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Suzuki K.,Japan Agency for Marine - Earth Science and Technology | Zupanski M.,Colorado State University | Zupanski D.,Global Consulting Inc.
Atmospheric Science Letters | Year: 2017

Through a series of single observation experiments, we investigate forecast error covariance and correlation structures by applying the Maximum Likelihood Ensemble Filter (MLEF) data assimilation method with a coupled atmosphere-land surface model. We consider a coupled approach that includes the full complexity of the cross-component covariance and correlation structures, specifically between 2-m air temperature and snow temperature. We show that the error covariance and correlation are complex and are strongly dependent on both weather conditions and the land surface scheme, indicating a need for further investigation of the relevance of flow-dependent ensemble covariance in coupled systems. We also demonstrate that the use of coupled error covariance methods improves the efficiency of information transfer between the atmosphere and the land surface by allowing the well-observed atmosphere to influence land surface variables. © 2017 Royal Meteorological Society.

Scott R.E.,University of KwaZulu - Natal | Scott R.E.,Global Consulting Inc. | Mars M.,University of KwaZulu - Natal
Studies in Health Technology and Informatics | Year: 2014

To ensure the benefits of e-Health are maximised, e-Health capacity building requires a formal and logical structure that describes broad areas that must be addressed. In this paper a Conceptual Framework for e-Health Training is derived that could guide well-thought-out and consistent development of future capacity building efforts. Consideration of e-health education needs is the mandate of the International Society for Telemedicine and eHealth (ISfTeH) Education Working Group. Through this Group a structured but generic 2-3 day telehealth training programme for healthcare professionals was developed and trialed, and the Group has been asked to develop a telehealth curriculum. Ongoing debate and feedback has made it clear that this is insufficient. In an effort to establish an Conceptual Framework for e-Health Training four aspects or levels of instruction are considered necessary at this time: 'education' of a small number of personnel leading to an academic graduate qualification (MSc, PhD); 'instruction' of a slightly larger number of personnel (e.g., to provide proficient network managers); 'teaching' of a still larger number of personnel in terms of the use of specific technologies, devices, and services; and 'awareness' of the general populace. Collectively this is referred to as e-health 'training'. If implemented in a coordinated and structured manner, such an approach would stimulate e-health growth and application globally. It would generate demand (awareness), allow that demand to be filled (teaching) and guided (instruction), with the focus on technologically appropriate and needs-based solutions (education). The Education Working Group intends to develop outlines of recommended instructional and informational content for training at each level. Here the four levels are highlighted and the terms, hierarchy, and descriptions of the Education Working Group's proposed approach to its Conceptual Framework for e-Health Training, are formalised. © 2014 The authors and IOS Press.

Crawford G.L.,FHWA | Gudimettla J.M.,Global Consulting Inc. | Tanesi J.,Global Consulting Inc.
Transportation Research Record | Year: 2010

Coefficient of thermal expansion (CTE) is one of the sensitive inputs in the new Mechanistic-Empirical Pavement Design Guide (MEPDG). The most widely used test method to measure CTE of concrete is outlined in AASHTO TP60-00, Coefficient of Thermal Expansion of Hydraulic Cement Concrete. Several state highway agency materials laboratories and university research centers have custom-built manually operated or automated CTE measuring devices based on recommendations from AASHTO TP60. Automated CTE devices are also commercially available. With many states in the process of implementing the MEPDG, it is important that the CTE measurements from the various devices provide accurate and comparable results. Results from a nationwide CTE interlaboratory study conducted by FHWA are presented. Eleven custom-built and seven commercially purchased CTE units were used in the study. The 18 CTE devices were divided into four groups, with each group testing one 410 stainless steel (SS) specimen and two concrete specimens with low and high CTE. Statistical analysis was performed to determine overall variability of the CTE measurements from the various devices. Additionally, variability was determined between custom-built and commercially available CTE units and between two CTE measuring methodologies (AASHTO TP60 and Texas test method). Accuracy of the CTE measurements from the interlaboratory study was determined from the CTE value of a 410 SS specimen measured according to ASTM E228-06, Standard Test Method for Linear Thermal Expansion of Solid Materials with a Push-Rod Dilatometer.

Shay J.,National Chengchi University | Shieh P.I.,Global Consulting Inc.
Advanced Materials Research | Year: 2014

CTC Express is the leading domestic company in delivery service and wants to improve their business efficiency by establishing lean management in the shop floor activities. Lean management is generally adopted by the manufacturing industries as a significant technique to reduce waste and operation costs. This paper investigates the continuous improvement through value stream mapping, begins with describing the current situation and proposes the future condition. Several improvements were implemented in the company such as the transformation of automation process, better result in visual control and standardization processes. The new proposed system has shown being able to reduce the works of loading/unloading and in the same time to increase the performance of material handling in each cycle time. © (2014) Trans Tech Publications, Switzerland.

Swindells M.,Global Consulting Inc. | Swindells M.,University of Surrey | De Lusignan S.,University of Surrey
Studies in Health Technology and Informatics | Year: 2012

Sharing of health data though the effective deployment of information systems should allow safer and more efficient health systems. However, to date many large IT system deployments in health care have had major short comings. This paper critically appraises the UK National Programme for IT and suggests where there are important lessons of for other large scale eHealth projects. Our method combined the classic evaluation methods of Donnabedian with Pawson's realistic review to analyze the impact of the program at health service, locality or major provider, and client-service impact levels. Financial incentives promoted uptake and use of IT systems at all levels. Health service level interventions that were capable of incorporation into clinical workflow were used. These included: a national unique identifier, creation of national registries and electronic transfer of data, records, and results. At the regional and major provider level we identified how vendors offer very different electronic patient record (EPR) systems which influence what is recorded and health care delivery. Using the EPR at the point of care takes longer, but this investment of time creates a more usable record and facilitates quality. National IT systems need to be clinically orientated, patient accessible, and underpinned by a secure, standardized back office system that enables messaging and information sharing between authenticated users. Learning the lessons from the UK and other large system deployments might enable other countries to leap to the forefront of health care computing. © 2012 European Federation for Medical Informatics. All rights reserved.

Global Consulting Inc. | Date: 2011-09-20

The present invention relates to systems and methods for providing a programmatic approach to guided sales execution. More particularly, the system includes an Executive Engage platform that further includes an impact area model builder, a financial impact model builder, a discovery engine, and an interactive sales process model builder. The impact area model builder is configured for determining at least one impact area for a related group of customers potentially targeted by a sales team promoting a product or service. The financial impact model builder is used for creating a financial impact model for each impact area, wherein the financial impact model shows a beneficial financial impact on the impact area when using the product or service. The discovery engine is configured for creating at least one discovery tool used for collecting information from one of the group of customers to support use of the financial impact models. The interactive sales process model builder is configured for building a business case showing at least one benefit of the product or service to a targeted customer based on the financial impact models created for each of the impact areas.

Global Consulting Inc. | Date: 2016-08-15

Computer e-commerce software to allow users to perform electronic business transactions via a global computer network.

PubMed | Senior Director, Takeda Pharmaceuticals International Inc, Senior Clinical Outcomes Scientist, Associate Scientist and 2 more.
Type: Journal Article | Journal: American health & drug benefits | Year: 2015

Opioid-induced constipation (OIC) can be a debilitating side effect of opioid therapy and may result in increased medical costs. The published data on the economic burden of OIC among long-term opioid users are limited.To assess the economic burden of OIC in patients with noncancer pain in a managed care population in the United States.This retrospective study used 2007-2011 data from the Truven Health MarketScan Commercial and Medicare databases. The study included adults with 12 months of insurance enrollment before and after starting long-term (90 days) use of opioids. Patients were excluded if they had cancer or a diagnosis of drug abuse or drug dependence during the study period, or if they had constipation or bowel obstruction within 90 days before starting opioid therapy during the study period. OIC was identified by International Classification of Diseases, Ninth Edition codes for constipation (564.0) or bowel obstruction (560.x) within 12 months of the initiation of an opioid. Patients with OIC were identified in the nonelderly, elderly (age 65 years), and long-term care populations. Differences in costs and healthcare resource utilization were calculated using propensity scoring.A total of 13,808 nonelderly (age, 48.6 10.4 years; female, 50%) and 2958 elderly patients (age, 78.7 8.1 years; female, 70%) met the study inclusion criteria. Of 401 nonelderly and 194 elderly patients with OIC, 85 patients initiated opioid therapy in a long-term care facility (age, 80.7 11.6 years; female, 77%). After matching by key covariates, patients with OIC had significantly more hospital admissions than patients without OIC (nonelderly, 33% vs 22%, respectively; P <.001; elderly, 51% vs 31%, respectively; P <.001) and longer inpatient stays (nonelderly, 3.0 8.4 days vs 1.0 3.0 days, respectively; P <.001; elderly, 5.2 12.2 days vs 2.1 4.0 days, respectively; P <.001). The group with OIC had significantly higher total healthcare costs than the group without OIC in all 3 study cohorts (nonelderly, $23,631 $67,209 vs $12,652 $19,717, respectively; elderly, $16,923 $38,191 vs $11,117 $19,525, respectively; long-term care, $16,000 $22,897 vs $14,437 $25,690, respectively; all P <.05).To the best of our knowledge, this is the first study to analyze the economic impact of long-term use of opioids among patients with OIC, using real-world data. The findings underscore the significant economic burden associated with long-term opioid use for noncancer pain in a managed care population. Effective therapies for OIC may reduce the associated economic burden and improve quality of life for long-term opioid users.

Global Consulting Inc. | Date: 2012-05-01


Global Consulting Inc. | Date: 2012-09-19

Magazines in the field of lifestyle and entertainment.

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