Academic literature on the topic 'Practice Guidelines as a Topic'
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Journal articles on the topic "Practice Guidelines as a Topic"
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Zanella, S., A. Vassiliadis, F. Buccelleti, F. Ricci, S. Verma, R. S. Bali, P. N. Agarwal, et al. "Topic: Inguinal Hernia — Influence of guidelines on daily practice." Hernia 19, S1 (April 2015): S261—S263. http://dx.doi.org/10.1007/bf03355367.
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Browman, G. P., M. N. Levine, E. A. Mohide, R. S. Hayward, K. I. Pritchard, A. Gafni, and A. Laupacis. "The practice guidelines development cycle: a conceptual tool for practice guidelines development and implementation." Journal of Clinical Oncology 13, no. 2 (February 1995): 502–12. http://dx.doi.org/10.1200/jco.1995.13.2.502.
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PURPOSE To develop a conceptual tool for the systematic development of cancer treatment practice guidelines. MATERIALS AND METHODS The guidelines development tool, the Practice Guidelines Development Cycle, was derived from observing an evidence-based practice guidelines initiative at a comprehensive cancer center in Ontario, Canada, and from a literature review that uncovered barriers to guidelines development and implementation. Based on the literature findings and direct observations of how clinicians struggled with evidence-based guidelines development, we evolved a framework to incorporate clinical and administrative factors (eg, costs) into evidence-based guidelines. Use of the Practice Guidelines Development Cycle is illustrated with a clinical example (the use of adjuvant systemic therapy in good-risk, node-negative premenopausal breast cancer patients). RESULTS The result is the Practice Guidelines Development Cycle, which consists of eight sequential steps, from topic selection to policy formulation. Independent validation of guidelines is included. The cycle products are the evidence-based recommendation, the practice guideline, and the practice policy. The main features of the cycle are emphasis on scientific evidence, acknowledgment of the roles of clinical experience and nonclinical (administrative) factors through consensus, and explicit separation of clinical and cost considerations in guidelines development. Twenty guidelines are currently in development. CONCLUSION Attention to the barriers of guidelines development and the sociocultural nature of clinical practice, and respect for clinical experience, can lead to improved strategies for guidelines development.
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Rosenfeld, Richard M., and Peter C. Wyer. "Stakeholder-Driven Quality Improvement: A Compelling Force for Clinical Practice Guidelines." Otolaryngology–Head and Neck Surgery 158, no. 1 (October 17, 2017): 16–20. http://dx.doi.org/10.1177/0194599817735500.
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Clinical practice guideline development should be driven by rigorous methodology, but what is less clear is where quality improvement enters the process: should it be a priority-guiding force, or should it enter only after recommendations are formulated? We argue for a stakeholder-driven approach to guideline development, with an overriding goal of quality improvement based on stakeholder perceptions of needs, uncertainties, and knowledge gaps. In contrast, the widely used topic-driven approach, which often makes recommendations based only on randomized controlled trials, is driven by epidemiologic purity and evidence rigor, with quality improvement a downstream consideration. The advantages of a stakeholder-driven versus a topic-driven approach are highlighted by comparisons of guidelines for otitis media with effusion, thyroid nodules, sepsis, and acute bacterial rhinosinusitis. These comparisons show that stakeholder-driven guidelines are more likely to address the quality improvement needs and pressing concerns of clinicians and patients, including understudied populations and patients with multiple chronic conditions. Conversely, a topic-driven approach often addresses “typical” patients, based on research that may not reflect the needs of high-risk groups excluded from studies because of ethical issues or a desire for purity of research design.
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Platz, Thomas. "Practice Guidelines in Neurorehabilitation." Neurology International Open 01, no. 03 (June 2017): E148—E152. http://dx.doi.org/10.1055/s-0043-103057.
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AbstractPractice guidelines are scientifically based practice recommendations. They can be consensus-based and provided by a single medical society (S1 guideline) or developed by a group of national medical societies with a structured consensus process (S2k guideline). S2k guidelines are a good opportunity to develop valid practice guidelines with a broad supporting base when health topics are either complex or when clinical evidence is limited. Evidence-based guidelines rest on a systematic search and critical appraisal of the available evidence and represent the highest quality level for guidelines; they can be developed by single medical societies (S2e guideline) or jointly by several national medical societies (S3 guideline). They reflect the state of the art and generate a high degree of confidence that their recommendations support optimal treatment. The German neurorehabilitation society (DGNR) provides evidence-based guidelines for motor rehabilitation after stroke (arm, mobility, spasticity).
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Choi, Sukgi, and Lorraine Nnacheta. "Clinical Practice Guidelines: AAO-HNSF Process for CPG Development and Topic Selection." Otolaryngology–Head and Neck Surgery 158, no. 2 (October 24, 2017): 219–21. http://dx.doi.org/10.1177/0194599817738526.
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The American Academy of Otolaryngology–Head and Neck Surgery has been developing clinical practice guidelines (CPGs) for use by its members and the public. The process of CPG development and the selection of topics for CPGs can be confusing. This commentary attempts to clarify this process and delineate the issues that are considered in topic selection.
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Somerfield, Mark R., Kari Bohlke, George P. Browman, Neelima Denduluri, Kaitlin Einhaus, Daniel F. Hayes, Alok A. Khorana, et al. "Innovations in American Society of Clinical Oncology Practice Guideline Development." Journal of Clinical Oncology 34, no. 26 (September 10, 2016): 3213–20. http://dx.doi.org/10.1200/jco.2016.68.3524.
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Since the beginning of its guidelines program in 1993, ASCO has continually sought ways to produce a greater number of guidelines while maintaining its commitment to using the rigorous development methods that minimize the biases that threaten the validity of practice recommendations. ASCO is implementing a range of guideline development and implementation innovations. In this article, we describe innovations that are designed to (1) integrate consideration of multiple chronic conditions into practice guidelines; (2) keep more of its guidelines current by applying evolving signals or (more) rapid, for-cause updating approaches; (3) increase the number of high-quality guidelines available to its membership through endorsement and adaptation of other groups’ products; (4) improve coverage of its members’ guideline needs through a new topic nomination process; and (5) enhance dissemination and promote implementation of ASCO guidelines in the oncology practice community through a network of volunteer ambassadors. We close with a summary of ASCO’s plans to facilitate the integration of data from its rapid learning system, CancerLinQ, into ASCO guidelines and to develop tactics through which guideline recommendations can be embedded in clinicians’ workflow in digital form. We highlight the challenges inherent in reconciling the need to provide clinicians with more interactive, point-of-care guidance with ASCO’s abiding commitment to methodologic rigor in guideline development.
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Brauer, Paula M. "Practice Guidelines: Pedantic Pontification or Pragmatic Progress? 2003 Ryley-Jeffs Memorial Lecture." Canadian Journal of Dietetic Practice and Research 64, no. 3 (September 2003): 142–46. http://dx.doi.org/10.3148/64.3.2003.142.
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Development and use of practice guidelines is one strategy to assist health professionals in translating research into practice. There has been a significant growth in the number of practice guidelines developed, with the increased focus on justifying health care costs and demonstrating outcomes. Quality and influence on established practice, however, has sometimes been lacking. Recognizing both the importance of practice guidelines and some of the controversies surrounding their quality and use, Dietitians of Canada convened a task group to make recommendations on future development. They reviewed the practice guideline programs of others and identified the key elements needed to ensure any dietetics-produced guidelines would be credible, feasible and applicable to clinical counselling, administration and community health promotion. In this memorial lecture, the chair of that task group briefly reviews the history of dietetic practice guidelines, new innovations in systematic review and consensus development methods, and specifically the Delphi process used to develop a new Dietetic Practice Guidelines Framework. The 34 elements of the framework direct overall management of the guideline development process, including topic nomination, systematic literature review, group judgment, and pilot testing.
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Loblaw, D. Andrew, Ann Alexis Prestrud, Mark R. Somerfield, Thomas K. Oliver, Melissa C. Brouwers, Robert K. Nam, Gary H. Lyman, and Ethan Basch. "American Society of Clinical Oncology Clinical Practice Guidelines: Formal Systematic Review–Based Consensus Methodology." Journal of Clinical Oncology 30, no. 25 (September 1, 2012): 3136–40. http://dx.doi.org/10.1200/jco.2012.42.0489.
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The American Society of Clinical Oncology (ASCO) guidelines program employs a systematic review–based methodology to produce evidence-based guidelines. This is consistent with the stance of the Institute of Medicine on guideline development, which is that high-quality evidence syntheses form the basis for recommendation development. In the absence of high-quality evidence, recommendation development becomes more complex. One option is to provide no recommendations or withdraw a guideline topic. However, it is often the areas of greatest uncertainty in which the evidentiary base is incomplete, and thus, guidelines are needed most. To provide recommendations in such circumstances, an explicit methodology is needed to ensure that a credible process is undertaken, and rigorous, reliable advice is provided. In 2010, the ASCO Board of Directors approved development of guideline recommendations using consensus methodology. A modified Delphi approach to recommendation development, based on the best available data identified in a systematic review, was piloted with an ASCO guideline. Consensus was achieved through the rating of a series of recommendations by a large group of clinicians, including academic and community-based content and methodology experts. A prespecified threshold of agreement was determined to indicate when consensus was achieved. Consensus was defined as agreement by ≥ 75% of raters. The formal consensus methodology used by ASCO enabled development of guideline recommendations on a challenging clinical issue based on limited evidence using a rigorous, transparent, and explicit method. This methodology is proposed for development of future ASCO guidelines on topics for which limited evidence is available.
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Swarm, Robert A., Judith A. Paice, Doralina L. Anghelescu, Madhuri Are, Justine Yang Bruce, Sorin Buga, Marcin Chwistek, et al. "Adult Cancer Pain, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology." Journal of the National Comprehensive Cancer Network 17, no. 8 (August 2019): 977–1007. http://dx.doi.org/10.6004/jnccn.2019.0038.
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In recent years, the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Adult Cancer Pain have undergone substantial revisions focusing on the appropriate and safe prescription of opioid analgesics, optimization of nonopioid analgesics and adjuvant medications, and integration of nonpharmacologic methods of cancer pain management. This selection highlights some of these changes, covering topics on management of adult cancer pain including pharmacologic interventions, nonpharmacologic interventions, and treatment of specific cancer pain syndromes. The complete version of the NCCN Guidelines for Adult Cancer Pain addresses additional aspects of this topic, including pathophysiologic classification of cancer pain syndromes, comprehensive pain assessment, management of pain crisis, ongoing care for cancer pain, pain in cancer survivors, and specialty consultations.
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Van Der Sanden, Wil J. M., Dirk G. Mettes, Richard P. T. M. Grol, Alphons J. M. Plasschaert, and Emiel H. Verdonschot. "Development of clinical practice guidelines for dentists: methods for topic selection." Community Dentistry and Oral Epidemiology 30, no. 4 (July 29, 2002): 313–19. http://dx.doi.org/10.1034/j.1600-0528.2002.00060.x.
Full textDissertations / Theses on the topic "Practice Guidelines as a Topic"
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García-Mostajo, Jorge A., Carlos Alva-Díaz, Víctor J. Suárez, Raúl Timaná, and Carlos Canelo-Aybar. "Desarrollo de guías de práctica clínica basadas en evidencia en Perú desde el sector público." Colegio Médico del Perú (CMP), 2017. http://hdl.handle.net/10757/622438.
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En el Perú, la elaboración de guías de práctica clínica tiene exigencia normativa desde el año
2005 (NT N° 027-MINSA/DGSP-V.01); sin embargo, su desarrollo ha ténido poco énfasis en
la calidad metodológica de las mismas, prefiriendo el tipo narrativo. Desde hace varios años
se realizan esfuerzos dispersos para mejorar la calidad metodológica, principalmente que su
elaboaración esté basada en evidencias científicas. Actualmente se cuenta con una nueva
normativa (NT N° 302-2015/MINSA) que pone mayor enfasis en esta exigencia y algunas
instituciones ya trabajan para adecuarse a estandares internacionales y poder generar
impactos positivos en nuestro sistema de salud a través del adecuado desarrollo de guias de
practica clínica en nuestro pais.There has been a regulation for generating clinical practice guidelines in Peru since 2005 (NT N° 027-MINSA/DGSP-V.01), which was issued by the Ministry of Health. However, its use has had little emphasis in the methodological quality of such guidelines, and a narrative style was preferred. Some isolated efforts aiming to improve the quality of such guidelines have taken place, especially with respect to have such documents produced based on evidence. Now we have a new regulation (NT N° 302-2015/MINSA), which places more emphasis in this requirement; and some institutions are already working in such way, in order to comply with international standards and be able to generate a positive impact in our healthcare system through the adequate development of clinical practice guidelines in our country.
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Bartz, Patrícia Thurow. "Manejo da dor lombar crônica inespecífica por médicos de Unidades Básicas de Saúde de Porto Alegre." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2015. http://hdl.handle.net/10183/140978.
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As atitudes e crenças sobre a dor lombar crônica inespecífica (DLCI) dos profissionais de saúde estão associadas com as de seus pacientes, assim como com os resultados do tratamento. Por sua relevância, alguns estudos já foram realizados com o intuito de identificar as atitudes e crenças ligadas à orientação de tratamento que os médicos adotam no manejo da DLCI, bem como investigar a associação entre suas características demográficas e profissionais e suas atitudes e crenças. No entanto, no Brasil encontramos apenas uma pesquisa sobre esse tema, com fisioterapeutas que atuavam em hospitais e clínicas particulares. Os objetivos desta dissertação foram: 1) revisar os documentos que abordam o manejo da DLCI localizados na Biblioteca Virtual em Saúde do Ministério da Saúde; 2) descrever atitudes e crenças relacionadas à orientação de tratamento dos médicos de Unidades Básicas de Saúde (UBS) conveniadas a Prefeitura de Porto Alegre (PREFPOA) e identificar a associação entre suas características demográficas e profissionais e as suas atitudes e crenças relacionadas à orientação de tratamento da dor lombar crônica inespecífica. Esta dissertação foi composta por dois artigos, sendo que cada artigo inclui um dos objetivos citados. Para atingir o objetivo 1, realizamos uma revisão de documentos na língua portuguesa sobre o manejo da dor lombar publicados na Biblioteca Virtual em Saúde do Ministério da Saúde. Para atingir o objetivo 2, todos os médicos de UBS da PREFPOA foram convidados para participar do estudo. Como critérios de inclusão, foi determinado que para participar da pesquisa o médico deveria atender pelo menos um paciente com DLCI por semana e estar trabalhando na atenção básica há pelo menos seis meses. Para coleta de dados, utilizamos um questionário demográfico e profissional e o Pain Attitudes and Beliefs Scale for Physiotherapists, para avaliar as atitudes e crenças, sendo composto por duas orientações de tratamento: biomédica e comportamental. Os resultados do artigo 1 indicam que não há um documento na língua portuguesa que oriente os profissionais a utilizarem a orientação biopsicossocial no manejo de pacientes com DLCI. Os resultados do artigo 2, em que participaram do estudo 110 médicos, com idade média de 47,18(±9,52) anos, indicam uma média de 27,75(±6,89) na orientação biomédica e de 22,76(±4,44) na orientação comportamental, sendo que os médicos consideraram o papel do estresse e de questões psicossociais no manejo da DLCI, mas também relacionaram a dor à presença de lesão tecidual. Tanto na orientação biomédica quanto na comportamental as diferenças entre os grupos foram pequenas, considerando as variáveis demográficas e profissionais. Conclui-se que existe uma carência de documentos na língua portuguesa para guiar os profissionais a utilizarem a orientação biopsicossocial no manejo da DLCI, os médicos de UBS da PREFPOA apresentaram atitudes e crenças ligadas tanto à orientação biomédica quanto comportamental e nenhuma característica analisada estava associada às atitudes e crenças dos médicos.Attitudes and beliefs about chronic nonspecific low back pain of health professionals are associated with their patients, as well as the results of treatment. For its relevance, some studies have been conducted in order to identify the attitudes and beliefs related to orientation treatment that physicians adopt in the management of chronic nonspecific low back pain and investigate the association between their demographic and professional characteristics and their attitudes and beliefs. However, in Brazil we found only research on this subject, with physiotherapists who worked in hospitals and private clinics. The objectives of this dissertation were: 1) to review the documents that address the management of chronic nonspecific low back pain located in the Virtual Health Library of the Ministry of Health; 2) describe attitudes and beliefs related to the orientation treatment of the Basic Units of Health linked the Porto Alegre Prefecture and identify the association between their demographic and professional characteristics and their attitudes and beliefs related to orientation treatment of chronic non-specific low back pain. This dissertation was composed of two articles, wherein each article includes one of said goals. To article the goal 1, we conducted a review of documents in Portuguese on the management of low back pain published in the Virtual Library of Health Ministry of Health. To article the goal 2, Porto Alegre Prefecture’ Basic Units of Health’ all physicians were invited to participate in the study. As inclusion criteria, it was determined that to participate in the survey the physician should meet at least one patient with chronic nonspecific low back pain a week and be working in primary care for at least six months. To collect data, use demographic and professional questionnaire and Pain Attitudes and Beliefs Scale for Physiotherapists, to assess attitudes and beliefs, being composed of two treatment guidelines: biomedical and behavioral. The results of Article 1 indicate that there is a document in the Portuguese language to guide professionals to use the biopsychosocial orientation in the management of patients with chronic nonspecific low back pain. The results of Article 2, in the study 110 physicians with an average age of 47.18 (± 9.52) years, indicate an average of 27.75 (± 6.89) in biomedical orientation and 22.76 (±4.44) in the behavioral orientation, and the physicians considered the role of stress and psychosocial issues in the management of chronic nonspecific low back pain, but also related pain to the presence of tissue injury. Any biomedical orientation as the behavioral differences between groups were small, considering demographic variables and professionals. It is concluded that there is a lack of documents in Portuguese to guide professionals to use the biopsychosocial guidance in the management of chronic nonspecific low back pain, Porto Alegre Prefecture’ Basic Units of Health’ physicians of presented attitudes and beliefs related to both biomedical and behavioral guidance and no analyzed characteristic was associated with attitudes and beliefs of physicians.
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Peretti, Andrezza Gomes. "Discursos normativos e de profissionais da rede de proteção à infância: o trabalho intersetorial contra a violência em uma região de São Paulo - SP." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-05062018-124015/.
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O entendimento de que toda criança é sujeita de direitos é historicamente recente no Brasil. O paradigma atual, pautado nos direitos humanos, preconiza o fim da exploração e de quaisquer tipos de abusos a essa fase da vida. Entretanto, o fenômeno ainda ocorre e as consequências podem ser de curto a longo prazo, sendo um dos fatores de risco associado à problemas cognitivos, linguísticos, afetivos e acadêmicos. O enfrentamento da questão no Brasil se estabelece a partir de várias instituições que fazem parte da Rede de proteção à criança vítima de violência, como disposto desde 1990 pelo Estatuto da Criança e do Adolescente e melhor estruturado em 2006 pelo Sistema de Garantia de Direitos, que prevê um trabalho considerado intersetorial. Todavia, a literatura aponta certa falha na comunicação entre os seus componentes. Entender o funcionamento da Rede e em que medida ela compõe um trabalho intersetorial é importante para refletir acerca de sua dinâmica e suas potencialidades. Para tanto, o objetivo desta pesquisa é compreender a composição e funcionamento da Rede de proteção. Para a realização da pesquisa utilizamos duas fontes de informação: 1) normas, orientações e diretrizes voltadas aos profissionais de grandes áreas que fazem parte da rede protetiva, separando-as pelos seguintes setores: Direitos Humanos, Justiça e Segurança Pública, Saúde, Educação e Assistência Social; e 2) entrevistas semiestruturadas com profissionais que atuam nesses setores e trabalham em uma mesma região na zona Sul da cidade de São Paulo. O material foi analisado de forma qualitativa utilizando a análise discursiva para compreender como a articulação das diferentes esferas atuantes na proteção infantil emerge como um dispositivo para o enfrentamento da violência contra crianças. Notamos que há algumas diferenças entre as atribuições esperadas por cada setor e há uma maior flexibilização dos fluxos de atendimento nos discursos dos profissionais quando comparados aos discursos normativos. Quanto às notificações de violência, destacamos desafios para sua ocorrência relacionados a falta de capacitação dos profissionais para lidar com a temática, insegurança para notificar e ainda ausência de confiança no Conselho Tutelar. Quanto a este órgão, observamos falta de legitimidade quanto a eficácia de suas ações, tornando-se apenas uma instituição necessária para a Rede protetiva porque as normas e leis assim determinam. No que se refere ao funcionamento da rede, notamos que embora os documentos afirmem a sua importância, conceituem a violência de maneira homogênea e definam encaminhamentos a serem tomados, a rede funciona de forma ainda frágil, como constatam os discursos dos profissionais. Para a construção de uma política intersetorial torna-se necessário uniformizar o fluxo de atendimento, os sistemas de informação e notificação de violência e capacitar os profissionais para este processo. Estratégias promissoras para a construção de planos intersetoriais de atendimento na região são as audiências concentradas e outras reuniões semelhantes. A institucionalização desses mecanismos poderia facilitar uma maior articulação entre os setoresThe knowledge that every child is a subject of rights is historically recent in Brazil. The current paradigm, based on human rights, advocates the end of exploitation and any other type of abuse in this stage of life. However, the phenomena still occurs and its lead to short or long term consequences, and is one of the risk factors associated to cognitive, linguistic, affective and academic problems. The coping to that question in Brazil is established from many institutions that are part of a child abuse network protection, as it is recommended since 1990 by Child and Adolescent Statute (Estatuto da Criança e do Adolescente) and better organized in 2006 by the Rights Guarantee System (Sistema de Garantia de Direitos), that seeks a work considered intersectoral. Nevertheless, the literature points some failure in the communication of its components. Understand how the network works and to what extent it makes up an intersectoral work is important to reflect about its dynamic and possibilities. Therefore, the objective of this research is to understand the composition and operation of the Protection Network. In order to carry out the research, we used two sources of information: 1) standards, orientation and guidelines for professionals in large areas that are part of the protection network, separating them by the following sectors: Human Rights, Justice and Public Security, Health, Education and Social Assistance; and 2) semi-structured interviews with professionals who work in these sectors and acts in the same region in the southern part of Sao Paulo city. The material was analysed by qualitative methods using discursive analysis to understand how the articulation of the different spheres of child protection emerges as a device for coping with violence against children. We note that there are some differences between the attributions expected by each sector and there is a greater flexibility of the service flows in the professionals\' discourses when compared to normative discourses. Regarding the notifications of violence, we highlight challenges to its occurrence related to the lack of capacity of professionals to deal with the issue, insecurity to notify and still lack of trust in the Tutelary Council. Concerning this institution, we observe a lack of legitimacy regarding the effectiveness of its actions, becoming only a necessary institution for the Protective Network because the rules and laws so determine. Regarding the functioning of the network, we note that although the documents affirm their importance, conceptualize violence in a homogeneous way and define guidelines to be taken, the network works in a still fragile way, as evidenced by the professionals\' discourses. In order to build an intersectoral policy, it is necessary to standardize the flow of attendance, the information and notification systems of violence, and to empower professionals for this process. Promising strategies for building intersectoral service plans in the region are concentrated audience and other similar meetings. The institutionalization of these mechanisms could facilitate greater articulation between sectors
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Bonfim, José Ruben Ferreira de Alcântara. "Análise da prescrição de fármacos não constantes da Relação Municipal de Medicamentos Essenciais do município de São Paulo, 2008-2013." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-17092015-084444/.
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Introdução. Desde 2006 a Assistência Farmacêutica da Coordenação de Atenção Básica da Secretaria Municipal da Saúde de São Paulo (SMS-SP) recebeu, por ano, em média, cerca de 125 solicitações de medicamentos não constantes da Relação Municipal de Medicamentos Essenciais - Remume-SP, antes de 2011, e a partir deste ano 250 solicitações, demanda que ainda não foi objeto de estudo para se conhecer de forma sistemática sua natureza e as implicações quanto à regulação sob o marco do acesso racional a fármacos.Objeto do estudo. Avaliou-se as solicitações de produtos farmacêuticos não constantes da Remume-SP, de 2008 a 2013. Método. Análise de documentos, segundo a prática médica com base em provas científicas, de solicitação de medicamentos não disponíveis na Remume-SP decorrente de prescrição médica por meio de Formulário de Justificação para aquisição de medicamentos não constantes da Remume-SP, e oriunda de serviços da SMS-SP no período do estudo. Resultado. Analisou-se os processos advindos de 1.174 solicitações, de 2008 a 2013, que levou à não autorização de aquisição de 58,9 por cento (N=692), pelos seguintes motivos: 1- não há prova suficiente na literatura, 15 (17 por cento ); 2- consta da Remume-SP, 11 (1 por cento ); 3- disponível na SES-SP, 56 (8 por cento ); 4- informação clínica insuficiente, 151 (22 por cento ); 5- fornecimento CACON, 10 (1 por cento ); 6- fármaco desnecessário, 18 (3 por cento ); 7- indicação de outro fármaco, ou outra concentração do fármaco solicitado, ou outro acessório, ou ainda outro tratamento (cirúrgico, por exemplo), 169 (24 por cento ); 8- solicitação de parecer de área técnica relacionada, 62 (9 por cento ); 9- paciente não acompanhado em serviço municipal de saúde, 12 (2 por cento ); 10- erro de prescrição, 39 (6 por cento ); 11- não há prova suficiente na literatura e informação clínica insuficiente, 49 (7 por cento ). As razões do não acolhimento do pedido do médico estão apresentadas em exemplos, das principais categorias farmacêuticas, considerando-se a variedade das solicitações, todos documentados pela literatura e extraídos dos processos de solicitações. Faz-se recomendações para a melhoria da regulação da prescrição farmacológica e possíveis ajustes na relação entre os formuladores e executores de políticas do município e os conjuntos dos prescritores, tendo como centro das preocupações a segurança do usuário do SUS e a melhoria do acesso a fármacos com a melhor relação benefício-risco.Introduction. Since 2006, the Assistência Farmacêutica da Coordenação de Atenção Básica da Secretaria Municipal da Saúde de São Paulo (SMS-SP) (Coordination on Pharmaceutical Care of the Municipal Health Secretariat of São Paulo) received about 125 requests yearly, on average,before2011, and after this year, 250 requests yearly for drugs not listed in the Relação Municipal de Medicamentos Essenciais (Municipal Register of Essential Medicines) REMUME-SP, demand whose object of study was not known in a systematic nature and whose implications regarding regulation were not studied under the framework of rational access to drugs. Object of the study. Evaluate requests for pharmaceuticals not listed in REMUME-SP, from 2008 to 2013. Method. Analysis of documents, according to medical practice based on scientific evidence, of request for products not available in REMUMESP, prescribed via Form Justification for the purchase of drugs not listed in REMUME - SP, and generated from SMS-SP, during the studied period. Results. Analysis of processes arising from 1.174 requests, 2008 to 2013, has brought to the non-permit of acquisition of 58,9 per cent (N=692), due to the following reasons: 1- there is not enough evidence in the literature, 15 (17 per cent ); 2- listed in Remume-SP, 11 (1 per cent ); 3- available in SES-SP, 56 (8 per cent ); 4- insufficient clinical information, 151 (22 per cent ); 5- supplied by CACON, 10 (1 per cent ); 6- unnecessary drug, 18 (3 per cent ); 7- indication of other drug, or other concentration of the requested drug, or other device, or still other treatment (surgical, for example), 169 (24 per cent ); 8- solicitation of report from related technical area, 62 (9 per cent ); patient not cared by the municipal health service, 12 (2 per cent ); 10- prescription mistakes, 39 (6 per cent ); 11- there is not enough evidence in the literature and not sufficient clinical information, 49 (7 per cent ). The reasons of the non-acceptance of the medical requests are presented in examples, from the main pharmaceutical categories which were requested, considering its variety, all documented in the literature and extracted from the processes of solicitation. Recommendations on the improvement of medical prescription are done and possible arrangements of prescription in the relationship among policy makers and executors in the municipality and the sets of prescribers, whose main concern is the safety of users of SUS and improving access to drugs with the best benefit-risk relation.
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Weijden, Trudy van der. "Evaluation of cholesterol guidelines in general practice." [Maastricht : Maastricht : Universiteit Maastricht] ; University Library, Maastricht University [Host], 1997. http://arno.unimaas.nl/show.cgi?fid=5829.
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Remenyi, D. "Strategic information systems : current practice and guidelines." Thesis, Henley Business School, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.280667.
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Hendricks, Estelle. "Good practice guidelines for improving educator morale." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/1247.
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The morale of educators in certain schools is very low. From the literature review I concluded that not all schools experience low morale in the same way. There are different factors impacting on the morale of educators at different schools. In this study, the causes of low educator morale, indicators of low morale, the importance of high morale and how low morale can be dealt with were addressed in order to provide guidelines to improve low morale. An empirical study was conducted and 2 schools in the Northern Areas of Port Elizabeth were used in this case study to establish to what measure the educators are exposed to the abovementioned variables. The data was analysed qualitatively and quantitatively. South Africa is divided into different demographic areas. The majority of people living in the communities where these schools are located are poor, unskilled, unemployed and the crime levels are very high. The socio-economic context within which these schools are located also has an impact on the morale of the educators at these schools and it affects their working lives. Educators, SMTs and principals took part in the empirical study so that their views can be compared and to facilitate the researcher to make recommendations on improving low educator morale. The research outcomes were analysed and deductions, recommendations and a need for further research were given. The empirical and literature study emphasised that the morale of educators is low in the schools and this morale status impacts on learners’ achievements, the health of the educators and the health of the institution. The educators in this study ranked their own morale status as low and some of the causes of the low morale according to the empirical study are lack of resources, ill-disciplined learners, uninvolved parents and an ineffective management style of the principal.
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Nupdal, Jason Bentley. "Implementing Clinical Practice Guidelines in Family Practice: Caring for Children with ADHD." Diss., North Dakota State University, 2014. https://hdl.handle.net/10365/27368.
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The purpose of this Practice Improvement Project was to promote evidence-based
practice in caring for children ages 4-18 with Attention Deficit Hyperactivity Disorder (ADHD)
in the family practice setting. The American Academy of Pediatric Clinical Practice Guidelines
(CPG) and the Diagnostic and Statistical Manual of Mental Health Conditions, 5th Ed. (DSM-V)
diagnostic criteria for ADHD were embedded in the electronic health record (EHR) in the form
of an evaluation tool/template to guide the Primary Care Providers (PCPs) in documenting
evidence-based practice in the assessment, diagnosis and treatment of ADHD. Primary
stakeholders are PCPs of Riverview Clinic who care for children with ADHD. Neuman?s System Theoretical framework was used assuring a comprehensive holistic
approach to caring for children with ADHD. The logic model was applied to direct project
process while providing a framework for project evaluation. A focused forum was held to
educate PCPs on the American Academy of Pediatrics (AAP) CPG and the DSM-V ADHD
diagnostic criteria. PCPs were introduced to the tool with instruction on use. Six weeks post
launching, a retrospective chart audit was done to evaluate for the presence of evidence basedpractice
documentation with the evaluation tool/template versus without. When utilized, the evaluation tool/template demonstrates a higher rate of documentation
supportive of evidence-based practice. The tool enhances provider?s comfort level in caring for
children with ADHD while promoting optimal quality outcome for the child. Project outcome
suggests the tool be used by PCPs in documenting evidence-based practice. Key words: ADHD,
children, management, EHR, template, co-morbid conditions, and clinical practice guidelines.
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Goliath, Veonna. "Practice guidelines for culturally sensitive drug prevention interventions." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1017193.
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South Africa has experienced a notable increase in adolescent drug use during the country’s transition from apartheid to democracy (Central Drug Authority [CDA], 2006). These findings are verified by epidemiological studies and two national youth risk behaviour surveys, highlighting the need for effective drug prevention interventions. Whilst drug use spans across age, gender and social strata, the rapid increase in both legal and illicit drug use among adolescents in the Northern Areas communities of Port Elizabeth has been particularly pronounced. The South African Community Epidemiology Network on Drug Use (SACENDU) statistics, which reflects on racial demographics in accordance with the Population Registration Act of 1950 (South Africa, 1950), reports that, in the year 2011, the ‘Coloured’ population constituted 62 percent of those individuals seeking treatment for drug abuse, compared to 15 percent ‘African’ treatment seekers in Port Elizabeth (Dada, Plüddemann, Parry, Bhana, Vawda & Fourie, 2012:44). Furthermore, methamphetamine use by persons under the age of 20 years in Port Elizabeth increased fivefold in a three-year period, i.e. from 7 percent in 2008 to 39 percent in 2011 (Dada et al., 2012), with the ‘Coloured’ population group accounting for the majority of methamphetamine users. These statistics reinforce a long-standing racial stereotype that associates ‘Coloured’ racial identity with an enhanced susceptibility to drug use. The National Drug Master Plan (South Africa, 2012a), and the Prevention of and Treatment for Substance Abuse Act (Act no 70 of 2008) propose that drug prevention programmes should address the values, perceptions, expectations and beliefs that the community associates with drug abuse (South Africa, 2008b). This view emphasises the importance of drug preventions interventions that are culturally sensitive and contextually relevant. The current study was guided by two conceptual frameworks, i.e. the Social Constructionist Framework and the Ecological Risk/Protective Resilience Framework, and focused on the Northern Areas of Port Elizabeth, a historically marginalised community inhabited by a predominantly ‘Coloured’ indigenous/ethnic group. The goal of the study was to enhance understanding of the socio-cultural meaning attributed to cultural identity, drug use, non-use and drug prevention in the Northern Areas of Port Elizabeth, with the view to developing guidelines for drug prevention interventions that are culturally sensitive and contextually relevant. The following objectives were formulated in order to achieve the goal of the study: • To explore adolescent narratives regarding the constructs ‘Coloured’, drug use, non-use and drug prevention programmes of three distinct groups of adolescents (drug users, non-users, and TADA peer mentors) from the Northern Areas. • To explore and describe the social service practitioners’ (social workers and social auxiliary workers’) constructions of drug use, non-use and drug abuse prevention in relation to adolescents from the Northern Areas, and how such constructions inform the drug prevention services rendered to adolescents from these communities. • To review the data collected from the adolescent narratives and the social service practitioners’ reflections on their drug prevention programmes against existing theory and models for drug prevention. • To synthesise the above information with a view to developing guidelines for culturally sensitive drug prevention programmes relevant and responsive to the specific social constructions of adolescents from the Northern Areas. A qualitative research approach, located in a narrative tradition of inquiry research design, was employed to achieve the goal of the study (Riessman, 2008). The study was conducted in two phases. The first phase involved an empirical study with the four sample groups (i.e. adolescent drug users, adolescent non-drug users, Teenagers against Drug Abuse [TADA] peer mentors and social service professionals (i.e. social workers and social auxiliary workers)). Phase two involved the co-construction of the practice guidelines for culturally sensitive and contextually relevant drug prevention interventions. Phase one started with the informal exploration of community stakeholders’ views on the identified research problem and the process of gaining access to the research population. Several gatekeepers (i.e. teachers, social workers, the Families Against Drugs [FAD] Support Group representatives, a minister of religion and a community stakeholder) were engaged to assist in recruiting participants from the four sample groups. A non-probability purposive sampling method was employed to purposively recruit 29 adolescent non-drug users and ten adolescent peer mentors (via the TADA Programme at one school). The same sampling method, followed by a snowball sampling technique, was employed to recruit the two remaining sample groups of ten adolescent drug users (in the recovery process) and nine social workers and social auxiliary workers respectively. The sample sizes were determined by the principle of data saturation.The data generation method used in respect of the non-users took the form of semi-structured written narratives, administered in a group context during school time, followed by a second round of data generation. The life-grid (Wilson, Cunningham-Burley, Bancroft, Backett-Milburn & Masters, 2007:144), a qualitative visual tool for mapping important life events, was employed to guide the co-construction of the biographical narratives generated during the individual semi-structured interviews with the sample of adolescent drug users. Focus group interviews were used to enhance an understanding of the peer mentors and social service practitioners’ views on the construct ‘Coloured’ and their existing drug prevention programmes. Each of the individual and focus group interviews was audio-recorded, transcribed and complemented by the field notes. Informal data gathering occurred through participant observation of two drug prevention programmes, attendance of a FAD Support Group meeting, and interviews with community volunteers and the South African Police Services (SAPS) Youth Development Forum. Both the content and the context of the narratives were analysed to arrive at the research themes, sub-themes and categories. The content of the narratives was analysed by employing categorical content analysis, whilst the form of the narratives (i.e. how the stories were told) was analysed by using the socio-cultural approach to narrative analysis (Grbich, 2007:130). The journey metaphor emerged from the adolescent drug users’ narratives, depicting a prototypical storyline of a drug use journey, starting with experimentation and culminating in abuse and dependence for some and an early exit from the journey for others. The conclusions that can be drawn from these findings illuminate key protective factors and processes at a multisystemic level that can be strengthened to enhance the adolescents’ resistance to drug use and/or delay the onset of use. Embedded in the participants’ narration of the drug use journey were nuances relating to internalised stereotypes of ‘White’ supremacy and ‘Coloured’ inferiority as an explanatory framework for venturing onto and prolonging the journey.The two themes that emerged during the process of content and narrative analysis of the qualitative data (from both adolescent drug users and non-users) were as follows: Constructing drug use as a ‘Coloured’ phenomenon and reconstructing ‘Coloured’ identity; Risk and protective factors located at individual, family, peer, school, community and societal domains. The four themes that emerged during the data analysis of the peer mentors and social service practitioners’ narratives were as follows: Construction of ‘Coloured’ identity; socio-cultural meaning construction about the reasons for drug use amongst adolescents from the Northern Areas; description of drug prevention services rendered in the Northern Areas; and reflection on barriers to rendering drug prevention interventions.
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Taylor, Michael Dennis. "Prostate cancer clinical practice guidelines clinical and economic outcomes /." [Gainesville, Fla.] : University of Florida, 2005. http://purl.fcla.edu/fcla/etd/UFE0010098.
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Thesis (Ph.D.)--University of Florida, 2005.Typescript. Title from title page of source document. Document formatted into pages; contains 99 pages. Includes Vita. Includes bibliographical references.
Books on the topic "Practice Guidelines as a Topic"
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American Nurses Association. Committee on Nursing Practice Standards and Guidelines., ed. Implementation of nursing practice standards and guidelines. Washington, D.C: American Nurses Pub., 1995.
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Marek, Karen Dorman. Manual to develop guidelines. Washington, DC: American Nurses Publishing, 1995.
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McGraw, Michael J. Principles of good clinical practice. London: Pharmaceutical Press, 2010.
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1952-, Graham Robin, ed. Clinical practice guidelines we can trust. Washington, DC: National Academies Press, 2011.
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Pediatrics, American Academy of. Pediatric clinical practice guidelines & policies: A compendium of evidence-based research for pediatric practice. 6th ed. Elk Grove Village, IL: American Academy of Pediatrics, 2007.
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Pediatric clinical practice guidelines & policies: A compendium of evidence-based research for pediatric practice. 8th ed. Elk Grove Village, IL: American Acadameu of Pediatrics, 2008.
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M, Hekman Kenneth, and Medical Group Management Association, eds. Physician policies: A practical guide to governance issues. Englewood, CO: Medical Group Management Association, 2011.
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ACC-RAC 2004 Best Practices Las Vegas, Nevada 2004 [ 3rd consecutive combined meeting ]. ACC-RAC 2004 Best Practices, Las Vegas, Nevada, March 11-14, 2004. Las Vegas, NV: ACC-RAC, 2004.
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Bender, Joel R. Occupational exposure, toxic properties, and work practice guidelines for fiber glass. Fairfax, VA: American Industrial Hygiene Association, 1991.
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Lee, K. J. Health care reform through practical guidelines: Ear, nose, throat. San Diego: Plural Pub., 2010.
Find full textBook chapters on the topic "Practice Guidelines as a Topic"
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Forbes, Shawn, Cagla Eskicioglu, and Robin McLeod. "Clinical Practice Guidelines in Surgery." In Key Topics in Surgical Research and Methodology, 637–45. Berlin, Heidelberg: Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-540-71915-1_51.
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Leape, Lucian L. "Just Do It: The." In Making Healthcare Safe, 231–41. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71123-8_15.
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AbstractFor the second Global Patient Safety Challenge, the WHO chose making surgery safer. My involvement was minor. One day, a year or so after the hand hygiene program started, I received a call from Pauline Kelly, my friend from the Reporting Guidelines project. The World Alliance leaders had decided to do a Patient Safety Challenge on a surgical topic. This made good sense, since surgical mishaps were well recognized as a major cause of mortality worldwide. Nearly half of all AEs discovered in the Medical Practice Study were related to a surgical operation. She asked me if I thought Atul Gawande would be willing to lead it.
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Barry, Maurice. "Imaging Guidelines." In Clinical Practice in Rheumatology, 19–20. London: Springer London, 2003. http://dx.doi.org/10.1007/978-0-85729-430-2_6.
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Heilbronner, Robert L. "AACN Practice Guidelines." In Encyclopedia of Clinical Neuropsychology, 1–2. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-57111-9_820.
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Sánchez, Orlando, and Martha Brownlee-Duffeck. "Clinical Practice Guidelines." In Encyclopedia of Clinical Neuropsychology, 812–15. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-57111-9_2066.
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Heilbronner, Robert L. "AACN Practice Guidelines." In Encyclopedia of Clinical Neuropsychology, 2–3. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-0-387-79948-3_820.
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Davidson, Karina, and Joan Duer-Hefele. "Clinical Practice Guidelines." In Encyclopedia of Behavioral Medicine, 425–27. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_1113.
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Lee, Andrea M. "Clinical Practice Guidelines." In Encyclopedia of Clinical Neuropsychology, 595–96. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-0-387-79948-3_2066.
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Davidson, Karina, and Joan Duer-Hefele. "Clinical Practice Guidelines." In Encyclopedia of Behavioral Medicine, 469–72. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39903-0_1113.
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Heilbronner, Robert L. "AACN Practice Guidelines." In Encyclopedia of Clinical Neuropsychology, 1–2. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-56782-2_820-2.
Full textConference papers on the topic "Practice Guidelines as a Topic"
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Gorobeț, Evelina. "Contextual-pandemic adaptation of pedagogical practice in the online environment. Modern guidelines in the professional training of teachers." In Condiții pedagogice de optimizare a învățării în post criză pandemică prin prisma dezvoltării gândirii științifice. "Ion Creanga" State Pedagogical University, 2021. http://dx.doi.org/10.46728/c.18-06-2021.p203-209.
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The reflections of this article goal at the professionalization of the teaching career, which is one of the objectives aimed at the quality of education. The current socio-economic dynamics and complexity require continuous adaptability from teachers. They are put in the situation to periodically develop their professional skills, in order to meet both the the updated students’ educational needs, as well as the scientific innovations that result from the research in various fields. An interesting aspect is related to the needs and challenges of teachers in conditions of pandemic coronavirus (SARS CoV-2). The new conditions have imposed the transition of pedagogical practice in the online environment, an alternative adopted in many teacher training programs. As this decision was considered better than a temporary withdrawal from practice, students and their mentors had to adapt. For the future we have another certainty, that the pandemic will not stop very soon. Otherwise, the future is a matter of probability. The topicality of the topic researched in this article lists the professional training, taking into account the endowment of teachers with the necessary skills so that they feel comfortable in all situations that may arise during their teaching activities. Dynamism, flexibility, receptivity to the new and critical reflection on curricular requirements and methodological approach define the modern teaching profession.
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Mertz, Jhonny, and Ingrid Nunes. "Understanding and Automating Application-level Caching." In XXXI Concurso de Teses e Dissertações da SBC. Sociedade Brasileira de Computação - SBC, 2018. http://dx.doi.org/10.5753/ctd.2018.3666.
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Application-level caching has increasingly been adopted to improve the performance and scalability of web applications. It consists of an additional caching layer that is manually added to the application code in selected locations. Because it requires a manual application analysis and selection of cacheable points as well as implementation, it is a time-consuming and error prone activity. In this paper, we introduce our key contributions in the context of application-level caching: (i) a comprehensive survey and taxonomy of work on this topic; (ii) a qualitative study that captures the state-of-practice of application-level caching, complemented by proposed guidelines and patterns; (iii) an adaptive component that autonomously manages admission of cache content; (iv) a framework that implements our proposal; and finally (v) an evaluation that provides evidence of the effectiveness of our proposal.
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Hirsch, Tobias, Markus Eck, Reiner Buck, Ju¨rgen Dersch, Jan Fabian Feldhoff, Stefano Giuliano, Klaus Hennecke, Eckhard Lu¨pfert, and Peter Schwarzbo¨zl. "Modelling, Simulation and Assessment of Solar Thermal Power Plants: A First Step Towards Definition of Best Practice Approaches." In ASME 2010 4th International Conference on Energy Sustainability. ASMEDC, 2010. http://dx.doi.org/10.1115/es2010-90401.
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With 620 MWel in operation [1] and more than 2.000 MWel under construction, concentrated solar power (CSP) experiences a renaissance mainly in Spain and the USA, but also in many other countries in the earth’s sunbelt. Due to their large capacity (50 MWel and more) and thus large investment, CSP projects are characterised by an extensive project development process. In several stages of this process, mathematical models of the system predicting its energy yield are required, among others to: • assess single CSP projects (e.g., feasibility or due diligence studies), • compare different CSP concepts (e.g., technology, site), • optimise a project (e.g., solar field size, storage capacity), • investigate the influence of component characteristics (e.g., receiver characteristics), • optimise the operation strategy (e.g., on-line surveillance) or to • assess system performance during commissioning. The models used for these different tasks differ in complexity and accuracy, e.g. the accuracy of a model used for project assessment during commissioning has to be higher than a model used for a pre-feasibility study. At the moment, numerous modelling approaches exist and every project developer uses his own system model and assessment methodology. This confusing situation hinders the acceptance of CSP technology by potential investors. This paper presents a methodology for structuring systems into sub-systems. This is the first step towards a standardized modelling approach for CSP systems. It is not the intention of the authors to present a final model and assessment methodology but to start a broader discussion on this important topic. In fact, it aims at initiating an international working group, devoted to the definition of guidelines for modelling, simulation and assessment of CSP systems, covering all CSP technologies such as solar towers, parabolic troughs, linear Fresnel collectors and solar dishes.
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Mihova, Lilyana. "THE IMPACT OF SUSTAINABLE DEVELOPMENT ON WAREHOUSING." In 4th International Scientific Conference – EMAN 2020 – Economics and Management: How to Cope With Disrupted Times. Association of Economists and Managers of the Balkans, Belgrade, Serbia, 2020. http://dx.doi.org/10.31410/eman.2020.135.
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The sustainable development is very emerging topic in the last two decades. This global trend has implications for the development of warehouse systems and technologies and the purpose of this article is to reveal the impact of sustainable development on green logistics practices in warehouses and the formation of sustainable warehouse systems. For this purpose, a literature reviews of sustainable or “green” warehouse is made. Also, the impact of the warehouse on the environment during the stages of construction and exploitation is researched. Other important issues concern the practices and technologies used in the warehouse to reduce energy consumption and harmful emissions. Last but not least a review of the legislative measures and certification methods for the construction and design of sustainable warehouses is made. In conclusion the guidelines for the state of development of sustainable logistics practices in warehousing in Bulgaria are given.
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Girdzijauskaitė, Eglė, Asta Radzevičienė, and Artūras Jakubavičius. "International branch campus: strategic mapping." In Contemporary Issues in Business, Management and Economics Engineering. Vilnius Gediminas Technical University, 2019. http://dx.doi.org/10.3846/cibmee.2019.045.
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Purpose – the purpose of the article is to develop a strategic map for international branch campus establishment and risk management frameworks. Research methodology – the methods of interpretation and conceptualisation have been used to analyse the context of foreign market entry in higher education and develop strategic guidelines. Also, the results of previous research executed by authors on this topic have been used. Findings – the decision support model for HEIs establishing an international branch campus has been suggested. Research limitations – the main limitation of the study is the vast variety of IBCs due to its newness. However, the main aspects of establishing an IBC have been addressed and presented in a model. Practical implications – the obtained results and the decision support model will contribute to the existing internationalisation practices of higher education institutions (HEIs) considering entering new foreign markets in the form of the international branch campus. Originality/Value – the proposed decision support model is an instructional map for the top management in HEIs, contributing to the strategic and systematic approach to the international branch campus establishment
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Tumer, Irem, Francesca Barrientos, and Ali Farhang Mehr. "Towards Risk Based Design (RBD) of Space Exploration Missions: A Review of RBD Practice and Research Trends at NASA." In ASME 2005 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2005. http://dx.doi.org/10.1115/detc2005-85100.
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This paper describes the concept of Risk Based Design in the context of NASA’s low volume, high cost missions. The issue of accounting for risk in the design lifecycle has been heavily discussed in the literature under several research topics, including: reliability, risk and uncertainty analysis, optimization, decision-based design and robust design. Due to the risky nature of space missions, NASA centers have adopted a variety of techniques—developing tools, procedures, and guidelines to mitigate risk. Most of these techniques, however, require significant amounts of detailed and possibly quantitative information, making them inapplicable to early stages of design, where the requirements and models are vague, decisions are tentative and probabilities are unknown. This survey paper first presents a brief description of a design environment at NASA as well as current risk-based design practices and methods. Then, a summary of the topics from the NASA’s Risk Management Conference is presented, followed by current research efforts within NASA to account for risk in early stage design. The purpose of this paper is provide a survey of NASA’s capabilities (or lack thereof) in accounting for risk in the early design phase. This work lays the foundation for more effective collaborations between NASA researchers and the academic research community.
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Reese, Sven H., Johannes Seichter, Dietmar Klucke, and H. Ertugrul Karabaki. "Numerical Evaluation of Environmentally Assisted Fatigue (EAF) in Consideration of Recent Updates of the Formulas and Hold Time Effects." In ASME 2015 Pressure Vessels and Piping Conference. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/pvp2015-45020.
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Environmentally Assisted Fatigue (EAF) has been focus of various research activities and has been addressed in nuclear Codes and Standards like German safety standard KTA 3201.2 [1], 3211.2 [2] or ASME CC N-792 [3] for example. Based on experimental investigation under laboratory conditions a numerical correction factor Fen was proposed in NUREG CR-6909 [4] in 2007 after precursors in the Japanese JSME code [6]. In 2012 the EPRI Technical Report “Guidelines for Addressing Environmental Effects in Fatigue Usage Calculations” [7] introduced some practical guidelines for the application of the EAF to real plant components based on the set of formulas from 2007. Since this report the set of formulas have been adapted several times (e.g. in ANL-LWRS 47-2011 [8]) while the current revision of NUREG/CR-6909 in 2014 [9] describes the current state of the art. At E.ON Kernkraft GmbH a goal-oriented and engineering based research program called NuMEA (Numerical Methods to take Environmentally Assisted Fatigue into Account) has been established, focusing on recommendations of the EPRI guideline in the context of application to real plant components and available temperature measurement data. First main focus of the R&D activity is to calculate the EPRI sample for verifying developed procedures and taking different procedures for determining the sign to be assigned to the relevant stress intensity into account. The documentation of the procedures applied within the EPRI guideline is not comprehensive enough for real-plant evaluation application. Thus, additional definitions and procedures have been developed to ensure practical application of the procedures being developed. Additionally, updated formulas being recently introduced in the context of the NUREG/CR-6909 Rev. 1 [9] have been implemented. Second topic of the activities is to develop a procedure to take hold-time effects into account numerically based on existing experimental data. Motivated by the fact that the introduction of a potentially beneficial effect of hold times is foreseen in the framework of piping design of the German KTA safety standards, the existing engineering approach (PVP2014-2819 [10]) is appended to fatigue calculation of NPP components. This paper presents the results and the highlights of the E.ON R&D project NuMEA.
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Tubaishat, Abdallah. "IT Systems Development: An IS Curricula Course that Combines Best Practices of Project Management and Software Engineering." In InSITE 2009: Informing Science + IT Education Conference. Informing Science Institute, 2009. http://dx.doi.org/10.28945/3315.
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Most computing programs still devote little time to software life cycle development, software processes, quality issues, team skills, and other areas of software engineering essential to effective commercial software development. A teaching project was developed and implemented by accommodating knowledge and practices that are applicable to most projects in the area of project management and in the area of software development to Information Systems (IS) students. This approach is relevant to IS model curricula and is in accordance with IS2002.10 project management and practice course guidelines. The rationale behind this approach is to overcome the relative lack of experience of IS students in many aspects of project management and software development by introducing them how to plan, organize, and control software development projects, and to help students strengthen good software engineering practices prior to entering IT industry and become more efficient. We present results of a case study based on a survey conducted in an IT Systems Development course. Survey results show that including topics on project management and Software Engineering best practices lab into an IT Systems Development course helped students (a) deal with non-technical issues of software projects, (b) develop their ability to communicate clearly with team members, and (c) overcome their lack of experience in many aspects of project management and software development.
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Schreinemachers, Michel, and Wiebe Strick. "A Golden Ratio for Shaping the Curve – Lessons Learned." In Footbridge 2022 (Madrid): Creating Experience. Madrid, Spain: Asociación Española de Ingeniería Estructural, 2021. http://dx.doi.org/10.24904/footbridge2022.038.
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<p>Can we establish the guidelines that make our designs into a success? Is there something like the Golden Ratio for shaping the curve? The Golden Ratio is a common mathematical ratio found in nature, which can be used to create pleasing, organic-looking compositions. This is used for the overall shape and proportions in bridge design. In our practice and in modern-day bridge design we see more and more curved bridges.</p><p>Especially with the rise of parametric design a whole world opened up for (more) complex curved designs. Curviness (either vertical, horizontal or both) is not just a nice aesthetic feature. We encounter design principles that need to be taken into account to get to the ultimate elegancy that we thrive for in our bridge design.</p><p>In our practice, shaping the curve of a bridge is a recurrent topic in the design process – from concept to realisation. From the forming of the (3D) <i>alignment, </i>it’s about how curves fluidly connect. It’s all about the radius, diameter, arcs, splines, offsets and the way to connect with tangents and sinusoids. This is best shown by the Lucky Knot and the Zaligebrug by NEXT architects. We also experienced the difficulties during construction phase and learned to control dealing with the unexpected.</p><p>With a series of case studies from our own bridges we show the importance of precision in shaping curves to make a design that is both natural and understandable to the eye of the user. If done right, curves seem logic and right; but if done improperly, it ends up as a disaster.</p>
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Rodríguez-Calero, Ilka, Marianna Coulentianos, Shanna R. Daly, and Kathleen H. Sienko. "Single Versus Multiple Prototypes: Medical Device Design Practitioners’ Rationale for Varying Prototype Quantities to Engage Stakeholders During Front-End Design." In 2020 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/dmd2020-9046.
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Abstract Engaging stakeholders during medical device design processes, especially during front-end design activities, is a critical consideration for successful product design, which includes the safety and effectiveness of devices. The use of prototypes with stakeholders is encouraged by proponents of human-centered design, but guidelines for front-end stakeholder engagement with detailed descriptions of prototyping practices are lacking. One important question design practitioners must ask for each stakeholder engagement is how many prototypes to use. This study investigated reasons design practitioners chose to use one or more prototypes to engage stakeholders during front-end design activities within their design projects. Participants described using multiple prototypes, for example, to allow stakeholders to compare across different design alternatives, and to convey to stakeholders that multiple alternatives are being explored. Participants described using a single prototype, for instance, to probe for deep responses about a narrow topic and to refine a single concept through feedback. These results have the potential to inform design decisions and pedagogical approaches to prototyping use.
Reports on the topic "Practice Guidelines as a Topic"
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DiAngelo, Lucy, Libby Lowry, Kayla McDaniel, Clare Sauser, Shelby Terry, and Erin Williams. Increasing Confidence and Mental Health in Caregivers. University of Tennessee Health Science Center, May 2021. http://dx.doi.org/10.21007/chp.mot2.2021.0011.
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The purpose of our critically appraised topic is to synthesize the highest-level evidence available regarding interventions for increasing confidence and mental health outcomes in caregivers taking loved ones home from inpatient rehabilitation. The final portfolio contains six research articles from peer-reviewed journals. Study designs include randomized control trials, a systematic review, and a pretest-posttest without a control group. All studies relate directly to the components of the PICO question. Four of the articles discussed both caregiver confidence and mental health while two articles discussed only mental health. There is strong evidence to support that in-person hands on training, in person discussion-based training, and/or virtual resources helped increase confidence in caregivers of patients. There is mixed evidence and only limited improvement to support mental health. The findings from this critically appraised topic will be used to draft new ideas for practice guidelines for addressing caregiver education and caregiver mental health in an inpatient rehabilitation facility.
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Jones, Nicole S. 2018 Impression, Pattern and Trace Evidence Symposium. RTI Press, May 2018. http://dx.doi.org/10.3768/rtipress.2018.cp.0006.1805.
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From January 22 to 25, 2018, RTI International, the National Institute of Justice (NIJ) and the Forensic Technology Center of Excellence (FTCoE) held the 2018 Impression, Pattern and Trace Evidence Symposium (IPTES) in Arlington, VA, to promote collaboration, enhance knowledge transfer, and share best practices and policies for the impression, pattern, and trace evidence forensic science communities. NIJ and FTCoE are committed to improving the practice of forensic science and strengthening its impact through support of research and development, rigorous technology evaluation and adoption, effective knowledge transfer and education, and comprehensive dissemination of best practices and guidelines to agencies dedicated to combating crime. The future of forensic sciences and its contribution to the public and criminal justice community is a motivating topic to gather expertise in a forum to discuss, learn, and share ideas. It’s about becoming part of an essential and historic movement as the forensic sciences continue to advance. The IPTES was specifically designed to bring together practitioners and researchers to enhance information-sharing and promote collaboration among the impression, pattern, and trace evidence analysts, law enforcement, and legal communities. The IPTES was designed to bring together practitioners and researchers to enhance information sharing and promote collaboration among impression, pattern, and trace evidence analysts, law enforcement, and legal communities. This set of proceedings comprises abstracts from workshops, general sessions, breakout sessions, and poster presentations.
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Koller, Martin, Francis Rayns, Stella Cubison, U. Schmutz, G. J. Messelink, and W. Voogt. Guidelines for experimental practice in organic greenhouse horticulture. [Netherlands]: BioGreenhouse, 2016. http://dx.doi.org/10.18174/373581.
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Ellis, Frank. Guidelines for writing a livelihoods case study for topic guides and lesson learning. Evidence on Demand, July 2013. http://dx.doi.org/10.12774/eod_hd052.may2013.ellis.
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Yentis, S. M., K. Asanati, C. R. Bailey, R. Hampton, I. Hobson, K. Hodgson, S. Leiffer, S. Pattani, and K. Walker-Bone. Better musculoskeletal health for anaesthetists. Association of Anaesthetists, June 2021. http://dx.doi.org/10.21466/g.bmhfa.2021.
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3Association of Anaesthetists | Better musculoskeletal health for anaesthetistsSummaryWork-related musculoskeletal disorders are very common amongst healthcare workers, and there is evidence that anaesthetists are at greater risk of upper limb disorders than other groups. This guidance aims to bring together advice and recommendations from a variety of sources in order to inform and support anaesthetists at work, in an attempt to reduce the prevalence and severity of work-related musculoskeletal disorders and the exacerbation of pre-existing disorders. Mechanical and psychosocial risk factors for work-associated musculoskeletal disorders are summarised, along with general principles for achieving better musculoskeletal health and practices specific to areas of the body most at risk. These include recommended exercises and stretches during sedentary work.RecommendationsAttention must be paid by both employers and anaesthetists to the physical and psychological risk factors that may lead to development and/or exacerbation of musculoskeletal disorders. This requires ongoing risk assessments and adherence to published standards of health and safety at work, including training. Such a programme is best achieved as part of a multidisciplinary approach.What other guidelines are available on this topic? There are many sources of guidance on health and safety in the workplace, across many sectors, much of which is of relevance to anaesthetists. There is no readily accessible guidance specifically aimed at the anaesthetic workplace.Why was this guideline developed?This guidance was developed as part of a wider piece of work by the Association of Anaesthetists based around ergonomics of the anaesthetic workplace, as a result of the increased reported incidence of musculoskeletal disorders amongst anaesthetists. It aims to draw on existing guidance and present a summary of advice relevant to anaesthetists and their practice.How and why does this publication differ from existing guidelines?This guidance summarises other advice and recommendations, and focuses on factors relevant to the anaesthetic workplace
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Yaron, Gil, and Peter Nelson. Topic Guide: Strategic environmental assessment in practice: Capturing lessons learned over the past 10 years. Evidence on Demand, March 2014. http://dx.doi.org/10.12774/eod_tg.sea.march2014.yaronnelson.
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Heneman III, Herbert, Anthony Milanowski, and Steven Kimball. Teacher Performance Pay: Synthesis of Plans, Research, and Guidelines for Practice. Consortium for Policy Research in Education, February 2007. http://dx.doi.org/10.12698/cpre.2007.rb46.
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Khodyakov, Dmitry, Kathi Kinnett, Brian Denger, Sean Grant, Courtney Armstrong, Ann Martin, and Ian Coulter. Developing a Process for Getting Patient and Caregiver Input on Clinical Practice Guidelines. Patient-Centered Outcomes Research Institute, June 2020. http://dx.doi.org/10.25302/06.2020.me.150731052.
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Phan, Long T., Therese P. McAllister, John L. Gross, and Morgan J. Hurley, eds. Best practice guidelines for structural fire resistance design of concrete and steel buildings. National Institute of Standards and Technology, November 2010. http://dx.doi.org/10.6028/nist.tn.1681.
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Yan, Meili, Lingmin Chen, Min Yang, Li Zhang, Mingming Niu, Fangfang Wu, Yamin Chen, et al. Evidence mapping of clinical practice guidelines recommendations and quality for depression in children and adolescents. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, August 2021. http://dx.doi.org/10.37766/inplasy2021.8.0092.
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