BUILDING TREND OF HOUSES AND PLANNING CONCEPTS REGARDING ARABLE LAND IMPROVEMENT PROJECT AREA IN URBANIZATION PROMOTION AREA : A case study of Toyokawa city in Aichi prefecture

Twenty-six water bodies and 10 ponds were selected for this research. Anthropogenic loads were assessed according to pollution sources in individual water catchment basins. It was determined that 50% of the tested water bodies had Ntotal values that did not correspond to the good and very good ecological status classes, and 20% of the tested water bodies had Ptotal values that did not correspond to the good and very good ecological status classes. The lake basins and ponds received the largest amounts of pollution from agricultural sources with total nitrogen at 1554.13 t/year and phosphorus at 1.94 t/year, and from meadows and pastures with total nitrogen at 9.50 t/year and phosphorus at 0.20 t/year. The highest annual load of total nitrogen for lake basins on average per year was from agricultural pollution from arable land (98.85%), and the highest total phosphorus load was also from agricultural pollution from arable land (60%).

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Quality improvement primer part 2: executing a quality improvement project in the emergency department

CJEM ◽

10.1017/cem.2017.393 ◽

2017 ◽

Vol 20 (4) ◽

pp. 532-538 ◽

Cited By ~ 9

Author(s):

Lucas B. Chartier ◽

Antonia S. Stang ◽

Samuel Vaillancourt ◽

Amy H. Y. Cheng

Keyword(s):

Health Care ◽

Emergency Department ◽

Emergency Medicine ◽

Quality Improvement ◽

Improvement Project ◽

Emergency Department Setting ◽

Pdsa Cycle ◽

Time To Antibiotics ◽

Final Article

ABSTRACTThe topics of quality improvement (QI) and patient safety have become important themes in health care in recent years, particularly in the emergency department setting, which is a frequent point of contact with the health care system for patients. In the first of three articles in this series meant as a QI primer for emergency medicine clinicians, we introduced the strategic planning required to develop an effective QI project using a fictional case study as an example. In this second article we continue with our example of improving time to antibiotics for patients with sepsis, and introduce the Model for Improvement. We will review what makes a good aim statement, the various categories of measures that can be tracked during a QI project, and the relative merits and challenges of potential change concepts and ideas. We will also present the Model for Improvement’s rapid-cycle change methodology, the Plan-Do-Study-Act (PDSA) cycle. The final article in this series will focus on the evaluation and sustainability of QI projects.

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Vacuum preloading consolidation of reclaimed land: a case study

Canadian Geotechnical Journal ◽

10.1139/t98-039 ◽

1998 ◽

Vol 35 (5) ◽

pp. 740-749 ◽

Cited By ~ 79

Author(s):

J Q Shang ◽

M Tang ◽

Z Miao

Keyword(s):

Land Reclamation ◽

Soil Improvement ◽

Large Area ◽

Vacuum Preloading ◽

Reclaimed Land ◽

Improvement Project ◽

Prefabricated Vertical Drains ◽

Vertical Drains ◽

Soft Clays

This case study presents the design, operation, and results of a soil improvement project using the vacuum preloading method on 480 000 m2 of reclaimed land in Xingang Port, Tianjing, China. The areas treated with vacuum ranged from 5000 to 30 000 m2. The effects of soil improvement are demonstrated through the average consolidation settlement of 2.0 m and increases in undrained shear strengths by a factor of two to four or more. The study shows that the vacuum method is an effective tool for the consolidation of very soft, highly compressive clayey soils over a large area. The technique is especially feasible in cases where there is a lack of surcharge loading fills, extremely low shear strength, soft ground adjacent to critical slopes, and access to a power supply.Key words: vacuum preloading consolidation, soil improvement, soft clays, land reclamation, prefabricated vertical drains.

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Lessons learned in establishing a quality improvement project to reduce hospital acquired infections in the neonatology ward at a referral hospital in Rwanda

On the Horizon ◽

10.1108/oth-07-2016-0037 ◽

2016 ◽

Vol 24 (4) ◽

pp. 341-348 ◽

Cited By ~ 1

Author(s):

Naasson Gafirimbi ◽

Rex Wong ◽

Eva Adomako ◽

Jeanne Kagwiza

Keyword(s):

Quality Improvement ◽

Lessons Learned ◽

Referral Hospital ◽

Quality Improvement Project ◽

Injection Technique ◽

Improve Quality ◽

Improvement Project ◽

Content Type ◽

Hospital Acquired

Purpose Improving healthcare quality has become a worldwide effort. Strategic problem solving (SPS) is one approach to improve quality in healthcare settings. This case study aims to illustrate the process of applying the SPS approach in implementing a quality improvement project in a referral hospital. Design/methodology/approach A project team was formed to reduce the hospital-acquired infection (HAI) rate in the neonatology unit. A new injection policy was implemented according to the root cause identified. Findings The HAI rate decreased from 6.4 per cent pre-intervention to 4.2 per cent post-intervention. The compliance of performing the aseptic injection technique significantly improved by 60 per cent. Practical implications This case study illustrated the detailed application of the SPS approach in establishing a quality improvement project to address HAI and injection technique compliance, cost-effectively. Other departments or hospitals can apply the same approach to improve quality of care. Originality/value This study helps inform other hospitals in similar settings, the steps to create a quality improvement project using the SPS approach.

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