Purpose: To test the concept of Statistical Process Control (SPC) as a Quality Assurance (QA) procedure for dose verifications in external beam radiation therapy in conventional and 3D Conformal Radiotherapy (3D-CRT) ...Purpose: To test the concept of Statistical Process Control (SPC) as a Quality Assurance (QA) procedure for dose verifications in external beam radiation therapy in conventional and 3D Conformal Radiotherapy (3D-CRT) treatment of cervical cancer. Materials and Methods: A study of QA verification of target doses of 198 cervical cancer patients undergoing External Beam Radiotherapy (EBRT) treatments at two different cancer treatment centers in Kenya was conducted. The target doses were determined from measured entrance doses by the diode in vivo dosimetry. Process Behavior Charts (PBC) developed by SPC were applied for setting Action Thresholds (AT) on the target doses. The AT set was then proposed as QA limits for acceptance or rejection of verified target doses overtime of the EBRT process. Result and Discussion: Target doses for the 198 patients were calculated and SPC applied to test whether the action limits set by the Process Behavior Charts could be applied as QA for verified doses in EBRT. Results for the two sub-groups of n = 3 and n = 4 that were tested produced action thresholds which are within clinical dose specifications for both conventional AP/PA and 3D-CRT EBRT treatment techniques for cervical cancer. Conclusion: Action thresholds set by SPC were within the clinical dose specification of ±5% uncertainty for both conventional AP/PA and 3D-CRT EBRT treatment techniques for cervical cancer. So the concept of SPC could be applied in setting QA action limits for dose verifications in EBRT.展开更多
Nowadays, construction projects became more complex, where the responsibility of construction manager is to control and plan the project resources in a professional way to handover the project in terms of time, cost, ...Nowadays, construction projects became more complex, where the responsibility of construction manager is to control and plan the project resources in a professional way to handover the project in terms of time, cost, and quality. The aim of this study is to analyze the affect of the long experience of the construction manager on project success; it aims to identify the capability skills that the construction manager should have to complete the project on time. The fmding of this study is to help in understanding the factors that influence the project success through the long experience of the construction manager.展开更多
Construction project management as an important branch of management science has its own characteristics; it was known as an important aspect of project management in the 21 st century. Construction companies now face...Construction project management as an important branch of management science has its own characteristics; it was known as an important aspect of project management in the 21 st century. Construction companies now face a more complex competitive environment and more powerful competitors. In order to compete for the market and living space, Enterprises should be in a strategic height, cultivate long- term competitive advantage. Cost management is a new tool to enhance the competitiveness of enterprises, Popularization and application of Construction project management to the scientific development of the project management made the following three aspects urgent requirement. First. establish a scientific system for the construction project management. Construction Project Management knowledge system is the foundation and needs for Construction Project Management scientific and professional.展开更多
文摘Purpose: To test the concept of Statistical Process Control (SPC) as a Quality Assurance (QA) procedure for dose verifications in external beam radiation therapy in conventional and 3D Conformal Radiotherapy (3D-CRT) treatment of cervical cancer. Materials and Methods: A study of QA verification of target doses of 198 cervical cancer patients undergoing External Beam Radiotherapy (EBRT) treatments at two different cancer treatment centers in Kenya was conducted. The target doses were determined from measured entrance doses by the diode in vivo dosimetry. Process Behavior Charts (PBC) developed by SPC were applied for setting Action Thresholds (AT) on the target doses. The AT set was then proposed as QA limits for acceptance or rejection of verified target doses overtime of the EBRT process. Result and Discussion: Target doses for the 198 patients were calculated and SPC applied to test whether the action limits set by the Process Behavior Charts could be applied as QA for verified doses in EBRT. Results for the two sub-groups of n = 3 and n = 4 that were tested produced action thresholds which are within clinical dose specifications for both conventional AP/PA and 3D-CRT EBRT treatment techniques for cervical cancer. Conclusion: Action thresholds set by SPC were within the clinical dose specification of ±5% uncertainty for both conventional AP/PA and 3D-CRT EBRT treatment techniques for cervical cancer. So the concept of SPC could be applied in setting QA action limits for dose verifications in EBRT.
文摘Nowadays, construction projects became more complex, where the responsibility of construction manager is to control and plan the project resources in a professional way to handover the project in terms of time, cost, and quality. The aim of this study is to analyze the affect of the long experience of the construction manager on project success; it aims to identify the capability skills that the construction manager should have to complete the project on time. The fmding of this study is to help in understanding the factors that influence the project success through the long experience of the construction manager.
文摘Construction project management as an important branch of management science has its own characteristics; it was known as an important aspect of project management in the 21 st century. Construction companies now face a more complex competitive environment and more powerful competitors. In order to compete for the market and living space, Enterprises should be in a strategic height, cultivate long- term competitive advantage. Cost management is a new tool to enhance the competitiveness of enterprises, Popularization and application of Construction project management to the scientific development of the project management made the following three aspects urgent requirement. First. establish a scientific system for the construction project management. Construction Project Management knowledge system is the foundation and needs for Construction Project Management scientific and professional.
