Last Planner System: Experiences From Pilot Implementation in the Middle East

The work described in this paper is devoted to evaluate the effectiveness of implementing Last Planner to improve construction planning practice in Saudi construction industry. Firstly, the primary results of implementing Last Planner System (LPS) in two construction projects in Saudi Arabia are presented. Action research strategy was undertaken with different data collection methods employed included interviews, observation and survey questionnaire. Secondly, benefits gained in terms of improving construction management practice are presented, the critical success factors for LPS implementation are discussed, and potential barriers for implementing LPS revealed from the studies are presented. The results demonstrated numerous benefits were gained in terms of improving construction planning and site management. The fact that the structural work in one of the sites finished two weeks ahead of schedule is a clear evident of this improvement. However, there are some potential barriers reported which hindered the achievement of full potentials of LPS. Finally, a comparison between the outcome of this study and some previous studies on Last Planner in other countries is briefly carried out

Subfreezing air as a cough trigger and multiple triggers are strongly associated with the presence of asthma in chronic cough

Background: Management of chronic cough relies on the recognition of cough background disorders. It is not known whether certain cough triggers are associated with specific background disorders. Methods: This was an e-mail study to public service employees of two towns in Finland. The questionnaire included twelve triggers. Current asthma was defined as doctor's diagnosis of asthma and current wheezing. Chronic rhinosinusitis was defined as either nasal blockage or nasal discharge and either facial pain/pressure or reduction/loss of smell for more than three months. Gastroesophageal reflux disease was defined as heartburn and/or regurgitation on at least one day a week during the last three months. Idiopathic cough was defined as absence of any of them. Results: There were 421 subjects with current cough that had lasted at least eight weeks. Subfreezing air as a cough trigger was associated with an adjusted odds ratio (aOR) of 7.27 (4.09-12.9), (p <0.001), for current asthma. The number of cough triggers was largest in asthma, followed by chronic rhinosinusitis, gastro-esophageal reflux, and idiopathic cough (7.05 (6.14-7.96), 4.94 (4.35-5.54), 4.60 (3.77-5.43), and 3.44 (3.02-3.86), respectively, p <0.001). Presence of five or more triggers was associated with an aOR of 7.49 (3.96-14.2), (p <0.001) for current asthma. Absence of any cough triggers increased the probability of idiopathic cough (aOR 2.71 (1.54-4.77), p= 0.001). Conclusions: Subfreezing air as a cough trigger and multiple triggers are strongly associated with the presence of current asthma in chronic cough. Absence of any cough triggers increases the probability of idiopathic cough.Peer reviewe

Persistence of chronic cough in a community-based population

Chronic cough causes significant impairment in the quality of life and is often immune to treatment. Previous studies about its persistence have focused on patients managed in special cough clinics. Little is known about the persistence of chronic cough in unselected populations. In this prospective follow-up study, we investigated factors that predict the persistence of cough at 12-month follow-up in a community-based study of subjects with chronic cough. The first e-mail survey in 2017 included a questionnaire about current cough and its risk factors. The 264 subjects who reported chronic cough were sent a follow-up questionnaire 12 months later. The response rate was 77.7% (205 subjects), of whom 165 subjects (80.5%) still had cough in 2018. In multivariate analysis, the following baseline factors predicted the persistence of cough at 12 months; gastro-oesophageal reflux disease (adjusted OR (aOR) 5.02 (95% CI 1.10-22.83)), presence of a chemical trigger (aOR 2.88 (95% CI (1.20-7.00)), duration of cough more than 1 year (aOR 2.80 (95% CI 1.27-6.22)), frequent somatic symptoms (aOR 1.31 (95% CI 1.07-1.59)), and low number of family members (aOR 0.71 (95% CI 0.52-0.98)). In conclusion, most patients with chronic cough still suffer from cough 1 year later. The presence of gastro-oesophageal reflux disease is the main predictor for the persistence of cough.Peer reviewe

Defining the risk factors for acute, subacute and chronic cough: a cross-sectional study in a Finnish adult employee population

Objectives Chronic cough is linked to various long-standing risk factors like asthma, chronic rhinitis and oesophageal reflux disease. On the contrary, acute and subacute cough are usually considered to be caused by acute respiratory infections. Little is known about the possible long-standing risk factors for acute and subacute cough. In this study, we have identified the long-standing risk factors for acute, subacute and chronic cough in order to identify the risk factors specifically associated with chronic cough.Design A comprehensive 80-item questionnaire was sent via email to the participants.Setting A community-based study to all public service employees of two towns in central Finland.Participants There were 13 980 employees, of them 3697 responded (26.4%). Among the responders, there were 199 subjects with current daily acute cough (duration &lt;3 weeks, prevalence 5.4%), 126 subjects with current daily subacute cough (duration 3–8 weeks, prevalence 3.4%) and 267 subjects with current daily chronic cough (duration &gt;8 weeks, prevalence 7.2%).Primary outcome measures The risk factors that associated with each cough subtype. The subjects without any cough formed the reference group.Results Several risk factors were associated with both short and long cough subtypes namely family history of chronic cough, moisture damage exposure and number of reported somatic symptoms. Furthermore, allergy was associated with acute and subacute cough. Current asthma and chronic rhinitis were associated with subacute and chronic cough. Oesophageal reflux disease and advanced age were associated with chronic cough.Conclusions The specific risk factors for chronic cough were oesophageal reflux disease and advanced age. Acute and subacute cough should not be regarded merely as symptoms of acute respiratory infections but possible manifestations of long-standing risk factors. A new risk factor for all cough types was family history of chronic cough.Peer reviewe

Maternal antibodies postpone hantavirus infection and enhance individual breeding success

The transfer of maternal antibodies from mother to progeny is a well-known phenomenon in avian and mammalian species. Optimally, they protect the newborn against the pathogens in the environment. The effect of maternal antibodies on microparasite transmission dynamics may have important consequences for both the fitness of the host and the epizootic processes of the pathogens. However, there is a scarcity of studies examining these effects in free-living wild species. We studied the influence of maternal antibodies against the zoonotic Puumala hantavirus (PUUV) on the fitness of bank voles (Clethrionomys glareolus) and on PUUV transmission by exposing young maternal antibody-positive (MatAb+) and negative (MatAb−) bank voles (n=160) to PUUV in experimental populations. PUUV-specific maternal antibodies delayed the timing of infection. Females were more susceptible to PUUV infection than males. Interestingly, both the females and the males with maternal antibodies matured earlier than the other individuals in the population. Our results highlight the significance of maternal antibodies in the transmission of a pathogen and in the breeding success of the carriers

Traveling reference NILU-UV at the Antarctic region: solar UV comparisons at Ushuaia and Marambio in 2002

Póster elaborado para la EGS - AGU - EUG Joint Assembly celebrada en Niza, los días 6-11 de abril de 2003The MAR Project is financed by the National R+D Plan of the Ministry of Science and Technology (National Research Program at the Antarctica) under contract REN2000-0245-C02-02

Quality assurance of the Brewer UV measurements in Finland

International audienceThe quality assurance of the two Brewer spectrophotometers of the Finnish Meteorological Institute is discussed in this paper. The complete data processing chain from raw signal to high quality spectra is presented. The quality assurance includes daily maintenance, laboratory characterizations, calculation of long term spectral responsivity, data processing and quality assessment. The cosine correction of the measurements is based on a new method, and included in the data processing software. The results showed that the actual cosine correction factor of the Finnish Brewers can vary between 1.08?1.13 and 1.08?1.12, respectively, depending on the sky radiance distribution and wavelength. The temperature characterization showed a linear temperature dependence between the internal temperature and the photon counts per cycle, and a temperature correction was used for correcting the measurements. The long term spectral responsivity was calculated using time series of several lamps using two slightly different methods. The long term spectral responsivity was scaled to the irradiance scale of the Helsinki University of Technology (HUT) for the whole measurement time periods 1990?2006 and 1995?2006 for Sodankylä and Jokioinen, respectively. Both Brewers have participated in many international spectroradiometer comparisons, and have shown good stability. The differences between the Brewers and the portable reference spectroradiometer QASUME have been within 5% during 2002?2007

Quality assurance of the Brewer spectral UV measurements in Finland

The quality assurance of the two Brewer spectrophotometers of the Finnish Meteorological Institute is discussed in this paper. The complete data processing chain from raw signal to high quality spectra is presented. The quality assurance includes daily maintenance, laboratory characterizations, calculation of long-term spectral responsivity, data processing and quality assessment. The cosine correction of the measurements is based on a new method, and is included in the data processing software. The results showed that the actual cosine correction factor of the two Finnish Brewers can vary between 1.08–1.13 and 1.08–1.12, respectively, depending on the sky radiance distribution and wavelength. The temperature characterization showed a linear temperature dependence between the instruments&apos; internal temperature and the photon counts per cycle, and a temperature correction was used for correcting the measurements. The long-term spectral responsivity was calculated using the time series of several lamps using two slightly different methods. The long-term spectral responsivity was scaled to the irradiance scale of the Helsinki University of Technology (HUT) for the whole of the measurement time-periods 1990–2006 and 1995–2006 for Sodankylä and Jokioinen, respectively. Both Brewers have participated in many international spectroradiometer comparisons, and have shown good stability. The differences between the Brewers and the portable reference spectroradiometer QASUME have been within 5% during 2002–2007