose that (a) agriculture is the dominant contributor to soil loss, TN, and TP loads, and abatement actions should be mainly carried out for paddy and dry farms; (b) livestock husbandry is the main COD discharger, and abatement measures should be mainly conducted for poultry farm; (c) fishery accounts for a high percentage of TN, TP, and COD discharges but a has low percentage of overall net benefit, and it may be beneficial to cease fishery activities in the basin. The findings can facilitate the local authority in identifying desired pollution control strategies with the tradeoff between socioeconomic development and environmental sustainability.

Total Quality Management (TQM) Bibliography

DTIC Science & Technology

1990-04-01

GTE FIE COPY DTIC c" ECTE 8JUL 25 1990u TOTAL QUALITY MANAGEMENT (TQM) BIBLIOGRAPHY APRIL-1990 Jointly supported by __’__________-_________ Jointly...Arsenal, AL 35898-5241 1I. TITLE (Include Security Classification) TOTAL QUALITY MANAGEMENT (TQM) BIBL IRAPHY APRIL-1990 12. PERSONAL AUTHOR(S) Knott...implementation of the concept of total quality management (TQM). The selected coverage includes books, periodical articles, conference papers and reports. Coded

Quality-Assurance Data for Routine Water Analyses by the U.S. Geological Survey Laboratory in Troy, New York - July 2005 through June 2007

USGS Publications Warehouse

Lincoln, Tricia A.; Horan-Ross, Debra A.; McHale, Michael R.; Lawrence, Gregory B.

2009-01-01

The laboratory for analysis of low-ionic-strength water at the U.S. Geological Survey (USGS) Water Science Center in Troy, N.Y., analyzes samples collected by USGS projects throughout the Northeast. The laboratory's quality-assurance program is based on internal and interlaboratory quality-assurance samples and quality-control procedures that were developed to ensure proper sample collection, processing, and analysis. The quality-assurance and quality-control data were stored in the laboratory's Lab Master data-management system, which provides efficient review, compilation, and plotting of data. This report presents and discusses results of quality-assurance and quality control samples analyzed from July 2005 through June 2007. Results for the quality-control samples for 19 analytical procedures were evaluated for bias and precision. Control charts indicate that data for eight of the analytical procedures were occasionally biased for either high-concentration or low-concentration samples but were within control limits; these procedures were: total aluminum, calcium, magnesium, nitrate (colorimetric method), potassium, silicon, sodium, and sulfate. Eight of the analytical procedures were biased throughout the analysis period for the high-concentration sample, but were within control limits; these procedures were: total aluminum, calcium, dissolved organic carbon, chloride, nitrate (ion chromatograph), potassium, silicon, and sulfate. The magnesium and pH procedures were biased throughout the analysis period for the low-concentration sample, but were within control limits. The acid-neutralizing capacity, total monomeric aluminum, nitrite, and specific conductance procedures were biased for the high-concentration and low-concentration samples, but were within control limits. Results from the filter-blank and analytical-blank analyses indicated that the procedures for 16 of 17 analytes were within control limits, although the concentrations for blanks were occasionally outside the control limits. The data-quality objective was not met for dissolved organic carbon. Sampling and analysis precision are evaluated herein in terms of the coefficient of variation obtained for triplicate samples in the procedures for 18 of the 21 analytes. At least 93 percent of the samples met data-quality objectives for all analytes except acid-neutralizing capacity (85 percent of samples met objectives), total monomeric aluminum (83 percent of samples met objectives), total aluminum (85 percent of samples met objectives), and chloride (85 percent of samples met objectives). The ammonium and total dissolved nitrogen did not meet the data-quality objectives. Results of the USGS interlaboratory Standard Reference Sample (SRS) Project met the Troy Laboratory data-quality objectives for 87 percent of the samples analyzed. The P-sample (low-ionic-strength constituents) analysis had two outliers each in two studies. The T-sample (trace constituents) analysis and the N-sample (nutrient constituents) analysis had one outlier each in two studies. Results of Environment Canada's National Water Research Institute (NWRI) program indicated that at least 85 percent of the samples met data-quality objectives for 11 of the 14 analytes; the exceptions were acid-neutralizing capacity, total aluminum and ammonium. Data-quality objectives were not met in 41 percent of samples analyzed for acid-neutralizing capacity, 50 percent of samples analyzed for total aluminum, and 44 percent of samples analyzed for ammonium. Results from blind reference-sample analyses indicated that data-quality objectives were met by at least 86 percent of the samples analyzed for calcium, magnesium, pH, potassium, and sodium. Data-quality objectives were met by 76 percent of the samples analyzed for chloride, 80 percent of the samples analyzed for specific conductance, and 77 percent of the samples analyzed for sulfate.

Developing a Total Quality Improvement Course for the Preparation of Technical-Management Personnel.

ERIC Educational Resources Information Center

Zargari, Ahmad

1997-01-01

Presents information about the need for, planning, and implementation of a total quality improvement course for undergraduate technology education students. The course involves the study of total quality concepts and their impact on the quality and competitiveness of industrial products. (JOW)

Effects of management practices on yield and quality of milk from smallholder dairy units in urban and peri-urban Morogoro, Tanzania.

PubMed

Gillah, Kejeri A; Kifaro, George C; Madsen, Jorgen

2014-10-01

A longitudinal study design was used to assess the management, chemical composition of cows' milk and quantify the microbial load of raw milk produced at farm level. Data were collected between December 2010 and September 2011 in Morogoro municipality. Milk samples were collected once every month and analysed for butter fat (BF), crude protein (CP), total solids (TS) and solids non-fat (SNF). Total bacterial count (TBC) and coliform counts (CC) were normalized by log transformation. The average milk yield was 7.0 l/day and was not influenced by feeding systems and breeds. Dairy cows owned by people who had no regular income produced more milk than government employees and retired officers. Means of BF, TS, SNF and CP were similar in different feeding systems. Wet season had significantly higher TBC (5.9 log10 cfu/ml) and CC (2.4 log10 cfu/ml) but feeding systems had no effect. Stocking density influenced TBC but not CC. It can be concluded that dairy cows produced low milk yield and its quality was poor.

Assessment of historical surface-water quality data in southwestern Colorado, 1990-2005

USGS Publications Warehouse

Miller, Lisa D.; Schaffrath, Keelin R.; Linard, Joshua I.

2013-01-01

The spatial and temporal distribution of selected physical and chemical surface-water-quality characteristics were analyzed at stream sites throughout the Dolores and San Juan River Basins in southwestern Colorado using historical data collected from 1990 through 2005 by various local, State, Tribal, and Federal agencies. Overall, streams throughout the study area were well oxygenated. Values of pH generally were near neutral to slightly alkaline throughout most of the study area with the exception of the upper Animas River Basin near Silverton where acidic conditions existed at some sites because of hydrothermal alteration and(or) historical mining. The highest concentrations of dissolved aluminum, total recoverable iron, dissolved lead, and dissolved zinc were measured at sites located in the upper Animas River Basin. Thirty-two sites throughout the study area had at least one measured concentration of total mercury that exceeded the State chronic aquatic-life criterion of 0.01 μg/L. Concentrations of dissolved selenium at some sites exceeded the State chronic water-quality standard of 4.6 μg/L. Total ammonia, nitrate, nitrite, and total phosphorus concentrations generally were low throughout the study area. Overall, results from the trend analyses indicated improvement in water-quality conditions as a result of operation of the Paradox Valley Unit in the Dolores River Basin and irrigation and water-delivery system improvements made in the McElmo Creek Basin (Lower San Juan River Basin) and Mancos River Valley (Upper San Juan River Basin).

Level of response to telematic questionnaires on Health Related Quality of Life on total knee replacement.

PubMed

Besalduch-Balaguer, M; Aguilera-Roig, X; Urrútia-Cuchí, G; Puntonet-Bruch, A; Jordan-Sales, M; González-Osuna, A; Celaya-Ibáñez, F; Colomina-Morales, J

2015-01-01

Questionnaires measuring health-related quality of life are difficult to perform and obtain for patients and professionals. Computerised tools are now available to collect this information. The objective of this study was to assess the ability of patients undergoing total knee replacement to fill in health-related quality-of-life questionnaires using a telematic platform. Ninety eight consecutive patients undergoing total knee arthroplasty were included. Participants were given an access code to enter the website where they had to respond to 2 questionnaires (SF8 and the reduced WOMAC), and 3 additional questions about the difficulty in completing the questionnaires. A total of 98 patients agreed to participate: 45 males and 53 females (mean age 72.7 years). Fourteen did not agree to participate due to lack of internet access. Of the final 84 participants, 50% entered the website, and only 36 answered all questions correctly. Of the patients who answered the questionnaire, 80% were helped by a relative or friend, and 22% reported difficulty accessing internet. The use of telematic systems to respond to health-related quality of life questionnaires should be used cautiously, especially in elderly population. It is likely that the population they are directed at is not prepared to use this type of technology. Therefore, before designing telematics questionnaires it must be ensured that they are completed properly. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

Introducing nonpoint source transferable quotas in nitrogen trading: The effects of transaction costs and uncertainty.

PubMed

Zhou, Xiuru; Ye, Weili; Zhang, Bing

2016-03-01

Transaction costs and uncertainty are considered to be significant obstacles in the emissions trading market, especially for including nonpoint source in water quality trading. This study develops a nonlinear programming model to simulate how uncertainty and transaction costs affect the performance of point/nonpoint source (PS/NPS) water quality trading in the Lake Tai watershed, China. The results demonstrate that PS/NPS water quality trading is a highly cost-effective instrument for emissions abatement in the Lake Tai watershed, which can save 89.33% on pollution abatement costs compared to trading only between nonpoint sources. However, uncertainty can significantly reduce the cost-effectiveness by reducing trading volume. In addition, transaction costs from bargaining and decision making raise total pollution abatement costs directly and cause the offset system to deviate from the optimal state. While proper investment in monitoring and measuring of nonpoint emissions can decrease uncertainty and save on the total abatement costs. Finally, we show that the dispersed ownership of China's farmland will bring high uncertainty and transaction costs into the PS/NPS offset system, even if the pollution abatement cost is lower than for point sources. Copyright © 2015 Elsevier Ltd. All rights reserved.

System 6: A pricing strategy for long blanks

Treesearch

Hugh W. Reynolds; Bruce G. Hansen; Bruce G. Hansen

1986-01-01

In System 6, small-diameter, low-grade hardwood timber is used to make blanks in standard sizes. Blanks are made in one thickness and one quality class but in all the standard lengths during each production run. The quantity of blanks per length can be varied, while keeping total yield high, by using proper production control techniques. However, when the percentage of...

Recognizing, Awarding, and Appraising People in a Total Quality Leadership Organization: The Naval Aviation Supply Office Model

DTIC Science & Technology

1992-12-01

34 Remember there is a need to strike a balance between bureaucracy that must manage the system and the need for the system’s spontaneity and innovation...welfare and recreational facilities) " Federal Women’s Program Managers Council--Woman of the Year Award " Worklife Excellence Award (activity award

An assessment of the 1996 Beef NRC: Metabolizable protein supply and demand and effectiveness of model performance prediction of beef females within extensive grazing systems

USDA-ARS?s Scientific Manuscript database

Interannual variation of forage quantity and quality driven by precipitation events influence beef livestock production systems within the Southern and Northern Plains and Pacific West which combined represents 60% (approximately 17.5 million) of total beef cows in the United States. The beef NRC is...

Mission operations and command assurance: Flight operations quality improvements

NASA Technical Reports Server (NTRS)

Welz, Linda L.; Bruno, Kristin J.; Kazz, Sheri L.; Potts, Sherrill S.; Witkowski, Mona M.

1994-01-01

Mission Operations and Command Assurance (MO&CA) is a Total Quality Management (TQM) task on JPL projects to instill quality in flight mission operations. From a system engineering view, MO&CA facilitates communication and problem-solving among flight teams and provides continuous solving among flight teams and provides continuous process improvement to reduce risk in mission operations by addressing human factors. The MO&CA task has evolved from participating as a member of the spacecraft team, to an independent team reporting directly to flight project management and providing system level assurance. JPL flight projects have benefited significantly from MO&CA's effort to contain risk and prevent rather than rework errors. MO&CA's ability to provide direct transfer of knowledge allows new projects to benefit from previous and ongoing flight experience.

The quality of our Nation's waters: water quality in the Mississippi embayment-Texas coastal uplands aquifer system and Mississippi River Valley alluvial aquifer, south-central United States, 1994-2008

USGS Publications Warehouse

Kingsbury, James A.; Barlow, Jeannie R.; Katz, Brian G.; Welch, Heather L.; Tollett, Roland W.; Fahlquist, Lynne S.

2015-01-01

About 8 million people rely on groundwater from the Mississippi embayment—Texas coastal uplands aquifer system for drinking water. The Mississippi River Valley alluvial aquifer also provides drinking water for domestic use in rural areas but is of primary importance to the region as a source of water for irrigation. Irrigation withdrawals from this aquifer are among the largest in the Nation and play a key role in the economy of the area, where annual crop sales total more than $7 billion. The reliance of the region on both aquifers for drinking water and irrigation highlights the importance of long-term management to sustain the availability and quality of these resources.

Partnerships for Quality: A Statewide Plan for Developing and Implementing a Total Quality Curriculum Delivered through Oregon's Community Colleges.

ERIC Educational Resources Information Center

Oregon State Economic Development Dept., Salem.

The Oregon Advanced Technology Consortium (OATC) created the Partnerships for Quality Project (PQP) to improve Oregon's community colleges by developing a total quality curriculum (TQC) based on the beliefs and practices of total quality management (TQM). This report summarizes the recommendations of the PQP and presents a plan of action for the…

Structural Model for the Effects of Environmental Elements on the Psychological Characteristics and Performance of the Employees of Manufacturing Systems.

PubMed

Realyvásquez, Arturo; Maldonado-Macías, Aidé Aracely; García-Alcaraz, Jorge; Cortés-Robles, Guillermo; Blanco-Fernández, Julio

2016-01-05

This paper analyzes the effects of environmental elements on the psychological characteristics and performance of employees in manufacturing systems using structural equation modeling. Increasing the comprehension of these effects may help optimize manufacturing systems regarding their employees' psychological characteristics and performance from a macroergonomic perspective. As the method, a new macroergonomic compatibility questionnaire (MCQ) was developed and statistically validated, and 158 respondents at four manufacture companies were considered. Noise, lighting and temperature, humidity and air quality (THAQ) were used as independent variables and psychological characteristics and employees' performance as dependent variables. To propose and test the hypothetical causal model of significant relationships among the variables, a data analysis was deployed. Results found that the macroergonomic compatibility of environmental elements presents significant direct effects on employees' psychological characteristics and either direct or indirect effects on the employees' performance. THAQ had the highest direct and total effects on psychological characteristics. Regarding the direct and total effects on employees' performance, the psychological characteristics presented the highest effects, followed by THAQ conditions. These results may help measure and optimize manufacturing systems' performance by enhancing their macroergonomic compatibility and quality of life at work of the employees.

Analysis of River Water Quality and its influencing factors for the Effective Management of Water Environment

NASA Astrophysics Data System (ADS)

Shrestha, G.; Sadohara, S.; Yoshida, S.; Yuichi, S.

2011-12-01

In Japan, remarkable improvements in water quality have been observed over recent years because of regulations imposed on industrial wastewater and development of sewerage system. However, pollution loads from agricultural lands are still high and coverage ratio of sewerage system is still low in small and medium cities. In present context, nonpoint source pollution such as runoff from unsewered developments, urban and agricultural runoffs could be main water quality impacting factors. Further, atmospheric nitrogen (N) is the complex nonpoint source than can seriously affect river water environment. This study was undertaken to spatially investigate the present status of river water quality of Hadano Basin located in Kanagawa Prefecture, Japan. Water quality of six rivers was investigated and its relationship with nonpoint pollution sources was analyzed. This study, with inclusion of ground water circulation and atmospheric N, can be effectively employed for water quality management of other watersheds also, both with and without influence of ground water circulation. Hence, as a research area of this study, it is significant in terms of water quality management. Total nitrogen (TN) was found consistently higher in urbanized basins indicating that atmospheric N might be influencing TN of river water. Ground water circulation influenced both water quality and quantity. In downstream basins of Muro and Kuzuha rivers, Chemical oxygen demand (COD) and total phosphorus (TP) were diluted by ground water inflow. In Mizunashi River and the upstream of Kuzuha River, surface water infiltrated to the subsurface due to higher river bed permeability. Influencing factors considered in the analysis were unsewered population, agricultural land, urban area, forest and atmospheric N. COD and TP showed good correlation with unsewered population and agricultural land. While TN had good correlation with atmospheric N deposition. Multiple regression analysis between water quality pollution loads and influencing factors resulted that unsewered population had higher impact on river water quality. For TN, atmospheric N deposition was taking effect. Continuous development of sewerage system and its expansion along with the pace of urbanization could be the pragmatic option to maintain river water quality in Hadano basin. However, influence of agricultural loads and atmospheric N on water quality cannot be denied for the proper water quality management of Hadano basin. It was found that if the proportion of sewered population could be increased from 72% to 86%, corresponding loads of COD and TP could be decreased by about 41% and 45% respectively. As per the development trend of sewerage system in Hadano basin for last 10 years, unsewered population could be reduced to its half by 2014, provided that the expansion of sewerage system continues at same rate. Regarding TN, its proper control is complicated as atmospheric N is propagated to regional and sometimes to global extent. Further study on the relationship between TN and atmospheric N deposition should be conducted for the proper management of TN in the river water.

[Quality of water for human consumption and its association with morbimortality in Colombia, 2008-2012].

PubMed

Guzmán, Blanca Lisseth; Nava, Gerardo; Díaz, Paula

2015-08-01

The quality of water for human consumption has been correlated with the occurrence of different diseases. Studying the relationship between these parameters would allow determining the impact of water quality on human health, and to direct preventative measures and promote environmental health. To analyze the quality of water intended for human consumption and its association with morbimortality in Colombia, 2008-2012. The database for surveillance of water quality was analyzed by means of descriptive statistics of the principal indicators (total coliforms, Escherichia coli , turbidity, color, pH, free residual chlorine and water quality risk index). The results were correlated with infant mortality and morbidity due to acute diarrheal diseases, foodborne diseases and hepatitis A. A risk map was prepared to identify those municipalities with the highest risk of water contamination and infant mortality. A high percentage of municipalities did not conform to existing standards for water potability values. Problems were identified that were related to presence of E. coli and total coliforms, as well as absence of free residual chlorine, a situation that was exacerbated in rural areas. Water quality showed a high correlation with infant mortality, highlighting its importance for children's health. Water quality was found to have an important impact on infant mortality. Improving water quality in Colombia will require policies that strengthen water supply systems in this country. Strengthening of environmental health surveillance programs is essential to guide actions aimed at improving water quality and exert a positive impact on health.

Nondestructive detection of pork comprehensive quality based on spectroscopy and support vector machine

NASA Astrophysics Data System (ADS)

Liu, Yuanyuan; Peng, Yankun; Zhang, Leilei; Dhakal, Sagar; Wang, Caiping

2014-05-01

Pork is one of the highly consumed meat item in the world. With growing improvement of living standard, concerned stakeholders including consumers and regulatory body pay more attention to comprehensive quality of fresh pork. Different analytical-laboratory based technologies exist to determine quality attributes of pork. However, none of the technologies are able to meet industrial desire of rapid and non-destructive technological development. Current study used optical instrument as a rapid and non-destructive tool to classify 24 h-aged pork longissimus dorsi samples into three kinds of meat (PSE, Normal and DFD), on the basis of color L* and pH24. Total of 66 samples were used in the experiment. Optical system based on Vis/NIR spectral acquisition system (300-1100 nm) was self- developed in laboratory to acquire spectral signal of pork samples. Median smoothing filter (M-filter) and multiplication scatter correction (MSC) was used to remove spectral noise and signal drift. Support vector machine (SVM) prediction model was developed to classify the samples based on their comprehensive qualities. The results showed that the classification model is highly correlated with the actual quality parameters with classification accuracy more than 85%. The system developed in this study being simple and easy to use, results being promising, the system can be used in meat processing industry for real time, non-destructive and rapid detection of pork qualities in future.

Does a quality management system improve quality in primary care practices in Switzerland? A longitudinal study

PubMed Central

Goetz, Katja; Hess, Sigrid; Jossen, Marianne; Huber, Felix; Rosemann, Thomas; Brodowski, Marc; Künzi, Beat; Szecsenyi, Joachim

2015-01-01

Objectives To examine the effectiveness of the quality management programme—European Practice Assessment—in primary care in Switzerland. Design Longitudinal study with three points of measurement. Setting Primary care practices in Switzerland. Participants In total, 45 of 91 primary care practices completed European Practice Assessment three times. Outcomes The interval between each assessment was around 36 months. A variance analyses for repeated measurements were performed for all 129 quality indicators from the domains: ‘infrastructure’, ‘information’, ‘finance’, and ‘quality and safety’ to examine changes over time. Results Significant improvements were found in three of four domains: ‘quality and safety’ (F=22.81, p<0.01), ‘information’ (F=27.901, p<0.01) and ‘finance’ (F=4.073, p<0.02). The 129 quality indicators showed a significant improvement within the three points of measurement (F=33.864, p<0.01). Conclusions The European Practice Assessment for primary care practices thus provides a functioning quality management programme, focusing on the sustainable improvement of structural and organisational aspects to promote high quality of primary care. The implementation of a quality management system which also includes a continuous improvement process would give added value to provide good care. PMID:25900466

[Quality assurance and total quality management in residential home care].

PubMed

Nübling, R; Schrempp, C; Kress, G; Löschmann, C; Neubart, R; Kuhlmey, A

2004-02-01

Quality, quality assurance, and quality management have been important topics in residential care homes for several years. However, only as a result of reform processes in the German legislation (long-term care insurance, care quality assurance) is a systematic discussion taking place. Furthermore, initiatives and holistic model projects, which deal with the assessment and improvement of service quality, were developed in the field of care for the elderly. The present article gives a critical overview of essential developments. Different comprehensive approaches such as the implementation of quality management systems, nationwide expert-based initiatives, and developments towards professionalizing care are discussed. Empirically based approaches, especially those emphasizing the assessment of outcome quality, are focused on in this work. Overall, the authors conclude that in the past few years comprehensive efforts have been made to improve the quality of care. However, the current situation still requires much work to establish a nationwide launch and implementation of evidence-based quality assurance and quality management.

The association between quality of care and quality of life in long-stay nursing home residents with preserved cognition.

PubMed

Kim, Sun Jung; Park, Eun-Cheol; Kim, Sulgi; Nakagawa, Shunichi; Lung, John; Choi, Jong Bum; Ryu, Woo Sang; Min, Too Jae; Shin, Hyun Phil; Kim, Kyudam; Yoo, Ji Won

2014-03-01

To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. The average quality- of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = -0.728; P = .04) and depression (parameter estimate = -3.015; P = .01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P = .12) and not pain (parameter estimate = -0.705; P = .47). The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were. Copyright © 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

Our Deming Users' Group.

ERIC Educational Resources Information Center

Dinklocker, Christina

1992-01-01

After training in the Total Quality Management concept, a suburban Ohio school district created a Deming Users' Group to link agencies, individuals, and ideas. The group has facilitated ongoing school/business collaboration, networking among individuals from diverse school systems, mentoring and cooperative learning activities, and resource…

Air Pollution Surveillance Systems

ERIC Educational Resources Information Center

Morgan, George B.; And Others

1970-01-01

Describes atmospheric data monitoring as part of total airpollution control effort. Summarizes types of gaseous, liquid and solid pollutants and their sources; contrast between urban and rural environmental air quality; instrumentation to identify pollutants; and anticipated new non-wet chemical physical and physiochemical techniques tor cetection…

Concrete pavement quality control testing requirements needed for the super air meter : final report.

DOT National Transportation Integrated Search

2016-10-01

Concrete freeze-thaw durability is prominently linked to the air void system within the concrete. : Concrete pavements in Kansas undergo repetitive freeze-thaw cycles. Total air content measurements : currently used on fresh concrete do not provide a...

From Quebec to Tokyo: Perspectives on TQM.

ERIC Educational Resources Information Center

Desjardins, Claude; Obara, Yoshiaki

1993-01-01

In a letter to a Japanese university president, a French-Canadian educational administration student ponders the fundamental contradictions between the authoritarian, hierarchical Japanese education system and the Total Quality Management principles driving Japanese industry. The university president's reply explains how de-individualization,…

SPECIATE--EPA'S DATABASE OF SPECIATED EMISSION PROFILES

EPA Science Inventory

SPECIATE is EPA's repository of Total Organic Compound and Particulate Matter speciated profiles for a wide variety of sources. The profiles in this system are provided for air quality dispersion modeling and as a library for source-receptor and source apportionment type models. ...

Concrete pavement quality control testing requirements needed for the super air meter : technical summary.

DOT National Transportation Integrated Search

2016-10-01

Concrete freeze-thaw durability is prominently linked to the air void system : within the concrete. Concrete pavements in Kansas undergo repetitive : freeze-thaw cycles. Total air content measurements currently used on fresh : concrete do not provide...

Total Quality Management (TQM). Implementers Workshop

DTIC Science & Technology

1990-05-15

SHEE’T :s t’ii ,rrl DEPARTMENT OF DEFENSE May 15, 1990 Lfl CN I TOTAL QUALITY MANAGEMENT (TQM) Implementers Workshop © Copyright 1990 Booz.Allen...must be continually performed in order to achieve successful TQM implementation. 1-5 = TOTAL QUALITY MANAGEMENT Implementers Workshop Course Content...information, please refer to the student manual, Total Quality Management (TOM) Awareness Seminar, that was provided for the Awareness Course. You may

Improving Operational Readiness through Total Quality Management

DTIC Science & Technology

1991-06-21

DTIC AD-A236 611 EL CT F NAVAL WAR COLL GE C Newport, R. I. IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT by Herb Westphal Defense...IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT (TQM) A Case Study: The Defense Mapping Agency Combat Support Center (DMACSC) initiated a...of the Defense Mapping Agency Combat Support Center’s (DMACSC) Total Quality Management (TQM) improvement methodology. This allows the reader to

Sweet bee venom pharmacopuncture for chemotherapy-induced peripheral neuropathy.

PubMed

Yoon, Jeungwon; Jeon, Ju-Hyun; Lee, Yeon-Weol; Cho, Chong-Kwan; Kwon, Ki-Rok; Shin, Ji-Eun; Sagar, Stephen; Wong, Raimond; Yoo, Hwa-Seung

2012-08-01

Chemotherapy-induced peripheral neuropathy (CIPN) is sensory and motor nerve damage to the peripheral nervous system caused by chemotherapeutic agents. It often causes pain and other varying degrees of neuropathic symptoms accompanied by functional limitations and reduced quality of life. Currently, there is no standard treatment protocol for the treatment of CIPN. In need of more research to develop new therapeutic options focusing on their safety, efficacy, and long-term sustained clinical effects, a pilot study of sweet bee venom pharmacopuncture (SBVP) for CIPN was conducted to build up preliminary efficacy data in the process of preparing for a future larger scale randomized controlled SBVP trial for CIPN. We conducted a prospective case series by analyzing the clinical observations made of CIPN patients treated with SBVP. A total of 11 eligible consecutive CIPN patients who visited East-West Cancer Center from June 1, 2010, to February 28, 2011, were treated with total of six SBVP treatments given within the 3-week period. The outcomes were measured using World Health Organization Common Toxicity Criteria for Peripheral neuropathy (WHO grading system), Patient Neurotoxicity Questionnaire (PNQ), Visual Analogue System (VAS), and Health-Related Quality of Life (HRQOL) collected at the baseline, post-second, fourth, and the final treatment. Patients were followed 3 weeks into no intervention to determine the sustained effects of pharmacopuncture. Both of the WHO CIPN grade and PNQ scores have shown a decrease in the level of neuropathy. VAS pain level has also shown a great decrease and improvement in patients' quality of life have also been detected though modest. Changes in WHO grade, VAS and Total HRQOL scores between the baseline and after the last treatment session were significant. Changes in WHO grade, Total PNQ, PNQ-sensory, VAS, Total HRQOL, and HRQOL-functional scores between the baseline and the 3-week follow-up were significant. The positive result of the study supports the potential value of conducting a fully powered trial to explore further efficacy of SBVP for CIPN. However a single positive result within this pilot study must be interpreted with caution. Copyright © 2012. Published by Elsevier B.V.

Radiation dose and image quality of X-ray volume imaging systems: cone-beam computed tomography, digital subtraction angiography and digital fluoroscopy.

PubMed

Paul, Jijo; Jacobi, Volkmar; Farhang, Mohammad; Bazrafshan, Babak; Vogl, Thomas J; Mbalisike, Emmanuel C

2013-06-01

Radiation dose and image quality estimation of three X-ray volume imaging (XVI) systems. A total of 126 patients were examined using three XVI systems (groups 1-3) and their data were retrospectively analysed from 2007 to 2012. Each group consisted of 42 patients and each patient was examined using cone-beam computed tomography (CBCT), digital subtraction angiography (DSA) and digital fluoroscopy (DF). Dose parameters such as dose-area product (DAP), skin entry dose (SED) and image quality parameters such as Hounsfield unit (HU), noise, signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were estimated and compared using appropriate statistical tests. Mean DAP and SED were lower in recent XVI than its previous counterparts in CBCT, DSA and DF. HU of all measured locations was non-significant between the groups except the hepatic artery. Noise showed significant difference among groups (P < 0.05). Regarding CNR and SNR, the recent XVI showed a higher and significant difference compared to its previous versions. Qualitatively, CBCT showed significance between versions unlike the DSA and DF which showed non-significance. A reduction of radiation dose was obtained for the recent-generation XVI system in CBCT, DSA and DF. Image noise was significantly lower; SNR and CNR were higher than in previous versions. The technological advancements and the reduction in the number of frames led to a significant dose reduction and improved image quality with the recent-generation XVI system. • X-ray volume imaging (XVI) systems are increasingly used for interventional radiological procedures. • More modern XVI systems use lower radiation doses compared with earlier counterparts. • Furthermore more modern XVI systems provide higher image quality. • Technological advances reduce radiation dose and improve image quality.

Arkansas Groundwater-Quality Network

USGS Publications Warehouse

Pugh, Aaron L.; Jackson, Barry T.; Miller, Roger

2014-01-01

Arkansas is the fourth largest user of groundwater in the United States, where groundwater accounts for two-thirds of the total water use. Groundwater use in the State increased by 510 percent between 1965 and 2005 (Holland, 2007). The Arkansas Groundwater-Quality Network is a Web map interface (http://ar.water.usgs.gov/wqx) that provides rapid access to the U.S. Geological Survey’s (USGS) National Water Information System (NWIS) and the U.S. Environmental Protection Agency’s (USEPA) STOrage and RETrieval (STORET) databases of ambient water information. The interface enables users to perform simple graphical analysis and download selected water-quality data.

Instrument Description: The Total Solar Irradiance Monitor on the FY-3C Satellite, an Instrument with a Pointing System

NASA Astrophysics Data System (ADS)

Wang, Hongrui; Wang, Yupeng; Ye, Xin; Yang, Dongjun; Wang, Kai; Li, Huiduan; Fang, Wei

2017-01-01

The Total Solar Irradiance Monitor (TSIM) onboard the nadir Feng Yun-3C (FY-3C) satellite provides measurements of the total solar irradiance with accurate solar tracking and sound thermal stability of its heat sink. TSIM/FY-3C mainly consists of the pointing system, the radiometer package, the thermal control system, and the electronics. Accurate solar tracking is achieved by the pointing system, which greatly improves the science data quality when compared with the previous TSIM/FY-3A and TSIM/FY-3B. The total solar irradiance (TSI) is recorded by TSIM/FY-3C about 26 times each day, using a two-channel radiometer package. One channel is used to perform routine observation, and the other channel is used to monitor the degradation of the cavity detector in the routine channel. From the results of the ground test, the incoming irradiance is measured by the routine channel (AR1) with a relative uncertainty of 592 ppm. A general description of the TSIM, including the instrument modules, uncertainty evaluation, and its operation, is given in this article.

Development of a novel clinical scoring system for on-farm diagnosis of bovine respiratory disease in pre-weaned dairy calves.

PubMed

Love, William J; Lehenbauer, Terry W; Kass, Philip H; Van Eenennaam, Alison L; Aly, Sharif S

2014-01-01

Several clinical scoring systems for diagnosis of bovine respiratory disease (BRD) in calves have been proposed. However, such systems were based on subjective judgment, rather than statistical methods, to weight scores. Data from a pair-matched case-control study on a California calf raising facility was used to develop three novel scoring systems to diagnose BRD in preweaned dairy calves. Disease status was assigned using both clinical signs and diagnostic test results for BRD-associated pathogens. Regression coefficients were used to weight score values. The systems presented use nasal and ocular discharge, rectal temperature, ear and head carriage, coughing, and respiratory quality as predictors. The systems developed in this research utilize fewer severity categories of clinical signs, require less calf handling, and had excellent agreement (Kappa > 0.8) when compared to an earlier scoring system. The first scoring system dichotomized all clinical predictors but required inducing a cough. The second scoring system removed induced cough as a clinical abnormality but required distinguishing between three levels of nasal discharge severity. The third system removed induced cough and forced a dichotomized variable for nasal discharge. The first system presented in this study used the following predictors and assigned values: coughing (induced or spontaneous coughing, 2 points), nasal discharge (any discharge, 3 points), ocular discharge (any discharge, 2 points), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C or 102.5°F, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized "BRD positive" if their total score was ≥4. This system correctly classified 95.4% cases and 88.6% controls. The second presented system categorized the predictors and assigned weights as follows: coughing (spontaneous only, 2 points), mild nasal discharge (unilateral, serous, or watery discharge, 3 points), moderate to severe nasal discharge (bilateral, cloudy, mucoid, mucopurlent, or copious discharge, 5 points), ocular discharge (any discharge, 1 point), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized "BRD positive" if their total score was ≥4. This system correctly classified 89.3% cases and 92.8% controls. The third presented system used the following predictors and scores: coughing (spontaneous only, 2 points), nasal discharge (any, 4 points), ocular discharge (any, 2 points), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized "BRD positive" if their total score was ≥5. This system correctly classified 89.4% cases and 90.8% controls. Each of the proposed systems offer few levels of clinical signs and data-based weights for on-farm diagnosis of BRD in dairy calves.

Development of a novel clinical scoring system for on-farm diagnosis of bovine respiratory disease in pre-weaned dairy calves

PubMed Central

Love, William J.; Lehenbauer, Terry W.; Kass, Philip H.; Van Eenennaam, Alison L.

2014-01-01

Several clinical scoring systems for diagnosis of bovine respiratory disease (BRD) in calves have been proposed. However, such systems were based on subjective judgment, rather than statistical methods, to weight scores. Data from a pair-matched case-control study on a California calf raising facility was used to develop three novel scoring systems to diagnose BRD in preweaned dairy calves. Disease status was assigned using both clinical signs and diagnostic test results for BRD-associated pathogens. Regression coefficients were used to weight score values. The systems presented use nasal and ocular discharge, rectal temperature, ear and head carriage, coughing, and respiratory quality as predictors. The systems developed in this research utilize fewer severity categories of clinical signs, require less calf handling, and had excellent agreement (Kappa > 0.8) when compared to an earlier scoring system. The first scoring system dichotomized all clinical predictors but required inducing a cough. The second scoring system removed induced cough as a clinical abnormality but required distinguishing between three levels of nasal discharge severity. The third system removed induced cough and forced a dichotomized variable for nasal discharge. The first system presented in this study used the following predictors and assigned values: coughing (induced or spontaneous coughing, 2 points), nasal discharge (any discharge, 3 points), ocular discharge (any discharge, 2 points), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C or 102.5°F, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized “BRD positive” if their total score was ≥4. This system correctly classified 95.4% cases and 88.6% controls. The second presented system categorized the predictors and assigned weights as follows: coughing (spontaneous only, 2 points), mild nasal discharge (unilateral, serous, or watery discharge, 3 points), moderate to severe nasal discharge (bilateral, cloudy, mucoid, mucopurlent, or copious discharge, 5 points), ocular discharge (any discharge, 1 point), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized “BRD positive” if their total score was ≥4. This system correctly classified 89.3% cases and 92.8% controls. The third presented system used the following predictors and scores: coughing (spontaneous only, 2 points), nasal discharge (any, 4 points), ocular discharge (any, 2 points), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized “BRD positive” if their total score was ≥5. This system correctly classified 89.4% cases and 90.8% controls. Each of the proposed systems offer few levels of clinical signs and data-based weights for on-farm diagnosis of BRD in dairy calves. PMID:24482759

Effectiveness of an interactive telerehabilitation system with home-based exercise training in patients after total hip or knee replacement: study protocol for a multicenter, superiority, no-blinded randomized controlled trial.

PubMed

Eichler, Sarah; Rabe, Sophie; Salzwedel, Annett; Müller, Steffen; Stoll, Josefine; Tilgner, Nina; John, Michael; Wegscheider, Karl; Mayer, Frank; Völler, Heinz

2017-09-21

Total hip or knee replacement is one of the most frequently performed surgical procedures. Physical rehabilitation following total hip or knee replacement is an essential part of the therapy to improve functional outcomes and quality of life. After discharge from inpatient rehabilitation, a subsequent postoperative exercise therapy is needed to maintain functional mobility. Telerehabilitation may be a potential innovative treatment approach. We aim to investigate the superiority of an interactive telerehabilitation intervention for patients after total hip or knee replacement, in comparison to usual care, regarding physical performance, functional mobility, quality of life and pain. This is an open, randomized controlled, multicenter superiority study with two prospective arms. One hundred and ten eligible and consenting participants with total knee or hip replacement will be recruited at admission to subsequent inpatient rehabilitation. After comprehensive, 3-week, inpatient rehabilitation, the intervention group performs a 3-month, interactive, home-based exercise training with a telerehabilitation system. For this purpose, the physiotherapist creates an individual training plan out of 38 different strength and balance exercises which were implemented in the system. Data about the quality and frequency of training are transmitted to the physiotherapist for further adjustment. Communication between patient and physiotherapist is possible with the system. The control group receives voluntary, usual aftercare programs. Baseline assessments are investigated after discharge from rehabilitation; final assessments 3 months later. The primary outcome is the difference in improvement between intervention and control group in 6-minute walk distance after 3 months. Secondary outcomes include differences in the Timed Up and Go Test, the Five-Times-Sit-to-Stand Test, the Stair Ascend Test, the Short-Form 36, the Western Ontario and McMaster Universities Osteoarthritis Index, the International Physical Activity Questionnaire, and postural control as well as gait and kinematic parameters of the lower limbs. Baseline-adjusted analysis of covariance models will be used to test for group differences in the primary and secondary endpoints. We expect the intervention group to benefit from the interactive, home-based exercise training in many respects represented by the study endpoints. If successful, this approach could be used to enhance the access to aftercare programs, especially in structurally weak areas. German Clinical Trials Register (DRKS), ID: DRKS00010009 . Registered on 11 May 2016.

Noise reduction technology reduces radiation dose in chronic total occlusions percutaneous coronary intervention: a propensity score-matched analysis.

PubMed

Maccagni, Davide; Benincasa, Susanna; Bellini, Barbara; Candilio, Luciano; Poletti, Enrico; Carlino, Mauro; Colombo, Antonio; Azzalini, Lorenzo

2018-03-23

Chronic total occlusions (CTO) percutaneous coronary intervention (PCI) is associated with high radiation dose. Our study aim was to evaluate the impact of the implementation of a noise reduction technology (NRT) on patient radiation dose during CTO PCI. A total of 187 CTO PCIs performed between February 2016 and May 2017 were analyzed according to the angiographic systems utilized: Standard (n = 60) versus NRT (n = 127). Propensity score matching (PSM) was performed to control for differences in baseline characteristics. Primary endpoints were Cumulative Air Kerma at Interventional Reference Point (AK at IRP), which correlates with patient's tissue reactions; and Kerma Area Product (KAP), a surrogate measure of patient's risk of stochastic radiation effects. An Efficiency Index (defined as fluoroscopy time/AK at IRP) was calculated for each procedure. Image quality was evaluated using a 5-grade Likert-like scale. After PSM, n = 55 pairs were identified. Baseline and angiographic characteristics were well matched between groups. Compared to the Standard system, NRT was associated with lower AK at IRP [2.38 (1.80-3.66) vs. 3.24 (2.04-5.09) Gy, p = 0.035], a trend towards reduction for KAP [161 (93-244) vs. 203 (136-363) Gycm 2 , p = 0.069], and a better Efficiency Index [16.75 (12.73-26.27) vs. 13.58 (9.92-17.63) min/Gy, p = 0.003]. Image quality was similar between the two groups (4.39 ± 0.53 Standard vs. 4.34 ± 0.47 NRT, p = 0.571). In conclusion, compared with a Standard system, the use of NRT in CTO PCI is associated with lower patient radiation dose and similar image quality.

Defining the sources of low-flow phosphorus transfers in complex catchments.

PubMed

Arnscheidt, J; Jordan, P; Li, S; McCormick, S; McFaul, R; McGrogan, H J; Neal, M; Sims, J T

2007-08-15

Nutrient transfers from the land to rivers have the potential to cause persistent eutrophic impacts at low flows even though the transfers may constitute a minor percentage of total annual fluxes. In rural catchments, the contribution from agricultural soils during storm events can be particularly large and untangling the relative contributions from multiple sources that vary in time and space is especially problematic. In this study, the potential for domestic septic tank system pollution during low flows was investigated in 3 small catchments (3 to 5 km(2)) using an integrated series of methods. These included septic system surveys, continuous (10 min) total phosphorus (TP) monitoring at the outlet of each catchment, repeated low-flow water quality surveys in sub-catchments upstream of the catchment outlets and single day river-walk water quality surveys. A series of faecal matter and grey-water fingerprinting techniques were also employed. These included determining sterol ratios in stream sediments, monitoring the presence of proteins, E. coli and enterococci bacterial signatures and boron. The total density and density of poorly maintained septic systems mirrored the magnitude of frequent TP concentrations in the catchments although this relationship was less apparent in the nested sub-catchments. The exception was possibly related to the simple hydraulics in one particular catchment and indicated temporary effluent attenuation in the other catchments. Repeated low-flow and river-walk water quality surveys highlighted discrete areas and reaches where stepped changes in nutrient concentration occurred. Bio-chemical fingerprinting showed that between 7% and 27% of sediments were contaminated with human faecal material and correlation matrices indicated that, at least during low flows, P fractions were positively correlated with some markers of faecal and grey-water contamination.

A chemical sensor and biosensor based totally automated water quality monitor for extended space flight: Step 1

NASA Technical Reports Server (NTRS)

Smith, Robert S.

1993-01-01

The result of a literature search to consider what technologies should be represented in a totally automated water quality monitor for extended space flight is presented. It is the result of the first summer in a three year JOVE project. The next step will be to build a test platform at the Authors' school, St. John Fisher College. This will involve undergraduates in NASA related research. The test flow injection analysis system will be used to test the detection limit of sensors and the performance of sensors in groups. Sensor companies and research groups will be encouraged to produce sensors which are not currently available and are needed for this project.

Exploring the nutrient inputs and cycles in Tampa Bay and coastal watersheds using MODIS images and data mining

NASA Astrophysics Data System (ADS)

Chang, Ni-Bin; Xuan, Zhemin

2011-09-01

Excessive nutrients, which may be represented as Total Nitrogen (TN) and Total Phosphorus (TP) levels, in natural water systems have proven to cause high levels of algae production. The process of phytoplankton growth which consumes the excess TN and TP in a water body can also be related to the changing water quality levels, such as Dissolved Oxygen (DO), chlorophyll-a, and turbidity, associated with their changes in absorbance of natural radiation. This paper explores spatiotemporal nutrient patterns in Tampa Bay, Florida with the aid of Moderate Resolution Imaging Spectroradiometer or MODIS images and Genetic Programming (GP) models that are deigned to link those relevant water quality parameters in aquatic environments.

Image quality and dose differences caused by vendor-specific image processing of neonatal radiographs.

PubMed

Sensakovic, William F; O'Dell, M Cody; Letter, Haley; Kohler, Nathan; Rop, Baiywo; Cook, Jane; Logsdon, Gregory; Varich, Laura

2016-10-01

Image processing plays an important role in optimizing image quality and radiation dose in projection radiography. Unfortunately commercial algorithms are black boxes that are often left at or near vendor default settings rather than being optimized. We hypothesize that different commercial image-processing systems, when left at or near default settings, create significant differences in image quality. We further hypothesize that image-quality differences can be exploited to produce images of equivalent quality but lower radiation dose. We used a portable radiography system to acquire images on a neonatal chest phantom and recorded the entrance surface air kerma (ESAK). We applied two image-processing systems (Optima XR220amx, by GE Healthcare, Waukesha, WI; and MUSICA(2) by Agfa HealthCare, Mortsel, Belgium) to the images. Seven observers (attending pediatric radiologists and radiology residents) independently assessed image quality using two methods: rating and matching. Image-quality ratings were independently assessed by each observer on a 10-point scale. Matching consisted of each observer matching GE-processed images and Agfa-processed images with equivalent image quality. A total of 210 rating tasks and 42 matching tasks were performed and effective dose was estimated. Median Agfa-processed image-quality ratings were higher than GE-processed ratings. Non-diagnostic ratings were seen over a wider range of doses for GE-processed images than for Agfa-processed images. During matching tasks, observers matched image quality between GE-processed images and Agfa-processed images acquired at a lower effective dose (11 ± 9 μSv; P < 0.0001). Image-processing methods significantly impact perceived image quality. These image-quality differences can be exploited to alter protocols and produce images of equivalent image quality but lower doses. Those purchasing projection radiography systems or third-party image-processing software should be aware that image processing can significantly impact image quality when settings are left near default values.

Heavy metal and waste metabolite accumulation and their affect on rainbow trout performance in a replicated water reuse system operated at low or high system flushing rates

USDA-ARS?s Scientific Manuscript database

A six-month trial was conducted to compare the effects of high and low make-up water flushing rates on rainbow trout performance and water quality in replicated water reuse aquaculture systems (WRAS). Six identical 9.5 m3 WRAS, containing a single 5.3 m3 tank and operated at a total recirculating fl...

Water quality, compliance, and health outcomes among utilities implementing Water Safety Plans in France and Spain.

PubMed

Setty, Karen E; Kayser, Georgia L; Bowling, Michael; Enault, Jerome; Loret, Jean-Francois; Serra, Claudia Puigdomenech; Alonso, Jordi Martin; Mateu, Arnau Pla; Bartram, Jamie

2017-05-01

Water Safety Plans (WSPs), recommended by the World Health Organization since 2004, seek to proactively identify potential risks to drinking water supplies and implement preventive barriers that improve safety. To evaluate the outcomes of WSP application in large drinking water systems in France and Spain, we undertook analysis of water quality and compliance indicators between 2003 and 2015, in conjunction with an observational retrospective cohort study of acute gastroenteritis incidence, before and after WSPs were implemented at five locations. Measured water quality indicators included bacteria (E. coli, fecal streptococci, total coliform, heterotrophic plate count), disinfectants (residual free and total chlorine), disinfection by-products (trihalomethanes, bromate), aluminum, pH, turbidity, and total organic carbon, comprising about 240K manual samples and 1.2M automated sensor readings. We used multiple, Poisson, or Tobit regression models to evaluate water quality before and after the WSP intervention. The compliance assessment analyzed exceedances of regulated, recommended, or operational water quality thresholds using chi-squared or Fisher's exact tests. Poisson regression was used to examine acute gastroenteritis incidence rates in WSP-affected drinking water service areas relative to a comparison area. Implementation of a WSP generally resulted in unchanged or improved water quality, while compliance improved at most locations. Evidence for reduced acute gastroenteritis incidence following WSP implementation was found at only one of the three locations examined. Outcomes of WSPs should be expected to vary across large water utilities in developed nations, as the intervention itself is adapted to the needs of each location. The approach may translate to diverse water quality, compliance, and health outcomes. Copyright © 2017 Elsevier GmbH. All rights reserved.

Metal-on-Metal Total Hip Arthroplasty: Quality of Online Patient Information.

PubMed

Crozier-Shaw, Geoff; Queally, Joseph M; Quinlan, John F

2017-03-01

Metal-on-metal total hip arthroplasty (THA) has generated much attention in the media because of early failure of certain implant systems. This study assessed the quality, accuracy, and readability of online information on metal-on-metal THA. The search terms "metal-on-metal hip replacement" and "metal hip replacement" were entered into the 3 most popular search engines. Information quality was assessed with the DISCERN score and a specific metal-on-metal THA content score. Accuracy of information was assessed with a customized score. Readability of the websites was assessed with the Flesch-Kincaid grade level score. A total of 61 unique websites were assessed. For 56% of websites, the target audience was patients. Media or medicolegal sources accounted for 44% of websites. As assessed by DISCERN (range, 16-80) and metal-on-metal THA (range, 0-25) scores, quality of the websites was moderate at best (47.1 and 9.6, respectively). Accuracy (range, 0-8) of the information presented also was moderate, with a mean score of 6.6. Media and medicolegal websites had the lowest scores for both quality and accuracy, despite making up the greatest proportion of sites assessed. Only 1 website (2%) had a Flesch-Kincaid grade level at or less than the recommended level of 8th grade. This study found that online information on metal-on-metal THA was of poor quality, often was inaccurate, and was presented at an inappropriately high reading level, particularly for media and medicolegal websites. Health care providers should counsel patients on the quality of information available and recommend appropriate online resources. [Orthopedics. 2017; 40(2):e262-e268.]. Copyright 2016, SLACK Incorporated.

A simple evaluation of soil quality of waterlogged purple paddy soils with different productivities.

PubMed

Liu, Zhanjun; Zhou, Wei; Lv, Jialong; He, Ping; Liang, Guoqing; Jin, Hui

2015-01-01

Evaluation of soil quality can be crucial for designing efficient farming systems and ensuring sustainable agriculture. The present study aimed at evaluating the quality of waterlogged purple paddy soils with different productivities in Sichuan Basin. The approach involved comprehensive analyses of soil physical and chemical properties, as well as enzyme activities and microbial community structure measured by phospholipid fatty acid analysis (PLFA). A total of 36 soil samples were collected from four typical locations, with 12 samples representing high productivity purple paddy soil (HPPS), medium productivity purple paddy soil (MPPS) and low productivity purple paddy soil (LPPS), respectively. Most measured soil properties showed significant differences (P ≤ 0.05) among HPPS, MPPS and LPPS. Pearson correlation analysis and principal component analysis were used to identify appropriate soil quality indicators. A minimum data set (MDS) including total nitrogen (TN), available phosphorus (AP), acid phosphatase (ACP), total bacteria (TB) and arbuscular mycorrhizal fungi was established and accounted for 82.1% of the quality variation among soils. A soil quality index (SQI) was developed based on the MDS method, whilst HPPS, MPPS and LPPS received mean SQI scores of 0.725, 0.536 and 0.425, respectively, with a ranking of HPPS > MPPS > LPPS. HPPS showed relatively good soil quality characterized by optimal nutrient availability, enzymatic and microbial activities, but the opposite was true of LPPS. Low levels of TN, AP and soil microbial activities were considered to be the major constraints limiting the productivity in LPPS. All soil samples collected were rich in available N, K, Si and Zn, but deficient in available P, which may be the major constraint for the studied regions. Managers in our study area should employ more appropriate management in the LPPS to improve its rice productivity, and particularly to any potential limiting factor.

[Efficiency indicators to contribute to sustainability of health services in Spain].

PubMed

García, E I; Mira Solves, J J; Guilabert Mora, M

2014-01-01

Identifying a minimum set of efficiency indicators calculated from current information sources. Interventions adopted from the analysis of these indicators could contribute to health services sustainability. We applied the discussion group technique. A total of 23 quality coordinators from around the country and the representatives of the regional quality societies in SECA (Spanish Society for Quality in Healthcare) participated. Ten efficiency indicators useful for integrated management areas were identified and accepted, 5 in the area of primary care and 5 for hospital management. The efficiency indicators agreed upon could contribute to the sustainability of the health system without this affecting the quality of care. Copyright © 2014 SECA. Published by Elsevier Espana. All rights reserved.

Understanding the influence of climate change on the embodied energy of water supply.

PubMed

Mo, Weiwei; Wang, Haiying; Jacobs, Jennifer M

2016-05-15

The current study aims to advance understandings on how and to what degree climate change will affect the life cycle chemical and energy uses of drinking water supply. A dynamic life cycle assessment was performed to quantify historical monthly operational embodied energy of a selected water supply system located in northeast US. Comprehensive multivariate and regression analyses were then performed to understand the statistical correlation among monthly life cycle energy consumptions, three water quality indicators (UV254, pH, and water temperature), and five climate indicators (monthly mean temperature, monthly mean maximum/minimum temperatures, total precipitation, and total snow fall). Thirdly, a calculation was performed to understand how volumetric and total life cycle energy consumptions will change under two selected IPCC emission scenarios (A2 and B1). It was found that volumetric life cycle energy consumptions are highest in winter months mainly due to the higher uses of natural gas in the case study system, but total monthly life cycle energy consumptions peak in both July and January because of the increasing water demand in summer months. Most of the variations in chemical and energy uses can be interpreted by water quality and climate variations except for the use of soda ash. It was also found that climate change might lead to an average decrease of 3-6% in the volumetric energy use of the case study system by the end of the century. This result combined with conclusions reached by previous climate versus water supply studies indicates that effects of climate change on drinking water supply might be highly dependent on the geographical location and treatment process of individual water supply systems. Copyright © 2016 Elsevier Ltd. All rights reserved.

Water quality improvements of wastewater from confined animal feeding operations after advanced treatment.

PubMed

Vanotti, Matias B; Szogi, Ariel A

2008-01-01

Current trends of animal production concentration and new regulations promote the need for environmentally safe alternatives to land application of liquid manure. These technologies must be able to substantially remove nutrients, heavy metals, and emissions of ammonia and odors and disinfect the effluent. A new treatment system was tested full-scale in a 4360-swine farm in North Carolina to demonstrate environmentally superior technology (EST) that could replace traditional anaerobic lagoon treatment. The system combined liquid-solids separation with nitrogen and phosphorus removal processes. Water quality was monitored at three sites: (i) the treatment plant as the raw manure liquid was depurated in the various processes, (ii) the converted lagoon as it was being cleaned up with the treated effluent, and (iii) an adjacent traditional anaerobic lagoon. The treatment plant removed 98% of total suspended solids (TSS), 76% of total solids (TS), 100% of 5-d biochemical oxygen demand (BOD(5)), 98% of total Kjeldahl nitrogen (TKN) and NH(4)-N, 95% of total phosphorus (TP), 99% of Zn, and 99% of Cu. The quality of the liquid in the converted lagoon improved rapidly as cleaner effluent from the plant replaced anaerobic lagoon liquid. The converted lagoon liquid became aerobic (dissolved oxygen, 6.95 mg L(-1); Eh, 342 mv) with the following mean reductions in the second year of the conversion: 73% of TSS, 40% of TS, 77% of BOD(5), 85% of TKN, 92% of NH(4)-N, 38% of TP, 37% of Zn, and 39% of Cu. These findings overall showed that EST can have significant positive impacts on the environment and on the livestock industries.

Hydrology, water quality, and response to changes in phosphorus loading of Minocqua and Kawaguesaga Lakes, Oneida County, Wisconsin, with special emphasis on effects of urbanization

USGS Publications Warehouse

Garn, Herbert S.; Robertson, Dale M.; Rose, William J.; Saad, David A.

2010-01-01

Minocqua and Kawaguesaga Lakes are 1,318- and 690-acre interconnected lakes in the popular recreation area of north-central Wisconsin. The lakes are the lower end of a complex chain of lakes in Oneida and Vilas Counties, Wis. There is concern that increased stormwater runoff from rapidly growing residential/commercial developments and impervious surfaces from the urbanized areas of the Town of Minocqua and Woodruff, as well as increased effluent from septic systems around their heavily developed shoreline has increased nutrient loading to the lakes. Maintaining the quality of the lakes to sustain the tourist-based economy of the towns and the area was a concern raised by the Minocqua/Kawaguesaga Lakes Protection Association. Following several small studies, a detailed study during 2006 and 2007 was done by the U.S. Geological Survey, in cooperation with the Minocqua/Kawaguesaga Lakes Protection Association through the Town of Minocqua to describe the hydrology and water quality of the lakes, quantify the sources of phosphorus including those associated with urban development and to better understand the present and future effects of phosphorus loading on the water quality of the lakes. The water quality of Minocqua and Kawaguesaga Lakes appears to have improved since 1963, when a new sewage-treatment plant was constructed and its discharge was bypassed around the lakes, resulting in a decrease in phosphorus loading to the lakes. Since the mid-1980s, the water quality of the lakes has changed little in response to fluctuations in phosphorus loading from the watershed. From 1986 to 2009, summer average concentrations of near-surface total phosphorus in the main East Basin of Minocqua Lake fluctuated from 0.009 mg/L to 0.027 mg/L but generally remained less than 0.022 mg/L, indicating that the lake is mesotrophic. Phosphorus concentrations from 1988 through 1996, however, were lower than the long-term average, possibly the result of an extended drought in the area. Water-quality data for Kawaguesaga Lake had a similar pattern to that of Minocqua Lake. Summer average chlorophyll a concentrations and Secchi depths also indicate that the lakes generally are mesotrophic but occasionally borderline eutrophic, with no long-term trends. During the study, major water and phosphorus sources were measured directly, and minor sources were estimated to construct detailed water and phosphorus budgets for the lakes for monitoring years (MY) 2006 and 2007. During these years, the Minocqua Thoroughfare contributed about 38 percent of the total inflow to the lakes, and Tomahawk Thoroughfare contributed 34 percent; near-lake inflow, precipitation, and groundwater contributed about 1, 16, and 11 percent of the total inflow, respectively. Water leaves the lakes primarily through the Tomahawk River outlet (83 percent) or by evaporation (14 percent), with minor outflow to groundwater. Total input of phosphorus to both lakes was about 3,440 pounds in MY 2006 and 2,200 pounds in MY 2007. The largest sources of phosphorus entering the lakes were the Minocqua and Tomahawk Thoroughfares, which delivered about 39 and 26 percent of the total, respectively. The near-lake drainage area, containing most of the urban and residential developments, disproportionately accounted for about 12 percent of the total phosphorus input but only about 1 percent of the total water input (estimated with WinSLAMM). The next largest contributions were from septic systems and precipitation, each contributing about 10 percent, whereas groundwater delivered about 4 percent of the total phosphorus input. Empirical lake water-quality models within BATHTUB were used to simulate the response of Minocqua and Kawaguesaga Lakes to 19 phosphorus-loading scenarios. These scenarios included the current base years (2006?07) for which lake water quality and loading were known, nine general increases or decreases in phosphorus loading from controllable external sources (inputs from the tributa

Analysis of Management Practices in Lagos State Tertiary Institutions through Total Quality Management Structural Framework

ERIC Educational Resources Information Center

AbdulAzeez, Abbas Tunde

2016-01-01

This research investigated total quality management practices and quality teacher education in public tertiary institutions in Lagos State. The study was therefore designed to analyse management practices in Lagos state tertiary institutions through total quality management structural framework. The selected public tertiary institutions in Lagos…

Total Quality Leadership

NASA Technical Reports Server (NTRS)

1991-01-01

More than 750 NASA, government, contractor, and academic representatives attended the Seventh Annual NASA/Contractors Conference on Quality and Productivity. The panel presentations and Keynote speeches revolving around the theme of total quality leadership provided a solid base of understanding of the importance, benefits, and principles of total quality management (TQM). The presentations from the conference are summarized.

Comparative effectiveness: its role in the healthcare system.

PubMed

Brown, Melissa M; Luo, Betsy; Brown, Heidi C; Brown, Gary C

2009-05-01

To describe comparative effectiveness and assess its role in crafting new healthcare policy. Senate Bill S.3408 would establish a nongovernment-affiliated Healthcare Comparative Effectiveness Research Institute that would work with healthcare experts and stakeholders in healthcare to prioritize interventions and services to be studied. A value-based medicine system of standardized comparative effectiveness and cost-effectiveness data using utilities would allow physicians to assess the total value (improvement in quality of life and/or length of life) conferred by interventions. Standardized comparativeness and cost-effectiveness data will give physicians an information system to identify the interventions that confer the greatest value to patients, and thus deliver higher quality care than possible with evidence-based data alone while allowing the most cost-effective care.

Total Quality Training: The Quality Culture and Quality Trainer.

ERIC Educational Resources Information Center

Thomas, Brian

This book examines the application of total quality management (TQM) principles to training and development. It contains 10 chapters on the following topics: the quality revolution (the nature of and rationale for quality); major barriers to achieving quality (supplier-led approaches, problems with customers, throughput orientation, variable…

Achieving total quality through intelligence.

PubMed

Fuld, L M

1992-02-01

American firms want 'total quality'. The time and money spent by U.S. companies attempting to qualify for the coveted Baldrige Award exemplifies corporate America's desire to achieve new quality standards. Corporate intelligence and 'total quality' are inextricably linked. In this article, the authors demonstrate how shared and properly-used information can be a powerful tool for elevating quality standards, and how corporate intelligence programmes can provide the information links vital for success in attaining the highest standards of quality.

[Implementation of the EndoCert system for certification of arthroplasty centers. Experiences from the pilot phase].

PubMed

Haas, H; Mittelmeier, W

2014-06-01

EndoCert is an initiative of the Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie (DGOOC, German Society for Orthopedics and Orthopedic Surgery) which has been available since October 2012 and is the first system worldwide for certification of specialized arthroplasty centers. Before implementation of this certification concept two sequential pilot phases were carried out with representative treatment institutions. The results from these pilot clinics are presented with respect to quality improvement effects. Early effects on the quality of treatment have been achieved by rectification of nonconformities determined in the audit with respect to structural and process quality. A total of 172 nonconformities found in the 23 participating pilot clinics could be rectified. Long-term effects on the quality of results will in future be analyzed in cooperation with the German endoprosthesis register (EPRD) and by accompanying evaluations. A close feedback of the collated experiences and results to the certification committee, which is responsible for the procedure together with the DGOOC, allows continuous further development of the system EndoCert represents a substantial step towards a nationwide safety and improvement of the quality in arthroplasty treatment within the preoperative, perioperative and postoperative framework and can in future represent a decisive tool together with the EPRD in quality management.

Comparison of contrast media and low-molecular-weight dextran for frequency-domain optical coherence tomography.

PubMed

Ozaki, Yuichi; Kitabata, Hironori; Tsujioka, Hiroto; Hosokawa, Seiki; Kashiwagi, Manabu; Ishibashi, Kohei; Komukai, Kenichi; Tanimoto, Takashi; Ino, Yasushi; Takarada, Shigeho; Kubo, Takashi; Kimura, Keizo; Tanaka, Atsushi; Hirata, Kumiko; Mizukoshi, Masato; Imanishi, Toshio; Akasaka, Takashi

2012-01-01

Although an intracoronary frequency-domain optical coherence tomography (FD-OCT) system overcomes several limitations of the time-domain OCT (TD-OCT) system, the former requires injection of contrast media for image acquisition. The increased total amount of contrast media for FD-OCT image acquisition may lead to the impairment of renal function. The safety and usefulness of the non-occlusion method with low-molecular-weight dextran L (LMD-L) via a guiding catheter for TD-OCT image acquisition have been reported previously. The aim of the present study was to compare the image quality and quantitative measurements between contrast media and LMD-L for FD-OCT image acquisition in coronary stented lesions. Twenty-two patients with 25 coronary stented lesions were enrolled in this study. FD-OCT was performed with the continuous-flushing method via a guiding catheter. Both contrast media and LMD-L were infused at a rate of 4 ml/s by an autoinjector. With regard to image quality, the prevalence of clear image segments was comparable between contrast media and LMD-L (97.9% vs. 96.5%, P=0.90). Furthermore, excellent correlations were observed between both flushing solutions in terms of minimum lumen area, mean lumen area, and mean stent area. The total volumes of contrast media and of LMD-L needed for OCT image acquisition were similar. FD-OCT image acquisition with LMD-L has the potential to reduce the total amount of contrast media without loss of image quality.

Imaging characteristics of different mammographic screens.

PubMed

Kuhn, H; Knüpfer, W

1992-01-01

A study of mammography systems with green-emitting screens was conducted to determine how the image quality parameters (apart from dose requirement), such as modulation transfer function (MTF) and Wiener spectrum (WS), depend on the dye content of the compound and coating weight of the screen. In addition, the contribution to total noise of the individual components, i.e., film, screen, and quantum noise, was studied. The quantities derived from MTF and WS, namely detective quantum efficiency (DQE) and noise equivalent quanta (NEQ), were also investigated in regard to their dose dependency. It can be demonstrated that the MTF of the screens becomes more favorable when the dye content is increased, while noise is not significantly affected. This suggests the use of a mammography screen capable of greater detail recognition, requiring at least double the dose of today's conventional systems with approximately 80 microGy system dose. On the other hand, the manufacture of a screen with about 60% of the dose of the conventional system is possible with very little loss in image quality. For the systems in common use today (80 microGy), quantum noise represents a considerable share of the total noise at low spatial frequencies, whereas in high spatial frequencies, the graininess of the film dominates quantum noise and screen structure.

Total Quality Management Implementation Plan for Military Personnel Management

DTIC Science & Technology

1989-09-01

2050.. )ATE 3. REPORT TYPE AND DATES CO VERED 4. TITLE AND SUBTITLE 5,rrmir18 . FUNDING NUMBERS Total Quality Management Implementation Plan for...SUBJECT TERMS 15. NUMBER OF PAGES TQM (Total Quality Management ), Military Personnel Management, Continuous Process Improvement 16. PRICE CODE 17. SECURITY...UNCLASSIFIED UNCLASSIFIED UL NSN 7540-01-280-5500 Standard Form 298 (Rev. 2-89) Prescribed by ANSI Std Z39-16 296-102 TOTAL QUALITY MANAGEMENT I

Impact of textile dyeing industries effluent on groundwater quality in Karur Amaravathi River basin, Tamil Nadu (India)--a field study.

PubMed

Rajamanickam, R; Nagan, S

2010-10-01

Karur is an industrial town located on the bank of river Amaravathi. There are 487 textile processing units in operation and discharge about 14610 kilo litres per day of treated effluent into the river. The groundwater quality in the downstream is deteriorated due to continuous discharge of effluent. In order to assess the present quality of groundwater, 13 open wells were identified in the river basin around Karur and samples were collected during pre-monsoon, post monsoon and summer, and analyzed for physico-chemical parameters. TDS, total alkalinity, total hardness, calcium, chlorides and sulphates exceeded the desirable limit. Amaravathi River water samples were also colleted at the upstream and downstream of Karur and the result shows the river is polluted. During summer season, there is no flow in the river and the river acts as a drainage for the effluent. Hence, there is severe impact on the groundwater quality in the downstream. The best option to protect the groundwater quality in the river basin is that the textile processing units should adopt zero liquid discharge (ZLD) system and completely recycle the treated effluent.

Oil extraction from Scenedesmus obliquus using a continuous microwave system--design, optimization, and quality characterization.

PubMed

Balasubramanian, Sundar; Allen, James D; Kanitkar, Akanksha; Boldor, Dorin

2011-02-01

A 1.2 kW, 2450 MHz resonant continuous microwave processing system was designed and optimized for oil extraction from green algae (Scenedesmus obliquus). Algae-water suspension (1:1 w/w) was heated to 80 and 95°C, and subjected to extraction for up to 30 min. Maximum oil yield was achieved at 95°C and 30 min. The microwave system extracted 76-77% of total recoverable oil at 20-30 min and 95°C, compared to only 43-47% for water bath control. Extraction time and temperature had significant influence (p<0.0001) on extraction yield. Oil analysis indicated that microwaves extracted oil containing higher percentages of unsaturated and essential fatty acids (indicating higher quality). This study validates for the first time the efficiency of a continuous microwave system for extraction of lipids from algae. Higher oil yields, faster extraction rates and superior oil quality demonstrate this system's feasibility for oil extraction from a variety of feedstock. Copyright © 2010 Elsevier Ltd. All rights reserved.

Developing a Dynamic SPARROW Water Quality Decision Support System Using NASA Remotely-Sensed Products

NASA Astrophysics Data System (ADS)

Al-Hamdan, M. Z.; Smith, R. A.; Hoos, A.; Schwarz, G. E.; Alexander, R. B.; Crosson, W. L.; Srikishen, J.; Estes, M., Jr.; Cruise, J.; Al-Hamdan, A.; Ellenburg, W. L., II; Flores, A.; Sanford, W. E.; Zell, W.; Reitz, M.; Miller, M. P.; Journey, C. A.; Befus, K. M.; Swann, R.; Herder, T.; Sherwood, E.; Leverone, J.; Shelton, M.; Smith, E. T.; Anastasiou, C. J.; Seachrist, J.; Hughes, A.; Graves, D.

2017-12-01

The USGS Spatially Referenced Regression on Watershed Attributes (SPARROW) surface water quality modeling system has been widely used for long term, steady state water quality analysis. However, users have increasingly requested a dynamic version of SPARROW that can provide seasonal estimates of nutrients and suspended sediment to receiving waters. The goal of this NASA-funded project is to develop a dynamic decision support system to enhance the southeast SPARROW water quality model and finer-scale dynamic models for selected coastal watersheds through the use of remotely-sensed data and other NASA Land Information System (LIS) products. The spatial and temporal scale of satellite remote sensing products and LIS modeling data make these sources ideal for the purposes of development and operation of the dynamic SPARROW model. Remote sensing products including MODIS vegetation indices, SMAP surface soil moisture, and OMI atmospheric chemistry along with LIS-derived evapotranspiration (ET) and soil temperature and moisture products will be included in model development and operation. MODIS data will also be used to map annual land cover/land use in the study areas and in conjunction with Landsat and Sentinel to identify disturbed areas that might be sources of sediment and increased phosphorus loading through exposure of the bare soil. These data and others constitute the independent variables in a regression analysis whose dependent variables are the water quality constituents total nitrogen, total phosphorus, and suspended sediment. Remotely-sensed variables such as vegetation indices and ET can be proxies for nutrient uptake by vegetation; MODIS Leaf Area Index can indicate sources of phosphorus from vegetation; soil moisture and temperature are known to control rates of denitrification; and bare soil areas serve as sources of enhanced nutrient and sediment production. The enhanced SPARROW dynamic models will provide improved tools for end users to manage water quality in near real time and for the formulation of future scenarios to inform strategic planning. Time-varying SPARROW outputs will aid water managers in decision making regarding allocation of resources in protecting aquatic habitats, planning for harmful algal blooms, and restoration of degraded habitats, stream segments, or lakes.

Evaluation of water quality functions of conventional and advanced soil-based onsite wastewater treatment systems.

PubMed

Cooper, Jennifer A; Loomis, George W; Kalen, David V; Amador, Jose A

2015-05-01

Shallow narrow drainfields are assumed to provide better wastewater renovation than conventional drainfields and are used for protection of surface and ground water. To test this assumption, we evaluated the water quality functions of two advanced onsite wastewater treatment system (OWTS) drainfields-shallow narrow (SND) and Geomat (GEO)-and a conventional pipe and stone (P&S) drainfield over 12 mo using replicated ( = 3) intact soil mesocosms. The SND and GEO mesocosms received effluent from a single-pass sand filter, whereas the P&S received septic tank effluent. Between 97.1 and 100% of 5-d biochemical oxygen demand (BOD), fecal coliform bacteria, and total phosphorus (P) were removed in all drainfield types. Total nitrogen (N) removal averaged 12.0% for P&S, 4.8% for SND, and 5.4% for GEO. A mass balance analysis accounted for 95.1% (SND), 94.1% (GEO), and 87.6% (P&S) of N inputs. When the whole treatment train (excluding the septic tank) is considered, advanced systems, including sand filter pretreatment and SND or GEO soil-based treatment, removed 99.8 to 99.9% of BOD, 100% of fecal coliform bacteria and P, and 26.0 to 27.0% of N. In contrast, the conventional system removed 99.4% of BOD and 100% of fecal coliform bacteria and P but only 12.0% of N. All drainfield types performed similarly for most water quality functions despite differences in placement within the soil profile. However, inclusion of the pretreatment step in advanced system treatment trains results in better N removal than in conventional treatment systems despite higher drainfield N removal rates in the latter. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Soil quality and soil degradation in agricultural loess soils in Central Europe - impacts of traditional small-scale and modernized large-scale agriculture

NASA Astrophysics Data System (ADS)

Schneider, Christian

2017-04-01

The study analyzes the impact of different farming systems on soil quality and soil degradation in European loess landscapes. The analyses are based on geo-chemical soil properties, landscape metrics and geomorphological indicators. The German Middle Saxonian Loess Region represents loess landscapes whose ecological functions were shaped by land consolidation measures resulting in large-scale high-input farming systems. The Polish Proszowice Plateau is still characterized by a traditional small-scale peasant agriculture. The research areas were analyzed on different scale levels combining GIS, field, and laboratory methods. A digital terrain classification was used to identify representative catchment basins for detailed pedological studies which were focused on soil properties that responded to soil management within several years, like pH-value, total carbon (TC), total nitrogen (TN), inorganic carbon (IC), soil organic carbon (TOC=TC-IC), hot-water extractable carbon (HWC), hot-water extractable nitrogen (HWN), total phosphorus, plant-available phosphorus (P), plant-available potassium (K) and the potential cation exchange capacity (CEC). The study has shown that significant differences in major soil properties can be observed because of different fertilizer inputs and partly because of different cultivation techniques. Also the traditional system increases soil heterogeneity. Contrary to expectations the study has shown that the small-scale peasant farming system resulted in similar mean soil organic carbon and phosphorus contents like the industrialized high-input farming system. A further study could include investigations of the effects of soil amendments like herbicides and pesticide on soil degradation.

Development of a demand assignment/TDMA system for international business satellite communications

NASA Astrophysics Data System (ADS)

Nohara, Mitsuo; Takeuchi, Yoshio; Takahata, Fumio; Hirata, Yasuo; Yamazaki, Yoshiharu

An experimental IBS (international business satellite) communications system based on a demand assignment and TDMA (time-division multiple-access) operation has been developed. The system utilizes a limited satellite resource efficiently and provides various kinds of ISDN services totally. A discussion is presented of the IBS network configurations suitable to international communications and describes the developed communications system from the viewpoint of the hardware and software implementation. The performance in terms of the transmission quality and call processing is also demonstrated.

Open inlet conversion: Water quality benefits of two designs

USDA-ARS?s Scientific Manuscript database

Open surface inlets that connect to subsurface tile drainage systems provide a direct pathway for movement of sediment, nutrients, and agrochemicals to surface waters. This study was conducted to determine the reduction in drainage effluent total suspended sediment (TSS) and phosphorus (P) concentr...

Stress and Negative Relationship Quality among Older Couples: Implications for Blood Pressure

PubMed Central

Newton, Nicky J.; Cranford, James A.; Ryan, Lindsay H.

2016-01-01

Objectives: The cardiovascular system may represent a significant pathway by which marriage and stress influence health, but research has focused on married individuals cross-sectionally. This study examined associations among chronic stress, negative spousal relationship quality, and systolic blood pressure over time among middle-aged and older husbands and wives. Method: Participants were from the nationally representative longitudinal Health and Retirement Study. A total of 1,356 (N = 2,712) married and cohabitating couples completed psychosocial and biomeasure assessments in waves 2006 and 2010. Analyses examined whether Wave 1 (2006) relationship quality and stress were associated with changes in blood pressure over time. Results: The effects of stress and negative relationship quality were dyadic and varied by gender. Husbands had increased blood pressure when wives reported greater stress, and this link was exacerbated by negative spousal relationship quality. Negative relationship quality predicted increased blood pressure when both members of the couple reported negative quality relations. Discussion: Findings support the dyadic biopsychosocial model of marriage and health indicating: (a) stress and relationship quality directly effect the cardiovascular system, (b) relationship quality moderates the effect of stress, and (c) the dyad rather than only the individual should be considered when examining marriage and health. PMID:25852106

The measurement of quality of care in the Veterans Health Administration.

PubMed

Halpern, J

1996-03-01

The Veterans Health Administration (VHA) is committed to continual refinement of its system of quality measurement. The VHA organizational structure for quality measurement has three levels. At the national level, the Associate Chief Medical Director for Quality Management provides leadership, sets policy, furnishes measurement tools, develops and distributes measures of quality, and delivers educational programs. At the intermediate level, VHA has four regional offices with staff responsible for reviewing risk management data, investigating quality problems, and ensuring compliance with accreditation requirements. At the hospital level, staff reporting directly to the chief of staff or the hospital director are responsible for implementing VHA quality management policy. The Veterans Health Administration's philosophy of quality measurement recognizes the agency's moral imperative to provide America's veterans with care that meets accepted standards. Because the repair of faulty systems is more efficient than the identification of poor performers, VHA has integrated the techniques of total quality into a multifaceted improvement program that also includes the accreditation program and traditional quality assurance activities. VHA monitors its performance by maintaining adverse incident databases, conducting patient satisfaction surveys, contracting for external peer review of 50,000 records per year, and comparing process and outcome rates internally and when possible with external benchmarks. The near-term objectives of VHA include providing medical centers with a quality matrix that will permit local development of quality indicators, construction of a report card for VHA's customers, and implementing the Malcolm W. Baldrige system for quality improvement as the road map for systemwide continuous improvement. Other goals include providing greater access to data, creating a patient-centered database, providing real-time clinical decision support, and expanding the databases.

A Mass-balance nitrate model for predicting the effects of land use on ground-water quality in municipal wellhead-protection areas

USGS Publications Warehouse

Frimpter, M.H.; Donohue, J.J.; Rapacz, M.V.; Beye, H.G.

1990-01-01

A mass-balance accounting model can be used to guide the management of septic systems and fertilizers to control the degradation of groundwater quality in zones of an aquifer that contributes water to public supply wells. The nitrate nitrogen concentration of the mixture in the well can be predicted for steady-state conditions by calculating the concentration that results from the total weight of nitrogen and total volume of water entering the zone of contribution to the well. These calculations will allow water-quality managers to predict the nitrate concentrations that would be produced by different types and levels of development, and to plan development accordingly. Computations for different development schemes provide a technical basis for planners and managers to compare water quality effects and to select alternatives that limit nitrate concentration in wells. Appendix A contains tables of nitrate loads and water volumes from common sources for use with the accounting model. Appendix B describes the preparation of a spreadsheet for the nitrate loading calculations with a software package generally available for desktop computers. (USGS)

Development of VIS/NIR spectroscopic system for real-time prediction of fresh pork quality

NASA Astrophysics Data System (ADS)

Zhang, Haiyun; Peng, Yankun; Zhao, Songwei; Sasao, Akira

2013-05-01

Quality attributes of fresh meat will influence nutritional value and consumers' purchasing power. The aim of the research was to develop a prototype for real-time detection of quality in meat. It consisted of hardware system and software system. A VIS/NIR spectrograph in the range of 350 to 1100 nm was used to collect the spectral data. In order to acquire more potential information of the sample, optical fiber multiplexer was used. A conveyable and cylindrical device was designed and fabricated to hold optical fibers from multiplexer. High power halogen tungsten lamp was collected as the light source. The spectral data were obtained with the exposure time of 2.17ms from the surface of the sample by press down the trigger switch on the self-developed system. The system could automatically acquire, process, display and save the data. Moreover the quality could be predicted on-line. A total of 55 fresh pork samples were used to develop prediction model for real time detection. The spectral data were pretreated with standard normalized variant (SNV) and partial least squares regression (PLSR) was used to develop prediction model. The correlation coefficient and root mean square error of the validation set for water content and pH were 0.810, 0.653, and 0.803, 0.098 respectively. The research shows that the real-time non-destructive detection system based on VIS/NIR spectroscopy can be efficient to predict the quality of fresh meat.

Determinants of quality management systems implementation in hospitals.

PubMed

Wardhani, Viera; Utarini, Adi; van Dijk, Jitse Pieter; Post, Doeke; Groothoff, Johan Willem

2009-03-01

To identify the problems and facilitating factors in the implementation of quality management system (QMS) in hospitals through a systematic review. A search strategy was performed on the Medline database for articles written in English published between 1992 and early 2006. Using the thesaurus terms 'Total Quality Management' and 'Quality Assurance Health Care', combined with the term 'hospital' and 'implement*', we identified 533 publications. The screening process was based on empirical articles describing organization-wide QMS implementation. Fourteen empirical articles fulfilled the inclusion criteria and were reviewed in this paper. An organization culture emphasizing standards and values associated with affiliation, teamwork and innovation, assumption of change and risk taking, play as the key success factor in QMS implementation. This culture needs to be supported by sufficient technical competence to apply a scientific problem-solving approach. A clear distribution of QMS function within the organizational structure is more important than establishing a formal quality structure. In addition to management leadership, physician involvement also plays an important role in implementing QMS. Six supporting and limiting factors determining QMS implementation are identified in this review. These are the organization culture, design, leadership for quality, physician involvement, quality structure and technical competence.

Lab-on-a-chip based total-phosphorus analysis device utilizing a photocatalytic reaction

NASA Astrophysics Data System (ADS)

Jung, Dong Geon; Jung, Daewoong; Kong, Seong Ho

2018-02-01

A lab-on-a-chip (LOC) device for total phosphorus (TP) analysis was fabricated for water quality monitoring. Many commercially available TP analysis systems used to estimate water quality have good sensitivity and accuracy. However, these systems also have many disadvantages such as bulky size, complex pretreatment processes, and high cost, which limit their application. In particular, conventional TP analysis systems require an indispensable pretreatment step, in which the fluidic analyte is heated to 120 °C for 30 min to release the dissolved phosphate, because many phosphates are soluble in water at a standard temperature and pressure. In addition, this pretreatment process requires elevated pressures of up to 1.1 kg cm-2 in order to prevent the evaporation of the heated analyte. Because of these limiting conditions required by the pretreatment processes used in conventional systems, it is difficult to miniaturize TP analysis systems. In this study, we employed a photocatalytic reaction in the pretreatment process. The reaction was carried out by illuminating a photocatalytic titanium dioxide (TiO2) surface formed in a microfluidic channel with ultraviolet (UV) light. This pretreatment process does not require elevated temperatures and pressures. By applying this simplified, photocatalytic-reaction-based pretreatment process to a TP analysis system, greater degrees of freedom are conferred to the design and fabrication of LOC devices for TP monitoring. The fabricated LOC device presented in this paper was characterized by measuring the TP concentration of an unknown sample, and comparing the results with those measured by a conventional TP analysis system. The TP concentrations of the unknown sample measured by the proposed LOC device and the conventional TP analysis system were 0.018 mgP/25 mL and 0.019 mgP/25 mL, respectively. The experimental results revealed that the proposed LOC device had a performance comparable to the conventional bulky TP analysis system. Therefore, our device could be directly employed in water quality monitoring as an alternative to conventional TP analysis systems.

Quality-assurance data for routine water analyses by the U.S. Geological Survey laboratory in Troy, New York - July 2003 through June 2005

USGS Publications Warehouse

Lincoln, Tricia A.; Horan-Ross, Debra A.; McHale, Michael R.; Lawrence, Gregory B.

2009-01-01

The laboratory for analysis of low-ionic-strength water at the U.S. Geological Survey (USGS) Water Science Center in Troy, N.Y., analyzes samples collected by USGS projects throughout the Northeast. The laboratory's quality-assurance program is based on internal and interlaboratory quality-assurance samples and quality-control procedures that were developed to ensure proper sample collection, processing, and analysis. The quality-assurance and quality-control data were stored in the laboratory's Lab Master data-management system, which provides efficient review, compilation, and plotting of data. This report presents and discusses results of quality-assurance and quality control samples analyzed from July 2003 through June 2005. Results for the quality-control samples for 20 analytical procedures were evaluated for bias and precision. Control charts indicate that data for five of the analytical procedures were occasionally biased for either high-concentration or low-concentration samples but were within control limits; these procedures were: acid-neutralizing capacity, total monomeric aluminum, pH, silicon, and sodium. Seven of the analytical procedures were biased throughout the analysis period for the high-concentration sample, but were within control limits; these procedures were: dissolved organic carbon, chloride, nitrate (ion chromatograph), nitrite, silicon, sodium, and sulfate. The calcium and magnesium procedures were biased throughout the analysis period for the low-concentration sample, but were within control limits. The total aluminum and specific conductance procedures were biased for the high-concentration and low-concentration samples, but were within control limits. Results from the filter-blank and analytical-blank analyses indicate that the procedures for 17 of 18 analytes were within control limits, although the concentrations for blanks were occasionally outside the control limits. The data-quality objective was not met for dissolved organic carbon. Sampling and analysis precision are evaluated herein in terms of the coefficient of variation obtained for triplicate samples in the procedures for 18 of the 22 analytes. At least 85 percent of the samples met data-quality objectives for all analytes except total monomeric aluminum (82 percent of samples met objectives), total aluminum (77 percent of samples met objectives), chloride (80 percent of samples met objectives), fluoride (76 percent of samples met objectives), and nitrate (ion chromatograph) (79 percent of samples met objectives). The ammonium and total dissolved nitrogen did not meet the data-quality objectives. Results of the USGS interlaboratory Standard Reference Sample (SRS) Project indicated good data quality over the time period, with ratings for each sample in the satisfactory, good, and excellent ranges or less than 10 percent error. The P-sample (low-ionic-strength constituents) analysis had one marginal and two unsatisfactory ratings for the chloride procedure. The T-sample (trace constituents)analysis had two unsatisfactory ratings and one high range percent error for the aluminum procedure. The N-sample (nutrient constituents) analysis had one marginal rating for the nitrate procedure. Results of Environment Canada's National Water Research Institute (NWRI) program indicated that at least 84 percent of the samples met data-quality objectives for 11 of the 14 analytes; the exceptions were ammonium, total aluminum, and acid-neutralizing capacity. The ammonium procedure did not meet data quality objectives in all studies. Data-quality objectives were not met in 23 percent of samples analyzed for total aluminum and 45 percent of samples analyzed acid-neutralizing capacity. Results from blind reference-sample analyses indicated that data-quality objectives were met by at least 86 percent of the samples analyzed for calcium, chloride, fluoride, magnesium, pH, potassium, sodium, and sulfate. Data-quality objectives were not met by samples analyzed for fluoride. 

Economic analysis of the design and fabrication of a space qualified power system

NASA Technical Reports Server (NTRS)

Ruselowski, G.

1980-01-01

An economic analysis was performed to determine the cost of the design and fabrication of a low Earth orbit, 2 kW photovoltaic/battery, space qualified power system. A commercially available computer program called PRICE (programmed review of information for costing and evaluation) was used to conduct the analysis. The sensitivity of the various cost factors to the assumptions used is discussed. Total cost of the power system was found to be $2.46 million with the solar array accounting for 70.5%. Using the assumption that the prototype becomes the flight system, 77.3% of the total cost is associated with manufacturing. Results will be used to establish whether the cost of space qualified hardware can be reduced by the incorporation of commercial design, fabrication, and quality assurance methods.

Bacteriological contamination, dirt, and cracks of eggshells in furnished cages and noncage systems for laying hens: an international on-farm comparison.

PubMed

De Reu, K; Rodenburg, T B; Grijspeerdt, K; Messens, W; Heyndrickx, M; Tuyttens, F A M; Sonck, B; Zoons, J; Herman, L

2009-11-01

For laying hens, the effects of housing system on bacterial eggshell contamination and eggshell quality is almost exclusively studied in experimental hen houses. The aim of this study was to compare eggshell hygiene and quality under commercial conditions. Six flocks of laying hens in furnished cages and 7 flocks in noncage systems were visited when hens were about 60 wk of age. Farms from Belgium, the Netherlands, and Germany were included in the study. The following parameters were determined on eggs sampled at the egg belts: 1) bacterial eggshell contamination, as expressed by total count of aerobic bacteria and number of Enterobacteriaceae; 2) proportion of dirty eggs; and 3) proportion of cracked eggs and eggs with microcracks. Considerable within-flock differences were found in eggshell contamination with total count of aerobic bacteria, both for furnished cages (P < or = 0.001, range 4.24 to 5.22 log cfu/eggshell) and noncage systems (P < or = 0.001, range 4.35 to 5.51 log cfu/eggshell). On average, lower levels of contamination with total count of aerobic bacteria (4.75 vs. 4.98 log cfu/eggshell; P < or = 0.001) were found on eggshells from furnished cages compared with noncage systems. Concerning Enterobacteriaceae, no significant difference in average eggshell contamination between both systems could be shown. The total percentage of cracked eggs was higher (P < or = 0.01) in furnished cages (7.8%) compared with noncage systems (4.1%). This was, however, due to the high percentage of cracked eggs (24%) observed on one of the furnished cage farms. We conclude that bacteriological eggshell contamination and percentage of cracked eggs differed substantially between individual farms using the same housing system. This may also explain some discrepancies between the findings of the present study versus some findings of previous experimental studies or studies on a small number of farms. Although statistically significant, the average differences in bacteriological contamination of nest eggs between both housing systems have limited microbiological relevancy.

Accuracy and reliability of Chile's National Air Quality Information System for measuring particulate matter: Beta attenuation monitoring issue.

PubMed

Toro A, Richard; Campos, Claudia; Molina, Carolina; Morales S, Raul G E; Leiva-Guzmán, Manuel A

2015-09-01

A critical analysis of Chile's National Air Quality Information System (NAQIS) is presented, focusing on particulate matter (PM) measurement. This paper examines the complexity, availability and reliability of monitoring station information, the implementation of control systems, the quality assurance protocols of the monitoring station data and the reliability of the measurement systems in areas highly polluted by particulate matter. From information available on the NAQIS website, it is possible to confirm that the PM2.5 (PM10) data available on the site correspond to 30.8% (69.2%) of the total information available from the monitoring stations. There is a lack of information regarding the measurement systems used to quantify air pollutants, most of the available data registers contain gaps, almost all of the information is categorized as "preliminary information" and neither standard operating procedures (operational and validation) nor assurance audits or quality control of the measurements are reported. In contrast, events that cause saturation of the monitoring detectors located in northern and southern Chile have been observed using beta attenuation monitoring. In these cases, it can only be concluded that the PM content is equal to or greater than the saturation concentration registered by the monitors and that the air quality indexes obtained from these measurements are underestimated. This occurrence has been observed in 12 (20) public and private stations where PM2.5 (PM10) is measured. The shortcomings of the NAQIS data have important repercussions for the conclusions obtained from the data and for how the data are used. However, these issues represent opportunities for improving the system to widen its use, incorporate comparison protocols between equipment, install new stations and standardize the control system and quality assurance. Copyright © 2015 Elsevier Ltd. All rights reserved.

Water-quality monitoring and biological integrity assessment in the Indian River Lagoon, Florida: Status, trends, and loadings (1988--1994)

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

Sigua, G.C.; Steward, J.S.; Tweedale, W.A.

2000-02-01

The Indian River Lagoon (IRL) system that extends from Ponce DeLeon inlet to Jupiter inlet is comprised of three interconnected estuarine lagoons: The Mosquito Lagoon (ML), the Banana River Lagoon (BRL), and the Indian River Lagoon. The declines in both the aerial coverage and species diversity of seagrass communities within the IRL system are believed to be due in part to continued degradation of water quality. Large inflows of phosphorus (P) and nitrogen (N)-laden storm-water from urban areas an agricultural land have been correlated with higher chlorophyll a production in the central, south central, and the south segments of themore » lagoon. In a system as large and complex as the lagoon, N and P limitations are potentially subject to significant spatial and temporal variability. Total Kjeidahl nitrogen (TN) was higher in the north and lower in the south. The reverse pattern was observed for total P (TP), i.e., lowest in the north and highest at the south ends of the IRL. This increased P concentration in the SIRL appears to have a significantly large effect on chlorophyll a production compared with the other segments, as indicated by stepwise regression statistics. This relationship can be expressed as follows: South IRL [chlorophyll a] = {minus}8.52 + 162.41 [orthophosphate] + 7.86 [total nitrogen] + 0.38 [turbidity]; R{sup 2} = 0.98**.« less

Total Quality Management Office for Contracting Integrity Implementation Plan

DTIC Science & Technology

1989-07-01

REPORT______ANDDATESCOVERED 4. TITLE AND SUBTITLE S. FUNDING NUMBERS Total Quality Management Office for Contracting Integrity Implementatiun Plan 6. AUTHOR(S) 7...01-280-5500 Standard Form 298 (Rev. 2-89) P’,croed 1:, ANSI Std 3J9-16 29d. 102 4 TOTAL QUALITY MANAGEMENT OFFICE FOR CONTRACTING INTEGRITY...IMPLEMENTATION PLAN According to the Total Quality Management (TQM) Master Plan, each PSE head, supported by Working Groups, will implement the HQ DLA Master

Defense Depot Mechanicsburg Total Quality Management Implementation Plan

DTIC Science & Technology

1989-06-01

B T I TLEE 5 . FUNDING NUMBERS Defense Depot Mechanicsburg Total Quality Management Implementation Plan 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME...Form 298 (Rev. 2-89) L296- 102 Acces.ion For NYI J ... I:: ted DEFENSE DEPOT MECHANICSBURG PENNSYLVANIAL--I By_ TOTAL QUALITY MANAGEMENT K_~ t buty-n...IMPLEMENTATION PLAN Avmail-t!Ilty Codes IvLl c 2Dd/or JUN 3 0 1989 iDizt Special PURPOSE The purpose of this Total Quality Management Implementation

Total Quality Management Implementation Plan Defense Depot Memphis

DTIC Science & Technology

1989-07-01

W.ungilon. 0 t :0.O. )RT DATE 3. REPORT TYPE AND DATES COVERED I July 1989 _ 4. TITLE AND SUBTITLE 5. FUNDING NUMBERS Total Quality Management Implementation...improvement goals, implementation strategy and milestones. 6’ SEP 291989 /; ELECTE i= E 14. SUBJECT TERMS 15. NUMBER OF PAGES TQM (Total Quality Management ), Depot...changing work environment where change is the norm. We are talking about changes in attitudes and habits. Total Quality Management is not a panacea

Total Quality Management, DLA Finance Center

DTIC Science & Technology

1989-07-01

ton. DC 20503. DATE 3. REPORT TYPE AND DATES COVERED SJuly 1989 4. TITLE AND SUBTIT’LE 5. FUNDING NUMBERS Total Quality Management , DLA Finance Center 6...1989 ~ D 14. SUBJECT TERMS 15. NUMBER OF PAGES TQM (Total Quality Management ), Continuous Process Improvement. ., I Management 16. PRICE CODE 17...CONCEPTS TQM BASICS Total Quality Management (TQM) is a concept which is based on the work of a variety of people in a variety of fields. It includes

Total Quality Management Implementation Plan: DLA-N

DTIC Science & Technology

1989-07-01

e Wastimto , n. Othe 20 Seato3 4. TITLE AND SUBTITLE S. FUNDING NUMBERS DLA-N Total Quality Management 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S...PAGES TQM (Total Quality Management ), Continuous Process Improvement.(; , Defense National Stockpile 16. PRICE CODEI17. SECURITY CLASSIFICATION 18...IUNCLASSIFIED UL NSN 7540-01-280-5500 Standard Form 298 (Rev. 2-89) pr"!Cbed ty ANSI Std Z39’B6 296-102 DLA - N TOTAL QUALITY MANAGEMENT IMPLEMENTATION PLAN I

DRMS (Defense Reutilization and Marketing Service) Total Quality Management (TQM) Implementation Plan

DTIC Science & Technology

1989-07-01

FUNDING NUMBERS DRMS Total Quality Management (TQM) Implementation Plan 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING...OF PAGES TOM (Total Quality Management ), Continuous Process Improvement. ’f’ - Management 16. PRICE CODE 17. SECURITY CLASSIFICATION 18. SECURITY...7540-01-280-5500 Standard Form 298 (Rev. 2-89) Pr"cried by ANi SWt 139-i 296-101 DRMS TOTAL QUALITY MANAGEMENT (TQM) IMPLEMENTATION PLAN PURPOSE The

Parental sleep quality and continuous glucose monitoring system use in children with type 1 diabetes.

PubMed

Landau, Z; Rachmiel, M; Pinhas-Hamiel, O; Boaz, M; Bar-Dayan, Y; Wainstein, J; Tauman, R

2014-01-01

To compare sleep quality and sleep-wake patterns in parents of children with type 1 diabetes before routine use of the continuous glucose monitoring system (CGMS) and while using it. Thirteen parents completed the Pittsburg Sleep Quality Index (PSQI), a 7-day sleep diary, and wore an actigraph (a wristwatch-size motion detector) during the night for 1 week before pediatric use of CGMS and 4-8 weeks after initiating routine use of the CGMS. Mean age of parents (ten mothers, three fathers) was 39 (range 32-47) years; mean age of children was 9.3 years (range 5.5-16.5 years); mean disease duration was 3.4 (range 0.6-11.2) years. PSQI total score demonstrated similar quality of sleep with and without use of the CGMS (4.6 and 4.9, respectively, p = 0.45). Six of the 13 parents reported severe sleep problems (PSQI ≥ 5) with and without the CGMS. The sleep diary indicated a greater number of awakening episodes during CGMS use than without the CGMS (1.6 and 1, respectively, p = 0.03), and actigraphy documented an increase in the number of wake bouts (22.9 and 19.7, p = 0.03) as well as in total wake time (48.3 and 42.2 min, p = 0.03) during CGMS use as compared with the period prior to CGMS use. Although self-perception of sleep quality remained unchanged, CGMS use appeared to affect actual parental sleep continuity somewhat negatively. This should be made clear to parents who may hold expectations of improvement in sleep quality following initiation of CGMS use.

Identification of suitable fundus images using automated quality assessment methods.

PubMed

Şevik, Uğur; Köse, Cemal; Berber, Tolga; Erdöl, Hidayet

2014-04-01

Retinal image quality assessment (IQA) is a crucial process for automated retinal image analysis systems to obtain an accurate and successful diagnosis of retinal diseases. Consequently, the first step in a good retinal image analysis system is measuring the quality of the input image. We present an approach for finding medically suitable retinal images for retinal diagnosis. We used a three-class grading system that consists of good, bad, and outlier classes. We created a retinal image quality dataset with a total of 216 consecutive images called the Diabetic Retinopathy Image Database. We identified the suitable images within the good images for automatic retinal image analysis systems using a novel method. Subsequently, we evaluated our retinal image suitability approach using the Digital Retinal Images for Vessel Extraction and Standard Diabetic Retinopathy Database Calibration level 1 public datasets. The results were measured through the F1 metric, which is a harmonic mean of precision and recall metrics. The highest F1 scores of the IQA tests were 99.60%, 96.50%, and 85.00% for good, bad, and outlier classes, respectively. Additionally, the accuracy of our suitable image detection approach was 98.08%. Our approach can be integrated into any automatic retinal analysis system with sufficient performance scores.

Drinking water quality and formation of biofilms in an office building during its first year of operation, a full scale study.

PubMed

Inkinen, Jenni; Kaunisto, Tuija; Pursiainen, Anna; Miettinen, Ilkka T; Kusnetsov, Jaana; Riihinen, Kalle; Keinänen-Toivola, Minna M

2014-02-01

Complex interactions existing between water distribution systems' materials and water can cause a reduction in water quality and unwanted changes in materials, aging or corrosion of materials and formation of biofilms on surfaces. Substances leaching from pipe materials and water fittings, as well as the microbiological quality of water and formation of biofilms were evaluated by applying a Living Lab theme i.e. a research in a real life setting using a full scale system during its first year of operation. The study site was a real office building with one part of the building lined with copper pipes, the other with cross-linked polyethylene (PEX) pipes thus enabling material comparison; also differences within the cold and hot water systems were analysed. It was found that operational conditions, such as flow conditions and temperature affected the amounts of metals leaching from the pipe network. In particular, brass components were considered to be a source of leaching; e. g. the lead concentration was highest during the first few weeks after the commissioning of the pipe network when the water was allowed to stagnate. Assimilable organic carbon (AOC) and microbially available phosphorus (MAP) were found to leach from PEX pipelines with minor effects on biomass of the biofilm. Cultivable and viable biomass (heterotrophic plate count (HPC), and adenosine triphosphate (ATP)) levels in biofilms were higher in the cold than in the hot water system whereas total microbial biomass (total cell count (DAPI)) was similar with both systems. The type of pipeline material was not found to greatly affect the microbial biomass or Alpha-, Beta- and Gammaproteobacteria profiles (16s rRNA gene copies) after the first one year of operation. Also microbiological quality of water was found to deteriorate due to stagnation. Copyright © 2013 Elsevier Ltd. All rights reserved.

Educational intervention together with an on-line quality control program achieve recommended analytical goals for bedside blood glucose monitoring in a 1200-bed university hospital.

PubMed

Sánchez-Margalet, Víctor; Rodriguez-Oliva, Manuel; Sánchez-Pozo, Cristina; Fernández-Gallardo, María Francisca; Goberna, Raimundo

2005-01-01

Portable meters for blood glucose concentrations are used at the patients bedside, as well as by patients for self-monitoring of blood glucose. Even though most devices have important technological advances that decrease operator error, the analytical goals proposed for the performance of glucose meters have been recently changed by the American Diabetes Association (ADA) to reach <5% analytical error and <7.9% total error. We studied 80 meters throughout the Virgen Macarena Hospital and we found most devices with performance error higher than 10%. The aim of the present study was to establish a new system to control portable glucose meters together with an educational program for nurses in a 1200-bed University Hospital to achieve recommended analytical goals, so that we could improve the quality of diabetes care. We used portable glucose meters connected on-line to the laboratory after an educational program for nurses with responsibilities in point-of-care testing. We evaluated the system by assessing total error of the glucometers using high- and low-level glucose control solutions. In a period of 6 months, we collected data from 5642 control samples obtained by 14 devices (Precision PCx) directly from the control program (QC manager). The average total error for the low-level glucose control (2.77 mmol/l) was 6.3% (range 5.5-7.6%), and even lower for the high-level glucose control (16.66 mmol/l), at 4.8% (range 4.1-6.5%). In conclusion, the performance of glucose meters used in our University Hospital with more than 1000 beds not only improved after the intervention, but the meters achieved the analytical goals of the suggested ADA/National Academy of Clinical Biochemistry criteria for total error (<7.9% in the range 2.77-16.66 mmol/l glucose) and optimal total error for high glucose concentrations of <5%, which will improve the quality of care of our patients.

Accounting for the costs of quality.

PubMed

Suver, J D; Neumann, B R; Boles, K E

1992-09-01

Total quality management (TQM) represents a paradigm shift in the organizational values that shape every aspect of a healthcare provider's activities. The TQM approach to quality management subscribes to the theory that it is not the work of employees of an organization that leads to poor quality; rather, it is the poor design of systems and procedures. In a book recently published by HFMA, Management Accounting for Healthcare Organizations, third edition, authors Suver, Neumann and Boles point out that the changes in behavioral focus and organizational climate brought about by TQM will have a major impact on management accounting function in healthcare organizations. TQM will require new methods of accounting that will enable the effects of declining quality to be recognized and evaluated. It also will require new types of management accounting reports that will identify opportunities for quality improvement and will monitor the effectiveness of quality management endeavors. The following article has been adapted from the book cited above.

Classification and Mapping of Agricultural Land for National Water-Quality Assessment

USGS Publications Warehouse

Gilliom, Robert J.; Thelin, Gail P.

1997-01-01

Agricultural land use is one of the most important influences on water quality at national and regional scales. Although there is great diversity in the character of agricultural land, variations follow regional patterns that are influenced by environmental setting and economics. These regional patterns can be characterized by the distribution of crops. A new approach to classifying and mapping agricultural land use for national water-quality assessment was developed by combining information on general land-use distribution with information on crop patterns from agricultural census data. Separate classification systems were developed for row crops and for orchards, vineyards, and nurseries. These two general categories of agricultural land are distinguished from each other in the land-use classification system used in the U.S. Geological Survey national Land Use and Land Cover database. Classification of cropland was based on the areal extent of crops harvested. The acreage of each crop in each county was divided by total row-crop area or total orchard, vineyard, and nursery area, as appropriate, thus normalizing the crop data and making the classification independent of total cropland area. The classification system was developed using simple percentage criteria to define combinations of 1 to 3 crops that account for 50 percent or more or harvested acreage in a county. The classification system consists of 21 level I categories and 46 level II subcategories for row crops, and 26 level I categories and 19 level II subcategories for orchards, vineyards, and nurseries. All counties in the United States with reported harvested acreage are classified in these categories. The distribution of agricultural land within each county, however, must be evaluated on the basis of general land-use data. This can be done at the national scale using 'Major Land Uses of the United States,' at the regional scale using data from the national Land Use and Land Cover database, or at smaller scales using locally available data.

Delivery System Integration and Health Care Spending and Quality for Medicare Beneficiaries

PubMed Central

McWilliams, J. Michael; Chernew, Michael E.; Zaslavsky, Alan M.; Hamed, Pasha; Landon, Bruce E.

2013-01-01

Background The Medicare accountable care organization (ACO) programs rely on delivery system integration and provider risk sharing to lower spending while improving quality of care. Methods Using 2009 Medicare claims and linked American Medical Association Group Practice data, we assigned 4.29 million beneficiaries to provider groups based on primary care use. We categorized group size according to eligibility thresholds for the Shared Savings (≥5,000 assigned beneficiaries) and Pioneer (≥15,000) ACO programs and distinguished hospital-based from independent groups. We compared spending and quality of care between larger and smaller provider groups and examined how size-related differences varied by 2 factors considered central to ACO performance: group primary care orientation (measured by the primary care share of large groups’ specialty mix) and provider risk sharing (measured by county health maintenance organization penetration and its relationship to financial risk accepted by different group types for managed care patients). Spending and quality of care measures included total medical spending, spending by type of service, 5 process measures of quality, and 30-day readmissions, all adjusted for sociodemographic and clinical characteristics. Results Compared with smaller groups, larger hospital-based groups had higher total per-beneficiary spending in 2009 (mean difference: +$849), higher 30-day readmission rates (+1.3% percentage points), and similar performance on 4 of 5 process measures of quality. In contrast, larger independent physician groups performed better than smaller groups on all process measures and exhibited significantly lower per-beneficiary spending in counties where risk sharing by these groups was more common (−$426). Among all groups sufficiently large to participate in ACO programs, a strong primary care orientation was associated with lower spending, fewer readmissions, and better quality of diabetes care. Conclusions Spending was lower and quality of care better for Medicare beneficiaries served by larger independent physician groups with strong primary care orientations in environments where providers accepted greater risk. PMID:23780467

Understanding the relationships among phytoplankton, benthic macroinvertebrates, and water quality variables in peri-urban river systems.

PubMed

Pinto, Uthpala; Maheshwari, Basant L; Morris, E Charles

2014-12-01

In this article, using the Hawkesbury-Nepean River as a case study, the spatial and temporal trends of water quality variables over three sampling surveys in a peri-urban situation are examined for their effect on benthic macroinvertebrate communities and phytoplankton communities and whether phytoplankton and benthic macroinvertebrate species can be used as indicators for river health assessment. For this, the authors monitored the spatial and temporal difference of 10 water quality parameters: temperature, turbidity, pH, dissolved oxygen, electrical conductivity, oxidation reduction potential, total nitrogen, total phosphorus, manganese, and suspended solids. The variability in water quality parameters clearly indicated a complex pattern, depending on the season (interaction p = 0.001), which highlighted how the river condition is stressed at multiple points as a result of anthropogenic effects. In particular, the downstream locations indicated an accumulation of nutrients, the presence of increased sediments, and phytoplankton related variables such as total counts, bio-volumes, chlorophyll-a, and total phosphorus. The patterns of phytoplankton communities varied in a complex way depending on the season (interaction p = 0.001). Abundances of phytoplankton were also found in low concentrations where the water column is not severely disturbed by flow and tide. However, when the water clarity drops resulting from tidal cycles, inflows from tributaries, and intense boating activities, the phytoplankton abundances also increased considerably. On the other hand, benthic macroinvertebrates compositions were significantly different between locations (p = 0.001) with increased abundances associated with upstream sites. Aphanocapsa holsatica and chironomid larvae appeared as the important indicators for upstream and downstream site differences in water quality. Water temperature influenced the phytoplankton community pattern (ρ(w) = 0.408), whereas pH influenced the benthic macroinvertebrate community pattern (ρ(w) = 0.437). The findings of this study provide valuable insights into the interactions of water quality parameters on biotic assemblages and to the extent that benthic macroinvertebrates and phytoplankton assemblages are suitable as indicators for monitoring and assessing peri-urban river health.

Water-quality impacts from climate-induced forest die-off

NASA Astrophysics Data System (ADS)

Mikkelson, Kristin M.; Dickenson, Eric R. V.; Maxwell, Reed M.; McCray, John E.; Sharp, Jonathan O.

2013-03-01

Increased ecosystem susceptibility to pests and other stressors has been attributed to climate change, resulting in unprecedented tree mortality from insect infestations. In turn, large-scale tree die-off alters physical and biogeochemical processes, such as organic matter decay and hydrologic flow paths, that could enhance leaching of natural organic matter to soil and surface waters and increase potential formation of harmful drinking water disinfection by-products (DBPs). Whereas previous studies have investigated water-quantity alterations due to climate-induced, forest die-off, impacts on water quality are unclear. Here, water-quality data sets from water-treatment facilities in Colorado were analysed to determine whether the municipal water supply has been perturbed by tree mortality. Results demonstrate higher total organic carbon concentrations along with significantly more DBPs at water-treatment facilities using mountain-pine-beetle-infested source waters when contrasted with those using water from control watersheds. In addition to this differentiation between watersheds, DBP concentrations demonstrated an increase within mountain pine beetle watersheds related to the degree of infestation. Disproportionate DBP increases and seasonal decoupling of peak DBP and total organic carbon concentrations further suggest that the total organic carbon composition is being altered in these systems.

Assessment of Air Quality in the Shuttle and International Space Station (ISS) Based on Samples Returned by STS-100 at the Conclusion of 6A

NASA Technical Reports Server (NTRS)

James, John T.

2001-01-01

The toxicological assessment of air samples returned at the end of the STS-100 (6A) flight to the ISS is reported. ISS air samples were taken in March and April 2001 from the Service Module, FGB, and U.S. Laboratory using grab sample canisters (GSCs) and/or formaldehyde badges. An unplanned "first-entry" sample of the MPLM2 (multipurpose logistics module) atmosphere was taken with a GSC, and preflight and end-of-mission samples were obtained from Endeavour using GSCs. Analytical methods have not changed from earlier reports, and all quality control measures were met for the data presented herein. The two general criteria used to assess air quality are the total-non-methane-volatile organic hydrocarbons (NMVOCs) and the total T-value (minus the CO2 and formaldehyde contribution). Because of the Freon 218 (octafluoropropane, OFP) leak, its contribution to the NMVOC is indicated in brackets. When comparing the NMVOC values with the 25 mg/cubic m guideline, the OFP contributions should be subtracted. Control of atmospheric alcohols is important to the water recovery system engineers, hence total alcohols were also assessed in each sample.

Computer vision system: a tool for evaluating the quality of wheat in a grain tank

NASA Astrophysics Data System (ADS)

Minkin, Uryi Igorevish; Panchenko, Aleksei Vladimirovich; Shkanaev, Aleksandr Yurievich; Konovalenko, Ivan Andreevich; Putintsev, Dmitry Nikolaevich; Sadekov, Rinat Nailevish

2018-04-01

The paper describes a technology that allows for automatizing the process of evaluating the grain quality in a grain tank of a combine harvester. Special recognition algorithm analyzes photographic images taken by the camera, and that provides automatic estimates of the total mass fraction of broken grains and the presence of non-grains. The paper also presents the operating details of the tank prototype as well as it defines the accuracy of the algorithms designed.

A Documentation System to Save Time and Ensure Proper Application of the Fiberoptic Endoscopic Evaluation of Swallowing (FEES®)

PubMed Central

Hey, Christiane; Pluschinski, Petra; Stanschus, Soenke; Euler, Harald A.; Sader, Robert A.; Langmore, Susan; Neumann, Katrin

2011-01-01

A properly performed fiberoptic endoscopic evaluation of swallowing (FEES®) is comprehensive and time-consuming. Editing times of FEES protocols and attempts for efficiency maximization are unknown. Here, the protocol editing times of completed FEES examinations were determined. The present study reports the time savings and quality gains of a newly developed documentation system tailored to the FEES standard of Langmore. Four independent examiners analyzed twelve videos of FEES procedures, six without and six with the documentation system. Effectiveness of the documentation system was evaluated according to the times for total evaluation, interpretation, documentation, report writing, and for report completeness. The documentation system reduced editing times and increased report completeness with large effect sizes. Averaged total evaluation time decreased from 42 to 27 min, report completeness increased from 55 to 80%. The use of the documentation system facilitates and improves the assessment of the swallowing process. PMID:20938202

Redesign of the System for Evaluation of Teaching Qualities in Anesthesiology Residency Training (SETQ Smart).

PubMed

Lombarts, Kiki M J M H; Ferguson, Andrew; Hollmann, Markus W; Malling, Bente; Arah, Onyebuchi A

2016-11-01

Given the increasing international recognition of clinical teaching as a competency and regulation of residency training, evaluation of anesthesiology faculty teaching is needed. The System for Evaluating Teaching Qualities (SETQ) Smart questionnaires were developed for assessing teaching performance of faculty in residency training programs in different countries. This study investigated (1) the structure, (2) the psychometric qualities of the new tools, and (3) the number of residents' evaluations needed per anesthesiology faculty to use the instruments reliably. Two SETQ Smart questionnaires-for faculty self-evaluation and for resident evaluation of faculty-were developed. A multicenter survey was conducted among 399 anesthesiology faculty and 430 residents in six countries. Statistical analyses included exploratory factor analysis, reliability analysis using Cronbach α, item-total scale correlations, interscale correlations, comparison of composite scales to global ratings, and generalizability analysis to assess residents' evaluations needed per faculty. In total, 240 residents completed 1,622 evaluations of 247 faculty. The SETQ Smart questionnaires revealed six teaching qualities consisting of 25 items. Cronbach α's were very high (greater than 0.95) for the overall SETQ Smart questionnaires and high (greater than 0.80) for the separate teaching qualities. Interscale correlations were all within the acceptable range of moderate correlation. Overall, questionnaire and scale scores correlated moderately to highly with the global ratings. For reliable feedback to individual faculty, three to five resident evaluations are needed. The first internationally piloted questionnaires for evaluating individual anesthesiology faculty teaching performance can be reliably, validly, and feasibly used for formative purposes in residency training.

A three-model comparison of the relationship between quality, satisfaction and loyalty: an empirical study of the Chinese healthcare system.

PubMed

Lei, Ping; Jolibert, Alain

2012-11-30

Previous research has addressed the relationship between customer satisfaction, perceived quality and customer loyalty intentions in consumer markets. In this study, we test and compare three theoretical models of the quality-satisfaction-loyalty relationship in the Chinese healthcare system. This research focuses on hospital patients as participants in the process of healthcare procurement. Empirical data were obtained from six Chinese public hospitals in Shanghai. A total of 630 questionnaires were collected in two studies. Study 1 tested the research instruments, and Study 2 tested the three models. Confirmatory factor analysis was used to assess the scales' construct validity by testing convergent and discriminant validity. A structural equation model (SEM) specified the distinctions between each construct. A comparison of the three theoretical models was conducted via AMOS analysis. The results of the SEM demonstrate that quality and satisfaction are distinct concepts and that the first model (satisfaction mediates quality and loyalty) is the most appropriate one in the context of the Chinese healthcare environment. In this study, we test and compare three theoretical models of the quality-satisfaction-loyalty relationship in the Chinese healthcare system. Findings show that perceived quality improvement does not lead directly to customer loyalty. The strategy of using quality improvement to maintain patient loyalty depends on the level of patient satisfaction. This implies that the measurement of patient experiences should include topics of importance for patients' satisfaction with health care services.

Temporal changes in the vertical distribution of flow and chloride in deep wells.

PubMed

Izbicki, John A; Christensen, Allen H; Newhouse, Mark W; Smith, Gregory A; Hanson, Randall T

2005-01-01

The combination of flowmeter and depth-dependent water-quality data was used to evaluate the quantity and source of high-chloride water yielded from different depths to eight production wells in the Pleasant Valley area of southern California. The wells were screened from 117 to 437 m below land surface, and in most cases, flow from the aquifer into the wells was not uniformly distributed throughout the well screen. Wells having as little as 6 m of screen in the overlying upper aquifer system yielded as much as 50% of their water from the upper system during drought periods, while the deeper parts of the well screens yielded 15% or less of the total yield of the wells. Mixing of water within wells during pumping degraded higher-quality water with poorer-quality water from deeper depths, and in some cases with poorer-quality water from the overlying upper aquifer system. Changes in the mixture of water within a well, resulting from changes in the distribution of flow into the well, changed the quality of water from the surface discharge of wells over time. The combination of flowmeter and depth-dependent water quality data yielded information about sources of high-chloride water to wells that was not available on the basis of samples collected from nearby observation wells. Changing well design to eliminate small quantities of poor-quality water from deeper parts of the well may improve the quality of water from some wells without greatly reducing well yield.

Why Quality Is within Our Grasp ... If We Reach.

ERIC Educational Resources Information Center

Rhodes, Lewis A.

1990-01-01

Today's calls for school restructuring demand a greater response than piecemeal tinkering. The impetus for total organizational change started over 30 years ago in Japan as industrial leaders adapted W. Edwards Deming's beliefs and strategies concerning psychology, systems, perceptual theoretical frameworks, and causes of variation. Quality…

Rochester Focuses: A Community's Core Competence.

ERIC Educational Resources Information Center

Gabor, Andrea

1991-01-01

Rochester, New York, is globally competitive in optics manufacturing because of cooperative, strategic use of community resources: (1) collaboration of the University of Rochester and industry in the Center for Optics Manufacturing; (2) business cooperation in reform of the schools system; and (3) emphasis on total quality. (SK)

Automatic generation of nursing narratives from entity-attribute-value triplet for electronic nursing records system.

PubMed

Min, Yul Ha; Park, Hyeoun-Ae; Lee, Joo Yun; Jo, Soo Jung; Jeon, Eunjoo; Byeon, Namsoo; Choi, Seung Yong; Chung, Eunja

2014-01-01

The aim of this study is to develop and evaluate a natural language generation system to populate nursing narratives using detailed clinical models. Semantic, contextual, and syntactical knowledges were extracted. A natural language generation system linking these knowledges was developed. The quality of generated nursing narratives was evaluated by the three nurse experts using a five-point rating scale. With 82 detailed clinical models, in total 66,888 nursing narratives in four different types of statement were generated. The mean scores for overall quality was 4.66, for content 4.60, for grammaticality 4.40, for writing style 4.13, and for correctness 4.60. The system developed in this study generated nursing narratives with different levels of granularity. The generated nursing narratives can improve semantic interoperability of nursing data documented in nursing records.

Performance evaluation of a hybrid system for efficient palm oil mill effluent treatment via an air-cathode, tubular upflow microbial fuel cell coupled with a granular activated carbon adsorption.

PubMed

Tee, Pei-Fang; Abdullah, Mohammad Omar; Tan, Ivy Ai Wei; Mohamed Amin, Mohamed Afizal; Nolasco-Hipolito, Cirilo; Bujang, Kopli

2016-09-01

An air-cathode MFC-adsorption hybrid system, made from earthen pot was designed and tested for simultaneous wastewater treatment and energy recovery. Such design had demonstrated superior characteristics of low internal resistance (29.3Ω) and favor to low-cost, efficient wastewater treatment and power generation (55mW/m(3)) with average current of 2.13±0.4mA. The performance between MFC-adsorption hybrid system was compared to the standalone adsorption system and results had demonstrated great pollutants removals of the integrated system especially for chemical oxygen demand (COD), biochemical oxygen demand (BOD3), total organic carbon (TOC), total volatile solids (TVS), ammoniacal nitrogen (NH3-N) and total nitrogen (TN) because such system combines the advantages of each individual unit. Besides the typical biological and electrochemical processes that happened in an MFC system, an additional physicochemical process from the activated carbon took place simultaneously in the MFC-adsorption hybrid system which would further improved on the wastewater quality. Copyright © 2016 Elsevier Ltd. All rights reserved.

Effects of anti-tumour necrosis factor-alpha therapy on the quality of life in Crohn's disease.

PubMed

van Balkom, B P J; Schoon, E J; Stockbrügger, R W; Wolters, F L; van Hogezand, R A; van Deventer, S J H; Oldenburg, B; van Dullemen, H M; Russel, M G V M

2002-06-01

Infusion of anti-tumour necrosis factor-alpha appears to be highly effective in patients with Crohn's disease. To assess the effect of infliximab on the quality of life in patients with active or fistulizing disease, as measured by the inflammatory bowel disease questionnaire, and to examine the impact on its four dimensions. An observational study was conducted in 65 patients. An infusion of 5 mg/kg infliximab was given at week 0 in patients with active disease and at week 0, 2 and 6 in fistulizing disease. Changes from baseline in the total and dimensional inflammatory bowel disease questionnaire scores were calculated and compared between the patient groups. Potential predictors of change in the quality of life were identified. In the active disease group, at week 4, the mean total and dimensional inflammatory bowel disease questionnaire scores improved compared to baseline (P < 0.001). In the fistulizing group, at week 6, all scores changed from baseline (P < 0.05). Improvement in the total inflammatory bowel disease questionnaire score correlated well with the improvement of the Crohn's disease activity index. Systemic and social scores improved more than bowel and emotional scores. Inflammatory Crohn's disease and a young age at diagnosis were predictors for a better response to infliximab therapy. Infliximab therapy improves all dimensions of the quality of life in patients with Crohn's disease.

The new organization of the health care delivery system.

PubMed

Shortell, S M; Hull, K E

1996-01-01

The U.S. health care system is restructuring at a dizzying pace. In many parts of the country, managed care has moved into third-generation models emphasizing capitated payment for enrolled lives and, in the process, turning most providers and institutions into cost centers to be managed rather than generators of revenue. While the full impact of the new managed care models remains to be seen, most evidence to date suggests that it tends to reduce inpatient use, may be associated with greater use of physician services and preventive care, and appears to result in no net differences either positive or negative with regard to quality or outcomes of care in comparison with fee-for-service plans. Some patients, however, tend to be somewhat less satisfied with scheduling of appointments and the amount of time spent with providers. There is no persuasive evidence that managed care lowers the rate of growth in overall health care costs within a given market. Further, managed care performance varies considerably across the country, and the factors influencing managed care performance are not well understood. Organized delivery systems are a somewhat more recent phenomenon representing various forms of ownership and strategic alliances among hospitals, physicians, and insurers designed to provide more cost-effective care to defined populations by achieving desired levels of functional, physician-system, and clinical integration. Early evidence suggests that organized delivery systems that are more integrated have the potential to provide more accessible coordinated care across the continuum, and appear to be associated with higher levels of inpatient productivity, greater total system revenue, greater total system cash flow, and greater total system operating margin than less integrated delivery forms. Some key success factors for developing organized delivery systems have been identified. Important roles are played by organizational culture, information systems, internal incentives, total quality management, physician leadership, and the growth of group practices. This chapter describes the growth and evolution of managed care and organized delivery systems, the research evidence regarding managed care and organized delivery systems, and the likely future organization of the health system in light of recent trends and evidence. It also highlights some of the more important public policy implications of the new health care infrastructure.

Impact of production systems on swine confinement buildings bioaerosols.

PubMed

Létourneau, Valérie; Nehmé, Benjamin; Mériaux, Anne; Massé, Daniel; Duchaine, Caroline

2010-02-01

Hog production has been substantially intensified in Eastern Canada. Hogs are now fattened in swine confinement buildings with controlled ventilation systems and high animal densities. Newly designed buildings are equipped with conventional manure handling and management systems, shallow or deep litter systems, or source separation systems to manage the large volumes of waste. However, the impacts of those alternative production systems on bioaerosol concentrations within the barns have never been evaluated. Bioaerosols were characterized in 18 modern swine confinement buildings, and the differences in bioaerosol composition in the three different production systems were evaluated. Total dust, endotoxins, culturable actinomycetes, fungi, and bacteria were collected with various apparatuses. The total DNA of the air samples was extracted, and quantitative polymerase chain reaction (PCR) was used to assess the total number of bacterial genomes, as a total (culturable and nonculturable) bacterial assessment. The measured total dust and endotoxin concentrations were not statistically different in the three studied production systems. In buildings with sawdust beds, actinomycetes and molds were found in higher concentrations than in the conventional barns. Aspergillus, Cladosporium, Penicillium, and Scopulariopsis species were identified in all the studied swine confinement buildings. A. flavus, A. terreus, and A. versicolor were abundantly present in the facilities with sawdust beds. Thermotolerant A. fumigatus and Mucor were usually found in all the buildings. The culturable bacteria concentrations were higher in the barns with litters than in the conventional buildings, while real-time PCR revealed nonstatistically different concentrations of total bacteria in all the studied swine confinement buildings. In terms of workers' respiratory health, barns equipped with a solid/liquid separation system may offer better air quality than conventional buildings or barns with sawdust beds. The impact of ventilation rates, air distribution, or building design still has to be explored.

Integrationof Remote Sensing and Geographic information system in Ground Water Quality Assessment and Management

NASA Astrophysics Data System (ADS)

Shakak, N.

2015-04-01

Spatial variations in ground water quality in the Khartoum state, Sudan, have been studied using geographic information system (GIS) and remote sensing technique. Gegraphical informtion system a tool which is used for storing, analyzing and displaying spatial data is also used for investigating ground water quality information. Khartoum landsat mosac image aquired in 2013was used, Arc/Gis software applied to extract the boundary of the study area, the image was classified to create land use/land cover map. The land use map,geological and soil map are used for correlation between land use , geological formations, and soil types to understand the source of natural pollution that can lower the ground water quality. For this study, the global positioning system (GPS), used in the field to identify the borehole location in a three dimentional coordinate (Latitude, longitude, and altitude), water samples were collected from 156 borehole wells, and analyzed for physico-chemical parameters like electrical conductivity, Total dissolved solid,Chloride, Nitrate, Sodium, Magnisium, Calcium,and Flouride, using standard techniques in the laboratory and compared with the standards.The ground water quality maps of the entire study area have been prepared using spatial interpolation technique for all the above parameters.then the created maps used to visualize, analyze, and understand the relationship among the measured points. Mapping was coded for potable zones, non-potable zones in the study area, in terms of water quality sutability for drinking water and sutability for irrigation. In general satellite remote sensing in conjunction with geographical information system (GIS) offers great potential for water resource development and management.

Quality management in home care: models for today's practice.

PubMed

Verhey, M P

1996-01-01

In less than a decade, home care providers have been a part of two major transitions in health care delivery. First, because of the advent of managed care and a shift from inpatient to community-based services, home care service delivery systems have experienced tremendous growth. Second, the principles and practices of total quality management and continuous quality improvement have permeated the organization, administration, and practice of home health care. Based on the work of Deming, Juran, and Crosby, the basic tenets of the new quality management philosophy involve a focus on the following five key areas: (1) systems and processes rather than individual performance; (2) involvement, collaboration, and empowerment; (3) internal and external "customers"; (4) data and measurement; and (5) standards, guidelines, and outcomes of care. Home care providers are among those in the forefront who are developing and implementing programs that integrate these foci into the delivery of quality home care services. This article provides a summary of current home care programs that address these five key areas of quality management philosophy and provide models for innovative quality management practice in home care. For further information about each program, readers are referred to the original reports in the home care and quality management journal literature, as cited herein.

Isolation of high-quality total RNA from leaves of Myrciaria dubia "CAMU CAMU".

PubMed

Gómez, Juan Carlos Castro; Reátegui, Alina Del Carmen Egoavil; Flores, Julián Torres; Saavedra, Roberson Ramírez; Ruiz, Marianela Cobos; Correa, Sixto Alfredo Imán

2013-01-01

Myrciaria dubia is a main source of vitamin C for people in the Amazon region. Molecular studies of M. dubia require high-quality total RNA from different tissues. So far, no protocols have been reported for total RNA isolation from leaves of this species. The objective of this research was to develop protocols for extracting high-quality total RNA from leaves of M. dubia. Total RNA was purified following two modified protocols developed for leaves of other species (by Zeng and Yang, and by Reid et al.) and one modified protocol developed for fruits of the studied species (by Silva). Quantity and quality of purified total RNA were assessed by spectrophotometric and electrophoretic analysis. Additionally, quality of total RNA was evaluated with reverse-transcription polymerase chain reaction (RT-PCR). With these three modified protocols we were able to isolate high-quality RNA (A260nm/A280nm >1.9 and A260nm/A230nm >2.0). Highest yield was produced with the Zeng and Yang modified protocol (384±46µg ARN/g fresh weight). Furthermore, electrophoretic analysis showed the integrity of isolated RNA and the absence of DNA. Another proof of the high quality of our purified RNA was the successful cDNA synthesis and amplification of a segment of the M. dubia actin 1 gene. We report three modified protocols for isolation total RNA from leaves of M. dubia. The modified protocols are easy, rapid, low in cost, and effective for high-quality and quantity total RNA isolation suitable for cDNA synthesis and polymerase chain reaction.

Does a quality management system improve quality in primary care practices in Switzerland? A longitudinal study.

PubMed

Goetz, Katja; Hess, Sigrid; Jossen, Marianne; Huber, Felix; Rosemann, Thomas; Brodowski, Marc; Künzi, Beat; Szecsenyi, Joachim

2015-04-21

To examine the effectiveness of the quality management programme--European Practice Assessment--in primary care in Switzerland. Longitudinal study with three points of measurement. Primary care practices in Switzerland. In total, 45 of 91 primary care practices completed European Practice Assessment three times. The interval between each assessment was around 36 months. A variance analyses for repeated measurements were performed for all 129 quality indicators from the domains: 'infrastructure', 'information', 'finance', and 'quality and safety' to examine changes over time. Significant improvements were found in three of four domains: 'quality and safety' (F=22.81, p<0.01), 'information' (F=27.901, p<0.01) and 'finance' (F=4.073, p<0.02). The 129 quality indicators showed a significant improvement within the three points of measurement (F=33.864, p<0.01). The European Practice Assessment for primary care practices thus provides a functioning quality management programme, focusing on the sustainable improvement of structural and organisational aspects to promote high quality of primary care. The implementation of a quality management system which also includes a continuous improvement process would give added value to provide good care. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Centralized automated quality assurance for large scale health care systems. A pilot method for some aspects of dental radiography.

PubMed

Benn, D K; Minden, N J; Pettigrew, J C; Shim, M

1994-08-01

President Clinton's Health Security Act proposes the formation of large scale health plans with improved quality assurance. Dental radiography consumes 4% ($1.2 billion in 1990) of total dental expenditure yet regular systematic office quality assurance is not performed. A pilot automated method is described for assessing density of exposed film and fogging of unexposed processed film. A workstation and camera were used to input intraoral radiographs. Test images were produced from a phantom jaw with increasing exposure times. Two radiologists subjectively classified the images as too light, acceptable, or too dark. A computer program automatically classified global grey level histograms from the test images as too light, acceptable, or too dark. The program correctly classified 95% of 88 clinical films. Optical density of unexposed film in the range 0.15 to 0.52 measured by computer was reliable to better than 0.01. Further work is needed to see if comprehensive centralized automated radiographic quality assurance systems with feedback to dentists are feasible, are able to improve quality, and are significantly cheaper than conventional clerical methods.

Machine vision method for online surface inspection of easy open can ends

NASA Astrophysics Data System (ADS)

Mariño, Perfecto; Pastoriza, Vicente; Santamaría, Miguel

2006-10-01

Easy open can end manufacturing process in the food canning sector currently makes use of a manual, non-destructive testing procedure to guarantee can end repair coating quality. This surface inspection is based on a visual inspection made by human inspectors. Due to the high production rate (100 to 500 ends per minute) only a small part of each lot is verified (statistical sampling), then an automatic, online, inspection system, based on machine vision, has been developed to improve this quality control. The inspection system uses a fuzzy model to make the acceptance/rejection decision for each can end from the information obtained by the vision sensor. In this work, the inspection method is presented. This surface inspection system checks the total production, classifies the ends in agreement with an expert human inspector, supplies interpretability to the operators in order to find out the failure causes and reduce mean time to repair during failures, and allows to modify the minimum can end repair coating quality.

Postharvest evaluation of soilless-grown table grape during storage in modified atmosphere.

PubMed

Cefola, Maria; Pace, Bernardo; Buttaro, Donato; Santamaria, Pietro; Serio, Francesco

2011-09-01

Soilless growth systems, developed mainly for vegetables and ornamental crops, have also been used recently as an alternative to soil culture for table grape in order to achieve optimal production performance. In this study, sensory, physical and chemical parameters were analysed in table grapes obtained from soil and soilless growth systems at harvest and during storage in air or modified atmosphere. At harvest, soilless-grown berries were 30% firmer than those grown in soil. Moreover, they showed 60% higher antioxidant activity and total phenol content than soil-grown fruits. Modified atmosphere storage resulted in a better quality of table grapes compared with those stored in air. Furthermore, soilless growth was more suitable than soil growth for preserving visual quality and controlling rachis browning and weight loss. Since the soilless system produces berries that are cleaner and of higher quality than those grown in soil, the implementation of soilless growth for the production of health-promoting and convenience fruits is suggested. Copyright © 2011 Society of Chemical Industry.

The Autonomous Maintenance Implementation Directory as a Step Toward the Intelligent Quality Management System

NASA Astrophysics Data System (ADS)

Molenda, Michał

2016-12-01

The article describes the effects of the improvement of the production process which one of the industrial enterprises obtained by implementing the method of Autonomous Maintenance (AM), which is one of the pillars of the concept of Total Productive Maintenance (TPM). AM method was presented as an aid to the formation of intelligent, self-improving procesess of the quality management system (QMS). The main part of this article is to present results of studies that have been conducted in one of the large industrial enterprises in Poland, manufacturing for the automotive industry. The aim of the study was to evaluate the effectiveness of the implementation of the AM method as a tool for selfimprovement of industrial processes in the following company. The study was conducted in 2015. The gathering and comparison of data from the period of two years, ie. the year before and the year after the implementation of AM, helped to determine the effectiveness of AM in building intelligent quality management system.

W. Edwards Deming, quality analysis, and total behavior management.

PubMed

Saunders, R R; Saunders, J L

1994-01-01

During the past 10 years, the inclusion of the word "quality" in descriptions of production methods, management approaches, educational systems, service system changes, and so forth, has grown exponentially. It appears that no new approach to any problem is likely to be given much consideration today without overt acknowledgment that some improvement in quality must be the outcome. The origins of the importance of quality are primarily rooted in the awakening recognition of the influence of W. Edwards Deming in the post-World War II restoration of Japanese industry. We provide a brief overview of Deming's approach to modernizing management methods and discuss recent criticisms from the field of organizational behavior management that his approach lacks emphasis on the role of reinforcement. We offer a different analysis of Deming's approach and relate its evolution to the contingencies of reinforcement for the behavior of consulting. We also provide an example of problem solving with Deming's approach in a social service setting familiar to many behavior analysts.

Cloth media filtration and membrane microfiltration: serial operation.

PubMed

Tooker, Nicholas Brewster; Darby, Jeannie L

2007-02-01

A combined system comprised of a cloth media filter and a membrane microfilter operated in series was used to treat secondary effluent. The study objective was to investigate the effect of premembrane filtration on the maximum sustainable membrane flux, transmembrane pressure, and effluent quality. The maximum sustainable time-averaged flux under predefined operating conditions (i.e., 15-minute process cycle, 24-hour chemical cleaning cycle, and 30-day intensive cleaning cycle) was 127 L/m(2)x h. Typical flux rates for secondary effluent ranged from 40 to 55 L/m(2) x h. Effluent water quality from the combined system was high and independent of membrane flux and influent quality. Average membrane effluent water quality values were 0.04 NTU for turbidity and 1.4 mg/L for 5-day biochemical oxygen demand. Neither total nor fecal coliforms were detected. Based on the results presented herein, prefiltration would provide an annualized cost savings of approximately 12% over microfiltration alone for a 3.8 x 10(3) m(3)/d treatment facility.

Performance of vegetated swales for improving road runoff quality in a moderate traffic urban area.

PubMed

Leroy, Marie-Charlotte; Portet-Koltalo, Florence; Legras, Marc; Lederf, Franck; Moncond'huy, Vincent; Polaert, Isabelle; Marcotte, Stéphane

2016-10-01

In recent years, due to their economic and ecological advantages, green infrastructures for stormwater management have been widely implemented. The present study focused on vegetated swales and compared two vegetated covers, grassed or planted with macrophytes in order to evaluate their performance in terms of water quality improvement. These swales collected runoff of a moderately busy road (<2500vehday(-1)) in a commercial area. Twelve storm events were analyzed over a two year period with measurement of total suspended solids (TSS), chemical oxygen demand (COD), biochemical oxygen demand (BOD), total hydrocarbons (THC), total phosphorous (TP), total Kjeldahl nitrogen (TKN), trace elements and 16 polycyclic aromatic hydrocarbons (PAHs). The grass cover led to poor results due to lower retention of soil particles on which trace elements and PAHs are bounded. The swales planted with macrophytes, with a deeper root system more capable of retaining soil particles, led to reductions of concentrations from 17 to 45% for trace elements such as lead, zinc and copper and 30% for the 16 PAHs in infiltrated waters. In addition, the macrophyte cover showed lower variability of pollutant concentrations in infiltrated waters compared to incoming waters. This buffering capacity is interesting to mitigate the impact of moderate peak pollution on surface water or ground water quality. Copyright © 2016 Elsevier B.V. All rights reserved.

Organic Seston Dynamics in Upland Neotropical Streams: Implications for Amphibian Declines

NASA Astrophysics Data System (ADS)

Peterson, S. D.; Colon-Gaud, C.; Whiles, M. R.; Hunte-Brown, M.; Connelly, S.; Kilham, S.; Pringle, C. M.; Lips, K. R.; Brenes, R.

2005-05-01

Organic seston represents food for filter feeders and a mechanism for downstream transport of energy and nutrients. As part of a study assessing the ecological impacts of stream-breeding anuran extirpations, we examined seston dynamics in 2 stream reaches with tadpoles (El Cope) and 2 without (Fortuna) in the Panamanian uplands. All reaches are high gradient with annual average discharge ranging from 46-102 L/s. Samples were collected multiple times per month at various discharges, sieved into fine (<754μm, >98μm) and very fine (<98μm, >1.6μm) fractions, and processed to estimate ash-free dry mass (AFDM), total C, and total N. Average annual concentrations ranged from 0.52- 2.51 mg/L (fine) and 2.04-3.14 mg/L (very fine), and total export ranged from 0.27-7,981 mg/s across all streams. On average, very fine particles comprised 78% of export from El Cope sites and 61% from Fortuna streams. Average total N export ranged from 5.32-30.53 mg/s in El Cope sites and 1.71-6.04 mg/s at Fortuna. Average particle quality (C/N) in El Cope streams was higher (7.6) than Fortuna streams (11.5). Lower export of very fine particles and lower seston quality in Fortuna streams suggests the loss of tadpoles may influence seston dynamics and quality in these systems.

Can green roof act as a sink for contaminants? A methodological study to evaluate runoff quality from green roofs.

PubMed

Vijayaraghavan, K; Joshi, Umid Man

2014-11-01

The present study examines whether green roofs act as a sink or source of contaminants based on various physico-chemical parameters (pH, conductivity and total dissolved solids) and metals (Na, K, Ca, Mg, Al, Fe, Cr, Cu, Ni, Zn, Cd and Pb). The performance of green roof substrate prepared using perlite, vermiculite, sand, crushed brick, and coco-peat, was compared with local garden soil based on improvement of runoff quality. Portulaca grandiflora was used as green roof vegetation. Four different green roof configurations, with vegetated and non-vegetated systems, were examined for several artificial rain events (un-spiked and metal-spiked). In general, the vegetated green roof assemblies generated better-quality runoff with less conductivity and total metal ion concentration compared to un-vegetated assemblies. Of the different green roof configurations examined, P. grandiflora planted on green roof substrate acted as sink for various metals and showed the potential to generate better runoff. Copyright © 2014 Elsevier Ltd. All rights reserved.

The quest for quality and productivity in health services.

PubMed

Sahney, V K; Warden, G L

1991-01-01

The leaders of health care organizations across the country are facing significant pressures to improve the quality of their services while reducing the rate of cost increases within the industry. Total Quality Management (TQM) has been credited, by many leaders in the manufacturing industry, as an effective tool to manage their organizations. This article presents key concepts of TQM as discussed by quality experts, namely, Deming, Juran, and Crosby. It discusses 12 key concepts that have formed the foundation of TQM implementation at Henry Ford Health System. The process of implementation is presented in detail, and the role of TQM in clinical applications is discussed. Success factors and visible actions by senior management designed to reinforce the implementation of TQM in any organization are presented.

Total quality management in orthodontic practice.

PubMed

Atta, A E

1999-12-01

Quality is the buzz word for the new Millennium. Patients demand it, and we must serve it. Yet one must identify it. Quality is not imaging or public relations; it is a business process. This short article presents quality as a balance of three critical notions: core clinical competence, perceived values that our patients seek and want, and the cost of quality. Customer satisfaction is a variable that must be identified for each practice. In my practice, patients perceive quality as communication and time, be it treatment or waiting time. Time is a value and cost that must be managed effectively. Total quality management is a business function; it involves diagnosis, design, implementation, and measurement of the process, the people, and the service. Kazien is a function that reduces value services, eliminates waste, and manages time and cost in the process. Total quality management is a total commitment for continuous improvement.

ISO 9001 certification for hospitals in Bulgaria: does it help service?

PubMed

Stoimenova, Assena; Stoilova, Ani; Petrova, Guenka

2014-03-04

The aim of our study is to review the published literature on establishment and implementation of ISO 9001 QMS in European hospitals, to study the availability of International Organization for Standardization (ISO) quality management systems (QMS) in Bulgarian hospitals and to outline the main advantages of ISO implementation in the hospitals in Bulgaria. The information on availability of ISO QMS in the hospitals in Bulgaria was gathered via Bulgarian certification register, the registries of various quality associations, websites of hospitals and certification companies presented in Bulgaria. A total number of 312 hospitals in Bulgaria were screened for the availability of QMS certified against the ISO 9001 requirements. The experience of European hospitals that implemented QMS is positive and the used approaches to improve the processes and the demonstrated effects from ISO implementation are analysed by the researchers. Unlike other European Union member states, the establishment of quality management systems in Bulgaria is not compulsory. However, our study revealed that 14.42% of the hospitals in Bulgaria have implemented and have certified quality systems against the requirements of ISO 9001. Our study confirmed that a quality management system using the ISO 9001 standard is useful for the hospitals as it can help to increase the operational efficiencies, to reduce errors, improve patient safety and produce a more preventive approach instead of a reactive environment.

Taguchi Approach to Design Optimization for Quality and Cost: An Overview

NASA Technical Reports Server (NTRS)

Unal, Resit; Dean, Edwin B.

1990-01-01

Calibrations to existing cost of doing business in space indicate that to establish human presence on the Moon and Mars with the Space Exploration Initiative (SEI) will require resources, felt by many, to be more than the national budget can afford. In order for SEI to succeed, we must actually design and build space systems at lower cost this time, even with tremendous increases in quality and performance requirements, such as extremely high reliability. This implies that both government and industry must change the way they do business. Therefore, new philosophy and technology must be employed to design and produce reliable, high quality space systems at low cost. In recognizing the need to reduce cost and improve quality and productivity, Department of Defense (DoD) and National Aeronautics and Space Administration (NASA) have initiated Total Quality Management (TQM). TQM is a revolutionary management strategy in quality assurance and cost reduction. TQM requires complete management commitment, employee involvement, and use of statistical tools. The quality engineering methods of Dr. Taguchi, employing design of experiments (DOE), is one of the most important statistical tools of TQM for designing high quality systems at reduced cost. Taguchi methods provide an efficient and systematic way to optimize designs for performance, quality, and cost. Taguchi methods have been used successfully in Japan and the United States in designing reliable, high quality products at low cost in such areas as automobiles and consumer electronics. However, these methods are just beginning to see application in the aerospace industry. The purpose of this paper is to present an overview of the Taguchi methods for improving quality and reducing cost, describe the current state of applications and its role in identifying cost sensitive design parameters.

MARKAL SCENARIO ANALYSES OF TECHNOLOGY OPTIONS FOR THE ELECTRIC SECTOR: THE IMPACT ON AIR QUALITY

EPA Science Inventory

This report provides a general overview of EPA’s national MARKAL database and energy systems model and compares various scenarios to a business as usual baseline scenario. Under baseline assumptions, total electricity use increases 1.3% annually until 2030. Annual growth in ele...

TQM in Rural Education: Managing Schools from a Business Perspective.

ERIC Educational Resources Information Center

Nelson, William

1994-01-01

Outlines the 14 points of Deming's business philosophy of Total Quality Management in terms of rural education, including adoption of a common mission, movement from mass inspection (standardized testing) to individualized assessment, constant system improvement, training for those involved in the process, improved communication, employee rewards…

Preliminary analysis of an integrated logistics system for OSSA payloads. Volume 3: OSSA integrated logistics support planning document

NASA Technical Reports Server (NTRS)

Palguta, T.; Bradley, W.; Stockton, T.

1988-01-01

Guidance in preparing and updating an integrated logistics support plan (ILSP) is given. Clear, concise, and detailed instructions are provided on the preparation and content of an ILSP in order to ensure a quality document that reflects total program requirements.

Understanding and Enhancing Multicultural Teaching in Preschool

ERIC Educational Resources Information Center

Leung, Chi-Hung; Hue, Ming-Tak

2017-01-01

Preschool teachers are an important element of high-quality, developmentally and multiculturally appropriate early childhood programmes. 7.5% of the total 160,000 children enrolled in Hong Kong kindergartens are ethnic-minority students and they are neglected in the Hong Kong education system until 2008. This study investigated the perceptions of…

NHEXAS PHASE I ARIZONA STUDY--QUALITY SYSTEMS AND IMPLEMENTATION PLAN (QSIP).

EPA Science Inventory

The Arizona Consortium scoping studies were designed to be part of the total NHEXAS framework that was developed as a result of a series scientific discussions and workshops conducted by the US EPA from 1992 through 1993. Several scientific issues needed to be addressed to evalua...

Effects of lint cleaning on lint trash particle size distribution

USDA-ARS?s Scientific Manuscript database

Cotton quality trash measurements used today typically yield a single value for trash parameters for a lint sample (i.e. High Volume Instrument – percent area; Advanced Fiber Information System – total count, trash size, dust count, trash count, and visible foreign matter). A Cotton Trash Identifica...

40 CFR 73.20 - Phase II early reduction credits.

Code of Federal Regulations, 2012 CFR

2012-07-01

... utility, including generators that are not fossil fuel-fired) that has decreased its total coal-fired... quality of fuel being burned. (c) Initial certification of eligibility. The designated representative of a... reductions in sulfur dioxide emissions; and (2) A report listing all units in the utility system, each fossil...

Study of microarthopod communities to assess soil quality in different managed vineyards

NASA Astrophysics Data System (ADS)

Gagnarli, E.; Goggioli, D.; Tarchi, F.; Guidi, S.; Nannelli, R.; Vignozzi, N.; Valboa, G.; Lottero, M. R.; Corino, L.; Simoni, S.

2015-01-01

Land use influences the abundance and diversity of soil arthropods. The evaluation of the impact of different management strategies on soil quality is increasingly requested. The determination of communities' structures of edaphic fauna can represent an efficient tool. In this study, in some vineyards in Piedmont (Italy), the effects of two different management systems, organic and integrated pest management (IPM), on soil biota were evaluated. As microarthropods living in soil surface are an important component of soil ecosystem interacting with all the other system components, a multi disciplinary approach was adopted by characterizing also some soil physical and chemical characteristics (soil texture, soil pH, total organic carbon, total nitrogen, calcium carbonate). Soil samplings were carried out on Winter 2011 and Spring 2012. All specimens were counted and determined up to the order level. The biological quality of the soil was defined through the determination of ecological indices, such as QBS-ar, species richness and indices of Shannon-Weaver, Pielou, Margalef and Simpson. The mesofauna abundance was affected by both the type of management and the soil texture. The analysis of microarthropod communities by QBS-ar showed higher values in organic than in IPM managed vineyards; in particular, the values registered in organic vineyards were similar to those characteristic of preserved soils.

Estimation of pollutant loads considering dam operation in Han River Basin by BASINS/Hydrological Simulation Program-FORTRAN.

PubMed

Jung, Kwang-Wook; Yoon, Choon-G; Jang, Jae-Ho; Kong, Dong-Soo

2008-01-01

Effective watershed management often demands qualitative and quantitative predictions of the effect of future management activities as arguments for policy makers and administration. The BASINS geographic information system was developed to compute total maximum daily loads, which are helpful to establish hydrological process and water quality modeling system. In this paper the BASINS toolkit HSPF model is applied in 20,271 km(2) large watershed of the Han River Basin is used for applicability of HSPF and BMPs scenarios. For proper evaluation of watershed and stream water quality, comprehensive estimation methods are necessary to assess large amounts of point source and nonpoint-source (NPS) pollution based on the total watershed area. In this study, The Hydrological Simulation Program-FORTRAN (HSPF) was estimated to simulate watershed pollutant loads containing dam operation and applied BMPs scenarios for control NPS pollution. The 8-day monitoring data (about three years) were used in the calibration and verification processes. Model performance was in the range of "very good" and "good" based on percent difference. The water-quality simulation results were encouraging for this large sizable watershed with dam operation practice and mixed land uses; HSPF proved adequate, and its application is recommended to simulate watershed processes and BMPs evaluation. IWA Publishing 2008.

Wireless Laser Range Finder System for Vertical Displacement Monitoring of Mega-Trusses during Construction

PubMed Central

Park, Hyo Seon; Son, Sewook; Choi, Se Woon; Kim, Yousok

2013-01-01

As buildings become increasingly complex, construction monitoring using various sensors is urgently needed for both more systematic and accurate safety management and high-quality productivity in construction. In this study, a monitoring system that is composed of a laser displacement sensor (LDS) and a wireless sensor node was proposed and applied to an irregular building under construction. The subject building consists of large cross-sectional members, such as mega-columns, mega-trusses, and edge truss, which secured the large spaces. The mega-trusses and edge truss that support this large space are of the cantilever type. The vertical displacement occurring at the free end of these members was directly measured using an LDS. To validate the accuracy and reliability of the deflection data measured from the LDS, a total station was also employed as a sensor for comparison with the LDS. In addition, the numerical simulation result was compared with the deflection obtained from the LDS and total station. Based on these investigations, the proposed wireless displacement monitoring system was able to improve the construction quality by monitoring the real-time behavior of the structure, and the applicability of the proposed system to buildings under construction for the evaluation of structural safety was confirmed. PMID:23648650

Flow Cytometry Total Cell Counts: A Field Study Assessing Microbiological Water Quality and Growth in Unchlorinated Drinking Water Distribution Systems

PubMed Central

Liu, G.; Van der Mark, E. J.; Verberk, J. Q. J. C.; Van Dijk, J. C.

2013-01-01

The objective of this study was to evaluate the application of flow cytometry total cell counts (TCCs) as a parameter to assess microbial growth in drinking water distribution systems and to determine the relationships between different parameters describing the biostability of treated water. A one-year sampling program was carried out in two distribution systems in The Netherlands. Results demonstrated that, in both systems, the biomass differences measured by ATP were not significant. TCC differences were also not significant in treatment plant 1, but decreased slightly in treatment plant 2. TCC values were found to be higher at temperatures above 15°C than at temperatures below 15°C. The correlation study of parameters describing biostability found no relationship among TCC, heterotrophic plate counts, and Aeromonas. Also no relationship was found between TCC and ATP. Some correlation was found between the subgroup of high nucleic acid content bacteria and ATP (R 2 = 0.63). Overall, the results demonstrated that TCC is a valuable parameter to assess the drinking water biological quality and regrowth; it can directly and sensitively quantify biomass, detect small changes, and can be used to determine the subgroup of active HNA bacteria that are related to ATP. PMID:23819117

Petroleum Quality Information System 2013 Annual Report

DTIC Science & Technology

2013-01-01

Content: (ppm) 10 0.10 Metals : (ppm) 0.5 total 0.10 Alkali Metals and Metalloids: (ppm) 1 total 0.99 Table 3-12 displays Direct Sugar to ...183 146 189 185 111 143 0 50 100 150 200 250 300 350 400 450 2005 2006 2007 2008 2009 2010 2011 2012 2013 To ta l S am pl es Calendar Year In-Line...Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour

Structural Model for the Effects of Environmental Elements on the Psychological Characteristics and Performance of the Employees of Manufacturing Systems

PubMed Central

Realyvásquez, Arturo; Maldonado-Macías, Aidé Aracely; García-Alcaraz, Jorge; Cortés-Robles, Guillermo; Blanco-Fernández, Julio

2016-01-01

This paper analyzes the effects of environmental elements on the psychological characteristics and performance of employees in manufacturing systems using structural equation modeling. Increasing the comprehension of these effects may help optimize manufacturing systems regarding their employees’ psychological characteristics and performance from a macroergonomic perspective. As the method, a new macroergonomic compatibility questionnaire (MCQ) was developed and statistically validated, and 158 respondents at four manufacture companies were considered. Noise, lighting and temperature, humidity and air quality (THAQ) were used as independent variables and psychological characteristics and employees’ performance as dependent variables. To propose and test the hypothetical causal model of significant relationships among the variables, a data analysis was deployed. Results found that the macroergonomic compatibility of environmental elements presents significant direct effects on employees’ psychological characteristics and either direct or indirect effects on the employees’ performance. THAQ had the highest direct and total effects on psychological characteristics. Regarding the direct and total effects on employees’ performance, the psychological characteristics presented the highest effects, followed by THAQ conditions. These results may help measure and optimize manufacturing systems’ performance by enhancing their macroergonomic compatibility and quality of life at work of the employees. PMID:26742054

Programmatic assessment of a university-based implant training program using patient-reported outcomes.

PubMed

Al-Sabbagh, Mohanad; Jenkins, Diane W; de Leeuw, Reny; Nihill, Patricia; Robinson, Fonda G; Thomas, Mark V

2014-11-01

The University of Kentucky College of Dentistry (UKCD) established an implant training program that provides training in the use of a single implant system, evidence-based diagnostic and treatment protocols (standardized work practices), and a total quality management system (Implant Quality Assurance Program). The aim of this study was to assess the programmatic effectiveness of the UKCD implant training program by reporting the success and survival of implants placed, using patient-reported outcomes and comparing them to previously established benchmarks. A total of 415 patients (963 implants) were interviewed, approximately 50 percent of all qualified patients. The implant survival rate was 97 percent, and 88 percent of the implants were considered successful (as determined by patient-centric criteria). These outcomes were consistent with the program's previously established benchmarks of 90 percent. These results suggest that work standardization (in the form of specific treatment protocols) and the use of a formal, incremental learning system can result in positive patient outcomes. Clinical outcomes should be monitored in academic dental settings as part of clinical process improvement, and these outcomes can provide a means of assessing the effectiveness of the training program.

Spectral Band Characterization for Hyperspectral Monitoring of Water Quality

NASA Technical Reports Server (NTRS)

Vermillion, Stephanie C.; Raqueno, Rolando; Simmons, Rulon

2001-01-01

A method for selecting the set of spectral characteristics that provides the smallest increase in prediction error is of interest to those using hyperspectral imaging (HSI) to monitor water quality. The spectral characteristics of interest to these applications are spectral bandwidth and location. Three water quality constituents of interest that are detectable via remote sensing are chlorophyll (CHL), total suspended solids (TSS), and colored dissolved organic matter (CDOM). Hyperspectral data provides a rich source of information regarding the content and composition of these materials, but often provides more data than an analyst can manage. This study addresses the spectral characteristics need for water quality monitoring for two reasons. First, determination of the greatest contribution of these spectral characteristics would greatly improve computational ease and efficiency. Second, understanding the spectral capabilities of different spectral resolutions and specific regions is an essential part of future system development and characterization. As new systems are developed and tested, water quality managers will be asked to determine sensor specifications that provide the most accurate and efficient water quality measurements. We address these issues using data from the Airborne Visible/Infrared Imaging Spectrometer (AVIRIS) and a set of models to predict constituent concentrations.

Evaluation of spatial and temporal water quality in the Akkaya dam watershed (Niğde, Turkey) and management implications

NASA Astrophysics Data System (ADS)

Yaşar Korkanç, Selma; Kayıkçı, Sedef; Korkanç, Mustafa

2017-05-01

The aim of this study is to investigate the water pollution in the Akkaya Dam watershed spatially and temporally and put forward management suggestions in a watershed scale. For this purpose, monthly water sampling was performed from 11 sampling stations on streams that fed the dam. According to land surveys they have a potential to inflict pollution to the dam. Thus the physical and chemical parameters (i.e. pH, dissolved oxygen, electrical conductivity, temperature, chemical oxygen demand, turbidity and suspended solids) were monitored monthly for 1-year period. Chloride, sulfate, total nitrogen, ammonium, nitrite, nitrate were monitored for a 6-month period, and the results were evaluated in accordance with the Turkish Regulation of Surface Water Quality Management. Results of the study show that the most important reasons for the pollution in the dam are caused by domestic and industrial wastewaters, which were released to the system without being treated, or without being sufficiently treated, and also of agricultural activities. It was determined that electrical conductivity, dissolved oxygen, turbidity, chemical oxygen demand, suspended solids, nitrite, nitrate, total nitrogen, sulfate, and chloride parameters which were high at the sampling stations where domestic and industrial wastewaters discharge were present. pH and temperature demonstrate a difference at a significant level by seasons. As a result of the study, it was determined that the water was of IVth quality in terms of nitrate, chemical oxygen demand, and total nitrogen, and it was of IIIrd quality water with respect to ammonium, electrical conductivity, and dissolved oxygen. It was observed that the dam outflow water was of IVth quality with respect to nitrate, chemical oxygen demand, and total nitrogen, and of IIIrd quality with respect to dissolved oxygen and electrical conductivity. It is considered that the pollution problem in the Akkaya Dam can only be resolved with prevention studies on a watershed scale. Therefore, coordination between the institutions is necessary. The preparation for the integrated water management plan of the watershed will provide a significant contribution to the solution of the water quality problem.

Strategy, Structure and Quality Service: Developing School Wide Quality Improvement.

ERIC Educational Resources Information Center

Murgatroyd, Stephen

1991-01-01

Builds on earlier contributions to the literature on educational leadership and total quality management in education. Introduces two new tools--the service guarantee and the House of Quality, placing them in the context of strategic marketing, structural change, and other total quality management methods. (19 references) (MLH)

Quality at a Glance

DTIC Science & Technology

1990-01-01

This document contains summaries of fifteen of the well known books which underlie the Total Quality Management philosophy. Members of the DCASR St Louis staff offer comments and opinions on how the authors have presented the quality concept in todays business environment. Keywords: TQM (Total Quality Management ), Quality concepts, Statistical process control.

Creating the Total Quality Effective School.

ERIC Educational Resources Information Center

Lezotte, Lawrence W.

This book shows how Deming's Total Quality Management (TQM) theory for organizational management can be integrated with the effective-schools literature. Part 1 compares the 14 principles of TQM with the tenets of effective-schools research. The second part develops a blueprint for creating the total quality effective school. The conceptual…

Total Quality Management: A Selected Bibliography

DTIC Science & Technology

1992-03-01

Total Quality Management (TQM) in the Department of Defense is a strategy for continuously improving performance at every level, and in all areas of...reflects selected books, documents, periodical articles, and videos on the subject of Total Quality Management (TQM) in the collection of the U.S. Army War College Library.

Office of General Counsel Total Quality Management Plan

DTIC Science & Technology

1989-07-01

20503. IRT DATE 3. REPORT TYPE AND DATES COVERED y 1989 5. FUNDING NUMBERS Office of General Counsel Total Quality Management Plan 6. AUTHOR(S) 7...of General Counsel. - r DTIC 65 LE- E CTEn’" SEP291 989 14. SUBJECT TERMS 15. NUMBER OF PAGES TQM (Total Quality Management ), Office of General...89) Pra-ifcr~bed ANSI Sid 139-1S ""-"’- ", ~ mmmmmu10n S S OFFICE OF GENERAL COUNSEL TOTAL QUALITY MANAGEMENT PLAN Acc’, ’ 7or. .?:" t ’_7 Codes K 89

Health Care Spending and Quality in Year 1 of the Alternative Quality Contract

PubMed Central

Song, Zirui; Safran, Dana Gelb; Landon, Bruce E.; He, Yulei; Ellis, Randall P.; Mechanic, Robert E.; Day, Matthew P.; Chernew, Michael E.

2012-01-01

Background In 2009, Blue Cross Blue Shield of Massachusetts (BCBS) implemented a global payment system called the Alternative Quality Contract (AQC). Provider groups in the AQC system assume accountability for spending, similar to accountable care organizations that bear financial risk. Moreover, groups are eligible to receive bonuses for quality. Methods Seven provider organizations began 5-year contracts as part of the AQC system in 2009. We analyzed 2006–2009 claims for 380,142 enrollees whose primary care physicians (PCPs) were in the AQC system (intervention group) and for 1,351,446 enrollees whose PCPs were not in the system (control group). We used a propensity-weighted difference-in-differences approach, adjusting for age, sex, health status, and secular trends to isolate the treatment effect of the AQC in comparisons of spending and quality between the intervention group and the control group. Results Average spending increased for enrollees in both the intervention and control groups in 2009, but the increase was smaller for enrollees in the intervention group — $15.51 (1.9%) less per quarter (P = 0.007). Savings derived largely from shifts in outpatient care toward facilities with lower fees; from lower expenditures for procedures, imaging, and testing; and from a reduction in spending for enrollees with the highest expected spending. The AQC system was associated with an improvement in performance on measures of the quality of the management of chronic conditions in adults (P<0.001) and of pediatric care (P = 0.001), but not of adult preventive care. All AQC groups met 2009 budget targets and earned surpluses. Total BCBS payments to AQC groups, including bonuses for quality, are likely to have exceeded the estimated savings in year 1. Conclusions The AQC system was associated with a modest slowing of spending growth and improved quality of care in 2009. Savings were achieved through changes in referral patterns rather than through changes in utilization. The long-term effect of the AQC system on spending growth depends on future budget targets and providers’ ability to further improve efficiencies in practice. (Funded by the Commonwealth Fund and others.) PMID:21751900

Health care spending and quality in year 1 of the alternative quality contract.

PubMed

Song, Zirui; Safran, Dana Gelb; Landon, Bruce E; He, Yulei; Ellis, Randall P; Mechanic, Robert E; Day, Matthew P; Chernew, Michael E

2011-09-08

In 2009, Blue Cross Blue Shield of Massachusetts (BCBS) implemented a global payment system called the Alternative Quality Contract (AQC). Provider groups in the AQC system assume accountability for spending, similar to accountable care organizations that bear financial risk. Moreover, groups are eligible to receive bonuses for quality. Seven provider organizations began 5-year contracts as part of the AQC system in 2009. We analyzed 2006-2009 claims for 380,142 enrollees whose primary care physicians (PCPs) were in the AQC system (intervention group) and for 1,351,446 enrollees whose PCPs were not in the system (control group). We used a propensity-weighted difference-in-differences approach, adjusting for age, sex, health status, and secular trends to isolate the treatment effect of the AQC in comparisons of spending and quality between the intervention group and the control group. Average spending increased for enrollees in both the intervention and control groups in 2009, but the increase was smaller for enrollees in the intervention group--$15.51 (1.9%) less per quarter (P=0.007). Savings derived largely from shifts in outpatient care toward facilities with lower fees; from lower expenditures for procedures, imaging, and testing; and from a reduction in spending for enrollees with the highest expected spending. The AQC system was associated with an improvement in performance on measures of the quality of the management of chronic conditions in adults (P<0.001) and of pediatric care (P=0.001), but not of adult preventive care. All AQC groups met 2009 budget targets and earned surpluses. Total BCBS payments to AQC groups, including bonuses for quality, are likely to have exceeded the estimated savings in year 1. The AQC system was associated with a modest slowing of spending growth and improved quality of care in 2009. Savings were achieved through changes in referral patterns rather than through changes in utilization. The long-term effect of the AQC system on spending growth depends on future budget targets and providers' ability to further improve efficiencies in practice. (Funded by the Commonwealth Fund and others.).

Diet Quality Associated with Total Sodium Intake among US Adults Aged ≥18 Years-National Health and Nutrition Examination Survey, 2009-2012.

PubMed

Mercado, Carla I; Cogswell, Mary E; Perrine, Cria G; Gillespie, Cathleen

2017-10-25

Diet quality or macronutrient composition of total daily sodium intake (dNa) <2300 mg/day in the United States (US) is unknown. Using data from 2011-2014 NHANES (National Health and Nutrition Examination Survey), we examined 24-h dietary recalls ( n = 10,142) from adults aged ≥18 years and investigated how diet composition and quality are associated with dNa. Diet quality was assessed using components of macronutrients and Healthy Eating Index 2010 (HEI-2010). Associations were tested using linear regression analysis adjusted for total energy (kcal), age, gender, and race/ethnicity. One-day dNa in the lower quartiles were more likely reported among women, older adults (≥65 years old), and lower quartiles of total energy (kcal) ( p -values ≤ 0.001). With increasing dNa, there was an increase in the mean protein, fiber, and total fat densities, while total carbohydrates densities decreased. As dNa increased, meat protein, refined grains, dairy, and total vegetables, greens and beans densities increased; while total fruit and whole fruit densities decreased. Modified HEI-2010 total score (total score without sodium component) increased as dNa increased (adjusted coefficient: 0.11, 95% confidence interval = 0.07, 0.15). Although diet quality, based on modified HEI-2010 total score, increased on days with greater dNa, there is much room for improvement with mean diet quality of about half of the optimal level.

The evolution of a teledentistry system within the Department of Defense.

PubMed Central

Rocca, M. A.; Kudryk, V. L.; Pajak, J. C.; Morris, T.

1999-01-01

Total Dental Access (TDA) is the teledentistry project within the Department of Defense. This project enables referring dentists from the US Armed Forces to consult with specialists on the status of a patient. TDA focuses on three areas of dentistry: patient care, continuing education and dentist-laboratory communications. One of the goals of this project is to increase patient access to quality dental care. The other goal is to establish a cost effective telemedicine system. This paper describes the evolution of a teledentistry system, the main features of POTS-based, ISDN-based and Web-based systems used, advantages, disadvantages and cost-effectiveness of these systems. Data has been collected on the frequency of use, technical problems occurred, avoided patient or specialist travel and the total number of consults. A cost-effectiveness analysis has been conducted on the data collected. The results of this analysis will be presented. PMID:10566495

The evolution of a teledentistry system within the Department of Defense.

PubMed

Rocca, M A; Kudryk, V L; Pajak, J C; Morris, T

1999-01-01

Total Dental Access (TDA) is the teledentistry project within the Department of Defense. This project enables referring dentists from the US Armed Forces to consult with specialists on the status of a patient. TDA focuses on three areas of dentistry: patient care, continuing education and dentist-laboratory communications. One of the goals of this project is to increase patient access to quality dental care. The other goal is to establish a cost effective telemedicine system. This paper describes the evolution of a teledentistry system, the main features of POTS-based, ISDN-based and Web-based systems used, advantages, disadvantages and cost-effectiveness of these systems. Data has been collected on the frequency of use, technical problems occurred, avoided patient or specialist travel and the total number of consults. A cost-effectiveness analysis has been conducted on the data collected. The results of this analysis will be presented.

Does hip displacement influence health-related quality of life in children with cerebral palsy?

PubMed

Jung, Nikolai H; Pereira, Barbara; Nehring, Ina; Brix, Olga; Bernius, Peter; Schroeder, Sebastian A; Kluger, Gerhard J; Koehler, Tillmann; Beyerlein, Andreas; Weir, Shannon; von Kries, Rüdiger; Narayanan, Unni G; Berweck, Steffen; Mall, Volker

2014-12-01

To evaluate the association of hip lateralisation with health-related quality of life (HRQL) in children with cerebral palsy (CP) using the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD(®)) questionnaire. We assessed n = 34 patients (mean age: 10.2 years, SD: 4.7 years; female: n = 16) with bilateral CP and Gross Motor Function Classification System (GMFCS) Level III-V using the CPCHILD(®) questionnaire. Hip lateralisation was measured by Reimer`s migration percentage (MP). There was an association between both, MP and GMFCS with CPCHILD(®) total score. Stratified analyses did not suggest interaction of the association between MP and CPCHILD(®) total score by GMFCS level. After adjustment for GMFCS level, we found a significant linear decrease of CPCHILD(®) total score of -0.188 points by 1% increment in MP. There was an association between MP and HRQL, which could not be explained by the GMFCS level.

Total variation optimization for imaging through turbid media with transmission matrix

NASA Astrophysics Data System (ADS)

Gong, Changmei; Shao, Xiaopeng; Wu, Tengfei; Liu, Jietao; Zhang, Jianqi

2016-12-01

With the transmission matrix (TM) of the whole optical system measured, the image of the object behind a turbid medium can be recovered from its speckle field by means of an image reconstruction algorithm. Instead of Tikhonov regularization algorithm (TRA), the total variation minimization by augmented Lagrangian and alternating direction algorithms (TVAL3) is introduced to recover object images. As a total variation (TV)-based approach, TVAL3 allows to effectively damp more noise and preserve more edges compared with TRA, thus providing more outstanding image quality. Different levels of detector noise and TM-measurement noise are successively added to analyze the antinoise performance of these two algorithms. Simulation results show that TVAL3 is able to recover more details and suppress more noise than TRA under different noise levels, thus providing much more excellent image quality. Furthermore, whether it be detector noise or TM-measurement noise, the reconstruction images obtained by TVAL3 at SNR=15 dB are far superior to those by TRA at SNR=50 dB.

An experimental study on the influence of water stagnation and temperature change on water quality in a full-scale domestic drinking water system.

PubMed

Zlatanović, Lj; van der Hoek, J P; Vreeburg, J H G

2017-10-15

The drinking water quality changes during the transport through distribution systems. Domestic drinking water systems (DDWSs), which include the plumbing between the water meter and consumer's taps, are the most critical points in which water quality may be affected. In distribution networks, the drinking water temperature and water residence time are regarded as indicators of the drinking water quality. This paper describes an experimental research on the influence of stagnation time and temperature change on drinking water quality in a full-scale DDWS. Two sets of stagnation experiments, during winter and summer months, with various stagnation intervals (up to 168 h of stagnation) were carried out. Water and biofilms were sampled at two different taps, a kitchen and a shower tap. Results from this study indicate that temperature and water stagnation affect both chemical and microbial quality in DDWSs, whereas microbial parameters in stagnant water appear to be driven by the temperature of fresh water. Biofilm formed in the shower pipe contained more total and intact cells than the kitchen pipe biofilm. Alphaproteobacteria were found to dominate in the shower biofilm (78% of all Proteobacteria), while in the kitchen tap biofilm Alphaproteobacteria, Betaproteobacteria and Gammaproteobacteria were evenly distributed. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Water quality monitoring of Jialing-River in Chongqing using advanced ion chromatographic system.

PubMed

Tanaka, Kazuhiko; Shi, Chao-Hong; Nakagoshi, Nobukazu

2012-04-01

The water quality monitoring operation to evaluate the water quality of polluted river is an extremely important task for the river-watershed management/control based on the environmental policy. In this study, the novel, simple and convenient water quality monitoring of Jialing-River in Chongqing, China was carried out using an advanced ion chromatography (IC) consisting of ion-exclusion/cation-exchange chromatography (IEC/CEC) with conductivity detection for determining simultaneously the common anions such as SO4(2-), Cl(-), and NO3(-) and the cations such as Na+, NH4+, K+, Mg2+, and Ca2+, the ion-exclusion chromatography (IEC) with visible detection for determining simultaneously the nutrient components such as phosphate and silicate ions, and the IEC with the enhanced conductivity detection using a post column of K+-form cation-exchange resin for determining HCO3(-)-alkalinity as an inorganic-carbon source for biomass synthesis in biological reaction process under the aerobic conditions. According to the ionic balance theory between the total equivalent concentrations of anions and cations, the water quality evaluation of the Jialing-River waters taking at different sampling sites in Chongqing metropolitan area was carried out using the advanced IC system. As a result, the effectiveness of this novel water quality monitoring methodology using the IC system was demonstrated on the several practical applications to a typical biological sewage treatment plant on Jialing-River of Chongqing.

An evaluation of the relative quality of dike pools for benthic macroinvertebrates in the Lower Missouri River, USA

USGS Publications Warehouse

Poulton, B.C.; Allert, A.L.

2012-01-01

A habitat-based aquatic macroinvertebrate study was initiated in the Lower Missouri River to evaluate relative quality and biological condition of dike pool habitats. Water-quality and sediment-quality parameters and macroinvertebrate assemblage structure were measured from depositional substrates at 18 sites. Sediment porewater was analysed for ammonia, sulphide, pH and oxidation-reduction potential. Whole sediments were analysed for particle-size distribution, organic carbon and contaminants. Field water-quality parameters were measured at subsurface and at the sediment-water interface. Pool area adjacent and downstream from each dike was estimated from aerial photography. Macroinvertebrate biotic condition scores were determined by integrating the following indicator response metrics: % of Ephemeroptera (mayflies), % of Oligochaeta worms, Shannon Diversity Index and total taxa richness. Regression models were developed for predicting macroinvertebrate scores based on individual water-quality and sediment-quality variables and a water/sediment-quality score that integrated all variables. Macroinvertebrate scores generated significant determination coefficients with dike pool area (R2=0.56), oxidation–reduction potential (R2=0.81) and water/sediment-quality score (R2=0.71). Dissolved oxygen saturation, oxidation-reduction potential and total ammonia in sediment porewater were most important in explaining variation in macroinvertebrate scores. The best two-variable regression models included dike pool size + the water/sediment-quality score (R2=0.84) and dike pool size + oxidation-reduction potential (R2=0.93). Results indicate that dike pool size and chemistry of sediments and overlying water can be used to evaluate dike pool quality and identify environmental conditions necessary for optimizing diversity and productivity of important aquatic macroinvertebrates. A combination of these variables could be utilized for measuring the success of habitat enhancement activities currently being implemented in this system.

Impact of water quality on chlorine demand of corroding copper.

PubMed

Lytle, Darren A; Liggett, Jennifer

2016-04-01

Copper is widely used in drinking water premise plumbing system materials. In buildings such as hospitals, large and complicated plumbing networks make it difficult to maintain good water quality. Sustaining safe disinfectant residuals throughout a building to protect against waterborne pathogens such as Legionella is particularly challenging since copper and other reactive distribution system materials can exert considerable demands. The objective of this work was to evaluate the impact of pH and orthophosphate on the consumption of free chlorine associated with corroding copper pipes over time. A copper test-loop pilot system was used to control test conditions and systematically meet the study objectives. Chlorine consumption trends attributed to abiotic reactions with copper over time were different for each pH condition tested, and the total amount of chlorine consumed over the test runs increased with increasing pH. Orthophosphate eliminated chlorine consumption trends with elapsed time (i.e., chlorine demand was consistent across entire test runs). Orthophosphate also greatly reduced the total amount of chlorine consumed over the test runs. Interestingly, the total amount of chlorine consumed and the consumption rate were not pH dependent when orthophosphate was present. The findings reflect the complex and competing reactions at the copper pipe wall including corrosion, oxidation of Cu(I) minerals and ions, and possible oxidation of Cu(II) minerals, and the change in chlorine species all as a function of pH. The work has practical applications for maintaining chlorine residuals in premise plumbing drinking water systems including large buildings such as hospitals. Published by Elsevier Ltd.

Factors affecting mobile diabetes monitoring adoption among physicians: questionnaire study and path model.

PubMed

Okazaki, Shintaro; Castañeda, José Alberto; Sanz, Silvia; Henseler, Jörg

2012-12-21

Patients with type 1 and type 2 diabetes often find it difficult to control their blood glucose level on a daily basis because of distance or physical incapacity. With the increase in Internet-enabled smartphone use, this problem can be resolved by adopting a mobile diabetes monitoring system. Most existing studies have focused on patients' usability perceptions, whereas little attention has been paid to physicians' intentions to adopt this technology. The aim of the study was to evaluate the perceptions and user acceptance of mobile diabetes monitoring among Japanese physicians. A questionnaire survey of physicians was conducted in Japan. The structured questionnaire was prepared in a context of a mobile diabetes monitoring system that controls blood glucose, weight, physical activity, diet, insulin and medication, and blood pressure. Following a thorough description of mobile diabetes monitoring with a graphical image, questions were asked relating to system quality, information quality, service quality, health improvement, ubiquitous control, privacy and security concerns, perceived value, subjective norms, and intention to use mobile diabetes monitoring. The data were analyzed by partial least squares (PLS) path modeling. In total, 471 physicians participated from 47 prefectures across Japan, of whom 134 were specialized in internal and gastrointestinal medicine. Nine hypotheses were tested with both the total sample and the specialist subsample; results were similar for both samples in terms of statistical significance and the strength of path coefficients. We found that system quality, information quality, and service quality significantly affect overall quality. Overall quality determines the extent to which physicians perceive the value of mobile health monitoring. However, in contrast to our initial predictions, overall quality does not have a significant direct effect on the intention to use mobile diabetes monitoring. With regard to net benefits, both ubiquitous control and health improvement are significant predictors. Net benefits in turn significantly motivate physicians to use mobile health monitoring, and has a strong influence on perceived value. Perceived value and subjective norms are predictors of intention to use. In our sample, concerns over privacy and security risk have no significant effects on intention to use mobile diabetes monitoring. Among the 3 control variables, only age significantly affected intention to use mobile diabetes monitoring, whereas experience and gender were not significant predictors of intention. Physicians consider perceived value and net benefits as the most important motivators to use mobile diabetes monitoring. Overall quality assessment does affect their intention to use this technology, but only indirectly through perceived value. Net benefits seem to be a strong driver in both a direct and indirect manner, implying that physicians may perceive health improvement with ubiquitous control as a true utility by enhancing cost-effective monitoring, and simultaneously recognize it as a way to create value for their clinical practices.

Quality of life of chronic myeloid leukemia patients in Brazil: ability to work as a key factor.

PubMed

Hamerschlak, Nelson; de Souza, Carmino; Cornacchioni, Ana Lúcia; Pasquini, Ricardo; Tabak, Daniel; Spector, Nelson; Steagall, Merula

2014-08-01

The purpose of this study was to evaluate the quality of life (QOL) of patients receiving treatment by the public health system in Brazil for chronic myeloid leukemia (CML), a disease requiring daily and strict compliance to oral medication and regular blood and bone marrow controls, which are invasive exams. Between 2008 and 2010, patients with CML were surveyed by telephone. Quality of life was evaluated by the functional assessment of chronic illness therapy (FACIT) tool. The mean QOL among CML patients was 92.53 (out of 124 total points) in the trial outcome index, 78.50 (out of 108) in the general total score, and 130.43 (out of 176) in the leukemia total score. Patients who had the prescriptions recently changed anyway had better QOL general score (p = 0.012) and leukemia-specific score (p = 0.043) than those who remained with the same treatment. Imatinib was not associated with this change in QOL (p > 0.797). The more the patient felt able to work, the higher the scores in all three FACIT scales (p < 0.001, Spearman's correlation). The use of imatinib (p = 0.012) was associated with a better ability to work, while chemotherapy (p = 0.017) and the use of hydroxyurea (p = 0.001) were inversely associated with work capability. A recent change in medication can improve quality of life. The ability to work is an important component of quality of life of patients with CML. Ability to work should be specifically considered in CML treatment.

Self-assessment procedure using fuzzy sets

NASA Astrophysics Data System (ADS)

Mimi, Fotini

2000-10-01

Self-Assessment processes, initiated by a company itself and carried out by its own people, are considered to be the starting point for a regular strategic or operative planning process to ensure a continuous quality improvement. Their importance has increased by the growing relevance and acceptance of international quality awards such as the Malcolm Baldrige National Quality Award, the European Quality Award and the Deming Prize. Especially award winners use the instrument of a systematic and regular Self-Assessment and not only because they have to verify their quality and business results for at least three years. The Total Quality Model of the European Foundation for Quality Management (EFQM), used for the European Quality Award, is the basis for Self-Assessment in Europe. This paper presents a self-assessment supporting method based on a methodology of fuzzy control systems providing an effective means of converting the linguistic approximation into an automatic control strategy. In particular, the elements of the Quality Model mentioned above are interpreted as linguistic variables. The LR-type of a fuzzy interval is used for their representation. The input data has a qualitative character based on empirical investigation and expert knowledge and therefore the base- variables are ordinal scaled. The aggregation process takes place on the basis of a hierarchical structure. Finally, in order to render the use of the method more practical a software system on PC basis is developed and implemented.

Stress and Negative Relationship Quality among Older Couples: Implications for Blood Pressure.

PubMed

Birditt, Kira S; Newton, Nicky J; Cranford, James A; Ryan, Lindsay H

2016-09-01

The cardiovascular system may represent a significant pathway by which marriage and stress influence health, but research has focused on married individuals cross-sectionally. This study examined associations among chronic stress, negative spousal relationship quality, and systolic blood pressure over time among middle-aged and older husbands and wives. Participants were from the nationally representative longitudinal Health and Retirement Study. A total of 1,356 (N = 2,712) married and cohabitating couples completed psychosocial and biomeasure assessments in waves 2006 and 2010. Analyses examined whether Wave 1 (2006) relationship quality and stress were associated with changes in blood pressure over time. The effects of stress and negative relationship quality were dyadic and varied by gender. Husbands had increased blood pressure when wives reported greater stress, and this link was exacerbated by negative spousal relationship quality. Negative relationship quality predicted increased blood pressure when both members of the couple reported negative quality relations. Findings support the dyadic biopsychosocial model of marriage and health indicating: (a) stress and relationship quality directly effect the cardiovascular system, (b) relationship quality moderates the effect of stress, and (c) the dyad rather than only the individual should be considered when examining marriage and health. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Systematic analysis underlying the quality of the scientific evidence and conflicts of interest in gastroenterology practice guidelines.

PubMed

Feuerstein, Joseph D; Gifford, Anne E; Akbari, Mona; Goldman, Jonathan; Leffler, Daniel A; Sheth, Sunil G; Cheifetz, Adam S

2013-11-01

The practice guidelines published by the American Gastroenterological Association (AGA) and the American College of Gastroenterology (ACG) are used to establish standards of care and improve patient outcomes. We examined the guidelines for quality of evidence, methods of grading evidence, and conflicts of interest (COIs). All 81 (AGA and ACG) guidelines available online on 26 July 2012 were reviewed for the presence of grading of evidence and COIs. In total, 570 recommendations were evaluated for level of evidence and methods used to grade the evidence. The data were evaluated in aggregate and by society. Only 31% (n=25) of the guidelines graded the levels of evidence. A total of 12 systems were used to grade the quality of evidence in these 25 guidelines. Of the 570 recommendations reviewed, only 29% (n=165) were supported by the highest quality of evidence, level A; 37% (n=210) level B, 29% (n=165) level C, and 5% (n=30) level D. Since 2007, 87% (n=13/15) of the ACG guidelines graded the evidence compared with only 33% of the AGA guidelines (n=4/12). Furthermore, 70% (n=57/81) of the guidelines failed to disclose any information regarding COIs. Of the 24 articles commenting on COIs, 67% reported COIs. Although the majority of the gastroenterology guidelines fail to grade the quality of evidence, more recent ACG guidelines grade majority of their recommendations. When the evidence is graded, most of the supporting evidence is based on lower-quality evidence. In addition, most of the guidelines fail to comment on COIs, and when disclosed, numerous COIs were present. This study highlights the critical need to revise the guideline development process. Future guidelines should clearly state the quality of evidence for their recommendations, utilize a standard grading system, and be transparent regarding all COIs.

The role of criteria in design and management of space systems

NASA Technical Reports Server (NTRS)

Blair, J. C.; Ryan, R. S.

1992-01-01

Explicit requirements and standards arising in connection with space systems management serve as a framework for technical management and furnish legally binding control of development, verification, and operations. As a project develops, additional requirements are derived which are unique to the system in question; these are designated 'derived requirements'. The reliability and cost-effectiveness of a space system are best ensured where a balance has arisen between formal (legally binding) and informal. Attention is presently given to the development of criteria consistent with total quality management.

The role of risk-based prioritization in total quality management

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

Bennett, C.T.

1994-10-01

The climate in which government managers must make decisions grows more complex and uncertain. All stakeholders - the public, industry, and Congress - are demanding greater consciousness, responsibility, and accountability of programs and their budgets. Yet, managerial decisions have become multifaceted, involve greater risk, and operate over much longer time periods. Over the last four or five decades, as policy analysis and decisions became more complex, scientists from psychology, operations research, systems science, and economics have developed a more or less coherent process called decision analysis to aid program management. The process of decision analysis - a systems theoretic approachmore » - provides the backdrop for this paper. The Laboratory Integrated Prioritization System (LIPS) has been developed as a systems analytic and risk-based prioritization tool to aid the management of the Tri-Labs` (Lawrence Livermore, Los Alamos, and Sandia) operating resources. Preliminary analyses of the effects of LIPS has confirmed the practical benefits of decision and systems sciences - the systematic, quantitative reduction in uncertainty. To date, the use of LIPS - and, hence, its value - has been restricted to resource allocation within the Tri-Labs` operations budgets. This report extends the role of risk-based prioritization to the support of DOE Total Quality Management (TQM) programs. Furthermore, this paper will argue for the requirement to institutionalize an evolutionary, decision theoretic approach to the policy analysis of the Department of Energy`s Program Budget.« less

A tool to measure whether business management capacity in general practice impacts on the quality of chronic illness care.

PubMed

Holton, Christine H; Proudfoot, Judith G; Jayasinghe, Upali W; Grimm, Jane; Bubner, Tanya K; Winstanley, Julie; Harris, Mark F; Beilby, Justin J

2010-11-01

Our aim was to develop a tool to identify specific features of the business and financial management of practices that facilitate better quality care for chronic illness in primary care. Domains of management were identified, resulting in the development of a structured interview tool that was administered in 97 primary care practices in Australia. Interview items were screened and subjected to factor analysis, subscales identified and the overall model fit determined. The instrument's validity was assessed against another measure of quality of care. Analysis provided a four-factor solution containing 21 items, which explained 42.5% of the variance in the total scores. The factors related to administrative processes, human resources, marketing analysis and business development. All scores increased significantly with practice size. The business development subscale and total score were higher for rural practices. There was a significant correlation between the business development subscale and quality of care. The indicators of business and financial management in the final tool appear to be useful predictors of the quality of care. The instrument may help inform policy regarding the structure of general practice and implementation of a systems approach to chronic illness care. It can provide information to practices about areas for further development.

Water quality trends in New Zealand rivers: 1989-2009.

PubMed

Ballantine, Deborah J; Davies-Colley, Robert J

2014-03-01

Recent assessments of water quality in New Zealand have indicated declining trends, particularly in the 40 % of the country's area under pasture. The most comprehensive long-term and consistent water quality dataset is the National Rivers Water Quality Network (NRWQN). Since 1989, monthly samples have been collected at 77 NRWQN sites on 35 major river systems that, together, drain about 50 % of New Zealand's land area. Trend analysis of the NRWQN data shows increasing nutrient concentrations, particularly nitrogen (total nitrogen and nitrate), over 21 years (1989-2009). Total nitrogen and nitrate concentrations were increasing significantly over the first 11 years (1989-2000), but for the more recent 10-year period, only nitrate concentrations continued to increase sharply. Also, the increasing phosphorus trends over the first 11 years (1989-2000) levelled off over the later 10-year period (2000-2009). Conductivity has also increased over the 21 years (1989-2009). Visual clarity has increased over the full time period which may be the positive result of soil conservation measures and riparian fencing. NRWQN data shows that concentrations of nutrients increase, and visual clarity decreases (i.e. water quality declines), with increasing proportions of pastoral land in catchments. As such, the increasing nutrient trends may reflect increasing intensification of pastoral agriculture.

Groundwater-quality data for the Madera/Chowchilla–Kings shallow aquifer study unit, 2013–14: Results from the California GAMA Program

USGS Publications Warehouse

Shelton, Jennifer L.; Fram, Miranda S.

2017-02-03

Groundwater quality in the 2,390-square-mile Madera/Chowchilla–Kings Shallow Aquifer study unit was investigated by the U.S. Geological Survey from August 2013 to April 2014 as part of the California State Water Resources Control Board Groundwater Ambient Monitoring and Assessment Program’s Priority Basin Project. The study was designed to provide a statistically unbiased, spatially distributed assessment of untreated groundwater quality in the shallow aquifer systems of the Madera, Chowchilla, and Kings subbasins of the San Joaquin Valley groundwater basin. The shallow aquifer system corresponds to the part of the aquifer system generally used by domestic wells and is shallower than the part of the aquifer system generally used by public-supply wells. This report presents the data collected for the study and a brief preliminary description of the results.Groundwater samples were collected from 77 wells and were analyzed for organic constituents, inorganic constituents, selected isotopic and age-dating tracers, and microbial indicators. Most of the wells sampled for this study were private domestic wells. Unlike groundwater from public-supply wells, the groundwater from private domestic wells is not regulated for quality in California and is rarely analyzed for water-quality constituents. To provide context for the sampling results, however, concentrations of constituents measured in the untreated groundwater were compared with regulatory and non-regulatory benchmarks established for drinking-water quality by the U.S. Environmental Protection Agency, the State of California, and the U.S. Geological Survey.Of the 319 organic constituents assessed in this study (90 volatile organic compounds and 229 pesticides and pesticide degradates), 17 volatile organic compounds and 23 pesticides and pesticide degradates were detected in groundwater samples; concentrations of all but 2 were less than the respective benchmarks. The fumigants 1,2-dibromo-3-chloropropane (DBCP) and 1,2-dibromoethane (EDB) were detected at concentrations above their respective regulatory benchmarks in samples from a total of four wells.Most detections of inorganic constituents were at concentrations or activities less than the respective benchmark levels. Five inorganic constituents were detected in groundwater samples from one or more wells at concentrations or activities greater than their respective regulatory, health-based benchmarks: arsenic, uranium, nitrate, adjusted gross alpha particle activity, and gross beta particle activity. Four inorganic constituents were detected in samples from one or more wells at concentrations or activities greater than their respective non-regulatory, health-based benchmarks: manganese, molybdenum, vanadium, and radon-222. Three inorganic constituents were detected in groundwater samples from one or more wells at concentrations greater than their respective non-regulatory, aesthetic-based benchmarks: iron, sulfate, and total dissolved solids.Microbial indicators (Escherichia coli, total coliform, and enterococci) were analyzed for presence or absence. The presence of Escherichia coli (E. coli) was not detected; the presence of total coliform was detected in samples from 10 of the 72 grid wells for which it was analyzed, and the presence of enterococci was detected in samples from 5 of the 73 grid wells analyzed.

Green Walls as an Approach in Grey Water Treatment

NASA Astrophysics Data System (ADS)

Rysulova, Martina; Kaposztasova, Daniela; Vranayova, Zuzana

2017-10-01

Grey water contributes significantly to waste water parameters such as biochemical oxygen demand (BOD), chemical oxygen demand (COD), total suspended solids (TSS), total phosphorus (Ptotal), total nitrogen (Ntotal), ammonium, boron, metals, salts, surfactants, synthetic chemicals, oils and greases, xenobiotic substances and microorganisms. Concentration of these pollutants and the water quality highlights the importance of treatment process in grey water systems. Treatment technologies operating under low energy and maintenance are usually preferred, since they are more cost effective for users. Treatment technologies based on natural processes represent an example of such technology including vegetated wall. Main aim of this paper is to introduce the proposal of vegetated wall managing grey water and brief characteristic of proposed system. Is expected that prepared experiment will establish the purifying ability and the potential of green wall application as an efficient treatment technology.

Hen genetic strain and extended cold storage influence on physical egg quality from cage-free aviary housing system.

PubMed

Jones, D R; Karcher, D M; Regmi, P; Robison, C O; Gast, R K

2018-04-02

In the United States, there is an increase in need for cage-free eggs in retail and food manufacturing sectors. Understanding the impact of cage-free systems and the corresponding management on egg quality is pertinent as the U.S. industry adapts existing housing and builds new cage-free housing structures. A study was conducted comparing 2 brown shell and 2 white shell hen strains housed in a cage-free aviary system. Each set of eggs were placed in cold storage and assessed at 0, 2, 4, 8, and 12 wk. Eggs were collected at 21, 31, 42, and 60 wk of hen age. A full profile of physical quality measurements was conducted on up to 18 intact eggs for each hen strain/egg storage/hen age combination. Egg weight increased approximately 10 g for brown shell and 14 g for white shell eggs as hens aged. Many of the properties monitored were significantly impacted by all 3 main effects (hen strain, egg storage, and hen age) resulting in 3-way interactions. A brown and a white shell strain had stronger shells (44 N; P < 0.0001) than the remaining brown and white shell strains (42 N and 39 N, respectively). The current study also determined volume of shell, total length, maximum width, and percent length at maximum width to more accurately indicate egg shape than shape index. One brown shell strain produced eggs with the most consistent shape characteristics over the hen ages monitored. White shell eggs from the cage-free aviary housing produced the highest whole-egg total solids between 31 to 60 wk of hen age, whereas brown shell eggs resulted in the most consistent level of whole-egg total solids (22-23.5%). The brown and white shell strains in the current study produce cage-free aviary eggs with distinctive physical quality attributes. The outcomes from this study can be utilized by the U.S. egg industry in planning management strategies and market placement of cage-free eggs.

Image quality, meteorological optical range, and fog particulate number evaluation using the Sandia National Laboratories fog chamber

DOE PAGES

Birch, Gabriel C.; Woo, Bryana L.; Sanchez, Andres L.; ...

2017-08-24

The evaluation of optical system performance in fog conditions typically requires field testing. This can be challenging due to the unpredictable nature of fog generation and the temporal and spatial nonuniformity of the phenomenon itself. We describe the Sandia National Laboratories fog chamber, a new test facility that enables the repeatable generation of fog within a 55 m×3 m×3 m (L×W×H) environment, and demonstrate the fog chamber through a series of optical tests. These tests are performed to evaluate system image quality, determine meteorological optical range (MOR), and measure the number of particles in the atmosphere. Relationships between typical opticalmore » quality metrics, MOR values, and total number of fog particles are described using the data obtained from the fog chamber and repeated over a series of three tests.« less

Image quality, meteorological optical range, and fog particulate number evaluation using the Sandia National Laboratories fog chamber

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

Birch, Gabriel C.; Woo, Bryana L.; Sanchez, Andres L.

The evaluation of optical system performance in fog conditions typically requires field testing. This can be challenging due to the unpredictable nature of fog generation and the temporal and spatial nonuniformity of the phenomenon itself. We describe the Sandia National Laboratories fog chamber, a new test facility that enables the repeatable generation of fog within a 55 m×3 m×3 m (L×W×H) environment, and demonstrate the fog chamber through a series of optical tests. These tests are performed to evaluate system image quality, determine meteorological optical range (MOR), and measure the number of particles in the atmosphere. Relationships between typical opticalmore » quality metrics, MOR values, and total number of fog particles are described using the data obtained from the fog chamber and repeated over a series of three tests.« less

Indoor Air Quality in the Metro System in North Taiwan.

PubMed

Chen, Ying-Yi; Sung, Fung-Chang; Chen, Mei-Lien; Mao, I-Fang; Lu, Chung-Yen

2016-12-02

Indoor air pollution is an increasing health concern, especially in enclosed environments such as underground subway stations because of increased global usage by urban populations. This study measured the indoor air quality of underground platforms at 10 metro stations of the Taipei Rapid Transit system (TRTS) in Taiwan, including humidity, temperature, carbon monoxide (CO), carbon dioxide (CO₂), formaldehyde (HCHO), total volatile organic compounds (TVOCs), ozone (O₃), airborne particulate matter (PM 10 and PM 2.5 ), bacteria and fungi. Results showed that the CO₂, CO and HCHO levels met the stipulated standards as regulated by Taiwan's Indoor Air Quality Management Act (TIAQMA). However, elevated PM 10 and PM 2.5 levels were measured at most stations. TVOCs and bacterial concentrations at some stations measured in summer were higher than the regulated standards stipulated by Taiwan's Environmental Protection Administration. Further studies should be conducted to reduce particulate matters, TVOCs and bacteria in the air of subway stations.

Investigating aquifer contamination and groundwater quality in eastern Terai region of Nepal.

PubMed

Mahato, Sanjay; Mahato, Asmita; Karna, Pankaj Kumar; Balmiki, Nisha

2018-05-21

This study aims at assessing the groundwater quality of the three districts of Eastern Terai region of Nepal viz. Morang, Jhapa, Sunsari using physicochemical characteristics and statistical approach so that possible contamination of water reservoir can be understood. pH, temperature, conductivity, turbidity, color, total dissolved solids, fluorides, ammonia, nitrates, chloride, total hardness, calcium hardness, calcium, magnesium, total alkalinity, iron, manganese, arsenic have to be analyzed to know the present status of groundwater quality. Results revealed that the value of analyzed parameters were within the acceptable limits for drinking water recommended by World Health Organization except for pH, turbidity, ammonia and iron. As per Nepal Drinking Water Quality Standards, fluoride and manganese too were not complying with the permissible limit. Electrical conductivity, total dissolved solids, chloride, total hardness, calcium hardness, manganese, and total alkalinity show good positive correlation with major water quality parameters. Calcium, magnesium, total hardness, calcium hardness and total alkalinity greatly influences total dissolved solids and electrical conductivity. ANOVA, Tukey, and clustering highlight the significance of three districts. Groundwater can be considered safe, but there is always a chance of contamination through chemical wastes in the heavily industrialized area of Morang and Sunsari Industrial corridor.

a Study on the Introduction of Total Natural Resources Management System Using the Environmental Conservation Value Assessment Map

NASA Astrophysics Data System (ADS)

Hwang, J.; Lee, K.; Jang, R.; Jeon, S.

2018-04-01

The environmental impact assessment system and the environmental plan for the preservation of the land environment are carried out with the aim of preventing damage to the environment caused by human activities, improving the quality of life and creating a pleasant environment. However, despite these various systems, the natural resources have been continuously damaged, and the system to cope with them has been advanced, but there has been a limit to fully conserve natural resources from development. The total amount of natural resources is being promoted as a part of the purpose of supplementing the system, but the evaluation method of the total amount of natural resources suitable for domestic situation is not presented yet. Natural resources are diverse and complicated in their categories and elements, and their measurement units are also diverse, making it difficult to synthesize them into one unit. Therefore, in this study, we proposed a method to calculate the total amount by using the evaluation map of the Environmental Conservation Value Assessment Map (ECVAM) which derives the final achievement with 5 grades using 65 evaluation items. However, we consistently applied the weight twice as much as the grade and did not utilize any information other than the map of ECVAM. The results of this study can be applied to the Total Natural Resources Management System through follow-up study such as application of various environmental information and weighting method.

The quality of the maternal health system in Eritrea.

PubMed

Sharan, Mona; Ahmed, Saifuddin; Ghebrehiwet, Mismay; Rogo, Khama

2011-12-01

To examine the quality of the maternal health system in Eritrea to understand system deficiencies and its relevance to maternal mortality within the context of Millennium Development Goal (MDG) 5. A sample of 118 health facilities was surveyed. Data were collected on 5 dimensions of health system quality: availability; accessibility; management; infrastructure; and process indicators. Data on the causes of hospital admissions for obstetric patients and maternal deaths were extracted from medical records. Eritrea has only 11 comprehensive emergency obstetric care (CEmOC) facilities, all of which are grossly understaffed. There is considerable pressure on the infrastructure and health providers at hospitals. Compliance with clinical care standards and availability of supplies were optimal. As a result, the case fatality rate of 0.65% was low. In total, 45.6% of obstetric admissions and 19.5% of maternal deaths were attributed to abortion complications. In Eritrea, critical gaps in the health system-especially those related to human resources-will impede progress toward MDG 5, and it will not be possible to reduce maternal mortality without addressing the high burden of abortion. Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Safety, reliability, maintainability and quality provisions for the Space Shuttle program

NASA Technical Reports Server (NTRS)

1990-01-01

This publication establishes common safety, reliability, maintainability and quality provisions for the Space Shuttle Program. NASA Centers shall use this publication both as the basis for negotiating safety, reliability, maintainability and quality requirements with Shuttle Program contractors and as the guideline for conduct of program safety, reliability, maintainability and quality activities at the Centers. Centers shall assure that applicable provisions of the publication are imposed in lower tier contracts. Centers shall give due regard to other Space Shuttle Program planning in order to provide an integrated total Space Shuttle Program activity. In the implementation of safety, reliability, maintainability and quality activities, consideration shall be given to hardware complexity, supplier experience, state of hardware development, unit cost, and hardware use. The approach and methods for contractor implementation shall be described in the contractors safety, reliability, maintainability and quality plans. This publication incorporates provisions of NASA documents: NHB 1700.1 'NASA Safety Manual, Vol. 1'; NHB 5300.4(IA), 'Reliability Program Provisions for Aeronautical and Space System Contractors'; and NHB 5300.4(1B), 'Quality Program Provisions for Aeronautical and Space System Contractors'. It has been tailored from the above documents based on experience in other programs. It is intended that this publication be reviewed and revised, as appropriate, to reflect new experience and to assure continuing viability.

Amoeba-related health risk in drinking water systems: could monitoring of amoebae be a complementary approach to current quality control strategies?

PubMed

Codony, Francesc; Pérez, Leonardo Martín; Adrados, Bárbara; Agustí, Gemma; Fittipaldi, Mariana; Morató, Jordi

2012-01-01

Culture-based methods for fecal indicator microorganisms are the standard protocol to assess potential health risk from drinking water systems. However, these traditional fecal indicators are inappropriate surrogates for disinfection-resistant fecal pathogens and the indigenous pathogens that grow in drinking water systems. There is now a range of molecular-based methods, such as quantitative PCR, which allow detection of a variety of pathogens and alternative indicators. Hence, in addition to targeting total Escherichia coli (i.e., dead and alive) for the detection of fecal pollution, various amoebae may be suitable to indicate the potential presence of pathogenic amoeba-resisting microorganisms, such as Legionellae. Therefore, monitoring amoeba levels by quantitative PCR could be a useful tool for directly and indirectly evaluating health risk and could also be a complementary approach to current microbial quality control strategies for drinking water systems.

Hospital non-price competition under the Global Budget Payment and Prospective Payment Systems.

PubMed

Chen, Wen-Yi; Lin, Yu-Hui

2008-06-01

This paper provides theoretical analyses of two alternative hospital payment systems for controlling medical cost: the Global Budget Payment System (GBPS) and the Prospective Payment System (PPS). The former method assigns a fixed total budget for all healthcare services over a given period with hospitals being paid on a fee-for-service basis. The latter method is usually connected with a fixed payment to hospitals within a Diagnosis-Related Group. Our results demonstrate that, given the same expenditure, the GBPS would approach optimal levels of quality and efficiency as well as the level of social welfare provided by the PPS, as long as market competition is sufficiently high; our results also demonstrate that the treadmill effect, modeling an inverse relationship between price and quantity under the GBPS, would be a quality-enhancing and efficiency-improving outcome due to market competition.

A Paradigm Shift for Educational Administrators: The Total Quality Movement.

ERIC Educational Resources Information Center

Hough, M. J.

This paper reviews the major ideas of the seminal total quality management theorists, such as Deming, Crosby, Juran, Ishikawa, and Imai, to illustrate how total quality management is applicable to education. It is argued that there is a need for a paradigm shift in educational administration. The first part reviews current Australian societal…

Providing leadership to a decentralized total quality process.

PubMed

Diederich, J J; Eisenberg, M

1993-01-01

Integrating total quality management into the culture of an organization and the daily work of employees requires a decentralized leadership structure that encourages all employees to become involved. This article, based upon the experience of the University of Michigan Hospitals Professional Services Divisional Lead Team, outlines a process for decentralizing the total quality management process.

40 CFR 130.7 - Total maximum daily loads (TMDL) and individual water quality-based effluent limitations.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Total maximum daily loads (TMDL) and individual water quality-based effluent limitations. 130.7 Section 130.7 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.7 Total...

Supply Operations (DLA-O) Total Quality Management (TQM) Master Plan

DTIC Science & Technology

1989-07-01

This document briefly outlines the DLA Directorate of Supply Operations plan to implement total quality management . It seeks to provide better...service to customers at a lower cost through continuous process improvement and commitment from everyone in the organization. Keywords: TQM (total Quality Management ), Supply operations; Continuous process improvement. (KR)

Leadership: The Key to Successful Implementation of Total Quality Management

DTIC Science & Technology

1990-05-01

the implementation of the initiative called Total Quality Management as the philosophy and guiding principles to improve organizational efficiency...where and how to start. This paper presents the critical elements, their interrelationships, and how they can be used to achieve the cultural change necessary for successful implementation of Total Quality Management .

Total Quality: An Understanding and Application For Community, Junior, and Technical Colleges.

ERIC Educational Resources Information Center

Burgdorf, Augustus

1992-01-01

Total Quality (TQ), is a customer-oriented philosophy of management that utilizes total employee involvement in the relentless, daily search for improvement of product and service quality, through the use of statistical methods, employee teams, and performance management. In the TQ framework, "internal" customers are individuals within the…