Organizational model in first AID

The reason why we have undertaken this type of work comes from having become aware of the profound state of discomfort experienced, and therefore it is possible to find the strength to take the real path, overcoming the current patterns, which unfortunately, still see the profession . for homework. The multicentre study, carried out on the topic of Nursing Records, significantly accelerates the timing of this historic step, so that the culture of innovation, creativity and change is enhanced and embraced. Analyzing the nursing work situation, I noted the need together with a group of colleagues and a coordinator, belonging to the same Hospital, to propose the inclusion of an innovative Nursing Record, so that a professional contribution was formed by the staff nursing and, from this, the activation of multidisciplinarity and, at the same time, the recognition of the usefulness of the role of the nursing figure and of the valid collaboration within the health team took off. The working group was formed on a specific project, focused on the design and drafting of the Nursing Record, an operational tool designed and managed by the nurse (in collaboration with the coordinator), used to collect useful information regarding each patient individually. This tool was indispensable for the elaboration of an assistance plan that takes into account the social, cultural and welfare context in which it is developed, guaranteeing the continuity of services. Since it appears necessary for a Nursing Record to be built by the team , the need arises to have common indications regarding its design and drafting.

Remote sensing based on time variance control in configurable area partitioning

In this paper a sensor data fusion approach for characteristics field monitoring, based on time variance control model, is proposed. Distributed sensing and remote processing are the basic features of the employed architecture. In fact, in order to obtain meaningful information about the temporal and spatial variations, which characterize the field levels of some characteristics (electromagnetic, air pollution, seismic, etc), a distributed network of wireless and mobile smart-sensors has been designed.Starting from the partitioned configuration of a monitored geographic areas, this model allows to take into account the different levels of degradation over time in the sensors' performances associated with the different geographic partitions, progressively increasing the severity of the control. To this end, through the introduction of a reliability curve, a revised traditional control chart for variables is proposed.The proposed approach, further constituting an element of the scientific debate, aims to be a useful operational tool for professionals and managers employed in the environment control.

Multispectral UAS system for detecting, characterizing, and mapping oil spills on near shore environments

We have developed a UAS system that collects multispectral data in order to characterize oil slick thicknesses and emulsification ratios. This system consists on a UAS that carries multiple cameras that integrate 10 wavelength band sensors ranging from Ultra-Violet (UV) to Long Wave Infrared (LW-IR). This system has been originally tested at OHMSETT and at the MC-20 site in the Gulf of Mexico. More recently this UAS was put in operation during the Lake Washington Wellhead blowout in Louisiana. In here we present examples of how this operational tool allowed oil spill responders to efficiently deploy containments of the floating oil (booming) and to monitor the collection of the oil on real time. Moreover, using a rapid classification algorithm, the multispectral data collected by our UAS allowed us to make a detailed high resolution classification of the oil detected on the shorelines of the affected areas. The UAS also delivered near real time oil detections that were used during the spill by the NOAA oil spill science coordinators through the ERMA system. This UAS has proven its ability to detect oil on ‘hard to reach areas’ and it offers a valuable option for the evaluation of affected areas impacted by the spill. We compared the SCAT surveys with the UAS oil detections and conclude the importance of adding this UAS tool as part of the operational assessment of the spill to determine the level of impact of the spill on the nearshore environment.

Case study: the simulation modelling of selected activity in a warehouse operation

The paper deals with the simulation of selected activities in the warehouse. Routine logistics activities are the receipt of the goods, the control of the goods, and the goods’ storage in the warehousing system on the side of the entry into the warehouse. On the output side, these are activities such as picking, packing and shipping. The economy of warehouse operations depends on the efficiency of the logistics activities performed and on deployed the technical means. The paper’s main goal is to present a created simulation model for a selected warehouse activity—receipt of goods into the warehouse. This operation involves unloading the goods from the trucks, moving them to the physical receipt, where the quantitative and qualitative control of the goods is performed (acceptance of goods). An analysis of this activity preceded the creation of the simulation model under operating conditions. The research was performed by observing and measuring the forklift’s work cycle, which unloaded pallets from the trucks. The obtained data from the analysis were the input to the simulation model. The EXTENDSIM8 simulation system was used to create a simulation model. The several experiments were performed on the model after its creating and verifying the functionality. The paper evaluates 3 experiments and analyzes their results. The main benefit, novelty, of the article is the simulation of a selected activity for a specific company’s conditions. The experiments results are a reasonable basis for the creation of an operational tool for the company.

Historia y actualidad del Régimen Legal del Sistema Presupuestario Público Venezolano

The state as a political structure of great importance for society, requires planning and control instruments to maintain its essential fines for which it was created, among these instruments is the public budget, which is an administrative as well as an operational tool for decision-making by the government, in order to achieve or obtain fines from the state through the development plans and, finally, to be able to promote the satisfaction of the basic needs of the population. The purpose of this research is to develop the most relevant aspects of the history and current affairs of the legal regime of the Venezuelan budgetary system, where it is emphasized that there is extensive material between documents and books, which have occasionally been selected to limit the most important aspects. relevant. Likewise, it is important to point out that this study is limited to the doctrinal historical evolution, but not to its dissertation in relation to its phases, execution, and evaluation. For the investigation, direct observation of laws, official state portals and Venezuelan doctrine was detected as a data collection instrument.

Sustainable re-use, preservation and modern management of historical ruins. RUINS’ tools & guidelines

Owners and managers of the thousands of medieval ruins around Europe face the challenge of preservation despite limited options for modern use of their sites. The RUINS project develops approaches that help managers to find contemporary, social uses for old ruins while keeping historical heritage intact. Research and evaluation of various sites will create a basis for comprehensive management plans. A lack of functionality of medieval ruins leaves limited opportunities for establishing a viable economic future of these sites. Giving new functions to ruins can result in broad, economically profitable ways of using the medieval ruins. The aim is finding the balance between the needs of stakeholders and public expectations concerning use of medieval ruins on one hand, and on the other hand preservation of authenticity and historical value of medieval ruins. The individuation of the new function requires a specific knowledge of the building in all its aspects, but also considerations regarding socio-economic values of the context that identifies its historical meaning and artistic value. The approach is to find new aims to monuments, but in harmony with the characteristics that give value and meaning to them. Within the INTERREG Central Europe project RUINS, is developing an handbook that supplies an operational tool useful to guide owners and managers of the thousands of medieval ruins around Europe toward a stainable re-use, preservation and modern management of historical ruins. The work follows an outline composed by 5 chapters that will try to respond in an exhaustive way to the aims related to contemporary use of historical ruins.

REDCap-Based Operational Tool to Guide Care Coordination in a Multidisciplinary Cutaneous Oncology Clinic

The multidisciplinary team is the primary means for delivery of complex cancer care in the United States. Considerable variability exists in how multidisciplinary teams operate across the landscape of oncology, including variation in represented specialties and specifics of the shared medical decision-making process. Here, we describe operations of a multidisciplinary clinic focused on the management of nonmelanoma skin cancer, formed as a joint effort between departments at the Massachusetts General Hospital and Massachusetts Eye and Ear Infirmary. We describe deployment of a flexible Web-based operational tool created on the Research Electronic Data Capture platform to facilitate provider coordination and tracking and visualization of the patient census, offering a new perspective on optimization of the multidisciplinary workflow. To help promote further discussion, we have made the data dictionary for the operational tool and R code for the accompanying data visualization dashboard freely available online for download and customization.

Revision of the Atmospheric Modeling for SNR Observations in Ground-Based GNSS Reflectometry

The application of signal-to-noise ratio (SNR) observations from ground-based GNSS Reflectometry is becoming an operational tool for coastal sea-level altimetry. As in all data analyses, systematic influences must be reduced here too, to achieve reliable results. A prominent influence results from atmospheric refraction. Different approaches exist to describe or to correct for this influence. In our contribution we will revise the latest developments and suggest a simple atmospheric interferometric delay model that takes into account ray bending as well as along-path propagation delay. The model takes into account a spherical reflector and can therefore be applied for data from very low elevation angles, too. The findings are double-checked by numerical experiments based on a step-by-step raytracing procedure.