scholarly journals Polypharmacy Management Program: Current Status and Emerging Challenges in Older Patients

2021 ◽  
Vol 22 (2) ◽  
pp. 55-60
Author(s):  
Woo-young Shin ◽  
Jung Soo Song ◽  
Jung-ha Kim
Keyword(s):  
Older Patients ◽  
Management Program ◽  
Current Status

scholarly journals STUDY THE NEED OF BASELINE ENERGY USE BENCH MARKING OF BUILDINGS IN DIFFERENT CLIMATE ZONES OF INDIA

2021 ◽  
pp. 12-17
Author(s):  
Mr. Kishan Khatri ◽  
Dr. Shweta Choudhary
Keyword(s):  
Energy Use ◽  
Minimum Energy ◽  
National Level ◽  
Energy Performance ◽  
Management Program ◽  
Current Status ◽  
Climate Zones ◽  
Energy Star ◽  
Performance Benchmarking ◽  
Portfolio Manager

The aim of research is to identify a need of a baseline energy use for benchmarking the minimum energy performance of the buildings for different climate zones of India. Its objective is to provide information and create awareness among customers on energy performance so that consumers can make informed decisions while purchasing appliances, selecting the ECMs and in creating a sustainable home. This study will help in the identification of underperforming buildings to target for efficiency improvements, identify best practices from efficient buildings, set investment priorities, verify savings and prevent snapback, share and report performance, earn recognition, continuous monitoring and implement a comprehensive management program. There are rating system available in India i.e. BEE Star Labelling program and GRIHA Baseline Energy Use to support these requirements. However, there are some limitation in the terms of Climate Zones and Standardization. The baseline energy use differs with each other on a certain parameter, which can create a misinterpretation for the building owners to rely on any standard. There is a need of knowing the current status/performance of the building as comparison to the similar type of buildings in India in respective climate zones. There is a further need to getting recognized by the authority at national level providing the status of the building energy performance. Enormous studies have been made and have suggested to follow the best Energy Conservation Measures (ECM’s) in the buildings. However, there is no portal or tool which can guide what further energy performance is needed to choose the ECMs accordingly. There is an online portal called Energy Star Portfolio Manager in USA which looks closer to the need and for the same a research has been carried out including all the stakeholders, engineers, architects, consultants to come up with the need of online benchmarking tool, accessible for all the building holders. Further, the expertise of BEE Certified Energy Auditors and Energy Managers can be helpful in the identification of this eco system of energy use benchmarking for the different climate zones of India. KEYWORDS: Energy Use; Green Buildings; Climate Zones; Energy Performance Benchmarking; Energy Star Portfolio Manager

Collier County, Florida: Consideration of Gasification as a Long-Term Waste Management Solution

2003 ◽  
Author(s):  
Stephen C. Schwarz ◽  
Daniel E. Dietch
Keyword(s):  
Waste Management ◽  
Solid Waste ◽  
Evaluation Process ◽  
The United States ◽  
Management Program ◽  
Waste To Energy ◽  
Current Status ◽  
Collier County ◽  
Wide Range

Collier County, Florida (“County”) is in the midst of developing an integrated waste management program. Unlike many counties, Collier County owns a landfill with sufficient long-term landfill capacity to last another 15 years. However, due to the Board of County Commissioner’s (“Board”) desire to have a 50-year solution for solid waste, the County has set upon a course to divert waste from the landfill to the maximum extent possible. In doing so, the County solicited long-term waste management solutions from private companies capable of processing the majority of the municipal solid waste generated in the County. Over the past two years, the County has considered several of these alternatives ranging from MSW composting to mass-burn waste-to-energy; however, based on an evaluation of a wide range of impacts, gasification was selected as the preferred alternative. With this focus, the County issued a Request for Proposal (“RFP”) in November 2001 for a design, build, own, operate, and finance gasification project. The County received three proposals in April 2002 in response to the RFP. To date, the County has completed the proposal evaluation process and has ranked the top two responsive firms: Interstate Waste Technologies (“IWT”) and Brightstar Environmental (Florida), LLC (“Brightstar”) based on experience, technical approach, business arrangement, and cost. If implemented, this project will be the only commercial gasification project operating in the United States. This paper will provide insight into various stages of the project, from development through to the current status of the project, as well as the strategic policy, financial, and technical considerations that make this opportunity a good fit for the County. An emphasis will also be placed on comparing and contrasting the benefits and drawbacks of each technology, such as processing methodology, cost, redundancy, and scalability.

scholarly journals Current Status of Outpatient Parenteral Antimicrobial Therapy (OPAT) At a University-Affiliated Acute-Care Hospital in The Republic of Korea

2021 ◽  
Author(s):  
Eunjeong Heo ◽  
Yoonhee Choi ◽  
Hyung-sook Kim ◽  
Hyung Wook Namgung ◽  
Eunsook Lee ◽  
...  
Keyword(s):  
Antimicrobial Therapy ◽  
Tertiary Care ◽  
Management Program ◽  
Republic Of Korea ◽  
Current Status ◽  
Care Hospital ◽  
Outpatient Parenteral Antimicrobial Therapy ◽  
The Republic ◽  
Tract Infections

Abstract Objectives The aim of this study was to describe current status of outpatient parenteral antimicrobial therapy (OPAT) at a tertiary care hospital in the Republic of Korea. Methods This retrospective study was conducted on outpatients and referral patients who had a prescription of parenteral antibiotics from July to December 2019. We reviewed the prescribed antimicrobials, the indication of antimicrobial therapy, where patients administered antimicrobial injection and management of pre- and post- prescriptions. Results Of the 577 episodes included in this study, 399 (69.2%) were delivered by referral model, 178 (30.8%) by outpatient model. About 70% of OPATs were prescribed in the pulmonology, infectious diseases, orthopedics, gastroenterology, and hematology departments. Five antibiotics (ertapenem (26.0%), ceftriaxone (12.8%), kanamycin (11.8%), amikacin (10.1%), and cefazolin (8.5%)) accounted for 69.2% of the total OPATs. Urinary tract infections (27.3%), respiratory infections (20.8%), and intra-abdominal infections (15.9%) are the most frequent indications of OPAT. After prescription, there were 295 (73.9%) follow-up visits in referral model and 150 (84.3%) in outpatient model (p<0.05). Laboratory tests necessary for monitoring were totally performed in 274 (47.5%). Conclusions We found that significant number of OPAT was prescribed, follow-up visits were not performed in about a quarter of episodes, and laboratory monitoring was not fully conducted in more than half of the cases. Therefore, it is necessary to establish an appropriate management program for OPAT. Considering limited resources and the distribution of OPAT prescriptions, it may be effective to select frequently used antibiotics or frequently prescribed departments and start the program for them.

Ammonia Refrigeration and Osha Process Safety Management Programs

1993 ◽  
Author(s):  
Steven J. Tyler
Keyword(s):  
Planning Process ◽  
Safety Management ◽  
Management Program ◽  
Current Status ◽  
Process Safety ◽  
The People ◽  
Original Plan

Developing an effective Process Safety Management Program involves the same four elements necessary for developing any other major piece of work. Proper fulfillment of any program relies on proper usage of all four of these elements. These elements are: planning, organizing, implementing and controlling. Planning sets the stage for the process by identifying the current status and establishing how progress will be checked. Organizing defines the resources that will be used in order to establish the program. Implementing is working with the people selected for the program and ensuring that all tasks associated with the program are fulfilled. Controlling is making adjustments to the original plan in order to achieve the desired results. Although identifying objectives is one phase of the planning process, it is necessary to first talk about this regulation and what it means for the ammonia refrigeration industry. Paper published with permission.

Developing an Integrative Pain Management Program in The Private Setting: Successes, Challenges and Current Status

2017 ◽  
Vol 98 (12) ◽  
pp. e156
Author(s):  
Vinicius Tieppo Francio ◽  
Arthur Conley ◽  
Lee Germany ◽  
Elizabeth Fletcher ◽  
Blakely Berry ◽  
...  
Keyword(s):  
Pain Management ◽  
Management Program ◽  
Current Status ◽  
Pain Management Program ◽  
Private Setting
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