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Sample records for previous revision bsc

  1. Curriculum (Study Programme) for the 3rd to 6th semester of the B.Sc., Medialogy, at Aalborg University

    DEFF Research Database (Denmark)

    Nordahl, Rolf; Serafin, Stefania; Lavatino, Salvatore

    2004-01-01

    Major revision of the original curriculum of the B.Sc., Medialogy. Significant changes (extensive restructuring) in comparison with the first version of the curriculum.......Major revision of the original curriculum of the B.Sc., Medialogy. Significant changes (extensive restructuring) in comparison with the first version of the curriculum....

  2. The Modern Concept of Measuring Efficiency - Implementation and Attitudes of BSC

    Directory of Open Access Journals (Sweden)

    Tomić Slavica

    2017-08-01

    Full Text Available In modern information environment it is not enough that companies measure their results only using data from the past. BSC (Balanced Scorecard can be considered superior to previous approaches of strategic performance management that focus only on financial measures. Balanced Scorecard includes both financial and non-financial measures that drive future financial organization performances. The research questions, which this work provides answers to, is concerned by the level of awareness of 37 surveyed managers of small, medium and large companies in the Republic of Serbia with the BSC, then identifying the degree of BSC implementation in these companies, as well as the reasons for not adopting the BSC and tests which use similar performance measures.

  3. Does undertaking an intercalated BSc influence first clinical year exam results at a London medical school?

    Directory of Open Access Journals (Sweden)

    Jones Melvyn

    2011-02-01

    Full Text Available Abstract Background Intercalated BScs (iBScs are an optional part of the medical school curriculum in many Universities. Does undertaking an iBSc influence subsequent student performance? Previous studies addressing this question have been flawed by iBSc students being highly selected. This study looks at data from medical students where there is a compulsory iBSc for non-graduates. Our aim was to see whether there was any difference in performance between students who took an iBSc before or after their third year (first clinical year exams. Methods A multivariable analysis was performed to compare the third year results of students at one London medical school who had or had not completed their iBSc by the start of this year (n = 276. A general linear model was applied to adjust for differences between the two groups in terms of potential confounders (age, sex, nationality and baseline performance. Results The results of third year summative exams for 276 students were analysed (184 students with an iBSc and 92 without. Unadjusted analysis showed students who took an iBSc before their third year achieved significantly higher end of year marks than those who did not with a mean score difference of 4.4 (0.9 to 7.9 95% CI, p = 0.01. (overall mean score 238.4 "completed iBSc" students versus 234.0 "not completed", range 145.2 - 272.3 out of 300. There was however a significant difference between the two groups in their prior second year exam marks with those choosing to intercalate before their third year having higher marks. Adjusting for this, the difference in overall exam scores was no longer significant with a mean score difference of 1.4 (-4.9 to +7.7 95% CI, p = 0.66. (overall mean score 238.0 " completed iBSc" students versus 236.5 "not completed". Conclusions Once possible confounders are controlled for (age, sex, previous academic performance undertaking an iBSc does not influence third year exam results. One explanation for this

  4. The Polar Crust Project- BSC Diversity and Variability in the Arctic and Antarctica

    Science.gov (United States)

    Williams, Laura; Borchhardt, Nadine; Komisc-Buchmann, Karin; Becker, Burkhard; Karsten, Ulf; Büdel, Burkhard

    2015-04-01

    The Polar Crust Project is a newly funded DFG initiative that aims to provide a precise evaluation of the biodiversity of eukaryotic green microalgae and cyanobacteria in Biological Soil Crusts (BSC) isolated from the Antarctic Peninsula and Arctic Svalbard. This project will include a thorough investigation into the composition of BSC in the Polar regions, this especially is important for Svalbard due to the severe lack of any previous research on such communities in this area. During our expedition to Spitsbergen, Svalbard in August 2014 we were particularly surprised to find that the coverage of BSC is extremely high and is certainly the dominant vegetation type around Ny Ålesund. Due to this discovery the project has now been extended to include long term measurements of CO2 gas exchange in order to gain exact seasonal carbon fixation rates and therefore discovering how the BSC contributes to the ecosystems carbon balance. The research areas of Spitsbergen were centred around 2 localities: Ny-Ålesund is a research town, home to the AWIPEV station, on the Brøgger peninsula. Longyearbyen, which is the largest settlement on the island, is found in the valley Longyeardalen on the shore of Adventfjorden. Areas where BSC is the prevalent vegetation type were identified, 6 around Ny-Ålesund and 4 for Longyearbyen, and vegetation surveys were conducted. This entailed 625 single point measurements at each site and identifying the crust/or other cover type. For example, green algal lichen, cyanobacterial crust, higher plant, open soil. Samples were also taken at every location in order to study the green algal and cyanobacterial diversity. The vegetation survey will allow us to get a good overview of the BSC composition at the different sites. In January 2015 an expedition to the Antarctic Peninsular took place, here the sampling method was repeated and therefore both Polar Regions BSC composition can be described and compared. Here, we wish to introduce the Polar

  5. Critical factors in implementing the Balanced Scorecard-BSC Fatores críticos na implantação do Balanced Scorecard-BSC

    Directory of Open Access Journals (Sweden)

    Fábio Augusto de Lucca Moreira

    2013-03-01

    Full Text Available Several issues can be raised regarding the critical factors for implementing management models such as the Balanced Scorecard (BSC. The success demands the understanding of the model by the implementation team and the workers involved. The entertainment industry, to which the Beach Park Hotel and Tourism, presents peculiarities that make the implementation of a management model a bigger challenge, and a segment that tends to grow at a rate of 10, 6% per year until 2016. Focusing the organization and context, this study aims to identify the critical factors of implementation of the BSC, through a case study, descriptive. The results showed the following critical factors for the implementation of the BSC: the absence of a culture of strategic planning, the complexity of the business and project, the history of a management style centralized and authoritarian, the centralization of the BSC at the top, restriction of management time to devote to the project; the absence of an information system, to support the project; not performing training and the lack of external consultants. In promoting organizational change, lacked adequate involvement of the leadership and and the support of the management of the dome. In successful cases, the history of management-oriented learning serves as the basis for a proper definition of the critical needs of the organization, and defining the appropriate indicators, factors that, in the case in focus, proved absent in a company without culture of planning. Normal 0 21 false false false PT-BR X-NONE X-NONE MicrosoftInternetExplorer4 Inúmeras questões podem ser levantadas acerca dos fatores críticos para a implantação de modelos de gestão como o Balanced Scorecard (BSC. O êxito demanda a compreensão do modelo, por parte da equipe de implantação e dos colaboradores envolvidos. Ressalta-se que a indústria do entretenimento, em que se insere o Beach Park Hotéis e Turismo, possui particularidades que tornam

  6. Application of Balance Score Card (BSC) in a Nuclear Medicine Department

    International Nuclear Information System (INIS)

    Rayo, J.I.; Serrano, J.; Martin, R.; Corral, C.

    2002-01-01

    Balanced Scorecard (BSC) is a concept helping you translate strategy into action. BSC provides management with a comprehensive picture of business operations and a methodology that facilitates the communication and understanding of business goals and strategies at all levels of an organization. Traditional performance measurement, focusing on external accounting data, was quickly becoming obsolete and something more was needed to provide the information age enterprises with efficient planning tools, For this purpose Kaplan and Norton introduced four different perspectives. Aim: Application of BSC to a Nuclear Medicine Department for provides four perspectives: financial perspective, customer perspective, process perspective and learning and innovation perspective. Conclusion: BSC helps align key performance measures with strategy at all levels of a Nuclear Medicine Department, facilitates communication and understanding, provides feedback and learning and reduce the vast amount of information the Nuclear Medicine Department into essentials

  7. Evaluating the SAMT English Textbook for BSc Students of Physics

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    Mina Sajjadi

    2011-11-01

    Full Text Available English for Academic Purposes (EAP and English for Specific Purposes (ESP are developing branches of English as a Foreign Language (EFL instruction in Iran. These branches have a marginal status in the tertiary education, and the Ministry of Science, Research, and Technology’s high commission offers no clear guidance for selecting and developing basic academic instructional materials related to the linguistic or communicative standards expected by teachers (Mazdayasna & Tahririan, 2008. This paper tries to evaluate an ESP textbook written for BSc students of physics entitled, ‘English for the students of physics’, which is prepared by the Center for Studying and Compiling University Books in Humanities (SAMT. The present research was based on qualitative and quantitative research techniques and included two steps. First, internal, external and overall evaluation of the book was carried out based on McDonough & Shaw (1993 model. While conducting the external evaluation of the book, the intended audience, the proficiency level, the context of use, the language, the author's views on language and methodology, the inclusion of a vocabulary list/index, visual features, and the cultural aspects were examined. The internal evaluation included the presentation of the skills, grading and sequencing, discourse skills, listening section, the representation of different learning styles. And in overall evaluation, general suitability of the textbook was assessed. In the second step, six teachers each responded to a 22-item textbook evaluation questionnaire to express their perceptions concerning various aspects of the textbooks. The results revealed the extent of appropriateness of the textbook used by BSc students of physics. Suggestions are offered for the future revision and/or designing the textbooks.

  8. A survey on existing challenges of BSC implementation for performance measurement

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    Behdad Gitinejad

    2014-04-01

    Full Text Available The balanced scorecard (BSC is a strategic oriented tool used comprehensively in profit and nonprofit organizations all over the world to synchronize routine processes of organizations to the mission and strategy, improve inner and outter communications, control organization performance toward strategic targets. BSC has emerged from a simple performance measurement framework to a comprehensive strategic management system. It changes an organization’s strategic plan from a passive document to an active guideline for the organization on a daily basis and provides a helpful assistance that not only enables performance measurements, but also helps planners identify what should be accomplished and measured. This study focuses on how BSC is adopted as a tool for measuring effectiveness of strategy implementation in these organizations. This study adapts the BSC as a powerful tool for reaching an organization’s performance in four significant areas: Financial perspective, Customer-Market perspective, Internal Processes perspective and Learning & Growth perspective. The results suggest that governmental organizations are somehow successful in achieving their objectives in various degrees.

  9. Evaluation of university performance using BSC and ANP

    Directory of Open Access Journals (Sweden)

    Ali Atafar

    2013-10-01

    Full Text Available Measuring the relative performance of universities play important role on better educational planning. During the past few years, balanced scorecard (BSC has become popular among researchers as a technique for measuring the performance of business units. This method studies a particular firm in terms of four different perspectives including internal processes, learning and growth, customer and financial figures. One primary concern on using such method is that this method does not consider the relative importance of these components. In this paper, we present a hybrid of BSC with analytical network process to measure the relative performance of an educational unit in Iran.

  10. Management of Documents and Information in BSC Secretariat

    International Nuclear Information System (INIS)

    Sumathi, E.; Jayarajan, K.

    2017-01-01

    The regulatory and safety function of BARC facilities is being carried out by BARC Safety Framework with BARC Safety Council as an apex body. Presently, about one hundred safety committees and task forces are functional in the framework. BSC Secretariat (BSCS) provides technical and administrative support to the BARC Safety Framework for the regulatory activities in BARC. Important documents/records related to committee decisions and facilities are maintained in BSCS, through an established documentation and record keeping system. The compliance of regulatory recommendations is verified during regulatory inspections and subsequent submissions made by the facility authority. This supports the effective regulatory decision making of various committees. This article elaborates the maintenance of records and information at BSC

  11. PERANCANGAN SISTEM EVALUASI KINERJA DIREKTORAT PEMBERITAAN LPP-TVRI DENGAN PENDEKATAN Balanced Scorecard (BSC

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    Deasy Indriani

    2017-01-01

    Full Text Available The objectives  of the research are to 1 formulate a BSC based performance model criteria in the Directorate  Information LPP-TVRI, 2 derive the Directorate  of  Information LPP-TVRI strategic components (vision and mission into a strategic plan, objective and initiative, 3 develop a strategy map for the Directorate  of  Information LPP-TVRI, 4 define chosen factors in KPI as a performance criteria, , 5 conduct a simulation on the performance criteria  plan in the Directorate  of  Information LPP-TVRI using BSC method.  The method used in the research is Balanced Scorecard (BSC for 4 perspectives; finance, consumer, internal business process, and growth and learning perspectives.  The result is presented in a strategic plan, objective and initiative based on the BSC four perspectives.  This becomes a measured output and can be evaluated by the management.  The focus on the improvement in this perspective will show a significant improvement.  The effort of the Information Directorate to increase the audience share as the responsibility in using public funds from APBN is carried out by specifying the KPI to be implemented.  The evaluation plan simulation on the performance of the Directorate Information LPP-TVRI derived from BSC method and the flow of cause and effect relationship through Strategy map, resulting in the presence of a number of KPI that has to be implemented by the TVRI management. Keywords:   balanced scorecard key, key performance indicators, Strategy Map, public televisionAbstrakTujuan penelitian ini adalah 1 merumuskan model pengukuran kinerja berbasis BSC dilingkungan Direktorat Pemberitaan LPP-TVRI, 2 menurunkan komponen-komponen strategik (visi-misi Direktorat Pemberitaan TVR kedalam  rencana strategik, tujuan dan inisiatif strategik, 3 membentuk Strategy Map untuk Direktorat Pemberitaan TVRI, 4 menentukan faktor-faktor apakah yang akan dipilih menjadi KPI sebagai pengukuran kinerja dan  5 melakukan

  12. 77 FR 67651 - Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID)

    Science.gov (United States)

    2012-11-13

    ... Scientific Counselors, Office of Infectious Diseases (BSC, OID) In accordance with section 10(a)(2) of the... Immunization and Respiratory Diseases, the National Center for Emerging and Zoonotic Infectious Diseases, and... reports from the BSC OID working groups, brief updates on activities of the infectious disease national...

  13. 78 FR 21370 - Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID)

    Science.gov (United States)

    2013-04-10

    ... Scientific Counselors, Office of Infectious Diseases (BSC, OID) In accordance with section 10(a)(2) of the... and Respiratory Diseases, the National Center for Emerging and Zoonotic Infectious Diseases, and the... reports from the BSC, OID working groups, brief updates on activities of the infectious disease national...

  14. 78 FR 11651 - Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID)

    Science.gov (United States)

    2013-02-19

    ... Scientific Counselors, Office of Infectious Diseases (BSC, OID) In accordance with section 10(a)(2) of the... for Emerging and Zoonotic Infectious Diseases, and the National Center for HIV/AIDS, Viral Hepatitis... infectious disease laboratory working group under the BSC, OID. The agenda and any supplemental material will...

  15. 78 FR 17411 - Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID)

    Science.gov (United States)

    2013-03-21

    ... Scientific Counselors, Office of Infectious Diseases (BSC, OID) In accordance with section 10(a)(2) of the... for Emerging and Zoonotic Infectious Diseases, and the National Center for HIV/AIDS, Viral Hepatitis... infectious disease laboratory working group under the BSC, OID. The agenda and any supplemental material will...

  16. 76 FR 63926 - Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID)

    Science.gov (United States)

    2011-10-14

    ... Scientific Counselors, Office of Infectious Diseases (BSC, OID) In accordance with section 10(a)(2) of the... Diseases, the National Center for Emerging and Zoonotic Infectious Diseases, and the National Center for... and the three infectious disease national centers, a report from the OID/BSC Food Safety Modernization...

  17. Analysis of error floor of LDPC codes under LP decoding over the BSC

    Energy Technology Data Exchange (ETDEWEB)

    Chertkov, Michael [Los Alamos National Laboratory; Chilappagari, Shashi [UNIV OF AZ; Vasic, Bane [UNIV OF AZ; Stepanov, Mikhail [UNIV OF AZ

    2009-01-01

    We consider linear programming (LP) decoding of a fixed low-density parity-check (LDPC) code over the binary symmetric channel (BSC). The LP decoder fails when it outputs a pseudo-codeword which is not a codeword. We propose an efficient algorithm termed the instanton search algorithm (ISA) which, given a random input, generates a set of flips called the BSC-instanton and prove that: (a) the LP decoder fails for any set of flips with support vector including an instanton; (b) for any input, the algorithm outputs an instanton in the number of steps upper-bounded by twice the number of flips in the input. We obtain the number of unique instantons of different sizes by running the ISA sufficient number of times. We then use the instanton statistics to predict the performance of the LP decoding over the BSC in the error floor region. We also propose an efficient semi-analytical method to predict the performance of LP decoding over a large range of transition probabilities of the BSC.

  18. The Bsc and the Health Management Consortia: A Case Study of its Applicability

    Directory of Open Access Journals (Sweden)

    Juliana Caroline Coutinho Coelho Guimarães

    2012-12-01

    Full Text Available The professional management development consistent with the demands of society is an undeniable reality in Public Health. The enactment of 11.107/2005 Law inserts an agenda for change in the reality of Health Consortia. Against this backdrop of change, uncertainty and social costs, we need to rethink management practices. The management supporting tools have been evolving rapidly since 1980, highlighting the Balanced Scorecard (BSC. The adoption of the BSC as a management supporting tool to consortia comes to meet the existing demand to improve professionalization in public administration. This article aims to analyze the applicability of a support management tool to a Health Consortia, based on BSC through a proposed pilot project in a consortium selected to do so. Thus, for the realization of this work, designed a Case Study in CISMEV - Consortium Health of Middle Velhas River, and developed a proposal for the construction of the BSC with nine distinct steps. Thus, it was possible to identify the key steps to be met for the adoption of new procedures and routines, as well as the challenges encountered in the development process of the BSC by public institutions. We also identified the possible gains from deploying this tool culminating in fulfilling the mission and building the organizational vision. It was felt that identifying motivators for choosing this tool, as well as their strengths and limitations are essential to the construction of this process with greater criticality.

  19. DEVELOPMENT OF A STRATEGIC MANAGEMENT TOOL IN A THERMAL POWER PLANT USING ABC AND BSC MODELS

    Directory of Open Access Journals (Sweden)

    Rishi Dwivedi

    2016-05-01

    Full Text Available In today’s dynamic, uncertain and highly competitive business environment, the long term success of an organization critically depends on the perceptions, choices and actions of its managers regarding their strategies. Activity based costing (ABC and balanced scorecard (BSC are the modern day management approaches acknowledged as reliable tools for strategy formulation and implementation in an organization. In this paper, ABC and BSC models are separately proposed and applied in the merry-go-round (MGR department of an Indian thermal power plant. The results elicited from adoption of these two models in the said power plant provide more accurate, timely, and reliable operational and financial information at different activity levels of the organization, which would help in effective strategic and tactical decision making. Even though, there are limited published research papers related to application of ABC model in power plants, none of them has adopted ABC and BSC techniques in an Indian contextual environment. Additionally, an integrated ABC-BSC model is designed to harness the complementary synergies of both ABC and BSC models.

  20. BSC Modelling for ACAFE's Universities system Modelando o BSC para as Universidades do Sistema ACAFE

    Directory of Open Access Journals (Sweden)

    Manuel Portugal Ferreira

    2010-02-01

    Full Text Available Schools that perform graduation courses are facing increased competition and many have find the need of a more competitive and strategic vision. This study describes a Balanced Scorecard example of typical implementation for educational institutions. The case study describes in details the implemention as performed in ACAFE system, a Santa Catarina's network of educational institutions.As Instituições de Ensino Superior (IES, percebendo o acirramento da concorrência, reconhecem a importância de repensar sua forma de gestão, buscando uma visão mais competitiva e continuada. Assim, com o objetivo de contribuir para a gestão estratégica dessas instituições, especificamente as pertencentes ao sistema ACAFE, foi utilizada neste estudo a ferramenta de gestão Balanced Scorecard (BSC. Algumas etapas foram necessárias à sua adequação às universidades fundacionais catarinenses. Apresentaram-se e identificaram-se algumas características existentes no ambiente das universidades fundacionais catarinenses e suas peculiaridades em relação a outras organizações que não integram esse setor; realizaram-se os ajustes necessários à ferramenta Balanced Scorecard às universidades do sistema ACAFE; bem como a proposta da ferramenta auxiliar denominado mapa estratégico. Por último demonstrou-se a possibilidade de se desenvolver e utilizar o BSC acadêmico institucional como forma de integrar mais de um campus a gestão focada na estratégia.

  1. Long-Term Supplementation with Beta Serum Concentrate (BSC, a Complex of Milk Lipids, during Post-Natal Brain Development Improves Memory in Rats

    Directory of Open Access Journals (Sweden)

    Jian Guan

    2015-06-01

    Full Text Available We have previously reported that the supplementation of ganglioside-enriched complex-milk-lipids improves cognitive function and that a phospholipid-enriched complex-milk-lipid prevents age-related cognitive decline in rats. This current study evaluated the effects of post-natal supplementation of ganglioside- and phospholipid-enriched complex-milk-lipids beta serum concentrate (BSC on cognitive function in young rats. The diet of male rats was supplemented with either gels formulated BSC (n = 16 or blank gels (n = 16 from post-natal day 10 to day 70. Memory and anxiety-like behaviors were evaluated using the Morris water maze, dark–light boxes, and elevated plus maze tests. Neuroplasticity and white matter were measured using immunohistochemical staining. The overall performance in seven-day acquisition trials was similar between the groups. Compared with the control group, BSC supplementation reduced the latency to the platform during day one of the acquisition tests. Supplementation improved memory by showing reduced latency and improved path efficiency to the platform quadrant, and smaller initial heading error from the platform zone. Supplemented rats showed an increase in striatal dopamine terminals and hippocampal glutamate receptors. Thus BSC supplementation during post-natal brain development improved learning and memory, independent from anxiety. The moderately enhanced neuroplasticity in dopamine and glutamate may be biological changes underlying the improved cognitive function.

  2. Profitability of companies that use Balanced Scorecard (BSC versus companies that use only financial performance indicators Rentabilidade de empresas que utilizam o Balanced Scorecard (BSC versus empresas que utilizam somente indicadores de desempenho financeiros

    Directory of Open Access Journals (Sweden)

    Irani Rocha

    2012-10-01

    Full Text Available This study aims to verify whether there is impact difference on the profitability of companies that use financial and nonfinancial performance indicators, as proposed in the Balanced Scorecard (BSC, and companies that use only financial performance indicators. The survey includes companies listed in the magazines Valor 1000 and Exame Maiores e Melhores and, as for the sample, publicly traded companies listed in both publications, representing 169 companies. In the survey conducted to determine whether or not the company uses BSC, out of the 169 companies contacted, 65 responded and 104 did not answer the questioning. Out of the 65 respondents, 19 use BSC and 46 don´t. The indexes were extracted from the financial statements and the non-financial administration reports and explanatory notes. Three financial indicators were selected and, for the non-financial perspectives, for enterprises using BSC, through content analysis, indicators that characterize the customer perspectives were identified, as well as internal learning and growth processes. For the analysis of company results before and after the implementation of BSC, hypotheses were developed for the indicators that showed a more expressive correlation coefficient. The one-tailed test indicated a high correlation in the indicators of learning and growth perspective and a lower one from the costumer perspectives and internal processes. Although the evidences are not abundant, it was concluded that there is a difference in the profitability of enterprises that use financial and nonfinancial performance indicators compared to the ones using just the indicators of financial performance.O estudo objetiva verificar se há diferença de impacto na rentabilidade de empresas que utilizam indicadores de desempenho financeiros e não financeiros conforme proposto no Balanced Scorecard (BSC e de empresas que somente utilizam indicadores de desempenho financeiros. A população da pesquisa compreende

  3. PENGGUNAAN BLOCK SET CONNECTION (BSC PADA SAMBUNGAN ELEMEN BETON PRECAST

    Directory of Open Access Journals (Sweden)

    Jojon Suherman

    2012-08-01

    Full Text Available Application of block set connection (bsc in precast concrete element joints. Precast concrete technology is an alternative of reinforced concrete construction with the advantages of high quality and economical cost. However, precast concrete has not been widely used for seismic regions because of its weakness in the joints between precast concrete elements that are not ductile. The purpose of this research was to determine the ductility of precast concrete connections, which use a block set connection type (BSC. The design of beam column connection using the theory of full ductile that uses 2 specimen tests in a 1:1 scale, tested with cyclic loading and ana­lyzed for ductility, strength, stiffness, energy dissipation, and pattern collapse. The expe­rimental results obtained mean value of the ductility of μ = 6, the achievement of ductility value is greater than the ductility of the requirements in SNI 1726-2002 that is μ = 5.3. Therefore, block set connection type can be used to design buildings snaking precast concrete structures in seismic regions 5 and 6 (the area of high seismic risk. Penggunaan Block Set Connection (BSC pada Sambungan Elemen Beton Precast.  Teknologi beton precast merupakan alternatif pilihan dari konstruksi beton bertulang dengan keunggulan mutu yang tinggi dan biaya yang ekonomis. Namun demikian beton precast belum banyak digunakan untuk daerah gempa karena  mempunyai kelemahan pada sambungan antar elemen beton precast yang tidak daktail. Tujuan penelitian ini adalah mengetahui daktilitas sambungan beton precast, yang menggunakan tipe block set connection (BSC. Rancangan sambungan balok kolom menggunakan teori  full ductile  yang menggunakan 2 buah benda uji dalam skala 1:1, diuji dengan beban siklik dan dianalisis terhadap daktilitas, kekuatan, kekakuan, disipasi energi, dan pola keruntuhan. Hasil eksperimen diperoleh nilai daktilitas rerata μ = 6,  pencapaian nilai daktilitas  tersebut lebih besar dari

  4. Textbook animal breeding : animal breeding andgenetics for BSc students

    NARCIS (Netherlands)

    Oldenbroek, Kor; Waaij, van der Liesbeth

    2014-01-01

    This textbook contains teaching material on animal breeding and genetics for BSc students. The text book started as an initiative of the Dutch Universities for Applied (Agricultural) Sciences. The textbook is made available by the Animal Breeding and Genomics Centre (ABGC) of Wageningen UR

  5. An Integrated MCDM Method in Ranking BSC Perspectives and key Performance Indicators (KPIs

    Directory of Open Access Journals (Sweden)

    Mohsen Alvandi

    2012-04-01

    Full Text Available The balanced scorecard (BSC approach is an effective technique for performance evaluation. BSC can better reflect the dependence and feedback problems of each factor in real world situations. This study aims at developing a set of appropriate key performance indicators according to (BSC approach for SAPCO using multiple criteria decision making(MCDM method. We provide key performance indicators through literature reviews and experts' idea in SAPCO, which is one of the biggest vehicle spare suppliers in Iran. The proposed study uses decision making trial and evaluation laboratory (DEMATEL and analytic network process (ANP, respectively to measure the casual relationship between the perspectives as well as the relative weights. The results based on ANP method shows that ‘‘Customer’’ is the most influential factor. In addition, internal process, financial and learning and growth are in two to four positions. Three important key performance indicators are as bellow: Total price of parts, Customer satisfaction and Lack of parts in production.

  6. Improving efficiency of decision making units through BSC-DEA technique

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    Amir Reza Khaki

    2012-01-01

    Full Text Available Performance evaluation is one of the most important techniques to prioritize different decision making units. Data envelopment analysis (DEA, as a non-parametric method, plays an important role for measuring relative efficiency. Balanced score card, on the other hand, is another method to evaluate a business plan based on non-financial perspectives. The integrated BSC-DEA takes advantage of the advantages of both methods' features. In this paper, we propose a BSC-DEA method to rank different decision making units. We consider different financial criteria such as profit-margin, return on assets along with non-financial criteria such as customer satisfaction, advanced services, employee skills to compare the performance of different banks. The results are analyzed and discussed, which could be used for making better decisions.

  7. Laparoscopic assisted ventriculoperitoneal shunt revisions as an option for pediatric patients with previous intraabdominal complications

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    Fernanda O. de Carvalho

    2014-04-01

    Full Text Available Multiple shunt failure is a challenge in pediatric neurosurgery practice and one of the most feared complications of hydrocephalus. Objective: To demonstrate that laparoscopic procedures for distal ventriculoperitoneal shunt failure may be an effective option for patients who underwent multiple revisions due to repetitive manipulation of the peritoneal cavity, abdominal pseudocyst, peritonitis or other situations leading to a “non reliable” peritoneum. Method: From March 2012 to February 2013, the authors reviewed retrospectively the charts of six patients born and followed up at our institution, which presented with previous intra-peritoneal complications and underwent ventriculoperitoneal shunt revision assisted by video laparoscopy. Results: After a mean follow-up period of nine months, all patients are well and no further shunt failure was identified so far. Conclusion: Laparoscopy assisted shunt revision in children may be, in selected cases, an effective option for patients with multiple peritoneal complications due to ventriculo-peritoneal shunting.

  8. Endline report – Liberia, BSC MFS II country evaluations

    NARCIS (Netherlands)

    Gotomo, S.; Peters, B.; Kusters, C.S.L.; Peabody, S.; Washington Gopeya, M.

    2015-01-01

    This report presents the findings of the endline of the evaluation of the organisational capacity component of the MFS II country evaluations. The focus of this report is Liberia, BSC. The format is based on the requirements by the synthesis team and NWO/WOTRO. The endline was carried out in 2014.

  9. Application and verification of the NMMB/BSC-CTM forecast for solar energy

    Science.gov (United States)

    Soret, Albert; Serradell, Kim; Piot, Matthias; Ortega, Daniel; Obiso, Vincenzo; Jorba, Oriol

    2016-04-01

    In the beginning of April 2014, northern Europe was affected by a mineral dust intrusion. On 4 April 2014, the power prediction for German solar installations was estimated as 21 GW, whereas the measured power production merely reached 11 GW. This strong overestimation significantly affected the hourly price in the wholesale electricity market: prices were firstly assessed at around 27 € /MWh but rapidly reached a level close to 150 € /MWh after recognizing the lack of solar output. It has been found that a large proportion of the uncertainty of existing NWP models can be attributed to the lack of accurate aerosol data used in order to model solar radiation. Despite the advancements in the modelling of aerosol-cloud interactions, current meteorological models use parameterizations made mostly for climate considerations (generally monthly-based). In this contribution, we analyse model results of the direct radiative effect of mineral dust over Germany at the beginning of April 2014. For that, the NMMB/BSC Chemical Transport Model (NMMB/BSC-CTM) is applied on a regional domain at 0.1° horizontal resolution. The NMMB/BSC-CTM is a new on-line chemical weather prediction system coupling atmospheric and chemistry processes. In the radiation module of the model, mineral dust is treated as a radiatively active substance interacting both short and longwave radiation. The impact of the mineral dust outbreaks on meteorology is discussed by comparing model forecasts meteorological observations. The analysis focuses on the performance of the NMMB/BSC-CTM to simulate the radiative effects of a mineral dust intrusion far from source regions. Model results would help to illustrate the added value of on-line models for long term analysis of solar resource. On-going developments: integration of anthropogenic sources and implementation of indirect radiative effects will be also presented.

  10. Islamic value to the modification of BSC model (a case study in evaluating company performance)

    Science.gov (United States)

    Harwati; Permana, Y.

    2017-12-01

    Halal is the key word for the Muslim community in consuming goods or services. Providing halal products is the main focus for companies with the largest consumers from the Muslim community. Halal is not only from the ingredients but also from the process in its production. The purpose of this study is to design a model of performance measurement for a company in order to provide halal products. Balance Score Card (BSC) is used as a framework. BSC as a performance measurement system has advantages not only focus on financial aspect but also non finance. Islamic values are incorporated into four perspective of BSC. They are: Selection of sharia financial institutions in financial perspective, payment method by consumer in consumer perspective, number of product with halal certificate and menu clarify in internal business process perspective, then accuracy of payroll time in learning and growth perspective. The modified BSC model obtains 17 Key Performance Indicators (KPI). The model is applied in a culinary industry (restaurant). Structured questionnaires and scheduled interviews are used to collect the important data. The result show that these industry fail to meet 8 from total 17 KPI so performance achievement is only 70.81%, and only reach 22.58% in Islamic value aspect. This is recorded by the company as an input to improve their performance in order to compete in halal food business.

  11. The effects of the integrated application of BSC and ABM to enterprise strategy and efficiency

    Directory of Open Access Journals (Sweden)

    Violeta Domanovic

    2016-08-01

    Full Text Available The shortcomings of an individual application of some managerial innovation models in the domain of management accounting and strategic management in the modern business environment made research into the complementary and integrated application of managerial innovation models inevitable. The aim of the research is to show that the complementary use of the BSC and the ABM in managing enterprise strategy and efficiency eliminates the shortcomings of their individual application. The paper specifies the effects of the application of the BSC and the ABM on the enterprise strategy, particularly emphasizing the role of ICT in the course of implementation, and presents the results of the empirical research into the correlation of the BSC and the ABM regarding the strategy and efficiency of an enterprise. Despite possible problems and limitations, a proper synergic use of respective managerial innovations enables a better implementation of the defined strategies and improves the efficiency of the enterprise in the long run.

  12. Multiple-hook fixation in revision spinal deformity surgery for patients with a previous multilevel fusion mass: technical note and preliminary outcomes.

    Science.gov (United States)

    Liu, Ning; Wood, Kirkham B

    2017-03-01

    OBJECTIVE A previous multilevel fusion mass encountered during revision spinal deformity surgery may obscure anatomical landmarks, making instrumentation unworkable or incurring substantial blood loss and operative time. This study introduced a surgical technique of multiple-hook fixation for fixating previous multilevel fusion masses in revision spinal deformity surgeries and then evaluated its outcomes. METHODS Patients with a previous multilevel fusion mass who underwent revision corrective surgery down to the lumbosacral junction were retrospectively studied. Multiple hooks were used to fixate the fusion mass and linked to distal pedicle screws in the lumbosacral-pelvic complex. Radiological and clinical outcomes were evaluated. RESULTS The charts of 8 consecutive patients with spinal deformity were retrospectively reviewed (7 women, 1 man; mean age 56 years). The primary diagnoses included flat-back deformity (6 cases), thoracolumbar kyphoscoliosis (1 case), and lumbar spondylosis secondary to a previous scoliosis fusion (1 case). The mean follow-up duration was 30.1 months. Operations were performed at T3/4-ilium (4 cases), T7-ilium (1 case), T6-S1 (1 case), T12-S1 (1 case), and T9-L5 (1 case). Of 8 patients, 7 had sagittal imbalance preoperatively, and their mean C-7 plumb line improved from 10.8 ± 2.9 cm preoperatively to 5.3 ± 3.6 cm at final follow-up (p = 0.003). The mean lumbar lordosis of these patients at final follow-up was significantly greater than that preoperatively (35.2° ± 12.6° vs 16.8° ± 11.8°, respectively; p = 0.005). Two perioperative complications included osteotomy-related leg weakness in 1 patient and a stitch abscess in another. CONCLUSIONS The multiple-hook technique provides a viable alternative option for fixating a previous multilevel fusion mass in revision spinal deformity surgery.

  13. Transcaval TIPS in patients with failed revision of occluded previous TIPS

    Energy Technology Data Exchange (ETDEWEB)

    Seong, Chang Kyu; Kim, Yong Joo; Shin, Tae Beom; Park, Hyo Yong; Kim, Tae Hun; Kang, Duk Sik [Kyungpook National University School of Medicine, Daegu (Korea, Republic of)

    2001-12-01

    To determine the feasibility of transcaval transjugular intrahepatic portosystemic shunt (TIPS) in patients with occluded previous TIPS. Between February 1996 and December 2000 we performed five transcaval TIPS procedures in four patients with recurrent gastric cardiac variceal bleeding. All four had occluded TIPS, which was between the hepatic and portal vein. The interval between initial TIPS placement and revisional procedures with transcaval TIPS varied between three and 31 months; one patient underwent transcaval TIPS twice, with a 31-month interval. After revision of the occluded shunt failed, direct cavoportal puncture at the retrohepatic segment of the IVC was attempted. Transcaval TIPS placement was technically successful in all cases. In three, tractography revealed slight leakage of contrast materials into hepatic subcapsular or subdiaphragmatic pericaval space. There was no evidence of propagation of extravasated contrast materials through the retroperitoneal space or spillage into the peritoneal space. After the tract was dilated by a bare stent, no patient experienced trans-stent bleeding and no serious procedure-related complications occurred. After successful shunt creation, variceal bleeding ceased in all patients. Transcaval TIPS placement is an effective and safe alternative treatment in patients with occluded previous TIPS and no hepatic veins suitable for new TIPS.

  14. An empirical study to measure the relative efficiency and strategic planning using BSC-DEA and DEMATEL

    Directory of Open Access Journals (Sweden)

    Mohammad Hemati

    2012-08-01

    Full Text Available Performance evaluation is one of manager's main concerns in today competitive world, which covers all aspects and dimensions of organization and it is adequately flexible and measurable. So, the necessity of performance evaluation application for organizations where their intangible assets are higher than tangible ones, such as educational institutions, is more obviously observed. Balanced scorecard (BSC is discussed by the aim of promoting manager's decision making and directing their attention toward extensive operational vision of organization compared to traditional measurement systems, which only include the financial measures. However, BSC is a qualitative approach and has some disadvantages and its integration by other quantitative techniques such as data envelopment analysis makes it more efficient. The proposed model of this paper uses DEMATEL technique as part of BSC-DEA model to empower strategic planning. The proposed model of this paper is applied for 10 zone university branches of Islamic Azad universities to provide an appropriate road map.

  15. Revision allograft reconstruction of the lateral collateral ligament complex in elbows with previous failed reconstruction and persistent posterolateral rotatory instability.

    Science.gov (United States)

    Baghdadi, Yaser M K; Morrey, Bernard F; O'Driscoll, Shawn W; Steinmann, Scott P; Sanchez-Sotelo, Joaquin

    2014-07-01

    Primary reconstruction of the lateral collateral ligament complex (LCLC) using graft tissue restores elbow stability in many, but not all, elbows with acute or chronic posterolateral rotatory instability (PLRI). Revision reconstruction using a tendon allograft is occasionally considered for persistent PLRI, but the outcome of revision ligament reconstruction in this setting is largely unknown. We determined whether revision allograft ligament reconstruction can (1) restore the stability and (2) result in improved elbow scores for patients with persistent PLRI of the elbow after a previous failed primary reconstructive attempt and in the context of the diverse pathology being addressed. Between 2001 and 2011, 160 surgical elbow procedures were performed at our institution for the LCLC reconstruction using allograft tissue. Only patients undergoing revision allograft reconstruction of the LCLC for persistent PLRI with a previous failed primary reconstructive attempt using graft tissue and at least I year of followup were included in the study. Eleven patients (11 elbows) fulfilled our inclusion criteria and formed our study cohort. The cohort consisted of six female patients and five male patients. The mean age at the time of revision surgery was 36 years (range, 14-59 years). The revision allograft reconstruction was carried out after a mean of 3 years (range, 2.5 months to 9 years) from a failed attempted reconstruction of the LCLC. Osseous deficiency to some extent was identified in the preoperative radiographs of eight elbows. Mean followup was 5 years (range, 1-12 years). Revision allograft reconstruction of the LCLC restored elbow stability in eight of the 11 elbows; two of the three elbows with persistent instability were operated on a third time (at 6 and 7 months after allograft revision reconstruction). For elbows with no persistent instability, the mean Mayo Elbow Performance Score at most recent followup was 83 points (range, 60-100 points), and

  16. BSC Final Report: Lessons Learned from Building America Participation; February 1995 - December 2002

    Energy Technology Data Exchange (ETDEWEB)

    Hendron, Bob [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2004-04-01

    This report chronicles the how and why of the key BSC Building America outcomes. It is organized and put in the context of what the Building Science Consortium has learned from and with its building industry partners.

  17. Introducing a "Balance" in The BSC Through Beauty and Love

    Directory of Open Access Journals (Sweden)

    Ari Kamayanti

    2010-04-01

    Full Text Available Celebrating the seventeenth anniversary of the Balanced Score Card (BSC since it was born in 1992, this paper revisits its concept as one of the landmarks in performance measurement. The BSC turns out to be ‘not so balanced’ since it lacks certain beauty and love. It hinges on accountability for certain interests when measuring performance, negating or putting other interests as minority. Thus, it fits perfectly with the aim of management accounting that puts managers and customers as priorities. The imbalances comes from secularism and overemphasis in rationalism. Sustainability that becomes the current issue nowadays would not be supported by such performance measurement. In order to insert this balance, a methodology by taking a methapor of nurturing mother is applied in this research that encompasses gentle beauty and subtle love. Gentle beauty refers to a complete harmony of beauty : irrational and the rational; this means introducing those that have been left out in the name of rationality such as religions and spiritualism. Subtle love refers to love towards God that is expressed subtly without lust to overpower. The result is a more balanced set of performance measurements that are filled with beauty and love, insyaAllah.

  18. The use and design of the BSC in the health care sector: A systematic literature review for Italy, Spain, and Portugal.

    Science.gov (United States)

    Gonzalez-Sanchez, Maria Beatriz; Broccardo, Laura; Martins Pires, Amélia Maria

    2018-01-01

    The aim of this paper is to gain a better understanding of how the balanced scorecard (BSC) has evolved in Spain, Italy, and Portugal. It reviews all the articles on the BSC in the health care sector written between 1992 and 2015 by Spanish, Italian, or Portuguese authors and published in Spanish, Italian, or Portuguese as well as in English. Our study first shows the state of knowledge on BSC in health care for a homogeneous group of Southern European countries. Second, it uncovers the perspectives, indicators, and generation used in the countries under observation to reveal the extent to which this management tool has evolved. Third, it analyses international variations in design and use within the health care context, especially in the United States. Moreover, it also highlights a number of important issues. The BSC is in its early stage of development in these 3 countries, which do not use it as a tool to implement strategy and align all of the elements that help integrate the organization. Copyright © 2017 John Wiley & Sons, Ltd.

  19. 77 FR 21778 - Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID)

    Science.gov (United States)

    2012-04-11

    ... discussions on CDC's safe water activities, immunization infrastructure, and sexually transmitted diseases... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID) In accordance with section 10(a)(2) of the...

  20. 76 FR 24031 - Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID)

    Science.gov (United States)

    2011-04-29

    ... Scientific Counselors, Office of Infectious Diseases (BSC, OID) In accordance with section 10(a)(2) of the... and Respiratory Diseases, the National Center for Emerging and Zoonotic Infectious Diseases, and the..., the meeting will include a focused discussion on ``Transitioning Infectious Disease Prevention...

  1. A novel hybrid MCDM model for performance evaluation of research and technology organizations based on BSC approach.

    Science.gov (United States)

    Varmazyar, Mohsen; Dehghanbaghi, Maryam; Afkhami, Mehdi

    2016-10-01

    Balanced Scorecard (BSC) is a strategic evaluation tool using both financial and non-financial indicators to determine the business performance of organizations or companies. In this paper, a new integrated approach based on the Balanced Scorecard (BSC) and multi-criteria decision making (MCDM) methods are proposed to evaluate the performance of research centers of research and technology organization (RTO) in Iran. Decision-Making Trial and Evaluation Laboratory (DEMATEL) are employed to reflect the interdependencies among BSC perspectives. Then, Analytic Network Process (ANP) is utilized to weight the indices influencing the considered problem. In the next step, we apply four MCDM methods including Additive Ratio Assessment (ARAS), Complex Proportional Assessment (COPRAS), Multi-Objective Optimization by Ratio Analysis (MOORA), and Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) for ranking of alternatives. Finally, the utility interval technique is applied to combine the ranking results of MCDM methods. Weighted utility intervals are computed by constructing a correlation matrix between the ranking methods. A real case is presented to show the efficacy of the proposed approach. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. 75 FR 66772 - Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID)

    Science.gov (United States)

    2010-10-29

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID) In accordance with section 10(a)(2) of the... for Immunization and Respiratory Diseases, the National Center for Emerging and Zoonotic Infectious...

  3. 78 FR 13678 - Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID)

    Science.gov (United States)

    2013-02-28

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID) Notice of Cancellation: A notice was... management activities, for both the Centers for Disease Control and Prevention and the Agency for Toxic...

  4. Using Balanced Scorecard (BSC) approach to improve ergonomics programs.

    Science.gov (United States)

    Fernandes, Marcelo Vicente Forestieri

    2012-01-01

    The purpose of this paper is to propose foundations for a theory of using the Balanced Scorecard (BSC) methodology to improve the strategic view of ergonomics inside the organizations. This approach may help to promote a better understanding of investing on an ergonomic program to obtain good results in quality and production, as well as health maintenance. It is explained the basics of balanced scorecard, and how ergonomists could use this to work with strategic enterprises demand. Implications of this viewpoint for the development of a new methodology for ergonomics strategy views are offered.

  5. 75 FR 69687 - Board of Scientific Counselors, Office of Infectious Diseases, (BSC, OID)

    Science.gov (United States)

    2010-11-15

    ... Scientific Counselors, Office of Infectious Diseases, (BSC, OID) In accordance with section 10(a)(2) of the... Diseases, the National Center for Emerging and Zoonotic Infectious Diseases, and the National Center for... to increase the public health impact of CDC's infectious disease prevention and control efforts...

  6. 78 FR 69683 - Board of Scientific Counselors, Office of Infectious Diseases (BSC, OID)

    Science.gov (United States)

    2013-11-20

    ... Scientific Counselors, Office of Infectious Diseases (BSC, OID) In accordance with section 10(a)(2) of the... and Zoonotic Infectious Diseases, and the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB... the infectious disease national centers; and focused discussions on 1) the public health use of...

  7. Calibrated Properties Model

    International Nuclear Information System (INIS)

    Ghezzehej, T.

    2004-01-01

    The purpose of this model report is to document the calibrated properties model that provides calibrated property sets for unsaturated zone (UZ) flow and transport process models (UZ models). The calibration of the property sets is performed through inverse modeling. This work followed, and was planned in, ''Technical Work Plan (TWP) for: Unsaturated Zone Flow Analysis and Model Report Integration'' (BSC 2004 [DIRS 169654], Sections 1.2.6 and 2.1.1.6). Direct inputs to this model report were derived from the following upstream analysis and model reports: ''Analysis of Hydrologic Properties Data'' (BSC 2004 [DIRS 170038]); ''Development of Numerical Grids for UZ Flow and Transport Modeling'' (BSC 2004 [DIRS 169855]); ''Simulation of Net Infiltration for Present-Day and Potential Future Climates'' (BSC 2004 [DIRS 170007]); ''Geologic Framework Model'' (GFM2000) (BSC 2004 [DIRS 170029]). Additionally, this model report incorporates errata of the previous version and closure of the Key Technical Issue agreement TSPAI 3.26 (Section 6.2.2 and Appendix B), and it is revised for improved transparency

  8. A BSC-DEA approach to measure the relative efficiency of service industry: A case study of banking sector

    Directory of Open Access Journals (Sweden)

    M. B. Aryanezhad

    2011-04-01

    Full Text Available Performance evaluation plays an important role in determining faults and difficulties of any organization as well as attempting to increase capabilities and improve activities. Data envelopment analysis (DEA, as a non-parametric method, has been one of the most important and significant management tools for measuring output or efficiency. In this paper, we propose a method to utilize balanced score card (BSC as a tool for designing performance evaluation indices of an organization. The integrated BSC-DEA has been applied as an empirical case for a major private bank organization and the results are analyzed.

  9. Study of the Factors Responsible for the Dropouts from the BSc Programme of Indira Gandhi National Open University

    Directory of Open Access Journals (Sweden)

    Bharat Inder Fozdar

    2006-12-01

    Full Text Available This paper presents a report on students who decided to drop out of the BSc programme offered by Indira Gandhi National Open University (IGNOU. This study was designed to determine the reasons leading to students’ decisions to withdraw from the programme. Identified in this study are nine major reasons for dropouts. Results of this study lead to several suggestions for improving current instructional and delivery strategies of IGNOU’s BSc Programme. Following such suggestions could help to reduce students’ dropout rate for this particular programme through implementation of timely interventions at different critical stages of their learning journey.

  10. Everolimus for Previously Treated Advanced Gastric Cancer: Results of the Randomized, Double-Blind, Phase III GRANITE-1 Study

    Science.gov (United States)

    Ohtsu, Atsushi; Ajani, Jaffer A.; Bai, Yu-Xian; Bang, Yung-Jue; Chung, Hyun-Cheol; Pan, Hong-Ming; Sahmoud, Tarek; Shen, Lin; Yeh, Kun-Huei; Chin, Keisho; Muro, Kei; Kim, Yeul Hong; Ferry, David; Tebbutt, Niall C.; Al-Batran, Salah-Eddin; Smith, Heind; Costantini, Chiara; Rizvi, Syed; Lebwohl, David; Van Cutsem, Eric

    2013-01-01

    Purpose The oral mammalian target of rapamycin inhibitor everolimus demonstrated promising efficacy in a phase II study of pretreated advanced gastric cancer. This international, double-blind, phase III study compared everolimus efficacy and safety with that of best supportive care (BSC) in previously treated advanced gastric cancer. Patients and Methods Patients with advanced gastric cancer that progressed after one or two lines of systemic chemotherapy were randomly assigned to everolimus 10 mg/d (assignment schedule: 2:1) or matching placebo, both given with BSC. Randomization was stratified by previous chemotherapy lines (one v two) and region (Asia v rest of the world [ROW]). Treatment continued until disease progression or intolerable toxicity. Primary end point was overall survival (OS). Secondary end points included progression-free survival (PFS), overall response rate, and safety. Results Six hundred fifty-six patients (median age, 62.0 years; 73.6% male) were enrolled. Median OS was 5.4 months with everolimus and 4.3 months with placebo (hazard ratio, 0.90; 95% CI, 0.75 to 1.08; P = .124). Median PFS was 1.7 months and 1.4 months in the everolimus and placebo arms, respectively (hazard ratio, 0.66; 95% CI, 0.56 to 0.78). Common grade 3/4 adverse events included anemia, decreased appetite, and fatigue. The safety profile was similar in patients enrolled in Asia versus ROW. Conclusion Compared with BSC, everolimus did not significantly improve overall survival for advanced gastric cancer that progressed after one or two lines of previous systemic chemotherapy. The safety profile observed for everolimus was consistent with that observed for everolimus in other cancers. PMID:24043745

  11. Environmental Aspects, Objectives and Targets Identification Process

    International Nuclear Information System (INIS)

    Green, R.

    2002-01-01

    The purpose of this report is to document the environmental aspects and associated environmental impacts of the Bechtel SAIC Company (BSC) scope of work, evaluate the significance of those environmental aspects based on established criteria, and establish environmental objectives and targets for specific environmental aspects. This report is intended to be used by environmental staff in the evaluation of BSC work packages during the annual risk-based planning process. This report shall be fully reviewed and revised annually during the annual work planning process to reflect changes in BSC operations, facilities, and scope of work. Planned BSC work will be evaluated to determine if the work is covered by a previously defined activity, product or service (see Table 2); if work activities require redefinition or addition of a new activity; and if the significant evaluation for each environment aspect is still valid based on scope of planned work. New workscope initiated during the fiscal year through the Baseline Change Proposal process (i.e., not as part of the annual work plan) also will be reviewed for new environmental aspects and determination of whether the new workscope would change the significance rating of any environmental aspect. If a new environmental aspect is identified in a new work activity, product, or service but the aspect is not determined to be significant (see Section 4), then this report can be changed through an interim change notice (ICN). This report can be changed five times through an ICN before a full revision is required. However, if new workscope causes an environmental aspect to be graded as significant using the evaluation process in Section 4, this report shall be revised though a full review and revision

  12. Femoral Component Revision with Use of Impaction Bone-Grafting and a Cemented Polished Stem: A Concise Follow-up, at Fifteen to Twenty Years, of a Previous Report*

    NARCIS (Netherlands)

    Te Stroet, M.A.; Gardeniers, J.W.M.; Verdonschot, N.J.; Rijnen, W.H.C.; Slooff, T.J.J.H.; Schreurs, B.W.

    2012-01-01

    We previously reported our results for thirty-three consecutive femoral component revisions with impaction bone-grafting, performed with the X-change femoral revision system and a cemented polished Exeter stem, at a minimum of eight years of follow-up. The present updated study shows the results

  13. 75 FR 6402 - Board of Scientific Counselors, National Center for Health Marketing (BSC, NCHM)

    Science.gov (United States)

    2010-02-09

    ... on the future course for health communications and marketing at CDC; and a discussion of focus areas... Scientific Counselors, National Center for Health Marketing (BSC, NCHM) In accordance with section 10(a)(2..., goals and organizational structure of the new Office of Communications; discussions on program...

  14. 75 FR 42448 - Board of Scientific Counselors (BSC), Coordinating Center for Health Promotion (CCHP): Notice of...

    Science.gov (United States)

    2010-07-21

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention (CDC) Board of Scientific Counselors (BSC), Coordinating Center for Health Promotion (CCHP): Notice of Charter Amendment... Disease Prevention and Health Promotion (NCCDPHP). [[Page 42449

  15. Soil-Related Input Parameters for the Biosphere Model

    International Nuclear Information System (INIS)

    Smith, A. J.

    2004-01-01

    analysis revises the previous version with the same name (BSC 2003 [DIRS 161239]), which was itself a revision of one titled ''Evaluate Soil/Radionuclide Removal by Erosion and Leaching'' (CRWMS M and O 2001 [DIRS 152517]). In Revision 00 of this report, the data generated were fixed values (i.e., taking no account of uncertainty and variability). Revision 01 (BSC 2003 [DIRS 161239]) incorporated uncertainty and variability into the values for the bulk density, elemental partition coefficients, average annual loss of soil from erosion, resuspension enhancement factor, and field capacity water content. The current revision of this document improves the transparency and traceability of the products without changing the details of the analysis. This analysis report supports the treatment of six of the features, events, and processes (FEPs) applicable to the Yucca Mountain reference biosphere (DTN: MO0407SEPFEPLA.000 [DIRS 170760]). The use of the more recent FEP list in DTN: MO0407SEPFEPLA.000 [DIRS 170760] represents a deviation from the detail provided in the TWP (BSC 2004 [DIRS 169573]), which referenced a previous version of the FEP list. The parameters developed in this report support treatment of these six FEPs addressed in the biosphere model that are listed in Table 1-1. Inclusion and treatment of FEPs in the biosphere model is described in the ''Biosphere Model Report'' (BSC 2004 [DIRS 169460], Section 6.2)

  16. 78 FR 15369 - Board of Scientific Counselors, Office of Public Health Preparedness and Response (BSC, OPHPR)

    Science.gov (United States)

    2013-03-11

    ... strategies and goals for the programs and research within OPHPR, monitoring the overall strategic direction...; improving critical information sharing across CDC; biosecurity risk evaluation software; measuring operational readiness; (2) BSC liaison representative updates to the Board highlighting organizational...

  17. Medialogi (Dansk informations brochure om Medialogi-uddannelsen, 1. til 10. semester (B.Sc. & Cand.Scient))

    DEFF Research Database (Denmark)

    Nordahl, Rolf; Andersen, Hans Jørgen

    2006-01-01

    Informationsbrochure, 28 sider, om Medialogi uddannelsen (Cand. Scient.), der udbydes af Aalborg Universitet i Aalborg, Esbjerg og København. Brochuren beskriver 1. til 10. semester af uddannelsen (B.Sc. og M.Sc.). Informationen er primært rettet mod potentielle ansøgere til Medialogi uddannelsen...

  18. 78 FR 64505 - Board of Scientific Counselors, National Center for Injury Prevention and Control, (BSC, NCIPC)

    Science.gov (United States)

    2013-10-29

    ... Scientific Counselors, National Center for Injury Prevention and Control, (BSC, NCIPC) In accordance with... reviews progress toward injury prevention goals and provides evidence in injury prevention- related... matters, including the: (1) Review of extramural research concepts for funding opportunity announcements...

  19. 78 FR 56235 - Board of Scientific Counselors, Office of Public Health Preparedness and Response, (BSC, OPHPR)

    Science.gov (United States)

    2013-09-12

    ... thinking in disaster management; assessing CDC's Emergency Management Program through accreditation; (2) BSC liaison representative updates to the Board highlighting organizational activities relevant to the...) no later than 12:00 noon (EDT) on Tuesday, October 8, 2013: Full Name, Organizational Affiliation...

  20. 76 FR 28790 - Board of Scientific Counselors, National Institute for Occupational Safety and Health (BSC, NIOSH)

    Science.gov (United States)

    2011-05-18

    ... Hearing Loss Prevention; Personal Protective Technologies; Health Hazard Evaluations; Construction Safety... Scientific Counselors, National Institute for Occupational Safety and Health (BSC, NIOSH) In accordance with... relating to occupational safety and health and to mine health. The Board of Scientific Counselors shall...

  1. 76 FR 65729 - Board of Scientific Counselors, National Institute for Occupational Safety and Health (BSC, NIOSH)

    Science.gov (United States)

    2011-10-24

    ... Recommendations for Respiratory Diseases, Hearing Loss Prevention, Personal Protective Technologies, and Health... Scientific Counselors, National Institute for Occupational Safety and Health (BSC, NIOSH) In accordance with..., and demonstrations relating to occupational safety and health and to mine health. The Board of...

  2. 77 FR 58847 - Board of Scientific Counselors, National Center for Injury Prevention and Control (BSC, NCIPC)

    Science.gov (United States)

    2012-09-24

    ... the causes, diagnosis, treatment, control, and prevention of physical and mental diseases, and other... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, National Center for Injury Prevention and Control (BSC, NCIPC) In accordance with...

  3. 78 FR 29754 - Board of Scientific Counselors, National Center for Injury Prevention and Control, (BSC, NCIPC)

    Science.gov (United States)

    2013-05-21

    ... relating to the causes, diagnosis, treatment, control, and prevention of physical and mental diseases, and... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, National Center for Injury Prevention and Control, (BSC, NCIPC) In accordance with...

  4. 78 FR 11651 - Board of Scientific Counselors, National Institute for Occupational Safety and Health (BSC, NIOSH)

    Science.gov (United States)

    2013-02-19

    ... Scientific Counselors, National Institute for Occupational Safety and Health (BSC, NIOSH) In accordance with..., research, experiments, and demonstrations relating to occupational safety and health and to mine health... Occupational Safety and Health on research and prevention programs. Specifically, the Board shall provide...

  5. 77 FR 47850 - Board of Scientific Counselors, National Institute for Occupational Safety and Health (BSC, NIOSH)

    Science.gov (United States)

    2012-08-10

    ... Scientific Counselors, National Institute for Occupational Safety and Health (BSC, NIOSH) In accordance with..., research, experiments, and demonstrations relating to occupational safety and health and to mine health... Occupational Safety and Health on research and prevention programs. Specifically, the Board shall provide...

  6. 78 FR 51729 - Board of Scientific Counselors, National Institute for Occupational Safety and Health (BSC, NIOSH)

    Science.gov (United States)

    2013-08-21

    ... Scientific Counselors, National Institute for Occupational Safety and Health (BSC, NIOSH) In accordance with... demonstrations relating to occupational safety and health and to mine health. The Board of Scientific Counselors shall provide guidance to the Director, National Institute for Occupational Safety and Health on...

  7. Ratify, Reject or Revise: Balanced Scorecard and Universities

    Science.gov (United States)

    Sayed, Naqi

    2013-01-01

    Purpose: The purpose of this paper is to examine the use of the Balanced Scorecard (BSC) in universities. Initially directed toward profit-oriented businesses, the BSC has since been adopted by many non-profit organisations with seemingly diverse objectives. A number of primarily publicly-funded universities and institutions, which are part of…

  8. Soil-Related Input Parameters for the Biosphere Model

    Energy Technology Data Exchange (ETDEWEB)

    A. J. Smith

    2004-09-09

    was defined as AP-SIII.9Q, ''Scientific Analyses''. This analysis revises the previous version with the same name (BSC 2003 [DIRS 161239]), which was itself a revision of one titled ''Evaluate Soil/Radionuclide Removal by Erosion and Leaching'' (CRWMS M&O 2001 [DIRS 152517]). In Revision 00 of this report, the data generated were fixed values (i.e., taking no account of uncertainty and variability). Revision 01 (BSC 2003 [DIRS 161239]) incorporated uncertainty and variability into the values for the bulk density, elemental partition coefficients, average annual loss of soil from erosion, resuspension enhancement factor, and field capacity water content. The current revision of this document improves the transparency and traceability of the products without changing the details of the analysis. This analysis report supports the treatment of six of the features, events, and processes (FEPs) applicable to the Yucca Mountain reference biosphere (DTN: MO0407SEPFEPLA.000 [DIRS 170760]). The use of the more recent FEP list in DTN: MO0407SEPFEPLA.000 [DIRS 170760] represents a deviation from the detail provided in the TWP (BSC 2004 [DIRS 169573]), which referenced a previous version of the FEP list. The parameters developed in this report support treatment of these six FEPs addressed in the biosphere model that are listed in Table 1-1. Inclusion and treatment of FEPs in the biosphere model is described in the ''Biosphere Model Report'' (BSC 2004 [DIRS 169460], Section 6.2).

  9. Manajemen Sumber Daya Teknologi Informasi Laboratorium Komputer Menggunakan Balanced Scorecard (BSC dan COBIT 5

    Directory of Open Access Journals (Sweden)

    M. Panji Ismail

    2017-05-01

    Full Text Available Laboratorium komputer merupakan salah satu sarana pembelajaran yang berbasis Teknologi Informasi (TI yang terdiri dari tiga sumber daya TI, yaitu software, hardware, dan brainware. Tidak adanya kesesuaian antara kemampuan hardware dengan spesifikasi hardware yang digunakan dapat menghambat pengguna (brainware dalam melakukan praktikum dan pembelajaran di laboratorium. Selain itu, ketidaksesuaian tersebut juga mengakibatkan software berjalan lambat dan computer sering error sehingga praktikum menjadi terganggu dan berjalan tidak lancar. Untuk mengetahui kesesuaian antar sumber daya TI yang ada di laboratorium dibutuhkan proses pengukuran manajemen sumber daya TI yang ada saat ini. Skala likert menjadi salah satu metode untuk mengukur kinerja software, hardware, dan tata kelola laboratorium saat ini. Hasil pengukuran kemudian dievaluasi menggunakan framework Balance Scorecard (BSC dengan melalui beberapa tahapan dan penyelarasan strategi TI. Setelah mengetahui hasil evaluasi dan kendala-kendala apa saka yang ada dalam melakukan pengelolaan maka langkah berikutnya adalah menentukan bagaimana cara memperbaiki dan melakukan peningkatan tata kelola TI. COBIT 5 akan menjadi framework pelengkap untuk memperbaiki sekaligus memprediksi pengembangan manajemen sumber daya TI. Hasil penelitian ini menunjukkan bahwa integrase antara COBIT 5 dengan Balance Scorecard (BSC memberikan kemampuan dalam melakukan pengukuran tata kelola laboratorium serta memberikan kemampuan untuk meningkatkan pelayanan secara kontinyu.

  10. Classification and Prioritization of Strategic Plans in Balanced Score Card (BSC Model by Fuzzy Quality Function Deployment and Zero-One Goal Programming (ZOGP

    Directory of Open Access Journals (Sweden)

    mehdi pourmostafa

    2012-02-01

    Full Text Available Due to continuous changes in organizational environment, there is no warranty for long term survival in the market. Currently, those organizations can succeed that are agile and able to rapidly respond to environmental requirements. In this research a model has been proposed for applying proper strategies for achieving long term organizational success. The proposed model is an integration of Balanced Score Card (BSC approach, Fuzzy Quality Function Development (FQFD and Zero-One Goal Programming (ZOGP. In fact by BSC, appropriate strategic plans can be designed and prioritized by FQFD. Then, based on multiple objectives and existing problem constraints, feasible strategic plans are identified by ZOGP. Findings imply that decision making techniques can be well utilized in designing BSC through a structured methodology make improvement in all aspects and have a positive influence on organization's performance in long term .   Keywords : B alanced Score Card , Fuzzy Quality Function Development, Zero-One Goal Programming, Strategic plans

  11. The BSC implanting process in a nuclear research center in Brazil

    International Nuclear Information System (INIS)

    Oliveira, Cezar Augusto de; Guimaraes, Regia Ruth Ramirez; Filgueiras, Sergio Almeida Cunha

    2007-01-01

    The dynamics of the economical development founded due to the markets globalization and also to the increasing of the competition based on innovation, whose leadership belongs to the richest countries, presses for changes and moves the national and regional innovating systems. In a world of constant change, getting along with the external changes became one of the most relevant factors of the organizational success. Knowing and interpreting the external reality; monitoring the transformations; finding the opportunities and being able to answer fast and adequately; neutralize or minimize the threats: these and other abilities are constantly done by the most successful organizations, as part of a structured and conscious process focused on results . The technological research institutes were created in order to support the industries in their effort to overcome the competition by innovating. It is related, in last instance, to be an integrating part of the national or local innovating system, essential to the economical development and also to the improvement of life quality. However, they are put in this mutation atmosphere and fight for adapting to the new premises of the organizational success in order to have their mission fulfilled. In this context, the Development Center for Nuclear Technology - CDTN, makes an effort to adequate its strategically planning, by introducing and adapting the best administrating practices known nowadays. Among them, the Balanced Scorecard - BSC. This paper presents a brief form of each elaborating form of the strategic planning and also of the BSC implantation, it also clears up the level achieved by the organization and discusses the difficulties it faced. (author)

  12. A hybrid TOPSIS-BSC method for strategic planning

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Shojaee

    2012-09-01

    Full Text Available For years, tangible assets used to be the most important precious wealth of organizations. However, the recent advances in technology has changed this concept and today, intangible assets such as human resources, customers, processes are playing essential roles on making strategies. In this paper, we present a study to setup appropriate strategies using the implementation of balanced score card in four perspectives of customers, processes, learning and financial. The proposed study of this paper gathers important factors through three different brainstorming sessions and prioritize them using TOPSIS method. Based on the results of MCDM technique, selecting appropriate target market for penetration is the number one priority followed by having good accounting system and preparing for more diversified production. These are the most important items influencing strategic planning. Therefore, the study uses BSC for the first two important strategies and discusses possible actions for productivity improvement.

  13. Technical Work Plan for: Near Field Environment: Engineered System: Radionuclide Transport Abstraction Model Report

    Energy Technology Data Exchange (ETDEWEB)

    J.D. Schreiber

    2006-12-08

    This technical work plan (TWP) describes work activities to be performed by the Near-Field Environment Team. The objective of the work scope covered by this TWP is to generate Revision 03 of EBS Radionuclide Transport Abstraction, referred to herein as the radionuclide transport abstraction (RTA) report. The RTA report is being revised primarily to address condition reports (CRs), to address issues identified by the Independent Validation Review Team (IVRT), to address the potential impact of transport, aging, and disposal (TAD) canister design on transport models, and to ensure integration with other models that are closely associated with the RTA report and being developed or revised in other analysis/model reports in response to IVRT comments. The RTA report will be developed in accordance with the most current version of LP-SIII.10Q-BSC and will reflect current administrative procedures (LP-3.15Q-BSC, ''Managing Technical Product Inputs''; LP-SIII.2Q-BSC, ''Qualification of Unqualified Data''; etc.), and will develop related Document Input Reference System (DIRS) reports and data qualifications as applicable in accordance with prevailing procedures. The RTA report consists of three models: the engineered barrier system (EBS) flow model, the EBS transport model, and the EBS-unsaturated zone (UZ) interface model. The flux-splitting submodel in the EBS flow model will change, so the EBS flow model will be validated again. The EBS transport model and validation of the model will be substantially revised in Revision 03 of the RTA report, which is the main subject of this TWP. The EBS-UZ interface model may be changed in Revision 03 of the RTA report due to changes in the conceptualization of the UZ transport abstraction model (a particle tracker transport model based on the discrete fracture transfer function will be used instead of the dual-continuum transport model previously used). Validation of the EBS-UZ interface model

  14. Technical Work Plan for: Near Field Environment: Engineered Barrier System: Radionuclide Transport Abstraction Model Report

    International Nuclear Information System (INIS)

    J.D. Schreiber

    2006-01-01

    This technical work plan (TWP) describes work activities to be performed by the Near-Field Environment Team. The objective of the work scope covered by this TWP is to generate Revision 03 of EBS Radionuclide Transport Abstraction, referred to herein as the radionuclide transport abstraction (RTA) report. The RTA report is being revised primarily to address condition reports (CRs), to address issues identified by the Independent Validation Review Team (IVRT), to address the potential impact of transport, aging, and disposal (TAD) canister design on transport models, and to ensure integration with other models that are closely associated with the RTA report and being developed or revised in other analysis/model reports in response to IVRT comments. The RTA report will be developed in accordance with the most current version of LP-SIII.10Q-BSC and will reflect current administrative procedures (LP-3.15Q-BSC, ''Managing Technical Product Inputs''; LP-SIII.2Q-BSC, ''Qualification of Unqualified Data''; etc.), and will develop related Document Input Reference System (DIRS) reports and data qualifications as applicable in accordance with prevailing procedures. The RTA report consists of three models: the engineered barrier system (EBS) flow model, the EBS transport model, and the EBS-unsaturated zone (UZ) interface model. The flux-splitting submodel in the EBS flow model will change, so the EBS flow model will be validated again. The EBS transport model and validation of the model will be substantially revised in Revision 03 of the RTA report, which is the main subject of this TWP. The EBS-UZ interface model may be changed in Revision 03 of the RTA report due to changes in the conceptualization of the UZ transport abstraction model (a particle tracker transport model based on the discrete fracture transfer function will be used instead of the dual-continuum transport model previously used). Validation of the EBS-UZ interface model will be revised to be consistent with

  15. Estimation for aerial detection effectiveness with cooperation efficiency factors of early-warning aircraft in early-warning detection SoS under BSC framework

    Science.gov (United States)

    Zhu, Feng; Hu, Xiaofeng; He, Xiaoyuan; Guo, Rui; Li, Kaiming; Yang, Lu

    2017-11-01

    In the military field, the performance evaluation of early-warning aircraft deployment or construction is always an important problem needing to be explored. As an effective approach of enterprise management and performance evaluation, Balanced Score Card (BSC) attracts more and more attentions and is studied more and more widely all over the world. It can also bring feasible ideas and technical approaches for studying the issue of the performance evaluation of the deployment or construction of early-warning aircraft which is the important component in early-warning detection system of systems (SoS). Therefore, the deep explored researches are carried out based on the previously research works. On the basis of the characteristics of space exploration and aerial detection effectiveness of early-warning detection SoS and the cardinal principle of BSC are analyzed simply, and the performance evaluation framework of the deployment or construction of early-warning aircraft is given, under this framework, aimed at the evaluation issue of aerial detection effectiveness of early-warning detection SoS with the cooperation efficiency factors of the early-warning aircraft and other land based radars, the evaluation indexes are further designed and the relative evaluation model is further established, especially the evaluation radar chart being also drawn to obtain the evaluation results from a direct sight angle. Finally, some practical computer simulations are launched to prove the validity and feasibility of the research thinking and technologic approaches which are proposed in the paper.

  16. Education of 'nuclear' students (BSc and MSc curricula) at the Faculty of Nuclear Science and Physical Engineering, Czech Technical University in Prague

    International Nuclear Information System (INIS)

    Matejka, K.; Zeman, J.

    2003-01-01

    The Faculty of Nuclear Science and Physical Engineering, Czech Technical University in Prague has been educating nuclear power engineering experts for nearly half a century. The article describes the current status and prospects of education of new specialists at the faculty for all nuclear power-related areas within the MSc and BSc level curricula. The current transition to 'European type' structured education, enabling students who have graduated from the BSc programme to continue smoothly their MSc programme, is outlined. The major courses of the 'Nuclear Engineering' educational specialisation, focused on nuclear power, environment, and dosimetry, are highlighted, including the number of lessons taught in each study year. (author)

  17. Measurement of the Strategic Performance of Hospitality in the Kingdom of Saudi Arabia: a balanced scorecard Approach (BSC

    Directory of Open Access Journals (Sweden)

    Mohamed A.M. El-Hindawy, Dr.

    2014-06-01

    Full Text Available In this paper, we planned to realize the marketing managers’ perceptions through their perception of Strategic Performance Dimension of view and the Balanced scorecard (BSC technique for the Measurement of the Strategic Performance.The respondents in this study were a group of Marketing managers working in the Hospitality Sector (Experiences in number of years of Madina, Saudi Arabia Hospitality. It has been observed trough literature and a limited Marketing Managers’ survey that only financial perspective measures are used with objectives. Balanced Score Card (BSC enables to measure objectives across four perspectives: (1 the financial perspective, (2 the customer perspective, (3 the internal business process perspective, and (4 the learning and growth perspective. Hypothesis is formulated about the relationship between perception of managers about the Dimension of view and the Balanced Score Card (BSC and the years of Experience. We also designed a questionnaire that was distributed to a population of 130 Marketing managers in the field of Hospitality. The year of study was 2011, with Marketing managers’ survey instruments that measure Balanced Score Card Dimension. The result of the study shows that there are significant differences between the three types of Hospitality Marketing managers’ (Experience in number of years:1-3years, 3-6years, more than 6years. After discussing the findings, some policy implications are suggested for the Hospitality, as well to practitioners seeking an understanding of a practical managerial tool. Limitations of the study are highlighted and further research discussions are suggested.

  18. Measurement of dinitrogen fixation by Biological soil crust (BSC) from the Sahelian zone: an isotopic method.

    Science.gov (United States)

    Ehrhardt, F.; Alavoine, G.; Bertrand, I.

    2012-04-01

    Amongst the described ecological roles of Biological Soil Crust, N fixation is of importance for soil fertility, especially in arid and semi-arid ecosystems with low inputs. In BSC, the quantification of N fixation fluxes using an indirect method is widespread, usually with the Acetylene Reduction Assay (ARA) which consists in measuring the nitrogenase activity through the process of acetylene reduction into ethylene. A converting factor, still discussed in the literature and greatly depending of the constitutive organisms of the BSC, is the tool used to convert the amount of reduced ethylene into quantitative fixed Nitrogen. The aim of this poster is to describe an isotopic direct method to quantify the atmospheric dinitrogen fixation fluxes in BSC, while minimizing the variability due to manipulations. Nine different BSC from the Sahelian zone were selected and placed in an incubation room at 28° C in dark and light conditions during three days, while moisture equivalent to pF=2 was regularly adjusted using the gravimetric method with needles and deionized water, in order to activate and reach a dynamic stability of their metabolisms. Subsequently, each crust was placed into a gas-tight glass vial for incubation with a reconstituted 15N2 enriched atmosphere (31.61 % atom 15N, while the proportion of each main gas present in the air was conserved, i.e. 78% N2, 21% O2 and 0.04% CO2). Principal difficulties are to guarantee the airtighness of the system, to avoid crust desiccation and to keep the crust metabolically active under stable conditions for six hours. Several tests were performed to determine the optimum time for 15N2 incubation. Three replicated control samples per crust were also stabilized for three days and then dried at 105° C, without any incubation with 15N2 enriched atmosphere. Total N and 15N were then measured in the grounded (80μm) and dried (105° C) crust, using a Flash EA elemental analyzer (Eurovector, Milan, Italy) coupled to a Delta

  19. Performance measurement in governmental agencies using BSC-AHP: A case study of Civil Registry Office in Tehran

    Directory of Open Access Journals (Sweden)

    Ahmad Valashjerdi Majd Abad Kohneh

    2013-04-01

    Full Text Available Measuring the performance of governmental organizations plays an important role on increasing public satisfaction in any society. One of the effective models for assessing the organizations performance is balance scorecard (BSC model, which investigates all aspects of organizations. In this paper, we use a hybrid of analytical hierarchy process along with BSC to measure the performance of five different civil registry offices in Tehran, Iran. We use fuzzy terms to handle uncertainty in input numbers and using some technique convert fuzzy numbers into crisp values. The results of our survey indicate that learning and development is number one priority with relative importance of 0.491, followed by customer with relative importance of 0.293, internal process with relative importance of 0.173 and financial affairs comes at last with relative weight of 0.043. The study uses organizational researchers, training, quality, customer satisfaction, performance measurement, expenses and annual budget as major components for analyzing five regions. We have also performed sensitivity analysis to see the effects of different changes on ranking.

  20. Metodo integrado para la gestion de Universidades basado en el Balanced Scorecard (bsc y el modelo europeo de calidad (efqm: caso U.C.S.M.

    Directory of Open Access Journals (Sweden)

    Horacio Vicente Barreda Tamayo

    2010-12-01

    Full Text Available El presente Trabajo realiza la propuesta de un Método Integrado que permite mejorar la competitividad en la Gestión de las Universidades, este método se basa: En una herramienta de Gestión Estratégica: el Balanced Scorecard (BSC, que fue creada por Kaplan y Norton en 1992; y En el Modelo Europeo de Calidad (EFQM, que fue desarrollado como un Modelo de Excelencia en 1991. La metodología utilizada consiste en analizar las características, ventajas y limitaciones del BSC y el EFQM para aplicarlos simultáneamente en la gestión de Tomando como base los 9 criterios del EFQM, se desarrolla un Mapa Estratégico del BSC, para que se alineen todas las perspectivas hacia el logro de los Objetivos Estratégicos de la Organización. El método integrado planteado se aplica en el caso de la Universidad Católica de Santa María (Arequipa- Perú, donde se analiza las ventajas que implicaría la implementación del mismo.

  1. Balanced Score Card (BSC sebagai Alternatif Pengukuran Kinerja Lembaga Pendidikan

    Directory of Open Access Journals (Sweden)

    Siti Julaiha

    2011-12-01

    Full Text Available Educational institutions can function well if the its performance can be measured clearly. Educational institutions should be empowered towards optimal empowerment, by developing schools with strategic planning, a vision and mission, an independent school, empowering the community by many efforts to increase the role and participation of the community through school committees. To make schools as an education institution in high quality, it needs to be evaluated and controlled. The School achieved can be said that the institution is measurable. One alternative is offered in measuring the performance of schools is known by the Balanced Scorecard (BSC. Balanced Scorecard was introduced by Robert Kaplan and David Norton by understanding the school's mission and strategy into objectives and measures, which are arranged in four perspectives, namely financial perspective, customer perspective, internal business perspective and the perspective of learning.

  2. A BSC- EFQM method for evaluating and detecting performance measurement criteria: A case study of Malavan Footbal team

    Directory of Open Access Journals (Sweden)

    Heydar Shojaee Vazhnani

    2013-08-01

    Full Text Available This paper presents an empirical investigation to find important criteria for performance measurement based on two methods of balanced score card (BSC as well as European Foundation of Quality Management (EFQM methods. In order to determine the mission, vision, strategy and values we first review different documents including International Federation of football documentations, AFC and Football Federation of the Islamic Republic of Iran and Charter Club. Next, we determine the necessary criteria for performance measurement using interview with decision makers, design a questionnaire and distribute it among 57 players and coaching staff as well as experts, veterans and supporters club. Next, we study the results using t-student test and analyze them. The results are categorized in terms of four criteria of BSC method including internal processes, learning and growth, costumer and financial. In addition, key performance results based on the Excellence Model are classified according to nine areas of leadership, strategy, human resources, partnerships and resources, processes, customer results, human resource results and society.

  3. Diet History Questionnaire: Database Revision History

    Science.gov (United States)

    The following details all additions and revisions made to the DHQ nutrient and food database. This revision history is provided as a reference for investigators who may have performed analyses with a previous release of the database.

  4. Fatores que Influenciam a Adoção do Balanced Scorecard (BSC em uma Cooperativa Agroindustrial: Um Estudo com Base na Teoria de Difusão de Inovação

    Directory of Open Access Journals (Sweden)

    Antonio Carlos Vaz Lopes

    2015-11-01

    Full Text Available Este trabalho tem por objetivo compreender o processo de adoção, implementação e utilização de uma inovação do tipo organizacional, no caso o (BSC, em uma cooperativa agroindustrial usando a Teoria da Difusão de Inovação (TDI. Foi utilizada a pesquisa qualitativa e a estratégia de estudo de caso único, os dados foram coletados principalmente por meio de entrevistas semiestruturadas em profundidade com os principais atores envolvidos no processo e documentos da empresa. A adoção do BSC foi motivada principalmente pela busca de eficiência organizacional em relação ao sistema utilizado para avaliação de desempenho, tradução, comunicação, implementação e gestão da estratégia e a decisão tomada pela alta administração que participou ativamente no processo e concedeu todo o apoio necessário para que o mesmo fizesse parte da rotina da empresa. A elaboração e a implementação do BSC foi capitaneada pela equipe interna que adotou abordagem participativa envolvendo gerentes de todos os níveis da organização que atuaram como agentes promotores de mudança e lideres de opinião. Conclui-se que os atributos de inovação: vantagem relativa, facilidade de uso e compatibilidade foram os principais influenciadores de adoção do BSC. Assim, a TDI pode ser utilizada para auxiliar no processo de decisão do BSC.

  5. Ramucirumab for Treating Advanced Gastric Cancer or Gastro-Oesophageal Junction Adenocarcinoma Previously Treated with Chemotherapy: An Evidence Review Group Perspective of a NICE Single Technology Appraisal.

    Science.gov (United States)

    Büyükkaramikli, Nasuh C; Blommestein, Hedwig M; Riemsma, Rob; Armstrong, Nigel; Clay, Fiona J; Ross, Janine; Worthy, Gill; Severens, Johan; Kleijnen, Jos; Al, Maiwenn J

    2017-12-01

    The National Institute for Health and Care Excellence (NICE) invited the company that manufactures ramucirumab (Cyramza ® , Eli Lilly and Company) to submit evidence of the clinical and cost effectiveness of the drug administered alone (monotherapy) or with paclitaxel (combination therapy) for treating adults with advanced gastric cancer or gastro-oesophageal junction (GC/GOJ) adenocarcinoma that were previously treated with chemotherapy, as part of the Institute's single technology appraisal (STA) process. Kleijnen Systematic Reviews Ltd (KSR), in collaboration with Erasmus University Rotterdam, was commissioned to act as the Evidence Review Group (ERG). This paper describes the company's submission, the ERG review, and NICE's subsequent decisions. Clinical effectiveness evidence for ramucirumab monotherapy (RAM), compared with best supportive care (BSC), was based on data from the REGARD trial. Clinical effectiveness evidence for ramucirumab combination therapy (RAM + PAC), compared with paclitaxel monotherapy (PAC), was based on data from the RAINBOW trial. In addition, the company undertook a network meta-analysis (NMA) to compare RAM + PAC with BSC and docetaxel. Cost-effectiveness evidence of monotherapy and combination therapy relied on partitioned survival, cost-utility models. The base-case incremental cost-effectiveness ratio (ICER) of the company was £188,640 (vs BSC) per quality-adjusted life-year (QALY) gained for monotherapy and £118,209 (vs BSC) per QALY gained for combination therapy. The ERG assessment indicated that the modelling structure represented the course of the disease; however, a few errors were identified and some of the input parameters were challenged. The ERG provided a new base case, with ICERs (vs BSC) of £188,100 (monotherapy) per QALY gained and £129,400 (combination therapy) per QALY gained and conducted additional exploratory analyses. The NICE Appraisal Committee (AC), considered the company's decision problem was in

  6. Emotion Processes in Knowledge Revision

    Science.gov (United States)

    Trevors, Gregory J.; Kendeou, Panayiota; Butterfuss, Reese

    2017-01-01

    In recent years, a number of insights have been gained into the cognitive processes that explain how individuals overcome misconceptions and revise their previously acquired incorrect knowledge. The current study complements this line of research by investigating the moment-by-moment emotion processes that occur during knowledge revision using a…

  7. A new approach to analyze strategy map using an integrated BSC and FUZZY DEMATEL

    Directory of Open Access Journals (Sweden)

    Seyed Abdollah Heydariyeh

    2012-01-01

    Full Text Available Today, with ever-increasing competition in global economic conditions, the necessity of effective implementation of strategy map has become an inevitable and necessary. The strategy map represents a general and structured framework for strategic objectives and plays an important role in forming competitive advantages for organizations. It is important to find important factors influencing strategy map and prioritize them based on suitable factors. In this paper, we propose an integration of BSC and Fuzzy DEMATEL technique to rank different items influencing strategy of a production plan. The proposed technique is implemented for real-world case study of glass production.

  8. Expedited technology demonstration project (Revised mixed waste management facility project) Project baseline revision 4.0 and FY98 plan

    International Nuclear Information System (INIS)

    Adamson, M. G.

    1997-01-01

    The re-baseline of the Expedited Technology Demonstration Project (Revised Mixed Waste Facility Project) is designated as Project Baseline Revision 4.0. The last approved baseline was identified as Project Baseline Revision 3.0 and was issued in October 1996. Project Baseline Revision 4.0 does not depart from the formal DOE guidance followed by, and contained in, Revision 3.0. This revised baseline document describes the MSO and Final Forms testing activities that will occur during FY98, the final year of the ETD Project. The cost estimate for work during FY98 continues to be $2.OM as published in Revision 3.0. However, the funds will be all CENRTC rather than the OPEX/CENTRC split previously anticipated. LLNL has waived overhead charges on ETD Project CENRTC funds since the beginning of project activities. By requesting the $2.OM as all CENTRC a more aggressive approach to staffing and testing can be taken. Due to a cost under- run condition during FY97 procurements were made and work was accomplished, with the knowledge of DOE, in the Feed Preparation and Final Forms areas that were not in the scope of Revision 3.0. Feed preparation activities for FY98 have been expanded to include the drum opening station/enclosure previously deleted

  9. Metodo integrado para la gestion de Universidades basado en el Balanced Scorecard (bsc y el modelo europeo de calidad (efqm: caso U.C.S.M.

    Directory of Open Access Journals (Sweden)

    Edwing Jesús Ticse Villanueva

    2010-06-01

    Full Text Available http://dx.doi.org/10.5007/1983-4535.2010v3n1p01   El presente Trabajo realiza la propuesta de un Método Integrado  que permite mejorar la competitividad en la Gestión de las Universidades, este método se basa: En una herramienta de Gestión Estratégica: el Balanced Scorecard (BSC, que fue creada por Kaplan y Norton en 1992; y En el Modelo  Europeo de Calidad (EFQM, que fue desarrollado como un Modelo de Excelencia en 1991. La metodología utilizada consiste en analizar las características, ventajas y limitaciones del BSC y el EFQM para aplicarlos simultáneamente en la gestión de Tomando como base los 9 criterios del EFQM, se desarrolla un Mapa Estratégico del BSC, para que se alineen todas las perspectivas hacia el logro de los Objetivos Estratégicos de la Organización. El método integrado planteado se aplica en el caso de la Universidad Católica de Santa María (Arequipa- Perú, donde se analiza las ventajas que implicaría la implementación del mismo

  10. APLICAÇÃO DO BALANCED SCORECARD – (BSC COMO FERRAMENTA DE GESTÃO GERENCIAL NUMA DISTRIBUIDORA DE INSUMOS AGRÍCOLAS DE MOSSORÓ-RN: um estudo de caso

    Directory of Open Access Journals (Sweden)

    Amanda Gomes de Assis

    2016-08-01

    Full Text Available As questões da globalização e da alta competitividade forçam as organizações a buscarem ferramentas de gestão que auxiliam na tomada de decisão e possibilitem longevidade e sustentabilidade. Esta situação manifesta-se tanto em grandes, pequenas e micro empresas, independente do ramo de atividade. É conveniente nesse cenário competitivo a implantação de ferramentas de gestão estratégicas como o Balanced Scrorecard (BSC, que é um sistema que deve ser implantado de acordo com a estratégia, visão e missão da empresa, com o intuito de colocar em prática o que está estabelecido nesses três pilares. Essa ferramenta está fundamentada em quatro perspectivas: financeira, cliente, processos internos e inovação e aprendizado. Este trabalho tem como objetivo apresentar uma proposta de implantação do BSC numa distribuidora de insumos agrícolas de Mossoró-RN e demonstrar que é possível implantar essa ferramenta de gestão numa pequena empresa. A metodologia aplicada qualifica-se como estudo de caso. As informações da empresa foram coletadas através de entrevista com o proprietário. Para o referencial teórico foi realizada uma pesquisa bibliográfica de caráter exploratório. Como resultados estão apresentados: as estratégias, os objetivos e os indicadores nas quatro perspectivas do BSC, evidenciando a possibilidade de implantação desse sistema de gestão numa pequena empresa. É importante ressaltar que algumas das ações sugeridas por esse trabalho, foram implantadas, proporcionando resultados satisfatórios.   Changes on the world stage in terms of technology, economy, society, among others, forcing organizations to seek management tools that assist in the evaluation of their performance and enable longevity. It is appropriate in this competitive scenario the implementation of strategic management tools such as Balanced Scrorecard (BSC, which is a system that must be implemented according to the strategy, vision

  11. Humeral windows in revision total elbow arthroplasty.

    Science.gov (United States)

    Peach, Chris A; Salama, Amir; Stanley, David

    2016-04-01

    The use of cortical windows for revision elbow arthroplasty has not previously been widely reported. Their use aids safe revision of a well fixed humeral prosthesis and can be used in the setting of dislocation, periprosthetic fracture or aseptic loosening of the ulnar component. We describe our technique and results of cortical windows in the distal humerus for revision elbow arthroplasty surgery.

  12. Development of numerical Grids for UZ Flow and Transport Modeling

    International Nuclear Information System (INIS)

    P. Dobson

    2004-01-01

    This report describes the methods used to develop numerical grids of the unsaturated hydrogeologic system beneath Yucca Mountain, Nevada. Numerical grid generation is an integral part of the development of the unsaturated zone (UZ) flow and transport model, a complex, three-dimensional (3-D) model of Yucca Mountain. This revision contains changes made to improve the clarity of the description of grid generation. The numerical grids, developed using current geologic, hydrogeologic, and mineralogic data, provide the necessary framework to: (1) develop calibrated hydrogeologic property sets and flow fields, (2) test conceptual hypotheses of flow and transport, and (3) predict flow and transport behavior under a variety of climatic and thermal-loading conditions. The technical scope, content, and management for the current revision of this report are described in the planning document ''Technical Work Plan for: Unsaturated Zone Flow Analysis and Model Report Integration'' (BSC 2004 [DIRS 169654], Section 2). Grids generated and documented in this report supersede those documented in Revision 00 of this report, ''Development of Numerical Grids for UZ Flow and Transport Modeling'' (BSC 2001 [DIRS 159356]). The grids presented in this report are the same as those developed in Revision 01 (BSC 2003 [DIRS 160109]); however, the documentation of the development of the grids in Revision 02 has been updated to address technical inconsistencies and achieve greater transparency, readability, and traceability. The constraints, assumptions, and limitations associated with this report are discussed in the appropriate sections that follow

  13. Technical Work Plan for: Additional Multiscale Thermohydrologic Modeling

    International Nuclear Information System (INIS)

    B. Kirstein

    2006-01-01

    The primary objective of Revision 04 of the MSTHM report is to provide TSPA with revised repository-wide MSTHM analyses that incorporate updated percolation flux distributions, revised hydrologic properties, updated IEDs, and information pertaining to the emplacement of transport, aging, and disposal (TAD) canisters. The updated design information is primarily related to the incorporation of TAD canisters, but also includes updates related to superseded IEDs describing emplacement drift cross-sectional geometry and layout. The intended use of the results of Revision 04 of the MSTHM report, as described in this TWP, is to predict the evolution of TH conditions (temperature, relative humidity, liquid-phase saturation, and liquid-phase flux) at specified locations within emplacement drifts and in the adjoining near-field host rock along all emplacement drifts throughout the repository. This information directly supports the TSPA for the nominal and seismic scenarios. The revised repository-wide analyses are required to incorporate updated parameters and design information and to extend those analyses out to 1,000,000 years. Note that the previous MSTHM analyses reported in Revision 03 of Multiscale Thermohydrologic Model (BSC 2005 [DIRS 173944]) only extend out to 20,000 years. The updated parameters are the percolation flux distributions, including incorporation of post-10,000-year distributions, and updated calibrated hydrologic property values for the host-rock units. The applied calibrated hydrologic properties will be an updated version of those available in Calibrated Properties Model (BSC 2004 [DIRS 169857]). These updated properties will be documented in an Appendix of Revision 03 of UZ Flow Models and Submodels (BSC 2004 [DIRS 169861]). The updated calibrated properties are applied because they represent the latest available information. The reasonableness of applying the updated calibrated' properties to the prediction of near-fieldin-drift TH conditions

  14. O BSC COMO SUPORTE NO DIAGNÓSTICO ORGANIZACIONAL DE GESTÃO DO CONHECIMENTO PROPOSTO PELO COMMONKADS: POSSIBILIDADES E PONTOS CRÍTICOS

    Directory of Open Access Journals (Sweden)

    Cláudia V. Viegas

    2006-08-01

    Full Text Available O CommonKADS, modelo de Engenharia e Gestão do Conhecimento desenvolvido por Schreiber et al. (2002, concebe o conhecimento em relação ao propósito e ao contexto, focado na ação. Nesse sentido, atesta que entre os benefícios esperados de um sistema de conhecimento estão o aumento da rapidez e a melhoria da qualidade na tomada de decisão. No entanto, apresenta pouco suporte quanto a mensurações em seus passos iniciais, voltados à definição dos modelos da organização, do agente e da tarefa. Por isso, o presente artigo propõe a utilização do Balanced Scorecard (BSC - um sistema de avaliação de desempenho formulado por Kaplan e Norton (1997 que busca o equilíbrio entre indicadores financeiros e não-financeiros - como apoio às etapas iniciais do CommonKADS. Supõe-se que o BSC, por estar relacionado aos processos de formulação e implementação de estratégias necessárias à tomada de decisão, possa contemplar mais detalhadamente os propósitos preliminares do CommonKADS. O artigo também leva em consideração abordagens críticas ao BSC e a sua relação com a Gestão do Conhecimento, incorporando-as para atender de modo mais adequado a proposta de integração entre este sistema e o CommonKADS, concebido por Schreiber et al. (2002. Palavras-chave: CommonKADS. Balanced Scorecard. Gestão do Conhecimento. Estratégia.

  15. WAPDEG Analysis of Waste Package and Drip shield Degradation

    International Nuclear Information System (INIS)

    K. Mon

    2004-01-01

    As directed by ''Technical Work Plan for: Regulatory Integration Modeling and Analysis of the Waste Form and Waste Package'' (BSC 2004 [DIRS 171583]), an analysis of the degradation of the engineered barrier system (EBS) drip shields and waste packages at the Yucca Mountain repository is developed. The purpose of this activity is to provide the TSPA with inputs and methodologies used to evaluate waste package and drip shield degradation as a function of exposure time under exposure conditions anticipated in the repository. This analysis provides information useful to satisfy ''Yucca Mountain Review Plan, Final Report'' (NRC 2003 [DIRS 163274]) requirements. Several features, events, and processes (FEPs) are also discussed (Section 6.2, Table 15). The previous revision of this report was prepared as a model report in accordance with AP-SIII.10Q, Models. Due to changes in the role of this report since the site recommendation, it no longer contains model development. This revision is prepared as a scientific analysis in accordance with AP-SIII.9Q, ''Scientific Analyses'' and uses models previously validated in (1) ''Stress Corrosion Cracking of the Drip Shield, the Waste Package Outer Barrier, and the Stainless Steel Structural Material'' (BSC 2004 [DIRS 169985]); (2) ''General Corrosion and Localized Corrosion of Waste Package Outer Barrier'' (BSC 2004 [DIRS 169984]); and (3) ''General Corrosion and Localized Corrosion of Drip Shield'' (BSC 2004 [DIRS 169845]). The integrated waste package degradation (IWPD) analysis presented in this report treats several implementation-related issues, such as defining the number and size of patches per waste package that undergo stress corrosion cracking; recasting the weld flaw analysis in a form as implemented in the Closure Weld Defects (CWD) software; and, general corrosion rate manipulations (e.g., change of scale in Section 6.3.4). The weld flaw portion of this report takes input from an engineering calculation (BSC 2004

  16. A framework to select commercial bank partner using fuzzy BSC-DEA method

    Directory of Open Access Journals (Sweden)

    Moussa Azarbad

    2011-10-01

    Full Text Available One of the primary concerns of many corporate organizations is to assess the weakness and strength of their future partners in an attempt to reduce all potential risks involved with them. In this paper, we present a BSC-DEA based model to indentify strengths, weaknesses, opportunities and threats of a firm. The proposed model of this paper assumes there are various uncertainties associated with all input/output parameters and uses fuzzy numbers to handle the uncertainties. We also consider a real-world case study of banking industry where four major banks are possible candidates of a partnership and implement the proposed model of this paper for this case study. The results of this study reveal some of the issues such as weakness of electronic banking, services and resource allocation as part of their infrastructure problems.

  17. Carlsbad Area Office strategic plan, March 1995. Revision 1

    International Nuclear Information System (INIS)

    1995-03-01

    This edition of the Carlsbad Area Office Strategic Plan captures the US Department of Energy's (DOE's) new focus, and supersedes the edition issued previously (DOE, 1993a). This revision reflects: a revised strategy designed to demonstrate compliance with environmental regulations earlier than the previous course of action; and a focus on establishment of standardized transuranic waste characterization and acceptance criteria for disposal facilities

  18. A cause and effect two-stage BSC-DEA method for measuring the relative efficiency of organizations

    Directory of Open Access Journals (Sweden)

    Seyed Esmaeel Najafi

    2011-01-01

    Full Text Available This paper presents an integration of balanced score card (BSE with two-stage data envelopment analysis (DEA. The proposed model of this paper uses different financial and non-financial perspectives to evaluate the performance of decision making units in different BSC stages. At each stage, a two-stage DEA method is implemented to measure the relative efficiency of decision making units and the results are monitored using the cause and effect relationships. An empirical study for a banking sector is also performed using the method developed in this paper and the results are briefly analyzed.

  19. Revised licensee event report system

    International Nuclear Information System (INIS)

    Mays, G.T.; Poore, W.P.

    1985-01-01

    Licensee Event Reports (LERs) provide the basis for evaluating and assessing operating experience information from nuclear power plants. The reporting requirements for submitting LERs to the Nuclear Regulatory Commission have been revised. Effective Jan. 1, 1984, all events were to be submitted in accordance with 10 CFR 50.73 of the Code of Federal Regulations. Report NUREG-1022, Licensee Event Report System-Description of System and Guidelines for Reporting, describes the guidelines on reportability of events. This article summarizes the reporting requirements as presented in NUREG-1022, high-lights differences in data reported between the revised and previous LER systems, and presents results from a preliminary assessment of LERs submitted under the revised LER reporting system

  20. Revised SWAT. The integrated burnup calculation code system

    International Nuclear Information System (INIS)

    Suyama, Kenya; Mochizuki, Hiroki; Kiyosumi, Takehide

    2000-07-01

    SWAT is an integrated burnup code system developed for analysis of post irradiation examination, transmutation of radioactive waste, and burnup credit problem. This report shows an outline and a user's manual of revised SWAT. This revised SWAT includes expansion of functions, increasing supported machines, and correction of several bugs reported from users of previous SWAT. (author)

  1. Revised SWAT. The integrated burnup calculation code system

    Energy Technology Data Exchange (ETDEWEB)

    Suyama, Kenya; Mochizuki, Hiroki [Department of Fuel Cycle Safety Research, Nuclear Safety Research Center, Tokai Research Establishment, Japan Atomic Energy Research Institute, Tokai, Ibaraki (Japan); Kiyosumi, Takehide [The Japan Research Institute, Ltd., Tokyo (Japan)

    2000-07-01

    SWAT is an integrated burnup code system developed for analysis of post irradiation examination, transmutation of radioactive waste, and burnup credit problem. This report shows an outline and a user's manual of revised SWAT. This revised SWAT includes expansion of functions, increasing supported machines, and correction of several bugs reported from users of previous SWAT. (author)

  2. Revision hip preservation surgery with hip arthroscopy: clinical outcomes.

    Science.gov (United States)

    Domb, Benjamin G; Stake, Christine E; Lindner, Dror; El-Bitar, Youseff; Jackson, Timothy J

    2014-05-01

    To analyze and report the clinical outcomes of a cohort of patients who underwent revision hip preservation with arthroscopy and determine predictors of positive and negative outcomes. During the study period from April 2008 to December 2010, all patients who underwent revision hip preservation with arthroscopy were included. This included patients who had previous open surgery and underwent revision with arthroscopy. Patient-reported outcome (PRO) scores were obtained preoperatively and at 3-month, 1-year, 2-year, and 3-year follow-up time points. Any revision surgeries and conversions to total hip arthroplasty were noted. A multiple regression analysis was performed to look for positive and negative predictive factors for improvement in PROs after revision hip arthroscopy. Forty-seven hips in 43 patients had completed 2 years' follow-up or needed total hip arthroplasty. The mean length of follow-up was 29 months (range, 24 to 47 months). Of the hips, 31 (66%) had either unaddressed or incompletely treated femoroacetabular impingement. There was a significant improvement in all PRO scores at a mean of 29 months after revision (P arthroscopy can achieve moderately successful outcomes and remains a viable treatment strategy after failed primary hip preservation surgery. Preoperative predictors of success after revision hip arthroscopy include segmental labral defects, unaddressed or incompletely addressed femoroacetabular impingement, heterotopic ossification, and previous open surgery. Level IV, therapeutic case series. Copyright © 2014 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  3. Development of a Framework for Sustainable Outsourcing: Analytic Balanced Scorecard Method (A-BSC

    Directory of Open Access Journals (Sweden)

    Fabio De Felice

    2015-06-01

    Full Text Available Nowadays, many enterprises choose to outsource its non-core business to other enterprises to reduce cost and increase the efficiency. Many enterprises choose to outsource their supply chain management (SCM and leave it to a third-party organization in order to improve their services. The paper proposes an integrated and multicriteria tool useful to monitor and to improve performance in an outsourced supply chain. The Analytic Balanced Scorecard method (A-BSC is proposed as an effective method useful to analyze strategic performance within an outsourced supply chain. The aim of the paper is to present the integration of two methodologies: Balanced Scorecard, a multiple perspective framework for performance assessment, and Analytic Hierarchy Process, a decision-making tool used to prioritize multiple performance perspectives and to generate a unified metric. The development of the framework is aimed to provide a performance analysis to achieve better sustainability performance of supply chain. A real case study concerning a typical value chain is presented.

  4. HEDR modeling approach: Revision 1

    International Nuclear Information System (INIS)

    Shipler, D.B.; Napier, B.A.

    1994-05-01

    This report is a revision of the previous Hanford Environmental Dose Reconstruction (HEDR) Project modeling approach report. This revised report describes the methods used in performing scoping studies and estimating final radiation doses to real and representative individuals who lived in the vicinity of the Hanford Site. The scoping studies and dose estimates pertain to various environmental pathways during various periods of time. The original report discussed the concepts under consideration in 1991. The methods for estimating dose have been refined as understanding of existing data, the scope of pathways, and the magnitudes of dose estimates were evaluated through scoping studies

  5. Revisions of K/Ar ages for the Hadar hominid site, Ethiopia

    Energy Technology Data Exchange (ETDEWEB)

    Walter, R.C.; Aronson, J.L. (Case Western Reserve Univ., Cleveland, OH (USA). Dept. of Geology)

    1982-03-11

    Conventional K/Ar age measurements are reported for two volcanic units from the hominid-bearing Hadar Formation. These ages represent revision of previously published ages for the BKT-2 tephra and the Kadada Moumou basalt. BKT-2 is revised from 2.65 to 2.9 Myr BP and the Kadada Moumou basalt is revised from 3.0 to 3.6 Myr BP.

  6. Ventriculoperitoneal shunt complications needing shunt revision in children: A review of 5 years of experience with 48 revisions

    Directory of Open Access Journals (Sweden)

    Rajendra K Ghritlaharey

    2012-01-01

    Full Text Available Background: The aim of this study was to review the management of ventriculoperitoneal (VP shunt complications in children. Patients and Methods: During the last 5 years (January 1, 2006 to December 31, 2010, 236 VP shunt operations were performed in children under 12 years of age; of these, 40 (16.94% developed shunt complications and those who underwent VP shunt revisions were studied. Results: This prospective study included 40 (28 boys and 12 girls children and required 48 shunt revisions. Complications following VP shunts that required shunt revisions were peritoneal catheter/peritoneal end malfunction (18, shunt/shunt tract infections (7, extrusion of peritoneal catheter through anus (5, ventricular catheter malfunction (4, cerebrospinal fluid (CSF leak from abdominal wound (4, shunt system failure (2, ventricular end/shunt displacement (2, CSF pseudocysts peritoneal cavity (2, extrusion of peritoneal catheter from neck, chest, abdominal scar and through umbilicus, one each. Four-fifth of these shunt complications occurred within 6 months of previous surgery. Surgical procedures done during shunt revisions in order of frequency were revision of peritoneal part of shunt (27, 56.25%, revision of entire shunt system (6, 12.5%, extra ventricular drainage and delayed re-shunt (5, 10.41%, shunt removal and delayed re-shunt (5, 10.41%, opposite side shunting (2, 4.16%, cysts excision and revision of peritoneal catheter (2, 4.16% and revision of ventricular catheter (1, 2.08%. The mortalities following VP shunt operations were 44 (18.64% and following shunt revisions were 4 (10%. Conclusions: VP shunt done for hydrocephalus in children is not only prone for complications and need for revision surgery but also associated with considerable mortality.

  7. Postoperative pain outcomes after transvaginal mesh revision.

    Science.gov (United States)

    Danford, Jill M; Osborn, David J; Reynolds, W Stuart; Biller, Daniel H; Dmochowski, Roger R

    2015-01-01

    Although the current literature discusses mesh complications including pain, as well as suggesting different techniques for removing mesh, there is little literature regarding pain outcomes after surgical removal or revision. The purpose of this study is to determine if surgical removal or revision of vaginal mesh improves patient's subjective complaints of pelvic pain associated with original placement of mesh. After obtaining approval from the Vanderbilt University Medical Center Institutional Review Board, a retrospective review of female patients with pain secondary to previous mesh placement who underwent excision or revision of vaginal mesh from January 2000 to August 2012 was performed. Patient age, relevant medical history including menopause status, previous hysterectomy, smoking status, and presence of diabetes, fibromyalgia, interstitial cystitis, and chronic pelvic pain, was obtained. Patients' postoperative pain complaints were assessed. Of the 481 patients who underwent surgery for mesh revision, removal or urethrolysis, 233 patients met our inclusion criteria. One hundred and sixty-nine patients (73 %) reported that their pain improved, 19 (8 %) reported that their pain worsened, and 45 (19 %) reported that their pain remained unchanged after surgery. Prior history of chronic pelvic pain was associated with increased risk of failure of the procedure to relieve pain (OR 0.28, 95 % CI 0.12-0.64, p = 0.003). Excision or revision of vaginal mesh appears to be effective in improving patients' pain symptoms most of the time. Patients with a history of chronic pelvic pain are at an increased risk of no improvement or of worsening pain.

  8. Effects of Changing the Pedagogical Concept of a Part-time BSc in Accounting from Traditional Lectures into an IT-supported Asyncronous and Flexible Learning Concept - Part 1

    DEFF Research Database (Denmark)

    Rasmussen, Tage; Holm, Claus; Dalgas, Annemarie

    2000-01-01

    This paper reports on the results of a change of the pedagogical concept in the second part of a four-year BSc program in Accounting. The program started September 1 1999 when 82 students were enrolled. The change involves a move from traditional lectures to a concept partly based on asynchronous...

  9. リコーにおけるバランストスコアカード(Balanced Scorecard BSC)の活用について-BSCから戦略的目標管理制度(Strategic Management by Objectives:SMO)へ-

    OpenAIRE

    中嶋,教夫

    2005-01-01

    BSC は Kaplan と Norton が 1992年に発表した概念であるが、その特徴は企業の戦略やビジョンを可視化し、それらを実行に移す為の戦略マネジメント・システムとして説明されることが多い。 しかしながら、 BSC は企業の実態に合わせて様々に活用されている。 特に、わが国で最も早い時期に BSC を導入したリコー社は、BSC の活用形態に工夫を加え、戦略的目標管理制度(SMO)を活用している。 そこで、本稿では、リコー社の業績評価システムがどのような変遷をたどって、BSC からさらに SMO を活用するにいたったのかを概観し、リコー社の業績評価システムに対して考察を加えることを目的としている。...

  10. Revision of the DELFIC Particle Activity Module

    Energy Technology Data Exchange (ETDEWEB)

    Hooper, David A [ORNL; Jodoin, Vincent J [ORNL

    2010-09-01

    The Defense Land Fallout Interpretive Code (DELFIC) was originally released in 1968 as a tool for modeling fallout patterns and for predicting exposure rates. Despite the continual advancement of knowledge of fission yields, decay behavior of fission products, and biological dosimetry, the decay data and logic of DELFIC have remained mostly unchanged since inception. Additionally, previous code revisions caused a loss of conservation of radioactive nuclides. In this report, a new revision of the decay database and the Particle Activity Module is introduced and explained. The database upgrades discussed are replacement of the fission yields with ENDF/B-VII data as formatted in the Oak Ridge Isotope Generation (ORIGEN) code, revised decay constants, revised exposure rate multipliers, revised decay modes and branching ratios, and revised boiling point data. Included decay logic upgrades represent a correction of a flaw in the treatment of the fission yields, extension of the logic to include more complex decay modes, conservation of nuclides (including stable nuclides) at all times, and conversion of key variables to double precision for nuclide conservation. Finally, recommended future work is discussed with an emphasis on completion of the overall radiation physics upgrade, particularly for dosimetry, induced activity, decay of the actinides, and fractionation.

  11. Resource description and access 2013 revision

    CERN Document Server

    2013-01-01

    This e-book contains the 2013 Revision of RDA: Resource Description and Access, and includes the July 2013 Update. This e-book offers links within the RDA text and the capability of running rudimentary searches of RDA, but please note that this e-book does not have the full range of content or functionality provided by the subscription product RDA Toolkit. Included: A full accumulation of RDA- the revision contains a full set of all current RDA instructions. It replaces the previous version of RDA Print as opposed to being an update packet to that version. RDA has gone through many changes sin

  12. Laparoscopic revision of failed antireflux operations.

    Science.gov (United States)

    Serafini, F M; Bloomston, M; Zervos, E; Muench, J; Albrink, M H; Murr, M; Rosemurgy, A S

    2001-01-01

    A small number of patients fail fundoplication and require reoperation. Laparoscopic techniques have been applied to reoperative fundoplications. We reviewed our experience with reoperative laparoscopic fundoplication. Reoperative laparoscopic fundoplication was undertaken in 28 patients, 19 F and 9 M, of mean age 56 years +/- 12. Previous antireflux procedures included 19 open and 12 laparoscopic antireflux operations. Symptoms were heartburn (90%), dysphagia (35%), and atypical symptoms (30%%). The mean interval from antireflux procedure to revision was 13 months +/- 4.2. The mean DeMeester score was 78+/-32 (normal 14.7). Eighteen patients (64%) had hiatal breakdown, 17 (60%) had wrap failure, 2 (7%) had slipped Nissen, 3 (11%) had paraesophageal hernias, and 1 (3%) had an excessively tight wrap. Twenty-five revisions were completed laparoscopically, while 3 patients required conversion to the open technique. Complications occurred in 9 of 17 (53%) patients failing previous open fundoplications and in 4 of 12 patients (33%) failing previous laparoscopic fundoplications and included 15 gastrotomies and 1 esophagotomy, all repaired laparoscopically, 3 postoperative gastric leaks, and 4 pneumothoraces requiring tube thoracostomy. No deaths occurred. Median length of stay was 5 days (range 2-90 days). At a mean follow-up of 20 months +/- 17, 2 patients (7%) have failed revision of their fundoplications, with the rest of the patients being essentially asymptomatic (93%). The results achieved with reoperative laparoscopic fundoplication are similar to those of primary laparoscopic fundoplications. Laparoscopic reoperations, particularly of primary open fundoplication, can be technically challenging and fraught with complications. Copyright 2001 Academic Press.

  13. Analysis of NRC Regulatory Guide 1.21 Revision 2

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sung Il; Yook, Dae Sik; Lee, Byung Soo [KINS, Daejeon (Korea, Republic of)

    2015-05-15

    It is essential to have a degree of uniformity in the methods used for measuring, evaluating, recording, and reporting data on radioactive material in effluents and solid wastes. For this purpose, the U.S. Nuclear Regulatory Commission (NRC) released a revised version of the Regulatory Guide 1.21 'Measuring, evaluating, and reporting radioactive material in liquid and gaseous effluents and solid waste' (revision 2) in 2009, updating the revision 1 version released in 1974. This study compares the previous revision 1 (1974) version with the revision 2 (2009) version to elaborate on the application of the guidelines to Korea. This study consists of an analysis of the 2009 Revision 2 version of the U.S. NRC Regulatory Guidelines 1.21 and an exposition of methods for its application in the domestic environment. Major revisions were made to allow for the adoption of a risk informed approach. Radionuclides with lower than 1% contribution to emission or radiation levels can be selected as principal radionuclides. Requirements for analysis of leaks and spills have been reinforced, with additional groundwater monitoring and hydrological data analysis becoming necessary.

  14. Contribuições para a configuração de um sistema de medição de desempenho para incubadoras de empresas baseado no BSC

    Directory of Open Access Journals (Sweden)

    José Antonio Arantes Salles

    2010-01-01

    Full Text Available Incubators are designed to provide a more efficient and effective way to survive in today's business world. In turbulent and dynamic business environment, incubators should be quick to react by directing their actions in order to remain consistent with its strategic objectives. This article suggests the use of an adaptation of the Balanced Scorecard - BSC as a tool for measuring and evaluating performance of incubators, as this tool is based on the use of a set of performance indicators, organized and logically articulated in order to match measures that reflect past performance with future performance, aiming to meet mission and long-term goals of the incubators. From this concept is carried out a diagnosis of management of incubators in the state of Sao Paulo, for which were used questionnaires and carried out visits. Considering the answers of the questionnaires, it was noted that in higher or lower number, there are indicators which contribute in the management process of these incubators, in accordance with perspectives of BSC. However, it was evidenced that in none of cases that indicators are associated with a real and effective measuring and evaluating system of performance.

  15. A revised Self- and Family Management Framework.

    Science.gov (United States)

    Grey, Margaret; Schulman-Green, Dena; Knafl, Kathleen; Reynolds, Nancy R

    2015-01-01

    Research on self- and family management of chronic conditions has advanced over the past 6 years, but the use of simple frameworks has hampered the understanding of the complexities involved. We sought to update our previously published model with new empirical, synthetic, and theoretical work. We used synthesis of previous studies to update the framework. We propose a revised framework that clarifies facilitators and barriers, processes, proximal outcomes, and distal outcomes of self- and family management and their relationships. We offer the revised framework as a model that can be used in studies aimed at advancing self- and family management science. The use of the framework to guide studies would allow for the design of studies that can address more clearly how self-management interventions work and under what conditions. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Revised design for the Tokamak experimental power reactor

    International Nuclear Information System (INIS)

    Stacey, W.M. Jr.; Abdou, M.A.; Brooks, J.N.

    1977-03-01

    A new, preliminary design has been identified for the tokamak experimental power reactor (EPR). The revised EPR design is simpler, more compact, less expensive and has somewhat better performance characteristics than the previous design, yet retains many of the previously developed design concepts. This report summarizes the principle features of the new EPR design, including performance and cost

  17. Introduction to Building Systems Performance: Houses that Work II. Revised February 2005

    Energy Technology Data Exchange (ETDEWEB)

    None

    2005-03-01

    The Building Science Consortium (BSC) design recommendations are based on the hygrothermal regions with reference to the annual rainfall. Local climate must be addressed if it differs significantly from the climate described for a particular design.

  18. Revising the IDEA Student Ratings of Instruction System 2002-2011 Data. IDEA Technical Report No. 18

    Science.gov (United States)

    Benton, Stephen L.; Li, Dan; Brown, Ron; Guo, Meixi; Sullivan, Patricia

    2015-01-01

    This report describes the processes undertaken to revise the IDEA Student Ratings of Instruction (SRI) system. The previous revision occurred in 1999, as described in IDEA Technical Report No. 11, "Revising the IDEA System for Obtaining Student Ratings of Instructors and Courses" (Hoyt, Chen, Pallett, & Gross, 1999). The procedures…

  19. Discussing Feedback System Thinking in Relation to a Balanced Scorecard, Inspired by an Actual Case

    DEFF Research Database (Denmark)

    Nielsen, Steen; Nielsen, Erland Hejn

    Since the emergence of the Balanced Scorecard at the beginning of the 1990s, only few articles have proposed a framework of translating BSC into an analytical numerical model. This paper addresses two research themes : (1) a discussion of the cause-and-effect modeling within the BSC and (2), how...... may the feedback systems thinking and causal loop reasoning be conducted within BSC. In contrast to previous literature on BSC this paper focuses on a System Dynamics Modeling approach to transform a static BSC into a dynamic and analytical closed loop management model by incorporating both time......-lags and cause-and-effect schemes. Our main result shows that SDM is a relevant and possible approach for building a BSC. The SDM model adds additional benefit to the BSC by (1) providing a translation of the strategy into operational terms and (2) offering possibilities for the decision maker to simulate...

  20. Revised ANL-reported tensile data for unirradiated and irradiated (FFTF, HFIR) V-Ti and V-Cr-Ti alloys

    International Nuclear Information System (INIS)

    Billone, M.C.

    1998-01-01

    The tensile data for all unirradiated and irradiated vanadium alloys samples tested at Argonne National Laboratory (ANL) have been critically reviewed and, when necessary, revised. The review and revision are based on reanalyzing the original load-displacement strip chart recordings by a methodology consistent with current ASTM standards. For unirradiated alloys (162 samples), the revised values differ from the previous values as follows: -11±19 MPa (-4±6%) for yield strength (YS), -3±15 MPa (-1±3%) for ultimate tensile strength (UTS), -5±2% strain for uniform elongation (UE), and -4±2% strain for total elongation (TE). Of these changes, the decrease in -1±6 MPa (0±1%) for UTS, -5±2% for UE, and -4±2% for TE. Of these changes, the decrease in UE values for alloys irradiated and tested at 400--435 C is the most significant. This decrease results from the proper subtraction of nongauge-length deformation from measured crosshead deformation. In previous analysis of the tensile curves, the nongauge-length deformation was not correctly determined and subtracted from the crosshead displacement. The previously reported and revised tensile values for unirradiated alloys (20--700 C) are tabulated in Appendix A. The revised tensile values for the FFTF-irradiated (400--600 C) and HFIR-irradiated (400 C) alloys are tabulated in Appendix B, along with the neutron damage and helium levels. Appendix C compares the revised values to the previously reported values for irradiated alloys. Appendix D contains previous and revised values for the tensile properties of unirradiated V-5Cr-5Ti (BL-63) alloy exposed to oxygen

  1. MSc Agriculture students working with ex-campus stakeholders

    DEFF Research Database (Denmark)

    Langer, Vibeke; Lund, Mogens; Bendevis, Mira Arpe

    2014-01-01

    both on BSc and MSc level. For many students this results in concerns whether their knowledge, skills and competencies are sufficient when confronted with reality in a job, i.e. in a lack of professional confidence. Therefore when revising the program we focused on competences in contextualizing...

  2. Revising Translations

    DEFF Research Database (Denmark)

    Rasmussen, Kirsten Wølch; Schjoldager, Anne

    2011-01-01

    The paper explains the theoretical background and findings of an empirical study of revision policies, using Denmark as a case in point. After an overview of important definitions, types and parameters, the paper explains the methods and data gathered from a questionnaire survey and an interview...... survey. Results clearly show that most translation companies regard both unilingual and comparative revisions as essential components of professional quality assurance. Data indicate that revision is rarely fully comparative, as the preferred procedure seems to be a unilingual revision followed by a more...... or less comparative rereading. Though questionnaire data seem to indicate that translation companies use linguistic correctness and presentation as the only revision parameters, interview data reveal that textual and communicative aspects are also considered. Generally speaking, revision is not carried...

  3. Characterization of Cladosporols from the Marine Algal-Derived Endophytic Fungus Cladosporium cladosporioides EN-399 and Configurational Revision of the Previously Reported Cladosporol Derivatives.

    Science.gov (United States)

    Li, Hong-Lei; Li, Xiao-Ming; Mándi, Attila; Antus, Sándor; Li, Xin; Zhang, Peng; Liu, Yang; Kurtán, Tibor; Wang, Bin-Gui

    2017-10-06

    Four new cladosporol derivatives, cladosporols F-I (1-4), the known cladosporol C (5), and its new epimer, cladosporol J (6), were isolated and identified from the marine algal-derived endophytic fungus Cladosporium cladosporioides EN-399. Their structures were determined by detailed interpretation of NMR and MS data, and the absolute configurations were established on the basis of TDDFT-ECD and OR calculations. The configurational assignment of cladosporols F (1) and G (2) showed that the previously reported absolute configuration of cladosporol A and all the related cladosporols need to be revised from (4'R) to (4'S). Compounds 1-6 showed antibacterial activity against Escherichia coli, Micrococcus luteus, and Vibrio harveyi with MIC values ranging from 4 to 128 μg/mL. Compound 3 showed significant cytotoxicity against A549, Huh7, and LM3 cell lines with IC 50 values of 5.0, 1.0, and 4.1 μM, respectively, and compound 5 showed activity against H446 cell line with IC 50 value of 4.0 μM.

  4. Planejamento estratégico em vigilância sanitária: aplicação do Balanced Scorecard (BSC | Strategic planning in health regulation: application of the Balanced Scorecard framework

    Directory of Open Access Journals (Sweden)

    Raquel Gonçalves Coimbra Flexa

    2017-05-01

    Full Text Available Este artigo objetiva apresentar o método e a estrutura do ciclo de Planejamento Estratégico (PE para o período de 2016 a 2019 na Agência Nacional de Vigilância Sanitária (Anvisa. Para isso, utilizou-se o referencial teórico sobre PE, apresentando, especificamente, a metodologia Balanced Scorecard (BSC, com destaque para o emprego desses conceitos na Gestão Pública. A partir disso, é apresentado como a metodologia BSC foi aplicada na Anvisa, na forma de um estudo de caso, com ênfase no método utilizado para a construção do PE, bem como nas diretrizes para sua elaboração. Discute-se ainda a revisão do Mapa Estratégico da Agência, com análise comparativa entre os mapas anteriormente vigente e o atual, descrevendo-se as etapas de construção e validação dos diferentes elementos do Mapa. Conclui-se que o método de Planejamento apontado é aplicável à Gestão Pública, de tal forma que é possível desenhar a estratégia e priorizar os objetivos, com vistas a alcançar resultados e melhorar o desempenho da instituição pública. ================================================ This article main objective is to present the method, framework and guidelines applied by the Brazilian Health Regulatory Agency (Anvisa Strategic Planning, for the period 2016-2019. In order to provide information about the concepts that are used in the project, there is a section that shows Strategic Planning and Balanced Scorecard theoretical frameworks, with an emphasis on how these concepts are applied to Public Management. Then, the authors show how these frameworks were implemented by Anvisa. This article focuses on the Strategy Map review and, in this regard, it compares the previous Strategy Map and the current one. In this comparison, there is a discussion about its elaboration and validation methods, as well as about the guidelines for its preparation.

  5. Revision total hip arthoplasty: factors associated with re-revision surgery.

    Science.gov (United States)

    Khatod, Monti; Cafri, Guy; Inacio, Maria C S; Schepps, Alan L; Paxton, Elizabeth W; Bini, Stefano A

    2015-03-04

    The survivorship of implants after revision total hip arthroplasty and risk factors associated with re-revision are not well defined. We evaluated the re-revision rate with use of the institutional total joint replacement registry. The purpose of this study was to determine patient, implant, and surgeon factors associated with re-revision total hip arthroplasty. A retrospective cohort study was conducted. The total joint replacement registry was used to identify patients who had undergone revision total hip arthroplasty for aseptic reasons from April 1, 2001, to December 31, 2010. The end point of interest was re-revision total hip arthroplasty. Risk factors evaluated for re-revision total hip arthroplasty included: patient risk factors (age, sex, body mass index, race, and general health status), implant risk factors (fixation type, bearing surface, femoral head size, and component replacement), and surgeon risk factors (volume and experience). A multivariable Cox proportional hazards model was used. Six hundred and twenty-nine revision total hip arthroplasties with sixty-three (10%) re-revisions were evaluated. The mean cohort age (and standard deviation) was 57.0 ± 12.4 years, the mean body mass index (and standard deviation) was 29.5 ± 6.1 kg/m(2), and most of the patients were women (64.5%) and white (81.9%) and had an American Society of Anesthesiologists score of associated with the risk of re-revision. For every ten-year increase in patient age, the hazard ratio for re-revision decreases by a factor of 0.72 (95% confidence interval, 0.58 to 0.90). For every five revision surgical procedures performed by a surgeon, the risk of revision decreases by a factor of 0.93 (95% confidence interval, 0.86 to 0.99). At the time of revision, a new or retained cemented femoral implant or all-cemented hip implant increases the risk of revision by a factor of 3.19 (95% confidence interval, 1.22 to 8.38) relative to a retained or new uncemented hip implant. A ceramic on a

  6. Revision and simplification of the boarding previous minimum of the lumbar column

    International Nuclear Information System (INIS)

    Lazannec, JY; Del Vecchio, R; Ramare, S; Saillant, G

    2001-01-01

    This paper describes the boarding retroperineal previous minimum, which provides access at any level discal and vertebral between T12 and S1. It is carried out a technique of dissection retroperineal that facilitates the renal and duodenum-pancreatic mobilization to consent to the face previous left of the whole lumbar column and of the thoracic-lumbar union. They were carried out careful anatomical dissections in fresh cadavers and preserved to determine the topography and the anatomical relationships of interest and this way to develop a sure boarding and easily reproducible. Special attention has been paid to the description of the lumbar veins and the anastomosis between the vein renal left and the hemiacigos system for the exhibition of the expensive left anterolateral of T12 and L1. A series of 94 patients is reported with lesions caused by traumas or degenerative processes. For all the lumbar levels, even in-patient with antecedents of surgery intraperitoneal, the boarding minimum retroperitoneal, was safe for the kidneys, ureters, spleen, hypo gastric plexus and duodenum-pancreatic union. Better cosmetic results are reported, decrease of the time surgical, scarce bled intraoperatory and easiness for the decortications and placement of implants. The previous boarding minimum retro peritoneal of the column developed starting from the boarding classic retroperineals, offers significant advantages on the endoscopic techniques, which require sophisticated machinery and they are technically plaintiffs. The exhibition of all the lumbar levels, as well as the reduction maneuvers and placement of implants, they can be carried out with easiness without causing muscular damage

  7. Patient-reported outcome and risk of revision after shoulder replacement for osteoarthritis

    DEFF Research Database (Denmark)

    Rasmussen, Jeppe V; Polk, Anne; Brorson, Stig

    2014-01-01

    PURPOSE: We used patient-reported outcome and risk of revision to compare hemiarthroplasty (HA) with total shoulder arthroplasty (TSA) and stemmed hemiarthroplasty (SHA) with resurfacing hemiarthroplasty (RHA) in patients with glenohumeral osteoarthritis. PATIENTS AND METHODS: We included all...... of presentation, the raw scores were converted to a percentage of the maximum score. Revision rates were calculated by checking reported revisions to the DSR until December 2011. WOOS and risk of revision were adjusted for age, sex, previous surgery, and type of osteoarthritis. RESULTS: There were 113 TSAs...... and 1096 HAs (837 RHAs and 259 SHAs). Patients treated with TSA generally had a better WOOS, exceeding the predefined minimal clinically important difference, at 1 year (mean difference 10, p

  8. Disruptive Event Biosphere Dose Conversion Factor Analysis

    Energy Technology Data Exchange (ETDEWEB)

    M. Wasiolek

    2004-09-08

    analysis was to develop the BDCFs for the volcanic ash exposure scenario and the dose factors for calculating inhalation doses during volcanic eruption (eruption phase of the volcanic event). For the volcanic ash exposure scenario, the mode of radionuclide release into the biosphere is a volcanic eruption through the repository with the resulting entrainment of contaminated waste in the tephra and the subsequent atmospheric transport and dispersion of contaminated material in the biosphere. The biosphere process model for this scenario uses the surface deposition of contaminated ash as the source of radionuclides in the biosphere. The initial atmospheric transport and dispersion of the ash as well as its subsequent redistribution by fluvial and aeolian processes are not addressed within the biosphere model. These processes influence the value of the source term that is calculated elsewhere and then combined with the BDCFs in the TSPA model to calculate expected dose to the receptor. Another objective of this analysis was to re-qualify the output of the previous revision (BSC 2003 [DIRS 163958]).

  9. Disruptive Event Biosphere Dose Conversion Factor Analysis

    International Nuclear Information System (INIS)

    M. Wasiolek

    2004-01-01

    exposure scenario and the dose factors for calculating inhalation doses during volcanic eruption (eruption phase of the volcanic event). For the volcanic ash exposure scenario, the mode of radionuclide release into the biosphere is a volcanic eruption through the repository with the resulting entrainment of contaminated waste in the tephra and the subsequent atmospheric transport and dispersion of contaminated material in the biosphere. The biosphere process model for this scenario uses the surface deposition of contaminated ash as the source of radionuclides in the biosphere. The initial atmospheric transport and dispersion of the ash as well as its subsequent redistribution by fluvial and aeolian processes are not addressed within the biosphere model. These processes influence the value of the source term that is calculated elsewhere and then combined with the BDCFs in the TSPA model to calculate expected dose to the receptor. Another objective of this analysis was to re-qualify the output of the previous revision (BSC 2003 [DIRS 163958])

  10. CANISTER HANDLING FACILITY CRITICALITY SAFETY CALCULATIONS

    International Nuclear Information System (INIS)

    C.E. Sanders

    2005-01-01

    This design calculation revises and updates the previous criticality evaluation for the canister handling, transfer and staging operations to be performed in the Canister Handling Facility (CHF) documented in BSC [Bechtel SAIC Company] 2004 [DIRS 167614]. The purpose of the calculation is to demonstrate that the handling operations of canisters performed in the CHF meet the nuclear criticality safety design criteria specified in the ''Project Design Criteria (PDC) Document'' (BSC 2004 [DIRS 171599], Section 4.9.2.2), the nuclear facility safety requirement in ''Project Requirements Document'' (Canori and Leitner 2003 [DIRS 166275], p. 4-206), the functional/operational nuclear safety requirement in the ''Project Functional and Operational Requirements'' document (Curry 2004 [DIRS 170557], p. 75), and the functional nuclear criticality safety requirements described in the ''Canister Handling Facility Description Document'' (BSC 2004 [DIRS 168992], Sections 3.1.1.3.4.13 and 3.2.3). Specific scope of work contained in this activity consists of updating the Category 1 and 2 event sequence evaluations as identified in the ''Categorization of Event Sequences for License Application'' (BSC 2004 [DIRS 167268], Section 7). The CHF is limited in throughput capacity to handling sealed U.S. Department of Energy (DOE) spent nuclear fuel (SNF) and high-level radioactive waste (HLW) canisters, defense high-level radioactive waste (DHLW), naval canisters, multicanister overpacks (MCOs), vertical dual-purpose canisters (DPCs), and multipurpose canisters (MPCs) (if and when they become available) (BSC 2004 [DIRS 168992], p. 1-1). It should be noted that the design and safety analyses of the naval canisters are the responsibility of the U.S. Department of the Navy (Naval Nuclear Propulsion Program) and will not be included in this document. In addition, this calculation is valid for the current design of the CHF and may not reflect the ongoing design evolution of the facility

  11. Descriptive epidemiology of the Multicenter ACL Revision Study (MARS) cohort.

    Science.gov (United States)

    Wright, Rick W; Huston, Laura J; Spindler, Kurt P; Dunn, Warren R; Haas, Amanda K; Allen, Christina R; Cooper, Daniel E; DeBerardino, Thomas M; Lantz, Brett Brick A; Mann, Barton J; Stuart, Michael J

    2010-10-01

    Revision anterior cruciate ligament (ACL) reconstruction has worse outcomes than primary reconstructions. Predictors for these worse outcomes are not known. The Multicenter ACL Revision Study (MARS) Group was developed to perform a multisurgeon, multicenter prospective longitudinal study to obtain sufficient subjects to allow multivariable analysis to determine predictors of clinical outcome. To describe the formation of MARS and provide descriptive analysis of patient demographics and clinical features for the initial 460 enrolled patients to date in this prospective cohort. Cross-sectional study; Level of evidence, 2. After training and institutional review board approval, surgeons began enrolling patients undergoing revision ACL reconstruction, recording patient demographics, previous ACL reconstruction methods, intra-articular injuries, and current revision techniques. Enrolled subjects completed a questionnaire consisting of validated patient-based outcome measures. As of April 1, 2009, 87 surgeons have enrolled a total of 460 patients (57% men; median age, 26 years). For 89%, the reconstruction was the first revision. Mode of failure as deemed by the revising surgeon was traumatic (32%), technical (24%), biologic (7%), combination (37%), infection (MARS Group has been able to quickly accumulate the largest revision ACL reconstruction cohort reported to date. Traumatic reinjury is deemed by surgeons to be the most common single mode of failure, but a combination of factors represents the most common mode of failure. Allograft graft choice is more common in the revision setting than autograft. Concomitant knee injury is extremely common in this population.

  12. Revision Total Hip Arthoplasty: Factors Associated with Re-Revision Surgery

    OpenAIRE

    Khatod, M; Cafri, G; Inacio, MCS; Schepps, AL; Paxton, EW; Bini, SA

    2015-01-01

    The survivorship of implants after revision total hip arthroplasty and risk factors associated with re-revision are not well defined. We evaluated the re-revision rate with use of the institutional total joint replacement registry. The purpose of this study was to determine patient, implant, and surgeon factors associated with re-revision total hip arthroplasty.A retrospective cohort study was conducted. The total joint replacement registry was used to identify patients who had undergone revi...

  13. 75 FR 68185 - Airworthiness Directives; EADS CASA (Type Certificate Previously Held by Construcciones...

    Science.gov (United States)

    2010-11-05

    ... Airworthiness Directives; EADS CASA (Type Certificate Previously Held by Construcciones Aeronauticas, S.A...) that were, at that moment, defined in issue C of EADS-CASA document DT-0-C00-05001. That document has... implementation of the revised Fuel Airworthiness Limitations contained in issue D of EADS- CASA document DT-0-C00...

  14. Characteristics of the Receptor for the Biosphere Model

    International Nuclear Information System (INIS)

    M.A. Wasiolek

    2005-01-01

    This analysis report is one of a series of technical reports that document the Environmental Radiation Model for Yucca Mountain, Nevada (ERMYN), a biosphere model supporting the total system performance assessment (TSPA) for the geologic repository at Yucca Mountain. This report is one of the five biosphere reports that develop input parameter values for the biosphere model. The ''Biosphere Model Report'' (BSC 2004 [DIRS 169460]) describes the conceptual model, as well as the mathematical model and its input parameters. Figure 1-1 is a graphical representation of the documentation hierarchy for the ERMYN. This figure shows relationships among the products (i.e., scientific analyses and model reports) developed for biosphere modeling and biosphere abstraction products for TSPA, as identified in the ''Technical Work Plan for Biosphere Modeling and Expert Support'' (BSC 2005 [DIRS 172782]). The purpose of this analysis report is to define values for biosphere model parameters that are related to the dietary, lifestyle, and dosimetric characteristics of the receptor. The biosphere model, consistent with the licensing rule at 10 CFR Part 63 [DIRS 173164], uses a hypothetical person called the reasonably maximally exposed individual (RMEI) to represent the potentially exposed population. The parameters that define the RMEI are based on the behaviors and characteristics of the residents of the unincorporated town of Amargosa Valley, consistent with the requirements of 10 CFR 63.312 [DIRS 173164]. The output of this report is used as direct input in the two analyses identified in Figure 1-1 that calculate the values of biosphere dose conversion factors (BDCFs) for the groundwater and volcanic ash exposure scenarios. The parameter values developed in this report are reflected in the TSPA through the BDCFs. The analysis was performed in accordance with LP-SIII.9Q-BSC, ''Scientific Analyses'', and the technical work plan (BSC 2005 [DIRS 172782]). The scope of the revision was

  15. Rhinoplasty for the multiply revised nose.

    Science.gov (United States)

    Foda, Hossam M T

    2005-01-01

    To evaluate the problems encountered on revising a multiply operated nose and the methods used in correcting such problems. The study included 50 cases presenting for revision rhinoplasty after having had 2 or more previous rhinoplasties. An external rhinoplasty approach was used in all cases. Simultaneous septal surgery was done whenever indicated. All cases were followed for a mean period of 32 months (range, 1.5-8 years). Evaluation of the surgical result depended on clinical examination, comparison of pre- and postoperative photographs, and degree of patients' satisfaction with their aesthetic and functional outcome. Functionally, 68% suffered nasal obstruction that was mainly caused by septal deviations and nasal valve problems. Aesthetically, the most common deformities of the upper two thirds of the nose included pollybeak (64%), dorsal irregularities (54%), dorsal saddle (44%), and open roof deformity (42%), whereas the deformities of lower third included depressed tip (68%), tip contour irregularities (60%), and overrotated tip (42%). Nasal grafting was necessary in all cases; usually more than 1 type of graft was used in each case. Postoperatively, 79% of the patients, with preoperative nasal obstruction, reported improved breathing; 84% were satisfied with their aesthetic result; and only 8 cases (16%) requested further revision to correct minor deformities. Revision of a multiply operated nose is a complex and technically demanding task, yet, in a good percentage of cases, aesthetic as well as functional improvement are still possible.

  16. Revised

    DEFF Research Database (Denmark)

    Johannsen, Vivian Kvist; Nord-Larsen, Thomas; Riis-Nielsen, Torben

    This report is a revised analysis of the Danish data on CO2 emissions from forest, afforestation and deforestation for the period 1990 - 2008 and a prognosis for the period until 2020. Revision have included measurements from 2009 in the estimations. The report is funded by the Ministry of Climate...

  17. Methods for implementing revisions to emergency operating procedures. Final report

    International Nuclear Information System (INIS)

    Myers, L.B.; Bell, A.J.

    1984-05-01

    In response to the Three Mile Island (TMI) accident, the US Nuclear Regulatory Commission (NRC) has published the TMI Action Plan. The TMI Action Plan Item I.C.1 called for the upgrading of Emergency Operating Procedures (EOPs) at nuclear power plants. The program developed from this Action Plan item has resulted in utility efforts to: (1) revise EOPs; (2) train personnel in the use of the EOPs; and (3) implement the revised EOPs. The NRC supported the study presented in this report to identify factors which influence the effectiveness of training and implementation of revised EOPs. The NRC's major concern was the possible effects of negative transfer of training. The report includes a summary of existing methods for implementing revisions to procedures based on interviews of plant personnel, a review of the training literature applicable to the effect of previously learned procedures on the learning of and performance with revised procedures (i.e., negative transfer) and recommendations of methods and schedules for implementing revised EOPs. While the study found that the concern over negative transfer of training was not as great as anticipated, several recommendations were made. These include: (1) overtraining of operators to reduce the effect of observed negative transfer; and (2) implementation of the revised EOPs as soon as possible after training to minimize the time operators must rely upon the old EOPs after having been trained on the revised EOPs. The results of the study should be useful both to the utilities and the NRC in the development and review of EOP implementation programs

  18. Clinicopahological features of superficial basaloid squamous cell carcinoma of the esophagus.

    Science.gov (United States)

    Oguma, J; Ozawa, S; Kazuno, A; Nitta, M; Ninomiya, Y; Tomita, S

    2017-12-01

    Basaloid squamous cell carcinoma (BSC) of the esophagus is classified as an epithelial malignant tumor and is a rare variant of squamous cell carcinoma (SCC). Most previous reports have suggested that advanced BSC has a poorer prognosis than typical SCC because of its high biological malignancy, but the biological activity of superficial BSC remains unclear. Twenty cases of superficial BSC, which underwent surgical resection in Tokai University Hospital between January 2004 and December 2013, were analyzed retrospectively. Among these cases, 19 cases with a T1 depth of invasion (BSC group) were compared with 180 cases of SCC that were resected during the same period and were pathologically diagnosed as T1 (SCC group). The frequency of lymph node metastasis in the T1 BSC group was significantly lower (2 patients, 11%) than that in the SCC group (84 patients, 47%) (P = 0.005). The frequency of lymphatic invasion in the BSC group was also lower (9 patients, 47%) than that in the SCC group (131 patients, 73%) (P = 0.021). The pathological type of the metastatic lymph node was BSC in all the superficial BSC cases with lymph node metastasis. This study demonstrated that lymph node metastasis was less likely to occur in cases with superficial BSC than in cases with superficial SCC. © The Authors 2017. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  19. Using the BSC Model to Evaluate the Financial Performance of the Urban Water and Wastewater Industry

    Directory of Open Access Journals (Sweden)

    Mahdi Goli Aysek

    2017-03-01

    Full Text Available Among the different models so far proposed for the guiding and evaluation of organizational performance, the balanced scorecard (BSC model is the only one that has been found capable of guiding an organization towards its goals from the lowest to the topmost levels in an integrated, sustained, efficient, and effective manner. The model in question is based on the goals and strategies adopted by an organization and it is, thus, a holistic approach that envisions the organization in all its aspects, leading to sysnergy among all the organization’s divisions. Moreover, the model has been found capable of lifting the inadequacies in performance evaluation systems in firms which strive to comply with financial milestones that draw heavily on reducing the unit price through practicing scales of economy and mass production. The present study initially investigates the effects of employing the criteria inherent to the BSC model on the financial performance evaluation of the urban water and wastewater industry. The required data are collected from 35 companies forming the statistical population over a four-year period from 2007 to 2010. The (four independent variables belong to the SCR model and performance evaluation (i.e., sales efficiency rate accounts for the independent one. Due to the insignificance of the coefficients of independent variables and the lack of correlation among the dependent ones, the step-by-step method is employed to enter the values for the variables into the model when testing the research hypotheses. The new model is found to confirm all the hypotheses. Moreover, a direct relationship is established between the SCR criteria, on the one hand, and the firm’s performance, on the other, such that any improvements in SCR evaluation criteria directly lead to improvements in performance. Finally, a value equal to unity obtained for hypothesis selection indicates the strong linear relationship holding between the financial SCR

  20. IRIS Toxicological Review of Ammonia (Revised External Review Draft)

    Science.gov (United States)

    In August 2013, EPA submitted a revised draft IRIS assessment of ammonia to the agency's Science Advisory Board (SAB) and posted this draft on the IRIS website. EPA had previously released a draft of the assessment for public comment, held a public meeting about the draft, and ...

  1. Selection of 3013 containers for field surveillance: LA-14310, Revision 1

    International Nuclear Information System (INIS)

    Peppers, Larry; Kelly, Elizabeth; McClard, James; Friday, Gary; Venetz, Theodore; Stakebake, Jerry

    2009-01-01

    This document is the fifth in a series of reports that document the binning, statistical sampling, and sample selection of 3013 containers for field surveillance. 1,2,3,39 Revisions to binning assignments documented in this report are primarily a result of new prompt gamma data. This report also documents changes to the random sample specification resulting from these binning changes and identifies and provides the rationale for the engineering judgment sample items for Fiscal Year (FY) 2008 and 2009. This revision also updates the changes to the previous surveillance sample resulting from changes to the order that specific containers undergo surveillance. This report will continue to be reviewed regularly and revised as needed to meet the requirements of the surveillance program.

  2. UZ Flow Models and Submodels

    International Nuclear Information System (INIS)

    Dixon, P.

    2004-01-01

    The purpose of this Model Report is to document the unsaturated zone (UZ) fluid flow and tracer transport models and submodels as well as the flow fields generated utilizing the UZ Flow and Transport Model of Yucca Mountain (UZ Model), Nevada. This work was planned in ''Technical Work Plan (TWP) for: Performance Assessment Unsaturated Zone'' (BSC 2002 [160819], Section 1.10, Work Package AUZM06). The UZ Model has revised, updated, and enhanced the previous UZ Flow Model REV 00 ICN 01 (BSC 2001 [158726]) by incorporation of the conceptual repository design with new grids, recalibration of property sets, and more comprehensive validation effort. The flow fields describe fracture-fracture, matrix-matrix, and fracture-matrix liquid flow rates and their spatial distributions as well as moisture conditions in the UZ system. These 3-D UZ flow fields are used directly by Performance Assessment (PA). The model and submodels evaluate important hydrogeologic processes in the UZ as well as geochemistry and geothermal conditions. These provide the necessary framework to test conceptual hypotheses of flow and transport at different scales and predict flow and transport behavior under a variety of climatic conditions. In addition, this Model Report supports several PA activities, including abstractions, particle-tracking transport simulations, and the UZ Radionuclide Transport Model

  3. UZ Flow Models and Submodels

    Energy Technology Data Exchange (ETDEWEB)

    P. Dixon

    2004-02-11

    The purpose of this Model Report is to document the unsaturated zone (UZ) fluid flow and tracer transport models and submodels as well as the flow fields generated utilizing the UZ Flow and Transport Model of Yucca Mountain (UZ Model), Nevada. This work was planned in ''Technical Work Plan (TWP) for: Performance Assessment Unsaturated Zone'' (BSC 2002 [160819], Section 1.10, Work Package AUZM06). The UZ Model has revised, updated, and enhanced the previous UZ Flow Model REV 00 ICN 01 (BSC 2001 [158726]) by incorporation of the conceptual repository design with new grids, recalibration of property sets, and more comprehensive validation effort. The flow fields describe fracture-fracture, matrix-matrix, and fracture-matrix liquid flow rates and their spatial distributions as well as moisture conditions in the UZ system. These 3-D UZ flow fields are used directly by Performance Assessment (PA). The model and submodels evaluate important hydrogeologic processes in the UZ as well as geochemistry and geothermal conditions. These provide the necessary framework to test conceptual hypotheses of flow and transport at different scales and predict flow and transport behavior under a variety of climatic conditions. In addition, this Model Report supports several PA activities, including abstractions, particle-tracking transport simulations, and the UZ Radionuclide Transport Model.

  4. Revised theory of Pierce-type electron guns

    International Nuclear Information System (INIS)

    Sar-El, H.Z.

    1982-01-01

    Attempts to date to obtain the shape of the beam forming electrodes of various Pierce-type electron guns are briefly discussed with emphasis on the many discrepansis in the results of previous works. A revised theory of Pierce-type electron guns is proposed. The shapes of the beam-forming electrodes for all known configurations of Pierce guns were computed on the basis of the proposed theory. (orig.)

  5. Effect of graft choice on the outcome of revision anterior cruciate ligament reconstruction in the Multicenter ACL Revision Study (MARS) Cohort

    Science.gov (United States)

    Wright, Rick W.; Huston, Laura J.; Haas, Amanda K.; Spindler, Kurt P.; Nwosu, Sam K.; Allen, Christina R.; Anderson, Allen F.; Cooper, Daniel E.; DeBerardino, Thomas M.; Dunn, Warren R.; Lantz, Brett (Brick) A.; Stuart, Michael J.; Garofoli, Elizabeth A.; Albright, John P.; Amendola, Annunziato (Ned); Andrish, Jack T.; Annunziata, Christopher C.; Arciero, Robert A.; Bach, Bernard R.; Baker, Champ L.; Bartolozzi, Arthur R.; Baumgarten, Keith M.; Bechler, Jeffery R.; Berg, Jeffrey H.; Bernas, Geoffrey A.; Brockmeier, Stephen F.; Brophy, Robert H.; Bush-Joseph, Charles A.; Butler, J. Brad; Campbell, John D.; Carey, James L.; Carpenter, James E.; Cole, Brian J.; Cooper, Jonathan M.; Cox, Charles L.; Creighton, R. Alexander; Dahm, Diane L.; David, Tal S.; Flanigan, David C.; Frederick, Robert W.; Ganley, Theodore J.; Gatt, Charles J.; Gecha, Steven R.; Giffin, James Robert; Hame, Sharon L.; Hannafin, Jo A.; Harner, Christopher D.; Harris, Norman Lindsay; Hechtman, Keith S.; Hershman, Elliott B.; Hoellrich, Rudolf G.; Hosea, Timothy M.; Johnson, David C.; Johnson, Timothy S.; Jones, Morgan H.; Kaeding, Christopher C.; Kamath, Ganesh V.; Klootwyk, Thomas E.; Levy, Bruce A.; Ma, C. Benjamin; Maiers, G. Peter; Marx, Robert G.; Matava, Matthew J.; Mathien, Gregory M.; McAllister, David R.; McCarty, Eric C.; McCormack, Robert G.; Miller, Bruce S.; Nissen, Carl W.; O'Neill, Daniel F.; Owens, Brett D.; Parker, Richard D.; Purnell, Mark L.; Ramappa, Arun J.; Rauh, Michael A.; Rettig, Arthur C.; Sekiya, Jon K.; Shea, Kevin G.; Sherman, Orrin H.; Slauterbeck, James R.; Smith, Matthew V.; Spang, Jeffrey T.; Svoboda, Steven J.; Taft, Timothy N.; Tenuta, Joachim J.; Tingstad, Edwin M.; Vidal, Armando F.; Viskontas, Darius G.; White, Richard A.; Williams, James S.; Wolcott, Michelle L.; Wolf, Brian R.; York, James J.

    2015-01-01

    Background Most surgeons believe that graft choice for ACL reconstruction is an important factor related to outcome. Although graft choice may be limited in the revision setting based on previously used grafts, it is still felt to be important. Hypothesis The purpose of this study was to determine if revision ACL graft choice predicts outcomes related to sports function, activity level, OA symptoms, graft re-rupture, and reoperation at two years following revision reconstruction. We hypothesized that autograft use would result in increased sports function, increased activity level, and decreased OA symptoms (as measured by validated patient reported outcome instruments). Additionally, we hypothesized that autograft use would result in decreased graft failure and reoperation rate 2 years following revision ACL reconstruction. Study Design Prospective cohort study; Level of evidence, 2. Methods Revision ACL reconstruction patients were identified and prospectively enrolled by 83 surgeons over 52 sites. Data collected included baseline demographics, surgical technique and pathology, and a series of validated patient reported outcome instruments (IKDC, KOOS, WOMAC, and Marx activity rating score). Patients were followed up at 2 years, and asked to complete the identical set of outcome instruments. Incidence of additional surgery and reoperation due to graft failure were also recorded. Multivariate regression models were used to determine the predictors (risk factors) of IKDC, KOOS, WOMAC, Marx scores, graft re-rupture, and reoperation rate at 2 years following revision surgery. Results 1205 patients were successfully enrolled with 697 (58%) males. Median age was 26. In 88% this was their first revision. 341 (28%) were undergoing revision by the surgeon that had performed the previous reconstruction. 583 (48%) underwent revision reconstruction utilizing an autograft, 590 (49%) allograft, and 32 (3%) both autograft and allograft. Median time since their last ACL

  6. Nuclear safety guide: TID--7016, Revision 2

    International Nuclear Information System (INIS)

    Thomas, J.T.

    1978-01-01

    The Nuclear Safety Guide was first issued in 1956 as classified AEC report LA-2063 and was reprinted the next year, unclassified, as TID-7016. Revision 1, published in 1961, extended the scope and refined the guiding information. Revision 2 of the Guide differs significantly from its predecessor in that the latter was intentionally conservative in its recommendations. Firmly based on experimental evidence of criticality, the original Guide and the first revision were considered to be of most value to organizations whose activities with fissionable materials were not extensive and, secondarily, that it would serve as a point of departure for members of established nuclear safety teams experienced in the field. The advance of calculational capability has permitted validated calculations to extend and substitute for experimental data. The broadened data base has enabled better interpolation, extension, and understanding of available information, especially in areas previously addressed by undefined but adequate factors of safety. The content has been thereby enriched in qualitative guidance. The information inherently contains, and the user can recapture, the quantitative guidance characteristic of the former Guides by employing appropriate safety factors

  7. Establishment proper of the balanced scorecard indicators to support decision making in a university: a case study in Institut Teknologi Indonesia

    Science.gov (United States)

    Theresia, L.; Lahuddin, A. H.; Bangun, R.

    2017-12-01

    Balanced Scorecard (BSC) is a powerful tool in decision making process. Nevertheless, it is not rare that the BSC does not give satisfactory results because the indicators chosen do not reflect the needs of the organization. Therefore, indicator establishment is very crucial in the utilization of BSC. This research aims to determine the indicators BSC for a university and the research is a case study in Institut Teknologi Indonesia (ITI). In this study, BSC structure and indicators, comparison made by 4 previous researchers was used as the initial guide to determine the structure and indicators of ITI. And then, questionnaires were distributed to selected respondents and a focus group discussion (FGD) was conducted in order to produce indicators of BSC based on the mental model of the ITI. It is found 15 indicators based on the mental model of ITI. Furthermore, the relationships between the indicators are seen as dynamic relationships, and by using system dynamics, some feedback loops that are considered critical to organizational success can be identified and isolated.

  8. Radiation 2006. In association with the Polymer Division, Royal Australian Chemical Institute. Incorporating the 21st AINSE Radiation Chemistry Conference and the 18th Radiation Biology Conference, conference handbook

    International Nuclear Information System (INIS)

    Ghorbani, A.; Bruce, D.; Tiver, F.; Brien, C.

    2006-01-01

    Full text: In Australia there have been reported more than 200 species of Biological Soil Crusts (BSC) including: cyanobacteria, mosses and lichens. Working at the species level of BSC poses particular difficulties for different aspects of environmental management because of the problems caused by in taxonomy, small size, lack of experts for identification and the intermixing of taxa. From the 1970s BSC classification based on the morphology has been utilised for ecological studies. This study explores the possibility of spectral classification of BSC components for ecological studies and considers the use of hyperspectral remote sensing techniques. Although, in some locations the percentage cover of BSC exceeds 70% of land cover, many previous remote sensing studies of land cover have either neglected BSC, or considered it as one group. In this study visible and near-infrared (350-1100 nm) reflectance spectra of BSC were collected with a UniSpec PPSystem spectrometer in the laboratory under a 1000 W Halogen lamp. Biological components varied in chlorophyll, physiological status, colour and other pigment contents. The measured spectra demonstrate considerable variation both within and between species. Factors contributing to spectral variation were identified by principal components analysis. Functional, taxonomic and morphological groups of BSC species were classified using discriminant analysis of the narrow-bands (3.3 nm) spectra. Both principal components and discriminant analysis showed promising results for grouping BSC variation and finally 9 groups from 21 field groups (33 species) were classified

  9. A hybrid algorithm of BSC and QFD to determine the criteria affecting implementation of successful outsourcing

    Directory of Open Access Journals (Sweden)

    Mohammad Hemati

    2012-04-01

    Full Text Available Successful organizations share some identical factors that pave the way for their success. Among these factors, strategic management is the key to success for organizations to contribute more to the competitive world market of today. In this respect, the pivotal role of outsourcing cannot be denied. This research parallelizes the criteria affecting the outsourcing success as presented in Elmuti model with the Balanced score card method in the Tose'e Ta'avon Bank. In this research, questionnaires and interviews with experts helped determine the strategic goals at four perspectives of balanced score card method (at Tose'e Ta'avon Bank and the relative weights were computed for each of balance score card (BSC perspectives by using AHP method. As the next step, the indexes were prioritized by applying the quality function development(QFD technique and considering strategic goals at four perspectives in section "WHAT" and the outsourcing success criteria of Elmuti model in section "HOW". At the end of algorithm, the results are compared with the Elmuti method. Based on the results, the hybrid proposed technique seems to perform better than Elmuti.

  10. Diagnosis and management of glutaric aciduria type I--revised recommendations

    DEFF Research Database (Denmark)

    Kölker, Stefan; Christensen, Ernst; Leonard, James V

    2011-01-01

    is often difficult to treat, and the efficacy of available drugs cannot be predicted precisely in individual patients. The major aim of this revision is to re-evaluate the previous diagnostic and therapeutic recommendations for patients with this disease and incorporate new research findings...

  11. CANISTER HANDLING FACILITY CRITICALITY SAFETY CALCULATIONS

    Energy Technology Data Exchange (ETDEWEB)

    C.E. Sanders

    2005-04-07

    This design calculation revises and updates the previous criticality evaluation for the canister handling, transfer and staging operations to be performed in the Canister Handling Facility (CHF) documented in BSC [Bechtel SAIC Company] 2004 [DIRS 167614]. The purpose of the calculation is to demonstrate that the handling operations of canisters performed in the CHF meet the nuclear criticality safety design criteria specified in the ''Project Design Criteria (PDC) Document'' (BSC 2004 [DIRS 171599], Section 4.9.2.2), the nuclear facility safety requirement in ''Project Requirements Document'' (Canori and Leitner 2003 [DIRS 166275], p. 4-206), the functional/operational nuclear safety requirement in the ''Project Functional and Operational Requirements'' document (Curry 2004 [DIRS 170557], p. 75), and the functional nuclear criticality safety requirements described in the ''Canister Handling Facility Description Document'' (BSC 2004 [DIRS 168992], Sections 3.1.1.3.4.13 and 3.2.3). Specific scope of work contained in this activity consists of updating the Category 1 and 2 event sequence evaluations as identified in the ''Categorization of Event Sequences for License Application'' (BSC 2004 [DIRS 167268], Section 7). The CHF is limited in throughput capacity to handling sealed U.S. Department of Energy (DOE) spent nuclear fuel (SNF) and high-level radioactive waste (HLW) canisters, defense high-level radioactive waste (DHLW), naval canisters, multicanister overpacks (MCOs), vertical dual-purpose canisters (DPCs), and multipurpose canisters (MPCs) (if and when they become available) (BSC 2004 [DIRS 168992], p. 1-1). It should be noted that the design and safety analyses of the naval canisters are the responsibility of the U.S. Department of the Navy (Naval Nuclear Propulsion Program) and will not be included in this document. In addition, this calculation is valid for

  12. 78 FR 71676 - NUREG-1482, Revision 2, “Guidelines for Inservice Testing at Nuclear Power Plants, Final Report”

    Science.gov (United States)

    2013-11-29

    ... Testing at Nuclear Power Plants, Final Report'' AGENCY: Nuclear Regulatory Commission. ACTION: Notice of... entitled: NUREG-1482, Revision 2, ``Guidelines for Inservice Testing at Nuclear Power Plants,'' and... Restraints (Snubbers) at Nuclear Power Plants.'' In the previous Revisions 0 and 1 of NUREG-1482, the NRC...

  13. Performance indicators in bsc management model: an investigation into the wineries in Rio Grande do Sul (gaúcha region

    Directory of Open Access Journals (Sweden)

    Fábio Josende Paz

    2018-06-01

    Full Text Available This segment of the wine industry is booming in the Campaign region in the state of Rio Grande do Sul, and based on this fact, managers need more and more tools to assist them in the management process. One of the main tools in this process is the Balanced Scorecard, which uses performance indicators in different aspects of the company as a way to evaluate it. The research aims to investigate the use of performance indicators in the BSC management model, the wineries of the ‘gaúcha’Campaign region. For this purpose, d, an exploratory and descriptive study of a quantitative and qualitative character was developed, revealing that these wineries use, in large part, indicators of the financial perspective of the business, leaving aside other important aspects and perspectives. Further, it was found that the quality of management does not depend on the number of indicators used, but the correct use of those indicators.

  14. Belief revision and delusions: how do patients with schizophrenia take advice?

    Science.gov (United States)

    Kaliuzhna, Mariia; Chambon, Valérian; Franck, Nicolas; Testud, Bérangère; Van der Henst, Jean-Baptiste

    2012-01-01

    The dominant cognitive model that accounts for the persistence of delusional beliefs in schizophrenia postulates that patients suffer from a general deficit in belief revision. It is generally assumed that this deficit is a consequence of impaired reasoning skills. However, the possibility that such inflexibility affects the entire system of a patient's beliefs has rarely been empirically tested. Using delusion-neutral material in a well-documented advice-taking task, the present study reports that patients with schizophrenia: 1) revise their beliefs, 2) take into account socially provided information to do so, 3) are not overconfident about their judgments, and 4) show less egocentric advice-discounting than controls. This study thus shows that delusional patients' difficulty in revising beliefs is more selective than had been previously assumed. The specificities of the task and the implications for a theory of delusion formation are discussed.

  15. Applications of the balanced scorecard for strategic management and performance measurement in the health sector.

    Science.gov (United States)

    Behrouzi, Farshad; Shaharoun, Awaluddin Mohamed; Ma'aram, Azanizawati

    2014-05-01

    In order to attain a useful balanced scorecard (BSC), appropriate performance perspectives and indicators are crucial to reflect all strategies of the organisation. The objectives of this survey were to give an insight regarding the situation of the BSC in the health sector over the past decade, and to afford a generic approach of the BSC development for health settings with specific focus on performance perspectives, performance indicators and BSC generation. After an extensive search based on publication date and research content, 29 articles published since 2002 were identified, categorised and analysed. Four critical attributes of each article were analysed, including BSC generation, performance perspectives, performance indicators and auxiliary tools. The results showed that 'internal business process' was the most notable BSC perspective as it was included in all reviewed articles. After investigating the literature, it was concluded that its comprehensiveness is the reason for the importance and high usage of this perspective. The findings showed that 12 cases out of 29 reviewed articles (41%) exceeded the maximum number of key performance indicators (KPI) suggested in a previous study. It was found that all 12 cases were large organisations with numerous departments (e.g. national health organisations). Such organisations require numerous KPI to cover all of their strategic objectives. It was recommended to utilise the cascaded BSC within such organisations to avoid complexity and difficulty in gathering, analysing and interpreting performance data. Meanwhile it requires more medical staff to contribute in BSC development, which will result in greater reliability of the BSC.

  16. Revising and editing for translators

    CERN Document Server

    Mossop, Brian

    2014-01-01

    Revising and Editing for Translators provides guidance and learning materials for translation students learning to edit texts written by others, and professional translators wishing to improve their self-revision ability or learning to revise the work of others. Editing is understood as making corrections and improvements to texts, with particular attention to tailoring them to the given readership. Revising is this same task applied to draft translations. The linguistic work of editors and revisers is related to the professional situations in which they work. Mossop offers in-depth coverage of a wide range of topics, including copyediting, style editing, structural editing, checking for consistency, revising procedures and principles, and translation quality assessment. This third edition provides extended coverage of computer aids for revisers, and of the different degrees of revision suited to different texts. The inclusion of suggested activities and exercises, numerous real-world examples, a proposed gra...

  17. Characteristics of the Receptor for the Biosphere Model

    Energy Technology Data Exchange (ETDEWEB)

    M.A. Wasiolek

    2005-04-05

    plan (BSC 2005 [DIRS 172782]). The scope of the revision was to develop dosimetric input parameters for the biosphere model that are consistent with the International Commission on Radiological Protection (ICRP) Publication 72 (ICRP 1996 [DIRS 152446]). The quantities developed previously (BSC 2004 [DIRS 169671]), which reflect the ICRP Publication 30 dosimetric methods (ICRP 30) (ICRP 1979 [DIRS 110386]; ICRP 1980 [DIRS 110351]; ICRP 1981 [DIRS 110352]) were not changed and were retained in this report.

  18. Loosening After Acetabular Revision

    DEFF Research Database (Denmark)

    Beckmann, Nicholas A.; Weiss, Stefan; Klotz, Matthias C.M.

    2014-01-01

    The best method of revision acetabular arthroplasty remains unclear. Consequently, we reviewed the literature on the treatment of revision acetabular arthroplasty using revision rings (1541 cases; mean follow-up (FU) 5.7 years) and Trabecular Metal, or TM, implants (1959 cases; mean FU 3.7 years...

  19. Developments in UK defect assessment procedures R6 revision 4 and BS7910

    International Nuclear Information System (INIS)

    Sharples, J.K.; Ainsworth, R.A.; Budden, P.J.

    2003-01-01

    The R6 defect assessment procedures have been developed over many years by the UK nuclear power generation industry. The procedures are updated on a regular basis, taking into account the information resulting from the R6 development programme and other available information worldwide. A major revision, Revision 4, of the R6 procedures was released in 2000. Just prior to that release, in 1999, the British Standards flaw assessment procedure BS7910 was issued and combined and updated the previous published documents PD6493 and PD6539, for components operating at temperatures where creep was negligible and important, respectively. BS79l0 is also under constant development. This paper provides a brief overview of the BS7910 and R6 Revision 4 procedures and describes updates to the respective documents since they were first issued. Some ongoing developments which will lead to future revisions to the documents are also described. (author)

  20. Belief revision and delusions: how do patients with schizophrenia take advice?

    Directory of Open Access Journals (Sweden)

    Mariia Kaliuzhna

    Full Text Available The dominant cognitive model that accounts for the persistence of delusional beliefs in schizophrenia postulates that patients suffer from a general deficit in belief revision. It is generally assumed that this deficit is a consequence of impaired reasoning skills. However, the possibility that such inflexibility affects the entire system of a patient's beliefs has rarely been empirically tested. Using delusion-neutral material in a well-documented advice-taking task, the present study reports that patients with schizophrenia: 1 revise their beliefs, 2 take into account socially provided information to do so, 3 are not overconfident about their judgments, and 4 show less egocentric advice-discounting than controls. This study thus shows that delusional patients' difficulty in revising beliefs is more selective than had been previously assumed. The specificities of the task and the implications for a theory of delusion formation are discussed.

  1. A revised econometric model of the domestic pallet market

    Science.gov (United States)

    Albert T. Schuler; Walter B. Wallin

    1983-01-01

    The purpose of this revised model is to project estimates of consumption and price of wooden pallets in the short term. This model differs from previous ones developed by Schuler and Wallin (1979 and 1980) in the following respects: The structure of the supply side of the market is more realistically identified (from an economic theory point of view) by including...

  2. UZ Flow Models and Submodels

    International Nuclear Information System (INIS)

    Y. Wu

    2004-01-01

    The purpose of this report is to document the unsaturated zone (UZ) flow models and submodels, as well as the flow fields that have been generated using the UZ flow model(s) of Yucca Mountain, Nevada. In this report, the term ''UZ model'' refers to the UZ flow model and the several submodels, which include tracer transport, temperature or ambient geothermal, pneumatic or gas flow, and geochemistry (chloride, calcite, and strontium) submodels. The term UZ flow model refers to the three-dimensional models used for calibration and simulation of UZ flow fields. This work was planned in the ''Technical Work Plan (TWP) for: Unsaturated Zone Flow Analysis and Model Report Integration'' (BSC 2004 [DIRS 169654], Section 1.2.7). The table of included Features, Events, and Processes (FEPs), Table 6.2-11, is different from the list of included FEPs assigned to this report in the ''Technical Work Plan for: Unsaturated Zone Flow Analysis and Model Report Integration'' (BSC 2004 [DIRS 169654], Table 2.1.5-1), as discussed in Section 6.2.6. The UZ model has revised, updated, and enhanced the previous UZ model (BSC 2001 [DIRS 158726]) by incorporating the repository design with new grids, recalibration of property sets, and more comprehensive validation effort. The flow fields describe fracture-fracture, matrix-matrix, and fracture-matrix liquid flow rates, and their spatial distributions as well as moisture conditions in the UZ system. These three-dimensional UZ flow fields are used directly by Total System Performance Assessment (TSPA). The model and submodels evaluate important hydrogeologic processes in the UZ as well as geochemistry and geothermal conditions. These provide the necessary framework to test hypotheses of flow and transport at different scales, and predict flow and transport behavior under a variety of climatic conditions. In addition, the limitations of the UZ model are discussed in Section 8.11

  3. Revising Lecture Notes: How Revision, Pauses, and Partners Affect Note Taking and Achievement

    Science.gov (United States)

    Luo, Linlin; Kiewra, Kenneth A.; Samuelson, Lydia

    2016-01-01

    Note taking has been categorized as a two-stage process: the recording of notes and the review of notes. We contend that note taking might best involve a three-stage process where the missing stage is revision. This study investigated the benefits of revising lecture notes and addressed two questions: First, is revision more effective than…

  4. Applying the Balanced Scorecard approach in teaching hospitals: a literature review and conceptual framework.

    Science.gov (United States)

    Trotta, Annarita; Cardamone, Emma; Cavallaro, Giusy; Mauro, Marianna

    2013-01-01

    Teaching hospitals (THs) simultaneously serve three different roles: offering medical treatment, teaching future doctors and promoting research. The international literature recognises such organisations as 'peaks of excellence' and highlights their economic function in the health system. In addition, the literature describes the urgent need to manage the complex dynamics and inefficiency issues that threaten the survival of teaching hospitals worldwide. In this context, traditional performance measurement systems that focus only on accounting and financial measures appear to be inadequate. Given that THs are highly specific and complex, a multidimensional system of performance measurement, such as the Balanced Scorecard (BSC), may be more appropriate because of the multitude of stakeholders, each of whom seek a specific type of accountability. The aim of the paper was twofold: (i) to review the literature on the BSC and its applications in teaching hospitals and (ii) to propose a scorecard framework that is suitable for assessing the performance of THs and serving as a guide for scholars and practitioners. In addition, this research will contribute to the ongoing debate on performance evaluation systems by suggesting a revised BSC framework and proposing specific performance indicators for THs. Copyright © 2012 John Wiley & Sons, Ltd.

  5. Acetabular Cup Revision.

    Science.gov (United States)

    Kim, Young-Ho

    2017-09-01

    The use of acetabular cup revision arthroplasty is on the rise as demands for total hip arthroplasty, improved life expectancies, and the need for individual activity increase. For an acetabular cup revision to be successful, the cup should gain stable fixation within the remaining supportive bone of the acetabulum. Since the patient's remaining supportive acetabular bone stock plays an important role in the success of revision, accurate classification of the degree of acetabular bone defect is necessary. The Paprosky classification system is most commonly used when determining the location and degree of acetabular bone loss. Common treatment options include: acetabular liner exchange, high hip center, oblong cup, trabecular metal cup with augment, bipolar cup, bulk structural graft, cemented cup, uncemented cup including jumbo cup, acetabular reinforcement device (cage), trabecular metal cup cage. The optimal treatment option is dependent upon the degree of the discontinuity, the amount of available bone stock and the likelihood of achieving stable fixation upon supportive host bone. To achieve successful acetabular cup revision, accurate evaluation of bone defect preoperatively and intraoperatively, proper choice of method of acetabular revision according to the evaluation of acetabular bone deficiency, proper technique to get primary stability of implant such as precise grafting technique, and stable fixation of implant are mandatory.

  6. Failure of aseptic revision total knee arthroplasties.

    Science.gov (United States)

    Leta, Tesfaye H; Lygre, Stein Håkon L; Skredderstuen, Arne; Hallan, Geir; Furnes, Ove

    2015-02-01

    In Norway, the proportion of revision knee arthroplasties increased from 6.9% in 1994 to 8.5% in 2011. However, there is limited information on the epidemiology and causes of subsequent failure of revision knee arthroplasty. We therefore studied survival rate and determined the modes of failure of aseptic revision total knee arthroplasties. This study was based on 1,016 aseptic revision total knee arthroplasties reported to the Norwegian Arthroplasty Register between 1994 and 2011. Revisions done for infections were not included. Kaplan-Meier and Cox regression analyses were used to assess the survival rate and the relative risk of re-revision with all causes of re-revision as endpoint. 145 knees failed after revision total knee arthroplasty. Deep infection was the most frequent cause of re-revision (28%), followed by instability (26%), loose tibial component (17%), and pain (10%). The cumulative survival rate for revision total knee arthroplasties was 85% at 5 years, 78% at 10 years, and 71% at 15 years. Revision total knee arthroplasties with exchange of the femoral or tibial component exclusively had a higher risk of re-revision (RR = 1.7) than those with exchange of the whole prosthesis. The risk of re-revision was higher for men (RR = 2.0) and for patients aged less than 60 years (RR = 1.6). In terms of implant survival, revision of the whole implant was better than revision of 1 component only. Young age and male sex were risk factors for re-revision. Deep infection was the most frequent cause of failure of revision of aseptic total knee arthroplasties.

  7. BWR Water Chemistry Guidelines: 1993 Revision, Normal and hydrogen water chemistry

    International Nuclear Information System (INIS)

    Karlberg, G.; Goddard, C.; Fitzpatrick, S.

    1994-02-01

    The goal of water chemistry control is to extend the operating life of the reactor and rector coolant system, balance-of-plant components, and turbines while simultaneously controlling costs to safeguard the continued economic viability of the nuclear power generation investment. To further this goal an industry committee of chemistry personnel prepared guidelines to identify the benefits, risks, and costs associated with water chemistry in BWRs and to provide a template for an optimized water chemistry program. This document replaces the BWR Normal Water Chemistry Guidelines - 1986 Revision and the BWR Hydrogen Water Chemistry Guidelines -- 1987 Revision. It expands on the previous guidelines documents by covering the economic implications of BWR water chemistry control

  8. Revised ANL-reported tensile data for V-Ti and V-Cr-Ti alloys

    Energy Technology Data Exchange (ETDEWEB)

    Billone, M.C. [Argonne National Lab., IL (United States)

    1997-08-01

    The tensile for all irradiated vanadium alloy samples and several unirradiated vanadium alloys tested at Argonne National Laboratory (ANL) have been critically reviewed and revised, as necessary. The review and revision are based on re-analyzing the original load-displacement strip-chart recording using a methodology consistent with current ASTM standards. No significant difference has been found between the newly-revised and previously-reported values of yield strength (YS) and ultimate tensile strength (UTS). However, by correctly subtracting the non-gauge-length displacement and linear gauge-length displacement from the total cross-head displacement, the uniform elongation (UE) of the gauge length decreases by 4-9% strain and the total elongation (TE) of the gauge length decreases by 1-7% strain. These differences are more significant for lower-ductility irradiated alloys than for higher-ductility alloys.

  9. Revised ANL-reported tensile data for V-Ti and V-Cr-Ti alloys

    International Nuclear Information System (INIS)

    Billone, M.C.

    1997-01-01

    The tensile for all irradiated vanadium alloy samples and several unirradiated vanadium alloys tested at Argonne National Laboratory (ANL) have been critically reviewed and revised, as necessary. The review and revision are based on re-analyzing the original load-displacement strip-chart recording using a methodology consistent with current ASTM standards. No significant difference has been found between the newly-revised and previously-reported values of yield strength (YS) and ultimate tensile strength (UTS). However, by correctly subtracting the non-gauge-length displacement and linear gauge-length displacement from the total cross-head displacement, the uniform elongation (UE) of the gauge length decreases by 4-9% strain and the total elongation (TE) of the gauge length decreases by 1-7% strain. These differences are more significant for lower-ductility irradiated alloys than for higher-ductility alloys

  10. Bibliocable. Revised Edition.

    Science.gov (United States)

    Cable Television Information Center, Washington, DC.

    This selective, annotated bibliography is a revision of the original published in 1972 (ED 071 402). Some 104 books, articles, and reports included here deal with access, applications, franchising, regulation, technology, and other aspects of cable television. The listings are of two types in each category. First are revisions of the original…

  11. Investigation of previously derived Hyades, Coma, and M67 reddenings

    International Nuclear Information System (INIS)

    Taylor, B.J.

    1980-01-01

    New Hyades polarimetry and field star photometry have been obtained to check the Hyades reddening, which was found to be nonzero in a previous paper. The new Hyades polarimetry implies essentially zero reddening; this is also true of polarimetry published by Behr (which was incorrectly interpreted in the previous paper). Four photometric techniques which are presumed to be insensitive to blanketing are used to compare the Hyades to nearby field stars; these four techniques also yield essentially zero reddening. When all of these results are combined with others which the author has previously published and a simultaneous solution for the Hyades, Coma, and M67 reddenings is made, the results are E (B-V) =3 +- 2 (sigma) mmag, -1 +- 3 (sigma) mmag, and 46 +- 6 (sigma) mmag, respectively. No support for a nonzero Hyades reddening is offered by the new results. When the newly obtained reddenings for the Hyades, Coma, and M67 are compared with results from techniques given by Crawford and by users of the David Dunlap Observatory photometric system, no differences between the new and other reddenings are found which are larger than about 2 sigma. The author had previously found that the M67 main-sequence stars have about the same blanketing as that of Coma and less blanketing than the Hyades; this conclusion is essentially unchanged by the revised reddenings

  12. ENGINEERED BARRIER SYSTEM FEATURES, EVENTS AND PROCESSES

    International Nuclear Information System (INIS)

    Jaros, W.

    2005-01-01

    The purpose of this report is to evaluate and document the inclusion or exclusion of engineered barrier system (EBS) features, events, and processes (FEPs) with respect to models and analyses used to support the total system performance assessment for the license application (TSPA-LA). A screening decision, either Included or Excluded, is given for each FEP along with the technical basis for exclusion screening decisions. This information is required by the U.S. Nuclear Regulatory Commission (NRC) at 10 CFR 63.114 (d, e, and f) [DIRS 173273]. The FEPs addressed in this report deal with those features, events, and processes relevant to the EBS focusing mainly on those components and conditions exterior to the waste package and within the rock mass surrounding emplacement drifts. The components of the EBS are the drip shield, waste package, waste form, cladding, emplacement pallet, emplacement drift excavated opening (also referred to as drift opening in this report), and invert. FEPs specific to the waste package, cladding, and drip shield are addressed in separate FEP reports: for example, ''Screening of Features, Events, and Processes in Drip Shield and Waste Package Degradation'' (BSC 2005 [DIRS 174995]), ''Clad Degradation--FEPs Screening Arguments (BSC 2004 [DIRS 170019]), and Waste-Form Features, Events, and Processes'' (BSC 2004 [DIRS 170020]). For included FEPs, this report summarizes the implementation of the FEP in the TSPA-LA (i.e., how the FEP is included). For excluded FEPs, this analysis provides the technical basis for exclusion from TSPA-LA (i.e., why the FEP is excluded). This report also documents changes to the EBS FEPs list that have occurred since the previous versions of this report. These changes have resulted due to a reevaluation of the FEPs for TSPA-LA as identified in Section 1.2 of this report and described in more detail in Section 6.1.1. This revision addresses updates in Yucca Mountain Project (YMP) administrative procedures as they

  13. Upon Further Review: V. An Examination of Previous Lightcurve Analysis from the Palmer Divide Observatory

    Science.gov (United States)

    Warner, Brian D.

    2011-01-01

    Updated results are given for nine asteroids previously reported from the Palmer Divide Observatory (PDO). The original images were re-measured to obtain new data sets using the latest version of MPO Canopus photometry software, analysis tools, and revised techniques for linking multiple observing runs covering several days to several weeks. Results that were previously not reported or were moderately different were found for 1659 Punkajarju, 1719 Jens, 1987 Kaplan, 2105 Gudy, 2961 Katsurahama, 3285 Ruth Wolfe, 3447 Burckhalter, 7816 Hanoi, and (34817) 2000 SE116. This is one in a series of papers that will examine results obtained during the initial years of the asteroid lightcurve program at PDO.

  14. 2009.3 Revision of the Evaluated Nuclear Data Library (ENDL2009.3)

    Energy Technology Data Exchange (ETDEWEB)

    Thompson, I. J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Beck, B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Descalle, M. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Mattoon, C. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Jurgenson, E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2017-11-06

    LLNL's Computational Nuclear Data and Theory Group have created a 2009.3 revised release of the Evaluated Nuclear Data Library (ENDL2009.3). This library is designed to support LLNL's current and future nuclear data needs and will be employed in nuclear reactor, nuclear security and stockpile stewardship simulations with ASC codes. The ENDL2009 database was the most complete nuclear database for Monte Carlo and deterministic transport of neutrons and charged particles. It was assembled with strong support from the ASC PEM and Attribution programs, leveraged with support from Campaign 4 and the DOE/Office of Science's US Nuclear Data Program. This document lists the revisions and fixes made in a new release called ENDL2009.3, by com- paring with the existing data in the previous release ENDL2009.2. These changes are made in conjunction with the revisions for ENDL2011.3, so that both the .3 releases are as free as possible of known defects.

  15. Evaluation of Features, Events, and Processes (FEP) for the Biosphere Model

    International Nuclear Information System (INIS)

    J. J. Tappen

    2003-01-01

    The purpose of this revision of ''Evaluation of the Applicability of Biosphere-Related Features, Events, and Processes (FEPs)'' (BSC 2001) is to document the screening analysis of biosphere-related primary FEPs, as identified in ''The Development of Information Catalogued in REV00 of the YMP FEP Database'' (Freeze et al. 2001), in accordance with the requirements of the final U.S. Nuclear Regulatory Commission (NRC) regulations at 10 CFR Part 63. This database is referred to as the Yucca Mountain Project (YMP) FEP Database throughout this document. Those biosphere-related primary FEPs that are screened as applicable will be used to develop the conceptual model portion of the biosphere model, which will in turn be used to develop the mathematical model portion of the biosphere model. As part of this revision, any reference to the screening guidance or criteria provided either by Dyer (1999) or by the proposed NRC regulations at 64 FR 8640 has been removed. The title of this revision has been changed to more accurately reflect the purpose of the analyses. In addition, this revision will address Item Numbers 19, 20, 21, 25, and 26 from Attachment 2 of ''U.S. Nuclear Regulatory Commission/U.S. Department of Energy Technical Exchange and Management Meeting on Total System Performance Assessment and Integration (August 6 through 10, 2001)'' (Reamer 2001). This Scientific Analysis Report (SAR) does not support the current revision to the YMP FEP Database (Freeze et al. 2001). Subsequent to the release of the YMP FEP Database (Freeze et al. 2001), a series of reviews was conducted on both the FEP processes used to support Total System Performance Assessment for Site Recommendation and to develop the YMP FEP Database. In response to observations and comments from these reviews, particularly the NRC/DOE TSPA Technical Exchange in August 2001 (Reamer 2001), several Key Technical Issue (KTI) Agreements were developed. ''The Enhanced Plan for Features, Events and Processes

  16. Evaluation of Features, Events, and Processes (FEP) for the Biosphere Model

    Energy Technology Data Exchange (ETDEWEB)

    J. J. Tappen

    2003-02-16

    The purpose of this revision of ''Evaluation of the Applicability of Biosphere-Related Features, Events, and Processes (FEPs)'' (BSC 2001) is to document the screening analysis of biosphere-related primary FEPs, as identified in ''The Development of Information Catalogued in REV00 of the YMP FEP Database'' (Freeze et al. 2001), in accordance with the requirements of the final U.S. Nuclear Regulatory Commission (NRC) regulations at 10 CFR Part 63. This database is referred to as the Yucca Mountain Project (YMP) FEP Database throughout this document. Those biosphere-related primary FEPs that are screened as applicable will be used to develop the conceptual model portion of the biosphere model, which will in turn be used to develop the mathematical model portion of the biosphere model. As part of this revision, any reference to the screening guidance or criteria provided either by Dyer (1999) or by the proposed NRC regulations at 64 FR 8640 has been removed. The title of this revision has been changed to more accurately reflect the purpose of the analyses. In addition, this revision will address Item Numbers 19, 20, 21, 25, and 26 from Attachment 2 of ''U.S. Nuclear Regulatory Commission/U.S. Department of Energy Technical Exchange and Management Meeting on Total System Performance Assessment and Integration (August 6 through 10, 2001)'' (Reamer 2001). This Scientific Analysis Report (SAR) does not support the current revision to the YMP FEP Database (Freeze et al. 2001). Subsequent to the release of the YMP FEP Database (Freeze et al. 2001), a series of reviews was conducted on both the FEP processes used to support Total System Performance Assessment for Site Recommendation and to develop the YMP FEP Database. In response to observations and comments from these reviews, particularly the NRC/DOE TSPA Technical Exchange in August 2001 (Reamer 2001), several Key Technical Issue (KTI) Agreements were developed

  17. Guidance document for revision of DOE Order 5820.2A, Radioactive Waste Technical Support Program. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Kudera, D.E.; McMurtrey, C.D.; Meagher, B.G.

    1993-04-01

    This document provides guidance for the revision of DOE Order 5820.2A, ``Radioactive Waste Management.`` Technical Working Groups have been established and are responsible for writing the revised order. The Technical Working Groups will use this document as a reference for polices and procedures that have been established for the revision process. The overall intent of this guidance is to outline how the order will be revised and how the revision process will be managed. In addition, this document outlines technical issues considered for inclusion by a Department of Energy Steering Committee.

  18. The Old World species of Boehmeria (Urticaceae, tribus Boehmerieae). A taxonomic revision

    NARCIS (Netherlands)

    Wilmot-Dear, C.M.; Friis, I.

    2013-01-01

    This is the second part of a world-wide revision of the genus Boehmeria, the previously-published part having dealt with the New World species. The Old World species are widely distributed in the tropics and subtropics from West Africa to islands in the Pacific Ocean and from Japan and China to

  19. An internally validated prognostic model for success in revision stapes surgery for otosclerosis.

    Science.gov (United States)

    Wegner, Inge; Vincent, Robert; Derks, Laura S M; Rauh, Simone P; Heymans, Martijn W; Stegeman, Inge; Grolman, Wilko

    2018-03-09

    To develop a prediction model that can accurately predict the chance of success following revision stapes surgery in patients with recurrent or persistent otosclerosis at 2- to 6-months follow-up and to validate this model internally. A retrospective cohort study of prospectively gathered data in a tertiary referral center. The associations of 11 prognostic factors with treatment success were tested in 705 cases using multivariable logistic regression analysis with backward selection. Success was defined as a mean air-bone gap closure to 10 dB or less. The most relevant predictors were used to derive a clinical prediction rule to determine the probability of success. Internal validation by means of bootstrapping was performed. Model performance indices, including the Hosmer-Lemeshow test, the area under the receiver operating characteristics curve (AUC), and the explained variance were calculated. Success was achieved in 57.7% of cases at 2- to 6-months follow-up. Certain previous surgical techniques, primary causes of failure leading up to revision stapes surgery, and positions of the prosthesis placed during revision surgery were associated with higher success percentages. The clinical prediction rule performed moderately well in the original dataset (Hosmer-Lemeshow P = .78; AUC = 0.73; explained variance = 22%), which slightly decreased following internal validation by means of bootstrapping (AUC = 0.69; explained variance = 13%). Our study established the importance of previous surgical technique, primary cause of failure, and type of the prosthesis placed during the revision surgery in predicting the probability of success following stapes surgery at 2- to 6-months follow-up. 2b. Laryngoscope, 2018. © 2018 The American Laryngological, Rhinological and Otological Society, Inc.

  20. One stage revision single-bundle anterior cruciate ligament reconstruction with impacted morselized bone graft following a failed double-bundle reconstruction

    Directory of Open Access Journals (Sweden)

    Ho Jong Ra

    2017-01-01

    Full Text Available Although double-bundle anterior cruciate ligament (ACL reconstruction has theoretical benefits such as more accurate reproduction of ACL anatomy, it is technically more demanding surgery. This report describes the case of a one stage revision single-bundle ACL reconstruction after primary double-bundle ACL reconstruction. A professional dancer had an ACL previously reconstructed with a double-bundle technique, but the femoral tunnels were malpositioned resulting in residual laxity and rotational instability. The previous femoral tunnel positions were vertical and widened. The previous vertical tunnels were filled with impacted bone graft and a revision single-bundle ACL reconstruction was performed via the new femoral tunnel with a 2 O'clock position between the previous two tunnels. After 10 months of postoperative rehabilitation, the patient returned to professional dancing with sound bony union and without any residual instability.

  1. Using the balanced scorecard to mobilize human resources in organizational transformation.

    Science.gov (United States)

    Tsasis, Peter; Harber, Bruce

    2008-05-01

    Traditionally, the balanced scorecard (BSC) has been an effective tool in linking measurement to strategy. However, what is least understood is how the BSC can be used to redefine organizational relationships, re-engineer fundamental processes and transform organizational culture, for superior performance in an organization with the same people, services and technology that previously delivered dismal performance. This paper highlights the process and uses York Central Hospital in Toronto, Ontario, Canada as an illustrative example.

  2. Revision of the design model for a cryogenic falling liquid film helium separator

    International Nuclear Information System (INIS)

    Kinoshita, Masahiro; Bartlit, J.R.; Sherman, R.H.

    1983-05-01

    The present paper reports revision of the design model previously developed by the authors for the cryogenic falling liquid film helium separator. The revised design procedure is composed of three steps : 1) calculation of distributions of phase flow rates, temperature and phase compositions within the refrigerated section and the packed section ; 2) calculation of more detailed distributions of these variables within the refrigerated section ; and 3) estimation of column dimensions and determination of operating conditions. It is assumed that the vacant refrigerated section has two theoretical stages for hydrogen isotope separation. The mixture within the refrigerated section is considered in step 2) as two component system of He-HD. (author)

  3. Neutron-photon multigroup cross sections for neutron energies less than or equal to400 MeV. Revision 1

    International Nuclear Information System (INIS)

    Alsmiller, R.G. Jr.; Barnes, J.M.; Drischler, J.D.

    1986-02-01

    Multigroup cross sections (66 neutron groups and 22 photon groups) are described for neutron energies from thermal to 400 MeV. The elements considered are hydrogen, 10 B, 11 B, carbon, nitrogen, oxygen, sodium, magnesium, aluminum, silicon, sulfur, potassium, calcium, chromium, iron, nickel, tungsten, and lead. The cross section data presented are a revision of similar data presented previously. In the case of iron, transport calculations using the earlier and the revised cross sections are presented and compared, and significant differences are found. The revised cross sections are available from the Radiation Shielding information Center of the Oak Ridge National Laboratory. 32 refs., 5 figs., 3 tabs

  4. The Epidemiology of Revision Anterior Cruciate Ligament Reconstruction in Adults from Ontario, Canada

    Science.gov (United States)

    Leroux, Timothy; Wasserstein, David; Dwyer, Tim; Ogilvie-Harris, Darrell; Marks, Paul H.; Bach, Bernard R.; Townley, John; Mahomed, Nizar; Chahal, Jaskarndip

    2015-01-01

    Objectives: The morbidity associated with revision anterior cruciate ligament reconstruction (ACLR) is largely unknown. The objective of this study was to determine the rate of and risk factors for re-revision, re-operation, and re-admission following revision ACLR in the general population. Methods: All patients who underwent first revision ACLR in Ontario, Canada from January 2004 to December 2010 were identified and followed to December 2012. Exclusions included age (<16 years), previous osteotomy, or multi-ligament knee reconstruction. The main outcome was re-revision ACLR. Secondary outcomes included re-operation [irrigation and debridement (I&D), meniscectomy, manipulation under anesthesia (MUA), contralateral ACLR, and total knee arthroplasty (TKA)], and re-admission within 90 days of surgery. Survival to re-revision was determined using the Kaplan-Meier (KM) approach. A Cox proportional hazards model or logistic regression were used to determine the influence of patient factors (age, sex, neighborhood income quintile, and comorbidity), surgical factors (graft choice, concurrent meniscal procedure, and fixation method), and provider factors (surgeon volume, surgeon years in practice, and hospital status) on outcomes. A post-hoc analysis was performed to determine the influence of the aforementioned factors on overall post-operative infection risk, including both operative and non-operative cases. Results: Overall, 827 patients were included (median age: 30 years; 58.8% males). Single stage revisions comprised 92.9% of cases, and a meniscal procedure (repair or debridement) was performed in 45.3% of cases. The re-revision rate at a mean follow-up of 4.8±2.2 years was 4.4%, and the five-year survival rate was 95.4% (Figure 1). The rates of I&D, meniscectomy, contralateral ACLR, and re-admission were 0.8%, 3.1%, 3.4%, and 4.1%, respectively. MUA and TKA were rare. Young age significantly increased contralateral ACLR risk (risk decreased by 5.1% with each year

  5. Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level

    Directory of Open Access Journals (Sweden)

    Parviz Lionel Sadigh, MB ChB

    2013-12-01

    Full Text Available Summary: The reconstruction of defects around the knee often poses a challenge due to the limited availability of local soft tissues. Indeed, this same problem is encountered when attempting to revise a below-knee amputation stump. Moreover, due to a paucity of recipient vessels in those who have undergone previous amputation secondary to trauma, free-flap reconstruction is often challenging and not always successful. We report a case of a reverse anterolateral thigh (ALT flap used to revise a long below-knee amputation stump. Previous reports in the literature attest to the versatility of the reverse ALT to cover defects around the knee and proximal tibia, but to our knowledge, this is the first report of a reverse ALT reaching to the mid-tibial level.

  6. Environmental Transport Input Parameters for the Biosphere Model

    Energy Technology Data Exchange (ETDEWEB)

    M. A. Wasiolek

    2003-06-27

    ], Section 6.2). Parameter values developed in this report, and the related FEPs, are listed in Table 1-1. The relationship between the parameters and FEPs was based on a comparison of the parameter definition and the FEP descriptions as presented in BSC (2003 [160699], Section 6.2). The parameter values developed in this report support the biosphere model and are reflected in the TSPA through the biosphere dose conversion factors (BDCFs). Biosphere modeling focuses on radionuclides screened for the TSPA-LA (BSC 2002 [160059]). The same list of radionuclides is used in this analysis (Section 6.1.4). The analysis considers two human exposure scenarios (groundwater and volcanic ash) and climate change (Section 6.1.5). This analysis combines and revises two previous reports, ''Transfer Coefficient Analysis'' (CRWMS M&O 2000 [152435]) and ''Environmental Transport Parameter Analysis'' (CRWMS M&O 2001 [152434]), because the new ERMYN biosphere model requires a redefined set of input parameters. The scope of this analysis includes providing a technical basis for the selection of radionuclide- and element-specific biosphere parameters (except for Kd) that are important for calculating BDCFs based on the available radionuclide inventory abstraction data. The environmental transport parameter values were developed specifically for use in the biosphere model and may not be appropriate for other applications.

  7. Environmental Transport Input Parameters for the Biosphere Model

    International Nuclear Information System (INIS)

    Wasiolek, M. A.

    2003-01-01

    developed in this report, and the related FEPs, are listed in Table 1-1. The relationship between the parameters and FEPs was based on a comparison of the parameter definition and the FEP descriptions as presented in BSC (2003 [160699], Section 6.2). The parameter values developed in this report support the biosphere model and are reflected in the TSPA through the biosphere dose conversion factors (BDCFs). Biosphere modeling focuses on radionuclides screened for the TSPA-LA (BSC 2002 [160059]). The same list of radionuclides is used in this analysis (Section 6.1.4). The analysis considers two human exposure scenarios (groundwater and volcanic ash) and climate change (Section 6.1.5). This analysis combines and revises two previous reports, ''Transfer Coefficient Analysis'' (CRWMS MandO 2000 [152435]) and ''Environmental Transport Parameter Analysis'' (CRWMS MandO 2001 [152434]), because the new ERMYN biosphere model requires a redefined set of input parameters. The scope of this analysis includes providing a technical basis for the selection of radionuclide- and element-specific biosphere parameters (except for Kd) that are important for calculating BDCFs based on the available radionuclide inventory abstraction data. The environmental transport parameter values were developed specifically for use in the biosphere model and may not be appropriate for other applications

  8. Implantação do Balanced Scorecard (BSC sob o enfoque da velha economia institucional em uma instituição de ensino superior do estado do RS

    Directory of Open Access Journals (Sweden)

    Maria Margarete Bacin Brizolla

    2016-12-01

    Full Text Available O estudo teve como objetivo investigar como a adoção do BSC em um ambiente de ensino superior influência os conceitos institucionalizados e são convertidos em novos valores, hábitos e rotinas em uma em uma Instituição de Ensino Superior no Estado do RS. Para atender a este objetivo, foi realizada uma pesquisa descritiva, qualitativa, por meio de estudo de caso, por meio de entrevistas com os envolvidos no processo de implantação de BSC da instituição. Os resultados indicaram que a primeira conclusão observada é que a dimensão institucional é tão importante quanto a dimensão técnico-racional, na fase de concepção do modelo conceitual do sistema, não bastando planejar racionalmente os melhores conceitos, rotinas e regras para implantar um sistema de gestão, mas ter a base conceitual em sintonia com as diretrizes do campo institucional da organização. Percebe-se um processo consciente de identificação de princípios institucionais e de codificação do Balanced Scorecard especificando conceitos e rotinas coerentes com os princípios institucionais compartilhados pelos gestores institucionais. O estudo contribui para a compreensão mais adequada dos fenômenos reais de mudança e institucionalização de sistemas de gestão a partir de uma estrutura conceitual ficando evidenciado que a visão normativa é necessária, no sentido da adoção de melhores práticas de gestão, e a visão institucional tem sua importância no sentido de se assegurar a efetiva institucionalização do sistema idealizado.

  9. Revised White House Peer Review Guidelines Draw Generally Favorable Respons

    Science.gov (United States)

    Showstack, Randy

    2004-04-01

    A new bulletin from the White House Office of Management and Budget outlines minimum standards for peer review of scientific information that includes findings representing an official position of a department or agency of the federal government. The OMB Revised Information Quality Bulletin for Peer Review, released on 15 April, substantially modifies a previous draft issued on 15 September 2003, which some had criticized as restrictive and imbalanced.

  10. 48 CFR 15.307 - Proposal revisions.

    Science.gov (United States)

    2010-10-01

    ... AND CONTRACT TYPES CONTRACTING BY NEGOTIATION Source Selection 15.307 Proposal revisions. (a) If an... allow proposal revisions to clarify and document understandings reached during negotiations. At the... submit a final proposal revision. The contracting officer is required to establish a common cut-off date...

  11. Is Cup Positioning Challenged in Hips Previously Treated With Periacetabular Osteotomy?

    DEFF Research Database (Denmark)

    Hartig-Andreasen, Charlotte; Stilling, Maiken; Søballe, Kjeld

    2014-01-01

    After periacetabular osteotomy (PAO), some patients develop osteoarthritis with need of a total hip arthroplasty (THA). We evaluated the outcome of THA following PAO and explored factors associated with inferior cup position and increased polyethylene wear. Follow-up were performed 4 to 10years...... after THA in 34 patients (38 hips) with previous PAO. Computer analysis evaluated cup position and wear rates. No patient had dislocations or revision surgery. Median scores were: Harris hip 96, Oxford hip 38 and WOMAC 78. Mean cup anteversion and abduction angles were 22(o) (range 7°-43°) and 45......° (range 28°-65°). Outliers of cup abduction were associated with persisting dysplasia (CE...

  12. 7 CFR 3015.115 - Budget revisions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Budget revisions. 3015.115 Section 3015.115..., DEPARTMENT OF AGRICULTURE UNIFORM FEDERAL ASSISTANCE REGULATIONS Programmatic Changes and Budget Revisions § 3015.115 Budget revisions. (a) Nonconstruction projects. (1) Except as provided in paragraph (a)(2) of...

  13. A study on scar revision

    Directory of Open Access Journals (Sweden)

    Ashutosh Talwar

    2016-04-01

    Full Text Available Introduction: Scars are psychologically distressing for the patients and have an impact on the quality of life and self esteem of the patients. Scar revision is an aesthetic skill which is mastered by plastic surgeons and encroached now by dermatosurgeons. Scars on the face are aesthetically unacceptable and various techniques have been improvised for making a scar aesthetically acceptable. Various types of techniques are used for scar revision like W plasty, Z plasty and VY plasty. Aims: To see the efficacy of various scar revision techniques including Z plasty, VY plasty and W plasty in 30 patients with disfiguring scars. Methods: We selected twenty patients of disfiguring scars for the study. The scars from various causes including trauma and burns were included in our study. Various techniques of scar revision include Z plasty, W plasty and VY plasty were performed according to the type and site of scar. Results: Male: female was 1.5: 1. The scar revision surgery yielded excellent results with minimal complications including haematoma formation, secondary infection and delayed healing seen in 5% patients each. Regarding the efficacy of scar revision, excellent improvement was seen in 60% patients, moderate improvement was seen in 30% patients and mild improvement was seen in 10% patients. Conclusions: Dermatologists can employ a number of surgical scar revision techniques. While some are better suited to treat specific types of scars, they can be used in combination with each other or with adjunctive therapies to achieve optimal results.

  14. Revised estimates for ozone reduction by shuttle operation

    Science.gov (United States)

    Potter, A. E.

    1978-01-01

    Previous calculations by five different modeling groups of the effect of space shuttle operations on the ozone layer yielded an estimate of 0.2 percent ozone reduction for the Northern Hemisphere at 60 launches per year. Since these calculations were made, the accepted rate constant for the reaction between hydroperoxyl and nitric oxide to yield hydroxyl and nitrogen dioxide, HO2 + NO yields OH + NO2, was revised upward by more than an order of magnitude, with a resultant increase in the predicted ozone reduction for chlorofluoromethanes by a factor of approximately 2. New calculations of the shuttle effect were made with use of the new rate constant data, again by five different modeling groups. The new value of the shuttle effect on the ozone layer was found to be 0.25 percent. The increase resulting from the revised rate constant is considerably less for space shuttle operations than for chlorofluoromethane production, because the new rate constant also increases the calculated rate of downward transport of shuttle exhaust products out of the stratosphere.

  15. A 'YES' to the partial revision of the law on atomic energy

    International Nuclear Information System (INIS)

    Anon.

    1979-01-01

    The Swiss Atomic Energy Law, dated 23 December 1959, has been reviewed by a National Council and it was agreed on 6 October 1978 that it should be partially revised, with a full revision to be made by the end of 1983. Station construction authorisations previously made for Muehleberg, Beznau I, II, Goesgen and Leibstadt are to be followed in a simplified fashion for Kaiseraugst, Groben and Verbois. Safety precautions, however, must be shown to be met, and this includes storage facilities for spent fuel. Final decision on a new station must be approved by democratic means. The final paragraph of the article states that the economics of nuclear power appear to be favourable and that there is no other apparently acceptable alternative. (G.C.)

  16. Cost-effectiveness of ceritinib in patients previously treated with crizotinib in anaplastic lymphoma kinase positive (ALK+) non-small cell lung cancer in Canada.

    Science.gov (United States)

    Hurry, Manjusha; Zhou, Zheng-Yi; Zhang, Jie; Zhang, Chenxue; Fan, Liangyi; Rebeira, Mayvis; Xie, Jipan

    2016-10-01

    To assess the cost-effectiveness of ceritinib vs alternatives in patients who discontinue treatment with crizotinib in anaplastic lymphoma kinase-positive (ALK+) non-small cell lung cancer (NSCLC) from a Canadian public healthcare perspective. A partitioned survival model with three health states (stable, progressive, and death) was developed. Comparators were chosen based on reported utilization from a retrospective Canadian chart study; comparators were pemetrexed, best supportive care (BSC), and historical control (HC). HC comprised of all treatment alternatives reported. Progression-free survival and overall survival for ceritinib were estimated using data reported from single-arm clinical trials (ASCEND-1 [NCT01283516] and ASCEND-2 [NCT01685060]). Survival data for comparators were obtained from published clinical trials in a NSCLC population and from a Canadian retrospective chart study. Parametric models were used to extrapolate outcomes beyond the trial period. Drug acquisition, administration, resource use, and adverse event (AE) costs were obtained from databases. Utilities for health states and disutilities for AEs based on EQ-5D were derived from literature. Incremental costs per quality-adjusted life year (QALY) gained were estimated. Univariate and probabilistic sensitivity analyses were performed. Over 4 years, ceritinib was associated with 0.86 QALYs and total direct costs of $89,740 for the post-ALK population. The incremental cost-effectiveness ratio (ICER) was $149,117 comparing ceritinib vs BSC, $80,100 vs pemetrexed, and $104,436 vs HC. Additional scenarios included comparison to docetaxel with an ICER of $149,780 and using utility scores reported from PROFILE 1007, with a reported ICER ranging from $67,311 vs pemetrexed to $119,926 vs BSC. Due to limitations in clinical efficacy input, extensive sensitivity analyses were carried out whereby results remained consistent with the base-case findings. Based on the willingness-to-pay threshold for

  17. Development of a revised radiotoxicity hazard classification [for radionuclides

    International Nuclear Information System (INIS)

    Carter, M.W.; Burns, P.; Munslow-Davies, L.

    1993-01-01

    Publication of ICRP 60 and 61 has rendered previous radiotoxicity classification lists obsolete. Past classifications have been examined and possible bases for such classifications have been considered. A revised radiotoxicity hazard classification list, based on data in ICRP Publication 61 has been produced for use by Australian regulatory authorities and is described in this paper. The authors propose that the appropriate basis for this new list is a combination of the most restrictive inhalation ALI and the specific activity. (author)

  18. 78 FR 58460 - Revision of Air Quality Implementation Plan; California; Placer County Air Pollution Control...

    Science.gov (United States)

    2013-09-24

    ...EPA is finalizing a limited approval and limited disapproval of two permitting rules submitted by California as a revision to the Placer County Air Pollution Control District (PCAPCD) and Feather River Air Quality Management District (FRAQMD) portion of the California State Implementation Plan (SIP). These revisions were proposed in the Federal Register on February 22, 2013 and concern construction and modification of stationary sources of air pollution within each District. We are approving local rules that regulate these emission sources under the Clean Air Act as amended in 1990 (CAA). Final approval of these rules makes the rules federally enforceable and corrects program deficiencies identified in a previous EPA rulemaking (76 FR 44809, July 27, 2011). EPA is also making a technical amendment to the Code of Federal Regulations (CFR) to reflect this previous rulemaking, which removed an obsolete provision from the California SIP.

  19. Revision history aware repositories of computational models of biological systems.

    Science.gov (United States)

    Miller, Andrew K; Yu, Tommy; Britten, Randall; Cooling, Mike T; Lawson, James; Cowan, Dougal; Garny, Alan; Halstead, Matt D B; Hunter, Peter J; Nickerson, David P; Nunns, Geo; Wimalaratne, Sarala M; Nielsen, Poul M F

    2011-01-14

    Building repositories of computational models of biological systems ensures that published models are available for both education and further research, and can provide a source of smaller, previously verified models to integrate into a larger model. One problem with earlier repositories has been the limitations in facilities to record the revision history of models. Often, these facilities are limited to a linear series of versions which were deposited in the repository. This is problematic for several reasons. Firstly, there are many instances in the history of biological systems modelling where an 'ancestral' model is modified by different groups to create many different models. With a linear series of versions, if the changes made to one model are merged into another model, the merge appears as a single item in the history. This hides useful revision history information, and also makes further merges much more difficult, as there is no record of which changes have or have not already been merged. In addition, a long series of individual changes made outside of the repository are also all merged into a single revision when they are put back into the repository, making it difficult to separate out individual changes. Furthermore, many earlier repositories only retain the revision history of individual files, rather than of a group of files. This is an important limitation to overcome, because some types of models, such as CellML 1.1 models, can be developed as a collection of modules, each in a separate file. The need for revision history is widely recognised for computer software, and a lot of work has gone into developing version control systems and distributed version control systems (DVCSs) for tracking the revision history. However, to date, there has been no published research on how DVCSs can be applied to repositories of computational models of biological systems. We have extended the Physiome Model Repository software to be fully revision history aware

  20. Revision history aware repositories of computational models of biological systems

    Directory of Open Access Journals (Sweden)

    Nickerson David P

    2011-01-01

    Full Text Available Abstract Background Building repositories of computational models of biological systems ensures that published models are available for both education and further research, and can provide a source of smaller, previously verified models to integrate into a larger model. One problem with earlier repositories has been the limitations in facilities to record the revision history of models. Often, these facilities are limited to a linear series of versions which were deposited in the repository. This is problematic for several reasons. Firstly, there are many instances in the history of biological systems modelling where an 'ancestral' model is modified by different groups to create many different models. With a linear series of versions, if the changes made to one model are merged into another model, the merge appears as a single item in the history. This hides useful revision history information, and also makes further merges much more difficult, as there is no record of which changes have or have not already been merged. In addition, a long series of individual changes made outside of the repository are also all merged into a single revision when they are put back into the repository, making it difficult to separate out individual changes. Furthermore, many earlier repositories only retain the revision history of individual files, rather than of a group of files. This is an important limitation to overcome, because some types of models, such as CellML 1.1 models, can be developed as a collection of modules, each in a separate file. The need for revision history is widely recognised for computer software, and a lot of work has gone into developing version control systems and distributed version control systems (DVCSs for tracking the revision history. However, to date, there has been no published research on how DVCSs can be applied to repositories of computational models of biological systems. Results We have extended the Physiome Model

  1. Introduction to Building Systems Performance: Houses That Work II. Revised February 2005

    Energy Technology Data Exchange (ETDEWEB)

    2005-03-01

    Buildings should be suited to their environments. Design and construction must be responsive to varying seismic risks, wind loads, and snow loads, as well as soil conditions, frost depth, orientation, and solar radiation. In addition, building envelopes and mechanical systems should be designed for a specific hygro-thermal regions, rain exposure, and interior climate. The Building Science Consortium (BSC) design recommendations are based on the hygro-thermal regions with reference to the annual rainfall. Local climate must be addressed if it differs significantly from the climate described for a particular design.

  2. Cochlear implant revision surgeries in children.

    Science.gov (United States)

    Amaral, Maria Stella Arantes do; Reis, Ana Cláudia Mirândola B; Massuda, Eduardo T; Hyppolito, Miguel Angelo

    2018-02-16

    The surgery during which the cochlear implant internal device is implanted is not entirely free of risks and may produce problems that will require revision surgeries. To verify the indications for cochlear implantation revision surgery for the cochlear implant internal device, its effectiveness and its correlation with certain variables related to language and hearing. A retrospective study of patients under 18 years submitted to cochlear implant Surgery from 2004 to 2015 in a public hospital in Brazil. Data collected were: age at the time of implantation, gender, etiology of the hearing loss, audiological and oral language characteristics of each patient before and after Cochlear Implant surgery and any need for surgical revision and the reason for it. Two hundred and sixty-five surgeries were performed in 236 patients. Eight patients received a bilateral cochlear implant and 10 patients required revision surgery. Thirty-two surgeries were necessary for these 10 children (1 bilateral cochlear implant), of which 21 were revision surgeries. In 2 children, cochlear implant removal was necessary, without reimplantation, one with cochlear malformation due to incomplete partition type I and another due to trauma. With respect to the cause for revision surgery, of the 8 children who were successfully reimplanted, four had cochlear calcification following meningitis, one followed trauma, one exhibited a facial nerve malformation, one experienced a failure of the cochlear implant internal device and one revision surgery was necessary because the electrode was twisted. The incidence of the cochlear implant revision surgery was 4.23%. The period following the revision surgeries revealed an improvement in the subject's hearing and language performance, indicating that these surgeries are valid in most cases. Copyright © 2018 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  3. The New Federal Wage-Hour, Equal Pay, and Equal Employment Opportunity Laws. Including 1974 Revisions.

    Science.gov (United States)

    Institute For Management, Old Saybrook, CT.

    The book is designed to explain the entire Fair Labor Standards Act. The 1974 amendments are detailed regarding new and previously covered employees, agricultural labor, government employees, domestics, conglomerates, small stores, other revisions, overtime exemptions, and age discrimination. The document elaborates on specifications for overtime…

  4. 24 CFR 968.225 - Budget revisions.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Budget revisions. 968.225 Section... Fewer Than 250 Units) § 968.225 Budget revisions. (a) A PHA shall not incur any modernization cost in excess of the total HUD-approved CIAP budget. A PHA shall submit a budget revision, in a form prescribed...

  5. Revision 2 of the Program of NPP Krsko Decommissioning and SF and LILW Disposal

    International Nuclear Information System (INIS)

    Levanat, I.; Lokner, V.; Rapic, A.

    2010-01-01

    First joint Slovenian-Croatian Program of NPP Krsko Decommissioning and SF and LILW Disposal (DP) was completed in 2004 and formally adopted in 2005. As bilateral agreement on the NPP requires periodic revisions at least each 5 years, revision 2 of DP was started in September 2008, with the purpose to incorporate relevant developments since the 1st revision, to improve the level of details and reliability of DP, and to propose updated and more accurate cost estimates and appropriate financing models. In the first phase of the revision, new supporting studies for DP modules were prepared. Among these studies, the most demanding was the NPP Krsko specific Preliminary Decommissioning Plan (PDP), complying with the IAEA-recommended format, which included development of the NPP decommissioning inventory database. For upgrade of SF management, new and more detailed descriptions with improved cost estimates were prepared. Update of LILW disposal concept was based on new developments and projects prepared for the Slovenian repository. In the second phase of the revision, integrated DP scenarios were formulated and analyzed. They integrate NPP decommissioning together with RW and SF management/disposal into rationally inter-related sequences. Boundary conditions for this revision required: (a) that the reference scenario from the previous revision should be re-examined, with appropriate variations or new alternatives; (b) that the option of the NPP Krsko life extension should also be included; and (c) that the possibility of diverging interests of the contracting parties should also be analyzed (i.e. waste division and separate management). Finally, scenario evaluation is intended to compare the analyzed scenarios taking into account both their feasibility and estimated costs. It should provide the basis for determining future financing of DP, namely the annuities to be paid by the NPP Krsko owners into the national decommissioning funds.(author).

  6. A comparison of reliability and construct validity between the original and revised versions of the Rosenberg Self-Esteem Scale.

    Science.gov (United States)

    Wongpakaran, Tinakon; Tinakon, Wongpakaran; Wongpakaran, Nahathai; Nahathai, Wongpakaran

    2012-03-01

    The Rosenberg Self-Esteem Scale (RSES) is a widely used instrument that has been tested for reliability and validity in many settings; however, some negative-worded items appear to have caused it to reveal low reliability in a number of studies. In this study, we revised one negative item that had previously (from the previous studies) produced the worst outcome in terms of the structure of the scale, then re-analyzed the new version for its reliability and construct validity, comparing it to the original version with respect to fit indices. In total, 851 students from Chiang Mai University (mean age: 19.51±1.7, 57% of whom were female), participated in this study. Of these, 664 students completed the Thai version of the original RSES - containing five positively worded and five negatively worded items, while 187 students used the revised version containing six positively worded and four negatively worded items. Confirmatory factor analysis was applied, using a uni-dimensional model with method effects and a correlated uniqueness approach. The revised version showed the same level of reliability (good) as the original, but yielded a better model fit. The revised RSES demonstrated excellent fit statistics, with χ²=29.19 (df=19, n=187, p=0.063), GFI=0.970, TFI=0.969, NFI=0.964, CFI=0.987, SRMR=0.040 and RMSEA=0.054. The revised version of the Thai RSES demonstrated an equivalent level of reliability but a better construct validity when compared to the original.

  7. UZ Flow Models and Submodels

    Energy Technology Data Exchange (ETDEWEB)

    Y. Wu

    2004-11-01

    The purpose of this report is to document the unsaturated zone (UZ) flow models and submodels, as well as the flow fields that have been generated using the UZ flow model(s) of Yucca Mountain, Nevada. In this report, the term ''UZ model'' refers to the UZ flow model and the several submodels, which include tracer transport, temperature or ambient geothermal, pneumatic or gas flow, and geochemistry (chloride, calcite, and strontium) submodels. The term UZ flow model refers to the three-dimensional models used for calibration and simulation of UZ flow fields. This work was planned in the ''Technical Work Plan (TWP) for: Unsaturated Zone Flow Analysis and Model Report Integration'' (BSC 2004 [DIRS 169654], Section 1.2.7). The table of included Features, Events, and Processes (FEPs), Table 6.2-11, is different from the list of included FEPs assigned to this report in the ''Technical Work Plan for: Unsaturated Zone Flow Analysis and Model Report Integration'' (BSC 2004 [DIRS 169654], Table 2.1.5-1), as discussed in Section 6.2.6. The UZ model has revised, updated, and enhanced the previous UZ model (BSC 2001 [DIRS 158726]) by incorporating the repository design with new grids, recalibration of property sets, and more comprehensive validation effort. The flow fields describe fracture-fracture, matrix-matrix, and fracture-matrix liquid flow rates, and their spatial distributions as well as moisture conditions in the UZ system. These three-dimensional UZ flow fields are used directly by Total System Performance Assessment (TSPA). The model and submodels evaluate important hydrogeologic processes in the UZ as well as geochemistry and geothermal conditions. These provide the necessary framework to test hypotheses of flow and transport at different scales, and predict flow and transport behavior under a variety of climatic conditions. In addition, the limitations of the UZ model are discussed in Section 8.11.

  8. Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System.

    Science.gov (United States)

    Edsberg, Laura E; Black, Joyce M; Goldberg, Margaret; McNichol, Laurie; Moore, Lynn; Sieggreen, Mary

    Our understanding of pressure injury etiology and development has grown in recent years through research, clinical expertise, and global interdisciplinary expert collaboration. Therefore, the National Pressure Ulcer Advisory Panel (NPUAP) has revised the definition and stages of pressure injury. The revision was undertaken to incorporate the current understanding of the etiology of pressure injuries, as well as to clarify the anatomical features present or absent in each stage of injury. An NPUAP-appointed Task Force reviewed the literature and created drafts of definitions, which were then reviewed by stakeholders and the public, including clinicians, educators, and researchers around the world. Using a consensus-building methodology, these revised definitions were the focus of a multidisciplinary consensus conference held in April 2016. As a result of stakeholder and public input, along with the consensus conference, important changes were made and incorporated into the new staging definitions. The revised staging system uses the term injury instead of ulcer and denotes stages using Arabic numerals rather than Roman numerals. The revised definition of a pressure injury now describes the injuries as usually occurring over a bony prominence or under a medical or other device. The revised definition of a Stage 2 pressure injury seeks to clarify the difference between moisture-associated skin damage and injury caused by pressure and/or shear. The term suspected has been removed from the Deep Tissue Pressure Injury diagnostic label. Each definition now describes the extent of tissue loss present and the anatomical features that may or may not be present in the stage of injury. These important revisions reflect the methodical and collaborative approach used to examine the available evidence and incorporate current interdisciplinary clinical expertise into better defining the important phenomenon of pressure injury etiology and development.

  9. Microcomputers and the Improvement of Revision Skills.

    Science.gov (United States)

    Balajthy, Ernest; And Others

    1987-01-01

    Discusses use of word processing software as an effective tool in writing and revision instruction, and describes the role of the teacher. Examples of exercises that encourage revision and of software designed to teach effective revision skills are reviewed. (MBR)

  10. Individual questions of financial control and revision

    Directory of Open Access Journals (Sweden)

    В. М. Глібко

    2015-05-01

    Full Text Available Problem setting. In modern conditions at investigation and gathering of proofs in criminal proceedings according to item 93 CPC of Ukraine collecting of proofs which is carried out by the criminal proceedings parties, victim is important, the representative of the legal person, in which relation carries out manufacture, including a way истребования and receptions from public authorities, local governments, the enterprises, establishments and organisations, official and physical persons of things, documents, data, conclusions of experts, conclusions of revisions and certificates of checks. Recent research and publications analisis. In scientific sources questions of carrying out of revisions S. B.Zhivko, V.V.Akimov, G.Demjanchuk, J.Buzdugan is considered. Paper objective. Article purpose is studying and definition of a place of revision among forms of inspection of the state control and use of results of revision in criminal proceedings. Paper main body. Off-schedule exit revision that is revision which is not provided in plans of work of body of the state financial control is considered and is spent at presence at least one of the circumstances listed in item 11 of the Law of Ukraine «About main principles of realisation of the state financial control in Ukraine». If revision is carried out on request of investigating bodies it is spent on the basis of the petition of the inspector and accepted by the results of consideration of this petition of the decision of the investigatory judge. The primary goal of revision on request of investigating bodies or on the basis of court definition is reception of proofs on business. Therefore the revision certificate admits the written proof as on the basis of its conclusion of the inspector, the public prosecutor receives the information on a perfect crime, abusing, and also on the persons who have committed a crime, on the period of commission of crime and an amount of damage. In criminal

  11. Outcome, revision rate and indication for revision following resurfacing hemiarthroplasty for osteoarthritis of the shoulder

    DEFF Research Database (Denmark)

    Rasmussen, J V; Polk, A; Sorensen, A K

    2014-01-01

    In this study, we evaluated patient-reported outcomes, the rate of revision and the indications for revision following resurfacing hemiarthroplasty of the shoulder in patients with osteoarthritis. All patients with osteoarthritis who underwent primary resurfacing hemiarthroplasty and reported...... to the Danish Shoulder Arthroplasty Registry (DSR), between January 2006 and December 2010 were included. There were 772 patients (837 arthroplasties) in the study. The Western Ontario Osteoarthritis of the Shoulder (WOOS) index was used to evaluate patient-reported outcome 12 months (10 to 14) post......-operatively. The rates of revision were calculated from the revisions reported to the DSR up to December 2011 and by checking deaths with the Danish National Register of Persons. A complete questionnaire was returned by 688 patients (82.2%). The mean WOOS was 67 (0 to 100). A total of 63 hemiarthroplasties (7...

  12. DRY TRANSFER FACILITY CRITICALITY SAFETY CALCULATIONS

    International Nuclear Information System (INIS)

    C.E. Sanders

    2005-01-01

    This design calculation updates the previous criticality evaluation for the fuel handling, transfer, and staging operations to be performed in the Dry Transfer Facility (DTF) including the remediation area. The purpose of the calculation is to demonstrate that operations performed in the DTF and RF meet the nuclear criticality safety design criteria specified in the ''Project Design Criteria (PDC) Document'' (BSC 2004 [DIRS 171599], Section 4.9.2.2), the nuclear facility safety requirement in ''Project Requirements Document'' (Canori and Leitner 2003 [DIRS 166275], p. 4-206), the functional/operational nuclear safety requirement in the ''Project Functional and Operational Requirements'' document (Curry 2004 [DIRS 170557], p. 75), and the functional nuclear criticality safety requirements described in the ''Dry Transfer Facility Description Document'' (BSC 2005 [DIRS 173737], p. 3-8). A description of the changes is as follows: (1) Update the supporting calculations for the various Category 1 and 2 event sequences as identified in the ''Categorization of Event Sequences for License Application'' (BSC 2005 [DIRS 171429], Section 7). (2) Update the criticality safety calculations for the DTF staging racks and the remediation pool to reflect the current design. This design calculation focuses on commercial spent nuclear fuel (SNF) assemblies, i.e., pressurized water reactor (PWR) and boiling water reactor (BWR) SNF. U.S. Department of Energy (DOE) Environmental Management (EM) owned SNF is evaluated in depth in the ''Canister Handling Facility Criticality Safety Calculations'' (BSC 2005 [DIRS 173284]) and is also applicable to DTF operations. Further, the design and safety analyses of the naval SNF canisters are the responsibility of the U.S. Department of the Navy (Naval Nuclear Propulsion Program) and will not be included in this document. Also, note that the results for the Monitored Geologic Repository (MGR) Site specific Cask (MSC) calculations are limited to the

  13. Revised associative inference paradigm confirms relational memory impairment in schizophrenia.

    Science.gov (United States)

    Armstrong, Kristan; Williams, Lisa E; Heckers, Stephan

    2012-07-01

    Patients with schizophrenia have widespread cognitive impairments, with selective deficits in relational memory. We previously reported a differential relational memory deficit in schizophrenia using the Associative Inference Paradigm (AIP), a task suggested by the Cognitive Neuroscience Treatment Research to Improve Cognition in Schizophrenia (CNTRICS) initiative to examine relational memory. However, the AIP had limited feasibility for testing in schizophrenia because of high attrition of schizophrenia patients during training. Here we developed and tested a revised version of the AIP to improve feasibility. 30 healthy control and 37 schizophrenia subjects received 3 study-test sessions on 3 sets of paired associates: H-F1 (house paired with face), H-F2 (same house paired with new face), and F3-F4 (two novel faces). After training, subjects were tested on the trained, noninferential Face-Face pairs (F3-F4) and novel, inferential Face-Face pairs (F1-F2), constructed from the faces of the trained House-Face pairs. Schizophrenia patients were significantly more impaired on the inferential F1-F2 pairs than the noninferential F3-F4 pairs, providing evidence for a differential relational memory deficit. Only 8% of schizophrenia patients were excluded from testing because of poor training performance. The revised AIP confirmed the previous finding of a relational memory deficit in a larger and more representative sample of schizophrenia patients.

  14. Clinical observation of needle revision and 5-fluorouracil subconjunctive injection for the dysfunctional filtering blebs

    Directory of Open Access Journals (Sweden)

    Yan-Hua Gao

    2016-07-01

    Full Text Available AIM:To investigate the efficacy and safety of needle revision with 5-fluorouracil(5-FUon the dysfunctional filtering blebs after trabeculectomy and to assess the factors that may impact the success. METHODS:Eighty-three eyes in 76 patients underwent the needle revision and 5-FU subconjunctive injection for the dysfunctional blebs after trabeculectomy and were followed up for 12mo. The intraocular pressure(IOP, the number of drugs, corneal endothclium, bleb morphology and complications were observed and recorded. RESULTS:IOP decreased significantly from 35.3±5.8mmHg(1kPa=7.5mmHgof pre-needling to 17.0±4.3mmHg of post-needling(PPCI: 10.3-11.6. Statistically, there were no significant difference on needling effect with reference to the types of glaucoma, the use of mitomycin C(MMCduring the previous filtration surgery, the ages of patients, the intervals of needling operation from previous trabeculectomy, while there were significant difference on needling effect with reference to bleb appearance before needling, and the mean number of needling in patients that had surgery within 3mo were less than those who had surgery for more than 3mo. CONCLUSION: The needle revision combined with 5-FU is a safe, effective and simple method. Dysfunctional blebs should be treated early after trabeculectomy.

  15. Circumcision revision in male children

    Directory of Open Access Journals (Sweden)

    Mohammed A. Al-Ghazo

    2006-08-01

    Full Text Available OBJECTIVE: To determine indications for circumcision revision and to identify the specialty of the person who performed unsatisfactory primary circumcision. MATERIALS AND METHODS: The authors reviewed medical records of 52 cases that underwent circumcision revision over a 6-year period (1998 to 2004. Sleeve surgical technique was used for revision in patients with redundant foreskin or concealed penis, penoplasty for partial or complete degloving of the penis and meatotomy for external meatal stenosis. The mean age of children was 32 months (range 6 months to 9 years. RESULTS: Most of unsatisfactory primary circumcisions (86.7% were performed by laymen. All patients who underwent circumcision revision had good to excellent cosmetic results. CONCLUSION: Primary circumcision performed by laymen carry a high complication rate and serious complications may occur. A period of training and direct supervision by physicians is required before allowing laymen to perform circumcision independently.

  16. [Results of revision after failed surgical treatment for traumatic anterior shoulder instability].

    Science.gov (United States)

    Lópiz-Morales, Y; Alcobe-Bonilla, J; García-Fernández, C; Francés-Borrego, A; Otero-Fernández, R; Marco-Martínez, F

    2013-01-01

    Persistent or recurrent glenohumeral instability after a previous operative stabilization can be a complex problem. Our aim is to establish the incidence of recurrence and its revision surgery, and to analyse the functional results of the revision instability surgery, as well as to determine surgical protocols to perform it. A retrospective analysis was conducted on 16 patients with recurrent instability out of 164 patients operated on between 1999 and 2011. The mean follow-up was 57 months and the mean age was 29 years. To evaluate functional outcome we employed Constant, Rowe, UCLA scores and the visual analogue scale. Of the 12 patients who failed the initial arthroscopic surgery, 6 patients underwent an arthroscopic antero-inferior labrum repair technique, 4 using open labrum repair techniques, and 2 coracoid transfer. The two cases of open surgery with recurrences underwent surgery for coracoid transfer. Results of the Constant score were excellent or good in 64% of patients. Surgical revision of instability is a complex surgery essentially for two reasons: the difficulty in recognising the problem, and the technical demand (greater variety and the increasingly complex techniques). Copyright © 2012 SECOT. Published by Elsevier Espana. All rights reserved.

  17. The economic impact of revision otologic surgery.

    Science.gov (United States)

    Nadimi, Sahar; Leonetti, John P; Pontikis, George

    2016-03-01

    Revision otologic surgery places a significant economic burden on patients and the healthcare system. We conducted a retrospective chart analysis to estimate the economic impact of revision canal-wall-down (CWD) mastoidectomy. We reviewed the medical records of all 189 adults who had undergone CWD mastoidectomy performed by the senior author between June 2006 and August 2011 at Loyola University Medical Center in Maywood, Ill. Institutional charges and collections for all patients were extrapolated to estimate the overall healthcare cost of revision surgery in Illinois and at the national level. Of the 189 CWD mastoidectomies, 89 were primary and 100 were revision procedures. The total charge for the revision cases was $2,783,700, and the net reimbursement (collections) was $846,289 (30.4%). Using Illinois Hospital Association data, we estimated that reimbursement for 387 revision CWD mastoidectomies that had been performed in fiscal year 2011 was nearly $3.3 million. By extrapolating our data to the national level, we estimated that 9,214 patients underwent revision CWD mastoidectomy in the United States during 2011, which cost the national healthcare system roughly $76 million, not including lost wages and productivity. Known causes of failed CWD mastoidectomies that often result in revision surgery include an inadequate meatoplasty, a facial ridge that is too high, residual diseased air cells, and recurrent cholesteatoma. A better understanding of these factors can reduce the need for revision surgery, which could have a positive impact on the economic strain related to this procedure at the local, state, and national levels.

  18. Revised energy levels of singly ionized lanthanum

    Science.gov (United States)

    Güzelçimen, Feyza; Tonka, Mehdi; Uddin, Zaheer; Bhatti, Naveed Anjum; Windholz, Laurentius; Kröger, Sophie; Başar, Gönül

    2018-05-01

    Based on the experimental wavenumbers of 344 spectral lines from calibrated Fourier transform (FT) spectra as well as wavenumbers of 81 lines from the wavelength tables from literature, the energy of 115 fine structure levels of singly ionized lanthanum has been revised by weighted global fits. The classifications of the lines are provided by numerous previous investigations of lanthanum by different spectroscopic methods and authors. For the high accurate determination of the center of gravity wavenumbers from the experimental spectrum, the hyperfine constants of the involved levels have been taken into account, if possible. For the 94 levels with known hyperfine constants the accuracy of energy values is better than 0.01 cm-1. For 34 levels the magnetic dipole hyperfine constants A have been determined from FT spectra as part of this work. For four of these 34 levels even electric quadrupole hyperfine constants B could be estimated. For levels, which have experimentally unknown hyperfine constants and which are connected only by lines not found in the FT spectra but taken from literature, the uncertainties of energy values are about a factor of 10 higher. A list of all revised level energies together with a compilation of hyperfine structure data is given as well as a list of all lines used.

  19. The reliability and validity of a modified revised class play examined in Dutch elementary-school children

    NARCIS (Netherlands)

    Aleva, A.E.; Goossens, F.A.; Dekker, P.H.; Laceulle, O.M.

    2017-01-01

    Social withdrawal in children is a risk factor for maladjustment. The Revised Class Play (RCP; Masten, Morison, & Pelligrini, 1985) has often been used to identify children’s behavioral difficulties with peers. However, in previous studies the sensitive-isolated scale of the RCP appeared to measure

  20. Program plan for shipment, receipt, and storage of the TMI-2 core. Revision 1

    International Nuclear Information System (INIS)

    Quinn, G.J.; Reno, H.W.; Schmitt, R.C.

    1985-01-01

    This plan addresses the preparation and shipment of core debris from Three Mile Island Unit 2 (TMI-2) to the Idaho National Engineering Laboratory (INEL) and receipt and storage of that core debris. The Manager of the Nuclear Materials Evaluation Programs Division of EG and G Idaho, Inc. will manage two separate but integrated programs, one located at TMI (Part 1) and the other at INEL (Part 2). The Technical Integration Office (at TMI) is responsible for developing and implementing Part 1, TMI-2 Core Shipment Program. The Technical Support Branch (at INEL) is responsible for developing and implementing Part 2, TMI-2 Core Receipt and Storage. The plan described herein is a revision of a previous document entitled Plan for Shipment, Storage, and Examination of TMI-2 Fuel. This revision was required to delineate changes, primarily in Part 2, Core Activities Program, of the previous document. That part of the earlier document related to core examination was reidentified in mid-FY-1984 as a separate trackable entity entitled Core Sample Acquisition and Examination Project, which is not included here

  1. How to Revise, and Revise Really Well, for Premier Academic Journals

    DEFF Research Database (Denmark)

    LaPlaca, Peter J.; Lindgreen, Adam; Vanhamme, Joelle

    2018-01-01

    Most of the premier academic journals in all fields routinely have rejection rates of 80%, 95%, or higher. All journals prefer articles that make significant contributions to the field. Revising a manuscript and responding properly to the comments of reviewers and editors often is challenging....... This article discusses how to revise effectively a manuscript according to the (minor or major) comments of reviewers and editors for premier academic journals. We provide a series of tips for helping the authors in their endeavor, making the process less arduous and improving the possibility of a positive...

  2. A taxonomic revision of the genus Podocarpus

    NARCIS (Netherlands)

    Laubenfels, de D.J.

    1985-01-01

    In connection with the forthcoming revision of the Coniferae for the Flora Malesiana, the author thought it necessary to revise the genus Podocarpus. Although this genus has a substantial representation in Malesia (30 species), the revision is too involved to be appropriate with the Flora Malesiana

  3. Nevada Test Site Radiological Control Manual. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2010-02-09

    This document supersedes DOE/NV/25946--801, “Nevada Test Site Radiological Control Manual,” Revision 0 issued in October 2009. Brief Description of Revision: A minor revision to correct oversights made during revision to incorporate the 10 CFR 835 Update; and for use as a reference document for Tenant Organization Radiological Protection Programs.

  4. Nuclear safety guide. TID-7016, Revision 2

    International Nuclear Information System (INIS)

    Thomas, J.T.

    1978-01-01

    The Nuclear Safety Guide was first issued in 1956 as classified AEC report LA-2063 and was reprinted the next year, unclassified, as TID-7016. Revision 1, published in 1961, extended the scope and refined the guiding information. The present revision of the Guide differs significantly from its predecessor in that the latter was intentionally conservative in its recommendations. Firmly based on experimental evidence of criticality, the original Guide and the first revision were considered to be of most value to organizations whose activities with fissionable materials were not extensive and, secondarily, that it would serve as a point of departure for members of established nuclear safety teams, experienced in the field. The reader will find a significant change in the character of information presented in this version. Nuclear Criticality Safety has matured in the past twelve years. The advance of calculational capability has permitted validated calculations to extend and substitute for experimental data. The broadened data base has enabled better interpolation, extension, and understanding of available information, especially in areas previously addressed by undefined but adequate factors of safety. The content has been thereby enriched in qualitative guidance. The information inherently contains, and the user can recapture, the quantitative guidance characteristic of the formerGuides by employing appropriate safety factors. In fact, it becomes incumbent on the Criticality Safety Specialist to necessarily impose safety factors consistent with the possible normal and abnormal credible contingencies of an operation as revealed by his evaluation. In its present form the Guide easily becomes a suitable module in any compendium or handbook tailored for internal use by organizations. It is hoped the Guide will continue to serve immediate needs and will encourage continuing and more comprehensive efforts toward organizing nuclear criticality safety information

  5. Nuclear safety guide. TID-7016, Revision 2

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, J T [ed.

    1978-05-01

    The Nuclear Safety Guide was first issued in 1956 as classified AEC report LA-2063 and was reprinted the next year, unclassified, as TID-7016. Revision 1, published in 1961, extended the scope and refined the guiding information. The present revision of the Guide differs significantly from its predecessor in that the latter was intentionally conservative in its recommendations. Firmly based on experimental evidence of criticality, the original Guide and the first revision were considered to be of most value to organizations whose activities with fissionable materials were not extensive and, secondarily, that it would serve as a point of departure for members of established nuclear safety teams, experienced in the field. The reader will find a significant change in the character of information presented in this version. Nuclear Criticality Safety has matured in the past twelve years. The advance of calculational capability has permitted validated calculations to extend and substitute for experimental data. The broadened data base has enabled better interpolation, extension, and understanding of available information, especially in areas previously addressed by undefined but adequate factors of safety. The content has been thereby enriched in qualitative guidance. The information inherently contains, and the user can recapture, the quantitative guidance characteristic of the formerGuides by employing appropriate safety factors. In fact, it becomes incumbent on the Criticality Safety Specialist to necessarily impose safety factors consistent with the possible normal and abnormal credible contingencies of an operation as revealed by his evaluation. In its present form the Guide easily becomes a suitable module in any compendium or handbook tailored for internal use by organizations. It is hoped the Guide will continue to serve immediate needs and will encourage continuing and more comprehensive efforts toward organizing nuclear criticality safety information.

  6. BALANCED SCORECARDS EVALUATION MODEL THAT INCLUDES ELEMENTS OF ENVIRONMENTAL MANAGEMENT SYSTEM USING AHP MODEL

    Directory of Open Access Journals (Sweden)

    Jelena Jovanović

    2010-03-01

    Full Text Available The research is oriented on improvement of environmental management system (EMS using BSC (Balanced Scorecard model that presents strategic model of measurem ents and improvement of organisational performance. The research will present approach of objectives and environmental management me trics involvement (proposed by literature review in conventional BSC in "Ad Barska plovi dba" organisation. Further we will test creation of ECO-BSC model based on business activities of non-profit organisations in order to improve envir onmental management system in parallel with other systems of management. Using this approach we may obtain 4 models of BSC that includ es elements of environmen tal management system for AD "Barska plovidba". Taking into acc ount that implementation and evaluation need long period of time in AD "Barska plovidba", the final choice will be based on 14598 (Information technology - Software product evaluation and ISO 9126 (Software engineering - Product quality using AHP method. Those standards are usually used for evaluation of quality software product and computer programs that serve in organisation as support and factors for development. So, AHP model will be bas ed on evolution criteria based on suggestion of ISO 9126 standards and types of evaluation from two evaluation teams. Members of team & will be experts in BSC and environmental management system that are not em ployed in AD "Barska Plovidba" organisation. The members of team 2 will be managers of AD "Barska Plovidba" organisation (including manage rs from environmental department. Merging results based on previously cr eated two AHP models, one can obtain the most appropriate BSC that includes elements of environmental management system. The chosen model will present at the same time suggestion for approach choice including ecological metrics in conventional BSC model for firm that has at least one ECO strategic orientation.

  7. ENGINEERED BARRIER SYSTEM FEATURES, EVENTS AND PROCESSES

    Energy Technology Data Exchange (ETDEWEB)

    Jaros, W.

    2005-08-30

    The purpose of this report is to evaluate and document the inclusion or exclusion of engineered barrier system (EBS) features, events, and processes (FEPs) with respect to models and analyses used to support the total system performance assessment for the license application (TSPA-LA). A screening decision, either Included or Excluded, is given for each FEP along with the technical basis for exclusion screening decisions. This information is required by the U.S. Nuclear Regulatory Commission (NRC) at 10 CFR 63.114 (d, e, and f) [DIRS 173273]. The FEPs addressed in this report deal with those features, events, and processes relevant to the EBS focusing mainly on those components and conditions exterior to the waste package and within the rock mass surrounding emplacement drifts. The components of the EBS are the drip shield, waste package, waste form, cladding, emplacement pallet, emplacement drift excavated opening (also referred to as drift opening in this report), and invert. FEPs specific to the waste package, cladding, and drip shield are addressed in separate FEP reports: for example, ''Screening of Features, Events, and Processes in Drip Shield and Waste Package Degradation'' (BSC 2005 [DIRS 174995]), ''Clad Degradation--FEPs Screening Arguments (BSC 2004 [DIRS 170019]), and Waste-Form Features, Events, and Processes'' (BSC 2004 [DIRS 170020]). For included FEPs, this report summarizes the implementation of the FEP in the TSPA-LA (i.e., how the FEP is included). For excluded FEPs, this analysis provides the technical basis for exclusion from TSPA-LA (i.e., why the FEP is excluded). This report also documents changes to the EBS FEPs list that have occurred since the previous versions of this report. These changes have resulted due to a reevaluation of the FEPs for TSPA-LA as identified in Section 1.2 of this report and described in more detail in Section 6.1.1. This revision addresses updates in Yucca Mountain Project

  8. Soil-related Input Parameters for the Biosphere Model

    International Nuclear Information System (INIS)

    A. J. Smith

    2003-01-01

    deposition and, as a direct consequence, radionuclide concentration in resuspended particulate matter in the atmosphere. The analysis was performed in accordance with the technical work plan for the biosphere modeling and expert support (TWP) (BSC 2003 [163602]). This analysis revises the previous one titled ''Evaluate Soil/Radionuclide Removal by Erosion and Leaching'' (CRWMS M and O 2001 [152517]). In REV 00 of this report, the data generated were fixed (i.e., taking no account of uncertainty and variability) values. This revision incorporates uncertainty and variability into the values for the bulk density, elemental partition coefficients, average annual loss of soil from erosion, resuspension enhancement factor, and field capacity water content

  9. 75 FR 15645 - Approval and Promulgation of Air Quality Implementation Plans; Texas; Revisions to the Emission...

    Science.gov (United States)

    2010-03-30

    ... clarify EPA's role in the approval of emission quantification protocols. While the previous SIP- approved... approve severable portions of two revisions to the Texas State Implementation Plan (SIP) submitted by the... to further clarify procedures for using emission protocols and to update the approved list of...

  10. Isolated and combined medial patellofemoral ligament reconstruction in revision surgery for patellofemoral instability: a prospective study.

    Science.gov (United States)

    Kohn, Ludwig M; Meidinger, Gebhart; Beitzel, Knut; Banke, Ingo J; Hensler, Daniel; Imhoff, Andreas B; Schöttle, Philip B

    2013-09-01

    Persistent pain and redislocations after surgical treatment of patellofemoral instability are described in up to 40% of patients. However, prospective outcome data about revision surgery are missing. To evaluate the clinical outcome after revision medial patellofemoral ligament (MPFL) reconstruction using isolated and combined procedures, with a follow-up of 24 months. Case series; Level of evidence, 4. Study participants were 42 patients (median age, 22 years; range, 13-46 years) who underwent revision surgery between January 2007 and December 2009 because of persistent patellofemoral instability after a mean of 1.8 previous failed surgical interventions (lateral release, medial imbrication/vastus medialis obliquus distalization, medialization of the tuberosity). An isolated MPFL reconstruction was performed in 15 cases, while a combination procedure was performed in 27 cases. The clinical results were evaluated preoperatively and 24 months postoperatively using the International Knee Documentation Committee (IKDC), Kujala, and Tegner scores as well as a subjective questionnaire. Patellar shift, tilt, and height, as well as level of degeneration, were defined preoperatively and at the latest follow-up on plain radiographs and magnetic resonance imaging. At 24-month follow-up, 87% of the patients were satisfied or very satisfied with the treatment. No apprehension or redislocation was reported at follow-up, and there was a significant decrease in pain during daily activities. There were significant improvements (P instability is a multifactorial problem, revision surgery should be indicated only after a comprehensive examination. The results of this study show that MPFL reconstruction, alone or in combination, seems to be an effective treatment for recurrent patellar dislocations after a failed previous surgery, leading to significant increases in stability and functionality as well as a reduction in pain.

  11. [An overview on the collation and revision of medical books by the Bureau for Revising Medical Books in the Northern Song Dynasty].

    Science.gov (United States)

    Meng, Yongliang; Liang, Yongxuan

    2014-07-01

    The Bureau for Revising Medical Books was a temporary agency established by the government of the Northern Song Dynasty in 1057, the 2nd year of Jiayou of Emperor Renzong, exclusively for the edition, revision and publishing of ancient medical books. 11 medical books were revised and edited by 13 Bureau members in a period of 12 years until 1069, the 2nd year of Xining of Emperor ShenZong, which eventually became the final versions until today. 8 medical books were initially planned for the revision, but 11 were actually completed in the end. The time for completing a revision varied from over 10 years at most to less than 1 year at least. Instead of working in the office, the officers of the Bureau for Revising Medical Books did their works at home. The members of the said Bureau came from the Tiju officer of the Bureau for Revising Medical Books and the officials of revising medical books, consisting of both Confucian ministers and medical officers. Confucian ministers played an important role in revising medical books. The Bureau had a strict workflow in electing revising officials, making the project, and the determination of the principles and arrangements of the tasks of editing and proofreading.

  12. 75 FR 57597 - Revised Proposal for Revisions to the Schedules of Civil Penalties for a Violation of a Federal...

    Science.gov (United States)

    2010-09-21

    ... Revisions to the Schedules of Civil Penalties for a Violation of a Federal Railroad Safety Law or Federal... railroad safety laws and regulations are necessary because many of FRA's civil penalties have not been..., et al. Revised Proposal for Revisions to the Schedules of Civil Penalties for a Violation of a...

  13. Qualification of Thermodynamic Data for Geochemical Modeling of Mineral-Water Interactions in Dilute Systems

    International Nuclear Information System (INIS)

    T. J. Wolery; C.F. Jove-Colon

    2004-01-01

    The purpose of this analysis report is to qualify the thermochemical database data0.ymp.R2 (DTN: MO0302SPATHDYN.000 [DIRS 161756], qualified by this report) and supporting calculations (DTNs: MO0302SPATHDYN.001 [DIRS 161886], and MO0303SPASPEQ2.000 [DIRS 162278]), which were originally documented in ''Data Qualification: Update and Revision of the Geochemical Thermodynamic Database, Data0.ymp'' (Steinborn et al. 2003 [DIRS 161956]). This original document still serves as the record of development of the data0.ymp.R2 database (DTN: MO0302SPATHDYN.000 [DIRS 161756]). The data0.ymp.R2 thermodynamic database (DTN: MO0302SPATHDYN.000 [DIRS 161756]) was developed for use with software code EQ3/6 (EQ3/6 V8.0, STN: 10813-8.0-00) (BSC 2003 [DIRS 162228]) and software code EQ6 (EQ6 V7.2bLV, STN: 10075-7.2bLV-02) (BSC 2002 [DIRS 159731]) to conduct geochemical modeling of mineral-fluid interactions involving aqueous solutions (ionic strengths of up to one molal; see Section 6.5) and temperatures of up to 300 C along the liquid-vapor saturation curve of pure water. The data0.ymp.R2 database (DTN: MO0302SPATHDYN.000 [DIRS 161756]) is an update of the previously qualified predecessor database data0.ymp.R0 (DTN: MO0009THRMODYN.001 [DIRS 152576]). The scope of this report is limited to qualification of the updates, as well as identification and evaluation of certain errors and discrepancies as discussed

  14. Outcomes of Ahmed Glaucoma Valve Revision in Pediatric Glaucoma.

    Science.gov (United States)

    Al-Omairi, Ahmed Mansour; Al Ameri, Aliah H; Al-Shahwan, Sami; Khan, Arif O; Al-Jadaan, Ibrahim; Mousa, Ahmed; Edward, Deepak P

    2017-11-01

    Encapsulation of the Ahmed glaucoma valve (AGV) plate is a common cause for postoperative elevation of intraocular pressure, especially in children. Many reports have described the outcomes of AGV revision in adults. However, the outcomes of AGV revision in children are poorly documented. The aim of this study was to determine the outcomes of AGV revision in children. Retrospective cross-sectional study. A retrospective chart review of patients less than 15 years of age who underwent AGV revision with a minimum postoperative follow-up of 6 months was conducted. Outcome measures included reduction in intraocular pressure from baseline, survival analysis, and reduction in the number of antiglaucoma medications. Postoperative complications were also noted. Complete success was defined as an IOP of 21 mm Hg or less without medications, while qualified success was defined as having an IOP of 21 mm Hg or less with medications. A total of 44 eyes met the inclusion criteria. Primary congenital glaucoma was present in 39 eyes (88.6%), aphakic glaucoma in 4 eyes (9.1%), and Peters anomaly-associated glaucoma in 1 eye (2.3%). The mean number of previous surgeries was 1.4, and the mean age was 6.7 years (range, 1.9-13 years) with a median follow-up of 12 months (range, 6-24 months). The IOP was reduced from a preoperative mean of 30.4 (± 10.3) to 24.9 (± 10.6) mm Hg at 6 months postoperatively. Kaplan-Meier analysis showed that the complete success rate at 1 month was 100% followed by a rapid decline at 6 months to 38.6%, 27.7% at 1 year, and 5.5% at 2 years. Qualified success rate was 100% at 1 month followed by a 6-month and 1-year survival rate of approximately 50% and a 2-year survival rate of approximately 16%. The median survival time was 14 months. No specific risk factors for failure were identified. Visual acuity remained unchanged following revision. The most common complication was recurrence of encapsulation with elevated IOP (15.9%). Other

  15. Student-initiated revision in child health.

    Science.gov (United States)

    Alfaham, M; Gray, O P; Davies, D P

    1994-03-01

    Most teaching of child health in Cardiff takes place in block attachments of 8 weeks. There is an introductory seminar of 2 days followed by a 6-week clinical attachment in a district general hospital in Wales, and then a revision period of one week designed to help students formalize and structure their basic knowledge and to clarify aspects of child health which they may have had difficulty in understanding. The revision programme has to take into account: the short time available, the small number of teaching staff, the most relevant basic knowledge and active participation by the student. This paper describes how this week has been improved through the use of student-initiated revision (SIR). The students' appraisal of this revision and in particular SIR is presented.

  16. Clinical and Economic Burden of Revision Knee Arthroplasty

    Directory of Open Access Journals (Sweden)

    Mohit Bhandari

    2012-01-01

    Full Text Available Surgery is indicated for symptomatic knee osteoarthritis (OA when conservative measures are unsuccessful. High tibial osteotomy (HTO, unicompartmental knee arthroplasty (UKA, and total knee arthroplasty (TKA are surgical options intended to relieve knee OA pain and dysfunction. The choice of surgical intervention is dependent on several factors such as disease location, patient age, comorbidities, and activity levels. Regardless of surgical treatment, complications such as infection, loosening or lysis, periprosthetic fracture, and postoperative pain are known risks and are indications for revision surgery. The clinical and economic implications for revision surgery are underappreciated. Over 55,000 revision surgeries were performed in 2010 in the US, with 48% of these revisions in patients under 65 years. Total costs associated with each revision TKA surgery have been estimated to be in excess of $49,000. The current annual economic burden of revision knee OA surgery is $2.7 billion for hospital charges alone. By 2030, assuming a 5-fold increase in the number of revision procedures, this economic burden will exceed $13 billion annually. It is appealing to envision a therapy that could delay or obviate the need for arthroplasty. From an actuarial standpoint, this would have the theoretical downstream effect of substantially reducing the number of revision procedures. Although no known therapies currently meet these criteria, such a breakthrough would have a tremendous impact in lessening the clinical and economic burden of knee OA revision surgery.

  17. Differences in mechanisms of failure, intraoperative findings, and surgical characteristics between single- and multiple-revision ACL reconstructions: a MARS cohort study.

    Science.gov (United States)

    Chen, James L; Allen, Christina R; Stephens, Thomas E; Haas, Amanda K; Huston, Laura J; Wright, Rick W; Feeley, Brian T

    2013-07-01

    The factors that lead to patients failing multiple anterior cruciate ligament (ACL) reconstructions are not well understood. Multiple-revision ACL reconstruction will have different characteristics than first-time revision in terms of previous and current graft selection, mode of failure, chondral/meniscal injuries, and surgical charactieristics. Case-control study; Level of evidence, 3. A prospective multicenter ACL revision database was utilized for the time period from March 2006 to June 2011. Patients were divided into those who underwent a single-revision ACL reconstruction and those who underwent multiple-revision ACL reconstructions. The primary outcome variable was Marx activity level. Primary data analyses between the groups included a comparison of graft type, perceived mechanism of failure, associated injury (meniscus, ligament, and cartilage), reconstruction type, and tunnel position. Data were compared by analysis of variance with a post hoc Tukey test. A total of 1200 patients (58% men; median age, 26 years) were enrolled, with 1049 (87%) patients having a primary revision and 151 (13%) patients having a second or subsequent revision. Marx activity levels were significantly higher (9.77) in the primary-revision group than in those patients with multiple revisions (6.74). The most common cause of reruptures was a traumatic, noncontact ACL graft injury in 55% of primary-revision patients; 25% of patients had a nontraumatic, gradual-onset recurrent injury, and 11% had a traumatic, contact injury. In the multiple-revision group, a nontraumatic, gradual-onset injury was the most common cause of recurrence (47%), followed by traumatic noncontact (35%) and nontraumatic sudden onset (11%) (P < .01 between groups). Chondral injuries in the medial compartment were significantly more common in the multiple-revision group than in the single-revision group, as were chondral injuries in the patellofemoral compartment. Patients with multiple-revision ACL

  18. Revision surgery for failed thermal capsulorrhaphy.

    Science.gov (United States)

    Park, Hyung Bin; Yokota, Atsushi; Gill, Harpreet S; El Rassi, George; McFarland, Edward G

    2005-09-01

    With the failure of thermal capsulorrhaphy for shoulder instability, there have been concerns with capsular thinning and capsular necrosis affecting revision surgery. To report the findings at revision surgery for failed thermal capsulorrhaphy and to evaluate the technical effects on subsequent revision capsular plication. Case series; Level of evidence, 4. Fourteen patients underwent arthroscopic evaluation and open reconstruction for a failed thermal capsulorrhaphy. The cause of the failure, the quality of the capsule, and the ability to suture the capsule were recorded. The patients were evaluated at follow-up for failure, which was defined as recurrent subluxations or dislocations. The origin of the instability was traumatic (n = 6) or atraumatic (n = 8). At revision surgery in the traumatic group, 4 patients sustained failure of the Bankart repair with capsular laxity, and the others experienced capsular laxity alone. In the atraumatic group, all patients experienced capsular laxity as the cause of failure. Of the 14 patients, the capsule quality was judged to be thin in 5 patients and ablated in 1 patient. A glenoid-based capsular shift could be accomplished in all 14 patients. At follow-up (mean, 35.4 months; range, 22 to 48 months), 1 patient underwent revision surgery and 1 patient had a subluxation, resulting in a failure rate of 14%. Recurrent capsular laxity after failed thermal capsular shrinkage is common and frequently associated with capsular thinning. In most instances, the capsule quality does not appear to technically affect the revision procedure.

  19. Introductory Business Textbook Revision Cycles: Are They Getting Shorter?

    Science.gov (United States)

    Zinser, Brian; Brunswick, Gary

    2010-01-01

    The rate of textbook revision cycles is examined in light of the recent trend towards more rapid revisions (and adoptions of textbooks). The authors conduct background research to better understand the context for textbook revision cycles and the environmental forces that have been influencing what appears to be more rapid textbook revisions. A…

  20. Revised Rules for Concrete Bridges

    DEFF Research Database (Denmark)

    Thoft-Christensen, Palle; Jensen, F. M.; Middleton, C.

    This paper is based on research performed for the Highway Agency, London, UK under the project DPU/9/44 "Revision of Bridge Assessment Rules Based on Whole Life Performance: Concrete Bridges" It contains details of a methodology which can be used to generate Whole Life (WL) reliability profiles....... These WL reliability profiles may be used to establish revised rules for Concrete Bridges....

  1. Inferential revision in narrative texts: An ERP study.

    Science.gov (United States)

    Pérez, Ana; Cain, Kate; Castellanos, María C; Bajo, Teresa

    2015-11-01

    We evaluated the process of inferential revision during text comprehension in adults. Participants with high or low working memory read short texts, in which the introduction supported two plausible concepts (e.g., 'guitar/violin'), although one was more probable ('guitar'). There were three possible continuations: a neutral sentence, which did not refer back to either concept; a no-revise sentence, which referred to a general property consistent with either concept (e.g., '…beautiful curved body'); and a revise sentence, which referred to a property that was consistent with only the less likely concept (e.g., '…matching bow'). Readers took longer to read the sentence in the revise condition, indicating that they were able to evaluate their comprehension and detect a mismatch. In a final sentence, a target noun referred to the alternative concept supported in the revise condition (e.g., 'violin'). ERPs indicated that both working memory groups were able to evaluate their comprehension of the text (P3a), but only high working memory readers were able to revise their initial incorrect interpretation (P3b) and integrate the new information (N400) when reading the revise sentence. Low working memory readers had difficulties inhibiting the no-longer-relevant interpretation and thus failed to revise their situation model, and they experienced problems integrating semantically related information into an accurate memory representation.

  2. Migrated hydrocarbons in outcrop samples: revised petroleum exploration directions in the Tarim Basin

    Energy Technology Data Exchange (ETDEWEB)

    Li, Maowen; Snowdon, Lloyd [Geological Survey of Canada, Calgary, AB (Canada); Xiao, Zhongyao [CNPC Tarim Petroleum Exploration Bureau, Kuerle, Xinjiang (China); Lin, Renzi [Petroleum Univ., Changping, Beijing (China); Wang, Peirong; Hou, Dujie [Jianghan Petroleum Univ., Hubei (China); Zhang, Linye [SINOPEC Shengli Petroleum Bureau, Dongying, Shandong (China); Zhang, Shuichang; Liang, Digang [Research Inst. of Petroleum Exploration and Development, Beijing (China)

    2000-07-01

    The application of age-specific biomarker distributions established from mature exploration areas of the Tarim Basin, northwestern China, indicates that most Carboniferous-Permian outcrop samples in the eastern segment of the Southwest Depression, previously believed to have significant petroleum source potential, in fact contain migrated hydrocarbons derived from Cambrian-Lower Ordovician strata. New geochemical results have led to a major revision of petroleum exploration directions in this area. (Author)

  3. Programme for the Environmental Control at the Swedish Nuclear Facilities, Revision; Omgivningskontrollprogram foer de kaerntekniska anlaeggningarna, revision

    Energy Technology Data Exchange (ETDEWEB)

    Linden, Ann-Marie

    2004-12-01

    This report contains a revised version of the Environmental Monitoring Programme for the Swedish Nuclear Facilities. The revision is based on earlier experiences and evaluations. Some samples have been excluded. Some have been added, for example spruce cone and the food products apple and currant. The sediment samples of 2 cm length have been completed with samples of 10 cm length every fourth year to follow the migration of radio nuclides down the sediment layers over time. The revised Environmental Monitoring Programme is valid from the 1st of January 2005.

  4. Lower rates of symptom recurrence and surgical revision after primary compared with secondary endoscopic third ventriculostomy for obstructive hydrocephalus secondary to aqueductal stenosis in adults.

    Science.gov (United States)

    Sankey, Eric W; Goodwin, C Rory; Jusué-Torres, Ignacio; Elder, Benjamin D; Hoffberger, Jamie; Lu, Jennifer; Blitz, Ari M; Rigamonti, Daniele

    2016-05-01

    OBJECT Endoscopic third ventriculostomy (ETV) is the treatment of choice for obstructive hydrocephalus; however, the success of ETV in patients who have previously undergone shunt placement remains unclear. The present study analyzed 103 adult patients with aqueductal stenosis who underwent ETV for obstructive hydrocephalus and evaluated the effect of previous shunt placement on post-ETV outcomes. METHODS This study was a retrospective review of 151 consecutive patients who were treated between 2007 and 2013 with ETV for hydrocephalus. One hundred three (68.2%) patients with aqueductal stenosis causing obstructive hydrocephalus were included in the analysis. Postoperative ETV patency and aqueductal and cisternal flow were assessed by high-resolution, gradient-echo MRI. Post-ETV Mini-Mental State Examination, Timed Up and Go, and Tinetti scores were compared with preoperative values. Univariate and multivariate analyses were performed comparing the post-ETV outcomes in patients who underwent a primary (no previous shunt) ETV (n = 64) versus secondary (previous shunt) ETV (n = 39). RESULTS The majority of patients showed significant improvement in symptoms after ETV; however, no significant differences were seen in any of the quantitative tests performed during follow-up. Symptom recurrence occurred in 29 (28.2%) patients after ETV, after a median of 3.0 (interquartile range 0.8-8.0) months post-ETV failure. Twenty-seven (26.2%) patients required surgical revision after their initial ETV. Patients who received a secondary ETV had higher rates of symptom recurrence (p = 0.003) and surgical revision (p = 0.003), particularly in regard to additional shunt placement/revision post-ETV (p = 0.005). These differences remained significant after multivariate analysis for both symptom recurrence (p = 0.030) and surgical revision (p = 0.043). CONCLUSIONS Patients with obstructive hydrocephalus due to aqueductal stenosis exhibit symptomatic improvement after ETV, with a

  5. Revising Nabokov Revising”

    Directory of Open Access Journals (Sweden)

    Marie Bouchet

    2010-10-01

    Full Text Available Nabokov revised his works as he translated them and, on another plane, canon revisionism has been having its backlash and provoked other refracting waves. The purpose of the conference was to advance Nabokov studies through the discussion of how our view of Nabokov’s standing and his works today should be revised, especially after the publication of The Original of Laura. However the conference was not confined to just this theme, since “revising” is a word rich with implications. To borrow s...

  6. Estruturação do Balanced Scorecard (BSC) para uma empresa do segmento varejista, com foco na avaliação do desempenho da ação estratégica de marketing promocional

    OpenAIRE

    Lucas Back; Ademar Dutra; Jacir Leonir Casagrande

    2012-01-01

    A avaliação de desempenho de ações estratégicas aplicadas a uma organização requer a adoção de ferramenta específica que atenda às necessidades e ao contexto organizacional. Este artigo tem como objetivo estruturar o Balanced Scorecard (BSC) da organização Alpha Comércio de Gêneros Alimentícios Ltda, com foco na avaliação do desempenho da ação estratégica de marketing promocional, utilizando-o como ferramenta de gestão, controle e avaliação do desempenho organizacional. Na pesquisa destacam-s...

  7. Revision of failed shoulder hemiarthroplasty to reverse total arthroplasty: analysis of 157 revision implants.

    Science.gov (United States)

    Merolla, Giovanni; Wagner, Eric; Sperling, John W; Paladini, Paolo; Fabbri, Elisabetta; Porcellini, Giuseppe

    2018-01-01

    There remains a paucity of studies examining the conversion of failed hemiarthroplasty (HA) to reverse total shoulder arthroplasty (RTSA). Therefore, the purpose of this study was to examine a large series of revision HA to RTSA. A population of 157 patients who underwent conversion of a failed HA to a revision RTSA from 2006 through 2014 were included. The mean follow-up was 49 months (range, 24-121 months). The indications for revision surgery included instability with rotator cuff insufficiency (n = 127) and glenoid wear (n = 30); instability and glenoid wear were associated in 38 cases. Eight patients with infection underwent 2-stage reimplantation. Patients experienced significant improvements in their preoperative to postoperative pain and shoulder range of motion (P surgeries, secondary to glenoid component loosening (n = 3), instability (n = 3), humeral component disassembly (n = 2), humeral stem loosening (n = 1), and infection (n = 2). Implant survivorship was 95.5% at 2 years and 93.3% at 5 years. There were 4 reoperations including axillary nerve neurolysis (n = 2), heterotopic ossification removal (n = 1), and hardware removal for rupture of the metal cerclage for an acromial fracture (n = 1). At final follow-up, there were 5 "at-risk" glenoid components. Patients experience satisfactory pain relief and recovery of reasonable shoulder function after revision RTSA from a failed HA. There was a relatively low revision rate, with glenoid loosening and instability being the most common causes. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  8. 78 FR 12267 - Revision of Air Quality Implementation Plan; California; Placer County Air Pollution Control...

    Science.gov (United States)

    2013-02-22

    ...EPA is proposing a limited approval and limited disapproval of permitting rules submitted by California as a revision to the Placer County Air Pollution Control District (PCAPCD) and Feather River Air Quality Management District (FRAQMD) portion of the California State Implementation Plan (SIP). These rules were adopted by the PCAPCD and FRAQMD to regulate the construction and modification of stationary sources of air pollution within each District. EPA is proposing to approve these SIP revisions based on the Agency's conclusion that the rules are consistent with applicable Clean Air Act (CAA) requirements, policies and guidance. Final approval of these rules would make the rules federally enforceable and correct program deficiencies identified in a previous EPA rulemaking (76 FR 44809, July 27, 2011).

  9. Integrating Relational Reasoning and Knowledge Revision during Reading

    Science.gov (United States)

    Kendeou, Panayiota; Butterfuss, Reese; Van Boekel, Martin; O'Brien, Edward J.

    2017-01-01

    Our goal in this theoretical contribution is to connect research on knowledge revision and relational reasoning. To achieve this goal, first, we review the "knowledge revision components framework" (KReC) that provides an account of knowledge revision processes, specifically as they unfold during reading of texts. Second, we review a…

  10. Microbial Communities Model Parameter Calculation for TSPA/SR

    International Nuclear Information System (INIS)

    D. Jolley

    2001-01-01

    This calculation has several purposes. First the calculation reduces the information contained in ''Committed Materials in Repository Drifts'' (BSC 2001a) to useable parameters required as input to MING V1.O (CRWMS M and O 1998, CSCI 30018 V1.O) for calculation of the effects of potential in-drift microbial communities as part of the microbial communities model. The calculation is intended to replace the parameters found in Attachment II of the current In-Drift Microbial Communities Model revision (CRWMS M and O 2000c) with the exception of Section 11-5.3. Second, this calculation provides the information necessary to supercede the following DTN: M09909SPAMING1.003 and replace it with a new qualified dataset (see Table 6.2-1). The purpose of this calculation is to create the revised qualified parameter input for MING that will allow ΔG (Gibbs Free Energy) to be corrected for long-term changes to the temperature of the near-field environment. Calculated herein are the quadratic or second order regression relationships that are used in the energy limiting calculations to potential growth of microbial communities in the in-drift geochemical environment. Third, the calculation performs an impact review of a new DTN: M00012MAJIONIS.000 that is intended to replace the currently cited DTN: GS9809083 12322.008 for water chemistry data used in the current ''In-Drift Microbial Communities Model'' revision (CRWMS M and O 2000c). Finally, the calculation updates the material lifetimes reported on Table 32 in section 6.5.2.3 of the ''In-Drift Microbial Communities'' AMR (CRWMS M and O 2000c) based on the inputs reported in BSC (2001a). Changes include adding new specified materials and updating old materials information that has changed

  11. EPRI BWR Water Chemistry Guidelines Revision

    International Nuclear Information System (INIS)

    Garcia, Susan E.; Giannelli, Joseph F.

    2014-01-01

    BWRVIP-190: BWR Water Chemistry Guidelines – 2008 Revision has been revised. The revision committee consisted of U.S. and non-U.S. utilities (members of the BWR Vessel and Internals Protection (BWRVIP) Mitigation Committee), reactor system manufacturers, fuel suppliers, and EPRI and industry experts. The revised document, BWRVIP-190 Revision 1, was completely reformatted into two volumes, with a simplified presentation of water chemistry control, diagnostic and good practice parameters in Volume 1 and the technical bases in Volume 2, to facilitate use. The revision was developed in parallel and in coordination with preparation of the Fuel Reliability Guidelines Revision 1: BWR Fuel Cladding Crud and Corrosion. Guidance is included for plants operating under normal water chemistry (NWC), moderate hydrogen water chemistry (HWC-M), and noble metal application (GE-Hitachi NobleChem™) plus hydrogen injection. Volume 1 includes significant changes to BWR feedwater and reactor water chemistry control parameters to provide increased assurance of intergranular stress corrosion cracking (IGSCC) mitigation of reactor materials and fuel reliability during all plant conditions, including cold shutdown (≤200°F (93°C)), startup/hot standby (>200°F (93°C) and ≤ 10%) and power operation (>10% power). Action Level values for chloride and sulfate have been tightened to minimize environmentally assisted cracking (EAC) of all wetted surfaces, including those not protected by hydrogen injection, with or without noble metals. Chemistry control guidance has been enhanced to minimize shutdown radiation fields by clarifying targets for depleted zinc oxide (DZO) injection while meeting requirements for fuel reliability. Improved tabular presentations of parameter values explicitly indicate levels at which actions are to be taken and required sampling frequencies. Volume 2 provides the technical bases for BWR water chemistry control for control of EAC, flow accelerated corrosion

  12. 40 CFR 60.4124 - Hg budget permit revisions.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Hg budget permit revisions. 60.4124... Coal-Fired Electric Steam Generating Units Permits § 60.4124 Hg budget permit revisions. Except as provided in § 60.4123(b), the permitting authority will revise the Hg Budget permit, as necessary, in...

  13. Arthroscopic Revision Surgery for Failure of Open Latarjet Technique.

    Science.gov (United States)

    Cuéllar, Adrián; Cuéllar, Ricardo; de Heredia, Pablo Beltrán

    2017-05-01

    To evaluate the efficacy in treating pain, limited range of motion, and continued instability of the Latarjet open technique via the use of arthroscopy. A retrospective review of patients who underwent arthroscopic capsule plication after failure of an open Latarjet technique was performed. Revision surgery was indicated in cases of recurrent instability and associated pain. Only patients with a glenoid defect failed due to capsular redundancy is amenable to successful treatment with arthroscopic capsuloplasty. Arthroscopic approaches can offer a good solution for treating previously failed open Latarjet procedures. Level IV, therapeutic case series. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  14. 78 FR 26251 - Approval and Promulgation of Air Quality Implementation Plans; Texas; Revisions to Control of Air...

    Science.gov (United States)

    2013-05-06

    ... specifications for lean burn engines fired on landfill or other biogas at minor sources of Nitrogen Oxides (NOx... Environmental Quality (TCEQ), Office of Air Quality, 12124 Park 35 Circle, Austin, Texas 78753. FOR FURTHER... actions are we taking? 1. Lean Burn Engines We previously approved the revisions to 30 TAC, Chapter 117...

  15. CAMAC - A modular instrumentation system for data handling. Revised description and specification

    International Nuclear Information System (INIS)

    1977-03-01

    CAMAC is a modern data handling system in widespread use with on-line digital computers. It is based on a digital highway for data and control. The CAMAC specifications ensures compatibility between equipment from different sources. The revised specification introduces several new features, but is consistent with the previous version (EUR 4100e, 1969). The CAMAC system was specified by European laboratories, through the Esone Committee, and has been endorsed by the USAEC NIM Committee, who have an identical specification (TID-25875)

  16. A taxonomic revision of the genus Podocarpus

    OpenAIRE

    Laubenfels, de, D.J.

    1985-01-01

    In connection with the forthcoming revision of the Coniferae for the Flora Malesiana, the author thought it necessary to revise the genus Podocarpus. Although this genus has a substantial representation in Malesia (30 species), the revision is too involved to be appropriate with the Flora Malesiana per se. One new subgenus and 17 new sections are described, and 94 species are enumerated, of which 11 species and 1 variety are described as new, and 3 varieties have been raised to specific rank....

  17. Revised Human Health Risk Assessment on Chlorpyrifos

    Science.gov (United States)

    We have revised our human health risk assessment and drinking water exposure assessment for chlorpyrifos that supported our October 2015 proposal to revoke all food residue tolerances for chlorpyrifos. Learn about the revised analysis.

  18. REVISION PERMISSIABILITY IN CIVIL PROCEDURE IN REPUBLIC OF MACEDONIA

    Directory of Open Access Journals (Sweden)

    Marina Gligorova

    2015-04-01

    Full Text Available The revision as an extraordinary legal remedy is one more legal instrument for litigant in the effort to achieve protection of the rights or to defend against ungrounded claims of the other party. Litigants may declare revision of the litigation process due to substantive violations of the provisions of Civil Procedure and incorrect application of substantive law. Declaring revision because of a substantive violation of the provisions of Civil Procedure is limited. The purpose of this research paper is to investigate the most common reasons for filing revision of the litigation process in the period from June 2011 to June in 2012. The research includes what kind of reasons are often repeated, and the volume, or the number of reviews submitted to the Supreme Court of the Republic of Macedonia. As general hypothesis is that most of the adopted revisions are due to substantial violations of the provisions of civil procedure. Two-thirds of the stated revisions in front of the Supreme Court of Republic of Macedonia were rejected as unfounded and only one third of the submitted revisions from June 2011 to June 2012 were grounded. Since accepted revisions 59% due to incorrect application of substantive law, and 41% due to substantial violations of the provisions of Civil Procedure.

  19. Test-Retest Reliability of the Parent Behavior Importance Questionnaire-Revised and the Parent Behavior Frequency Questionnaire-Revised

    Science.gov (United States)

    Mowder, Barbara A.; Shamah, Renee

    2011-01-01

    This study evaluated the test-retest reliability of two parenting measures: the Parent Behavior Importance Questionnaire-Revised (PBIQ-R) and Parent Behavior Frequency Questionnaire-Revised (PBFQ-R). These self-report parenting behavior assessment measures may be utilized as pre- and post-parent education program measures, with parents as well as…

  20. DO PERIODICITIES IN EXTINCTION-WITH POSSIBLE ASTRONOMICAL CONNECTIONS-SURVIVE A REVISION OF THE GEOLOGICAL TIMESCALE?

    Energy Technology Data Exchange (ETDEWEB)

    Melott, Adrian L. [Department of Physics and Astronomy, University of Kansas, Lawrence, KS 66045 (United States); Bambach, Richard K. [Department of Paleobiology, National Museum of Natural History, Smithsonian Institution, P.O. Box 37012, MRC 121, Washington, DC 20013-7012 (United States)

    2013-08-10

    A major revision of the geological timescale was published in 2012. We re-examine our past finding of a 27 Myr periodicity in marine extinction rates by re-assigning dates to the extinction data used previously. We find that the spectral power in this period is somewhat increased, and persists at a narrow bandwidth, which supports our previous contention that the Nemesis hypothesis is untenable as an explanation for the periodicity that was first noted by Raup and Sepkoski in the 1980s. We enumerate a number of problems in a recent study comparing extinction rates with time series models.

  1. The revised APTA code of ethics for the physical therapist and standards of ethical conduct for the physical therapist assistant: theory, purpose, process, and significance.

    Science.gov (United States)

    Swisher, Laura Lee; Hiller, Peggy

    2010-05-01

    In June 2009, the House of Delegates (HOD) of the American Physical Therapy Association (APTA) passed a major revision of the APTA Code of Ethics for physical therapists and the Standards of Ethical Conduct for the Physical Therapist Assistant. The revised documents will be effective July 1, 2010. The purposes of this article are: (1) to provide a historical, professional, and theoretical context for this important revision; (2) to describe the 4-year revision process; (3) to examine major features of the documents; and (4) to discuss the significance of the revisions from the perspective of the maturation of physical therapy as a doctoring profession. PROCESS OF REVISION: The process for revision is delineated within the context of history and the Bylaws of APTA. FORMAT, STRUCTURE, AND CONTENT OF REVISED CORE ETHICS DOCUMENTS: The revised documents represent a significant change in format, level of detail, and scope of application. Previous APTA Codes of Ethics and Standards of Ethical Conduct for the Physical Therapist Assistant have delineated very broad general principles, with specific obligations spelled out in the Ethics and Judicial Committee's Guide for Professional Conduct and Guide for Conduct of the Physical Therapist Assistant. In contrast to the current documents, the revised documents address all 5 roles of the physical therapist, delineate ethical obligations in organizational and business contexts, and align with the tenets of Vision 2020. The significance of this revision is discussed within historical parameters, the implications for physical therapists and physical therapist assistants, the maturation of the profession, societal accountability and moral community, potential regulatory implications, and the inclusive and deliberative process of moral dialogue by which changes were developed, revised, and approved.

  2. Digital dream analysis: a revised method.

    Science.gov (United States)

    Bulkeley, Kelly

    2014-10-01

    This article demonstrates the use of a digital word search method designed to provide greater accuracy, objectivity, and speed in the study of dreams. A revised template of 40 word search categories, built into the website of the Sleep and Dream Database (SDDb), is applied to four "classic" sets of dreams: The male and female "Norm" dreams of Hall and Van de Castle (1966), the "Engine Man" dreams discussed by Hobson (1988), and the "Barb Sanders Baseline 250" dreams examined by Domhoff (2003). A word search analysis of these original dream reports shows that a digital approach can accurately identify many of the same distinctive patterns of content found by previous investigators using much more laborious and time-consuming methods. The results of this study emphasize the compatibility of word search technologies with traditional approaches to dream content analysis. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Revised and extended analysis of trebly ionized bromine: Br IV

    International Nuclear Information System (INIS)

    Tauheed, A; Jabeen, S; Joshi, Y N

    2008-01-01

    The spectrum of Br IV has been studied in the wavelength region 320-1290 A based on the recordings made on a 3-m normal incidence spectrograph at Antigonish Laboratory and on a 6.65-m grazing incidence spectrograph at Zeeman Laboratory, Amsterdam.The light sources used were a triggered spark and sliding spark, respectively. The 4s 2 4p 2 -[4s4p 3 +4s 2 4p (4d+5d+6d+5s+6s+7s)] transition array has been investigated using Hartree-Fock (HF) and least squares fitting (LSF) parametric calculations. Previous analysis has been revised and extended considerably. A value of 1 S 0 level of the ground configuration 4s 2 4p 2 has been found at 33575.5 cm -1 . One hundred and forty-two lines have been classified in this spectrum to establish 61 energy levels out of which 43 are new. The wavelength accuracy of our measurements for sharp lines is ±0.005 A. A revised value of the ionization potential of Br IV has been found to be 385 400±250 cm -1 (47.77±0.03 eV).

  4. Maximum surgical blood ordering schedules for revision lower limb arthroplasty.

    Science.gov (United States)

    Mahadevan, Devendra; Challand, Christopher; Clarke, Andrew; Keenan, Jonathan

    2011-05-01

    Effective utilisation of blood products is fundamental. The introduction of maximum surgical blood ordering schedules (MSBOS) for operations has been shown to improve transfusion services. A retrospective analysis was undertaken to establish an evidence-based MSBOS for revision total hip replacement (THR) and total knee revision (TKR). The impact of this schedule on blood conservation was analysed. A retrospective analysis was undertaken on 397 patients who underwent revision THR and TKR over a 4-year period. The cross-match-to-transfusion ratio (CTR) and transfusion index (TI) were calculated. A MSBOS protocol was created based on the TIs and its' impact on transfusion services was assessed prospectively on 125 patients by comparing CTRs. In revision THR, TI was 1.19 for elective cases, 1.55 for emergency cases and 2.35 for infected cases. There was no difference in TI for revisions of cemented and uncemented components. Single component THR revision required less transfusion. In revision TKR, TI was 0.31 for elective cases, 2.0 for emergency cases and 1.23 for cases with infection. The introduction of the MSBOS protocol had resulted in a considerable improvement in blood ordering. Reductions in the CTR were seen for all types of revision surgery, but most evident in elective revision THR (3.24-2.18) and elective revision TKR (7.95-1.2). Analysis confirmed that excessive cross-matching occurred for revision lower limb arthroplasty. The introduction of our MSBOS protocol promoted blood conservation and compliance with established national guidelines.

  5. Risk factors for total hip arthroplasty aseptic revision.

    Science.gov (United States)

    Khatod, Monti; Cafri, Guy; Namba, Robert S; Inacio, Maria C S; Paxton, Elizabeth W

    2014-07-01

    The purpose of this study was to evaluate patient, operative, implant, surgeon, and hospital factors associated with aseptic revision after primary THA in patients registered in a large US Total Joint Replacement Registry. A total of 35,960 THAs registered from 4/2001-12/2010 were evaluated. The 8-year survival rate was 96.7% (95% CI 96.4%-97.0%). Females had a higher risk of aseptic revision than males. Hispanic and Asian patients had a lower risk of revision than white patients. Ceramic-on-ceramic, ceramic-on-conventional polyethylene, and metal-on-conventional polyethylene bearing surfaces had a higher risk of revision than metal-on-highly cross-linked polyethylene. Body mass index, health status, diabetes, diagnosis, fixation, approach, bilateral procedures, head size, surgeon fellowship training, surgeon and hospital volume were not revision risk factors. Copyright © 2014 Elsevier Inc. All rights reserved.

  6. , , , , , and Gene Expression in Single- and Co-cultured Bovine Satellite Cells and Intramuscular Preadipocytes Treated with Palmitic, Stearic, Oleic, and Linoleic Acid

    Directory of Open Access Journals (Sweden)

    S. H. Choi

    2015-03-01

    Full Text Available We previously demonstrated that bovine subcutaneous preadipocytes promote adipogenic gene expression in muscle satellite cells in a co-culture system. Herein we hypothesize that saturated fatty acids would promote adipogenic/lipogenic gene expression, whereas mono- and polyunsaturated fatty acids would have the opposite effect. Bovine semimembranosus satellite cells (BSC and intramuscular preadipocytes (IPA were isolated from crossbred steers and cultured with 10% fetal bovine serum (FBS/Dulbecco’s Modified Eagle Medium (DMEM and 1% antibiotics during the 3-d proliferation period. After proliferation, cells were treated for 3 d with 3% horse serum/DMEM (BSC or 5% FBS/DMEM (IPA with antibiotics. Media also contained 10 μg/mL insulin and 10 μg/mL pioglitazone. Subsequently, differentiating BSC and IPA were cultured in their respective media with 40 μM palmitic, stearic, oleic, or linoleic acid for 4 d. Finally, BSC and IPA were single- or co-cultured for an additional 2 h. All fatty acid treatments increased (p = 0.001 carnitine palmitoyltransferase-1 beta (CPT1β gene expression, but the increase in CPT1β gene expression was especially pronounced in IPA incubated with palmitic and stearic acid (6- to 17- fold increases. Oleic and linoleic acid decreased (p = 0.001 stearoyl-CoA desaturase (SCD gene expression over 80% in both BSC and IPA. Conversely, palmitic and stearic acid increased SCD gene expression three fold in co-cultured in IPA, and stearic acid increased AMPKα gene expression in single- and co-cultured BSC and IPA. Consistent with our hypothesis, saturated fatty acids, especially stearic acid, promoted adipogenic and lipogenic gene expression, whereas unsaturated fatty acids decreased expression of those genes associated with fatty acid metabolism.

  7. 76 FR 31381 - Office Of New Reactors; Proposed Revision 4 to Standard Review Plan; Section 8.1 on Electric...

    Science.gov (United States)

    2011-05-31

    ... Standard Review Plan; Section 8.1 on Electric Power--Introduction AGENCY: U.S. Nuclear Regulatory...,'' on a proposed Revision 4 to Standard Review Plan (SRP), Section 8.1 on ``Electric Power--Introduction,'' (Agencywide Documents Access and Management System (ADAMS) Accession No. ML111180542). The previous version of...

  8. Revision of infected knee arthroplasties in Denmark

    DEFF Research Database (Denmark)

    Lindberg-Larsen, Martin; Jørgensen, Christoffer C; Bagger, Jens

    2016-01-01

    Background and purpose - The surgical treatment of periprosthetic knee infection is generally either a partial revision procedure (open debridement and exchange of the tibial insert) or a 2-stage exchange arthroplasty procedure. We describe the failure rates of these procedures on a nationwide...... basis. Patients and methods - 105 partial revisions (100 patients) and 215 potential 2-stage revision procedures (205 patients) performed due to infection from July 1, 2011 to June 30, 2013 were identified from the Danish Knee Arthroplasty Register (DKR). Failure was defined as surgically related death...

  9. 75 FR 60485 - NRC Enforcement Policy Revision

    Science.gov (United States)

    2010-09-30

    ... NUCLEAR REGULATORY COMMISSION [NRC-2008-0497] NRC Enforcement Policy Revision AGENCY: Nuclear Regulatory Commission. ACTION: Policy statement. SUMMARY: The Nuclear Regulatory Commission (NRC or Commission) is publishing a major revision to its Enforcement Policy (Enforcement Policy or Policy) to...

  10. [Revised practice guideline 'Anaemia in midwifery practice'

    NARCIS (Netherlands)

    Beentjes, M.; Jans, S.M.P.J.

    2012-01-01

    The practice guideline of the Royal Dutch Organization of Midwives 'Anaemia in primary care midwifery practice' published in 2000, has recently been revised. The revised guideline takes physiological haemodilution during pregnancy into consideration and provides gestation specific reference values

  11. Neutron-photon multigroup cross sections for neutron energies less than or equal to400 MeV. Revision 1

    International Nuclear Information System (INIS)

    Alsmiller, R.G. Jr.; Barnes, J.M.; Drischler, J.D.

    1986-01-01

    For a variety of applications, e.g., accelerator shielding design, neutrons in radiotherapy, radiation damage studies, etc., it is necessary to carry out transport calculations involving medium-energy (greater than or equal to20 MeV) neutrons. A previous paper described neutron-photon multigroup cross sections in the ANISN format for neutrons from thermal to 400 MeV. In the present paper the cross-section data presented previously have been revised to make them agree with available experimental data. 7 refs., 1 fig

  12. Development of Numerical Grids for UZ Flow and Transport Modeling

    International Nuclear Information System (INIS)

    P. Dobson

    2003-01-01

    This Scientific Analysis report describes the methods used to develop numerical grids of the unsaturated hydrogeologic system beneath Yucca Mountain. Numerical grid generation is an integral part of the development of the Unsaturated Zone Flow and Transport Model (UZ Model), a complex, three-dimensional (3-D) model of Yucca Mountain. This revision incorporates changes made to both the geologic framework model and the proposed repository layout. The resulting numerical grids, developed using current geologic, hydrogeologic, and mineralogic data, provide the necessary framework to: (1) develop calibrated hydrogeologic property sets and flow fields, (2) test conceptual hypotheses of flow and transport, and (3) predict flow and transport behavior under a variety of climatic and thermal-loading conditions. The technical scope, content, and management of this Scientific Analysis report was initially controlled by the planning document, ''Technical Work Plan (TWP) for: Unsaturated Zone Sections of License Application Chapters 8 and 12'' (BSC 2002 [159051], Section 1.6.4). This TWP was later superseded by ''Technical Work Plan for: Performance Assessment Unsaturated Zone'' (BSC 2002 [160819]), which contains the Data Qualification Plan used to qualify the DTN: MO0212GWLSSPAX.000 [161271] (See Attachment IV). Grids generated and documented in this report supersede those documented in previous versions of this report (BSC 2001 [159356]). The constraints, assumptions, and limitations associated with this report are discussed in the appropriate sections that follow. There were no deviations from the TWP scope of work in this report. Two software packages not listed in Table IV-2 of the TWP (BSC 2002 [159051]), ARCINFO V7.2.1 (CRWMS M and O 2000 [157019]; USGS 2000 [148304]) and 2kgrid8.for V1.0 (LBNL 2002 [154787]), were utilized in the development of the numerical grids; the use of additional software is accounted for in the TWP (BSC 2002 [159051], Section 13). The use of

  13. Measuring the Level of Organizational Performance in the Yemeni Public Universities from the Perspective of the Balanced Score Card: A Field Study in the Universities of Sana'a and Aden

    Directory of Open Access Journals (Sweden)

    بسام مسلم

    2017-12-01

    Full Text Available The research aimed at measuring the level of organizational performance according to the perspective of the Balanced Score Card (BSC. It also aimed to identify the nature of the differences in measuring the performance level in the light of the variables and type of higher management positions, faculty type, and years of service years. The researcher used the descriptive analytical methodology, where the concept of organizational performance was explained, and the related previous studies were reviewed and presented, with a focus on the strategic approach to measure the performance from the BSC perspective. To achieve the objective of the study, a questionnaire was designed, consisting of 36 indictors distributed over the four dimensions of the BSC (learning and growth, internal operations, clients, and finance. The sample included 80 participants representing academic and administrative leaders in the Universities of Sana'a and Aden. The research concluded that the organizational performance level was generally low in both universities. This was a reflection of weak performance in the BSC four dimensions. No differences occurred in the evaluation levels of those dimensions that could be attributed to these variables: type of higher management positions, faculty type, and years of service. Keywords: Balanced Score Card, Organizational performance, Public universities.

  14. Belief Revision in the GOAL Agent Programming Language

    DEFF Research Database (Denmark)

    Spurkeland, Johannes Svante; Jensen, Andreas Schmidt; Villadsen, Jørgen

    2013-01-01

    Agents in a multiagent system may in many cases find themselves in situations where inconsistencies arise. In order to properly deal with these, a good belief revision procedure is required. This paper illustrates the usefulness of such a procedure: a certain belief revision algorithm is consider...... in order to deal with inconsistencies and, particularly, the issue of inconsistencies, and belief revision is examined in relation to the GOAL agent programming language....

  15. Current Epidemiology of Revision Total Knee Arthroplasty in the United States.

    Science.gov (United States)

    Delanois, Ronald E; Mistry, Jaydev B; Gwam, Chukwuweike U; Mohamed, Nequesha S; Choksi, Ujval S; Mont, Michael A

    2017-09-01

    Revision surgery for failed total knee arthroplasty (TKA) continues to pose a substantial burden for the United States healthcare system. The predominant etiology of TKA failure has changed over time and may vary between studies. This report aims to update the current literature on this topic by using a large national database. Specifically, we analyzed: (1) etiologies for revision TKA; (2) frequencies of revision TKA procedures; (3) various demographics including payer type and region; and (4) the length of stay (LOS) and total charges based on type of revision TKA procedure. The Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) database was used to identify all revision TKA procedures performed between 2009 and 2013. Clinical, economic, and demographic data were collected and analyzed for 337,597 procedures. Patients were stratified according to etiology of failure, age, sex, race, US census region, and primary payor class. The mean LOS and total charges were also calculated. Infection was the most common etiology for revision TKA (20.4%), closely followed by mechanical loosening (20.3%). The most common revision TKA procedure performed was all component revision (31.3%). Medicare was the primary payor for the greatest proportion of revisions (57.7%). The South census region performed the most revision TKAs (33.2%). The overall mean LOS was 4.5 days, with arthrotomy for removal of prosthesis without replacement procedures accounting for the longest stays (7.8 days). The mean total charge for revision TKAs was $75,028.07. Without appropriate measures in place, the burden of revision TKAs may become overwhelming and pose a strain on providers and institutions. Continued insight into the etiology and epidemiology of revision TKAs may be the principle step towards improving outcomes and mitigating the need for future revisions. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Planned revision to DOE Order 5820.2A, Radioactive Waste Management

    Energy Technology Data Exchange (ETDEWEB)

    Duggan, G.J. [Dept. of Energy, Washington, DC (United States); Williams, R.E.; Kudera, D.E. [EG and G Idaho, Inc., Idaho Falls, ID (United States). Idaho National Engineering Lab.; Bailey, D.E. [NJG, Inc. (United States)

    1993-03-01

    US Department of Energy Headquarters initiated efforts to revise DOE Order 5820.2A, ``Radioactive Waste Management``. The purpose of the revision is to enhance DOE waste management requirements, reflect new DOE organizational responsibilities, and consolidate requirements for management of all waste, under the responsibility of Environmental Restoration and Waste Management, into a single order. This paper discusses the revision philosophy, objectives of the revision, and strategy for the revision. Issues being considered for inclusion in the revision and recommended methods of resolving each issue are also discussed.

  17. Descriptor revision belief change through direct choice

    CERN Document Server

    Hansson, Sven Ove

    2017-01-01

    This book provides a critical examination of how the choice of what to believe is represented in the standard model of belief change. In particular the use of possible worlds and infinite remainders as objects of choice is critically examined. Descriptors are introduced as a versatile tool for expressing the success conditions of belief change, addressing both local and global descriptor revision. The book presents dynamic descriptors such as Ramsey descriptors that convey how an agent’s beliefs tend to be changed in response to different inputs. It also explores sentential revision and demonstrates how local and global operations of revision by a sentence can be derived as a special case of descriptor revision. Lastly, the book examines revocation, a generalization of contraction in which a specified sentence is removed in a process that may possibly also involve the addition of some new information to the belief set.

  18. Explanatory Coherence and Belief Revision in Naive Physics

    Science.gov (United States)

    1988-07-01

    continental drift (Thagard & Nowak, 1988), and debates about why the dinosaurs became extinct . Application of ECHO to the belief revisions in Pat and Hal...rewono of nocuamy Idid 4onoly by bodck number) Students of reasoning have long tried to understand how people revise systems of beliefs. We maintain...Princeton University Students of reasoning have long tried to understand how people revise systems of beliefs (see Wertheimer, 1945, for example). We will

  19. Results of revision anterior shoulder stabilization surgery in adolescent athletes.

    Science.gov (United States)

    Blackman, Andrew J; Krych, Aaron J; Kuzma, Scott A; Chow, Roxanne M; Camp, Christopher; Dahm, Diane L

    2014-11-01

    The purpose of this study was to determine failure rates, functional outcomes, and risk factors for failure after revision anterior shoulder stabilization surgery in high-risk adolescent athletes. Adolescent athletes who underwent primary anterior shoulder stabilization were reviewed. Patients undergoing subsequent revision stabilization surgery were identified and analyzed. Failure rates after revision surgery were assessed by Kaplan-Meier analysis. Failure was defined as recurrent instability requiring reoperation. Functional outcomes included the Marx activity score; American Shoulder and Elbow Surgeons score; and University of California, Los Angeles score. The characteristics of patients who required reoperation for recurrent instability after revision surgery were compared with those of patients who required only a single revision to identify potential risk factors for failure. Of 90 patients who underwent primary anterior stabilization surgery, 15 (17%) had failure and underwent revision surgery (mean age, 16.6 years; age range, 14 to 18 years). The mean follow-up period was 5.5 years (range, 2 to 12 years). Of the 15 revision patients, 5 (33%) had recurrent dislocations and required repeat revision stabilization surgery at a mean of 50 months (range, 22 to 102 months) after initial revision. No risk factors for failure were identified. The Kaplan-Meier reoperation-free estimates were 86% (95% confidence interval, 67% to 100%) at 24 months and 78% (95% confidence interval, 56% to 100%) at 48 months after revision surgery. The mean final Marx activity score was 14.8 (range, 5 to 20); American Shoulder and Elbow Surgeons score, 82.1 (range, 33 to 100); and University of California, Los Angeles score, 30.8 (range, 16 to 35). At 5.5 years' follow-up, adolescent athletes had a high failure rate of revision stabilization surgery and modest functional outcomes. We were unable to convincingly identify specific risk factors for failure of revision surgery. Level IV

  20. Plan-Belief Revision in Jason

    DEFF Research Database (Denmark)

    Jensen, Andreas Schmidt; Villadsen, Jørgen

    2015-01-01

    When information is shared between agents of unknown reliability, it is possible that their belief bases become inconsistent. In such cases, the belief base must be revised to restore consistency, so that the agent is able to reason. In some cases the inconsistent information may be due to use of...... of incorrect plans. We extend work by Alechina et al. to revise belief bases in which plans can be dynamically added and removed. We present an implementation of the algorithm in the AgentSpeak implementation Jason....

  1. Revised Huang-Yang multipolar pseudopotential

    International Nuclear Information System (INIS)

    Derevianko, Andrei

    2005-01-01

    A number of authors have recently pointed out inconsistencies of results obtained with the Huang-Yang multipolar pseudopotential for low-energy scattering [K. Huang and K. C. Yang, Phys. Rev. 105, 767 (1957); later revised by Huang, Statistical Mechanics (Wiley, New York, 1963)]. The conceptual validity of their original derivation has been questioned. Here I show that these inconsistencies are rather due to an algebraic mistake made by Huang and Yang. With the corrected error, I present the revised version of the multipolar pseudopotential

  2. Review of the radiological significance of revised dose estimates for the Hiroshima-Nagasaki bomb survivors

    International Nuclear Information System (INIS)

    Myers, D.K.; Osborne, R.V.

    1988-03-01

    Recently, the International Commission on Radiological Protection (ICRP) has indicated that new dosimetric and epidemiological data on Japanese bomb survivors will 'raise the risk estimate (for fatal cancers) for the exposed population by a total factor of the order of 2. This change is for a population of all ages, whereas for a worker population of ages 18-65 the changes will be small'. The present report has reviewed the available scientific literature that is relevant to this statement. The topics reviewed in this report include: a) the methods used in previous reports by scientific committees to calculate estimated lifetime risks of radiation-induced fatal cancers; b) recent revisions of the dosimetry for Hiroshima-Nagasaki survivors; c) updates on the epidemiological data on the Hiroshima-Nagasaki survivors; and d) revised estimates of fatal cancer risk from the Hiroshima-Nagasaki data

  3. Trends in Revision Elbow Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers.

    Science.gov (United States)

    Wilson, Alexander T; Pidgeon, Tyler S; Morrell, Nathan T; DaSilva, Manuel F

    2015-11-01

    To determine the frequency of revision elbow ulnar collateral ligament (UCL) reconstruction in professional baseball pitchers. Data were collected on 271 professional baseball pitchers who underwent primary UCL reconstruction. Each player was evaluated retrospectively for occurrence of revision UCL reconstructive surgery to treat failed primary reconstruction. Data on players who underwent revision UCL reconstruction were compiled to determine total surgical revision incidence and revision rate by year. The incidence of early revision was analyzed for trends. Average career length after primary UCL reconstruction was calculated and compared with that of players who underwent revision surgery. Logistic regression analysis was performed to assess risk factors for revision including handedness, pitching role, and age at the time of primary reconstruction. Between 1974 and 2014, the annual incidence of primary UCL reconstructions among professional pitchers increased, while the proportion of cases being revised per year decreased. Of the 271 pitchers included in the study, 40 (15%) required at least 1 revision procedure during their playing career. Three cases required a second UCL revision reconstruction. The average time from primary surgery to revision was 5.2 ± 3.2 years (range, 1-13 years). The average length of career following primary reconstruction for all players was 4.9 ± 4.3 years (range, 0-22 years). The average length of career following revision UCL reconstruction was 2.5 ± 2.4 years (range, 0-8 years). No risk factors for needing revision UCL reconstruction were identified. The incidence of primary UCL reconstructions among professional pitchers is increasing; however, the rate of primary reconstructions requiring revision is decreasing. Explanations for the decreased revision rate may include improved surgical technique and improved rehabilitation protocols. Therapeutic IV. Copyright © 2015 American Society for Surgery of the Hand. Published by

  4. The nuclear liability conventions revised

    International Nuclear Information System (INIS)

    Reyners, P.

    2004-01-01

    The signature on 12 February 2004 of the Protocols amending respectively the 1960 Paris Convention and the 1963 Brussels Supplementary Convention was the second step of the process of modernisation of the international nuclear liability regime after the adoption in September 1997 of a Protocol revising the 1963 Vienna Convention and of a new Convention on Supplementary Compensation for Nuclear Damage. The common objective of the new instruments is to provide more funds to compensate a larger number of potential victims in respect of a broader range of damage. Another goal of the revision exercise was to maintain the compatibility between the Paris and Vienna based systems, a commitment enshrined in the 1988 Joint Protocol, as well as to ascertain that Paris/Brussels countries could also become a Party to the Convention on Supplementary Compensation. However, while generally consistent vis a vis the Joint Protocol, the provisions of the Paris and Vienna Conventions, as revised, differ on some significant aspects. Another remaining issue is whether the improved international nuclear liability regime will succeed in attracting in the future a larger number of countries, particularly outside Europe, and will so become truly universal. Therefore, the need for international co-operation to address these issues, to facilitate the adoption of new implementing legislation and to ensure that this special regime keeps abreast of economic and technological developments, is in no way diminished after the revision of the Conventions.(author)

  5. A revision of Ichneumonopsis Hardy, 1973 (Diptera: Tephritidae: Dacinae: Gastrozonini, Oriental bamboo-shoot fruit flies

    Directory of Open Access Journals (Sweden)

    Amnon Freidberg

    2017-05-01

    Full Text Available Ichneumonopsis Hardy,1973, a genus of oriental fruit flies, is revised and two new species, I. hancocki sp. nov. (from Peninsular Malaysia and I. taiwanensis sp. nov. (from Taiwan, are described. A key to the three species of Ichneumonopsis is presented. In northern Thailand larvae of I. burmensis Hardy, 1973 develop in bamboo shoots of Pseudoxytenanthera albociliata (Munro Nguyen and Dendrocalamus strictus (Roxburgh Nees (Poaceae, not Melocalamus compactiflorus as previously reported. The recently discovered association of I. burmensis with bamboo substantiates our previous assumption assigning Ichneumonopsis to the primarily bamboo-inhabiting tribe Gastrozonini. Hence, we synonymize Ichneumonopsidini under Gastrozonini (syn. nov..

  6. Nuclear safety guide TID-7016 Revision 2

    International Nuclear Information System (INIS)

    Thomas, J.T.

    1980-01-01

    The present revision of TID-7016 Nuclear Safety Guide is discussed. This Guide differs significantly from its predecessor in that the latter was intentionally conservative in its recommendations. Firmly based on experimental evidence of criticality, the original Guide and the first revision were considered to be of most value to organizations whose activities with fissionable materials were not extensive and, secondarily, that it would serve as a point of departure for members of established nuclear safety teams, experienced in the field. The reader will find a significant change in the character of information presented in this version. Nuclear Criticality Safety has matured in the past twelve years. The advance of calculational capability has permitted validated calculations to extend and substitute for experimental data. The broadened data base has enabled better interpolation, extension, and understanding of available, information, especially in areas previously addressed by undefined but adequate factors of safety. The content has been thereby enriched in qualitative guidance. The information inherently contains, and the user can recapture, the quantitative guidance characteristic of the former Guides by employing appropriate safety factors. In fact, it becomes incumbent on the Criticality Safety Specialist to necessarily impose safety factors consistent with the possible normal and abnormal credible contingencies of an operation as revealed by his evaluation. In its present form the Guide easily becomes a suitable module in any compendium or handbook tailored for internal use by organizations. It is hoped the Guide will continue to serve immediate needs and will encourage continuing and more comprehensive efforts toward organizing nuclear criticality safety information

  7. Sequenced Peer Revision: Creating Competence and Community

    Science.gov (United States)

    Bowman, Ingrid K.; Robertson, John

    2013-01-01

    Mastering techniques of self- and peer revision is a valuable tool for all writers, especially US-educated Generation 1.5 students, whose near fluency enables them to dialogue successfully about their writing. Using action research, 2 academic writing instructors systematically trained students to more responsibly and effectively revise their…

  8. Quantum interaction. Revised selected papers

    International Nuclear Information System (INIS)

    Song, Dawei; Zhang, Peng; Wang, Lei; Arafat, Sachi

    2011-01-01

    This book constitutes the thoroughly refereed post-conference proceedings of the 5th International Symposium on Quantum Interaction, QI 2011, held in Aberdeen, UK, in June 2011. The 26 revised full papers and 6 revised poster papers, presented together with 1 tutorial and 1 invited talk were carefully reviewed and selected from numerous submissions during two rounds of reviewing and improvement. The papers show the cross-disciplinary nature of quantum interaction covering topics such as computation, cognition, mechanics, social interaction, semantic space and information representation and retrieval. (orig.)

  9. Fast-track revision knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik; Otte, Niels Kristian Stahl; Kristensen, Billy B

    2011-01-01

    Abstract Background and purpose Fast-track surgery has reduced the length of hospital stay (LOS), morbidity, and convalescence in primary hip and knee arthroplasty (TKA). We assessed whether patients undergoing revision TKA for non-septic indications might also benefit from fast-track surgery....... Methods 29 patients were operated with 30 revision arthroplasties. Median age was 67 (34-84) years. All patients followed a standardized fast-track set-up designed for primary TKA. We determined the outcome regarding LOS, morbidity, mortality, and satisfaction. Results Median LOS was 2 (1-4) days...

  10. Quantum interaction. Revised selected papers

    Energy Technology Data Exchange (ETDEWEB)

    Song, Dawei; Zhang, Peng; Wang, Lei [Aberdeen Univ. (United Kingdom). School of Computing; Melucci, Massimo [Padua Univ., Padova (Italy). Dept. of Information Engineering; Frommholz, Ingo [Bedfordshire Univ. (United Kingdom); Arafat, Sachi (eds.) [Glasgow Univ. (United Kingdom). School of Computing Science

    2011-07-01

    This book constitutes the thoroughly refereed post-conference proceedings of the 5th International Symposium on Quantum Interaction, QI 2011, held in Aberdeen, UK, in June 2011. The 26 revised full papers and 6 revised poster papers, presented together with 1 tutorial and 1 invited talk were carefully reviewed and selected from numerous submissions during two rounds of reviewing and improvement. The papers show the cross-disciplinary nature of quantum interaction covering topics such as computation, cognition, mechanics, social interaction, semantic space and information representation and retrieval. (orig.)

  11. Medical writing, revising and editing

    DEFF Research Database (Denmark)

    Pilegaard, Morten

    2006-01-01

    The globalization of science makes medical writing, editing and revision a rapidly growing field of linguistic study and practice. Medical science texts are written according to uniform, general guidelines and medical genres have become highly conventionalized in terms of structure and linguistic...... form. Medical editing often takes the form of peer review and mainly addresses issues of contents and overall validity. Medical revision incorporates the checking of the macrostructure and the microstructure of the text, its language and style and its suitability for the target reader or client...

  12. Balanced Scorecard implementation in small companies: a literature review

    Directory of Open Access Journals (Sweden)

    Estefanie Argüello-Solano

    2015-12-01

    Full Text Available The Balanced Scorecard (BSC has been used for performance measurement and strategy management for many years. This literature review analyzed studies about the implementation of the BSC in small companies, identifying implementation cases of BSC reported in small enterprises, factors of influence of small enterprises to implement the BSC model, main stages of implementation of the BSC in small enterprises, and future research lines. As a result 23 papers, 12 academic theses and 8 industry reports were identified. Our results shown that small enterprises can take advantage of its specific characteristics to implement the BSC and the implementation process in small companies may differ from the original BSC implementation process. There is little literature on the implementation of the BSC in small businesses, thus it is necessary additional empirical evidence on the effectiveness of CMI implementations in small businesses.

  13. Microbiological diagnosis in revision of infected knee arthroplasties in Denmark

    DEFF Research Database (Denmark)

    Lindberg-Larsen, Martin; Pitter, Frederik Taylor; Voldstedlund, Marianne

    2017-01-01

    . METHODS: One hundred and two partial revisions (open debridement and exchange of tibial insert) and 213 two-stage procedures performed due to infection in 275 patients from 1 July 2011 to 30 June 2013 were included and analysed by linkage to data from a nationwide registry on microbiological test results....... RESULTS: 78 (24.8%) revisions were culture negative, 192 (60.9%) showed monomicrobial growth and 43 (14.3%) polymicrobial growth. Staphylococcus aureus was the most frequent isolate in mono-culture in 70 (22.2%) revisions and in polymicrobial culture in 15 revisions with a total frequency of 27.0%. Only...... one case (1.4%) of methicillin-resistance was registered. Coagulase-negative staphylococci (CoNS) were frequent, sole pathogen in 65 revisions and in polymicrobial cultures in 28 revisions with a total frequency of 29.5%. A pre-operative knee aspiration was performed in 50% and preoperative blood...

  14. 30 CFR 285.617 - What activities require a revision to my SAP, and when will MMS approve the revision?

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What activities require a revision to my SAP, and when will MMS approve the revision? 285.617 Section 285.617 Mineral Resources MINERALS MANAGEMENT...: (1) Designed not to cause undue harm or damage to natural resources; life (including human and...

  15. Tibial slope correction combined with second revision ACL produces good knee stability and prevents graft rupture.

    Science.gov (United States)

    Dejour, David; Saffarini, Mo; Demey, Guillaume; Baverel, Laurent

    2015-10-01

    Revision ACL reconstruction requires careful analysis of failure causes particularly in cases of two previous graft ruptures. Intrinsic factors as excessive tibial slope or narrow femoral notch increase failure risks but are rarely addressed in revision surgery. The authors report outcomes, at minimum follow-up of 2 years, for second revision ACL reconstructions combined with tibial deflexion osteotomy for correction of excessive slope (>12°). Nine patients that underwent second revision ACL reconstruction combined with tibial deflexion osteotomy were retrospectively studied. The mean age was 30.3 ± 4.4 years (median 28; range 26-37), and mean follow-up was 4.0 ± 2.0 years (median 3.6; range 2.0-7.6). Autografts were harvested from the quadriceps tendon (n = 8) or hamstrings (n = 1), and tibial osteotomy was done by anterior closing wedge, without detachment of the patellar tendon, to obtain a slope of 3° to 5°. All patients had fused osteotomies, stable knees, and there were no intraoperative or postoperative complications. The mean posterior tibial slope decreased from 13.2° ± 2.6° (median 13°; range 12°-18°) preoperatively to 4.4° ± 2.3° (median 4°; range 2°-8°) postoperatively. The mean Lysholm score was 73.8 ± 5.8 (median 74; range 65-82), and the IKDC-SKF was 71.6 ± 6.1 (median 72.8; range 62.2-78.5). The satisfactory results of second revision ACL reconstruction combined with tibial deflexion osteotomy at minimum follow-up of 2 years suggest that tibia slope correction protects reconstructed ACL from fatigue failure in this study. The authors stress the importance of careful analysis failure causes prior to revision ACL reconstruction, and recommend correction of tibial slope if it exceeds 12°, to reduce the risks of graft retear. III.

  16. Revised cost savings estimate with uncertainty for enhanced sludge washing of underground storage tank waste

    International Nuclear Information System (INIS)

    DeMuth, S.

    1998-01-01

    Enhanced Sludge Washing (ESW) has been selected to reduce the amount of sludge-based underground storage tank (UST) high-level waste at the Hanford site. During the past several years, studies have been conducted to determine the cost savings derived from the implementation of ESW. The tank waste inventory and ESW performance continues to be revised as characterization and development efforts advance. This study provides a new cost savings estimate based upon the most recent inventory and ESW performance revisions, and includes an estimate of the associated cost uncertainty. Whereas the author's previous cost savings estimates for ESW were compared against no sludge washing, this study assumes the baseline to be simple water washing which more accurately reflects the retrieval activity along. The revised ESW cost savings estimate for all UST waste at Hanford is $6.1 B ± $1.3 B within 95% confidence. This is based upon capital and operating cost savings, but does not include development costs. The development costs are assumed negligible since they should be at least an order of magnitude less than the savings. The overall cost savings uncertainty was derived from process performance uncertainties and baseline remediation cost uncertainties, as determined by the author's engineering judgment

  17. The Philippine hair wax spiders and their relatives: revision of the Pholcus bicornutus species group (Araneae, Pholcidae

    Directory of Open Access Journals (Sweden)

    Bernhard A. Huber

    2016-08-01

    Full Text Available We revise the Southeast Asian Pholcus bicornutus group in which males are characterized by a unique pair of horns on their ocular area, each of which carries at its tip a brush of hairs. In two species, the two hair brushes are ‘glued’ or ‘waxed’ together by an unidentified substance into a very consistently curved and pointed single median tip. In the other five species known, the hairs are unglued. We present a first revision of ocular modifications in Pholcidae and identify twenty supposedly independent origins. Most cases are in Pholcinae, and all but one case are limited to the male, suggesting sexual selection as the main driving force in the evolution of ocular modifications in Pholcidae. Previously, the Pholcus bicornutus group consisted of four species limited to the Philippines. We describe four new species, including three species from the Philippines (P. olangapo Huber, sp. nov.; P. kawit Huber, sp. nov.; P. baguio Huber, sp. nov. and the first representative from outside the Philippines (P. mulu Huber, sp. nov. from Sarawak, NE Borneo and provide new records and SEM data for three previously described species.

  18. Revised spatially distributed global livestock emissions

    Science.gov (United States)

    Asrar, G.; Wolf, J.; West, T. O.

    2015-12-01

    Livestock play an important role in agricultural carbon cycling through consumption of biomass and emissions of methane. Quantification and spatial distribution of methane and carbon dioxide produced by livestock is needed to develop bottom-up estimates for carbon monitoring. These estimates serve as stand-alone international emissions estimates, as input to global emissions modeling, and as comparisons or constraints to flux estimates from atmospheric inversion models. Recent results for the US suggest that the 2006 IPCC default coefficients may underestimate livestock methane emissions. In this project, revised coefficients were calculated for cattle and swine in all global regions, based on reported changes in body mass, quality and quantity of feed, milk production, and management of living animals and manure for these regions. New estimates of livestock methane and carbon dioxide emissions were calculated using the revised coefficients and global livestock population data. Spatial distribution of population data and associated fluxes was conducted using the MODIS Land Cover Type 5, version 5.1 (i.e. MCD12Q1 data product), and a previously published downscaling algorithm for reconciling inventory and satellite-based land cover data at 0.05 degree resolution. Preliminary results for 2013 indicate greater emissions than those calculated using the IPCC 2006 coefficients. Global total enteric fermentation methane increased by 6%, while manure management methane increased by 38%, with variation among species and regions resulting in improved spatial distributions of livestock emissions. These new estimates of total livestock methane are comparable to other recently reported studies for the entire US and the State of California. These new regional/global estimates will improve the ability to reconcile top-down and bottom-up estimates of methane production as well as provide updated global estimates for use in development and evaluation of Earth system models.

  19. Pain and Function Following Revision Cubital Tunnel Surgery.

    Science.gov (United States)

    Davidge, Kristen M; Ebersole, Gregory C; Mackinnon, Susan E

    2017-11-01

    The purpose of this study was to determine pain and functional outcomes following revision cubital tunnel surgery and to identify predictors of poor postoperative outcome. A retrospective cohort study was conducted of all patients undergoing revision cubital tunnel surgery over a 5-year period at a high-volume peripheral nerve center. Intraoperative findings, demographic and injury factors, and outcomes were reviewed. Average pain, worst pain, and impact of pain on self-perceived quality of life were each measured using a 10-cm visual analog scale (VAS). Function was evaluated using pinch and grip strength, as well as the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Differences in preoperative and postoperative pain, strength, and DASH were analyzed using nonparametric tests. Predictors of postoperative average pain were evaluated using odds ratios and linear regression analyses. The final cohort consisted of 50 patients (mean age: 46.3 ± 12.5 years; 29 [68%] male) undergoing 52 revision ulnar nerve transpositions (UNTs). Pain VAS scores decreased significantly following revision UNT. Strength and DASH scores demonstrated nonsignificant improvements postoperatively. Worse preoperative pain and greater than 1 prior cubital tunnel procedure were significant predictors of worse postoperative average pain VAS scores. Patients can and do improve following revision cubital tunnel surgery, particularly as it relates to pain. Intraoperative findings during the revision procedure suggest that adherence to specific principles in the primary operation is key to prevention of secondary cubital tunnel syndrome.

  20. Utility of Covered Stents for Revision of Aging Failing Synthetic Hemodialysis Grafts: A Report of Three Cases

    International Nuclear Information System (INIS)

    Silas, Anne M.; Bettmann, Michael A.

    2003-01-01

    Three aging failing hemodialysis polytetrafluoroethylene bypass shunts, average age 44 months, previously percutaneously revised with balloon angioplasty, presented with pseudoaneurysms and recurrent thrombosis. All were treated with percutaneous covered stent placement within their affected limbs. One graft was ligated 1 month after treatment for infected overlying skin ulcer, though this graft was subsequently surgically revised with interposition graft and the covered stent portion remains functional at 19 month follow-up. The 18- and 13- month follow- up of the remaining 2 patients shows that the covered stents remained patent and they are functional and being successfully and routinely punctured for dialysis. In this elderly population, the use of covered stents may prolong the functional life of failing hemodialysis bypass grafts, reducing the number of percutaneous and surgical interventions and further sparing other vascular access sites

  1. Reverse arthroplasty for osteoarthritis and rotator cuff deficiency after previous surgery for recurrent anterior shoulder instability.

    Science.gov (United States)

    Raiss, Patric; Zeifang, Felix; Pons-Villanueva, Juan; Smithers, Christopher J; Loew, Markus; Walch, Gilles

    2014-07-01

    Osteoarthritis in combination with rotator cuff deficiency following previous shoulder stabilisation surgery and after failed surgical treatment for chronic anterior shoulder dislocation is a challenging condition. The aim of this study was to analyse the results of reverse shoulder arthroplasty in such patients. Thirteen patients with a median follow-up of 3.5 (range two to eight) years and a median age of 70 (range 48-82) years were included. In all shoulders a tear of at least one rotator cuff tendon in combination with osteoarthritis was present at the time of arthroplasty. The Constant score, shoulder flexion and external and internal rotation with the elbow at the side were documented pre-operatively and at the final follow-up. Pre-operative, immediate post-operative and final follow-up radiographs were analysed. All complications and revisions were documented. Twelve patients were either satisfied or very satisfied with the procedure. The median Constant score increased from 26 points pre-operatively to 67 points at the final follow-up (p = 0.001). The median shoulder flexion increased significantly from 70° to 130° and internal rotation from two to four points (p = 0.002). External rotation did not change significantly (p = 0.55). Glenoid notching was present in five cases and was graded as mild in three cases and moderate in two. One complication occurred leading to revision surgery. Reverse arthroplasty leads to high satisfaction rates for patients with osteoarthritis and rotator cuff deficiency who had undergone previous shoulder stabilisation procedures. The improvements in clinical outcome as well as the radiographic results seem to be comparable with those of other studies reporting on the outcome of reverse shoulder arthroplasty for other conditions.

  2. NRC drug-free workplace plan. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-11-01

    On September 15, 1986, President Reagan signed Executive Order 12564, establishing the goal of a Drug-Free Federal Workplace. The Order made it a condition of employment that all Federal employees refrain from using illegal drugs on or off duty. On July 11, 1987, Congress passed legislation affecting implementation of the Executive Order under Section 503 of the Supplemental Appropriations Act of 1987, Public Law 100-71 (the Act). The Nuclear Regulatory Commission first issued the NRC Drug Testing Plan to set forth objectives, policies, procedures, and implementation guidelines to achieve a drug-free Federal workplace, consistent with the Executive Order and Section 503 of the Act. Revision 1, titled, ``NRC Drug-Free Workplace Plan,`` supersedes the previous version and its supplements and incorporates changes to reflect current guidance from the Department of Justice, the Department of Health and Human Services, as well as other guidance.

  3. NRC drug-free workplace plan. Revision 1

    International Nuclear Information System (INIS)

    1997-11-01

    On September 15, 1986, President Reagan signed Executive Order 12564, establishing the goal of a Drug-Free Federal Workplace. The Order made it a condition of employment that all Federal employees refrain from using illegal drugs on or off duty. On July 11, 1987, Congress passed legislation affecting implementation of the Executive Order under Section 503 of the Supplemental Appropriations Act of 1987, Public Law 100-71 (the Act). The Nuclear Regulatory Commission first issued the NRC Drug Testing Plan to set forth objectives, policies, procedures, and implementation guidelines to achieve a drug-free Federal workplace, consistent with the Executive Order and Section 503 of the Act. Revision 1, titled, ''NRC Drug-Free Workplace Plan,'' supersedes the previous version and its supplements and incorporates changes to reflect current guidance from the Department of Justice, the Department of Health and Human Services, as well as other guidance

  4. A reliability analysis of the revised competitiveness index.

    Science.gov (United States)

    Harris, Paul B; Houston, John M

    2010-06-01

    This study examined the reliability of the Revised Competitiveness Index by investigating the test-retest reliability, interitem reliability, and factor structure of the measure based on a sample of 280 undergraduates (200 women, 80 men) ranging in age from 18 to 28 years (M = 20.1, SD = 2.1). The findings indicate that the Revised Competitiveness Index has high test-retest reliability, high inter-item reliability, and a stable factor structure. The results support the assertion that the Revised Competitiveness Index assesses competitiveness as a stable trait rather than a dynamic state.

  5. Emended description of Campylobacter sputorum and revision of its infrasubspecific (biovar) divisions, including C-sputorum biovar paraureolyticus, a urease-producing variant from cattle and humans

    DEFF Research Database (Denmark)

    On, S.L.W.; Atabay, H.I.; Corry, J.E.L.

    1998-01-01

    A polyphasic taxonomic study of 15 bovine and human strains assigned to the catalase-negative, urease-positive campylobacter (CNUPC) group identified these bacteria as a novel, ureolytic biovar of Campylobacter sputorum for which we propose the name C. sputorum bv. paraureolyticus: suitable...... should be revised to include by. sputorum for catalase-negative strains; by. fecalis for catalase-positive strains; and by. paraureolyticus for urease-positive strains. Strains classified previously as by. bubulus should be reclassified as by. sputorum. The species description of C. sputorum is revised...

  6. Effects of open-air temperature on air temperature inside biological safety cabinet.

    Science.gov (United States)

    Umemura, Masayuki; Shigeno, Katsuro; Yamamura, Keiko; Osada, Takashi; Soda, Midori; Yamada, Kiyofumi; Ando, Yuichi; Wakiya, Yoshifumi

    2011-02-14

    In Japan, biological safety cabinets (BSCs) are normally used by medical staff while handling antineoplastic agents. We have also set up a class II B2 BSC at the Division of Chemotherapy for Outpatients. The air temperature inside this BSC, however, decreases in winter. We assumed that this decrease is caused by the intake of open-air. Therefore, we investigated the effects of low open-air temperature on the BSC temperature and the time of admixtures of antineoplastic agents. The studies were conducted from January 1 to March 31, 2008. The outdoor air temperature was measured in the shade near the intake nozzle of the BSC and was compared with the BSC temperature. The correlation between the outdoor air temperature and the BSC temperature, the dissolution time of cyclophosphamide (CPA) and gemcitabine (GEM), and accurate weight measurement of epirubicin (EPI) solution were investigated for low and normal BSC temperatures. The BSC temperature was correlated with the open-air temperature for open-air temperatures of 5-20°C (p air is drawn from outdoors. We showed that the BSC temperature affects the dissolution rate of antineoplastic agents. Further, we suggested that the BSC temperature drop might delay the affair of the admixtures of antineoplastic agents and increase the waiting time of outpatients for chemotherapy.

  7. Impact of Base Station Cooperation on Cell Planning

    Directory of Open Access Journals (Sweden)

    Ian Dexter Garcia

    2010-01-01

    Full Text Available Base station cooperation (BSC has been identified as a key radio access technology for next-generation cellular networks such as LTE-Advanced. BSC impacts cell planning, which is the methodical selection of base station (BS sites, and BS equipment configuration for cost-effective cellular networks. In this paper, the impact of BSC on cell plan parameters (coverage, traffic, handover, and cost, as well as additional cell planning steps required for BSC are discussed. Results show that BSC maximizes its gains over noncooperation (NC in a network wherein interference from cooperating BSs is the main limitation. Locations exist where NC may produce higher throughputs, therefore dynamic or semistatic switching between BSC and NC, called fractional BSC, is recommended. Because of interference from noncooperating BSs, the gains of BSC over NC are upper bounded, and diminishes at greater intersite distances because of noise. This encourages smaller cell sizes, higher transmit powers, and dynamic clustering of cooperative BSs.

  8. Complexities of revision mastoid surgery in a migratory population cohort.

    LENUS (Irish Health Repository)

    Lennon, P

    2012-03-01

    We present a review of patients from Eastern Europe who have recently immigrated to Ireland with complicated otological disease. We carried out a retrospective chart review of these patients. These are a complicated cohort of 7 patients, 5 (71.4%) of whom had previous ear surgery, none had old notes and there was often a need for interpreters (3 or 42.8%) and challenging surgery. Follow up was also problematic with many of the patients. In summary this is a case series to highlight a relatively new group of patients to emphasize the need for pre-operative CT scans, facial nerve monitoring and the difficult nature of revision surgery with no old notes.

  9. Suppression and belief revision, two sides of the same coin?

    Directory of Open Access Journals (Sweden)

    Kristien Dieussaert

    2005-03-01

    Full Text Available This paper examines three experimental paradigms, designed for common sense reasoning. The comparison regards the effect disablers and alternatives exercise on the data. It was previously shown that alternatives and disablers influence the reasoning process in the three experimental paradigms: the Inference paradigm (e.g., Cummins et al., 1991, the Suppression paradigm (e.g., Byrne, 1989 and the Belief Revision paradigm (e.g., Elio, 1997. However, they were never directly compared due to large variations in the pragmatic type of conditionals and in the answer format. With this paper, we hope to fill this gap as we provide a direct comparison of the paradigms to gain more insight in reasoning with inconsistencies.

  10. Understanding the context of balanced scorecard implementation: a hospital-based case study in Pakistan.

    Science.gov (United States)

    Rabbani, Fauziah; Lalji, Sabrina Nh; Abbas, Farhat; Jafri, Sm Wasim; Razzak, Junaid A; Nabi, Naheed; Jahan, Firdous; Ajmal, Agha; Petzold, Max; Brommels, Mats; Tomson, Goran

    2011-03-31

    As a response to a changing operating environment, healthcare administrators are implementing modern management tools in their organizations. The balanced scorecard (BSC) is considered a viable tool in high-income countries to improve hospital performance. The BSC has not been applied to hospital settings in low-income countries nor has the context for implementation been examined. This study explored contextual perspectives in relation to BSC implementation in a Pakistani hospital. Four clinical units of this hospital were involved in the BSC implementation based on their willingness to participate. Implementation included sensitization of units towards the BSC, developing specialty specific BSCs and reporting of performance based on the BSC during administrative meetings. Pettigrew and Whipp's context (why), process (how) and content (what) framework of strategic change was used to guide data collection and analysis. Data collection methods included quantitative tools (a validated culture assessment questionnaire) and qualitative approaches including key informant interviews and participant observation. Method triangulation provided common and contrasting results between the four units. A participatory culture, supportive leadership, financial and non-financial incentives, the presentation of clear direction by integrating support for the BSC in policies, resources, and routine activities emerged as desirable attributes for BSC implementation. The two units that lagged behind were more involved in direct inpatient care and carried a considerable clinical workload. Role clarification and consensus about the purpose and benefits of the BSC were noted as key strategies for overcoming implementation challenges in two clinical units that were relatively ahead in BSC implementation. It was noted that, rather than seeking to replace existing information systems, initiatives such as the BSC could be readily adopted if they are built on existing infrastructures and data

  11. Understanding the context of balanced scorecard implementation: a hospital-based case study in pakistan

    Directory of Open Access Journals (Sweden)

    Ajmal Agha

    2011-03-01

    Full Text Available Abstract Background As a response to a changing operating environment, healthcare administrators are implementing modern management tools in their organizations. The balanced scorecard (BSC is considered a viable tool in high-income countries to improve hospital performance. The BSC has not been applied to hospital settings in low-income countries nor has the context for implementation been examined. This study explored contextual perspectives in relation to BSC implementation in a Pakistani hospital. Methods Four clinical units of this hospital were involved in the BSC implementation based on their willingness to participate. Implementation included sensitization of units towards the BSC, developing specialty specific BSCs and reporting of performance based on the BSC during administrative meetings. Pettigrew and Whipp's context (why, process (how and content (what framework of strategic change was used to guide data collection and analysis. Data collection methods included quantitative tools (a validated culture assessment questionnaire and qualitative approaches including key informant interviews and participant observation. Results Method triangulation provided common and contrasting results between the four units. A participatory culture, supportive leadership, financial and non-financial incentives, the presentation of clear direction by integrating support for the BSC in policies, resources, and routine activities emerged as desirable attributes for BSC implementation. The two units that lagged behind were more involved in direct inpatient care and carried a considerable clinical workload. Role clarification and consensus about the purpose and benefits of the BSC were noted as key strategies for overcoming implementation challenges in two clinical units that were relatively ahead in BSC implementation. It was noted that, rather than seeking to replace existing information systems, initiatives such as the BSC could be readily adopted if

  12. Letter of Map Revision

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  13. Revision without ordinals

    NARCIS (Netherlands)

    Rivello, Edoardo

    2013-01-01

    We show that Herzberger’s and Gupta’s revision theories of truth can be recast in purely inductive terms, without any appeal neither to the transfinite ordinal numbers nor to the axiom of Choice. The result is presented in an abstract and general setting, emphasising both its validity for a wide

  14. Engineering work plan for container venting system drill press assembly troubleshooting. Revision 1

    International Nuclear Information System (INIS)

    Prather, M.C.

    1994-11-01

    This work plan is for troubleshooting the current CVS drill press to ensure that the drill bit assembly doesn't bind in the press plate. A drill press assembly has been fabricated for the Container Venting System (CVS). The drill bit assembly has bound in the press plate in previous revisions of this design. Initial troubleshooting of the drill press per Rev. 0 of this work plan was performed at the 200W Kaiser Machine Shop under Work Package 2H9401670F, Internal Work Order E20027. The drill press operated without jamming. Then, during the pre-operational test on 11/14/17 and the operational test on 11/17/94, two drum lids were drilled. Immediately after the test on 11/17/94, the drill was again operated, and it jammed. An inspection found shavings at the bottom of the drill bit assembly, between the drill bit sleeve and the press plate bore. This revised work plan provides direction for the machine shop to diagnose and correct this recent problem

  15. Water-Level Data Analysis for the Saturated Zone Site-Scale Flow and Transport Model

    International Nuclear Information System (INIS)

    K. Rehfeldt

    2004-01-01

    This report is an updated analysis of water-level data performed to provide the ''Saturated Zone Site-Scale Flow Model'' (BSC 2004 [DIRS 170037]) (referred to as the saturated zone (SZ) site-scale flow model or site-scale SZ flow model in this report) with the configuration of the potentiometric surface, target water-level data, and hydraulic gradients for calibration of groundwater flow models. This report also contains an expanded discussion of uncertainty in the potentiometric-surface map. The analysis of the potentiometric data presented in Revision 00 of this report (USGS 2001 [DIRS 154625]) provides the configuration of the potentiometric surface, target heads, and hydraulic gradients for the calibration of the SZ site-scale flow model (BSC 2004 [DIRS 170037]). Revision 01 of this report (USGS 2004 [DIRS 168473]) used updated water-level data for selected wells through the year 2000 as the basis for estimating water-level altitudes and the potentiometric surface in the SZ site-scale flow and transport model domain based on an alternative interpretation of perched water conditions. That revision developed computer files containing: Water-level data within the model area (DTN: GS010908312332.002); A table of known vertical head differences (DTN: GS010908312332.003); and A potentiometric-surface map (DTN: GS010608312332.001) using an alternative concept from that presented by USGS (2001 [DIRS 154625]) for the area north of Yucca Mountain. The updated water-level data presented in USGS (2004 [DIRS 168473]) include data obtained from the Nye County Early Warning Drilling Program (EWDP) Phases I and II and data from Borehole USW WT-24. This document is based on Revision 01 (USGS 2004 [DIRS 168473]) and expands the discussion of uncertainty in the potentiometric-surface map. This uncertainty assessment includes an analysis of the impact of more recent water-level data and the impact of adding data from the EWDP Phases III and IV wells. In addition to being utilized

  16. Smoking is associated with earlier time to revision of total knee arthroplasty.

    Science.gov (United States)

    Lim, Chin Tat; Goodman, Stuart B; Huddleston, James I; Harris, Alex H S; Bhowmick, Subhrojyoti; Maloney, William J; Amanatullah, Derek F

    2017-10-01

    Smoking is associated with early postoperative complications, increased length of hospital stay, and an increased risk of revision after total knee arthroplasty (TKA). However, the effect of smoking on time to revision TKA is unknown. A total of 619 primary TKAs referred to an academic tertiary center for revision TKA were retrospectively stratified according to the patient smoking status. Smoking status was then analyzed for associations with time to revision TKA using a Chi square test. The association was also analyzed according to the indication for revision TKA. Smokers (37/41, 90%) have an increased risk of earlier revision for any reason compared to non-smokers (274/357, 77%, p=0.031). Smokers (37/41, 90%) have an increased risk of earlier revision for any reason compared to ex-smokers (168/221, 76%, p=0.028). Subgroup analysis did not reveal a difference in indication for revision TKA (p>0.05). Smokers are at increased risk of earlier revision TKA when compared to non-smokers and ex-smokers. The risk for ex-smokers was similar to that of non-smokers. Smoking appears to have an all-or-none effect on earlier revision TKA as patients who smoked more did not have higher risk of early revision TKA. These results highlight the need for clinicians to urge patients not to begin smoking and encourage smokers to quit smoking prior to primary TKA. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Hanford Site technical baseline database. Revision 1

    International Nuclear Information System (INIS)

    Porter, P.E.

    1995-01-01

    This report lists the Hanford specific files (Table 1) that make up the Hanford Site Technical Baseline Database. Table 2 includes the delta files that delineate the differences between this revision and revision 0 of the Hanford Site Technical Baseline Database. This information is being managed and maintained on the Hanford RDD-100 System, which uses the capabilities of RDD-100, a systems engineering software system of Ascent Logic Corporation (ALC). This revision of the Hanford Site Technical Baseline Database uses RDD-100 version 3.0.2.2 (see Table 3). Directories reflect those controlled by the Hanford RDD-100 System Administrator. Table 4 provides information regarding the platform. A cassette tape containing the Hanford Site Technical Baseline Database is available

  18. Publishing and Revising Content

    Science.gov (United States)

    Editors and Webmasters can publish content without going through a workflow. Publishing times and dates can be set, and multiple pages can be published in bulk. Making an edit to published content created a revision.

  19. Development and Psychometric Validation of the Family Outcomes Survey-Revised

    Science.gov (United States)

    Bailey, Donald B., Jr.; Raspa, Melissa; Olmsted, Murrey G.; Novak, Scott P.; Sam, Ann M.; Humphreys, Betsy P.; Nelson, Robin; Robinson, Nyle; Guillen, Chelsea

    2011-01-01

    Few psychometrically valid scales exist to assess family outcomes and the helpfulness of early intervention. This article describes the development and psychometric properties of the Family Outcomes Survey-Revised. The revision was prompted by the need to (a) create a new format that would be easier for parents to understand, (b) revise and expand…

  20. Factor Structure and Psychometric Properties of the Revised Home Situations Questionnaire for Autism Spectrum Disorder: The Home Situations Questionnaire-Autism Spectrum Disorder

    Science.gov (United States)

    Chowdhury, Monali; Aman, Michael G.; Lecavalier, Luc; Smith, Tristram; Johnson, Cynthia; Swiezy, Naomi; McCracken, James T.; King, Bryan; McDougle, Christopher J.; Bearss, Karen; Deng, Yanhong; Scahill, Lawrence

    2016-01-01

    Previously, we adapted the Home Situations Questionnaire to measure behavioral non-compliance in everyday settings in children with pervasive developmental disorders. In this study, we further revised this instrument for use in autism spectrum disorder and examined its psychometric properties (referred to as the Home Situations…

  1. Reviewing the application of the balanced scorecard with implications for low-income health settings.

    Science.gov (United States)

    Rabbani, Fauziah; Jafri, S M Wasin; Abbas, Farhat; Pappas, Gregory; Brommels, Mats; Tomson, Goran

    2007-01-01

    High-income countries (HICs) are increasingly making use of the balanced scorecard (BSC) in healthcare. Evidence about BSC usage in low-income countries (LICs) is deficient. This study assessed feasibility of BSC use in LICs. Systematic review of electronic databases shows that the BSC improved patient, staff, clinical, and financial outcomes in HICs. To translate the experience of BSC use in HICs to their use in LICs, the applicability parameters of the National Committee for Quality Assurance were applied. Despite contextual challenges, pilot testing of BSC use can be undertaken in selected LICs. Committed leadership, cultural readiness, quality information systems, viable strategic plans, and optimum resources are required.

  2. Age and Early Revision After Primary Total Hip Arthroplasty for Osteoarthritis.

    Science.gov (United States)

    Meyer, Zachary; Baca, Geneva; Rames, Richard; Barrack, Robert; Clohisy, John; Nam, Denis

    2017-11-01

    Prior reports have noted an increased risk of early revision among younger patients undergoing total hip arthroplasty (THA) but have been confounded by the inclusion of various diagnoses. The purpose of this study was to assess the revision rate and the time to revision for patients undergoing THA for osteoarthritis based on age. Patients with a diagnosis of osteoarthritis who underwent both primary and revision THA at the same institution were identified. The time between primary and revision surgery and the indication for revision were collected. Patients were stratified into 2 groups based on age at the time of primary THA: 64 years or younger (group 1) or 65 years or older (group 2). Between 1996 and 2016, a total of 4662 patients (5543 hips) underwent primary THA for a diagnosis of osteoarthritis. Of these, 100 patients (104 hips) received a revision THA (62 in group 1 and 42 in group 2). Mean age was 52.7±8.4 years in group 1 vs 73.4±6.3 years in group 2 (Pprimary to revision surgery was 3.0±3.2 years for group 1 and 1.1±2.1 years for group 2 (P=.001). Among patients undergoing primary THA for a diagnosis of osteoarthritis, younger age is not associated with an increased rate of early failure or revision. [Orthopedics. 2017; 40(6):e1069-e1073.]. Copyright 2017, SLACK Incorporated.

  3. Revision washout decreases implant capsule tissue culture positivity: a multicenter study.

    Science.gov (United States)

    Henry, Gerard D; Carson, Culley C; Wilson, Steven K; Wiygul, Jeremy; Tornehl, Chris; Cleves, Mario A; Simmons, Caroline J; Donatucci, Craig F

    2008-01-01

    Positive cultures, visible biofilm and confocal micrography confirm bacterial presence on clinically uninfected inflatable penile prostheses at revision surgery. Salvage irrigation has been proved to rescue patients with clinically infected inflatable penile prostheses. Similar washout at revision for noninfectious reasons significantly lowers subsequent infection rates. We investigated a larger series of patients for positive culture rates and evaluated implant capsule tissue culture rates before and after revision washout. At 4 institutions a total of 148 patients with inflatable penile prostheses underwent revision surgery for noninfectious reasons between June 2001 and September 2005. Swab cultures of the fluid around the pump and visible biofilm were obtained. Also, in 65 patients a wedge of tissue from the capsule that forms around the pump was cultured. After implant removal revision washout of the implant spaces was performed and a second wedge of tissue was cultured. Of the 148 patients 97 (66%) had positive bacterial swab cultures of the fluid around the pump or biofilm. A total of 124 isolates were cultured. Of the 65 implant capsule tissue cultures obtained before washout 28 (43%) were positive for bacteria, while 16 (25%) obtained after revision washout were positive. Positive cultures and visible bacterial biofilm are present on clinically uninfected inflatable penile prostheses at revision surgery in most patients. Revision washout appears to decrease the bacterial load on implant capsule tissue at revision surgery of inflatable penile prostheses for noninfectious reasons.

  4. A LIMIT ON THE NUMBER OF ISOLATED NEUTRON STARS DETECTED IN THE ROSAT ALL-SKY-SURVEY BRIGHT SOURCE CATALOG

    International Nuclear Information System (INIS)

    Turner, Monica L.; Rutledge, Robert E.; Letcavage, Ryan; Shevchuk, Andrew S. H.; Fox, Derek B.

    2010-01-01

    Using new and archival observations made with the Swift satellite and other facilities, we examine 147 X-ray sources selected from the ROSAT All-Sky-Survey Bright Source Catalog (RASS/BSC) to produce a new limit on the number of isolated neutron stars (INSs) in the RASS/BSC, the most constraining such limit to date. Independent of X-ray spectrum and variability, the number of INSs is ≤48 (90% confidence). Restricting attention to soft (kT eff < 200 eV), non-variable X-ray sources-as in a previous study-yields an all-sky limit of ≤31 INSs. In the course of our analysis, we identify five new high-quality INS candidates for targeted follow-up observations. A future all-sky X-ray survey with eROSITA, or another mission with similar capabilities, can be expected to increase the detected population of X-ray-discovered INSs from the 8-50 in the BSC, to (for a disk population) 240-1500, which will enable a more detailed study of neutron star population models.

  5. Advantages and contributions in the balanced scorecard implementation

    Directory of Open Access Journals (Sweden)

    Patrícia Quesado

    2018-02-01

    Full Text Available Purpose: In this paper we aim to identify and analyse a set of advantages and contributions derived from the Balanced Scorecard (BSC implementation. Design/methodology/approach: In order to answer the research question, we have carried out a qualitative research based on the exclusively bibliographical review of theoretical / conceptual and empirical works previously done on the subject (systematic review of the literature. Findings: The results allow us to conclude that the BSC is more than a simple performance evaluation system, to become a true strategic management tool able to clarify and translate the mission and organizational strategy, making possible the communication process, the strategic alignment and the organizational learning. Originality/value: The study presents a contribution to the current state of knowledge, since the identification of the advantages and contributions in the BSC introduction and implementation can facilitate its adoption and development in the organizations that intend to implement this tool. In addition, a theoretical basis is provided for subsequent research, evidencing the breadth of research on the topic studied.

  6. High proximal migration in cemented acetabular revisions operated with bone impaction grafting; 47 revision cups followed with RSA for 17 years.

    Science.gov (United States)

    Mohaddes, Maziar; Herberts, Peter; Malchau, Henrik; Johanson, Per-Erik; Kärrholm, Johan

    2017-05-12

    Bone impaction grafting is a biologically and mechanically appealing option in acetabular revision surgery, allowing restitution of the bone stock and restoration of the biomechanics. We analysed differences in proximal migration of the revision acetabular components when bone impaction grafting is used together with a cemented or an uncemented cup. 43 patients (47 hips), revised due to acetabular loosening and judged to have less than 50% host bone-implant contact were included. The hips were randomised to either an uncemented (n = 20) or a cemented (n = 27) revision cup. Radiostereometry and radiography was performed postoperatively, at 3 and 6 months, 1, 2, 3, 5, 7, 10 and 13 and 17 years postoperatively. Clinical follow-up was performed at 1, 2 and 5 years postoperatively and thereafter at the same interval as in the radiographic follow-up. There were no differences in the base line demographic data between the 2 groups. At the last follow-up (17 years) 14 hips (10 cemented, 4 uncemented) had been re-revised due to loosening. 3 additional cups (1 uncemented and 2 cemented) were radiographically loose. There was a higher early proximal migration in the cemented cups. Cups operated on with cement showed a higher early migration measured with RSA and also a higher number of late revisions. The reason for this is not known, but factors such as inclusion of cases with severe bone defects, use of smaller bone chips and issues related to the impaction technique might have had various degrees of influence.

  7. RCBI-II: The Second Revision of the Revised Cyber Bullying Inventory

    Science.gov (United States)

    Topcu, Çigdem; Erdur-Baker, Özgür

    2018-01-01

    The aim of this study is to update the Turkish version of the Revised Cyber Bullying Inventory (RCBI) and eliminate specific technology names. Validity and reliability tests were carried out with 1,803 high school students. The updated version of the RCBI yields valid and reliable scores measuring cyberbullying and victimization.

  8. Validity of Factors of the Psychopathy Checklist-Revised in Female Prisoners: Discriminant Relations with Antisocial Behavior, Substance Abuse, and Personality

    Science.gov (United States)

    Kennealy, Patrick J.; Hicks, Brian M.; Patrick, Christopher J.

    2007-01-01

    The validity of the Psychopathy Checklist-Revised (PCL-R) has been examined extensively in men, but its validity for women remains understudied. Specifically, the correlates of the general construct of psychopathy and its components as assessed by PCL-R total, factor, and facet scores have yet to be examined in depth. Based on previous research…

  9. [The Use of Jumbo Cups in Revision Total Hip Arthroplasty].

    Science.gov (United States)

    von Roth, Philipp; Wassilew, Georgi I

    2017-10-01

    Extra-large uncemented jumbo cups are among the most common methods of acetabular revision. Jumbo cups do not contribute to bone stock restoration, and in the case of a subsequent revision, an even larger bone defect is to be expected. Thus, understanding long-term survival is essential. The present article discusses the literature relevant to this topic and addresses technical and implant-specific characteristics of jumbo cups. In summary, jumbo cups show an acceptable long-term survival rate, with aseptic loosening as the most common reason for revision and dislocation being the most common complication. Through the development of alternative revision systems, jumbo cups have lost their importance in today's practice. However, they can serve as a benchmark for studies of newer technologies in revision total hip arthroplasty. Georg Thieme Verlag KG Stuttgart · New York.

  10. Cement-in-cement acetabular revision with a constrained tripolar component.

    Science.gov (United States)

    Leonidou, Andreas; Pagkalos, Joseph; Luscombe, Jonathan

    2012-02-17

    Dislocation of a total hip replacement (THR) is common following total hip arthroplasty (THA). When nonoperative management fails to maintain reduction, revision surgery is considered. The use of constrained acetabular liners has been extensively described. Complete removal of the old cement mantle during revision THA can be challenging and is associated with significant complications. Cement-in-cement revision is an established technique. However, the available clinical and experimental studies focus on femoral stem revision. The purpose of this study was to present a case of cement-in-cement acetabular revision with a constrained component for recurrent dislocations and to investigate the current best evidence for this technique. This article describes the case of a 74-year-old woman who underwent revision of a Charnley THR for recurrent low-energy dislocations. A tripolar constrained acetabular component was cemented over the primary cement mantle following removal of the original liner by reaming, roughening the surface, and thoroughly irrigating and drying the primary cement. Clinical and radiological results were good, with the Oxford Hip Score improving from 11 preoperatively to 24 at 6 months postoperatively. The good short-term results of this case and the current clinical and biomechanical data encourage the use of the cement-in-cement technique for acetabular revision. Careful irrigation, drying, and roughening of the primary surface are necessary. Copyright 2012, SLACK Incorporated.

  11. Single-stage Acetabular Revision During Two-stage THA Revision for Infection is Effective in Selected Patients.

    Science.gov (United States)

    Fink, Bernd; Schlumberger, Michael; Oremek, Damian

    2017-08-01

    The treatment of periprosthetic infections of hip arthroplasties typically involves use of either a single- or two-stage (with implantation of a temporary spacer) revision surgery. In patients with severe acetabular bone deficiencies, either already present or after component removal, spacers cannot be safely implanted. In such hips where it is impossible to use spacers and yet a two-stage revision of the prosthetic stem is recommended, we have combined a two-stage revision of the stem with a single revision of the cup. To our knowledge, this approach has not been reported before. (1) What proportion of patients treated with single-stage acetabular reconstruction as part of a two-stage revision for an infected THA remain free from infection at 2 or more years? (2) What are the Harris hip scores after the first stage and at 2 years or more after the definitive reimplantation? Between June 2009 and June 2014, we treated all patients undergoing surgical treatment for an infected THA using a single-stage acetabular revision as part of a two-stage THA exchange if the acetabular defect classification was Paprosky Types 2B, 2C, 3A, 3B, or pelvic discontinuity and a two-stage procedure was preferred for the femur. The procedure included removal of all components, joint débridement, definitive acetabular reconstruction (with a cage to bridge the defect, and a cemented socket), and a temporary cemented femoral component at the first stage; the second stage consisted of repeat joint and femoral débridement and exchange of the femoral component to a cementless device. During the period noted, 35 patients met those definitions and were treated with this approach. No patients were lost to followup before 2 years; mean followup was 42 months (range, 24-84 months). The clinical evaluation was performed with the Harris hip scores and resolution of infection was assessed by the absence of clinical signs of infection and a C-reactive protein level less than 10 mg/L. All

  12. Future Climate Analysis

    International Nuclear Information System (INIS)

    Cambell, C. G.

    2004-01-01

    approaches could include simulation of climate over the 10,000-year period; however, this modeling extrapolation is well beyond the bounds of current scientific practice and would not provide results with better confidence. A corroborative alternative approach may be found in ''Future Climate Analysis-10,000 Years to 1,000,000 Years After Present'' (Sharpe 2003 [DIRS 161591]). The current revision of this report is prepared in accordance with ''Technical Work Plan for: Unsaturated Zone Flow Analysis and Model Report Integration'' (BSC 2004 [DIRS 169654])

  13. 14 CFR 152.323 - Budget revision: Airport development.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Budget revision: Airport development. 152... TRANSPORTATION (CONTINUED) AIRPORTS AIRPORT AID PROGRAM Accounting and Reporting Requirements § 152.323 Budget... change in the budget estimates, the sponsor shall submit a request for budget revision on a form...

  14. Pending revisions to ANS 56.8-81 containment systems leakage testing requirements

    International Nuclear Information System (INIS)

    Brown, T.M.

    1986-01-01

    The US Nuclear Regulatory Commission is currently processing a revision to Appendix J of Part 50, Title 10 of the Code of Federal Regulations. The revised Appendix J will not reference any ANSI standard. Processed concurrently with the revised Appendix J is a draft Regulatory Guide which does endorse ANS Standard 56.8. The draft Regulatory Guide currently takes many exceptions to the Standard. Many of the exceptions are changes the Working Group had in process and the exceptions are to bring the draft Regulatory Guide in line with the future Standard. The Working Group has completed their revisions to the Standard and its appendices. These revisions have been submitted to the Nuclear Power Plants Standards Committee (NUPPSCO). The NUPPSCO comments have recently been addressed by the Working Group and the Working Group response has been sent to the NUPPSCO commentators. This paper will discuss the revisions made to the Standard, the significance of the revisions and future tasks or Standard revisions which the ANS 56.8 Working Group may address

  15. Comparing contemporary revision burden among hip and knee joint replacement registries

    Directory of Open Access Journals (Sweden)

    Brian J. McGrory, MD, MS

    2016-06-01

    Conclusions: Revision burden has gradually decreased for hip replacements and has remained relatively constant for knee replacements both for the last 4 years and compared to historic controls. Knee revision burden was lower than hip revision burden for each period examined. Revision burden is one measure that may be helpful in following the effect of changes in surgical technique and implant design over time in registry populations and may be a helpful way to compare overall results between registries.

  16. Revision Hip Arthroscopy Indications and Outcomes: A Systematic Review.

    Science.gov (United States)

    Sardana, Vandit; Philippon, Marc J; de Sa, Darren; Bedi, Asheesh; Ye, Lily; Simunovic, Nicole; Ayeni, Olufemi R

    2015-10-01

    To identify the indications and outcomes in patients undergoing revision hip arthroscopy. The electronic databases Embase, Medline, HealthStar, and PubMed were searched from 1946 to July 19, 2014. Two blinded reviewers searched, screened, and evaluated the data quality of the studies using the Methodological Index for Non-Randomized Studies scale. Data were abstracted in duplicate. Agreement and descriptive statistics are presented. Six studies were included (3 prospective case series and 3 retrospective chart reviews), with a total of 448 hips examined. The most common indications for revision hip arthroscopy included residual femoroacetabular impingement (FAI), labral tears, and chondral lesions. The mean interval between revision arthroscopy and the index procedure was 25.6 months. Overall, the modified Harris Hip Score improved by a mean of 33.6% (19.3 points) from the baseline score at 1-year follow-up. In 14.6% of patients, further surgical procedures were required, including re-revision hip arthroscopy (8.0%), total hip replacement (5.6%), and hip resurfacing (1.0%). Female patients more commonly underwent revision hip arthroscopy (59.7%). The current evidence examined in this review supports revision hip arthroscopy as a successful intervention to improve functional outcomes (modified Harris Hip Score) and relieve pain in patients with residual symptoms after primary FAI surgery, although the outcomes are inferior when compared with a matched cohort of patients undergoing primary hip arthroscopy for FAI. The main indication for revision is a candidate who has symptoms due to residual cam- or pincer-type deformity that was either unaddressed or under-resected during the index operation. However, it is important to consider that the studies included in this review are of low-quality evidence. Surgeons should consider incorporating a minimum 2-year follow-up for individuals after index hip-preservation surgery because revisions tended to occur within this

  17. The Effects of the Revised CPPNM on Legislative Framework

    International Nuclear Information System (INIS)

    Kwak, Sung-Woo; Yoo, Ho-Sik; Shim, Hye-Won; Chang, Sun-Young; Lee, Jong-Uk

    2006-01-01

    A Diplomatic Conference was held last July at Vienna of Austria and adopted an important Convention in physical protection field. The Convention is the revised Convention on Physical Protection of Nuclear Material. A State Party to the revised CPPNM has obligation to meet the Convention. Since the Amendment to CPPNM is expected to enter into force in near future, there is an urgent need to prepare for implementing the international obligation. Thus, it is important to assess the effect of the revised Convention on national legislative and regulatory framework to govern physical protection of domestic nuclear material and facilities. The objective of this paper is to perform comparative assessment between new provisions of the revised Convention and national law in order to prepare for the implementation of the international norm

  18. 3D Printing Aids Acetabular Reconstruction in Complex Revision Hip Arthroplasty

    Directory of Open Access Journals (Sweden)

    Andrew J. Hughes

    2017-01-01

    Full Text Available Revision hip arthroplasty requires comprehensive appreciation of abnormal bony anatomy. Advances in radiology and manufacturing technology have made three-dimensional (3D representation of osseous anatomy obtainable, which provide visual and tactile feedback. Such life-size 3D models were manufactured from computed tomography scans of three hip joints in two patients. The first patient had undergone multiple previous hip arthroplasties for bilateral hip infections, resulting in right-sided pelvic discontinuity and a severe left-sided posterosuperior acetabular deficiency. The second patient had a first-stage revision for infection and recurrent dislocations. Specific metal reduction protocols were used to reduce artefact. The images were imported into Materialise MIMICS 14.12®. The models were manufactured using selective laser sintering. Accurate templating was performed preoperatively. Acetabular cup, augment, buttress, and cage sizes were trialled using the models, before being adjusted, and resterilised, enhancing the preoperative decision-making process. Screw trajectory simulation was carried out, reducing the risk of neurovascular injury. With 3D printing technology, complex pelvic deformities were better evaluated and treated with improved precision. Life-size models allowed accurate surgical simulation, thus improving anatomical appreciation and preoperative planning. The accuracy and cost-effectiveness of the technique should prove invaluable as a tool to aid clinical practice.

  19. Regulations for the safe transport of radioactive material. 1996 edition (revised)

    International Nuclear Information System (INIS)

    2000-01-01

    Following a comprehensive review by panels of experts convened by the IAEA starting in 1991, a revised version of the IAEA Regulations for the Safe Transport of Radioactive Material (formerly Safety Series No. 6) was approved by the Board of Governors in September 1996. This publication supersedes all editions of the Regulations issued under Safety Series No. 6. By 1969, the Regulations had been adopted by almost all international organizations concerned with transport and used by many Member States for their own regulations. Through the worldwide adoption of the IAEA Regulations for all modes of transport, a very high standard of safety in transport has been achieved. In the revisions since the first edition, attempts have been made to find a balance between the need to take account of technical advances and operational experience, and the desirability of providing a stable framework of regulatory requirements. One of the aims of this approach is to allow packages designed to previous versions of the Regulations to continue to be used for a reasonable period of time. It is recognized that not all regulatory changes can be implemented simultaneously; Member States and international organizations are therefore invited, in adopting this revision, to provide for use of both the 'old' requirements and the 'new' ones during a period of transition that may last for a few years. It is further recommended that adoption of these revised Regulations occur within a period of five years from publication to achieve worldwide harmonization of their application. In implementing the provisions of these Regulations, it may be necessary for Member States to issue complementary national regulations. Except as necessary for solely domestic purposes, such national regulations should not conflict with these Regulations. For convenience, the requirements to be met for the transport of specified types of consignments are included in an abbreviated form as Schedules in this publication

  20. Regulations for the safe transport of radioactive material. 1996 edition (revised)

    International Nuclear Information System (INIS)

    2002-01-01

    Following a comprehensive review by panels of experts convened by the IAEA starting in 1991, a revised version of the IAEA Regulations for the Safe Transport of Radioactive Material (formerly Safety Series No. 6) was approved by the Board of Governors in September 1996. This publication supersedes all editions of the Regulations issued under Safety Series No. 6. By 1969, the Regulations had been adopted by almost all international organizations concerned with transport and used by many Member States for their own regulations. Through the worldwide adoption of the IAEA Regulations for all modes of transport, a very high standard of safety in transport has been achieved. In the revisions since the first edition, attempts have been made to find a balance between the need to take account of technical advances and operational experience, and the desirability of providing a stable framework of regulatory requirements. One of the aims of this approach is to allow packages designed to previous versions of the Regulations to continue to be used for a reasonable period of time. It is recognized that not all regulatory changes can be implemented simultaneously. Member States and international organizations are therefore invited, in adopting this revision, to provide for use of both the 'old' requirements and the 'new' ones during a period of transition that may last for a few years. It is further recommended that adoption of these revised Regulations occur within a period of five years from publication to achieve worldwide harmonization of their application. In implementing the provisions of these Regulations, it may be necessary for Member States to issue complementary national regulations. Except as necessary for solely domestic purposes, such national regulations should not conflict with these Regulations. For convenience, the requirements to be met for the transport of specified types of consignments are included in an abbreviated form as Schedules in this publication

  1. The CO2 exchange of biological soil crusts in a semiarid grass-shrubland at the northern transition zone of the Negev desert, Israel

    Directory of Open Access Journals (Sweden)

    M. O. Andreae

    2008-10-01

    Full Text Available Biological soil crusts (BSC contribute significantly to the soil surface cover in many dryland ecosystems. A mixed type of BSC, which consists of cyanobacteria, mosses and cyanolichens, constitutes more than 60% of ground cover in the semiarid grass-shrub steppe at Sayeret Shaked in the northern Negev Desert, Israel. This study aimed at parameterizing the carbon sink capacity of well-developed BSC in undisturbed steppe systems. Mobile enclosures on permanent soil borne collars were used to investigate BSC-related CO2 fluxes in situ and with natural moisture supply during 10 two-day field campaigns within seven months from fall 2001 to summer 2002. Highest BSC-related CO2 deposition between –11.31 and –17.56 mmol m−2 per 15 h was found with BSC activated from rain and dew during the peak of the winter rain season. Net CO2 deposition by BSC was calculated to compensate 120%, –26%, and less than 3% of the concurrent soil CO2 efflux from November–January, February–May and November–May, respectively. Thus, BSC effectively compensated soil CO2 effluxes when CO2 uptake by vascular vegetation was probably at its low point. Nighttime respiratory emission reduced daily BSC-related CO2 deposition within the period November–January by 11–123% and on average by 27%. The analysis of CO2 fluxes and water inputs from the various sources showed that the bulk of BSC-related CO2 deposition occurs during periods with frequent rain events and subsequent condensation from water accumulated in the upper soil layers. Significant BSC activity on days without detectable atmospheric water supply emphasized the importance of high soil moisture contents as additional water source for soil-dwelling BSC, whereas activity upon dew formation at low soil water contents was not of major importance for BSC-related CO2 deposition. However, dew may still be important in attaining a pre-activated status during the transition from a long "summer" anabiosis towards

  2. NRC revision to 10 CFR Part 20

    International Nuclear Information System (INIS)

    Baker, R.E.; Cool, W.S.; Mills, W.A.

    1983-01-01

    The Nuclear Regulatory Commission's pollution standards have been revised since publication in the late 1950s, but the basic approach has not changed. The revisions resulted in inaccuracies, conflicts, and ambiguities in requirements. The need for comprehensive updating including radiation-protection principles, risk, occupational exposure dose limits, standards for the public (including de minimis level), surveys and monitoring, disposal into sewerage systems, and records is discussed. 2 tables

  3. Utility of the Croatian translation of the community integration questionnaire-revised in a sample of adults with moderate to severe traumatic brain injury.

    Science.gov (United States)

    Tršinski, Dubravko; Tadinac, Meri; Bakran, Žarko; Klepo, Ivana

    2018-02-23

    To examine the utility of the Community Integration Questionnaire-Revised, translated into Croatian, in a sample of adults with moderate to severe traumatic brain injury. The Community Integration Questionnaire-Revised was administered to a sample of 88 adults with traumatic brain injury and to a control sample matched by gender, age and education. Participants with traumatic brain injury were divided into four subgroups according to injury severity. The internal consistency of the Community Integration Questionnaire-Revised was satisfactory. The differences between the group with traumatic brain injury and the control group were statistically significant for the overall Community Integration Questionnaire-Revised score, as well as for all the subscales apart from the Home Integration subscale. The community Integration Questionnaire-Revised score varied significantly for subgroups with different severity of traumatic brain injury. The results show that the Croatian translation of the Community Integration Questionnaire-Revised is useful in assessing participation in adults with traumatic brain injury and confirm previous findings that severity of injury predicts community integration. Results of the new Electronic Social Networking scale indicate that persons who are more active on electronic social networks report better results for other domains of community integration, especially social activities. Implications for rehabilitation The Croatian translation of the Community Integration Questionnaire-Revised is a valid tool for long-term assessment of participation in various domains in persons with moderate to severe traumatic brain injury Persons with traumatic brain injury who are more active in the use of electronic social networking are also more integrated into social and productivity domains. Targeted training in the use of new technologies could enhance participation after traumatic brain injury.

  4. Solid waste integrated forecast technical (SWIFT) report: FY1997 to FY 2070, Revision 1

    International Nuclear Information System (INIS)

    Valero, O.J.

    1997-01-01

    This web site provides an up-to-date report on the radioactive solid waste expected to be managed by Hanford's Waste Management (WM) Project from onsite and offsite generators. It includes: an overview of Hanford-wide solid waste to be managed by the WM Project; program-level and waste class-specific estimates; background information on waste sources; and comparisons with previous forecasts and with other national data sources. This web site does not include: liquid waste (current or future generation); waste to be managed by the Environmental Restoration (EM-40) contractor (i.e., waste that will be disposed of at the Environmental Restoration Disposal Facility (ERDF)); or waste that has been received by the WM Project to date (i.e., inventory waste). The focus of this web site is on low-level mixed waste (LLMW), and transuranic waste (both non-mixed and mixed) (TRU(M)). Some details on low-level waste and hazardous waste are also provided. Currently, this web site is reporting data that was requested on 10/14/96 and submitted on 10/25/96. The data represent a life cycle forecast covering all reported activities from FY97 through the end of each program's life cycle. Therefore, these data represent revisions from the previous FY97.0 Data Version, due primarily to revised estimates from PNNL. There is some useful information about the structure of this report in the SWIFT Report Web Site Overview

  5. Draft revision of human factors guideline HF-010

    International Nuclear Information System (INIS)

    Lee, Hyun Chul; Lee, Yong Hee; Oh, In Seok; Lee, Jung Woon; Cha, Woo Chang; Lee, Dhong Ha

    2003-05-01

    The Application of Human Factors to the design of Man-Machine Interfaces System(MMIS) in the nuclear power plant is essential to the safety and productivity of the nuclear power plants, human factors standards and guidelines as well as human factors analysis methods and experiments are weightily used to the design application. A Korean engineering company has developed a human factors engineering guideline, so-call HF-010, and has used it for human factors design, however the revision of HF-010 is necessary owing to lack of the contents related to the advanced MMI(Man-Machine Interfaces). As the results of the reviews of HF-010, it is found out that the revision of Section 9. Computer Displays of HF-010 is urgent, thus the revision was drafted on the basis of integrated human factors design guidelines for VDT, human factors design guidelines for PMAS SPADES display, human factors design guidelines for PMAS alarm display, and human factors design guidelines for electronic displays developed by the surveillance and operation support project of KOICS. The draft revision of HF-010 Section 9 proposed in this report can be utilized for the human factors design of the advanced MMI, and the high practical usability of the draft can be kept up through the continuous revision according to the advancement of digital technology

  6. 9 CFR 108.6 - Revision of plot plans, blueprints, and legends.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Revision of plot plans, blueprints... FACILITY REQUIREMENTS FOR LICENSED ESTABLISHMENTS § 108.6 Revision of plot plans, blueprints, and legends... changes affecting the workflow are to be made. The licensee shall: (a) Prepare revised plot plans...

  7. Poorer survival after a primary implant during revision total knee arthroplasty

    NARCIS (Netherlands)

    Meijer, Marrigje F.; Reininga, Inge H. F.; Boerboom, Alexander L.; Stevens, Martin; Bulstra, Sjoerd K.

    Revision total knee arthroplasty (rTKA) is a complex procedure. Depending on the degree of ligament and bone damage, either primary or revision implants are used. The purpose of this study was to compare survival rates of primary implants with revision implants when used during rTKA. A retrospective

  8. Early treatment using fractional CO2 laser before skin suture during scar revision surgery in Asians.

    Science.gov (United States)

    Du, Feiya; Yu, Yusheng; Zhou, Zhiqin; Wang, Liujia; Zheng, Shusen

    2018-04-01

    Fractional CO 2 laser is one of the most effective treatment options used to resurface scars. However, most previous studies have been performed on mature scars at least 2 months after surgery. Recent studies have emphasized the importance of early treatment to reduce scar formation. In the present study, we described our experience with fractional CO 2 laser intervention before skin suture during scar revision surgery in Asians, and found the treatment was safe and effective.

  9. Revision of Pachycentria (Melastomataceae)

    NARCIS (Netherlands)

    Clausing, Gudrun

    2000-01-01

    A revision of Pachycentria Blume, which includes the monotypic Pogonanthera Blume, is presented. Pachycentria comprises eight species and one subspecies. Two species, P. vogelkopensis and P. hanseniana, are newly described. The genus is distinguished from other genera in the Medinillinae by a small

  10. Revised accident source terms for light-water reactors

    Energy Technology Data Exchange (ETDEWEB)

    Soffer, L. [Nuclear Regulatory Commission, Washington, DC (United States)

    1995-02-01

    This paper presents revised accident source terms for light-water reactors incorporating the severe accident research insights gained in this area over the last 15 years. Current LWR reactor accident source terms used for licensing date from 1962 and are contained in Regulatory Guides 1.3 and 1.4. These specify that 100% of the core inventory of noble gases and 25% of the iodine fission products are assumed to be instantaneously available for release from the containment. The chemical form of the iodine fission products is also assumed to be predominantly elemental iodine. These assumptions have strongly affected present nuclear air cleaning requirements by emphasizing rapid actuation of spray systems and filtration systems optimized to retain elemental iodine. A proposed revision of reactor accident source terms and some im implications for nuclear air cleaning requirements was presented at the 22nd DOE/NRC Nuclear Air Cleaning Conference. A draft report was issued by the NRC for comment in July 1992. Extensive comments were received, with the most significant comments involving (a) release fractions for both volatile and non-volatile species in the early in-vessel release phase, (b) gap release fractions of the noble gases, iodine and cesium, and (c) the timing and duration for the release phases. The final source term report is expected to be issued in late 1994. Although the revised source terms are intended primarily for future plants, current nuclear power plants may request use of revised accident source term insights as well in licensing. This paper emphasizes additional information obtained since the 22nd Conference, including studies on fission product removal mechanisms, results obtained from improved severe accident code calculations and resolution of major comments, and their impact upon the revised accident source terms. Revised accident source terms for both BWRS and PWRS are presented.

  11. Comparison of mode of failure between primary and revision total knee arthroplasties.

    Science.gov (United States)

    Liang, H; Bae, J K; Park, C H; Kim, K I; Bae, D K; Song, S J

    2018-04-01

    Cognizance of common reasons for failure in primary and revision TKA, together with their time course, facilitates prevention. However, there have been few reports specifically comparing modes of failure for primary vs. revision TKA using a single prosthesis. The goal of the study was to compare the survival rates, modes of failure, and time periods associated with each mode of failure, of primary vs. revision TKA. The survival rates, modes of failure, time period for each mode of failure, and risk factors would differ between primary and revision TKA. Data from a consecutive cohort comprising 1606 knees (1174 patients) of primary TKA patients, and 258 knees (224 patients) of revision TKA patients, in all of whom surgery involved a P.F.C ® prosthesis (Depuy, Johnson & Johnson, Warsaw, IN), was retrospectively reviewed. The mean follow-up periods of primary and revision TKAs were 9.2 and 9.8 years, respectively. The average 10- and 15-year survival rates for primary TKA were 96.7% (CI 95%,±0.7%) and 85.4% (CI 95%,±2.0%), and for revision TKA 91.4% (CI 95%,±2.5%) and 80.5% (CI 95%,±4.5%). Common modes of failure included polyethylene wear, loosening, and infection. The most common mode of failure was polyethylene wear in primary TKA, and infection in revision TKA. The mean periods (i.e., latencies) of polyethylene wear and loosening did not differ between primary and revision TKAs, but the mean period of infection was significantly longer for revision TKA (1.2 vs. 4.8 years, P=0.003). Survival rates decreased with time, particularly more than 10 years post-surgery, for both primary and revision TKAs. Continuous efforts are required to prevent and detect the various modes of failure during long-term follow-up. Greater attention is necessary to detect late infection-induced failure following revision TKA. Case-control study, Level III. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  12. Menilai Keberhasilan Balanced Scorecard sebagai Sistem Pengukuran Kinerja Strategik

    Directory of Open Access Journals (Sweden)

    Tri Ramaraya Koroy

    2016-01-01

    Full Text Available This paper reviews the literature of Balanced Scorecard (BSC as a strategic performance measurement tool. The research concerning the effectiveness of BSC indicate that BSC is a useful tool for communicating strategy, strategic learning and developing organizational culture. However, related research also shows that the implementation of BSC is not associated with economic benefit particularly for short-term period. This suggests that the adoption of BSC need a careful inquiry by the organization and the organization should not accept it as a ‘generic’ solution as a performance measurement tool.

  13. Revised accident source terms and control room habitability

    International Nuclear Information System (INIS)

    Lahti, G.P.; Hubner, R.S.; Johnson, W.J.; Schwartz, B.C.

    1993-01-01

    In April 1992, the NRC staff presented to the Commissioners the draft NUREG open-quotes Revised Accident Source Terms for Light-Water Nuclear Power Plants.close quotes This document is the culmination of more than ten years of NRC-sponsored research and represents the first change in the NRC's position on source terms since TID-14844 was issued in 1962. The purpose of this paper is to investigate the impact of the revised source terms on the current approach to analyzing control room habitability as required by 10 CFR 50. Sample calculations are presented that identify aspects of the model requiring clarification before the implementation of the revised source terms. 6 refs., 4 tabs

  14. Text Revision in Deaf and Hearing Bilingual Students

    Science.gov (United States)

    Teruggi, Lilia A.; Gutiérrez-Cáceres, Rafaela

    2016-01-01

    In this study we explored the revision process and strategies implemented by deaf and hearing students who attend the same bilingual school context (LIS and Italian). For that we analysed and compared the types and quality of revisions made by deaf and hearing participants to their first draft of a narrative text ("Frog, Where Are You?")…

  15. Revised Paris and Vienna Nuclear Liability Conventions - Challenges for Nuclear Insurers

    International Nuclear Information System (INIS)

    Tetley, M.

    2006-01-01

    The revisions recently implemented to both the Vienna and Paris nuclear liability Conventions are intended to widen significantly the amount and scope of compensation payable in the event of a nuclear accident. Whilst this is a laudable objective, the final extent of the revisions leaves nuclear site operators and their insurers with greater uncertainty as a result of the wider and unquantifiable nature of some aspects of the revised nuclear damage definition, in particular where reference is made to environmental reinstatement and extended prescription periods. Incorporating broader definitions in the Convention revisions will therefore leave gaps in the insurance cover where insurers are unable to insure the new, wider scope of cover. If no insurance is available, then the liability for the revised scope of cover must fall upon either the operator or the national Government. This presentation will give an overview of where and why the major gaps in nuclear liability insurance cover will occur in the revised Conventions; it will also examine the problems in defining the revised scope of cover and will look at where these unquantifiable risks should now reside, to ensure there is equity between the liabilities imposed on the nuclear industry and those imposed on other industrial sectors. (author)

  16. The impact of subsidence on straight and curved modular cementless revision stems in hip revision surgery.

    Science.gov (United States)

    Fraile Suari, A; Gil González, S; Pérez Prieto, D; León García, A; Mestre Cortadellas, C; Tey Pons, M; Marqués López, F

    Subsidence is one of the potential complications in femoral stem revision total hip arthroplasty surgery, and can affect stability and osseointegration. A retrospective study was conducted on the outcomes at one year and 5 years (specifically subsidence and clinical relevance) of 40 consecutive femoral total hip arthroplasty revisions, comparing two modular cementless revision stems, Straight vs. Curved, with 20 patients in each group. No mechanical failure was observed, and there was an improvement in functional outcomes. Mean radiological subsidence was 9.9±4.9mm (straight=10.75mm vs. curved=9.03mm), with no statistically significant difference between groups (p=0,076). Fourteen patients (35%) had ≥10mm of subsidence, up to a maximum of 22mm. The subsidence found in this study is similar to published series, with no short-term clinical manifestations, or an increased number of complications or stem loosening in either the Straight or Curved group. No differences in subsidence were observed at one year and 5 years after surgery between the 2 types of stems. Copyright © 2017 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. EPR first responders revision test

    International Nuclear Information System (INIS)

    2011-01-01

    In this revision test evaluates the acquired knowledge in case of radiological emergency confront. Actions to be taken in relation to people, equipment and the environment. Doses, radioactive sources, pollution

  18. Peritoneal Dialysis Access Revision in Children: Causes, Interventions, and Outcomes.

    Science.gov (United States)

    Borzych-Duzalka, Dagmara; Aki, T Fazil; Azocar, Marta; White, Colin; Harvey, Elizabeth; Mir, Sevgi; Adragna, Marta; Serdaroglu, Erkin; Sinha, Rajiv; Samaille, Charlotte; Vanegas, Juan Jose; Kari, Jameela; Barbosa, Lorena; Bagga, Arvind; Galanti, Monica; Yavascan, Onder; Leozappa, Giovanna; Szczepanska, Maria; Vondrak, Karel; Tse, Kei-Chiu; Schaefer, Franz; Warady, Bradley A

    2017-01-06

    Little published information is available about access failure in children undergoing chronic peritoneal dialysis. Our objectives were to evaluate frequency, risk factors, interventions, and outcome of peritoneal dialysis access revision. Data were derived from 824 incident and 1629 prevalent patients from 105 pediatric nephrology centers enrolled in the International Pediatric Peritoneal Dialysis Network Registry between 2007 and 2015. In total, 452 access revisions were recorded in 321 (13%) of 2453 patients over 3134 patient-years of follow-up, resulting in an overall access revision rate of 0.14 per treatment year. Among 824 incident patients, 186 (22.6%) underwent 188 access revisions over 1066 patient-years, yielding an access revision rate of 0.17 per treatment year; 83% of access revisions in incident patients were reported within the first year of peritoneal dialysis treatment. Catheter survival rates in incident patients were 84%, 80%, 77%, and 73% at 12, 24, 36, and 48 months, respectively. By multivariate logistic regression analysis, risk of access revision was associated with younger age (odds ratio, 0.93; 95% confidence interval, 0.92 to 0.95; P<0.001), diagnosis of congenital anomalies of the kidney and urinary tract (odds ratio, 1.28; 95% confidence interval, 1.03 to 1.59; P=0.02), coexisting ostomies (odds ratio, 1.42; 95% confidence interval, 1.07 to 1.87; P=0.01), presence of swan neck tunnel with curled intraperitoneal portion (odds ratio, 1.30; 95% confidence interval, 1.04 to 1.63; P=0.02), and high gross national income (odds ratio, 1.10; 95% confidence interval, 1.02 to 1.19; P=0.01). Main reasons for access revisions included mechanical malfunction (60%), peritonitis (16%), exit site infection (12%), and leakage (6%). Need for access revision increased the risk of peritoneal dialysis technique failure or death (hazard ratio, 1.35; 95% confidence interval, 1.10 to 1.65; P=0.003). Access dysfunction due to mechanical causes doubled the risk

  19. Peritoneal Dialysis Access Revision in Children: Causes, Interventions, and Outcomes

    Science.gov (United States)

    Aki, T. Fazil; Azocar, Marta; White, Colin; Harvey, Elizabeth; Mir, Sevgi; Adragna, Marta; Serdaroglu, Erkin; Sinha, Rajiv; Samaille, Charlotte; Vanegas, Juan Jose; Kari, Jameela; Barbosa, Lorena; Bagga, Arvind; Galanti, Monica; Yavascan, Onder; Leozappa, Giovanna; Szczepanska, Maria; Vondrak, Karel; Tse, Kei-Chiu; Schaefer, Franz; Warady, Bradley A.

    2017-01-01

    Background and objectives Little published information is available about access failure in children undergoing chronic peritoneal dialysis. Our objectives were to evaluate frequency, risk factors, interventions, and outcome of peritoneal dialysis access revision. Design, setting, participants, & measurements Data were derived from 824 incident and 1629 prevalent patients from 105 pediatric nephrology centers enrolled in the International Pediatric Peritoneal Dialysis Network Registry between 2007 and 2015. Results In total, 452 access revisions were recorded in 321 (13%) of 2453 patients over 3134 patient-years of follow-up, resulting in an overall access revision rate of 0.14 per treatment year. Among 824 incident patients, 186 (22.6%) underwent 188 access revisions over 1066 patient-years, yielding an access revision rate of 0.17 per treatment year; 83% of access revisions in incident patients were reported within the first year of peritoneal dialysis treatment. Catheter survival rates in incident patients were 84%, 80%, 77%, and 73% at 12, 24, 36, and 48 months, respectively. By multivariate logistic regression analysis, risk of access revision was associated with younger age (odds ratio, 0.93; 95% confidence interval, 0.92 to 0.95; P<0.001), diagnosis of congenital anomalies of the kidney and urinary tract (odds ratio, 1.28; 95% confidence interval, 1.03 to 1.59; P=0.02), coexisting ostomies (odds ratio, 1.42; 95% confidence interval, 1.07 to 1.87; P=0.01), presence of swan neck tunnel with curled intraperitoneal portion (odds ratio, 1.30; 95% confidence interval, 1.04 to 1.63; P=0.02), and high gross national income (odds ratio, 1.10; 95% confidence interval, 1.02 to 1.19; P=0.01). Main reasons for access revisions included mechanical malfunction (60%), peritonitis (16%), exit site infection (12%), and leakage (6%). Need for access revision increased the risk of peritoneal dialysis technique failure or death (hazard ratio, 1.35; 95% confidence interval, 1

  20. Evidence for micronutrient limitation of biological soil crusts: Importance to arid-lands restoration

    Science.gov (United States)

    Bowker, M.A.; Belnap, J.; Davidson, D.W.; Phillips, S.L.

    2005-01-01

    Desertification is a global problem, costly to national economies and human societies. Restoration of biological soil crusts (BSCs) may have an important role to play in the reversal of desertification due to their ability to decrease erosion and enhance soil fertility. To determine if there is evidence that lower fertility may hinder BSC recolonization, we investigated the hypothesis that BSC abundance is driven by soil nutrient concentrations. At a regional scale (north and central Colorado Plateau, USA), moss and lichen cover and richness are correlated with a complex water-nutrient availability gradient and have approximately six-fold higher cover and approximately two-fold higher species richness on sandy soils than on shale-derived soils. At a microscale, mosses and lichens are overrepresented in microhabitats under the north sides of shrub canopies, where water and nutrients are more available. At two spatial scales, and at the individual species and community levels, our data are consistent with the hypothesis that distributions of BSC organisms are determined largely by soil fertility. The micronutrients Mn and Zn figured prominently and consistently in the various analyses, strongly suggesting that these elements are previously unstudied limiting factors in BSC development. Structural-equation modeling of our data is most consistent with the hypothesis of causal relationships between the availability of micronutrients and the abundance of the two major nitrogen (N) fixers of BSCs. Specifically, higher Mn availability may determine greater Collema tenax abundance, and both Mn and Zn may limit Collema coccophorum; alternative causal hypotheses were less consistent with the data. We propose experimental trials of micronutrient addition to promote the restoration of BSC function on disturbed lands. Arid lands, where BSCs are most prevalent, cover ???40% of the terrestrial surface of the earth; thus the information gathered in this study is potentially useful

  1. Using the balanced scorecard to measure Chinese and Japanese hospital performance.

    Science.gov (United States)

    Chen, Xiao-yun; Yamauchi, Kazunobu; Kato, Ken; Nishimura, Akio; Ito, Katuski

    2006-01-01

    The objective of the paper is to confirm the feasibility and value of using the balanced scorecard (BSC) to measure performance in two hospitals in different countries. One hospital from China and another from Japan were chosen and key indicators were selected according to the BSC framework. A comparative hospital performance measurement model was set up using the BSC framework to comprehensively compare hospital performance in two countries. The BSC was found to be effective for underlining existing problems and identifying opportunities for improvements. The BSC also revealed the hospitals' contribution to performance improvement of each country's total health system. Hospital performance comparisons between countries using the BSC depend on the selection of feasible and appropriate key performance indicators, which is occasionally limited by data collection problems. The first use of the BSC to compare hospital performance between China and Japan shows benefits that not only suggests performance improvements in individual hospitals but also reveals effective health factors allowing implementation of valid national health policies.

  2. Risk factors for revision of primary total hip arthroplasty: a systematic review

    Directory of Open Access Journals (Sweden)

    Prokopetz Julian JZ

    2012-12-01

    Full Text Available Abstract Background Numerous papers have been published examining risk factors for revision of primary total hip arthroplasty (THA, but there have been no comprehensive systematic literature reviews that summarize the most recent findings across a broad range of potential predictors. Methods We performed a PubMed search for papers published between January, 2000 and November, 2010 that provided data on risk factors for revision of primary THA. We collected data on revision for any reason, as well as on revision for aseptic loosening, infection, or dislocation. For each risk factor that was examined in at least three papers, we summarize the number and direction of statistically significant associations reported. Results Eighty-six papers were included in our review. Factors found to be associated with revision included younger age, greater comorbidity, a diagnosis of avascular necrosis (AVN as compared to osteoarthritis (OA, low surgeon volume, and larger femoral head size. Male sex was associated with revision due to aseptic loosening and infection. Longer operating time was associated with revision due to infection. Smaller femoral head size was associated with revision due to dislocation. Conclusions This systematic review of literature published between 2000 and 2010 identified a range of demographic, clinical, surgical, implant, and provider variables associated with the risk of revision following primary THA. These findings can inform discussions between surgeons and patients relating to the risks and benefits of undergoing total hip arthroplasty.

  3. Perioperative transfusion threshold and ambulation after hip revision surgery

    DEFF Research Database (Denmark)

    Nielsen, Kamilla; Johansson, Pär I; Dahl, Benny

    2014-01-01

    BACKGROUND: Transfusion with red blood cells (RBC) may be needed during hip revision surgery but the appropriate haemoglobin concentration (Hb) threshold for transfusion has not been well established. We hypothesized that a higher transfusion threshold would improve ambulation after hip revision...... surgery. METHODS: The trial was registered at Clinicaltrials.gov ( NCT00906295). Sixty-six patients aged 18 years or older undergoing hip revision surgery were randomized to receive RBC at a Hb threshold of either 7.3 g/dL (restrictive group) or 8.9 g/dL (liberal group). Postoperative ambulation...... received RBC. CONCLUSIONS: A Hb transfusion threshold of 8.9 g/dL was associated with a statistically significantly faster TUG after hip revision surgery compared to a threshold of 7.3 g/dL but the clinical importance is questionable and the groups did not differ in Hb at the time of testing....

  4. Structured Head and Neck CT Angiography Reporting Reduces Resident Revision Rates.

    Science.gov (United States)

    Johnson, Tucker F; Brinjikji, Waleed; Doolittle, Derrick A; Nagelschneider, Alex A; Welch, Brian T; Kotsenas, Amy L

    2018-04-12

    This resident-driven quality improvement project was undertaken to assess the effectiveness of structured reporting to reduce revision rates for afterhours reports dictated by residents. The first part of the study assessed baseline revision rates for head and neck CT angiography (CTA) examinations dictated by residents during afterhours call. A structured report was subsequently created based on templates on the RSNA informatics reporting website and critical findings that should be assessed for on all CTA examinations. The template was made available to residents through the speech recognition software for all head and neck CTA examinations for a duration of 2 months. Report revision rates were then compared with and without use of the structured template. The structured template was found to reduce revision rates by approximately 50% with 10/41 unstructured reports revised and 2/17 structured reports revised. We believe that structured reporting can help reduce reporting errors, particularly in term of typographical errors, train residents to evaluate complex examinations in a systematic fashion, and assist them in recalling critical findings on these examinations. Copyright © 2018 Elsevier Inc. All rights reserved.

  5. Revised data taking schedule with ion beams

    CERN Document Server

    Gazdzicki, Marek; Aduszkiewicz, A; Andrieu, B; Anticic, T; Antoniou, N; Argyriades, J; Asryan, A G; Baatar, B; Blondel, A; Blumer, J; Boldizsar, L; Bravar, A; Brzychczyk, J; Bubak, A; Bunyatov, S A; Choi, K U; Christakoglou, P; Chung, P; Cleymans, J; Derkach, D A; Diakonos, F; Dominik, W; Dumarchez, J; Engel, R; Ereditato, A; Feofilov, G A; Fodor, Z; Ferrero, A; Gazdzicki, M; Golubeva, M; Grebieszkow, K; Grzeszczuk, A; Guber, F; Hasegawa, T; Haungs, A; Igolkin, S; Ivanov, A S; Ivashkin, A; Kadija, K; Katrynska, N; Kielczewska, D; Kikola, D; Kisiel, J; Kobayashi, T; Kolesnikov, V I; Kolev, D; Kolevatov, R S; Kondratiev, V P; Kowalski, S; Kurepin, A; Lacey, R; Laszlo, A; Lyubushkin, V V; Majka, Z; I Malakhov, A; Marchionni, A; Marcinek, A; Maris, I; Matveev, V; Melkumov, G L; Meregaglia, A; Messina, M; Mijakowski, P; Mitrovski, M; Montaruli, T; Mrówczynski, St; Murphy, S; Nakadaira, T; Naumenko, P A; Nikolic, V; Nishikawa, K; Palczewski, T; Pálla, G; Panagiotou, A D; Peryt, W; Planeta, R; Pluta, J; Popov, B A; Posiadala, M; Przewlocki, P; Rauch, W; Ravonel, M; Renfordt, R; Röhrich, D; Rondio, E; Rossi, B; Roth, M; Rubbia, A; Rybczynski, M; Sadovskii, A; Sakashita, K; Schuster, T; Sekiguchi, T; Seyboth, P; Shibata, M; Sissakian, A N; Skrzypczak, E; Slodkowski, M; Sorin, A S; Staszel, P; Stefanek, G; Stepaniak, J; Strabel, C; Ströbele, H; Susa, T; Szentpétery, I; Szuba, M; Tada, M; Taranenko, A; Tsenov, R; Ulrich, R; Unger, M; Vassiliou, M; Vechernin, V V; Vesztergombi, G; Wlodarczyk, Z; Wojtaszek, A; Zipper, W; CERN. Geneva. SPS and PS Experiments Committee; SPSC

    2009-01-01

    This document presents the revised data taking schedule of NA61 with ion beams. The revision takes into account limitations due to the new LHC schedule as well as final results concerning the physics performance with secondary ion beams. It is proposed to take data with primary Ar and Xe beams in 2012 and 2014, respectively, and to test and use for physics a secondary B beam from primary Pb beam fragmentation in 2010, 2011 and 2013.

  6. Air and radon pathways screenings methodologies for the next revision of the E-area PA

    Energy Technology Data Exchange (ETDEWEB)

    Dyer, J. A. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2017-10-31

    The strategic plan for the next E-Area Low-Level Waste Facility Performance Assessment includes recommended changes to the screening criteria used to reduce the number of radioisotopes that are to be considered in the air and radon pathways incorporated into the GoldSim® atmospheric release model (ARM). For the air pathway, a revised screening methodology was developed based on refinement of previous E-Area PA screening approaches and consideration of the strategic plan recommendations. The revised methodology has three sequential screening steps for each radioisotope: (1) volatility test using the Periodic Table of the Elements, (2) stability test based on half-life, and (3) stability test based on volatility as measured by the Henry’s Law constant for the assumed dominant gaseous species or vapor pressure in the case of tritiated water. Of the 1252 radioisotopes listed in the International Commission on Radiological Protection Publication 107, only the 10 that satisfied all three steps of the revised screening methodology will be included in the ARM. They are: Ar-37, Ar-39, Ar-42, C-14, H-3, Hg-194, Hg-203, Kr-81, Kr-85, and Xe-127. For the radon pathway, a revised screening methodology was developed that also has three sequential steps: (1) identify all decay chains that terminate at Rn-222, (2) screen out parents that decay through U-238 because of its 4.5-billion-year primordial half-life, and (3) eliminate remaining parents whose half-life is shorter than one day. Of the 86 possible decay chains leading to Rn-222, six decay chains consist of 15 unique radioisotopes that will be incorporated into the ARM. The 15 radioisotopes are: U-238, Th-234, Pa-234m, Pu-238, U-234, Th-230, Ra-226, Cf-246, Cm-242, Am-242m, Am-242, Np-238, Np-234, Pa-230, and Rn-222.

  7. EPRI PWR primary water chemistry guidelines revision

    International Nuclear Information System (INIS)

    McElrath, Joel; Fruzzetti, Keith

    2014-01-01

    EPRI periodically updates the PWR Primary Water Chemistry Guidelines as new information becomes available and as required by NEI 97-06 (Steam Generator Program Guidelines) and NEI 03-08 (Guideline for the Management of Materials Issues). The last revision of the PWR water chemistry guidelines identified an optimum primary water chemistry program based on then-current understanding of research and field information. This new revision provides further details with regard to primary water stress corrosion cracking (PWSCC), fuel integrity, and shutdown dose rates. A committee of industry experts, including utility specialists, nuclear steam supply system (NSSS) and fuel vendor representatives, Institute of Nuclear Power Operations (INPO) representatives, consultants, and EPRI staff collaborated in reviewing the available data on primary water chemistry, reactor water coolant system materials issues, fuel integrity and performance issues, and radiation dose rate issues. From the data, the committee updated the water chemistry guidelines that all PWR nuclear plants should adopt. The committee revised guidance with regard to optimization to reflect industry experience gained since the publication of Revision 6. Among the changes, the technical information regarding the impact of zinc injection on PWSCC initiation and dose rate reduction has been updated to reflect the current level of knowledge within the industry. Similarly, industry experience with elevated lithium concentrations with regard to fuel performance and radiation dose rates has been updated to reflect data collected to date. Recognizing that each nuclear plant owner has a unique set of design, operating, and corporate concerns, the guidelines committee has retained a method for plant-specific optimization. Revision 7 of the Pressurized Water Reactor Primary Water Chemistry Guidelines provides guidance for PWR primary systems of all manufacture and design. The guidelines continue to emphasize plant

  8. New Mandates and Imperatives in the Revised "ACA Code of Ethics"

    Science.gov (United States)

    Kaplan, David M.; Kocet, Michael M.; Cottone, R. Rocco; Glosoff, Harriet L.; Miranti, Judith G.; Moll, E. Christine; Bloom, John W.; Bringaze, Tammy B.; Herlihy, Barbara; Lee, Courtland C.; Tarvydas, Vilia M.

    2009-01-01

    The first major revision of the "ACA Code of Ethics" in a decade occurred in late 2005, with the updated edition containing important new mandates and imperatives. This article provides interviews with members of the Ethics Revision Task Force that flesh out seminal changes in the revised "ACA Code of Ethics" in the areas of confidentiality,…

  9. Cost Implications of Primary Versus Revision Surgery in Adult Spinal Deformity.

    Science.gov (United States)

    Qureshi, Rabia; Puvanesarajah, Varun; Jain, Amit; Kebaish, Khaled; Shimer, Adam; Shen, Francis; Hassanzadeh, Hamid

    2017-08-01

    Adult spinal deformity (ASD) is an important problem to consider in the elderly. Although studies have examined the complications of ASD surgery and have compared functional and radiographic results of primary surgery versus revision, no studies have compared the costs of primary procedures with revisions. We assessed the in-hospital costs of these 2 surgery types in patients with ASD. The PearlDiver Database, a database of Medicare records, was used in this study. Mutually exclusive groups of patients undergoing primary or revision surgery were identified. Patients in each group were queried for age, sex, and comorbidities. Thirty-day readmission rates, 30-day and 90-day complication rates, and postoperative costs of care were assessed with multivariate analysis. For analyses, significance was set at P average reimbursement of the primary surgery cohort was $57,078 ± $30,767. Reimbursement of revision surgery cohort was $52,999 ± $27,658. The adjusted difference in average costs between the 2 groups is $4773 ± $1069 (P day and 90-day adjusted difference in cost of care when sustaining any of the major medical complications in primary surgery versus revision surgery was insignificant. Patients undergoing primary and revision corrective procedures for ASD have similar readmission rates, lengths of stays, and complication rates. Our data showed a higher cost of primary surgery compared with revision surgery, although costs of sustaining postoperative complications were similar. This finding supports the decision to perform revision procedures in patients with ASD when indicated because neither outcomes nor costs are a hindrance to correction. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. WASTE CERTIFICATION PROGRAM PLAN - REVISION 7

    International Nuclear Information System (INIS)

    MORGAN, LK

    2002-01-01

    The primary changes that have been made to this revision reflect the relocation of the Waste Certification Official (WCO) organizationally from the Quality Services Division (QSD) into the Laboratory Waste Services (LWS) Organization. Additionally, the responsibilities for program oversight have been differentiated between the QSD and LWS. The intent of this effort is to ensure that those oversight functions, which properly belonged to the WCO, moved with that function; but retain an independent oversight function outside of the LWS Organization ensuring the potential for introduction of organizational bias, regarding programmatic and technical issues, is minimized. The Waste Certification Program (WCP) itself has been modified to allow the waste certification function to be performed by any of the personnel within the LWS Waste Acceptance/Certification functional area. However, a single individual may not perform both the technical waste acceptance review and the final certification review on the same 2109 data package. Those reviews must be performed by separate individuals in a peer review process. There will continue to be a designated WCO who will have lead programmatic responsibility for the WCP and will exercise overall program operational oversite as well as determine the overall requirements of the certification program. The quality assurance organization will perform independent, outside oversight to ensure that any organizational bias does not degrade the integrity of the waste certification process. The core elements of the previous WCP have been retained, however, the terms and process structure have been modified.. There are now two ''control points,'' (1) the data package enters the waste certification process with the signature of the Generator Interface/Generator Interface Equivalent (GI/GIE), (2) the package is ''certified'', thus exiting the process. The WCP contains three steps, (1) the technical review for waste acceptance, (2) a review of the

  11. 76 FR 1440 - Notice of Revised Child Outcomes Framework

    Science.gov (United States)

    2011-01-10

    ... Outcomes Framework, renamed The Head Start Child Development and Learning Framework: Promoting Positive Outcomes in Early Childhood Programs Serving Children 3-5 Years Old. The Framework was revised to give more... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Notice of Revised...

  12. Do Bone Graft and Cracking of the Sclerotic Cavity Improve Fixation of Titanium and Hydroxyapatite-coated Revision Implants in an Animal Model?

    Science.gov (United States)

    Elmengaard, Brian; Baas, Joergen; Jakobsen, Thomas; Kold, Soren; Jensen, Thomas B; Bechtold, Joan E; Soballe, Kjeld

    2017-02-01

    We previously introduced a manual surgical technique that makes small perforations (cracks) through the sclerotic bone shell that typically forms during the process of aseptic loosening ("crack" revision technique). Perforating just the shell (without violating the proximal cortex) can maintain overall bone continuity while allowing marrow and vascular elements to access the implant surface. Because many revisions require bone graft to fill defects, we wanted to determine if bone graft could further increase implant fixation beyond what we have experimentally shown with the crack technique alone. Also, because both titanium (Ti6Al4V) and hydroxyapatite (HA) implant surfaces are used in revisions, we also wanted to determine their relative effectiveness in this model. We hypothesized that both (1) allografted plasma-sprayed Ti6Al4V; and (2) allografted plasma-sprayed HA-coated implants inserted with a crack revision technique have better fixation compared with a noncrack revision technique in each case. Under approval from our Institutional Animal Care and Use Committee, a female canine animal model was used to evaluate the uncemented revision technique (crack, noncrack) using paired contralateral implants while implant surface (Ti6Al4V, HA) was qualitatively compared between the two (unpaired) series. All groups received bone allograft tightly packed around the implant. This revision model includes a cylindrical implant pistoning 500 μm in a 0.75-mm gap, with polyethylene particles, for 8 weeks. This engenders a bone and tissue response representative of the metaphyseal cancellous region of an aseptically loosened component. At 8 weeks, the original implants were revised and followed for an additional 4 weeks. Mechanical fixation was assessed by load, stiffness, and energy to failure when loaded in axial pushout. Histomorphometry was used to determine the amount and location of bone and fibrous tissue in the grafted gap. The grafted crack revision improved

  13. INDIRECT WRITTEN CORRECTIVE FEEDBACK, REVISION, AND LEARNING

    Directory of Open Access Journals (Sweden)

    Fatemeh Poorebrahim

    2017-01-01

    Full Text Available Corrective feedback, the necessity of providing it, and how it should be provided has been one of the hot topics in the area of ELT. Amid continuing controversies over whether providing feedback helps L2 learners improve their writing accuracy, many research studies have been undertaken to compare the relative effectiveness of different types of feedback. However, the difference between two types of indirect corrective feedback, namely indication and indication plus location, have not been properly examined yet. Motivated to narrow this gap, this study is designed to compare two groups of Iranian learners, each revising their papers based on one of the aforementioned options. For data analysis, a series of independent samples t tests were employed. The results revealed that the difference between the two groups in their reduction of errors from the original draft to the revision of each task followed a growing trend and became significant. Nonetheless, the difference in accuracy of new pieces of writing fell short of significance. Finally, it was found that error reduction in revision stage cannot be considered as learning. The results of the study, discussed in relation to that of others, implicate that the purpose for which feedback is provided is essential in determining the type of feedback; more explicit feedback is better for revising purposes while more implicit feedback is good for learning purposes.

  14. Special Analysis: Revision of Saltstone Vault 4 Disposal Limits (U)

    Energy Technology Data Exchange (ETDEWEB)

    Cook, J

    2005-05-26

    New disposal limits have been computed for Vault 4 of the Saltstone Disposal Facility based on several revisions to the models in the existing Performance Assessment and the Special Analysis issued in 2002. The most important changes are the use of a more rigorous groundwater flow and transport model, and consideration of radon emanation. Other revisions include refinement of the aquifer mesh to more accurately model the footprint of the vault, a new plutonium chemistry model accounting for the different transport properties of oxidation states III/IV and V/VI, use of variable infiltration rates to simulate degradation of the closure system, explicit calculation of gaseous releases and consideration of the effects of settlement and seismic activity on the vault structure. The disposal limits have been compared with the projected total inventory expected to be disposed in Vault 4. The resulting sum-of-fractions of the 1000-year disposal limits is 0.2, which indicates that the performance objectives and requirements of DOE 435.1 will not be exceeded. This SA has not altered the conceptual model (i.e., migration of radionuclides from the Saltstone waste form and Vault 4 to the environment via the processes of diffusion and advection) of the Saltstone PA (MMES 1992) nor has it altered the conclusions of the PA (i.e., disposal of the proposed waste in the SDF will meet DOE performance measures). Thus a PA revision is not required and this SA serves to update the disposal limits for Vault 4. In addition, projected doses have been calculated for comparison with the performance objectives laid out in 10 CFR 61. These doses are 0.05 mrem/year to a member of the public and 21.5 mrem/year to an inadvertent intruder in the resident scenario over a 10,000-year time-frame, which demonstrates that the 10 CFR 61 performance objectives will not be exceeded. This SA supplements the Saltstone PA and supersedes the two previous SAs (Cook et al. 2002; Cook and Kaplan 2003).

  15. Groundwater Pathway Model for the Los Alamos National Laboratory Technical Area 54, Area G, Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Stauffer, Philip H. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Chu, Shaoping [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Miller, Terry A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Strobridge, Daniel M. [Neptune Inc., Los Alamos, NM (United States); Cole, Gregory L. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Birdsell, Kay H. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Robinson, Bruce Alan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Gable, Carl Walter [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Broxton, David E. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Springer, Everett P. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Schofield, Tracy [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-02-10

    This report consists of four major sections, including this introductory section. Section 2 provides an overview of previous investigations related to the development of the current sitescale model. The methods and data used to develop the 3-D groundwater model and the techniques used to distill that model into a form suitable for use in the GoldSim models are discussed in Section 3. Section 4 presents the results of the model development effort and discusses some of the uncertainties involved. Eight attachments that provide details about the components and data used in this groundwater pathway model are also included with this report. The groundwater modeling effort reported here is a revision of the work that was conducted in 2005 (Stauffer et al., 2005a) in support of the 2008 Area G performance assessment and composite analysis (LANL, 2008). The revision effort was undertaken primarily to incorporate new geologic information that has been collected since 2003 at, and in the vicinity of, Area G. The new data were used to create a more accurate geologic framework model (GFM) that forms the basis of the numerical modeling of the site’s long-term performance. The groundwater modeling uses mean hydrologic properties of the geologic strata underlying Area G; this revision includes an evaluation of the impacts that natural variability in these properties may have on the model projections.

  16. A revision of the Afrotropical species of the genus Tibellus Simon (Araneae: Philodromidae

    Directory of Open Access Journals (Sweden)

    A. Van den Berg

    1994-08-01

    Full Text Available The Afrotropical species of the genus Tibellus Simon, 1875, are revised. Of the 10 previously recognised species of long-bodied grss spiders from this region, eight are redescribed and figured. Two species, T. punctifasciatus Strand, 1906, and T. robustus Simon, 1886, are considered nomina dubia. Five new species, T. cobusi, T. gerhardi, T. nimbaensis, T. somaliensis and T. sunetae, are described and three previously recognised subspecies of T. vossioni Simon, 1884, namely T. v. armatus Lessert, 1928, T. v. flavipes Caporiacco, 1941, and T. v. minor Lessert, 1919, are given species status. The genus Tibellinus Simon, 1910, is a junior synonym of Tibellus. Tibellinus australis is transferred to the genus Tibellus. The males of T. armatus stat. nov. and T. hollidayi Lawrence, 1952, are described for the first time. A key to 17 recognised species is given. Distributional data are provided for all species.

  17. A revision of the Afrotropical species of the genus Tibellus Simon (Araneae: Philodromidae

    Directory of Open Access Journals (Sweden)

    A. Van den Berg

    1994-09-01

    Full Text Available The Afrotropical species of the genus Tibellus Simon, 1875, are revised. Of the 10 previously recognised species of long-bodied grss spiders from this region, eight are redescribed and figured. Two species, T. punctifasciatus Strand, 1906, and T. robustus Simon, 1886, are considered nomina dubia. Five new species, T. cobusi, T. gerhardi, T. nimbaensis, T. somaliensis and T. sunetae, are described and three previously recognised subspecies of T. vossioni Simon, 1884, namely T. v. armatus Lessert, 1928, T. v. flavipes Caporiacco, 1941, and T. v. minor Lessert, 1919, are given species status. The genus Tibellinus Simon, 1910, is a junior synonym of Tibellus. Tibellinus australis is transferred to the genus Tibellus. The males of T. armatus stat. nov. and T. hollidayi Lawrence, 1952, are described for the first time. A key to 17 recognised species is given. Distributional data are provided for all species.

  18. Revision Hip Arthroscopy: A Systematic Review of Diagnoses, Operative Findings, and Outcomes.

    Science.gov (United States)

    Cvetanovich, Gregory L; Harris, Joshua D; Erickson, Brandon J; Bach, Bernard R; Bush-Joseph, Charles A; Nho, Shane J

    2015-07-01

    To determine indications for, operative findings of, and outcomes of revision hip arthroscopy. A systematic review was registered with PROSPERO and performed based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Therapeutic clinical outcome studies reporting the indications for, operative findings of, and outcomes of revision hip arthroscopy were eligible for inclusion. All study-, patient-, and hip-specific data were extracted and analyzed. The Modified Coleman Methodology Score was used to assess study quality. Five studies were included (348 revision hip arthroscopies; 333 patients; mean age, 31.4 ± 4.2 years; 60% female patients). All 5 studies were either Level III or IV evidence. The surgeon performing revision hip arthroscopy was the same as the primary hip surgeon in only 25% of cases. The mean time between primary and revision hip arthroscopy was 27.8 ± 7.0 months (range, 2 to 193 months). Residual femoroacetabular impingement was the most common indication for and operative finding of revision hip arthroscopy (81% of cases). The most commonly reported revision procedures were femoral osteochondroplasty (24%) and acetabuloplasty (18%). The modified Harris Hip Score was used in all 5 analyzed studies, with significant (P arthroscopy, subsequent reported operations were hip arthroplasty in 11 patients and re-revision hip arthroscopy in 8 patients (5% total reoperation rate). Revision hip arthroscopy is most commonly performed for residual femoroacetabular impingement, with statistically significant and clinically relevant improvements shown in multiple patient-reported clinical outcome scores at short-term follow-up. The reoperation rate after revision hip arthroscopy is 5% within 2 years, including further arthroscopy or conversion to hip arthroplasty. Level IV, systematic review of Level III and IV studies. Copyright © 2015 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  19. Corporate Author Entries. Revision 5

    International Nuclear Information System (INIS)

    Hendricks, P.L.

    1986-05-01

    This reference authority has been created and is maintained to provide standard forms for recording the names of organizations consistently in bibliographic citations. This revision includes approximately 42,000 entries established since 1973

  20. A randomised controlled trial of intervention site radiotherapy in malignant pleural mesothelioma

    International Nuclear Information System (INIS)

    O'Rourke, Noelle; Garcia, Jose Curto; Paul, Jim; Lawless, Claire; McMenemin, Rhona; Hill, Jennifer

    2007-01-01

    Background and purpose: To assess the effectiveness of radiotherapy in preventing tumour seeding after chest drain or pleural biopsy in patients with malignant mesothelioma and to determine, if tract metastases appear, whether they are tender or troublesome to patients. Patients and methods: Patients with a histological diagnosis of pleural mesothelioma and an invasive procedure within the preceding 21 days were stratified by age, performance status and treatment centre. Randomisation was performed between immediate drain site radiotherapy 21 Gy in three fractions (XRT arm) or best supportive care (BSC) with follow-up to 12 months. Patients were asked to complete questionnaires on treatment toxicity and on symptoms from any tract metastases detected. Results: Sixty-one patients were recruited from two centres between 1998 and 2004; 56 men, 5 women, median age 70. 31 were allocated to drain site radiotherapy. Seven patients developed tract metastases associated with the drain site (four XRT arm, three BSC) and four developed metastases associated with subsequent procedures at other sites (three XRT, one BSC). Two patients each developed two tract metastases. Of the 12 metastases, nine overlay the previous drain site but three were adjacent to the site. No statistically significant difference was found in the risk of tract metastasis associated with the drain site between the arms (p = 0.748). Conclusions: Prophylactic drain site radiotherapy in malignant pleural mesothelioma does not reduce the incidence of tumour seeding by the margin indicated by previous studies

  1. Psychometric properties of Conversion Disorder Scale- Revised (CDS) for children.

    Science.gov (United States)

    Ijaz, Tazvin; Nasir, Attikah; Sarfraz, Naema; Ijaz, Shirmeen

    2017-05-01

    To revise conversion disorder scale and to establish the psychometric properties of the revised scale. This case-control study was conducted from February to June, 2014, at the Government College University, Lahore, Pakistan, and comprised schoolchildren and children with conversion disorder. In order to generate items for revised version of conversion disorder scale, seven practising mental health professionals were consulted. A list of 42 items was finalised for expert ratings. After empirical validation, a scale of 40 items was administered on the participants and factor analysis was conducted. Of the240 participants, 120(50%) were schoolchildren (controls group) and 120(50%)were children with conversion disorder (clinical group).The results of factor analysis revealed five factors (swallowing and speech symptoms, motor symptoms, sensory symptoms, weakness and fatigue, and mixed symptoms) and retention of all 40 items of revised version of conversion disorder scale. Concurrent validity of the revised scale was found to be 0.81 which was significantly high. Similarly, discriminant validity of the scale was also high as both clinical and control groups had significant difference (pconversion disorder scale was 76% sensitive to predicting conversion disorder while specificity showed that the scale was 73% accurate in specifying participants of the control group. The revised version of conversion disorder scale was a reliable and valid tool to be used for screening of children with conversion disorder.

  2. Overpowering posterior lumbar instrumentation and fusion with hyperlordotic anterior lumbar interbody cages followed by posterior revision: a preliminary feasibility study.

    Science.gov (United States)

    Kadam, Abhijeet; Wigner, Nathan; Saville, Philip; Arlet, Vincent

    2017-12-01

    OBJECTIVE The authors' aim in this study was to evaluate whether sagittal plane correction can be obtained from the front by overpowering previous posterior instrumentation and/or fusion with hyperlordotic anterior lumbar interbody fusion (ALIF) cages in patients undergoing revision surgery for degenerative spinal conditions and/or spinal deformities. METHODS The authors report their experience with the application of hyperlordotic cages at 36 lumbar levels for ALIFs in a series of 20 patients who underwent revision spinal surgery at a single institution. Included patients underwent staged front-back procedures: ALIFs with hyperlordotic cages (12°, 20°, and 30°) followed by removal of posterior instrumentation and reinstrumentation from the back. Patients were divided into the following 2 groups depending on the extent of posterior instrumentation and fusion during the second stage: long constructs (≥ 6 levels with extension into thoracic spine and/or pelvis) and short constructs (lumbar lordosis increased from 44.3° to 59.8° (p lumbar levels that have pseudarthrosis from the previous posterior spinal fusion. Meticulous selection of levels for ALIF is crucial for safely and effectively performing this technique.

  3. The revision of the master's curiculm at Osaka Kyoiku University

    OpenAIRE

    赤松, 喜久; 伊藤, 敏雄

    2007-01-01

    The background covering the revision of the master's curriculum and a point concerning this revision in a teacher-training program at Osaka Kyoiku University are explained in this paper. Furthermore, future problems are organized and evaluated. The paper will help us to consider the revision of the curriculum expected as part of the master's course in a teacher's program. The number of required subjects is minimal so that a student may take more optional subjects to meet various needs. New su...

  4. 75 FR 17253 - Revisions to the General Conformity Regulations

    Science.gov (United States)

    2010-04-05

    ... Part III Environmental Protection Agency 40 CFR Parts 51 and 93 Revisions to the General... under the minor source New Source Review (NSR) programs similar to the EPA's existing General Conformity... EPA is making two minor revisions to the definition. First, EPA is correcting the citation for the SIP...

  5. ASSET guidelines. Revised 1991 Edition

    International Nuclear Information System (INIS)

    1991-12-01

    The present publication is an updated version of the IAEA Assessment of Safety Significant Events Team (ASSET) Guidelines, IAEA-TECDOC-573, published in 1990. Sections 5 and 6 include revised definitions and investigation guidelines for identification of both direct and root causes. These revisions were recommended by a Consultants Meeting held in Vienna on 3-7 December 1990. This guidance is not intended to infringe an expert's prerogative to investigate additional items. Its main purpose is to provide a basic structure and ensure consistency in the assessments. Use of the ASSET guidelines should also facilitate comparison between the observations made in different nuclear power plants and harmonize the reporting of generic ASSET results. The guidelines should always be used with a critical attitude and a view to possible improvements

  6. What Is the Rerevision Rate After Revising a Hip Resurfacing Arthroplasty? Analysis From the AOANJRR.

    Science.gov (United States)

    Wong, James Min-Leong; Liu, Yen-Liang; Graves, Stephen; de Steiger, Richard

    2015-11-01

    More than 15,000 primary hip resurfacing arthroplasties have been recorded by the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) with 884 primary procedures requiring revision for reasons other than infection, a cumulative percent revision rate at 12 years of 11%. However, few studies have reported the survivorship of these revision procedures. (1) What is the cumulative percent rerevision rate for revision procedures for failed hip resurfacings? (2) Is there a difference in rerevision rate among different types of revision or bearing surfaces? The AOANJRR collects data on all primary and revision hip joint arthroplasties performed in Australia and after verification against health department data, checking of unmatched procedures, and subsequent retrieval of unreported procedures is able to obtain an almost complete data set relating to hip arthroplasty in Australia. Revision procedures are linked to the known primary hip arthroplasty. There were 15,360 primary resurfacing hip arthroplasties recorded of which 884 had undergone revision and this was the cohort available to study. The types of revisions were acetabular only, femoral only, or revision of both acetabular and femoral components. With the exception of the acetabular-only revisions, all revisions converted hip resurfacing arthroplasties to conventional (stemmed) total hip arthroplasties (THAs). All initial revisions for infection were excluded. The survivorship of the different types of revisions and that of the different bearing surfaces used were estimated using the Kaplan-Meier method and compared using Cox proportional hazard models. Cumulative percent revision was calculated by determining the complement of the Kaplan-Meier survivorship function at that time multiplied by 100. Of the 884 revisions recorded, 102 underwent further revision, a cumulative percent rerevision at 10 years of 26% (95% confidence interval, 19.6-33.5). There was no difference in the rate of

  7. Operator licensing examination standards for power reactors. Interim revision 8

    International Nuclear Information System (INIS)

    1997-01-01

    These examination standards are intended to assist NRC examiners and facility licensees to better understand the processes associated with initial and requalification examinations. The standards also ensure the equitable and consistent administration of examinations for all applicants. These standards are for guidance purposes and are not a substitute for the operator licensing regulations (i.e., 10 CFR Part 55), and they are subject to revision or other changes in internal operator licensing policy. This interim revision permits facility licensees to prepare their initial operator licensing examinations on a voluntary basis pending an amendment to 10 CFR Part 55 that will require facility participation. The NRC intends to solicit comments on this revision during the rulemaking process and to issue a final Revision 8 in conjunction with the final rule

  8. Revision of the grasshopper genus Sedulia Stål, 1878 (Acrididae: Catantopinae) from Malay Peninsula.

    Science.gov (United States)

    Tan, Ming Kai; Robillard, Tony; Kamaruddin, Khairul Nizam

    2016-05-02

    Southeast Asia is a highly biodiverse region with many species of grasshoppers described since the 19th century. Historical species descriptions are however often not comprehensive and do not meet the modern criteria of taxonomy. Previously used characters for identification need to be re-examined. Here, we aim to revise the taxonomy of the grasshopper genus Sedulia Stål, 1878. Using morphology and simple morphometry, we compared and investigated interspecific and intraspecific variations among the two species of Sedulia. We also redescribed both species and constructed a key to species and closely related genera.

  9. A revised geological range (Late Pliocene) for foraminifer taxon Bolliella adamsi Banner et Blow, 1959

    Science.gov (United States)

    Reddy, A. Nallapa; Nagendra, R.

    2017-12-01

    The foraminifer taxon Bolliella adamsi Banner et Blow, 1959 is found to co-occur with index planktic foraminifer taxa of the Late Pliocene (Zone N21) in a core of 2.60 m at 1300 m water depth off Tuticorin, Bay of Bengal. This taxon has been previously known as a Holocene taxon of the Indo-Pacific province. This study significantly revises the known stratigraphic range of B. adamsi from the Late Pliocene (uppermost part of Zone N21) to the Holocene in the Bay of Bengal area.

  10. Recovery of biological soil crust richness and cover 12–16 years after wildfires in Idaho, USA

    OpenAIRE

    H. T. Root; J. C. Brinda; E. K. Dodson

    2017-01-01

    Changing fire regimes in western North America may impact biological soil crust (BSC) communities that influence many ecosystem functions, such as soil stability and C and N cycling. However, longer-term effects of wildfire on BSC abundance, species richness, functional groups, and ecosystem functions after wildfire (i.e., BSC resilience) are still poorly understood. We sampled BSC lichen and bryophyte communities at four sites in Idaho, USA, within foothill steppe commu...

  11. Evaluating the balanced scorecard at the University Health Network: an impact assessment.

    Science.gov (United States)

    Young, Justin; Bell, Robert; Khalfan, Adil; Lindquist, Evert

    2008-01-01

    The balanced scorecard (BSC) has become increasing popular in healthcare organizations. A recent study conducted at the University Health Network in Toronto explored the extent to which the BSC has focused and aligned various organizational units and departments around shared goals and objectives. The evaluation also assessed the BSC's impact on front-line staff and how the development and rollout of the BSC should be modified in the next planning iteration.

  12. Trends in primary and revision anterior cruciate ligament reconstruction among National Basketball Association team physicians.

    Science.gov (United States)

    Mall, Nathan A; Abrams, Geoffrey D; Azar, Frederick M; Traina, Steve M; Allen, Answorth A; Parker, Richard; Cole, Brian J

    2014-06-01

    Anterior cruciate ligament (ACL) tears are common in athletes. Techniques and methods of treatment for these injuries continue to vary among surgeons. Thirty National Basketball Association (NBA) team physicians were surveyed during the NBA Pre-Draft Combine. Survey questions involved current and previous practice methods of primary and revision ACL reconstruction, including technique, graft choice, rehabilitation, and treatment of combined ACL and medial collateral ligament injuries. Descriptive parametric statistics, Fisher exact test, and logistic regression were used, and significance was set at α = 0.05. All 30 team physicians completed the survey. Eighty-seven percent indicated they use autograft (81% bone-patellar tendon-bone) for primary ACL reconstruction in NBA athletes, and 43% indicated they use autograft for revision cases. Fourteen surgeons (47%) indicated they use an anteromedial portal (AMP) for femoral tunnel drilling, whereas 5 years earlier only 4 (13%) used this technique. There was a significant (P = .009) positive correlation between fewer years in practice and AMP use. NBA team physicians' use of an AMP for femoral tunnel drilling has increased over the past 5 years.

  13. The Use of Genre-Specific Evaluation Criteria for Revision

    Science.gov (United States)

    Philippakos, Zoi A.; MacArthur, Charles A.

    2016-01-01

    Revision is a challenging step of the writing process and students often focus their attention to mechanics or grammar instead of making organizational and meaning changes. It is important for students to critically read and independently evaluate their work when revising. This practitioner article discusses the importance of genre-specific…

  14. Teaching Scientists to Communicate: Evidence-Based Assessment for Undergraduate Science Education

    Science.gov (United States)

    Mercer-Mapstone, Lucy; Kuchel, Louise

    2015-01-01

    Communication skills are one of five nationally recognised learning outcomes for an Australian Bachelor of Science (BSc) degree. Previous evidence indicates that communication skills taught in Australian undergraduate science degrees are not developed sufficiently to meet the requirements of the modern-day workplace--a problem faced in the UK and…

  15. Total hip arthroplasty revision due to infection: a cost analysis approach.

    Science.gov (United States)

    Klouche, S; Sariali, E; Mamoudy, P

    2010-04-01

    The treatment of total hip arthroplasty (THA) infections is long and costly. However,the number of studies in the literature analysing the real cost of THA revision in relation to their etiology, including infection, is limited. The aim of this retrospective study was to determine the cost of revision of infected THA and to compare these costs to those of primary THA and revision of non-infected THA. We performed a retrospective cost analysis for the year 2006 using an identical analytic accounting system in each hospital department (according to internal criteria) based on allotment of direct costs and receipts for each department. From January to December 2006, 424 primary THA, 57 non-infected THA revisions and 40 THA revisions due to infection were performed. The different cost areas of the patient's treatment were identified.This included preoperative medical work-up, medicosurgical management during hospital stay,a second stay in an orthopedic rehabilitation hospital (ORH) and post-hospitalisation antibiotic therapy after revision due to infection, as well as home-based hospitalisation (HH) costs, if this was the selected alternative option. We used the national health insurance fee schedule found in the "Common classification of medical procedures" and the "General nomenclature of professional procedures" applicable in France since September 1, 2005. Hospital costs included direct costs (hospital overhead costs) and indirect costs, (medical, surgical, technical settings and net general service expenses). The calculation of HH costs and ORH costs were based on the average daily charge of these departments. The cost of primary THA was used as the reference.We then compared our surgical costs with those found for the corresponding comparable hospital stay groups (Groupes homogènes de séjour). The average hospital stay (AHS) was 7.5 +/- 1.8 days for primary THA, 8.9 +/- 2.2 days for non-infected revisions and 30.6 +/- 14.9 days for revisions due to infection

  16. Managing the backscatter component from the robotic arm of an a-Si EPID

    International Nuclear Information System (INIS)

    Lee, C.G.; Menk, F.; Greer, P.B.

    2010-01-01

    Full text: Backscatter from the robotic arm mechanism of an a-Si EPID in IMRT images was examined. Images corrected with a conventional flood field (FF) containing a backscatter component (BSC) from the robotic ann were compared with a BSC-free FF. A Yarian 21 EX linac (6 MV, 18 MV) was used. All images were acquired with two aS500 EPIDs, one R-arm and one E-arm. The BSC of an EPID image is the ratio of an image acquired with the EPID attached to the arm then detaching the arm from the EPID and acquiring the same image. A range of square field sizes from 2.5 x 2.5 cm to 27.5 x 27.5 cm were acquired and the BSC analyzed. The BSC of the FFs were also measured. A series of IMRT fields were acquired. Each field was corrected with a conventional FF and compared with a BSC-free FF. Figure I shows the magnitude of the BSC from each arm in the inplane for a 6 x beam. Square fields above 16 x l6 cm (R-arm) and lO x 10 cm (E-arm) benefited from a conventional FF as it tended to cancel out the BSC in the acquired square field. The opposite was observed for smaller field sizes. A gamma analysis of the IMRT fields showed a FF correction containing a BSC reduces the effect of the arm in the final image. IMRT EPID images using conventional FFs have been shown to be less affected by backscatter from the robotic arm compared to BSC-free flood fields. (author)

  17. IN SITU FIELD TESTING OF PROCESSES

    International Nuclear Information System (INIS)

    YANG, J.S.Y.

    2004-01-01

    The purpose of this scientific analysis report is to update and document the data and subsequent analyses from ambient field-testing activities performed in underground drifts and surface-based boreholes through unsaturated zone (UZ) tuff rock units. In situ testing, monitoring, and associated laboratory studies are conducted to directly assess and evaluate the waste emplacement environment and the natural barriers to radionuclide transport at Yucca Mountain. This scientific analysis report supports and provides data to UZ flow and transport model reports, which in turn contribute to the Total System Performance Assessment (TSPA) of Yucca Mountain, an important document for the license application (LA). The objectives of ambient field-testing activities are described in Section 1.1. This report is the third revision (REV 03), which supercedes2. The scientific analysis of data for inputs to model calibration and validation as documented in2 were developed in accordance with the Technical Work Plan (TWP) ''Technical Work Plan for: Performance Assessment Unsaturated Zone'' (BSC 2004 [DIRS 167969]). This revision was developed in accordance with the ''Technical Work Plan for: Unsaturated Zone Flow Analysis and Model Report Integration'' (BSC 2004 [DIRS 169654], Section 1.2.4) for better integrated, consistent, transparent, traceable, and more complete documentation in this scientific analysis report and associated UZ flow and transport model reports. No additional testing or analyses were performed as part of this revision. The list of relevant acceptance criteria is provided by ''Technical Work Plan for: Unsaturated Zone Flow Analysis and Model Report Integration'' (BSC 2004 [DIRS 169654]), Table 3-1. Additional deviations from the TWP regarding the features, events, and processes (FEPs) list are discussed in Section 1.3. Documentation in this report includes descriptions of how, and under what conditions, the tests were conducted. The descriptions and analyses

  18. The Effects of Bloom’s Revised Taxonomy on Measurement and Evaluation in Education

    Directory of Open Access Journals (Sweden)

    İrfan Yurdabakan

    2012-12-01

    Full Text Available The aim of this study is to discuss the revision of the original version of Bloom’s taxonomy of educational objectives under the leadership of Krathwohl and Anderson and its reflections on testing and assessment in education. Fort his purpose, international database was scanned to analyze the publications on “Bloom’s revised taxonomy and relationships between the revised taxonomy and testing and assessment”. The reasons for revision, the results that emerged following the revision and the reflections of those results on measurement and evaluation in education are described within the scope of those publications obtained

  19. Revision of Oxandra (Annonaceae)

    NARCIS (Netherlands)

    Junikka, L.; Maas, P.J.M.; Maas-van de Kamer, H.; Westra, L.Y.Th.

    2016-01-01

    A taxonomic revision is given of the Neotropical genus Oxandra (Annonaceae). Within the genus 27 species are recognized, 4 of which are new to science. Most of the species are occurring in tropical South America, whereas a few (6) are found in Mexico and Central America and two in the West Indies

  20. 45 CFR 63.19 - Budget revisions and minor deviations.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Budget revisions and minor deviations. 63.19 Section 63.19 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION GRANT PROGRAMS... Budget revisions and minor deviations. Pursuant to § 74.102(d) of this title, paragraphs (b)(3) and (b)(4...

  1. Merlin C. Wittrock and the Revision of Bloom's Taxonomy

    Science.gov (United States)

    Krathwohl, David R.; Anderson, Lorin W.

    2010-01-01

    Merl Wittrock, a cognitive psychologist who had proposed a generative model of learning, was an essential member of the group that over a period of 5 years revised the "Taxonomy of Educational Objectives," originally published in 1956. This article describes the development of that 2001 revision (Anderson and Krathwohl, Editors) and Merl's…

  2. 77 FR 73454 - Revision of Information Collection; Comment Request

    Science.gov (United States)

    2012-12-10

    ... proposed revision of its Senior Corps Grant Application (424-NSSC) (OMB Control Number 3045-0035). CNCS... questions to clarify new concepts; Simplify language and wording of questions; Revise questions to better... CNCS mailroom at Room 8100 at the mail address given in paragraph (1) above, between 9:00 a.m. and 4:00...

  3. Revised hydrogeologic framework of the Floridan aquifer system in Florida and parts of Georgia, Alabama, and South Carolina

    Science.gov (United States)

    Williams, Lester J.; Kuniansky, Eve L.

    2015-04-08

    The hydrogeologic framework for the Floridan aquifer system has been revised throughout its extent in Florida and parts of Georgia, Alabama, and South Carolina. The updated framework generally conforms to the original framework established by the U.S. Geological Survey in the 1980s, except for adjustments made to the internal boundaries of the Upper and Lower Floridan aquifers and the individual higher and contrasting lower permeability zones within these aquifers. The system behaves as one aquifer over much of its extent; although subdivided vertically into two aquifer units, the Upper and Lower Floridan aquifers. In the previous framework, discontinuous numbered middle confining units (MCUI–VII) were used to subdivide the system. In areas where less-permeable rocks do not occur within the middle part of the system, the system was previously considered one aquifer and named the Upper Floridan aquifer. In intervening years, more detailed data have been collected in local areas, resulting in some of the same lithostratigraphic units in the Floridan aquifer system being assigned to the Upper or Lower Floridan aquifer in different parts of the State of Florida. Additionally, some of the numbered middle confining units are found to have hydraulic properties within the same order of magnitude as the aquifers. A new term “composite unit” is introduced for lithostratigraphic units that cannot be defined as either a confining or aquifer unit over their entire extent. This naming convention is a departure from the previous framework, in that stratigraphy is used to consistently subdivide the aquifer system into upper and lower aquifers across the State of Florida. This lithostratigraphic mapping approach does not change the concept of flow within the system. The revised boundaries of the Floridan aquifer system were mapped by considering results from local studies and regional correlations of lithostratigraphic and hydrogeologic units or zones. Additional zones within

  4. Regional sensitivity analysis using revised mean and variance ratio functions

    International Nuclear Information System (INIS)

    Wei, Pengfei; Lu, Zhenzhou; Ruan, Wenbin; Song, Jingwen

    2014-01-01

    The variance ratio function, derived from the contribution to sample variance (CSV) plot, is a regional sensitivity index for studying how much the output deviates from the original mean of model output when the distribution range of one input is reduced and to measure the contribution of different distribution ranges of each input to the variance of model output. In this paper, the revised mean and variance ratio functions are developed for quantifying the actual change of the model output mean and variance, respectively, when one reduces the range of one input. The connection between the revised variance ratio function and the original one is derived and discussed. It is shown that compared with the classical variance ratio function, the revised one is more suitable to the evaluation of model output variance due to reduced ranges of model inputs. A Monte Carlo procedure, which needs only a set of samples for implementing it, is developed for efficiently computing the revised mean and variance ratio functions. The revised mean and variance ratio functions are compared with the classical ones by using the Ishigami function. At last, they are applied to a planar 10-bar structure

  5. REVISION ANKLE SYNDESMOSIS FIXATION - FUNCTIONAL OUTCOME AFTER TIGHTROPE ® FIXATION

    Directory of Open Access Journals (Sweden)

    Sendhilvelan Rajagopalan

    2016-07-01

    Full Text Available BACKGROUND Syndesmotic disruptions are often seen in ankle fractures. Malreduction of these fractures can result in arthritis and instability. A proportion of these patients with malreduction require revision fixation. This study presents the results of revision fixation in such patients, using the Ankle TightRope ® (Arthrex system. METHODS Between January 2000 to December 2009, 124 patients who underwent ankle fracture fixations with syndesmotic stabilisation were analysed. Out of 124 patients, 8 patients were diagnosed with failure of primary stabilisation (based on radiological and clinical criteria and subjected to revision fixation using the Ankle TightRope ® (Arthrex system. Followup was done at periodic time intervals of 3, 6 and 12 months. Both clinical and radiological assessment was performed. Complications and duration of hospital stay was recorded. Functional evaluation was performed using the American Orthopaedic Foot and Ankle Society (AOFAS scoring system. RESULTS Five patients had good results, one satisfactory and two had poor outcomes. CONCLUSIONS Ankle TightRope ® fixation is an alternative method of stabilisation in patients who require revision syndesmosis fixation. Further studies are required to evaluate this method of revision stabilisation as compared to screws.

  6. Revised dietary guidelines for Koreans.

    Science.gov (United States)

    Jang, Young Ai; Lee, Haeng Shin; Kim, Bok Hee; Lee, Yoonna; Lee, Hae Jeung; Moon, Jae Jin; Kim, Cho-il

    2008-01-01

    With rapidly changing dietary environment, dietary guidelines for Koreans were revised and relevant action guides were developed. First, the Dietary Guidelines Advisory Committee was established with experts and government officials from the fields of nutrition, preventive medicine, health promotion, agriculture, education and environment. The Committee set dietary goals for Koreans aiming for a better nutrition state of all after a thorough review and analysis of recent information related to nutritional status and/or problems of Korean population, changes in food production/supply, disease pattern, health policy and agricultural policy. Then, the revised dietary guidelines were proposed to accomplish these goals in addition to 6 different sets of dietary action guides to accommodate specific nutrition and health problems of respective age groups. Subsequently, these guidelines and guides were subjected to the focus group review, consumer perception surveys, and a public hearing for general and professional comments. Lastly, the language was clarified in terms of public understanding and phraseology. The revised Dietary guidelines for Koreans are as follows: eat a variety of grains, vegetables, fruits, fish, meat, poultry and dairy products; choose salt-preserved foods less, and use less salt when you prepare foods; increase physical activity for a healthy weight, and balance what you eat with your activity; enjoy every meal, and do not skip breakfast; if you drink alcoholic beverages, do so in moderation; prepare foods properly, and order sensible amounts; enjoy our rice-based diet.

  7. Examining the Impact of Technology on Primary Students' Revision of Written Work

    Science.gov (United States)

    Lisy, Jennifer Garrette

    2015-01-01

    Few studies have examined the revision processes of second grade students and even fewer have explored the impact of digital writing on young students' revisions. This study utilized a within subject crossover trial using randomized block assignment (AB | BA) for counterbalancing. This study sought to determine (1) whether revising on paper versus…

  8. The effects of anticholinergic drugs on regional cerebral blood flow, and oxygen metabolism in previously untreated patients with Parkinson's disease

    International Nuclear Information System (INIS)

    Obara, Satoko; Takahashi, Satoshi; Yonezawa, Hisashi; Sato, Yoshitomo

    1998-01-01

    Regional cerebral blood flow (rCBF) and oxygen metabolism (rCMRO 2 ) were measured using the steady-state 15 O technique and positron emission tomography (PET) in six previously untreated patients with Parkinson's disease before and after trihexyphenidyl (THP) treatment. The patients comprised of 4 men and 2 women with Hoehn-Yahr stage II-III. Their ages at the onset of the study ranged from 46 to 57 years (mean±SD, 51.8±3.7) and the duration of the illness ranged from 10 to 48 months (mean±SD, 28.8±15.5). The PET study, assessments of the disability and cognitive function were undergone twice. The first time assessments were done was when the patients were not receiving any drugs, and the second time was one to three months after administration of 6 mg THP. All patients showed clinical improvement after THP treatment. The mean disability score of Unified Parkinson's Disease Rating Scale decreased from 35.1 (SD±11.3) to 25.7 (SD±11.6). The cognitive function assessed by Hasegawa's dementia rating scale-revised, Mini-Mental State Examination, Wechsler Adult Intelligence Scale-Revised, and Wechsler Memory Scale-Revised, were not significantly different before and after the THP treatment. After the THP treatment, rCBF and rCMRO 2 decreased significantly in the striatum (about 15%) and all cerebral cortices (about 10%) on both sides contralateral and ipsilateral to the predominantly symptomatic limbs. We conclude that an anticholinergic THP decreases the rCBF and rCMRO 2 significantly in the cerebral cortices without cognitive impairment in early untreated patients with Parkinson's disease. (author)

  9. Validity and Reliability of Revised Inventory of Learning Processes.

    Science.gov (United States)

    Gadzella, B. M.; And Others

    The Inventory of Learning Processes (ILP) was developed by Schmeck, Ribich, and Ramanaiah in 1977 as a self-report inventory to assess learning style through a behavioral-oriented approach. The ILP was revised by Schmeck in 1983. The Revised ILP contains six scales: (1) Deep Processing; (2) Elaborative Processing; (3) Shallow Processing; (4)…

  10. Evaluation of revised trauma score in poly- traumatized patients

    International Nuclear Information System (INIS)

    Ahmad, H.N.

    2004-01-01

    Objective: To determine the prognostic value and reliability of revised trauma score (RTS) in polytraumatized patients. Subjects and Methods: Thirty adult patients of road traffic accidents sustaining multisystem injuries due to high energy blunt trauma were managed according to the protocols of advanced trauma life support (ATLS) and from their first set of data RTS was calculated. Score of each patient was compared with his final outcome at the time of discharge from the hospital. Results: The revised trauma score was found to be a reliable predictor of prognosis of polytraumatized patients but a potentially weak predictor for those patients having severe injury involving a single anatomical region. The higher the RTS the better the prognosis of polytrauma patient and vice versa. Revised trauma score <8 turned out to be an indicator of severe injury with high mortality and morbidity and overall mortality in polytraumatized patients was 26.66%. However, RTS-6 was associated with 50% mortality. Conclusion: The revised trauma score is a reliable indicator of prognosis of polytraumatized patients. Therefore, it can be used for field and emergency room triage. (author)

  11. Rag Deletion in Peripheral T Cells Blocks TCR Revision

    Science.gov (United States)

    Hale, J. Scott; Ames, Kristina T.; Boursalian, Tamar E.; Fink, Pamela J.

    2010-01-01

    Mature CD4+Vβ5+ T cells that recognize a peripherally expressed endogenous superantigen are tolerized either by deletion or T cell receptor (TCR) revision. In Vβ5 transgenic mice, this latter tolerance pathway results in the appearance of CD4+Vβ5−TCRβ+ T cells, coinciding with Rag1, Rag2, and TdT expression and the accumulation of Vβ-DJβ recombination intermediates in peripheral CD4+ T cells. Because post-thymic RAG-dependent TCR rearrangement has remained controversial, we sought to definitively determine whether TCR revision is an extrathymic process that occurs in mature peripheral T cells. We now show that Rag deletion in post-positive selection T cells in Vβ5 transgenic mice blocks TCR revision in vivo, and that mature peripheral T cells sorted to remove cells bearing endogenous TCRβ chains can express newly generated TCRβ molecules in adoptive hosts. These findings unambiguously demonstrate post-thymic, RAG-dependent TCR rearrangement and define TCR revision as a tolerance pathway that targets mature peripheral CD4+ T cells. PMID:20435935

  12. Does performance evaluation help public managers? A Balanced Scorecard approach in urban waste services.

    Science.gov (United States)

    Guimarães, Bernardo; Simões, Pedro; Marques, Rui Cunha

    2010-12-01

    The urban waste market has evolved significantly in the past decades, which among other changes, has led to the creation of new utilities and new business models. However, very few things have changed for the users. Urban waste collection remains mainly under the responsibility of local authorities and the charges paid by the users in most countries are very low compared to the provision costs. This situation forces the injection of public money into the system, encouraging the 'quiet-life' within the utilities and, therefore, inefficiency. The present study intends to analyze the potential for the application of the Balanced Scorecard (BSc) methodology into the waste utilities. After a comprehensive revision of the urban waste sector in Portugal, the methodology of BSc and its application in local public services is described and discussed. Focusing on implementation rather than on strategy, a set of performance indicators is proposed to be utilized in the different management models of waste utilities in Portugal: the municipalities, semi-autonomous utilities, municipal companies and mixed companies. This implementation is then exemplified through four case studies, one for each type of utility. This paper provides a flexible framework proposal to be applied to waste utilities operating both in Portugal and abroad. Copyright © 2010 Elsevier Ltd. All rights reserved.

  13. 77 FR 15273 - Oklahoma: Final Authorization of State Hazardous Waste Management Program Revision

    Science.gov (United States)

    2012-03-15

    ...: Final Authorization of State Hazardous Waste Management Program Revision AGENCY: Environmental... hazardous waste management program. We authorized the following revisions: Oklahoma received authorization... its program revision in accordance with 40 CFR 271.21. The Oklahoma Hazardous Waste Management Act...

  14. Concurrent validity of the Snijders-Oomen Nonverbal Intelligence Test 2 1/2-7-Revised with the Wechsler Preschool and Primary Scale of Intelligence - Revised

    NARCIS (Netherlands)

    Moore, C; O'Keefe, SL; Lawhon, D; Tellegen, P

    This study examined the concurrent validity of the Snijders-Oomen Nonverbal Intelligence Test-Revised compared to the Wechsler Preschool and Primary Scale of Intelligence-Revised Subjects were 25 4-yr.-olds of lower, lower-middle, and middle socioeconomic status from both urban and rural areas of

  15. Revised legislation affecting the transport of radioactive materials

    International Nuclear Information System (INIS)

    Rowlands, R.P.

    1976-01-01

    The revised edition of the model Regulations for the safe transport of radioactive materials (1973, Vienna, International Atomic Energy Agency Safety Series no.6) has acted as the basis for the conditions of carriage and regulatory requirements in Great Britain. The changes introduced in this revised edition are discussed, and the current Regulations and Codes of Practice covering U.K. and international transport by road, sea, rail and air reviewed. (U.K.)

  16. Reverse Shoulder Arthroplasty for the Treatment of Rotator Cuff Deficiency: A Concise Follow-up, at a Minimum of 10 Years, of Previous Reports.

    Science.gov (United States)

    Cuff, Derek J; Pupello, Derek R; Santoni, Brandon G; Clark, Rachel E; Frankle, Mark A

    2017-11-15

    We previously evaluated 94 patients (96 shoulders) who underwent reverse shoulder arthroplasty using a central compressive screw with 5.0-mm peripheral locking screws for baseplate fixation and a center of rotation lateral to the glenoid as treatment for end-stage rotator cuff deficiency. The purpose of this study was to report updated results at a minimum follow-up of 10 years. Forty patients (42 shoulders) were available for clinical follow-up. In the patients available for study, implant survivorship, with the end point being revision for any reason, was 90.7%. Since our 5-year report, 2 patients underwent revision surgery; 1 patient sustained a periprosthetic fracture 7 years postoperatively and 1 patient had a dislocation because of chronic shoulder instability at 8 years postoperatively. At a minimum follow-up of 10 years, the patients continued to maintain their improved outcome scores and range of motion, which were comparable with earlier follow-up evaluations. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

  17. Clinical effectiveness and cost-effectiveness of beta-interferon and glatiramer acetate for treating multiple sclerosis: systematic review and economic evaluation.

    Science.gov (United States)

    Melendez-Torres, G J; Auguste, Peter; Armoiry, Xavier; Maheswaran, Hendramoorthy; Court, Rachel; Madan, Jason; Kan, Alan; Lin, Stephanie; Counsell, Carl; Patterson, Jacoby; Rodrigues, Jeremy; Ciccarelli, Olga; Fraser, Hannah; Clarke, Aileen

    2017-09-01

    At the time of publication of the most recent National Institute for Health and Care Excellence (NICE) guidance [technology appraisal (TA) 32] in 2002 on beta-interferon (IFN-β) and glatiramer acetate (GA) for multiple sclerosis, there was insufficient evidence of their clinical effectiveness and cost-effectiveness. To undertake (1) systematic reviews of the clinical effectiveness and cost-effectiveness of IFN-β and GA in relapsing-remitting multiple sclerosis (RRMS), secondary progressive multiple sclerosis (SPMS) and clinically isolated syndrome (CIS) compared with best supportive care (BSC) and each other, investigating annualised relapse rate (ARR) and time to disability progression confirmed at 3 months and 6 months and (2) cost-effectiveness assessments of disease-modifying therapies (DMTs) for CIS and RRMS compared with BSC and each other. Searches were undertaken in January and February 2016 in databases including The Cochrane Library, MEDLINE and the Science Citation Index. We limited some database searches to specific start dates based on previous, relevant systematic reviews. Two reviewers screened titles and abstracts with recourse to a third when needed. The Cochrane tool and the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) and Philips checklists were used for appraisal. Narrative synthesis and, when possible, random-effects meta-analysis and network meta-analysis (NMA) were performed. Cost-effectiveness analysis used published literature, findings from the Department of Health's risk-sharing scheme (RSS) and expert opinion. A de novo economic model was built for CIS. The base case used updated RSS data, a NHS and Personal Social Services perspective, a 50-year time horizon, 2014/15 prices and a discount rate of 3.5%. Outcomes are reported as incremental cost-effectiveness ratios (ICERs). We undertook probabilistic sensitivity analysis. In total, 6420 publications were identified, of which 63 relating to 35 randomised

  18. Water-Level Data Analysis for the Saturated Zone Site-Scale Flow and Transport Model

    Energy Technology Data Exchange (ETDEWEB)

    K. Rehfeldt

    2004-10-08

    This report is an updated analysis of water-level data performed to provide the ''Saturated Zone Site-Scale Flow Model'' (BSC 2004 [DIRS 170037]) (referred to as the saturated zone (SZ) site-scale flow model or site-scale SZ flow model in this report) with the configuration of the potentiometric surface, target water-level data, and hydraulic gradients for calibration of groundwater flow models. This report also contains an expanded discussion of uncertainty in the potentiometric-surface map. The analysis of the potentiometric data presented in Revision 00 of this report (USGS 2001 [DIRS 154625]) provides the configuration of the potentiometric surface, target heads, and hydraulic gradients for the calibration of the SZ site-scale flow model (BSC 2004 [DIRS 170037]). Revision 01 of this report (USGS 2004 [DIRS 168473]) used updated water-level data for selected wells through the year 2000 as the basis for estimating water-level altitudes and the potentiometric surface in the SZ site-scale flow and transport model domain based on an alternative interpretation of perched water conditions. That revision developed computer files containing: Water-level data within the model area (DTN: GS010908312332.002); A table of known vertical head differences (DTN: GS010908312332.003); and A potentiometric-surface map (DTN: GS010608312332.001) using an alternative concept from that presented by USGS (2001 [DIRS 154625]) for the area north of Yucca Mountain. The updated water-level data presented in USGS (2004 [DIRS 168473]) include data obtained from the Nye County Early Warning Drilling Program (EWDP) Phases I and II and data from Borehole USW WT-24. This document is based on Revision 01 (USGS 2004 [DIRS 168473]) and expands the discussion of uncertainty in the potentiometric-surface map. This uncertainty assessment includes an analysis of the impact of more recent water-level data and the impact of adding data from the EWDP Phases III and IV wells. In

  19. Saturated Zone In-Situ Testing

    International Nuclear Information System (INIS)

    Reimus, P. W.; Umari, M. J.

    2003-01-01

    The purpose of this scientific analysis is to document the results and interpretations of field experiments that have been conducted to test and validate conceptual flow and radionuclide transport models in the saturated zone (SZ) near Yucca Mountain. The test interpretations provide estimates of flow and transport parameters that are used in the development of parameter distributions for Total System Performance Assessment (TSPA) calculations. These parameter distributions are documented in the revisions to the SZ flow model report (BSC 2003 [ 162649]), the SZ transport model report (BSC 2003 [ 162419]), the SZ colloid transport report (BSC 2003 [162729]), and the SZ transport model abstraction report (BSC 2003 [1648701]). Specifically, this scientific analysis report provides the following information that contributes to the assessment of the capability of the SZ to serve as a barrier for waste isolation for the Yucca Mountain repository system: (1) The bases for selection of conceptual flow and transport models in the saturated volcanics and the saturated alluvium located near Yucca Mountain. (2) Results and interpretations of hydraulic and tracer tests conducted in saturated fractured volcanics at the C-wells complex near Yucca Mountain. The test interpretations include estimates of hydraulic conductivities, anisotropy in hydraulic conductivity, storativities, total porosities, effective porosities, longitudinal dispersivities, matrix diffusion mass transfer coefficients, matrix diffusion coefficients, fracture apertures, and colloid transport parameters. (3) Results and interpretations of hydraulic and tracer tests conducted in saturated alluvium at the Alluvium Testing Complex (ATC), which is located at the southwestern corner of the Nevada Test Site (NTS). The test interpretations include estimates of hydraulic conductivities, storativities, total porosities, effective porosities, longitudinal dispersivities, matrix diffusion mass transfer coefficients, and

  20. Saturated Zone In-Situ Testing

    Energy Technology Data Exchange (ETDEWEB)

    P. W. Reimus; M. J. Umari

    2003-12-23

    The purpose of this scientific analysis is to document the results and interpretations of field experiments that have been conducted to test and validate conceptual flow and radionuclide transport models in the saturated zone (SZ) near Yucca Mountain. The test interpretations provide estimates of flow and transport parameters that are used in the development of parameter distributions for Total System Performance Assessment (TSPA) calculations. These parameter distributions are documented in the revisions to the SZ flow model report (BSC 2003 [ 162649]), the SZ transport model report (BSC 2003 [ 162419]), the SZ colloid transport report (BSC 2003 [162729]), and the SZ transport model abstraction report (BSC 2003 [1648701]). Specifically, this scientific analysis report provides the following information that contributes to the assessment of the capability of the SZ to serve as a barrier for waste isolation for the Yucca Mountain repository system: (1) The bases for selection of conceptual flow and transport models in the saturated volcanics and the saturated alluvium located near Yucca Mountain. (2) Results and interpretations of hydraulic and tracer tests conducted in saturated fractured volcanics at the C-wells complex near Yucca Mountain. The test interpretations include estimates of hydraulic conductivities, anisotropy in hydraulic conductivity, storativities, total porosities, effective porosities, longitudinal dispersivities, matrix diffusion mass transfer coefficients, matrix diffusion coefficients, fracture apertures, and colloid transport parameters. (3) Results and interpretations of hydraulic and tracer tests conducted in saturated alluvium at the Alluvium Testing Complex (ATC), which is located at the southwestern corner of the Nevada Test Site (NTS). The test interpretations include estimates of hydraulic conductivities, storativities, total porosities, effective porosities, longitudinal dispersivities, matrix diffusion mass transfer coefficients, and

  1. Meeting the challenge in performance management: the diffusion and implementation of the balanced scorecard in Chinese hospitals.

    Science.gov (United States)

    Gao, Tian; Gurd, Bruce

    2015-03-01

    The bonus system used in Chinese hospitals has been criticized for eroding doctors' professional ethics and aggravating patient expense. This research article focuses on one system to improve hospital performance, the balanced scorecard (BSC). We use three data sources to examine the diffusion and implementation of the BSC in China: a questionnaire survey in Shandong Province, a print-media indicators and content analysis of the published BSC papers and semi-structured interviews with managers of Chinese hospitals that use the BSC. The research evidence shows that bonus systems are important, partially because of the poor pay of hospital professionals, and the BSC is perceived as providing a fair system to award such bonuses. This helps explain the relative endurance of the BSC in Chinese hospitals. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  2. Recovery of biological soil crust richness and cover 12–16 years after wildfires in Idaho, USA

    Directory of Open Access Journals (Sweden)

    H. T. Root

    2017-09-01

    Full Text Available Changing fire regimes in western North America may impact biological soil crust (BSC communities that influence many ecosystem functions, such as soil stability and C and N cycling. However, longer-term effects of wildfire on BSC abundance, species richness, functional groups, and ecosystem functions after wildfire (i.e., BSC resilience are still poorly understood. We sampled BSC lichen and bryophyte communities at four sites in Idaho, USA, within foothill steppe communities that included wildfires from 12 to 16 years old. We established six plots outside each burn perimeter and compared them with six plots of varying severity within each fire perimeter at each site. BSC cover was most strongly negatively impacted by wildfire at sites that had well-developed BSC communities in adjacent unburned plots. BSC species richness was estimated to be 65 % greater in unburned plots compared with burned plots, and fire effects did not vary among sites. In contrast, there was no evidence that vascular plant functional groups or fire severity (as measured by satellite metrics differenced normalized burn ratio (dNBR or relativized differenced normalized burn ratio (RdNBR significantly affected longer-term BSC responses. Three large-statured BSC functional groups that may be important in controlling wind and water erosion (squamulose lichens, vagrant lichens, and tall turf mosses exhibited a significant decrease in abundance in burned areas relative to adjacent unburned areas. The decreases in BSC cover and richness along with decreased abundance of several functional groups suggest that wildfire can negatively impact ecosystem function in these semiarid ecosystems for at least 1 to 2 decades. This is a concern given that increased fire frequency is predicted for the region due to exotic grass invasion and climate change.

  3. Recovery of biological soil crust richness and cover 12-16 years after wildfires in Idaho, USA

    Science.gov (United States)

    Root, Heather T.; Brinda, John C.; Dodson, E. Kyle

    2017-09-01

    Changing fire regimes in western North America may impact biological soil crust (BSC) communities that influence many ecosystem functions, such as soil stability and C and N cycling. However, longer-term effects of wildfire on BSC abundance, species richness, functional groups, and ecosystem functions after wildfire (i.e., BSC resilience) are still poorly understood. We sampled BSC lichen and bryophyte communities at four sites in Idaho, USA, within foothill steppe communities that included wildfires from 12 to 16 years old. We established six plots outside each burn perimeter and compared them with six plots of varying severity within each fire perimeter at each site. BSC cover was most strongly negatively impacted by wildfire at sites that had well-developed BSC communities in adjacent unburned plots. BSC species richness was estimated to be 65 % greater in unburned plots compared with burned plots, and fire effects did not vary among sites. In contrast, there was no evidence that vascular plant functional groups or fire severity (as measured by satellite metrics differenced normalized burn ratio (dNBR) or relativized differenced normalized burn ratio (RdNBR)) significantly affected longer-term BSC responses. Three large-statured BSC functional groups that may be important in controlling wind and water erosion (squamulose lichens, vagrant lichens, and tall turf mosses) exhibited a significant decrease in abundance in burned areas relative to adjacent unburned areas. The decreases in BSC cover and richness along with decreased abundance of several functional groups suggest that wildfire can negatively impact ecosystem function in these semiarid ecosystems for at least 1 to 2 decades. This is a concern given that increased fire frequency is predicted for the region due to exotic grass invasion and climate change.

  4. 78 FR 32161 - Oklahoma: Final Authorization of State Hazardous Waste Management Program Revision

    Science.gov (United States)

    2013-05-29

    ... Authorization of State Hazardous Waste Management Program Revision AGENCY: Environmental Protection Agency (EPA... waste management program. We authorized the following revisions: Oklahoma received authorization for... authorization of its program revision in accordance with 40 CFR 271.21. The Oklahoma Hazardous Waste Management...

  5. 76 FR 16845 - Administrator's Line of Succession Designation, No. 1-A, Revision 32

    Science.gov (United States)

    2011-03-25

    ... SMALL BUSINESS ADMINISTRATION Administrator's Line of Succession Designation, No. 1-A, Revision 32 This document replaces and supersedes ``Line of Succession Designation No. 1-A, Revision 31.'' Line of Succession Designation No. 1-A, Revision 32 Effective immediately, the Administrator's Line of Succession...

  6. 77 FR 44305 - Administrator's Line of Succession Designation, No. 1-A, Revision 34

    Science.gov (United States)

    2012-07-27

    ... SMALL BUSINESS ADMINISTRATION Administrator's Line of Succession Designation, No. 1-A, Revision 34 This document replaces and supersedes ``Line of Succession Designation No. 1-A, Revision 33.'' Line of Succession Designation No. 1-A, Revision 34: Effective immediately, the Administrator's Line of Succession...

  7. 77 FR 20474 - Administrator's Line of Succession Designation, No. 1-A, Revision 33

    Science.gov (United States)

    2012-04-04

    ... SMALL BUSINESS ADMINISTRATION Administrator's Line of Succession Designation, No. 1-A, Revision 33 This document replaces and supersedes ``Line of Succession Designation No. 1-A, Revision 32.'' Line of Succession Designation No. 1-A, Revision 33: Effective immediately, the Administrator's Line of Succession...

  8. Development and implementation of a balanced scorecard in an academic hospitalist group.

    Science.gov (United States)

    Hwa, Michael; Sharpe, Bradley A; Wachter, Robert M

    2013-03-01

    Academic hospitalist groups (AHGs) are often expected to excel in multiple domains: quality improvement, patient safety, education, research, administration, and clinical care. To be successful, AHGs must develop strategies to balance their energies, resources, and performance. The balanced scorecard (BSC) is a strategic management system that enables organizations to translate their mission and vision into specific objectives and metrics across multiple domains. To date, no hospitalist group has reported on BSC implementation. We set out to develop a BSC as part of a strategic planning initiative. Based on a needs assessment of the University of California, San Francisco, Division of Hospital Medicine, mission and vision statements were developed. We engaged representative faculty to develop strategic objectives and determine performance metrics across 4 BSC perspectives. There were 41 metrics identified, and 16 were chosen for the initial BSC. It allowed us to achieve several goals: 1) present a broad view of performance, 2) create transparency and accountability, 3) communicate goals and engage faculty, and 4) ensure we use data to guide strategic decisions. Several lessons were learned, including the need to build faculty consensus, establish metrics with reliable measureable data, and the power of the BSC to drive goals across the division. We successfully developed and implemented a BSC in an AHG as part of a strategic planning initiative. The BSC has been instrumental in allowing us to achieve balanced success in multiple domains. Academic groups should consider employing the BSC as it allows for a data-driven strategic planning and assessment process. Copyright © 2013 Society of Hospital Medicine.

  9. Young adult e-cigarette use outcome expectancies: Validity of a revised scale and a short scale.

    Science.gov (United States)

    Pokhrel, Pallav; Lam, Tony H; Pagano, Ian; Kawamoto, Crissy T; Herzog, Thaddeus A

    2018-03-01

    The revised youth e-cigarette outcome expectancies measure adds new items informed by recent qualitative research with young adult e-cigarette users, especially in the domain of positive "smoking" experience. Positive "smoking" experience represents beliefs that use of e-cigarettes provides outcomes associated with a better "smoking" alternative: for example, an alternative that is more socially approved, more suitable for indoor use, and that provides a safer means of enjoying nicotine. In addition, we tested a short, 8-item version of the measure which may be more easily incorporated into surveys. We tested the validity of the revised measure, both long and short versions, in terms of factor structure and associations of the expectancy factors with current e-cigarette use, e-cigarette use susceptibility, and e-cigarette use dependence. Participants were young adults (N=470; 65% women; mean age=20.9, SD=2.1). Results replicated the findings of the previous study as well as highlighted the importance of the added domain of positive "smoking" experience and the validity of the short scale. Furthermore, results showed that positive outcome expectancies are strongly associated with e-cigarette use dependence. The long and short versions of the revised youth e-cigarette outcome expectancies scale appear to be valid and useful for application not only among cigarette smokers and e-cigarette users but also among never smokers and never e-cigarette users. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Modeling data revisions : Measurement error and dynamics of "true" values

    NARCIS (Netherlands)

    Jacobs, Jan P. A. M.; van Norden, Simon

    Policy makers must base their decisions on preliminary and partially revised data of varying reliability. Realistic modeling of data revisions is required to guide decision makers in their assessment of current and future conditions. This paper provides a new framework with which to model data

  11. 75 FR 81126 - Revisions to Lead Ambient Air Monitoring Requirements

    Science.gov (United States)

    2010-12-27

    ... tons per year of lead is necessary to provide sufficient information about airborne lead levels near... Revisions to Lead Ambient Air Monitoring Requirements AGENCY: Environmental Protection Agency (EPA). ACTION...) that revised the primary and secondary National Ambient Air Quality Standards (NAAQS) for lead and...

  12. Future Climate Analysis

    Energy Technology Data Exchange (ETDEWEB)

    C. G. Cambell

    2004-09-03

    climates resulting in a different future climate analog. Other alternative approaches could include simulation of climate over the 10,000-year period; however, this modeling extrapolation is well beyond the bounds of current scientific practice and would not provide results with better confidence. A corroborative alternative approach may be found in ''Future Climate Analysis-10,000 Years to 1,000,000 Years After Present'' (Sharpe 2003 [DIRS 161591]). The current revision of this report is prepared in accordance with ''Technical Work Plan for: Unsaturated Zone Flow Analysis and Model Report Integration'' (BSC 2004 [DIRS 169654]).

  13. Excellent Aesthetic and Functional Outcome After Fractionated Carbon Dioxide Laser Skin Graft Revision Surgery: Case Report and Review of Laser Skin Graft Revision Techniques.

    Science.gov (United States)

    Ho, Derek; Jagdeo, Jared

    2015-11-01

    Skin grafts are utilized in dermatology to reconstruct a defect secondary to surgery or trauma of the skin. Common indications for skin grafts include surgical removal of cutaneous malignancies, replacement of tissue after burns or lacerations, and hair transplantation in alopecia. Skin grafts may be cosmetically displeasing, functionally limiting, and significantly impact patient's quality-of-life. There is limited published data regarding skin graft revision to enhance aesthetics and function. Here, we present a case demonstrating excellent aesthetic and functional outcome after fractionated carbon dioxide (CO2) laser skin graft revision surgery and review of the medical literature on laser skin graft revision techniques.

  14. Fast-track revision knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik; Otte, Niels Kristian Stahl; Kristensen, Billy B

    2011-01-01

    Abstract Background and purpose Fast-track surgery has reduced the length of hospital stay (LOS), morbidity, and convalescence in primary hip and knee arthroplasty (TKA). We assessed whether patients undergoing revision TKA for non-septic indications might also benefit from fast-track surgery...

  15. Discussion on some issues for HAF003 revision

    International Nuclear Information System (INIS)

    Huang Chaoyun, Wang Xiaotao; Duan Hongwei; Tian Feng

    2013-01-01

    This paper describes some key issues which should be considered during the revision of safety code Quality Assurance for Nuclear Power Plant (HAF003), based on the comparatively analysis and research on the quality assurance practice for nuclear power. It covers about 24 issues including management responsibilities, independent assessment, design control and procurement control etc. and is expected to provide some reference and proposal for HAF003 revision activities organized by National Nuclear Safety Agency (NNSA). (authors)

  16. An interim UK response to revised risk estimates

    International Nuclear Information System (INIS)

    Beaver, P.F.; Bines, W.P.

    1992-01-01

    This paper describes the legal framework in place when the revised risk estimates were announced by the International Commission for Radiological Protection (ICRP) in 1987 and how an addition to that framework enabled the revised risk estimates to be taken into account when making decisions about radiation protection practice both at plant and individual worker level. It is suggested that this a may be an early example of the use of a constraint applied generically. (author)

  17. MITI revises outlooks for energy and power demand

    International Nuclear Information System (INIS)

    Anon.

    1987-01-01

    The Ministry of International Trade and Industry has revised downward its long-term outlook on energy supply and demand, lowering the estimated primary energy demand for fiscal 2000 from 600 million tons in oil equivalent to 540 MTOE, and reducing total power demand for fiscal 2000 from 899.1 billion kWh to 838 billion. In this content, the outlook for installed nuclear capacity has been revised downward from 62,000 MW to 53,500 MW. This revision of the power supply-demand outlook was reported on Oct. 1 to the supply and demand committee (Chairman - Yoshihiko Morozumi, Adviser to Nippon Schlum-berger) of the Electric Utility Industry Council; the energy supply-demand outlook was decided on Oct. 14 by the MITI Supply and Demand Subcommittee of the Advisory Committee for Energy and reported on Oct. 16 to the conference of ministers concerned with energy. (author)

  18. NEEDLE REVISION WITH MITOMYCIN-C IN ENCAPSULATED BLEBS

    Directory of Open Access Journals (Sweden)

    R Zarei

    2008-08-01

    Full Text Available "nThe most common cause of failure during the first trimester after trabeculectomy is encapsulated bleb and needling bleb revision is a less invasive method in the management of refractory cases. The purpose of this study is to determine the efficacy and safety of mitomycin-C (MMC augmented bleb revision of failed filtration surgery. This study is a before-after (paired observation. 33 patients with failed trabeculectomy because of bleb encapsulation, whose intraocular pressure (IOP was not reduced under 21 mmHg despite of medications and digital massage , underwent needling bleb revision and subconjunctival injection of 0.1 ml MMC (0.4 mg/ml.The mean follow-up time was 9.24 ± 5.27 months (1-20 months. Statistical analysis of the data included the paired two-tailed Student's t test for preoperative and postoperative IOP and number of medications. 36 needling procedures (mean, 1.09 ± 0.21 revisions per eye were performed on 33 eyes. Patients were between 10-80 years old (mean, 45.67 ± 22.41 years and mean follow-up was 9.24 ± 5.27 months. IOP decreased from 29.06 ± 5.03 mmHg to 18.21 ± 6.76 mmHg at last follow-up (P= 0.000. Antiglaucoma medications decreased from 2.18 ± 0.58 to 1.36 ± 0.29 at last follow-up (P= 0.000.Overall, 6 (18.2% of 33 cases achieved a complete success and 20 (60.6% of cases achieved a qualified success. The complications of this procedure were subconjunctival hemorrhage (17 cases, hyphema (5 cases and conjunctival button hole (2 cases. Needling bleb revision with mitomycin-C appears to be an effective and relatively safe way to revive failed filtration surgery.

  19. Patterns of functional improvement after revision knee arthroplasty.

    Science.gov (United States)

    Ghomrawi, Hassan M K; Kane, Robert L; Eberly, Lynn E; Bershadsky, Boris; Saleh, Khaled J

    2009-12-01

    Despite the increase in the number of total knee arthroplasty revisions, outcomes of such surgery and their correlates are poorly understood. The aim of this study was to characterize patterns of functional improvement after revision total knee arthroplasty over a two-year period and to investigate factors that affect such improvement patterns. Three hundred and eight patients in need of revision surgery were enrolled into the study, conducted at seventeen centers, and 221 (71.8%) were followed for two years. Short Form-36 (SF-36), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Lower-Extremity Activity Scale (LEAS) scores were collected at baseline and every six months for two years postoperatively. A piecewise general linear mixed model, which models correlation between repeated measures and estimates separate slopes for different follow-up time periods, was employed to examine functional improvement patterns. Separate regression slopes were estimated for the zero to twelve-month and the twelve to twenty-four-month periods. The slopes for zero to twelve months showed significant improvement in all measures in the first year. The slopes for twelve to twenty-four months showed deterioration in the scores of the WOMAC pain subscale (slope = 0.67 +/- 0.21, p coefficient = -5.46 +/- 1.91, p coefficient = 5.41 +/- 2.35, p coefficient = 1.42 +/- 0.69, p < 0.05]). Factors related to the surgical technique did not predict outcomes. The onset of worsening pain and knee-specific function in the second year following revision total knee arthroplasty indicates the need to closely monitor patients, irrespective of the mode of failure of the primary procedure or the surgical technique for the revision. This information may be especially important for patients with multiple comorbidities.

  20. Actitud Hacia las Matematicas: Revision Bibliografica (Attitudes Toward Mathematics: Revised Bibliography). Publication No. 39.

    Science.gov (United States)

    Rodriguez Feijoo, Nelida

    Investigations about attitudes toward mathematics carried out in the past decade were revised. The instruments used to measure attitudes toward mathematics were analysed as well as the attitudes toward different aspects of mathematics, their relation with other school subjects and their stability through time. Opinions about the influence of…

  1. Extensively coated revision stems in proximally deficient femur: Early results in 15 patients

    Directory of Open Access Journals (Sweden)

    Marya SKS

    2008-01-01

    Full Text Available Background: Hip replacement following failed internal fixation (dynamic hip screw for intertrochanteric fractures or previous hip arthroplasty presents a major surgical challenge. Proximal fitting revision stems do not achieve adequate fixation. Distal fixation with long-stemmed extensively coated cementless implants (like the Solution™ system affords a suitable solution. We present our early results of 15 patients treated with extensively coated cementless revision stems. Materials and Methods: Fifteen patients with severely compromised proximal femora following either failed hip arthroplasty or failed internal fixation (dynamic hip screw fixation for intertrochanteric fractures were operated by the senior author over a two-year period. Eight patients had aseptic loosening of their femoral stems following cemented hip replacements, with severe thinning of their proximal cortices and impending stress fractures. Seven had secondary hip arthritis following failure of long implants for comminuted intertrochanteric or subtrochanteric femoral fractures. All patients were treated by removal of implant (cemented stems/DHS implants and insertion of long-stemmed extensively coated cementless revision (′ Solution™; DePuy, Warsaw (IN, US′ stems along with press-fit acetabular component (Duraloc Cup, DePuy, Warsaw (IN, US. All eight hip revisions needed extended trochanteric osteotomies. Results: All patients were primarily kept in bed on physiotherapy for six weeks and then gradually progressed to weight-bearing walking over the next six to eight weeks. The Harris Hip Scores and patient satisfaction were used for final evaluation. We achieved good results in the short term studied. In our first three patients (all following failed cemented total hip replacements, we resorted to cerclage wiring to hold osteotomised segments (done to facilitate stem removal. The subsequent 12 proceeded without the need for cerclage wiring. One patient had a

  2. Do Writers Really Revise? Encouraging Unnatural Acts in Your Classroom.

    Science.gov (United States)

    Balajthy, Ernest

    Unless students have an appropriate attitude toward revision--the keystone of the writing process--teachers who institute writing process approaches face frustration and failure. Implementing the following suggestions may help increase revision in the classroom. First, while the mature writing process is not strictly linear, students developing…

  3. A revision of the Pliocene and Quaternary Lutrinae from Europe

    NARCIS (Netherlands)

    Willemsen, G.F.

    1992-01-01

    In this paper, a revision of the Pliocene and Quaternary Lutrinae from Europe is presented. Such a revision, including fossil material, has not been published since the work of Pohle (1919). Three tribes within the Lutrinae are recognized: the Lutrini, the Aonyxini and the Enhydrini. The latter

  4. Habitat stress initiates changes in composition, CO2 gas exchange and C-allocation as life traits in biological soil crusts.

    Science.gov (United States)

    Colesie, Claudia; Green, T G Allan; Haferkamp, Ilka; Büdel, Burkhard

    2014-10-01

    Biological soil crusts (BSC) are the dominant functional vegetation unit in some of the harshest habitats in the world. We assessed BSC response to stress through changes in biotic composition, CO2 gas exchange and carbon allocation in three lichen-dominated BSC from habitats with different stress levels, two more extreme sites in Antarctica and one moderate site in Germany. Maximal net photosynthesis (NP) was identical, whereas the water content to achieve maximal NP was substantially lower in the Antarctic sites, this apparently being achieved by changes in biomass allocation. Optimal NP temperatures reflected local climate. The Antarctic BSC allocated fixed carbon (tracked using (14)CO2) mostly to the alcohol soluble pool (low-molecular weight sugars, sugar alcohols), which has an important role in desiccation and freezing resistance and antioxidant protection. In contrast, BSC at the moderate site showed greater carbon allocation into the polysaccharide pool, indicating a tendency towards growth. The results indicate that the BSC of the more stressed Antarctic sites emphasise survival rather than growth. Changes in BSC are adaptive and at multiple levels and we identify benefits and risks attached to changing life traits, as well as describing the ecophysiological mechanisms that underlie them.

  5. Questions and answers based on revised 10 CFR Part 20

    International Nuclear Information System (INIS)

    Borges, T.; Stafford, R.S.; Lu, P.Y.; Carter, D.

    1994-05-01

    NUREG/CR-6204 is a collection of questions and answers that were originally issued in seven sets and which pertain to revised 10 CFR Part 20. The questions came from both outside and within the NRC. The answers were compiled and provided by NRC staff within the offices of Nuclear Reactor Regulation, Nuclear Material Safety and Safeguards, Nuclear Regulatory Research, the Office of State Programs, and the five regional offices. Although all of the questions and answers have been reviewed by attorneys in the NRC Office of the General Counsel, they do not constitute official legal interpretations relevant to revised 10 CFR Part 20. The questions and answers do, however, reflect NRC staff decisions and technical options on aspects of the revised 10 CFR Part 20 regulatory requirements. This NUREG is being made available to encourage communication among the public, industry, and NRC staff concerning the major revisions of the NRC's standards for protection against radiation

  6. Infant behaviour questionnaire - revised version: a psychometric study in a Portuguese sample.

    Science.gov (United States)

    Costa, Raquel; Figueiredo, Bárbara

    2018-04-01

    Although the original characteristics of temperament tend to remain constant over the course of development, environmental circumstances may influence infants' reactions and behaviour. Parents' reports of infant temperament are rich informants of infant behaviours in different contexts. This study aimed to examine the psychometric properties of the Portuguese version of the Infant Behaviour Questionnaire - Revised (IBQ-R) and test the adequacy of the original and other previously published structures to the Portuguese data. 330 mothers and 81 fathers of children aged between 3 and 12 months completed the Portuguese version of the IBQ-R. The confirmatory factorial analysis revealed a non-adequate model fit of the IBQ-R original structure to the Portuguese data; nonetheless, it did reveal an adequate model fit of a previous published IBQ-R structure. This structure, although only slightly different from the original one, seems to be more suitable for the Portuguese data. This study provides data that indicates that the IBQ-R is a reliable questionnaire to evaluate infant temperament in the Portuguese culture.

  7. Learning to perceive and recognize a second language: the L2LP model revised.

    Science.gov (United States)

    van Leussen, Jan-Willem; Escudero, Paola

    2015-01-01

    We present a test of a revised version of the Second Language Linguistic Perception (L2LP) model, a computational model of the acquisition of second language (L2) speech perception and recognition. The model draws on phonetic, phonological, and psycholinguistic constructs to explain a number of L2 learning scenarios. However, a recent computational implementation failed to validate a theoretical proposal for a learning scenario where the L2 has less phonemic categories than the native language (L1) along a given acoustic continuum. According to the L2LP, learners faced with this learning scenario must not only shift their old L1 phoneme boundaries but also reduce the number of categories employed in perception. Our proposed revision to L2LP successfully accounts for this updating in the number of perceptual categories as a process driven by the meaning of lexical items, rather than by the learners' awareness of the number and type of phonemes that are relevant in their new language, as the previous version of L2LP assumed. Results of our simulations show that meaning-driven learning correctly predicts the developmental path of L2 phoneme perception seen in empirical studies. Additionally, and to contribute to a long-standing debate in psycholinguistics, we test two versions of the model, with the stages of phonemic perception and lexical recognition being either sequential or interactive. Both versions succeed in learning to recognize minimal pairs in the new L2, but make diverging predictions on learners' resulting phonological representations. In sum, the proposed revision to the L2LP model contributes to our understanding of L2 acquisition, with implications for speech processing in general.

  8. Developing a balanced scorecard with System Dynamics

    NARCIS (Netherlands)

    Akkermans, H.A.; Oorschot, van K.E.

    2002-01-01

    The Balanced Scorecard (BSC) is a popular concept for performance measurement, because it focuses attention of management on just a few measures and bridges different functional areas (both financial and non-financial measures are included in the BSC). But, the BSC has also received some criticism.

  9. Revision for prosthetic joint infection following hip arthroplasty: Evidence from the National Joint Registry.

    Science.gov (United States)

    Lenguerrand, E; Whitehouse, M R; Beswick, A D; Jones, S A; Porter, M L; Blom, A W

    2017-06-01

    We used the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man (NJR) to investigate the risk of revision due to prosthetic joint infection (PJI) for patients undergoing primary and revision hip arthroplasty, the changes in risk over time, and the overall burden created by PJI. We analysed revision total hip arthroplasties (THAs) performed due to a diagnosis of PJI and the linked index procedures recorded in the NJR between 2003 and 2014. The cohort analysed consisted of 623 253 index primary hip arthroplasties, 63 222 index revision hip arthroplasties and 7585 revision THAs performed due to a diagnosis of PJI. The prevalence, cumulative incidence functions and the burden of PJI (total procedures) were calculated. Overall linear trends were investigated with log-linear regression. We demonstrated a prevalence of revision THA due to prosthetic joint infection of 0.4/100 procedures following primary and 1.6/100 procedures following revision hip arthroplasty. The prevalence of revision due to PJI in the three months following primary hip arthroplasty has risen 2.3-fold (95% confidence interval (CI) 1.3 to 4.1) between 2005 and 2013, and 3.0-fold (95% CI 1.1 to 8.5) following revision hip arthroplasty. Over 1000 procedures are performed annually as a consequence of hip PJI, an increase of 2.6-fold between 2005 and 2013. Although the risk of revision due to PJI following hip arthroplasty is low, it is rising and, coupled with the established and further predicted increased incidence of both primary and revision hip arthroplasty, this represents a growing and substantial treatment burden. Cite this article : E. Lenguerrand, M. R. Whitehouse, A. D. Beswick, S. A. Jones, M. L. Porter, A. W. Blom. Revision for prosthetic joint infection following hip arthroplasty: Evidence from the National Joint Registry. Bone Joint Res 2017;6:391-398. DOI: 10.1302/2046-3758.66.BJR-2017-0003.R1. © 2017 Lenguerrand et al.

  10. Strategi Mengatasi Common Measures Bias dalam Balanced Scorecard

    Directory of Open Access Journals (Sweden)

    Sekar Akrom Faradiza

    2016-06-01

    Balanced Scorecard (BSC is a comprehensive performance measurement. BSC is not only used financial indicators but also non financial indicators there are customer, internal process business and learning and growth perspective. By using BSC, evaluators have common and unique measures. When evaluate manager performance, evaluator tends to only use common measures and ignore unique measures. This is called common measures bias. This study aims to investigate whether dissaggregated and aggregated BSC and management communication can overcome common measures bias and intent to BSC approach. This study also will evaluate whether these approach will affect evaluator decision when allocated compensation. We conduct 2x2x2 experiment of undergraduate accounting students. Participant act as a senior manager and evaluate the performance of two divisions and then allocated the bonus. ANOVA repeated measurement are used to conduct hypothesis test. The results showed that dissaggregated BSC and management communication could not overcome common measures bias but effected  management decision when allocated compensation.

  11. Designing Automated Guidance to Promote Productive Revision of Science Explanations

    Science.gov (United States)

    Tansomboon, Charissa; Gerard, Libby F.; Vitale, Jonathan M.; Linn, Marcia C.

    2017-01-01

    Supporting students to revise their written explanations in science can help students to integrate disparate ideas and develop a coherent, generative account of complex scientific topics. Using natural language processing to analyze student written work, we compare forms of automated guidance designed to motivate productive revision and help…

  12. Fixation of revision implants is improved by a surgical technique to crack the sclerotic bone rim.

    Science.gov (United States)

    Kold, Søren; Bechtold, Joan E; Mouzin, Olivier; Elmengaard, Brian; Chen, Xinqian; Søballe, Kjeld

    2005-03-01

    Revision joint replacement has poorer outcomes compared with primary joint replacement, and these poor outcomes have been associated with poorer fixation. We investigated a surgical technique done during the revision operation to improve access from the marrow space to the implant interface by locally cracking the sclerotic bone rim that forms during aseptic loosening. Sixteen implants were inserted bilaterally by distal femur articulation of the knee joint of eight dogs, using our controlled experimental model that replicates the revision setting (sclerotic bone rim, dense fibrous tissue, macrophages, elevated cytokines) by pistoning a loaded 6.0-mm implant 500 microm into the distal femur with particulate PE. At 8 weeks, one of two revision procedures was done. Both revision procedures included complete removal of the membrane, scraping, lavaging, and inserting a revision plasma-spray Ti implant. The crack revision procedure also used a splined tool to circumferentially locally perforate the sclerotic bone rim before insertion of an identical revision implant. Superior fixation was achieved with the cracking procedure in this experimental model. Revision implants inserted with the rim cracking procedure had a significantly higher pushout strength (fivefold median increase) and energy to failure (sixfold median increase), compared with the control revision procedure. Additional evaluation is needed of local perforation of sclerotic bone rim as a simple bone-sparing means to improve revision implant fixation and thereby increase revision implant longevity.

  13. Long-term Follow-up of Revision Osteochondral Allograft Transplantation of the Ankle.

    Science.gov (United States)

    Gaul, Florian; Tírico, Luís E P; McCauley, Julie C; Bugbee, William D

    2018-05-01

    Osteochondral allograft (OCA) transplantation is a useful alternative for treatment of posttraumatic ankle arthritis in young patients but has a relatively high failure rate and further procedures are often required. The purpose of this study was to evaluate outcomes of patients who underwent revision OCA transplantation of the ankle after failed primary OCA transplantation. Twenty patients underwent revision OCA transplantation of the ankle between 1988 and 2015. Mean age was 44 years, 55% (11 of 20) were female. The mean time from primary to revision OCA was 3.0 ± 1.7 years. All patients had a minimum follow-up of 2 years. Outcomes included the American Academy of Orthopaedic Surgeons Foot and Ankle Module (AAOS-FAM) and questionnaires evaluating pain and satisfaction. Failure of the revision OCA was defined as a conversion to arthroplasty, arthrodesis, or amputation. Ten of 20 ankles required further surgery, of which 30% (6 of 20) were considered OCA revision failures (4 arthrodeses, 1 arthroplasty, and 1 amputation). The mean time to failure was 6.7 (range, 0.6-13.1) years. Survivorship of the revision OCA was 84% at 5 years and 65% at 10 years. The 14 patients with grafts remaining in situ had an average follow-up of 10.3 years; mean AAOS-FAM Core Score was 70.5 (range, 42.3-99). Of the patients who answered the follow-up questions, 4 of 7 reported moderate to severe pain, and 5 of 12 were satisfied with the results of the procedure. Although the results of revision ankle OCA transplantation are not inferior to primary OCA transplantation, the high rates of persistent pain, further surgery, and graft failure suggest that the indications for OCA as a revision procedure should be carefully evaluated, with proper patient selection. Considering the treatment alternatives, revising a failed OCA transplantation can be a useful treatment option, especially for young and active patients who wish to avoid arthrodesis or arthroplasty. Level IV, case series.

  14. The effects of anticholinergic drugs on regional cerebral blood flow, and oxygen metabolism in previously untreated patients with Parkinson`s disease

    Energy Technology Data Exchange (ETDEWEB)

    Obara, Satoko; Takahashi, Satoshi; Yonezawa, Hisashi; Sato, Yoshitomo [Iwate Medical Univ., Morioka (Japan). School of Medicine

    1998-12-01

    Regional cerebral blood flow (rCBF) and oxygen metabolism (rCMRO{sub 2}) were measured using the steady-state {sup 15}O technique and positron emission tomography (PET) in six previously untreated patients with Parkinson`s disease before and after trihexyphenidyl (THP) treatment. The patients comprised of 4 men and 2 women with Hoehn-Yahr stage II-III. Their ages at the onset of the study ranged from 46 to 57 years (mean{+-}SD, 51.8{+-}3.7) and the duration of the illness ranged from 10 to 48 months (mean{+-}SD, 28.8{+-}15.5). The PET study, assessments of the disability and cognitive function were undergone twice. The first time assessments were done was when the patients were not receiving any drugs, and the second time was one to three months after administration of 6 mg THP. All patients showed clinical improvement after THP treatment. The mean disability score of Unified Parkinson`s Disease Rating Scale decreased from 35.1 (SD{+-}11.3) to 25.7 (SD{+-}11.6). The cognitive function assessed by Hasegawa`s dementia rating scale-revised, Mini-Mental State Examination, Wechsler Adult Intelligence Scale-Revised, and Wechsler Memory Scale-Revised, were not significantly different before and after the THP treatment. After the THP treatment, rCBF and rCMRO{sub 2} decreased significantly in the striatum (about 15%) and all cerebral cortices (about 10%) on both sides contralateral and ipsilateral to the predominantly symptomatic limbs. We conclude that an anticholinergic THP decreases the rCBF and rCMRO{sub 2} significantly in the cerebral cortices without cognitive impairment in early untreated patients with Parkinson`s disease. (author)

  15. Maximising safety in the boiler house.

    Science.gov (United States)

    Derry, Carr

    2013-03-01

    Last month's HEJ featured an article, the second in our new series of guidance pieces aimed principally at Technician-level engineers, highlighting some of the key steps that boiler operators can take to maximise system performance and efficiency, and thus reduce running both costs and carbon footprint. In the third such article, Derry Carr, C.Env, I.Eng, BSc (Hons), M.I.Plant.E., M.S.O.E., technical manager & group gas manager at Dalkia, who is vice-chairman of the Combustion Engineering Association, examines the key regulatory and safety obligations for hospital energy managers and boiler technicians, a number of which have seen changes in recent years with revision to guidance and other documentation.

  16. Midterm Clinical and Radiographic Results of Mobile-Bearing Revision Total Knee Arthroplasty.

    Science.gov (United States)

    Kim, Raymond H; Martin, J Ryan; Dennis, Douglas A; Yang, Charlie C; Jennings, Jason M; Lee, Gwo-Chin

    2017-06-01

    Constrained implants are frequently required in revision total knee arthroplasty (TKA) and are associated with an increase in aseptic component loosening and damage or wear to the constraining mechanisms, compared with primary TKA. The purpose of the following study was to evaluate the midterm clinical and radiographic results including the incidence of bearing complications in a group of patients undergoing revision TKA using mobile-bearing revision TKA implants. We retrospectively reviewed 316 consecutive mobile-bearing revision TKAs performed at 2 centers between 2006 and 2010. There were 183 women and 133 men with a mean age of 66 years. The patients were evaluated clinically using the Knee Society scores. A radiographic analysis was performed. Bearing specific complications (ie, instability or dislocation) were recorded. Patients were followed-up for a minimum of 24 months and a median of 59.88 months (range 24-121.2). The average Knee Society knee score and function scores increased from 40.8 and 47.9 points preoperatively to 80 points and 70.3 points, respectively (P bearing complications were observed. Revision TKA using mobile-bearing revision components demonstrated favorable midterm clinical and radiographic results with no occurrence of bearing instability or dislocation. Longer follow-up is required to evaluate for potential advantages of mobile-bearings over fixed-bearing revision components in terms of polyethylene wear reduction, reduced stress transmission across fixation interfaces, and reduced stress on the polyethylene post. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. CZCSL3BSC

    Data.gov (United States)

    National Aeronautics and Space Administration — The Coastal Zone Color Scanner Experiment (CZCS) was the first instrument devoted to the measurement of ocean color and flown on a spacecraft. Although other...

  18. Is Peer Review Training Effective in Iranian EFL Students' Revision?

    Science.gov (United States)

    Esmaeeli, Hadiseh; Abasi, Maasumeh; Soori, Afshin

    2014-01-01

    This study aims to investigate the effect of peer review training on the Iranian EFL students' subsequent revision in an advanced writing class in Larestan Islamic Azad University. After 12 weeks class demonstration, teacher-reviewer conferences with 20 male and female students, the students' first drafts, revisions, and reviewers' comments were…

  19. The Arundel Assumption And Revision Of Some Large-Scale Maps ...

    African Journals Online (AJOL)

    The rather common practice of stating or using the Arundel Assumption without reference to appropriate mapping standards (except mention of its use for graphical plotting) is a major cause of inaccuracies in map revision. This paper describes an investigation to ascertain the applicability of the Assumption to the revision of ...

  20. Revised Accounting for Business Combinations

    Science.gov (United States)

    Wilson, Arlette C.; Key, Kimberly

    2008-01-01

    The Financial Accounting Standards Board (FASB) has recently issued Statement of Financial Accounting Standards No. 141 (Revised 2007) Business Combinations. The object of this Statement is to improve the relevance, representational faithfulness, and comparability of reported information about a business combination and its effects. This Statement…

  1. A dynamic balanced scorecard for identification internal process factor

    Directory of Open Access Journals (Sweden)

    Javad sofiyabadi

    2012-08-01

    Full Text Available We present a dynamic balanced score card (BSC to investigate the strategic internal process management factors. The proposed dynamic BSC emphasizes on internal processes aspect, and using VIKOR and Shannon Entropy, determinants the internal processes, process management and improvement and all important factors are ranked. The current study first introduces dynamic BSC and examines effective factors on the process. The proposed model focuses on internal processes perspective of BSC and determines importance degree of each factor is used using VIKOR decision-making techniques.

  2. Revision of Krsko NPP Quality Assurance Plan

    International Nuclear Information System (INIS)

    Biscan, R.; Fifnja, I.; Kavsek, D.

    2012-01-01

    International standards from nuclear power plant operation area are being frequently upgraded and revised in accordance with the continuous improvement philosophy. This philosophy applies also to the area of Quality Assurance, which has also undergone significant improvement since the early 1950s. Besides just nuclear industry, there are also other international quality standards that are being continuously developed and revised, bringing needs for upgrades also in the nuclear application. Since the beginning of Krsko NPP construction, the overall Quality Assurance program and its applicable procedures were in place to assure that all planned and systematic actions necessary to provide adequate confidence that an item or service will satisfy given requirements to quality, are in place. The overall requirements for quality as one of the major objectives for Krsko NPP operation are also set forth in the Updated Safety Analyses Report, the document that serves as a base for operating license. During more than 30 years of Krsko NPP operation, the quality requirements and related documents were revised and upgraded in several attempts. The latest revision 6 of QD-1, Quality Assurance Plan was issued during the year 2011. The bases for the revision were: Changes of the Slovenian regulatory requirements (ZVISJV, JV5, JV9?), Changes of Krsko NPP licensing documents (USAR section 13?), SNSA inspection requirements, Changes of international standards (IAEA, ISO?), Conclusions of first PSR, Implementation of ISO standards in Krsko NPP (ISO14001, ISO17025), Changes of plant procedures, etc. One of the most obvious changes was the enlargement of the QA Plan scope to cover interdisciplinary areas defined in the plant management program MD-1, such as Safety culture, Self-assessment, Human performance, Industrial Safety etc. The attachment of the QA Plan defining relationships between certain standards was also updated to provide matrix for better correlation of requirements of

  3. Revision open Bankart surgery after arthroscopic repair for traumatic anterior shoulder instability.

    Science.gov (United States)

    Cho, Nam Su; Yi, Jin Woong; Lee, Bong Gun; Rhee, Yong Girl

    2009-11-01

    Only a few studies have provided homogeneous analysis of open revision surgery after a failed arthroscopic Bankart procedure. Open Bankart revision surgery will be effective in a failed arthroscopic anterior stabilization but inevitably results in a loss of range of motion, especially external rotation. Case series; Level of evidence, 4. Twenty-six shoulders that went through traditional open Bankart repair as revision surgery after a failed arthroscopic Bankart procedure for traumatic anterior shoulder instability were enrolled for this study. The mean patient age at the time of revision surgery was 24 years (range, 16-38 years), and the mean duration of follow-up was 42 months (range, 25-97 months). The preoperative mean range of motion was 173 degrees in forward flexion and 65 degrees in external rotation at the side. After revision surgery, the ranges measured 164 degrees and 55 degrees, respectively (P = .024 and .012, respectively). At the last follow-up, the mean Rowe score was 81 points, with 88.5% of the patients reporting good or excellent results. After revision surgery, redislocation developed in 3 shoulders (11.5%), all of which had an engaging Hill-Sachs lesion and associated hyperlaxity (2+ or greater laxity on the sulcus sign). Open revision Bankart surgery for a failed arthroscopic Bankart repair can provide a satisfactory outcome, including a low recurrence rate and reliable functional return. In open revision Bankart surgery after failed stabilization for traumatic anterior shoulder instability, the surgeon should keep in mind the possibility of a postoperative loss of range of motion and a thorough examination for not only a Bankart lesion but also other associated lesions, including a bone defect or hyperlaxity, to lower the risk of redislocation.

  4. Revision Vodcast Influence on Assessment Scores and Study Processes in Secondary Physics

    Science.gov (United States)

    Marencik, Joseph J.

    A quasi-experimental switching replications design with matched participants was employed to determine the influence of revision vodcasts, or video podcasts, on students' assessment scores and study processes in secondary physics. This study satisfied a need for quantitative results in the area of vodcast influence on students' learning processes. Thirty-eight physics students in an urban Ohio public high school participated in the study. The students in one Physics class were paired with students in another Physics class through the matching characteristics of current student cumulative test score mean and baseline study process as measured by the Study Process Questionnaire (SPQ). Students in both classes were given identical pedagogic treatment and access to traditional revision tools except for the supplemental revision vodcasts given to the experimental group. After students in the experimental group viewed the revision vodcast for a particular topic, the assessment scores of the students in the experimental group were compared to the assessment scores of the control group through the direct-difference, D, test to determine any difference between the assessment score means of each group. The SPQ was given at the beginning of the experiment and after each physics assessment. The direct-difference method was again used to determine any difference between the SPQ deep approach scores of each group. The SPQ was also used to determine any correlative effects between study process and revision vodcast use on students' assessment scores through descriptive statistics and an analysis of variance (ANOVA) test. Analysis indicated that revision vodcast use significantly increased students' assessment scores (p.05). There were no significant correlative effects of revision vodcast use and study processes on students' assessment scores (p>.05). This study offers educators the empirical support to devote the necessary effort, time, and resources into developing successful

  5. Preliminary Study on the Revision of Nuclear Safety Policy Statement

    International Nuclear Information System (INIS)

    Lee, Y. E.; Lee, S. H.; Chang, H. S.; Choi, K. S.; Jung, S. J.

    2011-01-01

    Nuclear safety policy in Korea is currently declared in the Nuclear Safety Charter as the highest tier document and safety principles and directions are announced in the Nuclear Safety Policy Statement. As the circumstances affecting on the nuclear safety policy change, it needs to revise the Statement. This study aims to develop the revised Nuclear Safety Policy Statement to declare that securing safety is a prerequisite to the utilization of nuclear energy, and that all workers in nuclear industry and regulatory body must adhere to the principle of priority to safety. As a result, two different types of revision are being prepared as of August. One is based on the spirit of Nuclear Safety Charter as well as the direction of future-oriented safety policies including the changes in the environment after declaration of the Statement. The other is to declare the fundamental safety objective and safety principles as the top philosophy of national nuclear safety policy by adopting the '10 Safety Principles in IAEA Safety Fundamental' instead of the current Charter. Both versions of revision are subject to further in-depth discussion. However once the revision is finalized and declared, it would be useful to accomplish effectively the organizational responsibilities and to enhance the public confidence in nuclear safety by performing the regulatory activities in a planned and systematic manner and promulgating the government's dedication to priority to safety

  6. A revised root for the human Y chromosomal phylogenetic tree: the origin of patrilineal diversity in Africa.

    Science.gov (United States)

    Cruciani, Fulvio; Trombetta, Beniamino; Massaia, Andrea; Destro-Bisol, Giovanni; Sellitto, Daniele; Scozzari, Rosaria

    2011-06-10

    To shed light on the structure of the basal backbone of the human Y chromosome phylogeny, we sequenced about 200 kb of the male-specific region of the human Y chromosome (MSY) from each of seven Y chromosomes belonging to clades A1, A2, A3, and BT. We detected 146 biallelic variant sites through this analysis. We used these variants to construct a patrilineal tree, without taking into account any previously reported information regarding the phylogenetic relationships among the seven Y chromosomes here analyzed. There are several key changes at the basal nodes as compared with the most recent reference Y chromosome tree. A different position of the root was determined, with important implications for the origin of human Y chromosome diversity. An estimate of 142 KY was obtained for the coalescence time of the revised MSY tree, which is earlier than that obtained in previous studies and easier to reconcile with plausible scenarios of modern human origin. The number of deep branchings leading to African-specific clades has doubled, further strengthening the MSY-based evidence for a modern human origin in the African continent. An analysis of 2204 African DNA samples showed that the deepest clades of the revised MSY phylogeny are currently found in central and northwest Africa, opening new perspectives on early human presence in the continent. Copyright © 2011 The American Society of Human Genetics. Published by Elsevier Inc. All rights reserved.

  7. 77 FR 47302 - South Dakota: Final Authorization of State Hazardous Waste Management Program Revisions

    Science.gov (United States)

    2012-08-08

    ...: Final Authorization of State Hazardous Waste Management Program Revisions AGENCY: Environmental... EPA proposed to authorize South Dakota's State Hazardous waste management Program revisions published... to the hazardous waste program revisions submitted by South Dakota. The Agency published a Proposed...

  8. 33 CFR 385.33 - Revisions to models and analytical tools.

    Science.gov (United States)

    2010-07-01

    ... on a case-by-case basis what documentation is appropriate for revisions to models and analytic tools... analytical tools. 385.33 Section 385.33 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE... Incorporating New Information Into the Plan § 385.33 Revisions to models and analytical tools. (a) In carrying...

  9. PWR secondary water chemistry guidelines: Revision 3

    International Nuclear Information System (INIS)

    Lurie, S.; Bucci, G.; Johnson, L.; King, M.; Lamanna, L.; Morgan, E.; Bates, J.; Burns, R.; Eaker, R.; Ward, G.; Linnenbom, V.; Millet, P.; Paine, J.P.; Wood, C.J.; Gatten, T.; Meatheany, D.; Seager, J.; Thompson, R.; Brobst, G.; Connor, W.; Lewis, G.; Shirmer, R.; Gillen, J.; Kerns, M.; Jones, V.; Lappegaard, S.; Sawochka, S.; Smith, F.; Spires, D.; Pagan, S.; Gardner, J.; Polidoroff, T.; Lambert, S.; Dahl, B.; Hundley, F.; Miller, B.; Andersson, P.; Briden, D.; Fellers, B.; Harvey, S.; Polchow, J.; Rootham, M.; Fredrichs, T.; Flint, W.

    1993-05-01

    An effective, state-of-the art secondary water chemistry control program is essential to maximize the availability and operating life of major PWR components. Furthermore, the costs related to maintaining secondary water chemistry will likely be less than the repair or replacement of steam generators or large turbine rotors, with resulting outages taken into account. The revised PWR secondary water chemistry guidelines in this report represent the latest field and laboratory data on steam generator corrosion phenomena. This document supersedes Interim PWR Secondary Water Chemistry Recommendations for IGA/SCC Control (EPRI report TR-101230) as well as PWR Secondary Water Chemistry Guidelines--Revision 2 (NP-6239)

  10. Reanalysis and revision of the complete mitochondrial genome of Rachycentron canadum (Teleostei, Perciformes, Rachycentridae).

    Science.gov (United States)

    Musika, Jidapa; Khongchatee, Adison; Phinchongsakuldit, Jaros

    2014-08-01

    The complete mitochondrial genome of cobia, Rachycentron canadum, was reanalyzed and revised. The genome is 18,008 bp in length, containing 13 protein-coding genes, 2 ribosomal RNA (rRNA) genes, 22 transfer RNA (tRNA) genes, and a control region or displacement loop (D-loop). The gene arrangement is identical to that observed in most vertebrates. Base composition on the heavy strand is 30.14% A, 25.22% C, 15.80% G and 28.84% T. The D-loop region exhibits an A + T rich pattern, containing short tandem repeats of TATATACATGG, TATATGCACAA and TATATGCACGG. The mitochondrial genome studied differs from the previously published genome in two segments; the control region to 12S and ND5 to tRNA(Glu). The 12S sequence also differs from those published in the databases. Phylogeny analyses revealed that the differences could be due to errors in sequence assembly and/or sample misidentification of the previous studies.

  11. Programme for the Environmental Control at the Swedish Nuclear Facilities, Revision

    International Nuclear Information System (INIS)

    Linden, Ann-Marie

    2004-12-01

    This report contains a revised version of the Environmental Monitoring Programme for the Swedish Nuclear Facilities. The revision is based on earlier experiences and evaluations. Some samples have been excluded. Some have been added, for example spruce cone and the food products apple and currant. The sediment samples of 2 cm length have been completed with samples of 10 cm length every fourth year to follow the migration of radio nuclides down the sediment layers over time. The revised Environmental Monitoring Programme is valid from the 1st of January 2005

  12. Alignment of University Information Technology Resources with the Malcolm Baldrige Results Criteria for Performance Excellence in Education: A Balanced Scorecard Approach

    Science.gov (United States)

    Beard, Deborah F.; Humphrey, Roberta L.

    2014-01-01

    The authors suggest using a balanced scorecard (BSC) approach to evaluate information technology (IT) resources in higher education institutions. The BSC approach illustrated is based on the performance criteria of the Malcolm Baldrige National Quality Award in Education. This article suggests areas of potential impact of IT on BSC measures in…

  13. A revision of the Chinese Gasteruptiidae (Hymenoptera, Evanioidea

    Directory of Open Access Journals (Sweden)

    Zhao Kexin

    2012-11-01

    Full Text Available The Chinese fauna of the family Gasteruptiidae is revised, keyed and fully illustrated for the first time. Only one genus of this family, Gasteruption Latreille, 1796, is recorded from China. In total 28 valid species of the genus Gasteruption are recognized. Six species are new to science (Gasteruption angulatum sp. n., G. assectoides sp. n., G. coloratum sp. n., G. latitibia sp. n., G. sinepunctatum sp. n. and G. strigosum sp. n. and eight species are reported new for China (G. bimaculatum Pasteels, 1958, G. birmanense Pasteels, 1958, G. dimidiatum Semenov, 1892, G. formilis Alekseev, 1995, G. subhamatum Pasteels, 1958, G. tonkinense Pasteels, 1958, G. tournieri Schletterer, 1885, G. transversiceps Pasteels, 1958. Three new synonyms are proposed: G. curiosum Pasteels, 1958, of G. amoyense Pasteels, 1958; G. sinense var. minus Kieffer, 1924, with G. japonicum Cameron, 1888, and G. sinense Kieffer, 1924, of G. sinarum Kieffer, 1911. Lectotypes are designated for Gasteruption corniculigerum Enderlein, 1913, G. sinense Kieffer, 1924, and G. transversiceps Pasteels, 1958. Gasteruption bihamatum Kieffer, 1911, previously reported from South China, is a South American species.

  14. Structural revision of some recently published iridoid glucosides.

    Science.gov (United States)

    Jensen, Søren R; Caliş, Ihsan; Gotfredsen, Charlotte H; Søtofte, Inger

    2007-01-01

    The structures of six different iridoid glucosides have been revised. Three compounds isolated from Eremostachys glabra and designated 6,9-epi-8-O-acetylshanziside (1), 5,9-epi-penstemoside (2), and 5,9-epi-7,8-didehydropenstemoside (3) have been shown to be identical to the known iridoids barlerin (4, 8-O-acetylshanziside), penstemoside (5), and 7,8-didehydropenstemoside (6), respectively. Another compound named harpagoside-B, isolated from Scrophularia deserti and proposed to be 9-epi-6-O-methylharpagoside (11), was demonstrated from the spectroscopic data given to be the known harpagoside (10b). Finally, two alleged iridoid galactosides from Buddleja crispa named buddlejosides A and B (12a and 12b) have been shown to be the corresponding glucosides; the former is identical to agnuside (13a), while the latter is 3,4-dihydroxybenzoylaucubin (13b), an iridoid glucoside not previously published. This clearly showed that care should be taken with the interpretation of NOEs involving bridgehead protons in iridoid structures because they can be capricious and lead to erroneous structural assignments.

  15. How Adults Learn. Revised Edition.

    Science.gov (United States)

    Kidd, J. R.

    The book's emphasis is on learning during the years of adulthood and examines present-day practice of adult education for practitioners. This revised edition brings up to date advances in such areas of learning as controversial theory; the effects of environment; sensory processes; intellectual capacities; motivation and attitude; transactional…

  16. Software de balanced scorecard: proposta de um roteiro de implantação Balanced scorecard software: proposal of a guideline implementation

    Directory of Open Access Journals (Sweden)

    Oswaldo Keiji Hikage

    2006-04-01

    Full Text Available Em 1992, o conceito de Balanced Scorecard (BSC foi apresentado por Robert Kaplan e David Norton e em razão de sua disseminação muitas empresas que o adotaram e passaram por processos de fusões e aquisições tiveram suas informações aumentadas consideravelmente em seus bancos de dados. Esta série de informações e a necessidade de gerenciar com eficiência os indicadores estratégicos, de disponibilizar rapidamente relatórios gerenciais, analisar e simular cenários levaram as empresas a buscar um sistema automatizado. Dessa forma, algumas preocupações passaram a ter importância: como selecionar um software de BSC? Como implantar um software de BSC? Além das dificuldades inerentes à aquisição de qualquer software, a situação especificamente tratada neste artigo apresenta algumas peculiaridades, diante da intensa interação entre a sistemática do BSC e os softwares que o suportam. Este artigo, por meio de um estudo de caso realizado em uma empresa do setor de telecomunicações, enfoca a implantação de um software de BSC, visando ao desenvolvimento de um roteiro que possa sistematizar o processo.Since 1992, when Robert Kaplan and David Norton developed the concepts of Balanced Scorecard (BSC, many companies that adopted these concepts and survived in a higher competitive environment charicterized of high number of mergers, purchases and shutdowns increased the volume of information in their database. So, in consequence of the adoption of BSC, there is the needed for implementing a computerized control system, due to the work with the BSC and the management of a great volume of information. In this context, when the companies decide to implement a BSC software, they faced two problems: how to choose the BSC software? How to implement the selected software? This study proposes to develop a guideline for the BSC software introduction based on a case study in a telecommunication company and the experience from the practice on

  17. Techniques and evaluation from a cross-platform imaging comparison of quantitative ultrasound parameters in an in vivo rodent fibroadenoma model.

    Science.gov (United States)

    Wirtzfeld, Lauren A; Nam, Kibo; Labyed, Yassin; Ghoshal, Goutam; Haak, Alexander; Sen-Gupta, Ellora; He, Zhi; Hirtz, Nathaniel R; Miller, Rita J; Sarwate, Sandhya; Simpson, Douglas G; Zagzebski, James A; Bigelow, Timothy A; Oelze, Michael; Hall, Timothy J; O'Brien, William D

    2013-07-01

    This contribution demonstrates that quantitative ultrasound (QUS) capabilities are platform independent, using an in vivo model. Frequency-dependent attenuation estimates, backscatter coefficient, and effective scatterer diameter estimates are shown to be comparable across four different ultrasound imaging systems with varied processing techniques. The backscatter coefficient (BSC) is a fundamental material property from which several QUS parameters are estimated; therefore, consistent BSC estimates among different systems must be demonstrated. This study is an intercomparison of BSC estimates acquired by three research groups (UIUC, UW, ISU) from four in vivo spontaneous rat mammary fibroadenomas using three clinical array systems and a single-element laboratory scanner system. Because of their highly variable backscatter properties, fibroadenomas provided an extreme test case for BSC analysis, and the comparison is across systems for each tumor, not across the highly heterogeneous tumors. RF echo data spanning the 1 to 12 MHz frequency range were acquired in three dimensions from all animals using each system. Each research group processed their RF data independently, and the resulting attenuation, BSC, and effective scatterer diameter (ESD) estimates were compared. The attenuation estimates across all systems showed the same trends and consistently fit the power-law dependence on frequency. BSCs varied among the multiple slices of data acquired by each transducer, with variations between transducers being of a similar magnitude as those from slice to slice. Variation between BSC estimates was assessed via functional signal-to-noise ratios derived from backscatter data. These functional signal-to-noise ratios indicated that BSC versus frequency variations between systems ranged from negligible compared with the noise level to roughly twice the noise level. The corresponding functional analysis of variance (fANOVA) indicated statistically significant differences

  18. Revision of the Euratom basic safety standards directive-current status

    International Nuclear Information System (INIS)

    Mundig, S.

    2011-01-01

    The European Commission is currently developing a revised Euratom Basic Safety Standards (BSS) Directive covering two major objectives: the consolidation of existing Euratom Radiation Protection legislation and the revision of the Euratom BSS. The consolidation will merge the following five Directives into one single Directive: the BSS Directive, the Medical Exposures Directive, the Public Information Directive, the Outside Workers Directive and the Directive on the Control of high-activity sealed radioactive sources and orphan sources. The revision of the Euratom BSS will take account of the latest recommendations by the International Commission on Radiological Protection and shall improve clarity of the requirements where appropriate. It is planned to introduce more binding requirements on natural radiation sources, on criteria for exemption and clearance, and on the cooperation between Member States for emergency planning and response. The provisions for regulatory control of planned exposure situations foresee a graded approach commensurate to the magnitude and likelihood of exposures from a practice. Finally, the new BSS shall take account of recent scientific developments. One additional goal is to achieve greater harmonisation between the Euratom BSS and the international BSS. While the requirements on the protection of workers, apprentices and students remain nearly unchanged, the revised BSS will clarify the roles and responsibilities of services and experts involved in technical and practical aspects of radiation protection, such as the occupational health services, the dosimetry services, the radiation protection expert and the medical physics expert. The requirements in the BSS on individual monitoring of category A workers remain unchanged, but the existing guidance on individual monitoring was revised and updated-the technical recommendations for monitoring individuals occupationally exposed to external radiation are published by the European

  19. Unpacking the Revised Bloom's Taxonomy: Developing Case-Based Learning Activities

    Science.gov (United States)

    Nkhoma, Mathews Zanda; Lam, Tri Khai; Sriratanaviriyakul, Narumon; Richardson, Joan; Kam, Booi; Lau, Kwok Hung

    2017-01-01

    Purpose: The purpose of this paper is to propose the use of case studies in teaching an undergraduate course of Internet for Business in class, based on the revised Bloom's taxonomy. The study provides the empirical evidence about the effect of case-based teaching method integrated the revised Bloom's taxonomy on students' incremental learning,…

  20. Publisher Correction

    DEFF Research Database (Denmark)

    Bonàs-Guarch, Sílvia; Guindo-Martínez, Marta; Miguel-Escalada, Irene

    2018-01-01

    In the originally published version of this Article, the affiliation details for Santi González, Jian'an Luan and Claudia Langenberg were inadvertently omitted. Santi González should have been affiliated with 'Barcelona Supercomputing Center (BSC), Joint BSC-CRG-IRB Research Program in Computatio......In the originally published version of this Article, the affiliation details for Santi González, Jian'an Luan and Claudia Langenberg were inadvertently omitted. Santi González should have been affiliated with 'Barcelona Supercomputing Center (BSC), Joint BSC-CRG-IRB Research Program...

  1. Guidance document for revision of DOE Order 5820.2A, Radioactive Waste Technical Support Program

    International Nuclear Information System (INIS)

    Kudera, D.E.; McMurtrey, C.D.; Meagher, B.G.

    1993-04-01

    This document provides guidance for the revision of DOE Order 5820.2A, ''Radioactive Waste Management.'' Technical Working Groups have been established and are responsible for writing the revised order. The Technical Working Groups will use this document as a reference for polices and procedures that have been established for the revision process. The overall intent of this guidance is to outline how the order will be revised and how the revision process will be managed. In addition, this document outlines technical issues considered for inclusion by a Department of Energy Steering Committee

  2. Are Bundled Payments a Viable Reimbursement Model for Revision Total Joint Arthroplasty?

    Science.gov (United States)

    Courtney, P Maxwell; Ashley, Blair S; Hume, Eric L; Kamath, Atul F

    2016-12-01

    Alternative payment models, such as the Centers for Medicare & Medicaid Services (CMS) Bundled Payment for Care Improvement (BPCI) initiative, aim to decrease overall costs for hip and knee arthroplasties. We asked: (1) Is there any difference in the CMS episode-of-care costs, hospital length of stay, and readmission rate from before and after implementation of our bundled-payment program? (2) Is there any difference in reimbursements and resource utilization between revision THA and TKA at our institution? (3) Are there any independent risk factors for patients with high costs who may not be appropriate for a bundled-payment system for revision total joint arthroplasty (TJA)? Between October 2013 and March 2015, 218 patients underwent revision TKA or THA in one health system. Two hundred seventeen patients were reviewed as part of this study, and one patient with hemophilia was excluded from the analysis as an outlier. Our institution began a BPCI program for revision TJA during this study period. Patients' procedures done before January 1, 2014 at one hospital and January 1, 2015 at another hospital were not included in the bundled-care arrangement (70 revision TKAs and 56 revision THAs), whereas 50 revision TKAs and 41 revision THAs were performed under the BPCI initiative. Patient demographics, medical comorbidities, episode-of-care reimbursement data derived directly from CMS, length of stay, and readmission proportions were compared between the bundled and nonbundled groups. Length of stay in the group that underwent surgery before the bundled-care arrangement was longer than for patients whose procedures were done under the BPCI (mean 4.02 [SD, 3.0 days] versus mean 5.27 days [SD, 3.6 days]; p = 0.001). Index hospitalization reimbursement for the bundled group was less than for the nonbundled group (mean USD 17,754 [SD, USD 2741] versus mean USD 18,316 [SD, USD 4732]; p = 0.030). There was no difference, with the numbers available, in total episode

  3. Biological soil crusts exhibit a dynamic response to seasonal rain and release from grazing with implications for soil stability

    Science.gov (United States)

    Jimenez, Aguilar A.; Huber-Sannwald, E.; Belnap, J.; Smart, D.R.; Arredondo, Moreno J.T.

    2009-01-01

    In Northern Mexico, long-term grazing has substantially degraded semiarid landscapes. In semiarid systems, ecological and hydrological processes are strongly coupled by patchy plant distribution and biological soil crust (BSC) cover in plant-free interspaces. In this study, we asked: 1) how responsive are BSC cover/composition to a drying/wetting cycle and two-year grazing removal, and 2) what are the implications for soil erosion? We characterized BSC morphotypes and their influence on soil stability under grazed/non-grazed conditions during a dry and wet season. Light- and dark-colored cyanobacteria were dominant at the plant tussock and community level. Cover changes in these two groups differed after a rainy season and in response to grazing removal. Lichens with continuous thalli were more vulnerable to grazing than those with semi-continuous/discontinuous thalli after the dry season. Microsites around tussocks facilitated BSC colonization compared to interspaces. Lichen and cyanobacteria morphotypes differentially enhanced resistance to soil erosion; consequently, surface soil stability depends on the spatial distribution of BSC morphotypes, suggesting soil stability may be as dynamic as changes in the type of BSC cover. Longer-term spatially detailed studies are necessary to elicit spatiotemporal dynamics of BSC communities and their functional role in biotically and abiotically variable environments. ?? 2009 Elsevier Ltd.

  4. [Balanced scorecard for performance measurement of a nursing organization in a Korean hospital].

    Science.gov (United States)

    Hong, Yoonmi; Hwang, Kyung Ja; Kim, Mi Ja; Park, Chang Gi

    2008-02-01

    The purpose of this study was to develop a balanced scorecard (BSC) for performance measurement of a Korean hospital nursing organization and to evaluate the validity and reliability of performance measurement indicators. Two hundred fifty-nine nurses in a Korean hospital participated in a survey questionnaire that included 29-item performance evaluation indicators developed by investigators of this study based on the Kaplan and Norton's BSC (1992). Cronbach's alpha was used to test the reliability of the BSC. Exploratory and confirmatory factor analysis with a structure equation model (SEM) was applied to assess the construct validity of the BSC. Cronbach's alpha of 29 items was .948. Factor analysis of the BSC showed 5 principal components (eigen value >1.0) which explained 62.7% of the total variance, and it included a new one, community service. The SEM analysis results showed that 5 components were significant for the hospital BSC tool. High degree of reliability and validity of this BSC suggests that it may be used for performance measurements of a Korean hospital nursing organization. Future studies may consider including a balanced number of nurse managers and staff nurses in the study. Further data analysis on the relationships among factors is recommended.

  5. [APPLICATION OF COMPUTER-ASSISTED TECHNOLOGY IN ANALYSIS OF REVISION REASON OF UNICOMPARTMENTAL KNEE ARTHROPLASTY].

    Science.gov (United States)

    Jia, Di; Li, Yanlin; Wang, Guoliang; Gao, Huanyu; Yu, Yang

    2016-01-01

    To conclude the revision reason of unicompartmental knee arthroplasty (UKA) using computer-assisted technology so as to provide reference for reducing the revision incidence and improving the level of surgical technique and rehabilitation. The relevant literature on analyzing revision reason of UKA using computer-assisted technology in recent years was extensively reviewed. The revision reasons by computer-assisted technology are fracture of the medial tibial plateau, progressive osteoarthritis of reserved compartment, dislocation of mobile bearing, prosthesis loosening, polyethylene wear, and unexplained persistent pain. Computer-assisted technology can be used to analyze the revision reason of UKA and guide the best operating method and rehabilitation scheme by simulating the operative process and knee joint activities.

  6. 76 FR 13511 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; Revisions to the Open...

    Science.gov (United States)

    2011-03-14

    ... Promulgation of Air Quality Implementation Plans; Virginia; Revisions to the Open Burning Regulations AGENCY... approve revisions to the Virginia State Implementation Plan (SIP). The revisions recodify the open burning... approving these revisions to Virginia's open burning regulations in accordance with the requirements of the...

  7. 75 FR 18205 - Total Coliform Rule Revisions-Notice of Stakeholder Meeting

    Science.gov (United States)

    2010-04-09

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9135-8] Total Coliform Rule Revisions--Notice of Stakeholder... that EPA conduct stakeholder outreach as the Agency develops the proposed revisions. Today, EPA is...; opportunities for stakeholders to provide feedback on assessment and corrective action guidance related to the...

  8. A revision of the Paronychiinae

    NARCIS (Netherlands)

    Chaudhri, Mohammad Nazeer

    1968-01-01

    This study was undertaken, in April 1964, at the suggestion of Prof. Dr. J. Lanjouw. The need for such a revision, was, however, stressed by the authors of the subtribe, viz. PAX et K. HOFFMANN, who, while delimiting these genera, remarked that the Systematics of both the (main) genera of this

  9. 77 FR 38124 - Inspector General; Line of Succession Designation, No. 23-C, Revision 5

    Science.gov (United States)

    2012-06-26

    ... SMALL BUSINESS ADMINISTRATION Inspector General; Line of Succession Designation, No. 23-C, Revision 5 This document replaces and supersedes ``Delegation of Authority and Line of Succession No. 23-C, Revision 4.'' Line of Succession Designation, No. 23-C, Revision 5: Effective immediately, the Inspector...

  10. Different gene-specific mechanisms determine the 'revised-response' memory transcription patterns of a subset of A. thaliana dehydration stress responding genes.

    Science.gov (United States)

    Liu, Ning; Ding, Yong; Fromm, Michael; Avramova, Zoya

    2014-05-01

    Plants that have experienced several exposures to dehydration stress show increased resistance to future exposures by producing faster and/or stronger reactions, while many dehydration stress responding genes in Arabidopsis thaliana super-induce their transcription as a 'memory' from the previous encounter. A previously unknown, rather unusual, memory response pattern is displayed by a subset of the dehydration stress response genes. Despite robustly responding to a first stress, these genes return to their initial, pre-stressed, transcript levels during the watered recovery; surprisingly, they do not respond further to subsequent stresses of similar magnitude and duration. This transcriptional behavior defines the 'revised-response' memory genes. Here, we investigate the molecular mechanisms regulating this transcription memory behavior. Potential roles of abscisic acid (ABA), of transcription factors (TFs) from the ABA signaling pathways (ABF2/3/4 and MYC2), and of histone modifications (H3K4me3 and H3K27me3) as factors in the revised-response transcription memory patterns are elucidated. We identify the TF MYC2 as the critical component for the memory behavior of a specific subset of MYC2-dependent genes. © The Author(s) 2014. Published by Oxford University Press on behalf of Nucleic Acids Research.

  11. The information content of KOF indicators on Swiss current account data revisions

    OpenAIRE

    Sturm, Jan-Egbert; Jacobs, Jan P.A.M.

    2008-01-01

    This paper analyses revisions of Swiss current account data, taking into account the actual data revision process and the implied types of revisions. In addition we investigate whether the first release of current account data can be improved upon by the use of survey results as gathered by the KOF Swiss Economic Institute, ETH Zurich. An answer in the affirmative indicates that it is possible to improve first releases and thereby enhance the current assessment of the Swiss economy.

  12. Strategic planning and performance measurement using balanced scorecard: A case study of Iran Kaolin and Barite company

    Directory of Open Access Journals (Sweden)

    A. Danaei

    2013-06-01

    Full Text Available This paper presents an empirical investigation to measure the performance of a mining firm in province of Semnan, Iran based on balanced scorecard (BSC. The proposed study investigates the present status of the case study in terms of four BSC perspectives including internal process, learning and growth, customer and financial figures. The firm uses BSC for one year and after that, we compared the performance of the firm prior and after BSC implementation. The preliminary results indicate that the firm was able to make a 30% improvement on its performance after one-year implementation of BSC. In other words, the firm was able to make 59% improvement on learning and growth, 33% growth on internal process, 32% growth on customer and 21% improvement on financial figures.

  13. Success factors for implementation of the balanced scorecard in a NHS multi-agency setting.

    Science.gov (United States)

    Radnor, Zoe; Lovell, Bill

    2003-01-01

    Even though the balanced scorecard (BSC) has become a highly popular performance management tool, usage in local public sector National Health Service (NHS) organisations is still rare. This paper conditionally outlines some grounds in supporting such usage. In particular underlying conceptual concerns with the BSC system and its implementation pitfalls require full consideration. This paper then outlines some factors to be taken into account for "successful" BSC implementation in a NHS multi-agency setting. These findings emerged from a series of focus groups that took place with contributors drawn from all the key organisations within the Bradford Health Action Zone. Finally, this paper argues that if key criteria are met, successful implementation of the BSC may then proceed. However, "blind" BSC implementation without consideration of these factors may result in potential "failure".

  14. 76 FR 6696 - NASA Implementation of Federal Acquisition Regulation (FAR) Award Fee Language Revision

    Science.gov (United States)

    2011-02-08

    ... of Federal Acquisition Regulation (FAR) Award Fee Language Revision AGENCY: National Aeronautics and... (NFS) to implement the FAR Award Fee revision issued in Federal Acquisition Circular (FAC) 2005-46.... Background Federal Acquisition Circular (FAC) 2005-46 significantly revised FAR Parts 16.305, 16.401, and 16...

  15. Revision 2 of the NPP Krsko Decommissioning Program Is Stalled

    International Nuclear Information System (INIS)

    Levanat, I.; Lokner, V.; Rapic, A.; Zeleznik, N.; Kralj, M.

    2012-01-01

    Revision 2 of the joint Slovenian-Croatian Program of NPP Krsko Decommissioning and SF andLILW Disposal was scheduled to be finished and formally approved by the end of 2009, in accordance with the bilateral Agreement on the NPP. Slightly behind the schedule, the Project team completed the entire document during spring of 2010, and in June 2010 drafted a proposal for a peer review of the Program by a dedicated IAEA expert mission. This procedure was agreed upon at the last session (May 2010) of the Intergovernmental Commission for implementation of the Agreement, when the Commission was acquainted with the five scenarios of the Revision 2 and with the estimates of their costs/financing. It was expected that the peer review would be performed soon, and that formal adoption of the Revision 2 would follow. Although in this process of approval some decisions remained to be made by the stakeholders, the Project team did select and recommend one scenario to be used for costing purposes, in order to ensure that most necessary corrections in Program financing would be timely adopted. However, the planned IAEA review was cancelled by the Advisory board, the body nominated by the Commission ''to supervise the activities and resolve the issues raised by the Project team''. By this cancellation, the process of Program revision was effectively stalled, because the Advisory board could not clearly define further course of action: differing views between the Slovenian and the Croatian part of the Advisory board appeared, in particular regarding the set of Program scenarios and regarding the appropriateness of the Revision 2 document for the IAEA review; nonetheless, the Advisory board sent to the Project team a compilation of requests to modify Revision 2 document. The Project team determined that some minor requests were easy to fulfill, but other modifications could only be carried out after changes in the boundary conditions (approved by the Commission), or changes in national

  16. 23 CFR 636.409 - Can offerors revise their proposals during communications?

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Can offerors revise their proposals during communications? 636.409 Section 636.409 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS DESIGN-BUILD CONTRACTING Exchanges § 636.409 Can offerors revise their...

  17. The development and revision of the Federal Radiological Emergency Response Plan

    International Nuclear Information System (INIS)

    Gant, K.S.; Adler, M.V.; Wolff, W.F.

    1989-01-01

    Since 1985, federal agencies have been using the Federal Radiological Emergency Response Plan (FRERP) in exercises and real events. This experience and the development of other emergency response guidance (e.g., National System for Emergency Coordination) are fueling current efforts to review and revise the FRERP to reflect what the agencies have learned since the FRERP was published. Revision efforts are concentrating on clarifying the plan and addressing deficiencies. No major changes are expected in the general structure of the federal response nor should states need to revise their plans because of these modifications. 5 refs

  18. Revision of unicompartmental knee arthroplasty: implants used and causes of failure

    Directory of Open Access Journals (Sweden)

    Alan de Paula Mozella

    2014-04-01

    Full Text Available OBJECTIVE: to determine the causes of unicondylar knee arthroplasty failures, as well as identify the implants used and the need of bone grafting in patients undergoing revision UKA in Center of Knee Surgery at the Instituto Nacional de Traumatologia e Ortopedia (INTO in the period between January 1990 and January 2013.METHODS: a retrospective analysis of the medical documentation and imaging, determining the cause of failure of UKA and the time of its occurrence, as well as prosthetic components implanted during the review and the need for bone grafting.RESULTS: in this study, 27 UKA failures in 26 patients were included. Collapse of one or more components was the main cause of failure, occurring in 33% of patients. Aseptic failure was identified in 30% of cases, progression of osteoarthrosis in 15%, infection and pain 7% each, and osteolysis and polyethylene failure in 4% each. Early failure occurred in 41% of all revisions of UKA and late failure in 59%. 23 patients have undergone revision of UK.CONCLUSION: in 35% of revisions the use of bone grafting was needed in tibial area; in 3 cases we needed allograft from Tissue Bank. We did not use metal increase in any of the revision. In one patient we used implant constraint for instability.

  19. Revised Cretaceous and Tertiary stratigraphic nomenclature in the Colville Basin, Northern Alaska

    Science.gov (United States)

    Mull, Charles G.; Houseknecht, David W.; Bird, Kenneth J.

    2003-01-01

    A revised stratigraphic nomenclature is proposed for Cretaceous and Tertiary geologic units of the central and western North Slope of Alaska. This revised nomenclature is a simplified and broadly applicable scheme suitable for a suite of digital geologic quadrangle maps being prepared jointly by the U.S. Geological Survey and the Alaska Department of Natural Resources, Division of Geological and Geophysical Surveys and Division of Oil and Gas. This revised nomenclature scheme is a simplification of a complex stratigraphic terminology that developed piecemeal during five decades of geologic investigations of the North Slope. It is based on helicopter-supported geologic field investigations incorporating information from high-resolution aerial photography, satellite imagery, paleontology, reflection seismic records, and sequence stratigraphic concepts. This revised nomenclature proposes the abandonment of the Colville Group; demotion of the Nanushuk Group to formation status; abandonment of six formations (Kukpowruk, Tuktu, Grandstand, Corwin, Chandler, and Ninuluk); revision of four formations (Sagavanirktok, Prince Creek, Schrader Bluff, and Seabee); elevation of the Tuluvak Tongue of the Prince Creek Formation to formation status; revision of two members (Franklin Bluffs Member and Sagwon Member of the Sagavanirktok Formation); abandonment of eight members or tongues (Kogosukruk, Rogers Creek, Barrow Trail, Sentinel Hill, Ayiyak, Shale Wall, Niakogon, and Killik); and definition of one new member (White Hills Member of the Sagavanirktok Formation).

  20. Concise revision of the Sarcospermataceae

    NARCIS (Netherlands)

    Lam, H.J.; Royen, van P.

    1952-01-01

    After the senior writer, together with W. W. Varossieau, had published a revision of this monogeneric family (Blumea III, 1938—’39 and IV, 1941), some more material has been examined by us and, moreover, some new species have been described. Thanks to the courtesy of Prof. F. Gagnepain of Paris, and