This thesis was concerned with work in preparation for the commissioning of the TRIUMF cyclotron magnet. The experiments were centred around a 1/10 scale model of the cyclotron magnet. Computer calculation and model measurements were made of a model combination magnet. Extraction fields of the cyclotron were measured and the stripping foil locus determined. The interaction of the cyclotron magnet and the combination magnet was determined. A 1/10 scale model Triple Hall Probe was constructed and precisely calibrated. Its performance was tested and surveys made in the model. Finally the characteristics of the trim coils to be used in the cyclotron were measured. / Science, Faculty of / Physics and Astronomy, Department of / Graduate

This report examines some of the work that has been done in preparing for the shimming and subsequent trimming involved in commissioning the TRIUMF magnet. A series of experiments was done to determine the exact changes in the average field and in the focusing properties resulting when different sizes of shims were placed at various positions on the pole piece. The components of the focusing changes were broken down, using a linear approximation, so as to examine the factors causing them. In order to facilitate shimming, a computer program was developed which used this data to predict the amount of steel to be placed at each position on the magnet pole piece in order to give the best improvement to both the average field and the focusing. This program was tested on a 10:1 model and found to reduce errors in the average field to 20% of the original after two iterations, at the same time improving the focusing, although it tended to break down at significant spiral angels when large corrections were required. The cause for this breakdown was indicated and an improvement procedure recommended. Finally, a series of experiments, using a computer program, were made to determine the trim coil capacities that would be needed. It was found that these capacities were significantly lower than had previously been expected. / Science, Faculty of / Physics and Astronomy, Department of / Graduate

Problematiku facility managementu a správy nemovitostí práce uceleně shrnuje a porovnává teoretické předpoklady a metodické postupy plynoucí z výuky facility managementu na VŠE v Praze s výkonem daných činností v praxi.

In 2007, incentives for farmers to grow nonfood bio fuel crops, increasing transportation costs, climate change, growing consumer demand and population growth caused major food shortages in the world, especially within the high famine-risk sub-Saharan Africa. The inconsistent food cultivated products in Zanzibar combined with high consumer prices suppresses the economic growth of the agricultural sector on the island. The large decrease in what once was the primary economical driver (Agriculture) left the Island only to rely on the tourism sector to enhance the economics of Zanzibar. If a successful strategy is implemented within the agricultural sector of Zanzibar, the country could revert toward becoming, once again, a place of agricultural richness. This dissertation proposes an Agricultural research and educational facility to act as a catalyst for agricultural reintegration. The agricultural history of Zanzibar and its future potential became the underlining subject of the research and development framework proposed for the Chumbuni area. The site location and the programme will function as an incubator for local small industries, local farming and micro industries that will directly assist with increasing food security on the island. The Agricultural research and educational facility is therefore to become a structure that houses a number of beneficial programmes (focused on an educational and symbiotic relationship between industry and public). Public-funding driven cycles of basic education, agricultural education, physical practice and research thus have a platform to influence and be influenced by industry. / Dissertation (MArch(Prof))--University of Pretoria, 2015. / Architecture / MArch(Prof) / Unrestricted

Master of Engineering

The term Facility Management describes one part of business management with the goal of supporting the management activities through the delivery of infrastructure, technology and services. It covers the whole life cycle of a structural facility. An integration of facility management in the active processes of an enterprise or an enterprise group will be substantially supported by the introduction of an efficient, flexible and future-safe computer aided facility management system. But still no universal standards were established in this area. With high expenditure adapted single solutions are the rule, harm however the demand for a save investment independently of proprietary special solutions of individual manufacturers. An analysis of existing business standards shows that these solutions are suitable only partly for combining the existing isolated solutions in a virtual enterprise group in order to create a sustainable architectural approach for a process oriented facility management. In doing so the communication must not be reduced to pure data exchange, but only stable interface definitions and accurately specified document formats can lead to a continuous solution. In order to make these solutions for developers and end users in the phases of the design, the implementation and maintenance equally clear, a common vocabulary of concepts is necessary. The usage of the Unified Modeling Language gives thereby a promising basis. The concrete models with the contained types and their relations to each other are described over meta models. The usage of XML as means to data exchange between the individual components and for the description of the meta models guarantees a flexible and future-safe development basis. In the context of the work based on use cases the conception for a framework with core components for process oriented facility management in distributed environments is designed. The framework Simplix conceived by the author integrates meta models for the description of concrete data, workflow and access schemes. The designed modules are embedded into a component-based architecture, in order to obtain a greatest possible flexibility for the deployment in heterogeneous IT environments. The framework Simplix covers four core components. The SchemaService describes the concrete product models, the associated processes are represented by the WorkflowService. The realization of the access rules is realized by the SecurityService. The exchange of workflow messages with the encapsulated project data is done by the ExchangeService in XML. The presented design focuses on the integration of existing business and IT standards. The design of the four core components describes a possibility of standardization in the area of CAFM, which connects only the relevant data over processes detached from conventional export/import scenarios: <ul> <li>Reduction of the complexity of conventional product models by a standardization over meta models, the actual product and process models can be designed for end users and to their vocabulary of concepts adapted</li> <li>Support of the Ad-Hoc-manipulation of concrete product and process models, only thereby can be achieved an integration of different vocabulary of concepts</li> <li>The usage of standardized methods in the analysis and design phases makes a fast technical implementation of the individual services possible, especially during the integration of external software systems as always necessary in the CAFM sector</li> <li>Due to a clear interface specification external offers for individual services can be provided and used, the continuous use of XML makes an effective long-term data storage in a standardized, self-describing language possible</li></ul> / Der Begriff Facility Management bezeichnet eine Facette des unternehmerischen Managements, die es zum Ziel hat, die unternehmerischen Aktivitäten durch die Bereitstellung von Infrastruktur, Technologien und Diensten zu unterstützen und umfaßt den gesamten Lebenszyklus einer baulichen Anlage. Eine Einbettung von Facility Management in die laufenden Prozesse eines Unternehmens oder eines Unternehmensverbundes wird durch die Einführung eines leistungsfähigen, flexiblen und zukunftssicheren Computer Aided Facility Management Systems wesentlich unterstützt. Allerdings haben sich auf diesem Gebiet noch keine durchgängigen Standards etabliert, mit hohem Aufwand angepaßte Einzellösungen sind die Regel, verletzen aber die Forderung nach Investitionssicherheit unabhängig von den proprietären Speziallösungen einzelner Hersteller. Eine Analyse vorhandener Geschäftsstandards zeigt, daß diese Ansätze nur teilweise dazu geeignet sind, die vorhandenen Insellösungen in einem virtuellen Unternehmensverbund miteinander zu kombinieren, um einen tragfähigen Architekturansatz für ein prozeßorientiertes Facility Management zu schaffen. Dabei darf die Kommunikation nicht auf den reinen Datenaustausch reduziert werden, sondern nur stabile Schnittstellendefinitionen und exakt spezifizierte Dokumentenformate können zu einer durchgehenden Lösung führen. Die konkreten Modelle mit den enthaltenen Typen und deren Beziehungen zueinander werden über Metamodelle beschrieben. Der Einsatz von XML als Mittel zum Datenaustausch zwischen den einzelnen Komponenten und zur Beschreibung der Metamodelle garantiert eine flexible und zukunftssichere Entwicklungsgrundlage. Im Rahmen der Arbeit wird auf der Basis von Anwendungsfällen die Konzeption für ein Framework mit Kernkomponenten zum prozeßorientierten Facility Management in verteilten Umgebungen entworfen. Das vom Autor konzipierte Framework Simplix integriert Metamodelle zur Beschreibung konkreter Daten-, Workflow- und Zugriffsschemata. Die dazu geplanten Module werden in eine komponentenbasierte Architektur eingebettet, um eine größtmögliche Flexibilität beim Einsatz in heterogenen IT-Umgebungen zu erzielen. Das Framework Simplix umfaßt vier Kernkomponenten. Der SchemaService beschreibt die konkreten Produktmodelle, die zugehörigen Prozesse werden über den WorkflowService abgebildet. Die Realisierung der Mechanismen zur Zugriffskontrolle werden vom SecurityService übernommen. Der Austausch von Workflow-Nachrichten mit den gekapselten Projektdaten erfolgt über den ExchangeService in XML. Der vorgestellte Ansatz setzt auf die Integration vorhandener Geschäfts- und IT-Standards. Der Entwurf der vier Kernkomponenten beschreibt eine Möglichkeit der Standardisierung im CAFM-Sektor, die losgelöst von herkömmlichen Export-/Import-Szenarios funktioniert und nur die relevanten Daten über Prozesse verknüpft: <ul> <li>Reduzierung der Komplexität herkömmlicher Produktmodelle durch eine Standardisierung über Metamodelle, die eigentlichen Produkt- und Prozeßmodelle können für die Endanwender entworfen und an deren Begriffswelt angepaßt werden</li> <li>Unterstützung der Ad-Hoc-Manipulation von konkreten Produkt- und Prozeßmodellen, nur dadurch kann eine Integration verschiedener Begriffswelten erreicht werden</li> <li>der Einsatz standardisierter Techniken im Entwurf und dem Design ermöglicht eine schnelle technische Umsetzung der einzelnen Dienste gerade bei der im CAFM immer notwendigen Einbindung von Fremdsoftware</li> <li>auf Grund einer klaren Schnittstellenspezifikation können externe Serviceangebote für einzelne Dienste erstellt und genutzt werden, der durchgehende Einsatz von XML ermöglicht eine effektive Langzeitdatenhaltung in einem standardisierten, selbstbeschreibenden Format</li></ul>

Purpose: The purpose of this project is to decrease the likelihood of receiving unwanted treatment at the end of life. The project is conducted in a skilled nursing facility where only approximately 40% of the residents have an Advance Directive (AD) despite experiencing multiple comorbidities and nearing the end of life. Aims: Implementing a quality improvement project, creating a system that addresses AD completion at admission with the outcome of increased recognition of residents’ end of life choices. Process: Residents and their families are presented with a tool to help guide the conversation about AD at the admission care plan meeting. AD will be readdressed at all subsequent care plan meetings, occurring every 45 days, and as needed. Results: Project is still in process and the expected completion date is April 8th, 2022. We anticipate improvement in AD completion rates in this facility. Limitations: This project is limited by the reluctance of some residents and families to discuss issues related to death and dying, which may affect the completion rate. Another limiting factor is the staff turnover and need to reeducate new staff members about the project. Conclusions: Residents in skilled nursing facilities are likely to receive unwanted treatment because families are unsure what their wishes and are left feeling obligated to do everything necessary to sustain life. The implementation of this project may increase the AD completion rates, while recognizing and carrying out residents’ end of life choices.

Syftet med detta examensarbete är att få en inblick i hur relationen mellan fastighetsbolag ochserviceleverantörer ser ut på den svenska kontorsmarknaden, både hur den ser ut idag och hur denkommer att utvecklas i framtiden. Strategisk hantering av stödtjänster är något som kallas Facility management (FM), något jag börjar arbetet med att klargöra. Anledningen till att jag vill klargöra vadFM är, beror på att det är en teori vilken ofta missuppfattas. Likväl är syftet med arbetet att få eninblick i hur fastighetsbolagen arbetar och tänker när det gäller att erbjuda sina kontorshyresgästerstödtjänster, samt deras inställning till att ingå partnerskap med serviceleverantörer. För att få dennainblick har jag konstruerat en enkät samt genomfört intervjuer med fastighetsbolag. Ur enkäten samtintervjuerna försöker jag ta fram trender på den svenska kontorshyresmarknaden. Detta examensarbete baseras delvis på examensarbetet ”Fastighetsrelaterade tjänster –Hyresvärdars åsikter och tillvägagångssätt” som gjordes 2005 på samma institution och i samarbetemed AP Fastigheter. Arbetet syftade till att ”undersöka, kartlägga och analysera hur de störrefastighets- och förvaltningsföretagen på den kommersiella Stockholmsmarknaden förhållit sig till atterbjuda fastighetsrelaterade tjänster”. Det syftade även till att ge en bild av dessa aktörers allmännainställning till fastighetsrelaterade tjänster, om denna hade ändrats över tiden och hur de såg påframtiden inom detta område.Som exempel på vad som hänt på marknaden sedan 2005 kan nämnas att AP Fastigheter år 2008köpte samtliga aktier i Vasakronan och bildade ett nytt bolag under namnet Vasakronan, somdärmed kom att bli Sveriges största fastighetsbolag. Under andra hälften av 2009 sålde Vasakronansitt dotterbolag och tillika servicebolag, Vasakronan Service Partner vilket hade levererat stödtjänstertill dess hyresgäster. Bolaget såldes till Coor Service Management, ett ledandeservicemanagementbolag i Norden. Efter försäljningen till Coor tecknade företagen ett fyraårigt avtalrörande stödtjänster till stöd för alla Vasakronans hyresgäster. Tidigare hade endast enskildaregioner haft tillgång till dessa tjänster.

Healthcare-Associated Infections (HAIs) continue to be an epidemiological issue burdening patients and public health systems worldwide. The purpose of this study was to determine if specific healthcare facility types (Acute Care Hospitals, Long Term Acute Care Hospitals, and Inpatient Rehabilitation Facilities) were associated with particular categories of HAIs: Ventilator-Associated Pneumonias (VAPs), Central Line-Associated Bloodstream Infections (CLABSIs), and Catheter-Associated Urinary Tract Infections (CAUTIs). The theoretical framework for this study was the environmental determinants of infectious disease framework. A single research question focused on whether an association existed among the specified health care facility types and HAIs. Three independent categorical variables were used, including Acute Care Hospitals, Long Term Acute Care Hospitals, and Inpatient Rehabilitation Facilities, and 3 dependent variables were used, comprising of VAPs, CAUTIs, and CLABSIs. A quantitative design engaged the chi-square test of association, using a 2012 population-level report of archival data collected by the Centers for Disease Control and Prevention's National Healthcare Safety Network. Seven groups of HAIs and facility types were tested, and the results revealed that 6 groups had statistically significant differences. This study may contribute to positive social change by helping to identify whether healthcare facility types are associated with HAIs and to supply evidence to stakeholders to support standardization of best practices across all facility types, thus contributing to the reduction of HAIs in the United States.

Transferring from an acute care setting to a sub-acute rehabilitation (SAR) setting can be challenging for both patients and providers because communication errors may occur. The purpose of this project was to evaluate the effectiveness of a 2017 quality improvement (QI) initiative that was implemented to reduce 30-day rehospitalization in a SAR setting serving older patients. The project involved an evaluation of the implementation of the Situation, Background, Assessment, and Recommendation (SBAR) tool for patient rounding to decrease the incidence of 30-day re-hospitalizations. Aristotle's linear model of communication, which emphasizes the impact of message delivery on audience response, provided the framework for this project. The evaluation project was conducted using the project organization's internal database to determine if the 2017 QI initiative reduced 30-day readmissions to the hospital. Data were evaluated 3 months before the implementation of the 2017 QI initiative and 3 months after the start of the project. Components reviewed included the length of stay, clinician authorizing the transfer, day of the week, time of transfer, reason, and outcome of the transfer. There was a significant decrease in return-to-hospital for Monday through Friday, but an increase was seen on the weekend (Saturday-Sunday), mainly in the morning and evening. Full-time staff who had participated in the education program worked Monday through Friday. Weekend staff were part-time staff who had not participated in the SBAR training. There was no consistency in the reason for transfer to hospital. The introduction of the SBAR education program had a positive effect on the quality of life of patients readmitting to the hospital.