Phase IV of turnaround management focuses on preparing for the final execution of the turnaround project. The key objectives are to complete pre-execution work, mobilize contractors and teams, and ensure necessary training and safety measures are in place. This phase takes inputs from previous planning and preparation phases. The expected outcomes are that all pre-execution work, training, mobilization, and safety preparations are completed so the turnaround can start efficiently and safely. Success is measured through completion rates, safety performance, and cost savings.
A Project Management-Based Approach to Commissioning Olivia Wilson
Commissioning or startup of an industrial facility is more than just detailed testing of every piece of equipment. The commissioning program needs a project management-based approach to plan and implement all phases of commissioning in a proper manner. Find here how the project management-based approach to commissioning can ensure the success of every step of detailed equipment testing. For more information, click now: https://www.global-cxm.com/commissioning/
A Project Management-Based Approach to Commissioning Olivia Wilson
Commissioning or startup of an industrial facility is more than just detailed testing of every piece of equipment. The commissioning program needs a project management-based approach to plan and implement all phases of commissioning in a proper manner. Find here how the project management-based approach to commissioning can ensure the success of every step of detailed equipment testing. For more information, click now: https://www.global-cxm.com/commissioning/
These notes were produced for APM's PQ assessment which I completed and passed in July, 2013. The assessment was based on APM BoK version 5. They are ideally printed at six to a page and then guillotined into pocket sized cards. Please contact me at nickbrook@theiet.org for the six to a page download.
This lecture helps to learn how different types of processes are managed while executing a software project. this is core responsibility and one the most technical and difficult task of project manager.
Explore the key phases of Waterfall project management in our latest post. Learn how this structured approach can help you plan and execute projects more effectively.
A project is “a temporary endeavor undertaken to
accomplish a unique product or service”
• Temporary means that every project has a definite
beginning and a definite end.
• Projects involve doing something that has not done before
and which is therefore unique.
Hyperspring Implementation of BWROG EP/SAG CONTE 2019GSE Systems, Inc.
GSE subsidiary Hyperspring presentation given at CONTE 2019. The presentation was on the implementation of the BWR owners group emergency operating procedures and severe accident guidelines and was given by Hyperspring's Rick Shindel
Regulatory Affairs Outsourcing Considerations and ModelsPaul Kuiken
I present a number of issues which are being considered by all organisations in the healthcare, pharmaceutical, biotechnology, and clinical sectors. I presented this to an audience at an outsourcing summit and have tailored this to a more general audience.
I am happy to receive your comments and provide your insights to whether you agree or not with my points or to hear from you regarding your experiences of outsourcing in whatever sector you are interested in.
These notes were produced for APM's PQ assessment which I completed and passed in July, 2013. The assessment was based on APM BoK version 5. They are ideally printed at six to a page and then guillotined into pocket sized cards. Please contact me at nickbrook@theiet.org for the six to a page download.
This lecture helps to learn how different types of processes are managed while executing a software project. this is core responsibility and one the most technical and difficult task of project manager.
Explore the key phases of Waterfall project management in our latest post. Learn how this structured approach can help you plan and execute projects more effectively.
A project is “a temporary endeavor undertaken to
accomplish a unique product or service”
• Temporary means that every project has a definite
beginning and a definite end.
• Projects involve doing something that has not done before
and which is therefore unique.
Hyperspring Implementation of BWROG EP/SAG CONTE 2019GSE Systems, Inc.
GSE subsidiary Hyperspring presentation given at CONTE 2019. The presentation was on the implementation of the BWR owners group emergency operating procedures and severe accident guidelines and was given by Hyperspring's Rick Shindel
Regulatory Affairs Outsourcing Considerations and ModelsPaul Kuiken
I present a number of issues which are being considered by all organisations in the healthcare, pharmaceutical, biotechnology, and clinical sectors. I presented this to an audience at an outsourcing summit and have tailored this to a more general audience.
I am happy to receive your comments and provide your insights to whether you agree or not with my points or to hear from you regarding your experiences of outsourcing in whatever sector you are interested in.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. OBJECTIVE OF PHASE IV
• The objective of Phase IV is to prepare for the final execution of the turnaround by
completing pre-execution work, mobilizing contractors and teams, and ensuring that all
necessary training and safety measures are in place.
• This phase aims to minimize downtime and maximize efficiency during the turnaround by
ensuring that all necessary preparations have been made ahead of time.
3. STATE WHEN THIS PHASE BEGINS AND WHEN IT ENDS. HOW
LONG THIS PHASE SHOULD BE?
• it starts post-planning and concludes before the actual execution phase.
• Its duration varies based on project complexity, ranging from weeks to months. Emphasis lies on
pre-execution tasks, contractor mobilization, team preparation, and safety training for a smooth
shutdown commencement.
What is the input to this phase?
• Phase IV takes inputs from the planning phase's detailed turnaround plan and updates from
the pre-execution phase. It includes the project budget, resource allocation plan, and risk
management plan. The goal is to ensure all necessary preparations are completed before the
shutdown starts.
4. WHAT IS THE EXPECTED OUTCOME OF THIS PHASE?
• The expected outcome ofPhase IV ensures all pre-execution work is completed, contractors and
teams are mobilized, necessary training and safety measures are in place, and the final
turnaround start date is agreed upon.
• The goal is to minimize downtime and maximize efficiency during the turnaround by ensuring that
all necessary preparations have been made ahead of time.
What is the focus of phase IV?
Phase IV focuses on contractor mobilization, on-site prefabrication erection, team training, and
plant preparation for shutdown. Key areas of attention include team training and orientation,
mobilization, final turnaround execution plan, and pre-turnaround work. The ultimate objective is
to ensure thorough preparations before the actual shutdown starts.
5. WHAT STANDARDS SHOULD BE FOLLOWED TO DEVELOP THIS
PHASE?
• Encompassing project planning, scheduling, resource allocation, risk assessment, and safety
protocols.
• Adhere to relevant safety and environmental regulations set by governmental authorities to ensure
personnel safety and environmental protection.
• Implement company-specific standards and guidelines to ensure consistency, optimize workflow,
and promote a culture of safety and efficiency within the organization.
6. HOW DO WE MEASURE THE SUCCESS OF THIS PHASE?
SUGGEST THREE MEASURES BY WHICH TO MEASURE THE
SUCCESS OF THIS PHASE.
• Suggests several ways to measure the success of a turnaround project, including key performance
indicators (KPIs), targets, benchmarking, and internal audits.
• Completion Rate: This metric tracks the percentage of tasks completed within the scheduled and
budgeted timeframe for Phase IV. A high completion rate indicates efficient project management and
execution.
• Safety Performance: Safety is crucial in maintenance projects. Key Performance Indicators (KPIs) like
safety incidents, near-misses, and observations monitor safety performance during Phase IV.
• Cost Savings: Evaluating cost savings achieved in Phase IV helps measure the project's success. This
involves comparing actual costs to the budget or tracking specific cost-saving initiatives implemented.
7. WHAT ARE THE PRE-TURNAROUND ACTIVITIES?
• Installation of scaffolding for access
• Insulation removal prior to access
• Lay-down areas for new/replacement equipment ready for lifting into place
• Load-bearing plates over bridges, etc. for heavy vehicle access to areas of the turnaround
• Sand bag oily water sewers
• Preparation for isolation and cleaning
• Tagging isolation points and preparing gaskets and blinds for installation
• Temporary flushing lines, fittings, and equipment
• Tagging of valves to be replaced or repaired
• Lay/build bases for tower cranes and stands for new fluid catalytic cracking unit (FCCU) cyclones
8. WHAT ARE THE STANDARDS USED TO ESTIMATE THE COST
IN THIS PHASE?
• Historical data from past turnaround projects.
• Detailed engineering assessments based on scope and complexity.
• Current market rates for labor, equipment, materials, and services.
• Analysis of project scope and required resources.
• Contingency amount for unforeseen events or risks.
• Consideration of inflation rates and economic conditions.
• Evaluation of cost implications of new technologies or innovations.
• Obtaining vendor quotes for specific services or materials.
9. WHAT IS THE EARNED VALUE METHOD (EVM) AND HOW TO
USE IT FOR COST CONTROL?
• The Earned Value Method (EVM) is a systematic technique to manage project performance. It
compares the value of work performed (earned) with planned and actual costs.
How it use it for cost control are given below.
• Define the planned value (PV) or budgeted cost of work scheduled (BCWS) for the project.
• Define the earned value (EV) or budgeted cost of work performed (BCWP) for the project.
• Define the actual cost (AC) or actual cost of work performed (ACWP) for the project.
• Calculate the cost variance (CV) by subtracting the actual cost (AC) from the earned value (EV).
• Calculate the schedule variance (SV) by subtracting the planned value (PV) from the earned value.
10. DESCRIBE IN DETAIL ALL THE QUALITY ACTIVITIES
IN THIS PHASE.
• Integration: Coordinate and align project elements for comon goals.
• Scope: Clearly define project boundaries and objectives.
• Schedule: Establish a timeline for timely completion.
• Cost: Manage financial resources efficiently.
• Quality: Ensure high-standard deliverables.
• Communication: Exchange information effectively with stakeholders.
• Risk: Identify and mitigate uncertainties and hazards.
• Procurement: Manage external goods and services.
• Stakeholder management: Engage and address interests of relevant parties.
• Resources: Identify, acquire, and utilize necessary resources.
11. WHAT ARE THE KEY RESOURCING ACTIVITIES IN PHASE IV?
• Plan resource management
• Estimate activity resources
• Acquire resources
• Develop team
• Manage team
• Control resources
What is the prime communication and mobilization activities in this phase?
• Manage communications
• Monitor communications
• Mobilization
12. IN STAKEHOLDERS MANAGEMENT, IDENTIFY IMPORTANT ITEMS/ISSUES KEY
STAKEHOLDERS MUST BE MADE AWARE OF AT BY THE END OF THIS PHASE?
• Government health, safety, and environment authorities
• Suppliers of raw materials
• Customers
Why change control is important and what type of risk it can cause?
• Change control ensures proper management of project changes, avoiding scope creep due to
inadequate documentation of productivity, scope growth, and additional work. A well-structured
critical path model helps identify problems.
• Productivity is low, i.e., planned work is taking longer than expected and/or
• Actual work for an activity is greater than planned and/or
13. WHY AN AUDIT AT THE END OF THIS PHASE IS VERY
IMPORTANT?
• The Phase 4 audit in Turnaround Management is essential to identify issues and improve project
readiness before execution. Conducted by an independent third party, it reviews key aspects like
project plan, organization, pre-execution work, training, and mobilization. This process minimizes
execution risks and enhances project success.
List all the focus areas in this phase.
• Team training and orientation
• Mobilization
• Final turnaround execution plan
• Pre-turnaround work
14. WHAT ARE THE DELIVERABLE AT THE END OF
PHASE IV?
• Execution plan finalized (frozen) and published
• Organization chart published
• Pre-execution work completed
• Field mobilization started
• Audit report recommendations completed
• Training completed.