Systematic Realist Review of Key Factors Affecting the Successful Implementation and Sustainability of the Liverpool Care Pathway for the Dying Patient

2013 ◽  
Vol 10 (4) ◽  
pp. 218-237 ◽  
Author(s):  
Tracey McConnell ◽  
Peter O'Halloran ◽  
Sam Porter ◽  
Michael Donnelly
Materials ◽  
2021 ◽  
Vol 14 (3) ◽  
pp. 474
Author(s):  
Huaqiao Liu ◽  
Yiren Pan ◽  
Huiguang Bian ◽  
Chuansheng Wang

In this study, the two key factors affecting the thermal performance of the insert rubber and stress distribution on the tire sidewall were analyzed extensively through various performance tests and simulations to promote the development of run-flat tires. Four compounds and two structures of insert rubber were designed to investigate the effects of heat accumulation and stress distribution on durability testing at zero pressure. It was concluded that the rigidity and tensile strength of the compound were negatively correlated with temperature. The deformation was a key factor that affects energy loss, which could not be judged solely by the loss factor. The stress distribution, however, should be considered in order to avoid early damage of the tire caused by stress concentration. On the whole, the careful balance of mechanical strength, energy loss, and structural rigidity was the key to the optimal development of run-flat tires. More importantly, the successful implementation of the simulations in the study provided important and useful guidance for run-flat tire development.


Organizacija ◽  
2014 ◽  
Vol 47 (3) ◽  
pp. 132-142
Author(s):  
Christer Österman ◽  
Anders Fundin

AbstractPurpose:The purpose of the research is to explore a practical method of measuring the implementation of lean in a process. The method will be based on examining the abilities of a group. At this scale the ability to work standardized and solve problems is important. These two abilities are dependent of each other and are fundamental for the group's ability to create a stable result. In this context the method of standardized work (SW) is define to be the methods used in a process to generate stable results. Problem solving (PS) is defined as the methods used to return a process to a condition where SW is possible.Methodology /approach: The research is conducted in a multiple case study in four large global manufacturing companies. The order of the data collection is: Firstly, interviews with the individuals that are centrally responsible for overall implementation of lean in the organization. Secondly, observe the implementation of SW and PS at the group level. In total 7 groups have been studied and 19 respondents interviewed.Findings: Results show that the central definition of the methods for standardized work does not by itself have a direct impact on success of implementation of SW at group level. The method of SW where similar on a general level in the different cases, but with varying levels of implementation at group level was applied. Results also show that key factors for a successful implementation of standardized work on group level are: Ownership of the process, Direct connection to result of process, Correct workload and Leader demand. Methods of PS at group level where dissimilar despite a superficially similar approach. The evaluation method used was successful in providing comparable results between the cases.Research limitations: A limitation of this research is within the scale of the measurement, as it only examines the group level. The research is further limited to four companies and seven groups.Originality/value of paper: This paper aims to fill a gap in the established measurement methods of lean, as it examines the abilities of SW and PS at the group level of a process. These abilities are often referred to as essential in lean theory. However, there has been little scholarly work in defining the methods of SW and PS or the key factors affecting the methods at an operational level.


Author(s):  
E.F. Veliyev ◽  

Polymer flooding is one of the main enhanced oil recovery methods that have been actively used since the late 1960s. However, despite the significant gained experience of both laboratory and field research, this technology still continues to develop from year to year, revealing more and more new factors and challenges that are necessary aspects for successful implementation. Estimation of retained polymer amount by the porous medium is one of the key factors. The article discusses the main mechanisms and factors affecting retention process, as well as methods for determining the amount of retained polymer when flooding the solution through porous medium in laboratory conditions.


Author(s):  
John W. Fleenor

How do we know if a 360 process has been implemented successfully? What are the factors that influence its success? How can these factors be controlled by those responsible for its implementation? In this chapter, key factors are organized identified according to whether they exert their influence proximally or distally. This chapter explores how each of these factors contributes to successful implementation. After identifying how design features of a 360 process affect these key factors, recommendations are made on how to enhance the probability of implementing 360 Feedback successfully and sustaining the process over time, thus enhancing the validity of the process.


Author(s):  
Aliyeh Kazemi ◽  
Ali Katebi ◽  
Mohammad-Hossein Kazemi

Successful implementation of construction projects is one of the key factors for economic development of every country. Every year, a major part of the countries’ capital is allocated to civil and infrastructure projects, most of which are implemented with delay. Construction projects are often criticized for overrunning time and budgets. Analyzing the factors causing delay is essential with the aim of omitting them and timely implementation of these projects. Research to identify the reasons and causes of delays have been conducted in different countries and by various researches. In this paper, various research has studied different factors affecting construction projects delays have been studied. These factors have been identified in four groups consisted of owner, consultant, conductor, and other factors. Moreover, on account of the importance of oil and gas projects, the mentioned factors for these kinds of projects are taken into consideration. The results showed that change orders and changes in scope of work by owner, delay in reviewing of documents by consultant, inadequate experience and knowledge and errors during construction by contractor, and low productivity of laborer have been indicated as key factors comparing with the other as crucial factors causing delay in the oil and gas construction projects.


Author(s):  
Elena Evgenevna Mashyanova ◽  
Elena Aleksandrovna Smirnova

In modern conditions of development, financial security is an integral part of the overall security of the region and is formed on the basis of the functioning of the financial system. The complication of relationships between key segments of international financial markets, as well as the limited ability to accurately predict future trends in the development of the global financial system, lead to a gradual increase in the risks that accompany the activities of economic entities, and an increase in the number and scale of internal and external threats that have a negative impact on the financial security of the state. This formulation of the issue requires generalization of approaches to determining the financial security of the region in order to further formalize this issue and determine the key factors affecting it. The article considers the types of financial security, as well as certain areas of ensuring the financial security of the region and their priority. In work the assessment of the level of socio-economic development of the region with a view to ensuring financial security on the basis of which offers the main activities and priority areas of implementation of the investment policy that will ensure financial security of the Republic of Crimea.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yufang Xiang ◽  
Yuanyuan Zheng ◽  
Shaobo Liu ◽  
Gang Liu ◽  
Zhi Li ◽  
...  

AbstractWestern blotting (WB) is one of the most widely used techniques to identify proteins as well as post translational modifications of proteins. The selection of electroblotted membrane is one of the key factors affecting the detection sensitivity of the protein which is transferred from gel to membrane in WB. The most common used membranes are polyvinylidene fluoride (PVDF) and nitrocellulose (NC) membranes. Which membrane of these two is more suitable for WB has not been reported so far. Here, by incubating proteins which were transferred to PVDF or NC membranes with a series of antibodies and different types of lectins, we investigated the relationship between the binding ability of these two membranes to proteins or glycoproteins and the molecular weight of the target protein. The antibody re-probed ability of the two membranes was also explored. Moreover, we verified the above results by directly incubating proteins having different molecular weights onto PVDF or NC membranes. Bound proteins were stained with direct blue-71, and the staining intensity was quantitated by scanning and densitometry.


2021 ◽  
Vol 13 (4) ◽  
pp. 1962
Author(s):  
Timo Liljamo ◽  
Heikki Liimatainen ◽  
Markus Pöllänen ◽  
Riku Viri

Car ownership is one of the key factors affecting travel behaviour and thus also essential in terms of sustainable mobility. This study examines car ownership and how people’s willingness to own a car may change in the future, when considering the effects of public transport, Mobility as a Service (MaaS) and automated vehicles (AVs). Results of two citizen surveys conducted with representative samples (NAV-survey = 2036; NMaaS-survey = 1176) of Finns aged 18–64 are presented. The results show that 39% of respondents would not want or need to own a car if public transport connections were good enough, 58% if the described mobility service was available and 65% if all vehicles in traffic were automated. Hence, car ownership can decrease as a result of the implementation of AVs and MaaS, and higher public transport quality of service. Current mobility behaviour has a strong correlation to car ownership, as respondents who use public transport frequently feel less of a will or need to own a car than others. Generally, women and younger people feel less of a will or need to own a car, but factors such as educational level and residential location seem to have a relatively low effect.


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