European Network on the Determination of Site End Points for Radiologically Contaminated Land

2007 ◽  
Author(s):  
Peter Booth ◽  
Chris Lennon
Keyword(s):  
Best Practice ◽  
Good Practice ◽  
State Agency ◽  
European Network ◽  
End Points ◽  
Contaminated Land ◽  
End Point ◽  
Land Site ◽  
High Level

Nexia Solutions are currently running a small European network entitled “European Network on the Determination of Site End Points for Radiologically Contaminated Land (ENDSEP)”. Other network members include NRG (Netherlands), UKAEA (UK), CEA (France), SOGIN (Italy), Wismut (Germany), Saxon State Agency of Environment and Geology (Germany). The network is focused on the technical and socio-economical issues associated with the determination of end points for sites potentially, or actually, impacted by radiological contamination. Such issues will cover: • Those associated with the run up to establishing a site end point; • Those associated with verifying that the end points have been met; and • Those associated with post closure. The network’s current high level objectives can be summarized as follows: • Share experience and best practice in the key issues running up to determining site end points; • Gain a better understanding of the potential effects of recent and forthcoming EU legislation; • Assess consistency between approaches; • Highlight potential gaps within the remit of site end point determination and management; and • Consider the formulation of research projects with a view to sharing time and expense. The programme of work revolves around the following key tasks: • Share information, experience and existing good practice. • Look to determine sustainable approaches to contaminated land site end point management. • Through site visits, gain first hand experience of determining an appropriate end point strategy, and identifying and resolving end point issues. • Highlight the key data gaps and consider the development of programmes to either close out these gaps or to build confidence in the approaches taken. • Production of position papers on each technical area highlighting how different countries approach/resolve a specific problem.

scholarly journals Investigation of the unfused cross cylinder test as an alternative method for the determination of spherical distance refraction end points

2020 ◽  
Vol 79 (1) ◽  
Author(s):  
Nkalebetja T. Makgaba ◽  
Solani D. Mathebula
Keyword(s):  
Adult Population ◽  
Test Results ◽  
End Points ◽  
Room Illumination ◽  
End Point ◽  
Cylinder Test ◽  
Significant Difference ◽  
Young Adult Population ◽  
The Mean

Background: The duochrome test is commonly used to refine the final sphere in refraction at different stages of a subjective refraction. The unfused cross cylinder test is mainly used to determine the near reading addition with a combination of astigmatic lenses.Aim: To investigate if the unfused cross cylinder test can be adapted for distance in finding the spherical end point for distance prescription.Setting: The study was conducted at an Optometry Clinic, University of Limpopo, South Africa.Methods: Fifty-one non-presbyopic subjects aged between 18 and 25 years were examined. The duochrome and unfused cross cylinder examinations were performed monocularly under normal (bright) and dim room illumination.Results: There was no significant difference in the spherical end point determined with either the duochrome or unfused cross cylinder tests (p ≥ 0.05). The mean spherical end points as determined with the duochrome test were −0.09 ± 0.39 diopre sphere (DS) (range: −0.20 to 0.12 dioptres [D]) in bright room illumination and −0.05 ± 0.38 DS (range: −0.16 D to 0.05 D) in dim illumination. The mean spherical end points for the unfused cross cylinder tests were −0.29 ± 0.39 DS (range: −0.18 D to 0.40 D) and −0.32 ± 0.43 DS (range: –0.44 D to –0.19 D) in room dim illuminations, respectively.Conclusion: The unfused cross cylinder test results as performed in this study may provide an accurate measurement of the spherical end point in a young adult population. We recommend the unfused cross cylinder test to be used in normal (bright) room illumination as an alternative to the duochrome test in the determination of distance refractive error.

scholarly journals European network for Health Technology Assessment, EUnetHTA: Planning, development, and implementation of a sustainable European network for Health Technology Assessment

2009 ◽  
Vol 25 (S2) ◽  
pp. 107-116 ◽  
Author(s):  
Finn Børlum Kristensen ◽  
Marjukka Mäkelä ◽  
Susanna Allgurin Neikter ◽  
Nina Rehnqvist ◽  
Lise Lund Håheim ◽  
...  
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Best Practice ◽  
Health Technology ◽  
Governance Structure ◽  
European Network ◽  
Independent Evidence ◽  
Planning Development ◽  
High Level ◽  
Financial Transactions

Objectives: The European network on Health Technology Assessment (EUnetHTA) aimed to produce tangible and practical results to be used in the various phases of health technology assessment and to establish a framework and processes to support this. This article presents the background, objectives, and organization of EUnetHTA, which involved a total of sixty-four partner organizations.Methods: Establishing an effective and sustainable structure for a transnational network involved many managerial, policy, and methodological tools, according to the objective of each task or Work Package. Transparency in organization, financial transactions, and decision making was a key principle in the management of the Project as was the commitment to appropriately involve stakeholders.Results: EUnetHTA activities resulted in a clear management and governance structure, efficient partnership, and transnational cooperation. The Project developed a model for sustainable continuation of the EUnetHTA Collaboration.Conclusions: The EUnetHTA Project achieved its goals by producing a suite of practical tools, a strong network, and plans for continuing the work in a sustainable EUnetHTA Collaboration that facilitates and promotes the use of HTA at national and regional levels. Responsiveness to political developments in Europe should be balanced with maintaining a high level of ambition to promote independent, evidence-based information and well-tested tools for best practice based on a strong network of HTA institutions.

Immediate implantation in a patient with chronic generalized parodontitis and apical granuloma

2019 ◽  
Vol 24 (2) ◽  
pp. 145-149
Author(s):  
A. I. Musienko ◽  
K. I. Nesterova
Keyword(s):  
Tooth Extraction ◽  
Tooth Root ◽  
Duration Of Treatment ◽  
Promising Direction ◽  
Aesthetic Result ◽  
Bone Atrophy ◽  
Alveolar Tissue ◽  
High Level ◽  
Immediate Implantation

Relevance. Rehabilitation of patients with moderate to severe generalized periodontitis is a leading problem in periodontology. It was the determination of the prospects for immediate implantation in patients with chronic periodontitis, combined with the pathology of the tooth root and maxillary sinus.Materials and methods. A group of 94 people with periodontitis and chronic odontogenic rhinosinus was observed who underwent sinus surgical treatment, tooth extraction and one-stage implantation with FRP growth factor according to the author's technology.Results. The method showed high efciency on the basis of assessing the clinical, aesthetic result and restoration of bone density after surgery.Conclusions. The developed technology is a promising direction, it allows to combine a high level of sanation of alveolar tissue with the advantages of immediate implantation, prevents bone atrophy, helps reduce the duration of treatment and the number of surgical and orthopedic interventions.

Methodical approaches to managing economic safety of tourism enterprises

2020 ◽  
pp. 160-164
Author(s):  
Leonid Tsubov ◽  
Oresta Shcherban
Keyword(s):  
Safety Management ◽  
Integrated Approach ◽  
Small Enterprise ◽  
Complex Nature ◽  
Efficient Management ◽  
Tourism Enterprises ◽  
High Level ◽  
Functional Components ◽  
Stimulation Control

The set of scientific-methodological tools to secure the mechanism of economic safety management of tourism entrepreneurship is examined as an aggregate of methods, tools, and conceptual activities directed at maintaining the high level of economic safety of tourism entrepreneurship. The features of managing the tourism enterprise and economic safety are analyzed. The basic valuation principles of the reliability and efficiency of the economic safety of the tourism enterprise are determined. The basic tasks of ensuring the economic safety of a small enterprise are outlined. The need to use the integrated approach that secures more opportunities to avoid threats and limits the danger of their emergence is emphasized. The most important principles for securing the economic safety of the tourism enterprise on the microeconomic level are described. Possible practical methods of risk management for the implementation of adopted decisions are proposed. The paper proves the fact that the complex nature of the management of the economic safety of the tourism enterprise and securing the sufficiently efficient management system of detecting and eliminating the threats are provided by the establishment of the management of the economic safety system of the tourism enterprise and its functional components. Research of the methodical approaches to the management of the tourism enterprises’ economic safety allows building and describing the functional structure of the mechanism of management of the tourist enterprise’s economic safety (it is formalized and described by 5 functions: determination of aims; planning; organization and adjusting; motivation and stimulation; control and monitoring).

Advance care planning: a personal view and stories from the frontline

2018 ◽  
Author(s):  
Tony Bonser
Keyword(s):  
Advance Care Planning ◽  
Good Practice ◽  
Societal Implications ◽  
National Council ◽  
Care Planning ◽  
Personal View ◽  
Positive Effects ◽  
Health And Social Care ◽  
Advance Care ◽  
High Level

This chapter includes a personal view of advance care planning (ACP) from Tony Bonser, whose son, Neil died aged 35 and who now works for the National Council for Palliative Care, with examples from others. It describes the importance and impact of ACP on people nearing the end of life and their families, and recommends that ACP should be mainstreamed across health and social care as part of good practice, and become part of the public debate through movements like Dying Matters. It affirms that ACP: enables a dialogue to be started; must be centred on patients and enable the implementation of patient wishes; will centre on giving advice rather than prescribing outcomes; has positive effects; needs high-level communication skills; helps restore control; and has societal implications.

scholarly journals Study of Well Waters from High-Level Natural Radiation Areas in Northern Vietnam

2021 ◽  
Vol 18 (2) ◽  
pp. 469
Author(s):  
Van-Hao Duong ◽  
Thanh-Duong Nguyen ◽  
Miklos Hegedus ◽  
Erika Kocsis ◽  
Tibor Kovacs
Keyword(s):  
Natural Radionuclide ◽  
World Health ◽  
Natural Radiation ◽  
Lifetime Cancer Risk ◽  
Northern Vietnam ◽  
Health Organization ◽  
High Level ◽  
Radiological Hazard Indices ◽  
Well Waters

The determination of natural radionuclide concentrations plays an important role for assuring public health and in the estimation of the radiological hazards. This is especially true for high level radiation areas. In this study, 226Ra, 228Ra and 238U concentrations were measured in well waters surrounding eight of the high-level natural radiation areas in northern Vietnam. The 226Ra, 228Ra and 238U activity concentrations vary from <1.2 × 10−3–2.7 (0.46), <2.6 × 10−3–0.43 (0.07) and <38 × 10−3–5.32 Bq/L (0.50 of median), respectively. 226Ra and 238U isotopes in most areas are in equilibrium, except for the DT-Thai Nguyen area. The calculated radiological hazard indices are generally higher than WHO (World Health Organization) recommendations. Average annual effective dose and excess lifetime cancer risk values due to drinking well water range from to 130 to 540 μSv/year and 7.4 × 10−6 to 3.1 × 10−5, respectively.

scholarly journals A more comprehensive approach offering instruments in one portal to facilitate higher uptake

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Rossmann ◽  
F De Bock
Keyword(s):  
Health Promotion ◽  
Best Practice ◽  
Evidence Synthesis ◽  
Good Practice ◽  
Community Setting ◽  
Comprehensive Approach ◽  
Added Value ◽  
Assessment Instruments ◽  
Policy Makers ◽  
Activity Promotion

Abstract The good practice portal of the Federal Centre for Health Education (BZgA) consists of a nationwide collection of projects and interventions to promote the health of socially disadvantaged groups at community/setting level. An exchange platform (inforo) is also offered via the operating agency, although its use is still limited. The results of the evaluation of the platform suggest that the provision of practical projects and exchange of knowledge alone is not sufficient to support policy makers and practitioners who want to promote health in the community/setting. There is a need for advice on needs assessment, selection and appropriate implementation of health promotion measures. A comprehensive approach currently being tested in the field of activity promotion for older people is the provision of a web-based “toolbox” comprising the following tools: assessment instruments for analysing the need for health promotion measures, a user-friendly intervention/project database and broader evidence synthesis documents, as well as information on project management (organisational, legal, financial). Following the example of other best practice portals, a ranking methodology was developed to make the level of effectiveness of interventions visible and the evaluation requirements transparent. Evidence synthesis documents provide an entry point to learn more generally what works in a particular area of health promotion. In order to make the “toolbox” accessible to policy-makers and practitioners, information from previous studies was used in the development with regard to content and graphical presentation. BZgA is currently working on integrating evidence into the good practice portal. The evaluation of the toolbox in a small area of health promotion will provide initial insights into the inclusion of evidence and its added value. This presentation will conclude with a discussion of possibilities for improvement, challenges and limitations of this approach.

scholarly journals Managing energy performance in buildings from design to operation using modelling and calibration

2021 ◽  
pp. 014362442110083
Author(s):  
Nishesh Jain ◽  
Esfand Burman ◽  
Dejan Mumovic ◽  
Mike Davies
Keyword(s):  
Best Practice ◽  
Good Practice ◽  
Energy Performance ◽  
Operating Conditions ◽  
Design Stage ◽  
Performance Gap ◽  
Actual Performance ◽  
Simulation Tools ◽  
Calibration Protocol ◽  
Covering Design

To manage the concerns regarding the energy performance gap in buildings, a structured and longitudinal performance assessment of buildings, covering design through to operation, is necessary. Modelling can form an integral part of this process by ensuring that a good practice design stage modelling is followed by an ongoing evaluation of operational stage performance using a robust calibration protocol. In this paper, we demonstrate, via a case study of an office building, how a good practice design stage model can be fine-tuned for operational stage using a new framework that helps validate the causes for deviations of actual performance from design intents. This paper maps the modelling based process of tracking building performance from design to operation, identifying the various types of performance gaps. Further, during the operational stage, the framework provides a systematic way to separate the effect of (i) operating conditions that are driven by the building’s actual function and occupancy as compared with the design assumptions, and (ii) the effect of potential technical issues that cause underperformance. As the identification of issues is based on energy modelling, the process requires use of advanced and well-documented simulation tools. The paper concludes with providing an outline of the software platform requirements needed to generate robust design models and their calibration for operational performance assessments. Practical application The paper’s findings are a useful guide for building industry professionals to manage the performance gap with appropriate accuracy through a robust methodology in an easy to use workflow. The methodological framework to analyse building energy performance in-use links best practice design stage modelling guidance with a robust operational stage investigation. It helps designers, contractors, building managers and other stakeholders with an understanding of procedures to follow to undertake an effective measurement and verification exercise.

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