scholarly journals Analysis of the Operational Impact of ETC Lanes on Toll Station

2020 ◽  
Vol 5 (6) ◽  
pp. 1286-1292
Author(s):  
Alimam Mohammed Karim ◽  
Alimam Mohammed Abdellah ◽  
Seghiouer Hamid
ICCTP 2011 ◽  
2011 ◽  
Author(s):  
Yonghong Liu ◽  
Hanbo Liao ◽  
Zhi Yu ◽  
Ming Cai

2020 ◽  
Vol 29 (4) ◽  
pp. 1944-1955 ◽  
Author(s):  
Maria Schwarz ◽  
Elizabeth C. Ward ◽  
Petrea Cornwell ◽  
Anne Coccetti ◽  
Pamela D'Netto ◽  
...  

Purpose The purpose of this study was to examine (a) the agreement between allied health assistants (AHAs) and speech-language pathologists (SLPs) when completing dysphagia screening for low-risk referrals and at-risk patients under a delegation model and (b) the operational impact of this delegation model. Method All AHAs worked in the adult acute inpatient settings across three hospitals and completed training and competency evaluation prior to conducting independent screening. Screening (pass/fail) was based on results from pre-screening exclusionary questions in combination with a water swallow test and the Eating Assessment Tool. To examine the agreement of AHAs' decision making with SLPs, AHAs ( n = 7) and SLPs ( n = 8) conducted an independent, simultaneous dysphagia screening on 51 adult inpatients classified as low-risk/at-risk referrals. To examine operational impact, AHAs independently completed screening on 48 low-risk/at-risk patients, with subsequent clinical swallow evaluation conducted by an SLP with patients who failed screening. Results Exact agreement between AHAs and SLPs on overall pass/fail screening criteria for the first 51 patients was 100%. Exact agreement for the two tools was 100% for the Eating Assessment Tool and 96% for the water swallow test. In the operational impact phase ( n = 48), 58% of patients failed AHA screening, with only 10% false positives on subjective SLP assessment and nil identified false negatives. Conclusion AHAs demonstrated the ability to reliably conduct dysphagia screening on a cohort of low-risk patients, with a low rate of false negatives. Data support high level of agreement and positive operational impact of using trained AHAs to perform dysphagia screening in low-risk patients.


2004 ◽  
Vol 58 (9) ◽  
pp. 1180-1185
Author(s):  
Randyr Reimer ◽  
Kanji Hagiwara

2021 ◽  
Vol 150 ◽  
pp. 216-235
Author(s):  
Bruno Albert Neumann-Saavedra ◽  
Dirk Christian Mattfeld ◽  
Mike Hewitt

2004 ◽  
Vol 38 (1) ◽  
pp. 56-61 ◽  
Author(s):  
Perng-Jy Tsai ◽  
Tung-Sheng Shih ◽  
Hsiao-Lung Chen ◽  
Wen-Jhy Lee ◽  
Ching-Huang Lai ◽  
...  

Energies ◽  
2021 ◽  
Vol 14 (13) ◽  
pp. 3788
Author(s):  
Francesco Asdrubali ◽  
Marta Roncone ◽  
Gianluca Grazieschi

The construction sector is one of the most energy-intensive in the industrialized countries. In order to limit climate change emissions throughout the entire life cycle of a building, in addition to reducing energy consumption in the operational phase, attention should also be paid to the embodied energy and CO2 emissions of the building itself. The purpose of this work is to review data on embodied energy and GWP derived from EPDs of different types of windows, to identify the LCA phases, the most impacting materials and processes from an environmental point of view and to perform a critical analysis of the outcomes. The results show a strong dependence on the typology of the frame, with wooden windows having competitive performances: lower average primary energy non-renewable (1123 MJ/FU), higher average primary energy renewable (respectively 817 MJ/FU) and lower global warming potential (54 kgCO2eq/FU). More transparency and standardization in the information conveyed by the program operators is, however, desirable for a better comparability of windows performances. In particular, the inclusion of the operational impact in the EPD is sporadic, but strongly important, since it can be the most impactful phase.


Author(s):  
Nikolay V. Yuzhanin

We analyze some of the creditor’s law enforcement actions in obligations, which in the theory of civil law have become accepted to be called creditor obligations. We dispute the thesis that it is possible to classify as obligations those actions that help in the implementation of creditor’s subjective right and are part of the mechanism for its implementation. We provide an analysis of a number of creditor’s necessary actions, which act auxiliary to the basic action to implement the subjective right in obligation. We propose to abandon the concept of “obligation” in relation to those creditorial en-forcement actions, the failure of which entails sanctions that are not related to liability measures. We establish that in the obligation within the framework of mutual subjective rights and obligations, there are creditor actions that do not contain leading economic significance, but have an auxiliary nature, ensure the fulfillment of the main economic obligations arising in the basic commodity-money relationship. The creditor’s law enforcement actions include not only the acceptance of performance, but also other organizational actions of an actual nature, which, ultimately, are aimed at fulfilling the obligation by both parties. The non-fulfillment of the creditor's law enforcement actions does not entail direct responsibility for their non-fulfillment, only indirect possibilities of influencing the counterparty are established. The indirect means of influencing the creditor include the delay in fulfilling the obligation as a measure of operational impact.


Sign in / Sign up

Export Citation Format

Share Document