management plan
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Author(s):  
Shahid Ali

Abstract: Package CS3 of Metro Line 1 in Surat City includes 3 stations i.e. Surat railway station, Maskati Hospital and Chowk Bazar. As per proposed Metro plan of Surat city, this line will originate from Sarthana station and will terminate at Dream City. The length of Line 1 is 21.61KM of which 14.59km is elevated whereas 7.02km is Underground and consists of 20 Stations. This metro line envisages use of public transport system in Surat city and shall cater the present and future travel demand of the catchment area and shall also reduce load from road based transport system of the corridor. During the construction phase of any Mass Rapid Transit System (MRTS) running along the Right of Way (ROW) of existing roadway system, Traffic diversion and management plan implementation becomes absolute mandatory to reduce congestion, conflicts increase level of safety and ease construction process. Similarly, for package CS3 of Surat Metro line 1, there is need of preparing an implementing Traffic Diversion and Management plan to create a synergy amongst construction activities, traffic flow, safety of pedestrian and construction worker with minimal impact on surrounding catchment. This study shall provide Traffic diversion and management plan which may help to cater the existing traffic and stir them in a smooth and non-congested flow with the help of signage’s, road markings, etc.


2022 ◽  
Vol 46 (1) ◽  
Author(s):  
Min Zhao

Abstract Background Papillary oral pathologies are a heterogenous group. Both virus-associated and non-virus-associated, malignant and benign entities may enter the differential diagnosis. In some cases, oral papillary lesions are part of a variety of skin or systemic disorders and syndromes. It is a challenge for clinicians to identify and treat the various etiology of oral papillary lesions. Case presentation This case report describes the successful management of large multiple oral papillary lesions in a 65-year-old female. Combined the clinical features, pathological findings and medical history, the patient was tended to be the diagnosis of Acanthosis Nigricans and was successfully managed. The neuro-endocrine-immune network and mechanical factors in the pathogenesis of oral papillary lesions of Acanthosis Nigricans were discussed. Common questions regarding differential diagnosis, the management of oral papillary lesions of Acanthosis Nigricans patients and follow-up visits are addressed. Conclusions The neuro-endocrine-immune network and mechanical factors play important roles in the pathogenesis of oral papillary lesions with Acanthosis Nigricans. Removing traumatic factors of oral mucosa and the treatment of underlying systemic diseases is necessary for Acanthosis Nigricans patients with oral papillary lesions. The clinical management plan should comprise both the local treatments of oral papillary lesions and the systemic treatment of underlying diseases. Multidisciplinary correlation is helpful and the patient’s collaboration is necessary to arrive at the correct diagnosis and successful long-term treatment effect. From the clinician’s perspective, recognizing various causes and clinical presentations of oral papillary lesions will help guide management.


Author(s):  
Mohammed Al-Musawi ◽  
Zinah M. Anwer

Asthma is one of the most common chronic, non-communicable diseases affecting children worldwide. The estimated prevalence of pediatric asthma in Iraq is 15.8%. Physiologic, inflammatory and structural factors contribute to the development of asthma. Assessment and monitoring of asthma control can be done by a validated children asthma control test (CACT). Management of asthma must address three components which are an appropriate management plan, the most appropriate medication if necessary, and the use of safe and effective medication. The management plan should consider patient counseling and education about the definition of asthma, signs, and symptoms, the pathophysiology of asthma, common triggers for asthma and how can avoid them, what are the rescue medication and the controller one, proper inhaler techniques, and how to monitor asthma control. Patient education accounts for 90% of success and this can be achieved by an active collaboration among health care providers. This is a prospective interventional study that aims at evaluating pharmacist counseling for asthmatic children. The study involved 105 participants whose consent was taken and underwent a face-to-face interview about asthma counseling and inhaler technique for those who use it. Ninety-two eligible participants remained. Their CACT was recorded at the first visit and then followed up weekly for one month either by phone or physical to assess asthma control. In the fourth week, a CACT was recorded and compared to the first one before intervention. There was a significant improvement in CACT after providing the counselling and weekly follow up.


Arts ◽  
2022 ◽  
Vol 11 (1) ◽  
pp. 17
Author(s):  
Jerzy Ilkosz ◽  
Ryszard Wójtowicz ◽  
Jadwiga Urbanik

The aim of the article is to present the remarkable changes in architecture that took place in the 20th century. They can easily be called a revolution regarding the architectural form and the color scheme. Progress was being made through the development of reinforced concrete production methods. In the German Empire (Deutsches Kaiserreich), this material quickly found applications in more and more interesting solutions in architectural structures. In Wrocław (formerly Breslau), then located in the eastern German Empire, exceptional architectural works were realized before and after the First World War using new technology. In 1913, an unusual building was erected—the Centennial Hall, designed by Max Berg (inscribed on the UNESCO World Heritage List in 2006). Berg’s work was inspired by the works of both Hans Poelzig and Bruno Taut. On the one hand, it was a delight with the new material (the Upper Silesian Tower at the exhibition in Poznań, designed by H. Poelzig) and, on the other hand, with the colorful architecture of light and glass by B. Taut (a glass pavilion at the Werkbund exhibition in Cologne). Max Berg left the concrete in an almost “pure” form, not hiding the texture of the formwork under the plaster layer. However, stratigraphic studies of paint coatings and archival inquiries reveal a new face of this building. The research was carried out as part of the CMP (Conservation Management Plan—prepared by the authors of the article, among others) grant from The Getty Foundation Keeping It Modern program. According to the source materials, the architect intended to leave the exposed concrete outside of the building, while the interior was to be decorated with painting, stained glass, and sculpture. The stratigraphic tests showed that the external walls were covered with a translucent yellowish color coating. Thus, the Centennial Hall shows a different face of reinforced concrete architecture.


Land ◽  
2022 ◽  
Vol 11 (1) ◽  
pp. 114
Author(s):  
Grigoria Zitouni-Petrogianni ◽  
Angeliki Paraschou ◽  
Helen Maistrou

This article investigates the problem of changing land uses in historical city centers, a problem which often leads to the alteration of their historical, architectural and functional physiognomy, as well as the loss of their inhabitants. It also discusses the importance of land management and proposes a multifunctional reuse model for sustainable development in abandoned or degraded areas in historic cities. This problem is found in historical centers nowadays, especially in the European South, and many theoretical texts and urban studies deal with the issue. Taking under consideration the case of the Historical “Commercial Triangle” of Athens, this article presents the results of an extensive field work, which led to the mapping and analysis of the neighborhood’s special identity. Subsequently, these results lead to the presentation of the problems caused by the dominating uses of recreation and tourism, which suppress the traditional existing commercial uses and the residency. It concludes by proposing preservation strategies for the reuse and development of the area and emphasizes the importance of a management plan aiming towards the preservation of the historical character of the commercial center and its sustainable development. The work presented in this paper is based on an assignment produced in 2020 for the purposes of the post-graduate course “Protection and Preservation of a historical urban center or settlement”, which is part of the post-graduate program “Protection of Monuments” in the School of Architecture, NTUA.


Author(s):  
AK Mandal ◽  
MF Jaman ◽  
MM Alam ◽  
MF Rabbe ◽  
AR Shome

The species diversity and abundance of wildlife are the important indicators of a healthy ecosystem. A survey-based scientific study on species diversity, abundance and status of vertebrate wildlife was conducted from May 2015 to April 2016 at Sreepur upazila, Magura, Bangladesh. A total of 123 species of vertebrate wildlife was recorded during the 12 months of study period. Among them, eight species (6.5%) were amphibians, 13 (10.57%) reptiles, 84 (68.29%) birds and 18 species (14.64%) were mammals. Out of 84 species of birds, 45 (53.57%) were passerines and 39 (46.43%) non-passerines. Most of the observed birds (72 species, 85.72%) were resident and the rest 12 species (14.28%) were migratory. The highest number of wildlife species was observed in winter (108 species, 87.80%), particularly in December (62 species, 50.40%). The lowest number of species was recorded in June (33 species, 26.83%). Out of 123 species of vertebrate wildlife, three (2.44%) were very common, nine (7.32%) common, 26 (21.14%) fairly common and 85 (69.1%) were common. Of the total species, 117 (95.12%) species were least concern, five (4.06%) near threatened and one (0.81%) was endangered according to IUCN Bangladesh 2015. Implementation of conservation and management plan is required to save the wildlife in the study area. J. Biodivers. Conserv. Bioresour. Manag. 2021, 7(1): 51-62


BMC Surgery ◽  
2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Juan Liu ◽  
Chunyan Gao ◽  
Hailong Fu ◽  
Xiaonan Zhou ◽  
Li Zhang ◽  
...  

Abstract Background Spinal tumor surgery usually involved long operation time, large area of soft tissue resection and long wound, and was prone to hypothermia during the operation. Therefore, actively promoting insulation and optimizing the intraoperative insulation program have great potential in reducing the incidence of hypothermia and reducing the incidence of postoperative complications. In this study, we compared patients who did not implement multi-mode nursing insulation program (MNIP) with those who implemented MNIP, observing and comparing clinical outcomes, and complications in both groups, with the aim of developing an optimal management plan for the preoperative, intraoperative, and postoperative periods, respectively. Methods We selected 2 periods of 1 year, before (n = 120 patients) and after MINP implementation (n = 120 patients). Data were collected on patient demographics, operative, perioperative details, temperature changes, anesthesia recovery effect, incidence of postoperative wound infection, length of hospital stay and complications. PS analyses were used for dealing with confounding bias in this retrospective observational study. Results After PS matching, the outcomes of 120 well-balanced pairs of patients were compared (No-MNIP vs MNIP). There was no significant difference concerning the satisfaction survey. The results indicated that the MNIP had better insulation effect at 90 min, 120 min, 150 min after anesthesia induction and after surgery. There were 16 cases of complications in the No-MNIP group and 5 cases in the MNIP group postoperative, which have significant statistical difference. Conclusion In this study, the incidence of intraoperative hypothermia was effectively reduced by adopting the multi-mode insulation scheme, thus reducing the incidence of incision infection and shortening the length of hospital stay of patients.


2022 ◽  
Author(s):  
David C Wilson ◽  
Michael A Kilgore ◽  
Stephanie A Snyder

Abstract Virtually all states have developed best management practices (BMPs) to mitigate potential adverse effects associated with timber harvesting. This study examined how BMP implementation on Minnesota’s family forest lands varied according to whether the land had a forest management plan, the timber sale was administered by a forester, or a written timber harvesting contract was used. Analysis of field monitoring data from 174 commercial timber harvesting sites on family forest lands found that BMP implementation is only modestly influenced by a forest management plan, supervising forester, or timber harvesting contract. Supervision of a forester had the greatest influence, with six guidelines implemented differently. In contrast, differences were found for just two BMPs with a forest management plan and only one with a written timber harvesting contract. When timber sales were administered by a forester, forest management guidelines generally related to management of the land-water interface were implemented to a higher standard, with significant increases observed for avoidance of infrastructure in filter strips, use of water diversion and erosion control structures, avoiding unnecessary wetland and waterbody crossings, and slash management. Higher timber utilization efficiency (within leave tree guidelines) was also found when a professional forester supervised the timber sale. Study Implications: We examine how BMP implementation on family forest lands varies with three types of supervisory and planning assistance: a forest management plan for the property, sale administration by a professional forester, and a written timber harvesting contract. Field monitoring data from 174 commercial timber harvests on family forest lands indicate that BMP implementation is only modestly influenced by any single form of assistance. Supervision by a forester had the greatest influence, increasing use of four guidelines related to management of the land-water interface. Results may help to inform best practices for landowner assistance and planning.


2022 ◽  
Vol 6 ◽  
Author(s):  
Kamonchanok Kaewsrisai

The objectives of this research were 1) to develop an active blended learning management plan in Music subject based on the hybrid learning framework to be effective according to 80/80 criteria, 2) to compare the students' academic achievement between pretest and posttest periods, and   3) to study the satisfaction of students towards the active blended learning management in music subject based on the hybrid learning framework. The target group of this research was the 14 primary 4 students of Ban Nong Du School. Thawat Buri District, Roi Et Province in semester 1, academic year 2021, which was selected from purposive sampling. The research instruments were: 1) the index of conformity (IOC) of the music learning management plan according to the hybrid learning framework was 0.87. This showed that experts are of the opinion that an effective learning management plan can be implemented.   2) The achievement test was a 30-item, four-choice test. The test had a difficulty and power value classified between 0.41-0.60, which was appropriate and could be tested.   3) A questionnaire on the satisfaction of students towards active blended learning management in music subject based on the hybrid learning framework consisted of 15 items.


2022 ◽  
Vol 956 (1) ◽  
pp. 012015
Author(s):  
N Fadli ◽  
A Damora ◽  
Z A Muchlisin ◽  
I Dewiyanti ◽  
M Ramadhaniaty ◽  
...  

Abstract The groupers, locally known as “kerapu” in Indonesia, are commercially valuable fish in Indonesia, including Aceh. The groupers are the first fish family to be plundered in most countries’ fisheries industries. However, the biodiversity information of the groupers fished in Aceh is limited. This study was aimed to inventories the grouper species landed in Aceh fish landing sites. The data collection was performed in some fish landing locations (TPI) located in Aceh. In general, this study revealed that Aceh has high grouper diversity. In total, 35 species of the Epinephelidae family were recorded. Epinephelus was the dominant genus found, followed by Cephalopholis, Plectropomus, Variola, Aethaloperca, Anyperodon, and Hyporthodus. Simeulue, Weh island, and Banda Aceh were the locations with the highest diversity of grouper in Aceh. Overall, the data collected from this study would be beneficial for the future management plan of grouper in Aceh and Indonesia.


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