Close Contact Casting vs Surgery for Initial Treatment of Unstable Ankle Fractures in Older Adults: A Randomized Clinical Trial.

Science.gov (United States)

Willett, Keith; Keene, David J; Mistry, Dipesh; Nam, Julian; Tutton, Elizabeth; Handley, Robert; Morgan, Lesley; Roberts, Emma; Briggs, Andrew; Lall, Ranjit; Chesser, Timothy J S; Pallister, Ian; Lamb, Sarah E

2016-10-11

Ankle fractures cause substantial morbidity in older persons. Surgical fixation is the contemporary intervention but is associated with infection and other healing complications. To determine whether initial fracture treatment with close contact casting, a molded below-knee cast with minimal padding, offers outcome equivalent to that with immediate surgery, with fewer complications and less health resource use. This was a pragmatic, equivalence, randomized clinical trial with blinded outcome assessors. A pilot study commenced in May 2004, followed by multicenter recruitment from July 2010 to November 2013; follow-up was completed May 2014. Recruitment was from 24 UK major trauma centers and general hospitals. Participants were 620 adults older than 60 years with acute, overtly unstable ankle fracture. Exclusions were serious limb or concomitant disease or substantial cognitive impairment. Participants were randomly assigned to surgery (n = 309) or casting (n = 311). Casts were applied in the operating room under general or spinal anesthesia by a trained surgeon. The primary 6-month, per-protocol outcome was the Olerud-Molander Ankle Score at 6 months (OMAS; range, 0-100; higher scores indicate better outcomes and fewer symptoms), equivalence prespecified as ±6 points. Secondary outcomes were quality of life, pain, ankle motion, mobility, complications, health resource use, and patient satisfaction. Among 620 adults (mean age, 71 years; 460 [74%] women) who were randomized, 593 (96%) completed the study. Nearly all participants (579/620; 93%) received allocated treatment; 52 of 275 (19%) who initially received casting later converted to surgery, which was allowable in the casting treatment pathway to manage early loss of fracture reduction. At 6 months, casting resulted in ankle function equivalent to that with surgery (OMAS score, 66.0 [95% CI, 63.6-68.5] for surgery vs 64.5 [95% CI, 61.8-67.2] for casting; mean difference, -0.6 [95% CI, -3.9 to 2.6]; P

Cooperatives between truth and validity

Directory of Open Access Journals (Sweden)

Guilherme Krueger

2014-12-01

Full Text Available The current declaration of the International Cooperative Alliance on cooperative identity since its 1995 Centennial Conference (which was held in Manchester makes no distinction between cooperation and cooperative. The lack of distinction between cooperation and cooperative has caused the Decennial Cooperative Action Plan to define cooperatives as a form, while their materiality is regarded as managerial: a business (activity under a cooperative form. An identity that is close to us cannot be reduced to form, without this being a problem. Therefore, the value underlying this identity —cooperation— must have a substantial basis, even if it is idealised, if it is to affect us.Received: 27.03.2014Accepted: 12.05.2014

Correlation of increased fundus autofluorescence signals at closed macula with visual prognosis after successful macular hole surgery.

Science.gov (United States)

Shiragami, Chieko; Shiraga, Fumio; Nitta, Eri; Fukuda, Kouki; Yamaji, Hidetaka

2012-02-01

To study the significance of the increased fundus autofluorescence (FAF) signals at closed macula with spectral-domain optical coherence tomography and visual prognosis after successful surgery in eyes with idiopathic full-thickness macular holes (MHs). Seventy-eight eyes of 78 consecutive patients with full-thickness MHs underwent successful standard vitrectomy, with internal limiting membrane peeling and followed by 10% sulfur hexafluoride gas injection. Simultaneous FAF and optical coherence tomography images were recorded at 10 days, and 1, 3, and 6 months postoperatively, using a combined spectral-domain optical coherence tomography-fluorescein angiography device (Spectralis™/HRA Heidelberg Retina Angiograph 2). The appearance of increased FAF in the macula postoperatively and the relationship of FAF and optical coherence tomography findings to best-corrected visual acuity were examined. Stage 2, 3, and 4 MHs were present in 31, 29, and 18 eyes, respectively. The median patient age was 66 years, with a range of 54 to 79 years. In all patients, the MHs were successfully closed, and the preoperative increased FAF corresponding to MH disappeared 10 days after surgery. In 36 eyes (46.2%), however, hyperautofluorescence again appeared in the macular area 1 month postoperatively. This hyperautofluorescence was significantly associated with the recovery of the external limiting membrane lines at the fovea 1 month after surgery (P = 0.001, multiple logistic regression analysis). Also, this recovery of the external limiting membrane lines 1 month postoperatively was significantly associated with the recovery of photoreceptor inner and outer segment junction line 3 months postoperatively at the fovea (P macula 1 month postoperatively, the recovery of the photoreceptor inner and outer segment lines at the fovea 3 months postoperatively, and preoperative good visual acuity (P macula 1 month after successful MH surgery. This hyperautofluorescence could be a sign of good

Subsets of Women With Close or Positive Margins After Breast-Conserving Surgery With High Local Recurrence Risk Despite Breast Plus Boost Radiotherapy

International Nuclear Information System (INIS)

Lupe, Krystine; Truong, Pauline T.; Alexander, Cheryl; Lesperance, Mary; Speers, Caroline; Tyldesley, Scott

2011-01-01

Purpose: (1) To examine the effect of surgical margin status on local recurrence (LR) and survival following breast-conserving therapy; (2) To identify subsets with close or positive margins with high LR risk despite whole breast radiotherapy (RT) plus boost. Methods and Materials: Subjects were 2,264 women with pT1–3, any N, M0 invasive breast cancer, treated with breast-conserving surgery and whole breast ± boost RT. Five-year Kaplan-Meier (KM) LR, breast cancer–specific and overall survival (BCSS and OS) were compared between cohorts with negative (n = 1,980), close (n = 222), and positive (n = 62) margins. LR rates were analyzed according to clinicopathologic characteristics. Multivariable Cox regression modeling and matched analysis of close/positive margin cases and negative margin controls were performed. Results: Median follow-up was 5.2 years. Boost RT was used in 92% of patients with close or positive margins. Five-year KM LR rates in the negative, close and positive margin cohorts were 1.3%, 4.0%, and 5.2%, respectively (p = 0.001). BCSS and OS were similar in the three margin subgroups. In the close/positive margin cohort, LR rates were 10.2% with age 10% despite whole breast plus boost RT. These patients should be considered for more definitive surgery.

[Temporo-mandibular joints and orthognathic surgery].

Science.gov (United States)

Bouletreau, P

2016-09-01

Temporo-Mandibular Joints (TMJ) and orthognathic surgery are closely linked. In the past, some authors have even described (with mixed results) the correction of some dysmorphosis through direct procedures on the TMJs. Nowadays, performing orthognathic surgery involves the TMJ in three different occasions: (1) TMJ disorders potentially responsible for dento-maxillary dysmorphosis, (2) effects of orthognathic surgery on TMJs, and (3) condylar positioning methods in orthognathic surgery. These three chapters are developed in order to focus on the close relationships between TMJ and orthognathic surgery. Some perspectives close this article. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Prosthetic Rehabilitation After Fibular Free Flap Surgery of Mandibular Defects in a Patient With Oral Squamous Cell Carcinoma.

Science.gov (United States)

Yoon, Hyung-In

2016-10-01

This report is to present the treatment procedure and clinical considerations of prosthodontic management of a patient who had undergone a partial mandibulectomy and fibular free flap surgery. A 59-year-old man with a squamous cell carcinoma received a partial mandibular resection. Microsurgical reconstruction with a fibular free flap surgery and implant-supported zirconia-fixed prosthesis produced by computer-aided manufacturing led to successful results for the oral rehabilitation of mandibular defects. The implant-supported zirconia-fixed prosthesis can be recommended for use in patients with mandibulectomy and fibular free flaps. Close cooperation between the surgeon and the prosthodontist is mandatory for the satisfaction of the patient.

Cooperative Mobile Web Browsing

DEFF Research Database (Denmark)

Perrucci, GP; Fitzek, FHP; Zhang, Qi

2009-01-01

This paper advocates a novel approach for mobile web browsing based on cooperation among wireless devices within close proximity operating in a cellular environment. In the actual state of the art, mobile phones can access the web using different cellular technologies. However, the supported data......-range links can then be used for cooperative mobile web browsing. By implementing the cooperative web browsing on commercial mobile phones, it will be shown that better performance is achieved in terms of increased data rate and therefore reduced access times, resulting in a significantly enhanced web...

Implementation of a cooperative program for peritoneal dialysis.

Science.gov (United States)

Okada, Kazuyoshi; Abe, Masanori; Soma, Masayoshi

2012-01-01

Nephrologists and dialysis specialists familiar with renal replacement therapies (RRTs) should periodically send appropriate information to chronic kidney disease (CKD) patients from the early stage via a cooperation program and educate patients on choosing a suitable RRT themselves. From 2009 to 2010, 63 patients (32 men and 31 women) were introduced to our hospital by a general practitioner through a cooperation program. Five patients (7.9%) measured home blood pressure and 2 (3.2%) received nutrition education. On close inspection, 7 patients (11.1%) had undergone surgery for cancer or a severe cardiovascular disease. We changed the prescription contents of the general practitioners in 58 patients (92.1%) and gave nutrition education to the 61 patients (96.8%) who did not receive it. In the 57 patients (90.5%) who continued the cooperation program, we changed the prescription contents of 32 patients (56.1%), and all patients recorded home blood pressure on the second visit. Participation in the educational peritoneal dialysis (PD) promotion program enabled advanced-stage CKD patients to understand PD, and as a result, PD selectivity at our hospital increased from 8.8 to 15.0% over 2 years. Periodic intervention of specialists in the cooperation program is necessary to assess values of parameters such as blood pressure, blood glucose, lipids, uric acid, and anemia during the clinical course to delay the progression of CKD. It is important that PD patients improve their quality of life by continuing treatment to prevent deterioration of residual renal function as much as possible after PD initiation in the same manner as CKD predialysis. Copyright © 2012 S. Karger AG, Basel.

Autonomic computing enabled cooperative networked design

CERN Document Server

Wodczak, Michal

2014-01-01

This book introduces the concept of autonomic computing driven cooperative networked system design from an architectural perspective. As such it leverages and capitalises on the relevant advancements in both the realms of autonomic computing and networking by welding them closely together. In particular, a multi-faceted Autonomic Cooperative System Architectural Model is defined which incorporates the notion of Autonomic Cooperative Behaviour being orchestrated by the Autonomic Cooperative Networking Protocol of a cross-layer nature. The overall proposed solution not only advocates for the inc

7 CFR 1927.58 - Closing the transaction.

Science.gov (United States)

2010-01-01

... REGULATIONS TITLE CLEARANCE AND LOAN CLOSING Real Estate Title Clearance and Loan Closing § 1927.58 Closing the transaction. The closing agent will cooperate with the approval official, borrower, seller, and... when a loan is being made to a borrower who already owns the real estate to be mortgaged. This...

The sound of cooperation: Musical influences on cooperative behavior.

Science.gov (United States)

Kniffin, Kevin M; Yan, Jubo; Wansink, Brian; Schulze, William D

2017-03-01

Music as an environmental aspect of professional workplaces has been closely studied with respect to consumer behavior while sparse attention has been given to its relevance for employee behavior. In this article, we focus on the influence of music upon cooperative behavior within decision-making groups. Based on results from two extended 20-round public goods experiments, we find that happy music significantly and positively influences cooperative behavior. We also find a significant positive association between mood and cooperative behavior. Consequently, while our studies provide partial support for the relevance of affect in relation to cooperation within groups, we also show an independently important function of happy music that fits with a theory of synchronous and rhythmic activity as a social lubricant. More generally, our findings indicate that music and perhaps other atmospheric variables that are designed to prime consumer behavior might have comparably important effects for employees and consequently warrant closer investigation. Copyright © 2016 The Authors Journal of Organizational Behavior Published by John Wiley & Sons Ltd.

Cooperative Experimental System Development - cooperative techniques beyound initial design and analysis

DEFF Research Database (Denmark)

Grønbæk, Kaj; Kyng, Morten; Mogensen, Preben Holst

1995-01-01

This chapter represents a step towards the establishment of a new system development approach, called Cooperative Experimental System Development (CESD). CESD seeks to overcome a number of limitations in existing approaches: specification oriented methods usually assume that system design can....../design activities of development projects. In contrast, the CESD approach is characterized by its focus on: active user involvement throughout the entire development process; prototyping experiments closely coupled to work-situations and use-scenarios; transforming results from early cooperative analysis...... be based solely on observation and detached reflection; prototyping methods often have a narrow focus on the technical construction of various kinds of prototypes; Participatory Design techniques—including the Scandinavian Cooperative Design (CD) approaches—seldom go beyond the early analysis...

Intelligent cooperation: A framework of pedagogic practice in the operating room.

Science.gov (United States)

Sutkin, Gary; Littleton, Eliza B; Kanter, Steven L

2018-04-01

Surgeons who work with trainees must address their learning needs without compromising patient safety. We used a constructivist grounded theory approach to examine videos of five teaching surgeries. Attending surgeons were interviewed afterward while watching cued videos of their cases. Codes were iteratively refined into major themes, and then constructed into a larger framework. We present a novel framework, Intelligent Cooperation, which accounts for the highly adaptive, iterative features of surgical teaching in the operating room. Specifically, we define Intelligent Cooperation as a sequence of coordinated exchanges between attending and trainee that accomplishes small surgical steps while simultaneously uncovering the trainee's learning needs. Intelligent Cooperation requires the attending to accurately determine learning needs, perform real-time needs assessment, provide critical scaffolding, and work with the learner to accomplish the next step in the surgery. This is achieved through intense, coordinated verbal and physical cooperation. Copyright © 2017 Elsevier Inc. All rights reserved.

Current Trends in and Indications for Endoscopy-Assisted Breast Surgery for Breast Cancer: Results from a Six-Year Study Conducted by the Taiwan Endoscopic Breast Surgery Cooperative Group

Science.gov (United States)

Lai, Hung-Wen; Chen, Shou-Tung; Chen, Dar-Ren; Chen, Shu-Ling; Chang, Tsai-Wang; Kuo, Shou-Jen; Kuo, Yao-Lung; Hung, Chin-Sheng

2016-01-01

Background Endoscopy-assisted breast surgery (EABS) performed through minimal axillary and/or periareolar incisions is a possible alternative to open surgery for certain patients with breast cancer. In this study, we report the early results of an EABS program in Taiwan. Methods The medical records of patients who underwent EABS for breast cancer during the period May 2009 to December 2014 were collected from the Taiwan Endoscopic Breast Surgery Cooperative Group database. Data on clinicopathologic characteristics, type of surgery, method of breast reconstruction, complications and recurrence were analyzed to determine the effectiveness and oncologic safety of EABS in Taiwan. Results A total of 315 EABS procedures were performed in 292 patients with breast cancer, including 23 (7.8%) patients with bilateral disease. The number of breast cancer patients who underwent EABS increased initially from 2009 to 2012 and then stabilized during the period 2012–2014. The most commonly performed EABS was endoscopy-assisted total mastectomy (EATM) (85.4%) followed by endoscopy-assisted partial mastectomy (EAPM) (14.6%). Approximately 74% of the EATM procedures involved breast reconstruction, with the most common types of reconstruction being implant insertion and autologous pedicled TRAM flap surgery. During the six-year study period, there was an increasing trend in the performance of EABS for the management of breast cancer when total mastectomy was indicated. The positive surgical margin rate was 1.9%. Overall, the rate of complications associated with EABS was 15.2% and all were minor and wound-related. During a median follow-up of 26.8 (3.3–68.6) months, there were 3 (1%) cases of local recurrence, 1 (0.3%) case of distant metastasis and 1 (0.3%) death. Conclusion The preliminary results from the EABS program in Taiwan show that EABS is a safe procedure and results in acceptable cosmetic outcome. These findings could help to promote this under-used surgical technique

Partner Choice in Raven (Corvus corax) Cooperation.

Science.gov (United States)

Asakawa-Haas, Kenji; Schiestl, Martina; Bugnyar, Thomas; Massen, Jorg J M

2016-01-01

Although social animals frequently make decisions about when or with whom to cooperate, little is known about the underlying mechanisms of partner choice. Most previous studies compared different dyads' performances, though did not allow an actual choice among partners. We tested eleven ravens, Corvus corax, in triads, giving them first the choice to cooperate with either a highly familiar or a rather unfamiliar partner and, second, with either a friend or a non-friend using a cooperative string-pulling task. In either test, the ravens had a second choice and could cooperate with the other partner, given that this one had not pulled the string in the meantime. We show that during the experiments, these partner ravens indeed learn to wait and inhibit pulling, respectively. Moreover, the results of these two experiments show that ravens' preferences for a specific cooperation partner are not based on familiarity. In contrast, the ravens did show a preference based on relationship quality, as they did choose to cooperate significantly more with friends than with non-friends and they were also more proficient when cooperating with a friend. In order to further identify the proximate mechanism of this preference, we designed an open-choice experiment for the whole group where all birds were free to cooperate on two separate apparatuses. This set-up allowed us to distinguish between preferences for close proximity and preferences to cooperate. The results revealed that friends preferred staying close to each other, but did not necessarily cooperate with one another, suggesting that tolerance of proximity and not relationship quality as a whole may be the driving force behind partner choice in raven cooperation. Consequently, we stress the importance of experiments that allow such titrations and, suggest that these results have important implications for the interpretations of cooperation studies that did not include open partner choice.

International surgery: definition, principles and Canadian practice

Science.gov (United States)

Lett, Ronald

2003-01-01

This article is dedicated to the Canadian international surgeon, Norman Bethune (1890–1939). International surgery is defined as a humanitarian branch of medicine concerned with the treatment of bodily injuries or disorders by incision or manipulations, emphasizing cooperation and understanding among nations and involving education, research, development and advocacy. In this article I review the colonial past, the dark ages following the Declaration of Alma-Ata, the progress made and the present challenges in international surgery. I present a definition of international surgery that recognizes the current era of surgical humanitarianism, validates a global understanding of surgical issues and promotes cooperation among nations. Included are the principles of international surgery: education, research, infrastructure development and advocacy. International surgical projects are classified according to type (clinical, relief, developmental) and integration strategy (vertical or horizontal). Also reviewed are the Canadian practice of international surgery by nongovernmental, professional and academic organizations and the requirements of international and Canadian funding agencies, the development concepts basic to all projects, including results-based management and the cross-cutting themes of gender equity, environmental protection and human safety. I recommend formalizing international surgery into a discipline as a means of promoting surgical care in low-income countries. If international surgery is to be sustained in Canada, infrastructure and support from Canadian surgeons is particularly important. An understanding of the history, definition and classification of international surgery should promote surgical care in low-income countries. PMID:14577711

Gastric carcinoma originating from the heterotopic submucosal gastric gland treated by laparoscopy and endoscopy cooperative surgery

Science.gov (United States)

Imamura, Taisuke; Komatsu, Shuhei; Ichikawa, Daisuke; Kobayashi, Hiroki; Miyamae, Mahito; Hirajima, Shoji; Kawaguchi, Tsutomu; Kubota, Takeshi; Kosuga, Toshiyuki; Okamoto, Kazuma; Konishi, Hirotaka; Shiozaki, Atsushi; Fujiwara, Hitoshi; Ogiso, Kiyoshi; Yagi, Nobuaki; Yanagisawa, Akio; Ando, Takashi; Otsuji, Eigo

2015-01-01

Gastric carcinoma is derived from epithelial cells in the gastric mucosa. We reported an extremely rare case of submucosal gastric carcinoma originating from the heterotopic submucosal gastric gland (HSG) that was safely diagnosed by laparoscopy and endoscopy cooperative surgery (LECS). A 66-year-old man underwent gastrointestinal endoscopy, which detected a submucosal tumor (SMT) of 1.5 cm in diameter on the lesser-anterior wall of the upper gastric body. The tumor could not be diagnosed histologically, even by endoscopic ultrasound-guided fine-needle aspiration biopsy. Local resection by LECS was performed to confirm a diagnosis. Pathologically, the tumor was an intra-submucosal well differentiated adenocarcinoma invading 5000 μm into the submucosal layer. The resected tumor had negative lateral and vertical margins. Based on the Japanese treatment guidelines, additional laparoscopic proximal gastrectomy was curatively performed. LECS is a less invasive and safer approach for the diagnosis of SMT, even in submucosal gastric carcinoma originating from the HSG. PMID:26306144

'Shared-rhythm cooperation' in cooperative team meetings in acute psychiatric inpatient care.

Science.gov (United States)

Vuokila-Oikkonen, P; Janhonen, S; Vaisanen, L

2004-04-01

The cooperative team meeting is one of the most important interventions in psychiatric care. The purpose of this study was to describe the participation of patients and significant others in cooperative team meetings in terms of unspoken stories. The narrative approach focused on storytelling. The data consisted of videotaped cooperative team meetings (n = 11) in two acute closed psychiatric wards. The QRS NVivo computer program and the Holistic Content Reading method were used. During the process of analysis, the spoken and unspoken stories were analysed at the same time. According to the results, while there was some evident shared-rhythm cooperation (the topics of discussion were shared and the participants had eye contact), there were many instances where the interaction was controlled and defined by health care professionals. This lack of shared rhythm in cooperation, as defined in terms of storytelling, was manifested as monologue and the following practices: the health care professionals controlled the storytelling by sticking to their opinions, by giving the floor or by pointing with a finger and visually scanning the participants, by interrupting the speaker or by allowing the other experts to sit passively. Implications for mental health nursing practice are discussed.

Your diet after gastric bypass surgery

Science.gov (United States)

Gastric bypass surgery - your diet; Obesity - diet after bypass; Weight loss - diet after bypass ... You had gastric bypass surgery. This surgery made your stomach smaller by closing off most of your stomach with staples. It changed the way your ...

Cooperative maneuvering in close environments among cybercars and dual-mode cars

NARCIS (Netherlands)

Milanés, V.; Alonso, J.; Bouraoui, L.; Ploeg, J.

2011-01-01

This paper describes the results of vehicle-to-vehicle (V2V) and infrastructure-to-vehicle (I2V) experiments implementing cooperative maneuvering for three different vehicles driving automatically. The cars used were cybercars from the Institut National de Recherche en Informatique et Automatique

LASIK - Laser Eye Surgery

Science.gov (United States)

... Refractive Surgery Procedures What Is Photorefractive Keratectomy (PRK)? LASIK — Laser Eye Surgery Leer en Español: LASIK—Cirugía ocular con láser ... loss of close-up focusing power. How the LASIK procedure works LASIK is performed while the patient ...

The role of physical space in labour–management cooperation

DEFF Research Database (Denmark)

Ilsøe, Anna; Felbo-Kolding, Jonas

2018-01-01

Many studies on labour–management relations have focused on formal cooperation in manufacturing. This calls for further research and theory development on labour–management interactions in private service companies, where cooperation practices appear to be less formal. In this article, a typology...... of cooperation between managers and employees is developed, based on a microsociological study conducted in the Danish retail trade in 2013. Drawing on six indepth case studies, the article identifies four different physical spaces of labour–management cooperation: open collective, closed collective, open...

Researchers and mine managers cooperate for better technology

International Nuclear Information System (INIS)

Anon.

1984-01-01

How cooperation between mine managers and research organizations can result in practical technology and better work methods is discussed. Specific cases of how this close cooperation has helped in the U.K., Swedish blasting experiments, linear array scanners for Australian geologic evaluation, coal preparation in Canada, and deep mine problems in South Africa are given

Banking union through Hungarian eyes–assessment of a possible close cooperation

Directory of Open Access Journals (Sweden)

Anikó Szombati

2017-03-01

Full Text Available Legislation laying down the first two pillars of the institutional system of the Banking Union was finalised in April 2014. In accordance with the regulations, non-euro area Member States, including Hungary, may notify the ECB at any time if they wish to participate in the common system even before the euro is adopted. The paper aims at summarising the possible pros and cons vis-à-vis the Banking Union from a Hungarian perspective. It highlights the reasons for not opting in at the inception of the new supervisory system and also gives indications about those major milestones that could give rise to the reconsideration of the present position. In its existing form, the single supervisory and crisis management mechanism has not achieved the initial target, i.e. the separation of the stability of national banking systems and the fiscal capacity of Member States and the elimination of interdependencies. In addition, close cooperation implies weaker powers than those provided by actual membership, and the separation of central bank and supervisory functions carries risks in non-euro area countries. By contrast, the attraction of Banking Union membership lies in the opportunity to join a uniform European system, a wider analyst base and ultimately, the “ammunition” of the EUR 98 billion available for crisis management in comparison to the Hungarian banking system. In October 2013, a uniform supervisory system integrated into the central bank was set up in Hungary, and the domestic resolution institutional system was complete by the end of 2014. Therefore, until the finalisation of the Banking Union through the creation of the common deposit insurance fund and a common fiscal backstop, it is reasonable to put the decision to join on hold; indeed, such a decision should be made in light of several factors presented in this study.

Vascular surgery research in the Gulf Cooperation Council countries

Directory of Open Access Journals (Sweden)

Ali Jawas

2014-04-01

Conclusion: The quality and quantity of vascular surgery research in the GCC countries should be improved to answer important local questions related to vascular diseases. This needs better strategic planning and more collaboration between various institutions.

Breast conserving surgery versus mastectomy

DEFF Research Database (Denmark)

Christiansen, Peer; Carstensen, Stina Lyck; Ejlertsen, Bent

2018-01-01

Background: Observational studies have pointed at a better survival after breast conserving surgery (BCS) compared with mastectomy. The aim of the present study was to evaluate whether this remains true when more extensive tumor characteristics and treatment data were included. Methods: The cohort...... included patients registered after primary surgery for early invasive breast cancer in the database of the Danish Breast Cancer Cooperative Group, in the period 1995–2012. The cohort was divided into three groups: (i) patients who primarily had a mastectomy, (ii) patients treated by BCS, and (iii) patients...

When Reputation Enforces Evolutionary Cooperation in Unreliable MANETs.

Science.gov (United States)

Tang, Changbing; Li, Ang; Li, Xiang

2015-10-01

In self-organized mobile ad hoc networks (MANETs), network functions rely on cooperation of self-interested nodes, where a challenge is to enforce their mutual cooperation. In this paper, we study cooperative packet forwarding in a one-hop unreliable channel which results from loss of packets and noisy observation of transmissions. We propose an indirect reciprocity framework based on evolutionary game theory, and enforce cooperation of packet forwarding strategies in both structured and unstructured MANETs. Furthermore, we analyze the evolutionary dynamics of cooperative strategies and derive the threshold of benefit-to-cost ratio to guarantee the convergence of cooperation. The numerical simulations verify that the proposed evolutionary game theoretic solution enforces cooperation when the benefit-to-cost ratio of the altruistic exceeds the critical condition. In addition, the network throughput performance of our proposed strategy in structured MANETs is measured, which is in close agreement with that of the full cooperative strategy.

Necessity of suction drains in gynecomastia surgery.

Science.gov (United States)

Keskin, Mustafa; Sutcu, Mustafa; Cigsar, Bulent; Karacaoglan, Naci

2014-05-01

The aim of gynecomastia surgery is to restore a normal chest contour with minimal signs of breast surgery. The authors examine the rate of complications in gynecomastia surgery when no closed-suction drains are placed. One hundred thirty-eight consecutive male patients who underwent gynecomastia surgery without drains were retrospectively analyzed to determine whether the absence of drains adversely affected patient outcomes. Patients were managed by ultrasonic-assisted liposuction both with and without the pull-through technique. The mean age of the patients was 29 years, and the mean volume of breast tissue aspirated was 350 mL per beast. Pull-through was needed in 23 cases. There was only 1 postoperative hematoma. These results are comparable with previously published data for gynecomastia surgery in which drains were placed, suggesting that the absence of drains does not adversely affect postoperative recovery. Routine closed-suction drainage after gynecomastia surgery is unnecessary, and it may be appropriate to omit drains after gynecomastia surgery.

[Perioperative nursing of internal sinus floor elevation surgery with piezosurgery].

Science.gov (United States)

He, Jing; Lei, Yiling; Wang, Liqiong

2013-12-01

This study aims to summarize the nursing experience in the internal sinus floor elevation surgery with piezosurgery. The medical records of 48 patients who underwent sinus floor elevation surgery with piezosurgery in the Department of Implantation, West China Hospital of Stomatology, Sichuan University, were reviewed. The preoperative, intraoperative, and postoperative nursing methods were summarized. All 48 patients underwent smooth surgeries and did not encounter complications. Careful preoperative preparation, careful and meticulous intraoperative nursing cooperation, and provision of sufficient health education after surgery to the patients are the key factors that ensure the success of internal sinus floor elevation surgery with piezosurgery.

Partner cooperation with decode-and-forward: Closed-form outage analysis and comparison

KAUST Repository

Benjillali, Mustapha; Alouini, Mohamed-Slim

2013-01-01

/destination, which is based on the unique knowledge of local channel state information, selects the best relay to increase the chances of cooperation in both uplink and downlink communications when the direct link is also available. After deriving new expressions

US-French nuclear cooperation: its past, present and future

International Nuclear Information System (INIS)

Lewis, Jeffrey; Tertrais, Bruno

2015-10-01

It is now a matter of public record that France and the United States conducted in-depth cooperation on ballistic missiles and, later, on nuclear weapons safety and security starting with the Nixon and Pompidou Administrations. The existence of a deep France-US strategic nuclear cooperation exists as a historical counter-narrative to the notion of France as a fully independent nuclear power, but also as a reluctant US strategic partner. Today, both countries conceive of their interests globally, and share similar outlooks regarding strategic challenges from countries such as Russia, China, Pakistan, Iran and North Korea. The United States and France have worked particularly closely in the P5+1 context to reach a diplomatic solution to Iran's growing nuclear capabilities. As permanent members of the United Nations Security Council, they are key partners on crisis management, regarding Libya, Syria, or Ukraine. Cooperation on counter-terrorism has been stepped up since the events of January 2015 in France. The two countries cooperate closely in Sahel and in Iraq. This short briefing provides new information on past nuclear cooperation and seeks to address the following question: given the existence of deep US-UK and UK-French nuclear ties, would enhanced US-French cooperation - the 'third side of the triangle' - be useful either strategically, in terms of enhancing the stability of deterrence, or financially? (authors)

Turkey-U.S. Defense Cooperation: Prospects and Challenges

Science.gov (United States)

2011-04-08

to cultivate stability or to be unduly provocative to neighboring countries. • Arms sales and industrial cooperation: Turkey continues to seek... mushroomed and Kurdish secessionist sentiment within Turkey caused concerns in the 1990s following the establishment of an autonomous Kurdish zone...a member of NATO), and has counted on previously close Turkey-Israel military relations to cultivate U.S.-Turkey-Israel military cooperation

Cooperative behavior, competition and operations research

NARCIS (Netherlands)

Estevez Fernandez, M.A.

2006-01-01

Game theory is the mathematical tool to study cooperation and competition. Since the beginnings of operations research and game theory both fields have been closely related. This thesis further investigates this relationship. Costs or rewards sharing problems arising from scheduling problems,

Transboundary cooperation

International Nuclear Information System (INIS)

Rauber, D.

2006-01-01

The operation of nuclear power plants near national borders requires a close bilateral co-operation to cope with accidents having off-site radiological impacts. For example in 1978 such an agreement was signed by the German and Swiss government. The accident at the Chernobyl NPP changed the international co-operation in the framework of international consequence management. International conventions were agreed to insure a timely notification and international assistance in case of an accident with transboundary effects. In order to fulfill these conventions several procedures were introduced. In addition, bilateral agreements were signed also with countries which are not operating nuclear power plants near national borders. Since then no accident took place that would have required any notification. However, following the experience the expectations to these networks have changed considerably and hence sustainable development is required to cope with new challenges such as long term consequences management, new radiological threats, faster international assistance, media and public concerns, and technical evolution of communications systems. (author)

International Cooperation for Creation of Closed System SMR

International Nuclear Information System (INIS)

Alekseev, P. N.; Kuharkin, N. E.; Stukalov, V.A.; Subbotin, S. A.; Schepetina, T. D.; Udyanskiy, Yu. N.

2008-01-01

As a whole it is supposed, that the nuclear power (NP) structure on base small medium reactor (SMR) will consist of two parts: External - it is the power plants network with safety, having a highest level, which operation does not require extreme qualification; Internal - closed from 'world', in which these power plants are created and are processed after there decommission, and where all works in manufacturing both processing of fuel and wastes manipulation will be carried out. Using possessed experience and industrial base of small medium reactors (SMR) for ice breakers and submarines, the serial production of transportable SMR of a capacity range, for example, 1, 5 - 50 MWe is possible to design and to adjust. Capacity only of Russian market for these units is estimated approximately in 2000, 1000 and 100 pieces accordingly. Low a core power density allows to ensure operation without an reload of fuel during 8 - 15 years and more. After the expiration of a scheduled lifetime resource the power unit will come back to the enterprise Centralized Repair-Reloading Base (CRRB) for recycling, and to be replaced on new one similarly to electrical battery. For such reactors the integrated configuration is most expedient, i.e. the modular designs, therefore they can be wholly made at industrial conditions and in assembled mode are delivered to an operation site, that essentially reduces terms and expenses of construction, external infrastructure, raises quality of manufacturing and reliability of SMR, facilitates a task of decommissioning. Small capacity SMR can be universal purposes: production of the electric power, industrial heat, district heating, water desalination, chemistry and petrochemistry production, drive of compressors of gas-transport stations etc. The design bases of small capacity reactors are incorporated for a long time. Russia saved the 40-year's experience of creation and operation SMR of various types for ice breaking propulsion and submarines, space

Financial problems and cooperation

Energy Technology Data Exchange (ETDEWEB)

Izquierdo, J.

1994-12-31

For a Bank, an usual way to attract new clients is by offering better interest rates depending on the amount of money that the client deposits in an account: {open_quotes}The more money you have the higher interest rate you get{close_quotes}. For a company is also a common practice to offer their clients discounts connected with the number of units of the product they order: {open_quotes}The more you order, the lower price per unit you pay{close_quotes}. From these situations arises the possibility to take profit if the clients cooperate and join their money or their orders. Hence, we define a new class of cooperative games called Financial Games. We study basic properties and necessary conditions for a game to belong to this class of games and we define the concept of duality for Financial games. The core is always non-empty and, moreover, Financial games are always totally balanced. We look at some special amputations lying in the Core and we study the reduced game on the j{sup th} player at {rvec x} where x{sub j} = b{sub j} = v(N) {minus} v(N {minus} j).

Evaluation of secondary surgery to enlarge the peeling of the internal limiting membrane following the failed surgery of idiopathic macular holes.

Science.gov (United States)

Che, Xin; He, Fanglin; Lu, Linna; Zhu, Dongqing; Xu, Xiaofang; Song, Xin; Fan, Xianqun; Wang, Zhiliang

2014-03-01

The aim of the present study was to evaluate the clinical results of pars plana vitrectomy (PPV) combined with the surgical enlargement of internal limiting membrane (ILM) peeling in patients who had previously undergone failed idiopathic macular hole (IMH) surgery. In the study, 134 eyes from 130 IMH patients who had received PPV combined with ILM peeling surgery (2 disk diameters) were analyzed. Within this cohort, 14 eyes had IMHs that were not closed, of which 13 eyes underwent a second surgery involving enlargement of the ILM peeling. The extent of the ILM peeling was increased to the vascular arcades of the posterior fundus in the secondary surgery. Of the 13 eyes that underwent secondary surgery, five were in stage III and nine were in stage IV. The second surgery successfully achieved IMH closure in 61.5% (8/13) of the eyes. The IMH was completely closed following surgery and the logMAR vision increased from 0.98 to 0.84 (P=0.013) in the 8 successfully treated cases. The surgical enlargement of ILM peeling closed the IMHs and improved vision in the majority of patients. In addition, the procedures were safe. Therefore, the results of the present study indicate that enlargement of ILM peeling may be an effective therapy for patients who have previously undergone the failed surgical correction of an IMH.

Cooperation between referees and authors increases peer review accuracy.

Directory of Open Access Journals (Sweden)

Jeffrey T Leek

Full Text Available Peer review is fundamentally a cooperative process between scientists in a community who agree to review each other's work in an unbiased fashion. Peer review is the foundation for decisions concerning publication in journals, awarding of grants, and academic promotion. Here we perform a laboratory study of open and closed peer review based on an online game. We show that when reviewer behavior was made public under open review, reviewers were rewarded for refereeing and formed significantly more cooperative interactions (13% increase in cooperation, P = 0.018. We also show that referees and authors who participated in cooperative interactions had an 11% higher reviewing accuracy rate (P = 0.016. Our results suggest that increasing cooperation in the peer review process can lead to a decreased risk of reviewing errors.

Automated Cooperative Trajectories

Science.gov (United States)

Hanson, Curt; Pahle, Joseph; Brown, Nelson

2015-01-01

This presentation is an overview of the Automated Cooperative Trajectories project. An introduction to the phenomena of wake vortices is given, along with a summary of past research into the possibility of extracting energy from the wake by flying close parallel trajectories. Challenges and barriers to adoption of civilian automatic wake surfing technology are identified. A hardware-in-the-loop simulation is described that will support future research. Finally, a roadmap for future research and technology transition is proposed.

Overview of Cooperative Monitoring Concepts and the CMC

International Nuclear Information System (INIS)

Biringer, Kent L.

1999-01-01

Cooperative monitoring holds the promise of utilizing many technologies from conflicts of the past to implement agreements of peace in the future. Important approaches to accomplish this are to develop the framework for assessing monitoring opportunities and to provide education and training on the technologies and experience available for sharing with others. The Cooperative Monitoring Center (CMC) at Sandia National Laboratories is working closely with agencies throughout the federal government, academics at home and abroad, and regional organizations to provide the technical tools needed to assess, design, analyze, and implement these cooperative agreements. In doing so, the goals of building regional confidence and increasing trust and communication can be furthered

The increased risk of predation enhances cooperation

Science.gov (United States)

Krams, Indrikis; Bērziņš, Arnis; Krama, Tatjana; Wheatcroft, David; Igaune, Kristīne; Rantala, Markus J.

2010-01-01

Theory predicts that animals in adverse conditions can decrease individual risks and increase long-term benefits by cooperating with neighbours. However, some empirical studies suggest that animals often focus on short-term benefits, which can reduce the likelihood that they will cooperate with others. In this experimental study, we tested between these two alternatives by evaluating whether increased predation risk (as a correlate of environmental adversity) enhances or diminishes the occurrence of cooperation in mobbing, a common anti-predator behaviour, among breeding pied flycatchers Ficedula hypoleuca. We tested whether birds would join their mobbing neighbours more often and harass a stuffed predator placed near their neighbours' nests more intensely in areas with a higher perceived risk of predation. Our results show that birds attended mobs initiated by their neighbours more often, approached the stuffed predator significantly more closely, and mobbed it at a higher intensity in areas where the perceived risk of predation was experimentally increased. In such high-risk areas, birds also were more often involved in between-pair cooperation. This study demonstrates the positive impact of predation risk on cooperation in breeding songbirds, which might help in explaining the emergence and evolution of cooperation. PMID:19846454

Coarse-grained molecular simulations of allosteric cooperativity

Energy Technology Data Exchange (ETDEWEB)

Nandigrami, Prithviraj; Portman, John J. [Department of Physics, Kent State University, Kent, Ohio 44242 (United States)

2016-03-14

Interactions between a protein and a ligand are often accompanied by a redistribution of the population of thermally accessible conformations. This dynamic response of the protein’s functional energy landscape enables a protein to modulate binding affinities and control binding sensitivity to ligand concentration. In this paper, we investigate the structural origins of binding affinity and allosteric cooperativity of binding two Ca{sup 2+} ions to each domain of Calmodulin (CaM) through simulations of a simple coarse-grained model. In this model, the protein’s conformational transitions between open and closed conformational ensembles are simulated explicitly and ligand binding and unbinding are treated implicitly within the grand canonical ensemble. Ligand binding is cooperative because the binding sites are coupled through a shift in the dominant conformational ensemble upon binding. The classic Monod-Wyman-Changeux model of allostery with appropriate binding free energies to the open and closed ensembles accurately describes the simulated binding thermodynamics. The simulations predict that the two domains of CaM have distinct binding affinity and cooperativity. In particular, the C-terminal domain binds Ca{sup 2+} with higher affinity and greater cooperativity than the N-terminal domain. From a structural point of view, the affinity of an individual binding loop depends sensitively on the loop’s structural compatibility with the ligand in the bound ensemble, as well as the conformational flexibility of the binding site in the unbound ensemble.

An exploratory study of close supplier-manufacturer relationships

OpenAIRE

Goffin, Keith; Lemke, Fred; Szwejczewski, Marek

2006-01-01

Close relationships with selected suppliers can enable manufacturers to reduce costs, improve quality and enhance new product development. Although the advantages of close co-operation are widely acknowledged in the literature, the specific attributes of such relationships are not well understood. To address this gap, 39 managers responsible for purchasing were interviewed using a technique from psychology, which is particularly effective at uncovering the characteristics of...

Toward a Cooperative Experimental System Development Approach

DEFF Research Database (Denmark)

Grønbæk, Kaj; Kyng, Morten; Mogensen, Preben Holst

1997-01-01

This chapter represents a step towards the establishment of a new system development approach, called Cooperative Experimental System Development (CESD). CESD seeks to overcome a number of limitations in existing approaches: specification oriented methods usually assume that system design can...... be based solely on observation and detached reflection; prototyping methods often have a narrow focus on the technical construction of various kinds of prototypes; Participatory Design techniques—including the Scandinavian Cooperative Design (CD) approaches—seldom go beyond the early analysis....../design activities of development projects. In contrast, the CESD approach is characterized by its focus on: active user involvement throughout the entire development process; prototyping experiments closely coupled to work-situations and use-scenarios; transforming results from early cooperative analysis...

International cooperation in the peaceful use of nuclear energy

International Nuclear Information System (INIS)

Jacke, S.; Stein, G.

1988-01-01

The article in hand reviews the scenario and organisation of the conference together with the results achieved (non-proliferation strategies with regard to technological cooperation in the nuclear field, feasible means of cooperation), saying that judged by the non-favourable conditions at the start, the fruitful dialogue between developing countries and highly industrialised countries that has set in at this conference will have to be filed on the credit side. Another important result is that one came to realize that the transfer of know-how must be very carefully prepared and accompanied by very close cooperation right from the start. (orig./DG) [de

Cooperative Detection for Primary User in Cognitive Radio Networks

Directory of Open Access Journals (Sweden)

Zhu Jia

2009-01-01

Full Text Available We propose two novel cooperative detection schemes based on the AF (Amplify and Forward and DF (Decode and Forward protocols to achieve spatial diversity gains for cognitive radio networks, which are referred to as the AF-CDS, (AF-based Cooperative Detection Scheme and DF-CDS (DF-based Cooperative Detection Scheme, respectively. Closed-form expressions of detection probabilities for the noncooperation scheme, AND-CDS (AND-based Cooperative Detection Scheme, AF-CDS and DF-CDS, are derived over Rayleigh fading channels. Also, we analyze the overall agility for the proposed cooperative detection schemes and show that our schemes can further reduce the detection time. In addition, we compare the DF-CDS with the AF-CDS in terms of detection probability and agility gain, depicting the advantage of DF-CDS at low SNR region and high false alarm probability region.

China and CERN renew their Co-operation Agreement

CERN Multimedia

2004-01-01

Dr. Liu Yanhua, Chinese Vice Minister of Science and Technology, and Dr. Robert Aymar, Director-General of CERN, sign a new Co-operation Agreement between the Government of the People's Republic of China and CERN. During his visit to CERN on 17 February, Liu Yanhua, Vice Minister of Science and Technology of the People's Republic of China, signed a new Co-operation Agreement with the Laboratory. The Agreement, which is valid for a period of five years and renewable, lays down the framework for the development of scientific and technological co-operation between CERN and China. This includes China's participation, as a non-Member State, in CERN's research projects as well as its main programmes. Robert Aymar and Liu Yanhua underlined that this Agreement will provide an excellent framework for close co-operation on the LHC Programme and Grid and accelerator technologies. Scientific co-operation between China and CERN is nothing new, as Chinese physicists already took part in the LEP experiments. Today, CERN's C...

Coaction versus reciprocity in continuous-time models of cooperation.

Science.gov (United States)

van Doorn, G Sander; Riebli, Thomas; Taborsky, Michael

2014-09-07

Cooperating animals frequently show closely coordinated behaviours organized by a continuous flow of information between interacting partners. Such real-time coaction is not captured by the iterated prisoner's dilemma and other discrete-time reciprocal cooperation games, which inherently feature a delay in information exchange. Here, we study the evolution of cooperation when individuals can dynamically respond to each other's actions. We develop continuous-time analogues of iterated-game models and describe their dynamics in terms of two variables, the propensity of individuals to initiate cooperation (altruism) and their tendency to mirror their partner's actions (coordination). These components of cooperation stabilize at an evolutionary equilibrium or show oscillations, depending on the chosen payoff parameters. Unlike reciprocal altruism, cooperation by coaction does not require that those willing to initiate cooperation pay in advance for uncertain future benefits. Correspondingly, we show that introducing a delay to information transfer between players is equivalent to increasing the cost of cooperation. Cooperative coaction can therefore evolve much more easily than reciprocal cooperation. When delays entirely prevent coordination, we recover results from the discrete-time alternating prisoner's dilemma, indicating that coaction and reciprocity are connected by a continuum of opportunities for real-time information exchange. Copyright © 2014 Elsevier Ltd. All rights reserved.

The game theory in thoracic surgery: from the intuitions of Luca Pacioli to the operating rooms management.

Science.gov (United States)

Ciocci, Argante; Viti, Andrea; Terzi, Alberto; Bertolaccini, Luca

2015-11-01

Game theory is a formal way to analyze the interactions among groups of subjects who behave each other. It has historically been of great interest in the economic fields in which decisions are made in a competitive environment. Game theory has fascinating potential if applied in the medical science. Few papers have been written about the application of game theory in surgery. The majority of scenarios of game theory in surgery fall into two main groups: cooperative and no cooperative games.

Effectiveness of the "Mohs and Close Technique" in Increasing the Efficiency of a Mohs Micrographic Surgery.

Science.gov (United States)

Mehta, Dhwani; Jacobsen, Rebecca; Godsey, Tonja; Adams, Brian; Gloster, Hugh

2016-12-01

Mohs micrographic surgery (MMS) is successful and cost effective, but may be time consuming as patients are required to wait for final wound repair until margins are clear. We propose for selected cases the "Mohs and Close technique" (MCT), in which the defect is immediately repaired after tumor resection rather than waiting until margins are clear. MCT was only performed on tumors that had clearly de ned borders, low risk histology, whose resulting defect after exci- sion required either a primary or partial closure, and whose repair wouldn't change to a different repair option if further stages of exci- sion were necessary. Tumor data was recorded for all cases. Time elapsed from tumor resection to completion of wound closure was recorded with and without performing MCT for comparable wounds. MCT was performed for 456 of 898 cases. Time required without MCT was significantly longer than with MCT when only one stage was performed (Pincrease the efficiency of MMS. J Drugs Dermatol. 2016;15(12):1481-1483.

Aortic valve surgery - open

Science.gov (United States)

... gov/ency/article/007408.htm Aortic valve surgery - open To use the sharing features on this page, ... separates the heart and aorta. The aortic valve opens so blood can flow out. It then closes ...

Changes in Hepatic Blood Flow and Liver Function during Closed Abdominal Hyperthermic Intraperitoneal Chemotherapy following Cytoreduction Surgery

Directory of Open Access Journals (Sweden)

Stéphanie Dupont

2018-01-01

Full Text Available Background. The increase in intra-abdominal pressure (IAP during closed abdominal hyperthermic intraperitoneal chemotherapy (HIPEC leads to major haemodynamic changes and potential organ dysfunction. We investigated these effects on hepatic blood flow (HBF and liver function in patients undergoing HIPEC following cytoreductive surgery and fluid management guided by dynamic preload indices. Methods. In this prospective observational clinical study including 15 consecutive patients, we evaluated HBF by transesophageal echocardiography and liver function by determination of the indocyanine green plasma disappearance rate (ICG-PDR. Friedman’s two-way analysis of variance by ranks and Wilcoxon signed-rank test were performed for statistical analysis. Results. During HIPEC, HBF was markedly reduced, resulting in the loss of any pulsatile Doppler flow signal in all but one patient. The ICG-PDR, expressed as median (interquartile 25–75, decreased from 23 (20–30 %/min to 18 (12.5–19 %/min (p<0.001. Despite a generous crystalloid infusion rate (27 (22–35 ml/kg/h, cardiac index decreased during the increased IAP period, inferior vena cava diameter decreased, stroke volume variation and pulse pressure variation increased, lung compliance dropped, and there was an augmentation in plateau pressure. All changes were significant (p<0.001 and reversed to baseline values post HIPEC. Conclusion. Despite optimizing intravenous fluids during closed abdominal HIPEC, we observed a marked decrease in HBF and liver function. Both effects were transient and limited to the period of HIPEC but could influence the choice between closed or open abdominal cavity procedure for HIPEC and should be considered in similar clinical situations of increased IAP.

Cooperating with a palliative home-care team

DEFF Research Database (Denmark)

Goldschmidt, Dorthe; Groenvold, Mogens; Johnsen, Anna Thit

2005-01-01

BACKGROUND: Palliative home-care teams often cooperate with general practitioners (GPs) and district nurses. Our aim was to evaluate a palliative home-care team from the viewpoint of GPs and district nurses. METHODS: GPs and district nurses received questionnaires at the start of home-care and one...... month later. Questions focussed on benefits to patients, training issues for professionals and cooperation between the home-care team and the GP/ district nurse. A combination of closed- and open-ended questions was used. RESULTS: Response rate was 84% (467/553). Benefits to patients were experienced...... by 91 %, mainly due to improvement in symptom management, 'security', and accessibility of specialists in palliative care. After one month, 57% of the participants reported to have learnt aspects of palliative care, primarily symptom control, and 89% of them found cooperation satisfactory...

What can social parasites tell us about cooperation and conflict in insect societies?

DEFF Research Database (Denmark)

Nash, David Richard

strategies to exploit social insect colonies. Both types of social parasitism can provide useful insights into cooperation and conflict within insect societies. Closely related social parasites are essentially the outcome of the breakdown of cooperation and the realisation of conflict, and the unique...... to examine how cooperation can be exploited independent of these traits. In this presentation I will examine both types of social parasitism in detail, and provide some examples of the insights they can bring to the study of cooperation and conflict....

TANDEM - French-German cooperation for local energy transition

International Nuclear Information System (INIS)

Mouchard, Claire; Garreau, Enora; Maurer, Christiane; Schilken, Peter; Keilmann, Jenny-Claire; Janssen, Ulrike

2014-01-01

The simultaneous implementation of the German 'Energiewende' and the French 'Transition energetique' prompted both country's governments to sign various cooperation agreements. As both 'Energiewende' and 'Transition energetique' put a strong focus on decentralization of energy supply, establishing close inter-communal cooperation is particularly promising. The project TANDEM, which is jointly led by Klima-Buendnis and Energy Cities - both local authority networks - and co-funded by Germany's Federal Environment Agency (UBA) and the French Energy Agency ADEME provides French and German local authorities with a unique opportunity to exchange experiences and create partnerships for climate protection having the following objectives: - Creating broad mutual understanding for the respective situation, challenges and framework in energy and climate policy; - Encourage exchanges with regard to obstacles and success factors concerning the realization of ambitious energy- and climate-goals and promoting mutual transfer of know-how; - Stimulating close collaboration between local authorities from both countries while involving and supporting local stakeholders and citizens; - Implementing initial stages of cooperation projects during the lifetime of the TANDEM project and creating a foundation for long-term cooperation; - Raise awareness for demands, requirements and concerns of local authorities on a national and European level in order to strengthen their influence and enlarge their scope of action. In this document, the authors briefly present the French, German and European contexts and the organization of both countries regarding energy transition. Then, a parallel is made between the national energy-climate plans of both countries ('Klimaschutzkonzepte' and 'Plans Climat-Energie Territoriaux') to identify the similarities and differences in order to learn from each other and to be able to create cooperations between both policy mechanisms

[Immunological status of the pediatric patient who has undergone heart surgery].

Science.gov (United States)

Valenzuela Flores, A; Wakida, G; Limón Rojas, A; Obregón, C; Orihuela, O; Romero, C

1995-01-01

Communication of results a study the effect of open and closed-heart surgery in the immune system of infants and children. Data collected 24 hrs before anesthesia and surgery and five days after surgery. Operating room and pediatric intensive care of Hospital Central de Petróleos Mexicanos (PEMEX) in the South, Mexico City. Children undergoing surgery for correction of congenital heart disease (age 16 months to 14 years). A total of 16 patients. increased neutrophil counts with luymphopenia in both groups (p < 0.05), serum levels of the complement components C3 and C4 were higher after surgery, serum immunoglobulin IgG, IgA and IgM were higher after surgery, serum immunoglobulin IgG, IgA and IgM were decreased form preoperative levels (p < 0.01). Two patients had infection in the surgical wound. The effect of open and closed-heart surgery produced transitory immunodeficiency with recuperation of his immune systems and 5th day after surgery.

Cooperation Between Suppliers and Retail Chains in Developing Systemic Products

Directory of Open Access Journals (Sweden)

Katarzyna Bilińska-Reformat

2016-01-01

Full Text Available Seeking a competitive advantage, retail chains develop systemic products. Introducing systemic products to retailers' offer requires establishment of close cooperation with their suppliers. In the paper the assumption has been made that offering systemic products makes the offer more attractive for customer. It is also reason for development of cooperation between retail chains and suppliers. Selected commercial enterprises were research objects in the study. Analyses included in the paper concern the years between 2009 and 2015. Research methods: critical analysis of the literature, results of own research method concerning cooperation between retail chains and suppliers, and the case research method.

NanoSPD activity in Ufa and International Cooperation

International Nuclear Information System (INIS)

Reshetnikova, N; Salakhova, M

2014-01-01

This report presents main achievements of R and D activities of the Institute of Physics of Advanced Materials of Ufa State Aviation Technical University (IPAM USATU, Ufa, Russia) with a special attention to innovative potential of nanostructured metals and alloys produced by the severe plastic deformation (SPD) techniques. Several examples of the first promising applications of bulk nanostructured materials (BNM) as well as potential competing technologies are considered and discussed. The authors would like to focus special emphasis on international cooperation in view of numerous emerging projects as well as different conferences and seminars that pave the way to close and fruitful cooperation, working visits and exchange of young scientists. The possibilities of international cooperation through various foundations and programs are considered

The risk of predation favors cooperation among breeding prey

Science.gov (United States)

Krama, Tatjana; Berzins, Arnis; Rantala, Markus J

2010-01-01

Empirical studies have shown that animals often focus on short-term benefits under conditions of predation risk, which reduces the likelihood that they will cooperate with others. However, some theoretical studies predict that animals in adverse conditions should not avoid cooperation with their neighbors since it may decrease individual risks and increase long-term benefits of reciprocal help. We experimentally tested these two alternatives to find out whether increased predation risk enhances or diminishes the occurrence of cooperation in mobbing, a common anti-predator behavior, among breeding pied flycatchers, Ficedula hypoleuca. Our results show that birds attended mobs initiated by their neighbors more often, approached the stuffed predator significantly more closely, and mobbed it at a higher intensity in areas where the perceived risk of predation was experimentally increased. This study demonstrates a positive impact of predation risk on cooperation in breeding songbirds, which might help to explain the emergence and evolution of cooperation. PMID:20714404

Cooperation, cheating, and collapse in biological populations

Science.gov (United States)

Gore, Jeff

2014-03-01

Natural populations can collapse suddenly in response to small changes in environmental conditions, and recovery from such a collapse can be difficult. We have used laboratory microbial ecosystems to directly measure theoretically proposed early warning signals of impending population collapse. Yeast cooperatively break down the sugar sucrose, meaning that below a critical size the population cannot sustain itself. We have demonstrated experimentally that changes in the fluctuations of the population size can serve as an early warning signal that the population is close to collapse. The cooperative nature of yeast growth on sucrose suggests that the population may be susceptible to ``cheater'' cells, which do not contribute to the public good and instead merely take advantage of the cooperative cells. We confirm this possibility experimentally and find that such social parasitism decreases the resilience of the population.

An Empirical Evaluation of an Activity-Based Infrastructure for Supporting Cooperation in Software Engineering

DEFF Research Database (Denmark)

Tell, Paolo; Babar, Muhammad Ali

2016-01-01

Software engineering (SE) is predominantly a team effort that needs close cooperation among several people who may be geographically distributed. It has been recognized that appropriate tool support is a prerequisite to improve cooperation within SE teams. In an effort to contribute to this line...

SSI's International Development Co-operation (SIUS). Annual report 1998

International Nuclear Information System (INIS)

Szendroe, G.; Grapengiesser, S.; Johansson, Gunnar

1999-04-01

SSI's International Development Co-operation (SIUS), the Swedish program for radiation protection work in Central and Eastern Europe, has since its start in 1992 been granted SEK 109 million by the Swedish government. The projects are accessed, planned and performed in close co-operation with partner organisations in Eastern Europe. This report presents the financial status and a summary of the projects, their status and distribution over the countries and project areas. The presentation is updated as of December 1998

Energy-efficient cooperative protocols for full-duplex relay channels

KAUST Repository

Khafagy, Mohammad Galal

2013-12-01

In this work, energy-efficient cooperative protocols are studied for full-duplex relaying (FDR) with loopback interference. In these protocols, relay assistance is only sought under certain conditions on the different link outages to ensure effective cooperation. Recently, an energy-efficient selective decode-And-forward protocol was proposed for FDR, and was shown to outperform existing schemes in terms of outage. Here, we propose an incremental selective decode-And-forward protocol that offers additional power savings, while keeping the same outage performance. We compare the performance of the two protocols in terms of the end-to-end signal-to-noise ratio cumulative distribution function via closed-form expressions. Finally, we corroborate our theoretical results with simulation, and show the relative relay power savings in comparison to non-selective cooperation in which the relay cooperates regardless of channel conditions. © 2013 IEEE.

Energy-efficient cooperative protocols for full-duplex relay channels

KAUST Repository

Khafagy, Mohammad Galal; Ismail, Amr; Alouini, Mohamed-Slim; Aï ssa, Sonia

2013-01-01

In this work, energy-efficient cooperative protocols are studied for full-duplex relaying (FDR) with loopback interference. In these protocols, relay assistance is only sought under certain conditions on the different link outages to ensure effective cooperation. Recently, an energy-efficient selective decode-And-forward protocol was proposed for FDR, and was shown to outperform existing schemes in terms of outage. Here, we propose an incremental selective decode-And-forward protocol that offers additional power savings, while keeping the same outage performance. We compare the performance of the two protocols in terms of the end-to-end signal-to-noise ratio cumulative distribution function via closed-form expressions. Finally, we corroborate our theoretical results with simulation, and show the relative relay power savings in comparison to non-selective cooperation in which the relay cooperates regardless of channel conditions. © 2013 IEEE.

Design options for cooperation mechanisms under the new European renewable energy directive

International Nuclear Information System (INIS)

Klessmann, Corinna; Lamers, Patrick; Ragwitz, Mario; Resch, Gustav

2010-01-01

In June 2009, a new EU directive on the promotion of renewable energy sources (RES) entered into effect. The directive 2009/28/EC, provides for three cooperation mechanisms that will allow member states to achieve their national RES target in cooperation with other member states: statistical transfer, joint projects, and joint support schemes. This article analyses the pros and cons of the three mechanisms and explores design options for their implementation through strategic and economic questions: How to counterbalance the major drawbacks of each mechanism? How to reflect a balance of costs and benefits between the involved member states? The analysis identifies a number of design options that respond to these questions, e.g. long term contracts to ensure sufficient flexibility for statistical transfers, a coordinated, standardised joint project approach to increase transparency in the European market, and a stepwise harmonisation of joint support schemes that is based on a cost-effective accounting approach. One conclusion is that the three cooperation mechanisms are closely interlinked. One can consider their relation to be a gradual transition from member state cooperation under fully closed national support systems in case of statistical transfers, to cooperation under fully open national support systems in a joint support scheme.

The association of body mass index with complications and functional outcomes after surgery for closed ankle fractures.

Science.gov (United States)

Stavem, K; Naumann, M G; Sigurdsen, U; Utvåg, S E

2017-10-01

This study assessed the association of classes of body mass index in kg/m 2 (classified as normal weight 18.5 kg/m 2 to 24.9 kg/m 2 , overweight 25.0 kg/m 2 to 29.9 kg/m 2 , and obese ≥ 30.0 kg/m 2 ) with short-term complications and functional outcomes three to six years post-operatively for closed ankle fractures. We performed a historical cohort study with chart review of 1011 patients who were treated for ankle fractures by open reduction and internal fixation in two hospitals, with a follow-up postal survey of 959 of the patients using three functional outcome scores. Obese patients had more severe overall complications and higher odds of any complication than the normal weight group, with adjusted odds ratio 1.67 (95% confidence interval (CI) 1.08 to 2.59; p = 0.021) and 1.71 (95% CI 1.10 to 2.65; p = 0.016), respectively. In total 479 patients (54.6%) responded to the questionnaire. Obese patients had worse scores on the Olerud and Molander Ankle Score (p Ankle Questionnaire (p = 0.003) and Lower Extremity Functional Scale (p = 0.01) than those with normal weight. In contrast, overweight patients did not have worse functional scores than those with normal weight. Obese patients had more complications, more severe complications, and worse functional outcomes three to six years after ankle surgery compared with those with normal weight. Cite this article: Bone Joint J 2017;99-B:1389-98. ©2017 The British Editorial Society of Bone & Joint Surgery.

The cooperative voltage sensor motion that gates a potassium channel.

Science.gov (United States)

Pathak, Medha; Kurtz, Lisa; Tombola, Francesco; Isacoff, Ehud

2005-01-01

The four arginine-rich S4 helices of a voltage-gated channel move outward through the membrane in response to depolarization, opening and closing gates to generate a transient ionic current. Coupling of voltage sensing to gating was originally thought to operate with the S4s moving independently from an inward/resting to an outward/activated conformation, so that when all four S4s are activated, the gates are driven to open or closed. However, S4 has also been found to influence the cooperative opening step (Smith-Maxwell et al., 1998a), suggesting a more complex mechanism of coupling. Using fluorescence to monitor structural rearrangements in a Shaker channel mutant, the ILT channel (Ledwell and Aldrich, 1999), that energetically isolates the steps of activation from the cooperative opening step, we find that opening is accompanied by a previously unknown and cooperative movement of S4. This gating motion of S4 appears to be coupled to the internal S6 gate and to two forms of slow inactivation. Our results suggest that S4 plays a direct role in gating. While large transmembrane rearrangements of S4 may be required to unlock the gating machinery, as proposed before, it appears to be the gating motion of S4 that drives the gates to open and close.

Automatic gain control of neural coupling during cooperative hand movements.

Science.gov (United States)

Thomas, F A; Dietz, V; Schrafl-Altermatt, M

2018-04-13

Cooperative hand movements (e.g. opening a bottle) are controlled by a task-specific neural coupling, reflected in EMG reflex responses contralateral to the stimulation site. In this study the contralateral reflex responses in forearm extensor muscles to ipsilateral ulnar nerve stimulation was analyzed at various resistance and velocities of cooperative hand movements. The size of contralateral reflex responses was closely related to the level of forearm muscle activation required to accomplish the various cooperative hand movement tasks. This indicates an automatic gain control of neural coupling that allows a rapid matching of corrective forces exerted at both sides of an object with the goal 'two hands one action'.

Quantitative work demands, emotional demands, and cognitive stress symptoms in surgery nurses.

Science.gov (United States)

Elfering, Achim; Grebner, Simone; Leitner, Monika; Hirschmüller, Anja; Kubosch, Eva Johanna; Baur, Heiner

2017-06-01

In surgery, cognitive stress symptoms, including problems in concentrating, deciding, memorising, and reflecting are risks to patient safety. Recent evidence points to social stressors as antecedents of cognitive stress symptoms in surgery personnel. The current study tests whether cognitive stress symptoms are positively associated with emotional abuse, emotional- and task-related demands and resources in surgery work. Forty-eight surgery nurses from two hospitals filled out the Copenhagen Psychosocial Questionnaire in its German version. Task-related and emotional demands were positively related to cognitive stress symptoms. In a stepwise, multiple, linear regression of cognitive stress symptoms on task-related and emotional demands, emotional abuse and emotional demands were unique predictors (p emotional abuse, emotional demands, and, therefore, communication and cooperation team climate in surgery personnel.

Nagasaki cooperative group study of radio-chemo-immunotherapy following surgery for glioma

International Nuclear Information System (INIS)

Shibata, Shobu; Moriyama, Tadayoshi; Tanaka, Keisei; Moroki, Jiro.

1984-01-01

The purpose of this interinstitutional controlled study was to assess the usefulness of radio-chemo-immunotherapy following surgery for glioma. Immediately after surgery for glioma, patients were randomly allocated into the group A with radiotherapy (5,000 to 6,000 rad), ACNU, and OK-432 and the group B with radiotherapy and ACNU. Fifty-one patients consisting of 24 in the froup A and 27 in the group B entered the study from January 1981 to December 1983. No significant differences in one-year, two-year, and three-year survival rates were observed between the groups. Protective effects on leukopenia were observed in the group A, compared with the group B, with a significant difference. (Namekawa, K.)

Wake-up times following sedation with sevoflurane versus propofol after cardiac surgery.

Science.gov (United States)

Hellström, Jan; Öwall, Anders; Sackey, Peter V

2012-10-01

Intravenous sedation in the intensive care unit (ICU) may contribute to altered consciousness and prolonged mechanical ventilation. We tested the hypothesis that replacing intravenous propofol with inhaled sevoflurane for sedation after cardiac surgery would lead to shorter wake-up times, quicker patient cooperation, and less delusional memories. Following coronary artery bypass surgery with cardiopulmonary bypass, 100 patients were randomized to sedation with sevoflurane via the anesthetic conserving device or propofol. Study drugs were administered for a minimum of 2 hours until criteria for extubation were met. Primary endpoints were time from drug stop to extubation and to adequate verbal response. Secondary endpoints were adverse recovery events, memories reported in the ICU Memory Tool test, and ICU/hospital stay. Median time from drug stop to extubation (interquartile range/total range) was shorter after sevoflurane compared to propofol sedation; 10 (10/100) minutes versus 25 (21/240) minutes (p sedation after cardiac surgery leads to shorter wake-up times and quicker cooperation compared to propofol. No differences were seen in ICU-stay, adverse memories or recovery events in our short-term sedation.

The strategy of therapy of the axilla in early cancer. Surgery or radiotherapy

International Nuclear Information System (INIS)

Izuo, Masaru

1998-01-01

The therapy of the axillary lymph node in early breast cancer was assessed perspectively. Recently, axillary irradiation was carried out and compared with surgery. Radiotherapy was not evaluated more successful. To carry out in accordance with the present guide line, so called ''modern technique'' or ''modern dosage schedule'', radiotherapy of the axilla is effective as well as surgery. We have many agreements that the rate of incidence of complication associated with irradiation was decreased in accordance with ''modern technique''. It is reasonable to radiate additionally after the selection by the ''node sampling'' in the sense of decreasing unnecessary irradiation. But it is not sufficient in their reliability, it is hard to expect this method getting more popular than now. We cannot find any difference in the effect of the treatment itself between present dissection and radiotherapy. However we have many agreements that axillary dissection may give the information about n-stage, and the contribution to the suitable selection to the prognosis factor and adjuvant chemotherapy was not so less even in early cancer. Some early cancers (non-invasive carcinoma or micro carcinoma) will not need the axillary therapy. It is one of the options ''to combine mastectomy under local anesthesia and radiotherapy'' in close cooperation with the skilled radiologist. (K.H.) 120 refs

Potential cooperative measures on nuclear issues in Asia

International Nuclear Information System (INIS)

Olsen, J.

1997-01-01

Cooperation on nuclear issues is receiving increased attention in Asia. In Northeast Asia, where the nuclear industry is well-developed, cooperation in the back end of the nuclear fuel cycle could help deal with issues such as disposition of spent fuel and long term storage options. In Southeast Asia, where countries are just beginning to introduce nuclear energy, cooperation would be useful in developing standards for the nuclear industry. Throughout Asia, nuclear research and power activities can raise concerns about safety, environmental pollution and proliferation. The sharing of relevant information, i.e. cooperative monitoring, will be essential to addressing these issues. In fact, a number of regional interactions on nuclear issues are already occurring. These range from training exchanges sponsored by the more advanced states to participation in environmental monitoring of the East Sea (Sea of Japan). Several states are considering sharing information from their nuclear facilities; some exchanges of radiation data are already in place. The KEDO reactor project will involve close working relations between the nuclear experts of South Korea, North Korea, Japan, and the US. Areas for further regional cooperation are discussed

Social penalty promotes cooperation in a cooperative society.

Science.gov (United States)

Ito, Hiromu; Yoshimura, Jin

2015-08-04

Why cooperation is well developed in human society is an unsolved question in biological and human sciences. Vast studies in game theory have revealed that in non-cooperative games selfish behavior generally dominates over cooperation and cooperation can be evolved only under very limited conditions. These studies ask the origin of cooperation; whether cooperation can evolve in a group of selfish individuals. In this paper, instead of asking the origin of cooperation, we consider the enhancement of cooperation in a small already cooperative society. We ask whether cooperative behavior is further promoted in a small cooperative society in which social penalty is devised. We analyze hawk-dove game and prisoner's dilemma introducing social penalty. We then expand it for non-cooperative games in general. The results indicate that cooperation is universally favored if penalty is further imposed. We discuss the current result in terms of the moral, laws, rules and regulations in a society, e.g., criminology and traffic violation.

Anterior ischemic optic neuropathy after conventional coronary artery bypass graft surgery.

Science.gov (United States)

Dorecka, Mariola; Miniewicz-Kurkowska, Joanna; Romaniuk, Dorota; Gajdzik-Gajdecka, Urszula; Wójcik-Niklewska, Bogumiła

2011-06-01

Perioperative optic neuropathy is a disease which can lead to serious, irreversible damage of vision. This complication could be the result of non-ocular surgery, for example, cardiac or spinal procedures. We present a case of anterior ischemic neuropathy (AION) which occurred following a conventional coronary artery bypass graft procedure. A 57-year-old man, 4 days after Conventional Coronary Artery Bypass Graft surgery as result of multi-vessel stabile coronary artery disease and history of anterolateral wall myocardial infarction, was admitted to the Eye Clinic due to significant loss of vision in his right eye. The patient had hypertension and was a heavy smoker. On admission, the slit lamp examination revealed a relative afferent pupillary defect in the right eye. The fundus examination showed optic disc edema with the presence of flame hemorrhages. Best corrected visual acuity (BCVA) was 0.02. The results of eye examination and fluorescein angiography confirmed the diagnosis of AION. Anti-aggregation and antithrombotic treatment was continued with steroids and vasodilators. After 7 days of this treatment we noticed the improvement of BCVA to 0.2. At 6-month follow-up, the vision was stable, and fundus examination revealed optic disc atrophy. After cardiac surgical operations, such as coronary artery bypass graft procedures, anterior ischemic optic neuropathy may occur. In those cases, close cooperation between the various specialists is necessary.

For Cooperating Teachers Only: How to Avoid the Communication Gap.

Science.gov (United States)

Polivka, John B.

1979-01-01

Describes four approaches which cooperating teachers may take in maintaining close communication with student teachers: informal conferences, formal conferences, written comments on lesson plans, and subtle or subliminal communication. Journal availability: see SO 506 831. (AV)

Using Cooperative Learning to Foster the Development of Adolescents’ English Writing Skills

Directory of Open Access Journals (Sweden)

Paula Andrea Caicedo Triviño

2016-01-01

Full Text Available Seventh grade teachers at a Colombian public school chose cooperative learning as a strategy to improve student’s social performance and as a tool to get learners to enrich their academic level. This article reports on an action research and innovation project focused on the results eight students obtained in their written performance in English classes during three cooperative lessons. This article gathers some existing research on writing skills and cooperative learning and a presentation and analysis about students’ real expectations and thoughts about writing in the English language. The systematization of this teaching experience also sheds lights on further actions to analyze closely students’ texts construction in a cooperative environment.

SSI`s International Development Co-operation (SIUS). Annual report 1998

Energy Technology Data Exchange (ETDEWEB)

Szendroe, G.; Grapengiesser, S.; Johansson, Gunnar

1999-04-01

SSI`s International Development Co-operation (SIUS), the Swedish program for radiation protection work in Central and Eastern Europe, has since its start in 1992 been granted SEK 109 million by the Swedish government. The projects are accessed, planned and performed in close co-operation with partner organisations in Eastern Europe. This report presents the financial status and a summary of the projects, their status and distribution over the countries and project areas. The presentation is updated as of December 1998

Support for cooperative control and maintenance operation in advanced nuclear power plant from generalized and intuitive viewpoints

International Nuclear Information System (INIS)

Numano, Masayoshi; Niwa, Yasuyuki; Miyazaki, Keiko; Fukuto, Junji; Tanaka, Kunihiko; Okazaki, Tadatsugi; Itoh, Hiroko; Matsuoka, Takeshi

2002-01-01

To keep safety and effectiveness in control and maintenance operations of large and complex plants like nuclear power plants, cooperative operation among human and machine agents is proposed. The concept is that the cooperation augments human capability as an individual by closely related team members with adequate interfaces. This paper describes a basic concept of the cooperation, necessary interface functions, infrastructure of the cooperation and communication logging for accumulation and sharing of knowledge. (author)

Closed suction drainage using Lichtenstein technique in preventing wound complications following inguinal hernioplasty: brief report

Directory of Open Access Journals (Sweden)

Hamid Reza Hemmati

2015-03-01

Results: No adverse event including hematoma, seroma or wound infection occurred in either group with or without closed suction drainage in the first 10 days after surgery. Only one patient carried wound infection during days 10 to 15 following operation who was in the group with closed drainage (P=1.00. Conclusion: In this study, Seroma and hematoma was not observed in patients with and without closed suction drainage. To avoid drains' complications, indiscriminate use of antibiotics, prolonged hospital stay, we do not recommend the use of drains in this type of surgery.

Nutrition in Pregnancy Following Bariatric Surgery

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Christopher Slater

2017-12-01

Full Text Available The widespread use of bariatric surgery for the treatment of morbid obesity has led to a dramatic increase in the numbers of women who become pregnant post-surgery. This can present new challenges, including a higher risk of protein and calorie malnutrition and micronutrient deficiencies in pregnancy due to increased maternal and fetal demand. We undertook a focused, narrative review of the literature and present pragmatic recommendations. It is advisable to delay pregnancy for at least 12 months following bariatric surgery. Comprehensive pre-conception and antenatal care is essential to achieving the best outcomes. Nutrition in pregnancy following bariatric surgery requires specialist monitoring and management. A multidisciplinary approach to care is desirable with close monitoring for deficiencies at each trimester.

Criteria for successful multiprofessional cooperation in palliative care teams.

Science.gov (United States)

Jünger, S; Pestinger, M; Elsner, F; Krumm, N; Radbruch, L

2007-06-01

Team work is considered a central component of palliative care. Within this comparatively young field of medicine, the emergence of new institutions (eg, palliative care units) highlights the challenge of establishing a completely new team. This study focuses on the factors, which enhance both the success and outcome criteria of good team work from the perception of team members in a palliative care unit. The palliative care team at the University Hospital of Aachen (n = 19) was interviewed 1 year after the unit's startup by the means of semistructured interviews. Interview texts were analysed using qualitative content analysis. Factors crucial to cooperation in the team members' views were close communication, team philosophy, good interpersonal relationships, high team commitment, autonomy and the ability to deal with death and dying. Moreover, close communication was by far the most frequently mentioned criteria for cooperation. Team performance, good coordination of workflow and mutual trust underpin the evaluation of efficient team work. Inefficient team work is associated with the absence of clear goals, tasks and role delegation, as well as a lack of team commitment. In a new team, close communication is particularly important for staff as they reorientate themselves to the dynamics of a new peer group. The results confirm the overwhelming importance of clarity, commitment and close, positive exchange among team members for successful team work.

Ocular hypertension after pediatric cataract surgery: baseline characteristics and first-year report.

Directory of Open Access Journals (Sweden)

Haotian Lin

Full Text Available Monitoring intraocular pressure (IOP is essential for pediatric cataract treatment but always difficult due to lack of cooperation in young children. We present the baseline characteristics and the first-year results of a long-term prospective cohort study, which are aimed to determine the relationship of the incidence of ocular hypertension (OH in children after cataract surgery during the first-year period and the risk of developing late-onset glaucoma. Children were included with the following criteria: they were ≤10 years old and scheduled to undergo cataract surgery with/without intraocular lens implantation; they were compliant with our follow-up protocol, which included monitoring IOP using a Tono-Pen under sedation or anesthesia. Incidence of OH, peak OH value, OH onset time and OH duration within a 12-month period following surgery were measured. In brief, 206 patients (379 eyes were included and OH developed in 66 of 379 (17.4% eyes. The mean follow-up period was 14.0±3.2 months (median, 12 months; range, 10-16 months. Moreover, 33 of 196 (16.8% aphakic eyes and 33 of 183 (18.0% IOL eyes were diagnosed with OH. The peak OH onset times were at 1-week (34/66, 51.5% and 1-month (14/66, 21.2% appointments postsurgery. The peak IOP value in the OH eyes was 29.9±7.5 mmHg (median, 29 mmHg; range, 21-48 mmHg. The duration of OH was 30.9±31.2 days (median, 30 days; range, 3-150 days. OH recurred in 13 eyes with a history of OH diagnosed within 1 month postsurgery (13/54, 24.1%, which needed temporary or long term use of antiglaucoma medications. In conclusion, the incidence of OH in children after cataract surgery was 17.4% during the first-year period. Children who have suffered elevated IOP in the first year after cataract surgery should be followed closely to determine if there is an increased risk of developing late-onset glaucoma.

Member Heterogeneity in Agricultural Cooperatives: A Systems-Theoretic Perspective

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Constantine Iliopoulos

2018-04-01

Full Text Available All over the globe, cooperatives are plagued by pervasive member heterogeneity problems that are induced by the radical and dynamic changes in the business environment. Most current solutions to these problems emphasize strengthening member loyalty and commitment. Yet, many of these solutions are symptomatic rather than fundamental. Searching for fundamental solutions, this paper draws on the Luhmannian system-environment paradigm. Bringing this paradigm to bear on the cooperative scholarship, the paper views cooperatives as operationally closed systems maintaining a precarious relationship to their outer environment, which includes cooperative members. In view of their operational closure, cooperatives tend to overstrain the carrying capacity of their environment by being active in the areas marked by a limited extent of the true commonness of member interests. This overstraining results in a host of problems associated with member heterogeneity. The fundamental solutions following from the system-environment paradigm require the adjustment of cooperative boundaries and goals in light of the evolving range of the true common interests of members. In terms of methodology, we review the extant literature, synthesize the main elements of the system-environment approach and conduct a meta-analysis of case studies and other empirical research to highlight our theoretical arguments.

A User Cooperation Stimulating Strategy Based on Cooperative Game Theory in Cooperative Relay Networks

Directory of Open Access Journals (Sweden)

Ping Zhang

2009-01-01

Full Text Available This paper proposes a user cooperation stimulating strategy among rational users. The strategy is based on cooperative game theory and enacted in the context of cooperative relay networks. Using the pricing-based mechanism, the system is modeled initially with two nodes and a Base Station (BS. Within this framework, each node is treated as a rational decision maker. To this end, each node can decide whether to cooperate and how to cooperate. Cooperative game theory assists in providing an optimal system utility and provides fairness among users. Under different cooperative forwarding modes, certain questions are carefully investigated, including “what is each node's best reaction to maximize its utility?” and “what is the optimal reimbursement to encourage cooperation?” Simulation results show that the nodes benefit from the proposed cooperation stimulating strategy in terms of utility and thus justify the fairness between each user.

A User Cooperation Stimulating Strategy Based on Cooperative Game Theory in Cooperative Relay Networks

Directory of Open Access Journals (Sweden)

Jiang Fan

2009-01-01

Full Text Available This paper proposes a user cooperation stimulating strategy among rational users. The strategy is based on cooperative game theory and enacted in the context of cooperative relay networks. Using the pricing-based mechanism, the system is modeled initially with two nodes and a Base Station (BS. Within this framework, each node is treated as a rational decision maker. To this end, each node can decide whether to cooperate and how to cooperate. Cooperative game theory assists in providing an optimal system utility and provides fairness among users. Under different cooperative forwarding modes, certain questions are carefully investigated, including "what is each node's best reaction to maximize its utility?" and "what is the optimal reimbursement to encourage cooperation?" Simulation results show that the nodes benefit from the proposed cooperation stimulating strategy in terms of utility and thus justify the fairness between each user.

Plastic surgery in Nigeria-Scope and challenges

Directory of Open Access Journals (Sweden)

TOG Chukwuanukwu

2011-01-01

Full Text Available Background Plastic surgery as a major subspecialty of surgery has existed in Nigeria for several decades but the populace including medical practitioners are yet to fully appreciate its scope. This leads to very late presentation/referral of cases and management of cases that should have been referred by less qualified practitioners with attendant poor outcomes and complications. Most people still regard plastic surgery as being synonymous with cosmetic/aesthetic surgery but the scope goes far beyond this entity. It is therefore important that the public including medical practitioners who are the main sources of referral to the subspecialty are aware of the range of cases handled by plastic surgery units. The plastic surgeon in Nigeria is also faced with a lot of challenges ranging from the arduous task of one having to manage very many different and complicated cases to being very poorly equipped and appreciated. Objectives To educate the populace especially the medical practitioners on the scope of plastic surgery and the extent of development of the subspecialty in Nigeria and solicit for colleague′s cooperation in order to move plastic surgery forward. To also highlight the difficulties faced by the plastic surgeon in Nigeria and seeking help from appropriate quarters which will help to reduce unnecessary referrals abroad while improving the services rendered to patients locally. Conclusion Plastic surgery in Nigeria has developed significantly both in scope and manpower but it is still faced with a lot of challenges. Knowledge of its scope will help to reduce unnecessary referrals abroad while improving services/skill here in Nigeria.

Recurrence factors for chronic subdural hematoma after burr-hole surgery

International Nuclear Information System (INIS)

Nagashima, Hiroaki; Sakata, Junichi; Ishii, Taiji; Chiba, Yoshiyuki; Miyake, Shigeru

2010-01-01

Although chronic subdural hematoma (CSDH) is well known as a curable condition, it also has a significant recurrence rate. To identify risk factors for recurrence, we compared the clinical features in two groups of patients with or without recurrence. The present study included 172 adult patients who had underwent one burr-hole and closed-system drainage between April 2007 and January 2010. Of these 23 cases (13.4%) experienced recurrence after surgery. The factors analyzed were patient background including, gender, age, history of drinking, diabetes, and the use of antiplatelet or anticoagulant medications, and a history of head injury, clinical symptoms, including initial neurologic symptoms, and computed tomography findings such as hematoma thickness, midline-shift, and density of the hematoma factors related to surgery such as duration from trauma to surgery and operation method and the recurrence rate. The results of this study showed that a short duration from trauma to surgery and the absence of traumatic history were recurrence factors for CSDH after burr-hole surgery. These results suggest that any cases with these risk factors should be closely observed after burr hole surgery. (author)

Breast-Conservative Surgery With Close or Positive Margins: Can the Breast Be Preserved With High-Dose-Rate Brachytherapy Boost?

International Nuclear Information System (INIS)

Guinot, Jose Luis; Roldan, Susana; Maronas, Maria; Tortajada, Isabel; Carrascosa, Maria; Chust, Maria Luisa; Estornell, Marian; Mengual, Jose Luis; Arribas, Leoncio

2007-01-01

Purpose: To evaluate the likelihood of preserving the breast in women who show close or positive margins after conservative surgery for early breast carcinoma. Methods and Materials: Since 1996, 125 women with less than 5 mm or positive margins and positive separate cavity margin sampling were entered in a prospective trial with high-dose radiotherapy. A standard dose of 50 Gy to the whole breast was followed by a high-dose-rate brachytherapy application delivering 3 fractions of 4.4 Gy in 24 hours. The median follow-up was 84 months. Results: There were only seven local recurrences, with an actuarial local control rate of 95.8% at 5 years and 91.1% at 9 years. Actuarial overall and cause-specific survival rates were 92.6% and 95% at 5 years and 86.7% and 90.4% at 9 years, respectively. Late fibrosis was the most common complication, in 30% of patients, with good or excellent cosmetic results in 77%. The final result was that 95.2% of breasts were preserved. Conclusions: Close or positive-margin breast cancer can be well managed with a high-dose boost in a wide tumor bed by means of high-dose-rate brachytherapy. This technique can avoid mastectomy or poor cosmetic resection, with minimal risk of local or general failure

The politics of avoidable blindness in Latin America--surgery, solidarity, and solutions: the case of Misión Milagro.

Science.gov (United States)

Zakrison, Tanya L; Armada, Francisco; Rai, Nanky; Muntaner, Caries

2012-01-01

Avoidable blindness, especially when caused by cataracts, is a disease primarily of the economically disadvantaged sectors of the population. With a focus on Latin America and the Caribbean, this paper focuses on the program Misión Milagro within its historical, political, and economic contexts. This initiative, led by the governments of Cuba and Venezuela, covers close to 35 countries across Latin America, the Caribbean, Asia, and Africa. It is well-known throughout Latin America as close to 2 million patients have undergone free screening, corrective surgery, and rehabilitation since its inception in 2004. Misión Milagro shows that implementation of a massive initiative to curb avoidable blindness caused by cataracts in a relatively short time is feasible. The program is also built upon a unique model of international cooperation, which stresses social objectives and solidarity rather than hegemonic international initiatives built on commercial relationships. It also provides elements that could be applied to other public health issues of global or national relevance, not only to other low-middle-income countries, but also to high-income countries such as Canada.

[Is psychoprophylaxis a valid approach for heart surgery in children?].

Science.gov (United States)

Pereira Ruschel, P; Pierini Cidade, D; Daudt, N S; Rossi Filho, R I

1995-10-01

To validate the hypothesys that a psycological preparation for children who will undergo cardiac surgery may improve the outcome. Sixty patients, with ages ranging between 3 and 10 years, submitted to heart surgery for treatment of congenital heart defects, were evaluated. They were divided in 2 groups: experimental and control. A questionnaire was designed for collecting data about psychological and clinical aspects of each patient. The following data was found to be of statistical significance: acceptance of peripheral vein puncture in the surgical group (chi 2 = 11.59, p < 0.05), calm awakening following general anesthesia (chi 2 = 9.64 p < 0.05), cooperation with the physiotherapy staff (chi 2 = 13.30, p < 0.05), coping with parents absence (chi 2 = 9.64, p < 0.05), acceptance of fluid restriction (chi 2 = 17.78, p < 0.05) and cooperation with removal of stitches and pacemaker electrodes (chi 2 = 19.20, p < 0.05). There was not statistical significance on demand of sedation, cooperation at removal of the orotracheal tube and during examination, necessity of reintubation and occurrence of clinical complications. However, the prepared group showed a slight tendency to have less postoperative complications (20%) than the control (27%). It was found that children who had adequated psychologic preparation prior to the correction of congenital heart defects had better psychological results with the imposed trauma.

The experimental setup of a large field operational test for cooperative driving vehicles at the A270

NARCIS (Netherlands)

Broek, T.H.A. van den; Netten, B.D.; Hoedemaeker, M.; Ploeg, J.

2010-01-01

In this paper, a large field operational test (FOT) for cooperative driving systems, which take place on a public highway, is discussed. The experimental setup consist of a specific driver support system, which is closely related to cooperative adaptive cruise control (CACC) systems. Instead of

In Situ Surgery: Is It Safe ? (Experience with 60 cases) | El Sadat ...

African Journals Online (AJOL)

Conclusion: NSU is a safe place for performing in-situ surgery (ISS) without increased risk of infection. Successful operative intervention within NSU requires good planning and cooperation between anesthesiologist, surgeons, neonatologist and nursing staff. Maximum benefit is observed in neonates who have definite risk ...

Prototyping a Hybrid Cooperative and Tele-robotic Surgical System for Retinal Microsurgery.

Science.gov (United States)

Balicki, Marcin; Xia, Tian; Jung, Min Yang; Deguet, Anton; Vagvolgyi, Balazs; Kazanzides, Peter; Taylor, Russell

2011-06-01

This paper presents the design of a tele-robotic microsurgical platform designed for development of cooperative and tele-operative control schemes, sensor based smart instruments, user interfaces and new surgical techniques with eye surgery as the driving application. The system is built using the distributed component-based cisst libraries and the Surgical Assistant Workstation framework. It includes a cooperatively controlled EyeRobot2, a da Vinci Master manipulator, and a remote stereo visualization system. We use constrained optimization based virtual fixture control to provide Virtual Remote-Center-of-Motion (vRCM) and haptic feedback. Such system can be used in a hybrid setup, combining local cooperative control with remote tele-operation, where an experienced surgeon can provide hand-over-hand tutoring to a novice user. In another scheme, the system can provide haptic feedback based on virtual fixtures constructed from real-time force and proximity sensor information.

To cooperate or not to cooperate

DEFF Research Database (Denmark)

Wessels, Josepha Ivanka

To Cooperate or not to Cooperate...? discusses results of a research project to study the rehabilitation of 1500-year old water tunnels, so called "qanats", in Syria. Communities all over the world are using traditional technologies to extract drinkingwater, irrigate their lands and feed...... their livestock. But these often sustainable and ancient ways to make use of groundwater are in rapid decline worldwide. A research project started in 1999 to study the rehabilitation of 1500-year old water tunnels called "qanats"in Syria. To Cooperate or not to Cooperate...? discusses results and outcomes...

Orthognathic surgery: general considerations.

Science.gov (United States)

Khechoyan, David Y

2013-08-01

a patient's appearance and occlusal function can be improved significantly, impacting the patient's sense of self and well-being. Successful outcomes in modern orthognathic surgery rely on close collaboration between the surgeon and the orthodontist across all stages of treatment, from preoperative planning to finalization of occlusion. Virtual computer planning promotes a more accurate analysis of dentofacial deformity and preoperative planning. It is also an invaluable aid in providing comprehensive patient education. In this article, the author describes the general surgical principles that underlie orthognathic surgery, highlighting the sequence of treatment, preoperative analysis of dentofacial deformity, surgical execution of the treatment plan, and possible complications.

Computer control versus manual control of systemic hypertension during cardiac surgery

NARCIS (Netherlands)

Hoeksel, S.A.A.P.; Blom, J.A.; Jansen, J.R.C.; Maessen, J.G.; Schreuder, J.J.

2001-01-01

Keywords:Cardiac surgery;hypertension;closed-loop controlBackground: We recently demonstrated the feasibility of computer controlled infusion of vasoactive drugs for the control of systemic hypertension during cardiac surgery. The objective of the current study was to investigate the effects of

DEPLOYMENT OF SIX SIGMA METHODOLOGY IN PHACOEMULSIFICATION CATARACT SURGERY

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Ibrahim SAHBAZ

2014-04-01

Full Text Available The purpose of this study is to show how a public eye care center in Turkey initiated Six Sigma principles to reduce the number of complications encountered during and after phacoemulsification cataract surgeries. To analyze the 3-year data, main tools of Six Sigma’s Define-Measure-Analyze-Improve-Control (DMAIC improvement cycle such as SIPOC table, Fishbone Diagram and, Failure, Mode and Effect Analysis were implemented. Experience of the ophthalmic surgeon, patient’s anatomy, cooperation of patient during the surgery, sterilization and hygiene, attention of assistant surgeon, calibration of equipment and quality/chemical composition of intraocular material were identified to be Critical-to-Quality (CTQ factors for a successful phacoemulsification cataract surgery. The most frequently occurring complication was found to be iris atrophy. The process sigma level for the process was found to be 3.958.

A protocol of rehabilitation after ACL reconstruction using a hamstring autograft in the first month after surgery--a preliminary report.

Science.gov (United States)

Biernat, Ryszard; Wołosewicz, Mariusz; Tomaszewski, Wiesław

2007-01-01

The purpose of this paper is to present a protocol of rehabilitation after ACL reconstruction using a hamstring autograft in the first month after surgery. The program enables the patient to return early to everyday activities (school, sedentary work) without crutches or a stabilizer. The program has been developed in accordance with rehabilitation protocols employed at Karolinska Institute in Sweden and Prof. Shelbourne's Clinic in the USA. The study group included 31 patients (18 men and 13 women). Patients rehabilitated in the Department according to our program achieved stable gait patterns and were able to step up and down within four to seven weeks. Early patient mobilization after ACL reconstruction is possible and does not cause any negative effects provided that the patient, doctor and physiotherapist cooperate very closely.

Does Certification as Bariatric Surgery Center and Volume Influence the Outcome in RYGB-Data Analysis of German Bariatric Surgery Registry.

Science.gov (United States)

Stroh, Christine; Köckerling, F; Lange, V; Wolff, S; Knoll, C; Bruns, C; Manger, Th

2017-02-01

To examine the association between the certification as bariatric surgery center and volume and patient outcome, data collected in the German Bariatric Surgery Registry were evaluated. All data were registered prospectively in cooperation with the Institute of Quality Assurance in Surgery at Otto-von-Guericke University Magdeburg. Data collection began in 2005 for all bariatric procedures in an online database. Participation in the quality assurance study is required for all certified bariatric surgery centers in Germany. Descriptive evaluation and matched pairs analysis were performed. Patients were matched via propensity score taking into account BMI, age, and incidence of comorbidities. During the period from 2005 to 2013, 3083 male and 10,639 female patients were operated on with the RYGB primary approach. In Centers of Competence (77.2 %) and non-accredited hospitals (76.3 %), the proportion of female patients was significantly lower than in Centers of Reference/Excellence (78.7 %; p = 0.002). The mean age in Centers of Reference/Excellence (41.2 years) was significantly lower than in Centers of Competence (43.2 years; p bariatric surgery centers with higher volume. The study supports the concept of certification. There are different factors which can and cannot be preoperatively modified and influence the perioperative outcome.

75 FR 10319 - Cooper Tools-Sumter, Cooper Tools Divisions, a Subsidiary of Cooper Industries, Inc., Including...

Science.gov (United States)

2010-03-05

... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-71,602] Cooper Tools--Sumter, Cooper Tools Divisions, a Subsidiary of Cooper Industries, Inc., Including On-Site Leased Workers From... January 26, 2010, applicable to workers of Cooper Tools--Sumter, Cooper Tools Division, a subsidiary of...

SUBSPECIALIZATION IN THE FIELD OF ORTHOPAEDIC SURGERY

African Journals Online (AJOL)

provide comprehensive care of acutely injured patients. ... total hip replacement surgery, that focus on one body part can achieve ... like malnutrition, communicable diseases and trauma. ... for children treated for closed femoral shaft fractures.

Essential hand surgery procedures for mastery by graduating plastic surgery residents: a survey of program directors.

Science.gov (United States)

Noland, Shelley S; Fischer, Lauren H; Lee, Gordon K; Friedrich, Jeffrey B; Hentz, Vincent R

2013-12-01

This study was designed to establish the essential hand surgery procedures that should be mastered by graduating plastic surgery residents. This framework can then be used as a guideline for developing Objective Structured Assessment of Technical Skill to teach technical skills in hand surgery. Ten expert hand surgeons were surveyed regarding the essential hand surgery procedures that should be mastered by graduating plastic surgery residents. The top 10 procedures from this survey were then used to survey all 89 Accreditation Council for Graduate Medical Education-approved plastic surgery program directors. There was a 69 percent response rate to the program director survey (n = 61). The top nine hand surgery procedures included open carpal tunnel release, open A1 pulley release, digital nerve repair with microscope, closed reduction and percutaneous pinning of metacarpal fracture, excision of dorsal or volar ganglion, zone II flexor tendon repair with multistrand technique, incision and drainage of the flexor tendon sheath for flexor tenosynovitis, flexor tendon sheath steroid injection, and open cubital tunnel release. Surgical educators need to develop objective methods to teach and document technical skill. The Objective Structured Assessment of Technical Skill is a valid method for accomplishing this task. There has been no consensus regarding which hand surgery procedures should be mastered by graduating plastic surgery residents. The authors have identified nine procedures that are overwhelmingly supported by plastic surgery program directors. These nine procedures can be used as a guideline for developing Objective Structured Assessment of Technical Skill to teach and document technical skills in hand surgery.

Sir Astley Paston Cooper (1768-1841): The man and his personality.

Science.gov (United States)

Doganay, Emre

2015-11-01

The most acclaimed surgeon of his time, Astley Cooper, a man from Norfolk and a student of the eminent John Hunter, was an outstandingly successful surgeon. With his accomplishments in surgery and experiments in dissection he soon became a prominent figure and received recognition worldwide. At the young age of 21 he was appointed Demonstrator in Anatomy at St Thomas's Hospital in London and two years later was made Joint Lecturer in Anatomy and Surgery. With his passion for anatomy, his love for surgery and his expanding knowledge he became Surgeon to Guy's Hospital in 1800 and in the same year was elected a Fellow to the Royal Society. His attainments led him to become surgeon to three successive British monarchs as well as receiving a bestowal of Baronetcy. Through his edifying lectures, fastidious experiments and publications on anatomy and pathology he has inspired and enlightened many budding anatomists and surgeons and the principles of his teachings still prevail in practice today. © The Author(s) 2014.

Cooperation is fleeting in the world of transposable elements.

Directory of Open Access Journals (Sweden)

Andreas Wagner

2006-12-01

Full Text Available Composite transposons are key vehicles for the worldwide spreading of genes that allow bacteria to survive toxic compounds. Composite transposons consist of two smaller transposable elements called insertion sequences (ISs, which flank the genes that permit such survival. Each IS in a composite transposon can either transpose alone, selfishly, or it can transpose cooperatively, jointly with the other IS. Cooperative transposition can enhance an IS's chance of survival, but it also carries the risk of transposon destruction. I use game theory to show that the conditions under which cooperative transposition is an evolutionarily stable strategy (ESS are not biologically realistic. I then analyze the distribution of thousands of ISs in more than 200 bacterial genomes to test the following prediction of the game-theoretical model: if cooperative transposition was an ESS, then the closely spaced ISs that characterize composite transposons should be more abundant in genomes than expected by chance. The data show that this is not the case. Cooperativity can only be maintained in a transitional, far-from-equilibrium state shortly after a selection pressure first arises. This is the case in the spreading of antibiotic resistance, where we are witnessing a fleeting moment in evolution, a moment in which cooperation among selfish DNA molecules has provided a means of survival. Because such cooperation does not pay in the long run, the vehicles of such survival will eventually disappear again. My analysis demonstrates that game theory can help explain behavioral strategies even for mobile DNA.

Spectrum of neurosurgeon's role in epilepsy surgery

Directory of Open Access Journals (Sweden)

Eun-ik Son

2016-06-01

Full Text Available It is well known that there is high quality evidence of epilepsy surgery as an effective and safe option for patients with drug refractory epilepsy by advanced imaging technology and computerized electrophysiological facilities during recent three decades. However, it still remains debate regarding necessities of epilepsy surgery in terms of less satisfactory surgical outcome, especially in non-lesional neocortical epilepsies. This review is for the role of epileptic neurosurgeon rather than the role of epilepsy surgery, namely, the necessity of neurosurgeon's positive participation starting from the first visit of epilepsy patients followed by pertaining process by stages and its degree of contribution. All experienced epilepsy centers also need innovative or challenging trial absolutely through this kind of standpoint, because all of the present protocols and techniques are coming from the past. In any event, the interdepartmental and interpersonal cooperation is inevitable especially for improving patient's quality of life. Serious neurosurgical considerations are needed for patients with intractable epilepsies, especially in referred cases from other center for the purpose of double check, and incongruent cases with contrary opinions by epileptologist.

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Science.gov (United States)

Fried, Martin; Yumuk, Volkan; Oppert, Jean-Michel; Scopinaro, Nicola; Torres, Antonio J.; Weiner, Rudolf; Yashkov, Yuri; Frühbeck, Gema

2013-01-01

In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity - European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery. PMID:24135948

TANDEM - French-German cooperation for local energy transition. 2014-2017 results, 2017-2019 prospects

International Nuclear Information System (INIS)

Turfin, Anne; Maurer, Christiane; Schilken, Peter; Mouchard, Claire; Coquio, Rozenn; Kynast, Helmi

2016-11-01

The simultaneous implementation of the 'Transition energetique' process in France and of the 'Energiewende' process in Germany has resulted in the signature of a number of cooperation agreements between the two States. Since both these energy transition processes are largely based on decentralising energy supplies, close local authority cooperation looks promising. The TANDEM project is jointly led by two local authority networks, Energy Cities and Klima-Buendnis, with co-funding from ADEME (French Environment and Energy Management Agency) and UBA (German Federal Environment Agency). The TANDEM project provides French and German local authorities with a unique opportunity to share information and cooperate on climate protection issues in order to: provide improved mutual understanding of the situation, challenges and framework of climate and energy policies; encourage exchanges on the obstacles and leverages impeding or fostering the attainment of ambitious energy and climate objectives and encourage knowledge transfer; boost close cooperation between local authorities from both countries, involving local stakeholders and citizens; implement the first stages of cooperation projects during the lifetime of the TANDEM project and lay solid foundations for long-term cooperation; relay local authorities' claims and concerns at both national and European levels, aimed at providing them with greater latitude and freedom of action. Approaches specific to each country have been developed to promote energy transition at the local level. A comparative analysis of existing practices, tools and experiences involving research work and interviews will be conducted and made available to the participating authorities as well as to national organisations. This analysis will be used by national organisations to develop and enhance their action and by local authorities to improve mutual understanding during their discussions. Cooperation projects aimed at implementing energy

Clinical negligence claims in pediatric surgery in England: pattern and trends.

Science.gov (United States)

Thyoka, Mandela

2015-02-01

We hypothesized that there has been an increase in the number of successful litigation claims in pediatric surgery in England. Our aim was to report the incidence, causes, and costs of clinical negligence claims against the National Health Service (NHS) in relation to pediatric surgery. We queried the NHS Litigation Authority (NHSLA) on litigation claims among children undergoing pediatric surgery in England (2004-2012). We decided a priori to only examine closed cases (decision and payment made). Data included year of claim, year of payment of claim, payment per claim, paid-to-closed ratio, and severity of outcome of clinical incident. Out of 112 clinical negligence claims in pediatric surgery, 93 (83%) were finalized-73 (65%) were settled and damages paid to the claimant and 20 (18%) were closed with no payment, and 19 (17%) remain open. The median payment was £13,537 (600-500,000) and median total cost borne by NHSLA was £31,445 (600-730,202). Claims were lodged at a median interval of 2 (0-13) years from time of occurrence with 55 (75%) cases being settled within the 3 years of being received. The commonest reasons for claims were postoperative complications (n=20, 28%), delayed treatment (n=16, 22%), and/or diagnosis (n=14, 19%). Out of 73, 17 (23%) closed claims resulted in case fatality. Conclusion: Two-thirds of all claims in pediatric surgery resulted in payment to claimant, and the commonest reasons for claims were postoperative complications, delayed treatment, and/or diagnosis. Nearly a quarter of successful claims were in cases where negligence resulted in case fatality. Pediatric surgeons should be aware of common diagnostic and treatment shortfalls as high-risk areas of increased susceptibility to clinical negligence claims. Georg Thieme Verlag KG Stuttgart · New York.

A computer-supported management of photographic documentation in plastic surgery - System development and its clinical application.

Science.gov (United States)

Korczak, Karol; Kasielska-Trojan, Anna; Niedźwiedziński, Marian; Antoszewski, Bogusław

2017-07-01

Photographic documentation is very important for plastic, reconstructive, and especially aesthetic surgery procedures. It can be used to improve patient care as well as to carry out scientific research. The results of our previous studies confirmed a strong demand for Information Technology (IT) systems dedicated to plastic surgery. Unfortunately, most of the solutions of this type are not suited to the actual needs. For this reason we decided to develop a reliable system for photographic documentation storage. The Plastic Reconstructive Esthetic Surgery Photo System (PRESsPhoto) was developed and finally deployed in the Plastic, Reconstructive and Aesthetic Surgery Clinic of the Medical University in Łódź (Poland). Preliminary single-center performance tests proved that the PRESsPhoto system is easy to use and provides, inter alia, rapid data search and data entry as well as data security. In the future the PRESsPhoto system should be able to cooperate with Hospital Information Systems (HIS). The process of development and deployment of the PRESsPhoto system is an example of good cooperation between health care providers and the informatics, which resulted in a system that meets the expectations of plastic surgeons. Copyright © 2017 Elsevier Ltd. All rights reserved.

Danish Breast Cancer Cooperative Group

DEFF Research Database (Denmark)

Christiansen, Peer; Ejlertsen, Bent; Jensen, Maj-Britt

2016-01-01

AIM OF DATABASE: Danish Breast Cancer Cooperative Group (DBCG), with an associated database, was introduced as a nationwide multidisciplinary group in 1977 with the ultimate aim to improve the prognosis in breast cancer. Since then, the database has registered women diagnosed with primary invasive...... nonmetastatic breast cancer. The data reported from the departments to the database included details of the characteristics of the primary tumor, of surgery, radiotherapy, and systemic therapies, and of follow-up reported on specific forms from the departments in question. DESCRIPTIVE DATA: From 1977 through...... 2014, ~110,000 patients are registered in the nationwide, clinical database. The completeness has gradually improved to more than 95%. DBCG has continuously prepared evidence-based guidelines on diagnosis and treatment of breast cancer and conducted quality control studies to ascertain the degree...

International cooperation

International Nuclear Information System (INIS)

2008-01-01

In this chapter international cooperation of the Division for Radiation Safety, NPP Decommissioning and Radwaste Management of the VUJE, a. s. is presented. Very important is cooperation with the International Atomic Energy Agency. This cooperation has various forms - national and regional projects of technical cooperation, coordinated research activities, participation of our experts in preparation of the IAEA documentation etc.

Glaucoma Drainage Device Erosion Following Ptosis Surgery.

Science.gov (United States)

Bae, Steven S; Campbell, Robert J

2017-09-01

To highlight the potential risk of glaucoma drainage device erosion following ptosis surgery. Case report. A 71-year-old man underwent uncomplicated superotemporal Ahmed glaucoma valve implantation in the left eye in 2008. Approximately 8 years later, the patient underwent bilateral ptosis repair, which successfully raised the upper eyelid position. Three months postoperatively, the patient's glaucoma drainage implant tube eroded through the corneal graft tissue and overlying conjunctiva to become exposed. A graft revision surgery was successfully performed with no further complications. Caution and conservative lid elevation may be warranted when performing ptosis repair in patients with a glaucoma drainage implant, and patients with a glaucoma implant undergoing ptosis surgery should be followed closely for signs of tube erosion.

[Orthopedic and trauma surgery in the German DRG System 2007].

Science.gov (United States)

Franz, D; Kaufmann, M; Siebert, C H; Windolf, J; Roeder, N

2007-03-01

The German Diagnosis-Related Groups (DRG) System was further developed into its 2007 version. For orthopedic and trauma surgery, significant changes were made in terms of the coding of diagnoses and medical procedures, as well as in the DRG structure itself. The German Societies for Trauma Surgery and for Orthopedics and Orthopedic Surgery (Deutsch Gesellschaft für Unfallchirurgie, DGU; and Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie, DGOOC) once again cooperated constructively with the German DRG Institute InEK. Among other innovations, new International Classification of Diseases (ICD) codes for second-degree burns were implemented. Procedure codes for joint operations, endoprosthetic-surgery and spine surgery were restructured. Furthermore, a specific code for septic surgery was introduced in 2007. In addition, the DRG structure was improved. Case allocation of patients with more than one significant operation was established. Further DRG subdivisions were established according to the patients age and the Patient Clinical Complexity Level (PCCL). DRG developments for 2007 have improved appropriate case allocation, but once again increased the system's complexity. Clinicians need an ever growing amount of specific coding know-how. Still, further adjustments to the German DRG system are required to allow for a correct allocation of cases and funds.

Energy options and regional cooperation on nuclear energy in the Asia-Pacific region

International Nuclear Information System (INIS)

Shin, Jae In

1986-10-01

This paper reviews the extensive forms of Asia-Pacific regional cooperation in nuclear power to develop and provide economical and reliable energy supply for sound economical growths of developing countries in this region, which has seen rapid growth of energy consumption more than anywhere else in recent years. Nuclear power has received keen attention from DCs because it can provide a self-reliable energy supply and promote development of high technology in the associated engineering and manufacturing industries locally. However, due to the particular characteristics in nuclear power technology, a close cooperation is required between the seller(industrialized) and buyer(developing) countries. The Asia-Pacific regional cooperation in nuclear power is a step toward providing mutual benefits to the countries involved in this region, and this paper explores potential ways in formulating basic and systematic approaches and areas of full scope cooperation. (author)

Comparing minimally supervised home-based and closely supervised gym-based exercise programs in weight reduction and insulin resistance after bariatric surgery: A randomized clinical trial.

Science.gov (United States)

Kaviani, Sara; Dadgostar, Haleh; Mazaherinezhad, Ali; Adib, Hanie; Solaymani-Dodaran, Masoud; Soheilipour, Fahimeh; Hakiminezhad, Mahdi

2017-01-01

Background: Effectiveness of various exercise protocols in weight reduction after bariatric surgery has not been sufficiently explored in the literature. Thus, in the present study, we aimed at comparing the effect of minimally supervised home-based and closely supervised gym-based exercise programs on weight reduction and insulin resistance after bariatric surgery. Methods: Females undergoing gastric bypass surgery were invited to participate in an exercise program and were randomly allocated into 2 groups using a random number generator in Excel. They were either offered a minimally supervised home-based (MSHB) or closely supervised gym-based (CSGB) exercise program. The CSGB protocol constitutes 2 weekly training sessions under ACSM guidelines. In the MSHB protocol, the participants received a notebook containing a list of recommended aerobic and resistance exercises, a log to record their activity, and a schedule of follow-up phone calls and clinic visits. Both groups received a pedometer. We measured their weight, BMI, lipid profile, FBS, and insulin level at baseline and at 20 weeks after the exercises, the results of which were compared using t test or Mann-Whitney U test at the end of the study. All the processes were observed by 1 senior resident in sport medicine. Results: A total of 80 patients were recruited who were all able to complete our study (MSHB= 38 and CSGB= 42). The baseline comparison revealed that the 2 groups were similar. The mean change (reduction) in BMI was slightly better in CSGB (8.61 95% CI 7.76-9.45) compared with the MSHB (5.18 95% CI 3.91-6.46); p< 0.01. However, the 2 groups did not have a statistically significant difference in the amount of change in the other factors including FBS and Homa.ir. Conclusion: As we expected a non-inferiority result, our results showed that both MSHB and CSGB exercise methods are somewhat equally effective in improving lipid profile and insulin resistance in the 2 groups, but a slightly better

Safe human-robot cooperation in an industrial environment

OpenAIRE

Pedrocchi N.; Vicentini F.; Matteo M.; Tosatti L.M.

2013-01-01

The standard EN ISO10218 is fostering the implementation of hybrid production systems, i.e., production systems characterized by a close relationship among human operators and robots in cooperative tasks. Human‐robot hybrid systems could have a big economic benefit in small and medium sized production, even if this new paradigm introduces mandatory, challenging safety aspects. Among various requirements for collaborative workspaces, safety‐assurance involves two different application layers; ...

Carbon tariffs and cooperative outcomes

International Nuclear Information System (INIS)

Eyland, Terry; Zaccour, Georges

2014-01-01

In the absence of an international environmental agreement (IEA) on climate change, a country may be reluctant to unilaterally implement environmental actions, as this may lead to the relocation of firms to other, lax-on-pollution countries. To avoid this problem, while still taking care of the environment, a country may impose a carbon tariff that adjusts for the differences between its own carbon tax and the other country's tax. We consider two countries with a representative firm in each one, and characterize and contrast the equilibrium strategies and outcomes in three scenarios. In the first (benchmark) scenario, in a first stage the regulators in the two countries determine the carbon taxes noncooperatively, and in a second stage, the firms compete à la Cournot. In the second scenario, the regulators cooperate in determining the carbon taxes, while the firms still play a noncooperative Cournot game. In the third scenario, we add another player, e.g., the World Trade Organization, which announced a border tax in a prior stage; the game is then played as in the first scenario. Our two major results are (i) a border-tax adjustment (BTA) mimics quite well the cooperative solution in setting the carbon taxes as in scenario two. This means that a BTA may be a way around the lack of enthusiasm for an IEA. (ii) All of our simulations show that a partial correction of the difference in taxes is sufficient to maximize total welfare. In short, the conclusion is that a BTA may be used as a credible threat to achieve an outcome that is very close to the cooperative outcome. - Highlights: • One of the first studies to consider border-tax adjustment in a strategic context. • Border-tax adjustment can lead to an optimal outcome, in cooperative sense. • Optimal outcome is achieved with partial tax adjustment

Performance Analysis of Secondary Link with Cross-Layer Design and Cooperative Relay in Cognitive Radio Networks

KAUST Repository

Ma, Hao

2012-06-01

In this thesis, we investigate two different system infrastructures in underlay cognitive radio network, in which two popular techniques, cross-layer design and cooperative communication, are considered, respectively. In particular, we introduce the Aggressive Adaptive Modulation and Coding (A-AMC) into the cross-layer design and achieve the optimal boundary points in closed form to choose the AMC and A-AMC transmission modes by taking into account the Channel State Information (CSI) from the secondary transmitter to both the primary receiver and the secondary receiver. What’s more, for the cooperative communication design, we consider three different relay selection schemes: Partial Relay Selection, Opportunistic Relay Selection and Threshold Relay Selection. The Probability Density Functions (PDFs) of the Signal-to- Noise Ratio (SNR) in each hop for different selection schemes are provided, and then the exact closed-form expressions for the end-to-end packet loss rate in the secondary link considering the cooperation of the Decode-and-Forward (DF) relay for different relay selection schemes are derived.

Application of marginal calculation in managing a cooperative company

Directory of Open Access Journals (Sweden)

Danuta Mierzwa

2011-01-01

Full Text Available In the market economy the basic subject is a private enterprise dealing with the production of goods and services in order to maximize profit. The neoclassical microeconomics focuses on examining only these enterprises on the market, which strive to maximize profit within certain limitations in a rational way. Acc. to the act of September 1982 on the co-operative law (The Journal of Laws 1982, no 30, pos. 2010, a cooperative company belongs to a group of private enterprises. However, it is called a non-profit enterprise. Nevertheless, cooperative companies on the market are seldom confronted with capital companies. In the market economy it is a rare situation for a company not to be threatened by competition. And even if such a situation does happen, it is always connected with limited demand. Thus the following question may be asked: can a co-operative company, if it wants to become rational, utilize the marginalization theory in order to determine its general balance? The author is trying to answer this question in her article, selecting an agricultural supply co-operative for her analysis. Using the graphical method, she determines various types of optimums, at the same time stating what importance it has for the members and what position the co-perative holds on the market. In the conclusion she emphasizes that the difficulties with applying the marginalization theory in the co-operative companies are brought about by the way decisions are taken and these subjects are managed, and may be the reason why many of these enterprises are closed down.

Does cooperation mean kinship between spatially discrete ant nests?

Science.gov (United States)

Procter, Duncan S; Cottrell, Joan E; Watts, Kevin; A'Hara, Stuart W; Hofreiter, Michael; Robinson, Elva J H

2016-12-01

Eusociality is one of the most complex forms of social organization, characterized by cooperative and reproductive units termed colonies. Altruistic behavior of workers within colonies is explained by inclusive fitness, with indirect fitness benefits accrued by helping kin. Members of a social insect colony are expected to be more closely related to one another than they are to other conspecifics. In many social insects, the colony can extend to multiple socially connected but spatially separate nests (polydomy). Social connections, such as trails between nests, promote cooperation and resource exchange, and we predict that workers from socially connected nests will have higher internest relatedness than those from socially unconnected, and noncooperating, nests. We measure social connections, resource exchange, and internest genetic relatedness in the polydomous wood ant Formica lugubris to test whether (1) socially connected but spatially separate nests cooperate, and (2) high internest relatedness is the underlying driver of this cooperation. Our results show that socially connected nests exhibit movement of workers and resources, which suggests they do cooperate, whereas unconnected nests do not. However, we find no difference in internest genetic relatedness between socially connected and unconnected nest pairs, both show high kinship. Our results suggest that neighboring pairs of connected nests show a social and cooperative distinction, but no genetic distinction. We hypothesize that the loss of a social connection may initiate ecological divergence within colonies. Genetic divergence between neighboring nests may build up only later, as a consequence rather than a cause of colony separation.

Non-cooperative game theory in biology and cooperative reasoning in humans.

Science.gov (United States)

Kabalak, Alihan; Smirnova, Elena; Jost, Jürgen

2015-06-01

The readiness for spontaneous cooperation together with the assumptions that others share this cooperativity has been identified as a fundamental feature that distinguishes humans from other animals, including the great apes. At the same time, cooperativity presents an evolutionary puzzle because non-cooperators do better in a group of cooperators. We develop here an analysis of the process leading to cooperation in terms of rationality concepts, game theory and epistemic logic. We are, however, not attempting to reconstruct the actual evolutionary process. We rather want to provide the logical structure underlying cooperation in order to understand why cooperation is possible and what kind of reasoning and beliefs would lead to cooperative decision-making. Game theory depends on an underlying common belief in non-cooperative rationality of the players, and cooperativity similarly can utilize a common belief in cooperative rationality as its basis. We suggest a weaker concept of rational decision-making in games that encompasses both types of decision-making. We build this up in stages, starting from simple optimization, then using anticipation of the reaction of others, to finally arrive at reflexive and cooperative reasoning. While each stage is more difficult than the preceding, importantly, we also identify a reduction of complexity achieved by the consistent application of higher stage reasoning.

Designing for cooperation - cooperating in design

DEFF Research Database (Denmark)

Kyng, Morten

1991-01-01

This article will discuss how to design computer applications that enhance the quality of work and products, and will relate the discussion to current themes in the field of Computer-Supported Cooperative Work (CSCW). Cooperation is a key element of computer use and work practice, yet here...... a specific "CSCW approach is not taken." Instead the focus is cooperation as an important aspect of work that should be integrated into most computer support efforts in order to develop successful computer support, however, other aspects such as power, conflict and control must also be considered....

Variation in cooperative behaviour within a single city.

Directory of Open Access Journals (Sweden)

Daniel Nettle

Full Text Available Human cooperative behaviour, as assayed by decisions in experimental economic dilemmas such as the Dictator Game, is variable across human populations. Within-population variation has been less well studied, especially within industrial societies. Moreover, little is known about the extent to which community-level variation in Dictator Game behaviour relates to community-level variation in real-world social behaviour. We chose two neighbourhoods of the city of Newcastle upon Tyne that were similar in most regards, but at opposite ends of the spectrum in terms of level of socioeconomic deprivation. We administered Dictator Games to randomly-selected residents, and also gathered a large number of more naturalistic measures of cooperativeness. There were dramatic differences in Dictator Game behaviour between the two neighbourhoods, with the mean allocation to the other player close to half the stake in the affluent neighbourhood, and close to one tenth of the stake in the deprived neighbourhood. Moreover, the deprived neighbourhood was also characterised by lower self-reported social capital, higher frequencies of crime and antisocial behaviour, a higher frequency of littering, and less willingness to take part in a survey or return a lost letter. On the other hand, there were no differences between the neighbourhoods in terms of the probability of helping a person who dropped an object, needed directions to a hospital, or needed to make change for a coin, and people on the streets were less likely to be alone in the deprived neighbourhood than the affluent one. We conclude that there can be dramatic local differences in cooperative behaviour within the same city, and that these need further theoretical explanation.

Greed and Fear in Network Reciprocity: Implications for Cooperation among Organizations

Science.gov (United States)

Kitts, James A.; Leal, Diego F.; Felps, Will; Jones, Thomas M.; Berman, Shawn L.

2016-01-01

Extensive interdisciplinary literatures have built on the seminal spatial dilemmas model, which depicts the evolution of cooperation on regular lattices, with strategies propagating locally by relative fitness. In this model agents may cooperate with neighbors, paying an individual cost to enhance their collective welfare, or they may exploit cooperative neighbors and diminish collective welfare. Recent research has extended the model in numerous ways, incorporating behavioral noise, implementing other network topologies or adaptive networks, and employing alternative dynamics of replication. Although the underlying dilemma arises from two distinct dimensions—the gains for exploiting cooperative partners (Greed) and the cost of cooperating with exploitative partners (Fear)–most work following from the spatial dilemmas model has argued or assumed that the dilemma can be represented with a single parameter: This research has typically examined Greed or Fear in isolation, or a composite such as the K-index of Cooperation or the ratio of the benefit to cost of cooperation. We challenge this claim on theoretical grounds—showing that embedding interaction in networks generally leads Greed and Fear to have divergent, interactive, and highly nonlinear effects on cooperation at the macro level, even when individuals respond identically to Greed and Fear. Using computational experiments, we characterize both dynamic local behavior and long run outcomes across regions of this space. We also simulate interventions to investigate changes of Greed and Fear over time, showing how model behavior changes asymmetrically as boundaries in payoff space are crossed, leading some interventions to have irreversible effects on cooperation. We then replicate our experiments on inter-organizational network data derived from links through shared directors among 2,400 large US corporations, thus demonstrating our findings for Greed and Fear on a naturally-occurring network. In closing

Consensus-based distributed cooperative learning from closed-loop neural control systems.

Science.gov (United States)

Chen, Weisheng; Hua, Shaoyong; Zhang, Huaguang

2015-02-01

In this paper, the neural tracking problem is addressed for a group of uncertain nonlinear systems where the system structures are identical but the reference signals are different. This paper focuses on studying the learning capability of neural networks (NNs) during the control process. First, we propose a novel control scheme called distributed cooperative learning (DCL) control scheme, by establishing the communication topology among adaptive laws of NN weights to share their learned knowledge online. It is further proved that if the communication topology is undirected and connected, all estimated weights of NNs can converge to small neighborhoods around their optimal values over a domain consisting of the union of all state orbits. Second, as a corollary it is shown that the conclusion on the deterministic learning still holds in the decentralized adaptive neural control scheme where, however, the estimated weights of NNs just converge to small neighborhoods of the optimal values along their own state orbits. Thus, the learned controllers obtained by DCL scheme have the better generalization capability than ones obtained by decentralized learning method. A simulation example is provided to verify the effectiveness and advantages of the control schemes proposed in this paper.

Spherical CR geometry and Dehn surgery

CERN Document Server

Schwarz, Richard Evan

2007-01-01

This book proves an analogue of William Thurston's celebrated hyperbolic Dehn surgery theorem in the context of complex hyperbolic discrete groups, and then derives two main geometric consequences from it. The first is the construction of large numbers of closed real hyperbolic 3-manifolds which bound complex hyperbolic orbifolds--the only known examples of closed manifolds that simultaneously have these two kinds of geometric structures. The second is a complete understanding of the structure of complex hyperbolic reflection triangle groups in cases where the angle is small. In an accessible

Transauricular embolization of the rabbit coronary artery for experimental myocardial infarction: comparison of a minimally invasive closed-chest model with open-chest surgery

Directory of Open Access Journals (Sweden)

Katsanos Konstantinos

2012-02-01

Full Text Available Abstract Introduction To date, most animal studies of myocardial ischemia have used open-chest models with direct surgical coronary artery ligation. We aimed to develop a novel, percutaneous, minimally-invasive, closed-chest model of experimental myocardial infarction (EMI in the New Zealand White rabbit and compare it with the standard open-chest surgical model in order to minimize local and systemic side-effects of major surgery. Methods New Zealand White rabbits were handled in conformity with the "Guide for the Care and Use of Laboratory Animals" and underwent EMI under intravenous anesthesia. Group A underwent EMI with an open-chest method involving surgical tracheostomy, a mini median sternotomy incision and left anterior descending (LAD coronary artery ligation with a plain suture, whereas Group B underwent EMI with a closed-chest method involving fluoroscopy-guided percutaneous transauricular intra-arterial access, superselective LAD catheterization and distal coronary embolization with a micro-coil. Electrocardiography (ECG, cardiac enzymes and transcatheter left ventricular end-diastolic pressure (LVEDP measurements were recorded. Surviving animals were euthanized after 4 weeks and the hearts were harvested for Hematoxylin-eosin and Masson-trichrome staining. Results In total, 38 subjects underwent EMI with a surgical (n = 17 or endovascular (n = 21 approach. ST-segment elevation (1.90 ± 0.71 mm occurred sharply after surgical LAD ligation compared to progressive ST elevation (2.01 ± 0.84 mm;p = 0.68 within 15-20 min after LAD micro-coil embolization. Increase of troponin and other cardiac enzymes, abnormal ischemic Q waves and LVEDP changes were recorded in both groups without any significant differences (p > 0.05. Infarct area was similar in both models (0.86 ± 0.35 cm in the surgical group vs. 0.92 ± 0.54 cm in the percutaneous group;p = 0.68. Conclusion The proposed model of transauricular coronary coil embolization avoids

Areas and forms of regional cooperation in multi-structured (matreshka-style) regions (Tyumen region, Russia)

OpenAIRE

LARIONOV ANDREY V.

2015-01-01

The problem of the administrative, economic and social sustainability of a group consisting of neighboring regions with close ties has no clear solution yet. Should closely-tied regions in the long run form a centralized system of administrative bodies, compress their budgets into one, and construct unified social programs, or not? To answer this question, in the article we describe a case that represents the paramount form of cooperation amongst closely-tied regions. It is the case of the so...

Cooperative peer-to-peer multiagent-based systems.

Science.gov (United States)

Caram, L F; Caiafa, C F; Ausloos, M; Proto, A N

2015-08-01

A multiagent based model for a system of cooperative agents aiming at growth is proposed. This is based on a set of generalized Verhulst-Lotka-Volterra differential equations. In this study, strong cooperation is allowed among agents having similar sizes, and weak cooperation if agents have markedly different "sizes", thus establishing a peer-to-peer modulated interaction scheme. A rigorous analysis of the stable configurations is presented first examining the fixed points of the system, next determining their stability as a function of the model parameters. It is found that the agents are self-organizing into clusters. Furthermore, it is demonstrated that, depending on parameter values, multiple stable configurations can coexist. It occurs that only one of them always emerges with probability close to one, because its associated attractor dominates over the rest. This is shown through numerical integrations and simulations, after analytic developments. In contrast to the competitive case, agents are able to increase their capacity beyond the no-interaction case limit. In other words, when some collaborative partnership among a relatively small number of partners takes place, all agents act in good faith prioritizing the common good, when receiving a mutual benefit allowing them to surpass their capacity.

[The role of antiarrhythmic surgery in 2004].

Science.gov (United States)

Guiraudon, G M

2004-11-01

In 2004, surgery for cardiac arrhythmias addresses essentially atrial fibrillation. Surgery is only a rare alternative for other cardiac arrhythmias in center that still have the surgical skill. Surgery for atrial fibrillation has the definite advantage of concomitant exclusion of the left atrial appendage which is the predominant site of intra-atrial thrombi with the associated risk of severe thrombo-embolic events. Our experience with surgery for lone atrial fibrillation, using the Corridor III operation, shows that surgery is associated with high efficacy and long term control of arrhythmia when the surgical technique is well performed. Failures were associated with incomplete line of block or exclusion. This experience shows the necessity of postoperative EP testing. Initially performed using open heart technique, surger for atrial fibrillation is now performed using mini-invasive technique. Indications for surgery for lone atrial fibrillation will decreased while other strategies are developing. To remain competitive surgery must have high efficacy and use mini-invasive techniques. i.e.: closed off pump beating heart via port access. Surgery for atrial fibrillation concomitant with other cardiac surgical repairs yields remarkable results, without increased surgical risk. Their indications go beyond mitral valve pathology. Future developments imply the following conditions: atrial surgery must not increase morbidity, and its cost-effectiveness must be documented. Combined surgery must be testable and tested to gain valid pathophysiological data to improve surgical rationales. Its impact in terms of survival, prevention of thrombo-embolic events and quality of life will be documented by clinical trials.

International cooperation

International Nuclear Information System (INIS)

1996-01-01

In 1995, Nuclear Regulatory Authority of the Slovak Republic (NRA SR) ensured foreign cooperation particularly in the frame of the Slovak Republic is membership in the IAEA, as well as cooperation with the Nuclear Energy Agency of the Organization for Economic Cooperation and Development (OECD NEA), cooperation with European Union in the frame of PHARE programmes, and intergovernmental cooperation and cooperation among nuclear regulatory authorities. With respect to an international importance, prestige and a wide-scope possibilities of a technical assistance , either a direct one (expert assessments, technology supplies, work placement, scientific trips, training courses) or indirect one (participation at various conferences, seminars, technical committees, etc), the most important cooperation with the IAEA in Vienna. In 1994, the Slovak Republic, was elected to the Board Governors, the represent the group of Eastern European countries. The Slovak Government entrusted the NRA SR's Chairman with representing the Slovak Republic in the Board of Governors. Owing to a good name of Slovakia was elected to the one of two Vice-Chairmen of the Board of Governors at the 882-nd session on the Board. IAEA approved and developed 8 national projects for Slovakia in 1995. Generally, IAEA is contracting scientific contracts with research institutes, nuclear power plants and other organizations. Slovak organizations used these contracts as complementary funding of their tasks. In 1995, there were 12 scientific contracts in progress, or approved respectively. Other international activities of the NRA SR, international co-operations as well as foreign affairs are reported

Crowded orbits conflict and cooperation in space

CERN Document Server

James

2014-01-01

Written for all readers, this expert analysis details the basics of space technology, diplomacy, commerce, exploration, and military applications from the mid-twentieth century to today. Space has become increasingly crowded since the end of the Cold War, and this book pays particular attention to the politics and economics of space and recent debates over national security, focusing on the competing themes of international competition and cooperation and the effort to avoid dangerous conflicts. Unfortunately, the growth of human space activity and challenges to existing international tools of management, such as rules, laws, and treaties, have increased the likelihood of conflict over a diminishing pool of space resources close to Earth. Drawing on more than twenty years of experience in international space debates and policy, James Clay Moltz points to the logic of cooperation and collaboration among the expanding number of space actors, considering their shared challenges regarding space traffic, orbital d...

Performing surgery: commonalities with performers outside medicine

Directory of Open Access Journals (Sweden)

Roger Lister Kneebone

2016-08-01

Full Text Available This paper argues for the inclusion of surgery within the canon of performance science. The world of medicine presents rich, complex but relatively under-researched sites of performance. Performative aspects of clinical practice are overshadowed by a focus on the processes and outcomes of medical care, such as diagnostic accuracy and the results of treatment. The primacy of this ‘clinical’ viewpoint - framed by clinical professionals as the application of medical knowledge - hides resonances with performance in other domains. Yet the language of performance is embedded in the culture of surgery - surgeons ‘perform’ operations, work in an operating ‘theatre’ and use ‘instruments’. This paper asks what might come into view if we take this performative language at face value and interrogate surgery from the perspective of performance science. It addresses the following questions: 1.To what extent and in what ways can surgical practice (both consultation and operation be considered as performance?2.How does comparison with two domains domains of non-surgical performance (close-up magic and puppetry illuminate understanding of surgical practice as performance?3.In what ways might including surgery within the canon of performance studies enrich the field of performance science?Two detailed case studies over 5 years with magicians (71.5 hours contact time and puppeteers (50.5 hours contact time identified performative aspects of surgical practice from the perspectives of professionals (as individuals or in groups and audiences. Physical simulation provided a means for non-clinicians to access and experience elements of the surgical world, acting as a prompt for discussion. Thematic analysis was used to establish themes and sub-themes.Key themes were: 1 clinical consultation can be viewed as ‘close-up live performance with a very small audience’ and 2 operative surgery can be viewed as ‘reading bodies within a dextrous team�

Reports on memorial lecture meetings on co-operative application finish of the SF cyclotron and its result reports

International Nuclear Information System (INIS)

2000-01-01

The SF cyclotron at the Institute for Nuclear Study (INS) of University of Tokyo began its co-operative application in 1997 to continue its smooth operation during 21 years reaching March, 1997. Together with improvement of INS organization on April, 1997, it was transferred to the Center for Nuclear Study School of Science, University of Tokyo, INS continued a co-operative research for two years thereafter with Tanashi campus of the High Energy Accelerator Research Organization also established on April, 1997. This co-operative research was finished without accident at the end of March, 1999, to close history of co-operative application of cyclotron during 23 years. This report contains 15 memorial lecture and convivial meeting reports at the co-operative application finish of cyclotron and some results of co-operative applications and experiments, during 23 years. (G.K.)

Pediatric orthopedic surgery in humanitarian aid.

Science.gov (United States)

Sales de Gauzy, J; Trinchero, J-F; Jouve, J-L

2017-02-01

Pediatric orthopedic surgery in humanitarian aid is conducted mainly in cooperation with emerging countries. Each mission is different, and depends on numerous parameters such as the country, the frequency of such missions, the pathologies encountered, the local structure and team, and the non-governmental organization (NGO) involved. Pathologies vary in etiology (tuberculosis, poliomyelitis) and severity. Each mission requires the presence of an experienced surgeon. Working conditions are often rudimentary. Surgical indications should be restricted to procedures that are going to be effective, with minimal postoperative complications, without any surgical "acrobatics". Teaching should be in association with the local university, and adapted to local needs. Mission objectives need to be realistic. Surgical indications should be adapted to local conditions, and the surgeon needs to be able to say "no" to procedures involving undue risk. The surgeon on mission should cooperate with local teams and be able to adapt to unusual situations. Assessment of results is essential to improving efficacy and evaluating the success of the mission. Copyright © 2016. Published by Elsevier Masson SAS.

Emergent behaviors of the Schrödinger-Lohe model on cooperative-competitive networks

Science.gov (United States)

Huh, Hyungjin; Ha, Seung-Yeal; Kim, Dohyun

2017-12-01

We present several sufficient frameworks leading to the emergent behaviors of the coupled Schrödinger-Lohe (S-L) model under the same one-body external potential on cooperative-competitive networks. The S-L model was first introduced as a possible phenomenological model exhibiting quantum synchronization and its emergent dynamics on all-to-all cooperative networks has been treated via two distinct approaches, Lyapunov functional approach and the finite-dimensional reduction based on pairwise correlations. In this paper, we further generalize the finite-dimensional dynamical systems approach for pairwise correlation functions on cooperative-competitive networks and provide several sufficient frameworks leading to the collective exponential synchronization. For small systems consisting of three and four quantum subsystem, we also show that the system for pairwise correlations can be reduced to the Lotka-Volterra model with cooperative and competitive interactions, in which lots of interesting dynamical patterns appear, e.g., existence of closed orbits and limit-cycles.

Close the high seas to fishing?

Science.gov (United States)

White, Crow; Costello, Christopher

2014-03-01

The world's oceans are governed as a system of over 150 sovereign exclusive economic zones (EEZs, ∼42% of the ocean) and one large high seas (HS) commons (∼58% of ocean) with essentially open access. Many high-valued fish species such as tuna, billfish, and shark migrate around these large oceanic regions, which as a consequence of competition across EEZs and a global race-to-fish on the HS, have been over-exploited and now return far less than their economic potential. We address this global challenge by analyzing with a spatial bioeconomic model the effects of completely closing the HS to fishing. This policy both induces cooperation among countries in the exploitation of migratory stocks and provides a refuge sufficiently large to recover and maintain these stocks at levels close to those that would maximize fisheries returns. We find that completely closing the HS to fishing would simultaneously give rise to large gains in fisheries profit (>100%), fisheries yields (>30%), and fish stock conservation (>150%). We also find that changing EEZ size may benefit some fisheries; nonetheless, a complete closure of the HS still returns larger fishery and conservation outcomes than does a HS open to fishing.

Precompetitive cooperative research

International Nuclear Information System (INIS)

Holton, W.C.

1991-01-01

This paper reports that in the current worldwide technology environment, it is essential for the U.S. microelectronics industry, and especially for the integrated circuit portion of that industry, that precompetitive cooperative research alliances be formed and funded at a level that enables them to be effective in rapidly advancing technology. It is important to realize that technology advances with or without our direct participation. If we do not aggressively participate we are quickly left behind. Increasing complexity and miniaturization have been the themes in semiconductor technology. Many are aware that what began in the early 60's with a few masking steps and minimum dimensions measured in mils, has now evolved to a level of sophistication requiring a 100 MIP workstation for IC design and the investment of nearly $400 million dollars in fab cost to produce today's microchips. The leading nations of the world have come to realize that their future well- being is closely tied to their ability to compete in this hi- tech environment. Industry coalitions have been formed to exploit the early ramifications of emerging technologies. Improvements in overseas manufacturing have been made and continue unabated with new products, new processes, and new services being introduced at an increasing rate. Many foreign governments are now actively involved in formulating and conducting industrial and technology policies to aid their hi-tech industry. To meet these challenges, U.S. firms, with U.S. government cooperation, must respond

[Two cases of retinal detachment following laser in Situ keratomileusis repaired by scleral buckling surgery].

Science.gov (United States)

Onguchi, Tatsuya; Eshita, Tadahiko; Mita, Shinji; Ishida, Susumu; Shinoda, Kei; Kitamura, Shizuaki; Kawashima, Shinichi; Inoue, Makoto; Oguchi, Yoshihisa; Toda, Ikuko; Kato, Naoko

2002-02-01

As laser in situ keratomileusis (LASIK) becomes the treatment of choice in the field of refractive surgery, postoperative rhegmatogenous retinal detachment has also begun to occur. However, since it has not been reported yet here in Japan, we report two cases of retinal detachment following LASIK with suggestions based on our experience. A 34-year-old male(Case 1) and a 26-year-old male(Case 2) suffered from retinal detachment one month and eight months after LASIK, respectively. Contributing retinal breaks were a horseshoe tear in Case 1 and atrophic holes in the lattice degeneration in Case 2. Each patient underwent partial scleral buckling with no intraoperative complication, resulting in successful retinal reattachment. Postoperatively, myopic changes developed and persisted one month in Case 1 and several months in Case 2. Great attention should be paid to the possibility of postoperative myopia after a repair of retinal detachment following LASIK. Thus, we stress the necessity of close cooperation between LASIK surgeons and vitreoretinal surgeons to settle the matter.

[Resection margins in conservative breast cancer surgery].

Science.gov (United States)

Medina Fernández, Francisco Javier; Ayllón Terán, María Dolores; Lombardo Galera, María Sagrario; Rioja Torres, Pilar; Bascuñana Estudillo, Guillermo; Rufián Peña, Sebastián

2013-01-01

Conservative breast cancer surgery is facing a new problem: the potential tumour involvement of resection margins. This eventuality has been closely and negatively associated with disease-free survival. Various factors may influence the likelihood of margins being affected, mostly related to the characteristics of the tumour, patient or surgical technique. In the last decade, many studies have attempted to find predictive factors for margin involvement. However, it is currently the new techniques used in the study of margins and tumour localisation that are significantly reducing reoperations in conservative breast cancer surgery. Copyright © 2012 AEC. Published by Elsevier Espana. All rights reserved.

International cooperation

International Nuclear Information System (INIS)

Prieto, F.E.

1984-01-01

It looks doubtless that the need for an international cooperation to solve the worldwide energy problems is already a concern of individuals, institutions, and governments. This is an improvement. But there is something lacking. The author refers to the Atoms for Peace speech, the origin of the IAEA and of the subsequent spreading of the nuclear option. He also refers back to the call made by the Mexican government for a worldwide energy cooperation. He stresses the need for governments to cooperate, so that this international cooperation on energy can be put into operation for the benefit of mankind

Cooperation for a competitive position: The impact of hospital cooperation behavior on organizational performance.

Science.gov (United States)

Büchner, Vera Antonia; Hinz, Vera; Schreyögg, Jonas

2015-01-01

Several public policy initiatives, particularly those involving managed care, aim to enhance cooperation between partners in the health care sector because it is expected that such cooperation will reduce costs and generate additional revenue. However, empirical evidence regarding the effects of cooperation on hospital performance is scarce, particularly with respect to creating a comprehensive measure of cooperation behavior. The aim of this study is to investigate the impact of hospital cooperation behavior on organizational performance. We differentiate between horizontal and vertical cooperation using two alternative measures-cooperation depth and cooperation breadth-and include the interaction effects between both cooperation directions. Data are derived from a survey of German hospitals and combined with objective performance information from annual financial statements. Generalized linear regression models are used. The study findings provide insight into the nature of hospitals' cooperation behavior. In particular, we show that there are negative synergies between horizontal administrative cooperation behavior and vertical cooperation behavior. Whereas the depth and breadth of horizontal administrative cooperation positively affect financial performance (when there is no vertical cooperation), vertical cooperation positively affects financial performance (when there is no horizontal administrative cooperation) only when cooperation is broad (rather than deep). Horizontal cooperation is generally more effective than vertical cooperation at improving financial performance. Hospital managers should consider the negative interaction effect when making decisions about whether to recommend a cooperative relationship in a horizontal or vertical direction. In addition, managers should be aware of the limited financial benefit of cooperation behavior.

Cooperation of Atomehnergoehksport and Skodaexport in the sphere of atomic power engineering

International Nuclear Information System (INIS)

Gulko, V.D.

1986-01-01

The cooperation is briefly outlined of the Czechoslovak foreign trade organization Skodaexport and its Soviet counterpart Atomehnergoehksport in nuclear power engineering. Thanks to this cooperation within socialist economic integration, 12 WWER-440 units of a total capacity of 5,280 MWe will be built in Czechoslovakia by 1990 followed by the construction of WWER-1000 reactors. Thus, by the year 2000, the total installed capacity in Czechoslovakia will be 15 to 16 thousand MWe. The reactors are being built according to Soviet project designs, with active participation of Soviet experts and organizations. Within the project of cooperation, the Soviet Union also supplies Czechoslovakia with nuclear fuel and regularly provides spent fuel disposal. On the other hand, Czechoslovakia supplies the Soviet Union and other CMEA member countries with reactor components, especially WWER-440 primary circuit equipment, and will become the main supplier of WWER-1000 primary circuit equipment, both according to Soviet project designs. This and close cooperation of Czechoslovak and Soviet organizations ranks Czechoslovakia among the major suppliers of technological equipment for nuclear power plants in CMEA countries. (L.O.)

Choosing the cooperative option

Energy Technology Data Exchange (ETDEWEB)

English, G. (National Rural Electric Cooperative Association (United States))

1999-06-01

Cooperatives do not ask to be exempted from the law. They do ask that laws and regulations be designed to allow them to meet the needs of their consumer-owners in accordance with cooperative principles, at a time that the marginal consumers being abandoned by for-profit utilities may be ready to gravitate toward cooperatives. The cooperative principles are worth reviewing because they explain the focus on the consumer and the cooperative concept of service: cooperatives are voluntary organizations, open to all persons able to use their services and willing to accept the responsibilities of membership; cooperatives are democratic organizations controlled by their members, who actively participate in setting policies and making decisions, the elected representatives are accountable to the membership; members contribute equitably to, and democratically control, the capital of their cooperative; cooperatives are autonomous, self-help organizations controlled by their members, if they enter into agreements with other organizations, including governments, they do so on terms that ensure democratic control by their members and maintain their cooperative autonomy; cooperatives provide education and training for their members, elected representatives, managers, and employees so they can contribute effectively to the development of their cooperatives, they inform the general public, particularly young people and opinion leaders, about the nature and benefits of cooperation; cooperatives serve their members most effectively and strength the cooperative movement by working together through local, national, regional, and international structures; and while focusing on member needs, cooperatives work for the sustainable development of their communities through policies accepted by their members.

Deciding to Cooperate in Northern Ghana: Trust as an Evolutionary Constraint Across Cultural Diversity.

Science.gov (United States)

Acedo-Carmona, Cristina; Gomila, Antoni

2015-11-27

The upper-east and northern regions of Ghana offers a unique opportunity to study the influence of evolutionary social dynamics in making cooperation possible, despite cultural differences. These regions are occupied by several distinct ethnic groups, in interaction, such as the Kussasi, Mamprusi, Bimoba, Konkomba, and Fulani. We will report our fieldwork related to how cooperation takes places there, both within each group and among people from the different groups. Methods included personal networks of cooperation (ego networks), interviews and analysis of group contexts. The most important result is that, while each ethnic group may differ in terms of family and clan structure, a similar pattern can be found in all of them, of cooperation structured around small groups of trust-based close relationships. The study suggests that habitual decisions about cooperation are not strategic or self-interested, but instead are based on unconscious processes sustained by the emotional bonds of trust. These kind of emotional bonds are claimed to be relevant from an evolutionary point of view.

International co-operation

International Nuclear Information System (INIS)

1998-01-01

In this part the are reviewed: Co-operation with IAEA; Participation of the Slovakia on the 41 st session of the General Conference; The comprehensive Nuclear-Test-Ban Treaty Organization; Co-operation with the Organization for Economic Co-operation and Development; co-operation with the European Commission; Fulfillment of obligations resulting from the international contracting documents

Status of French breeder development and German-French cooperation

International Nuclear Information System (INIS)

Vendryes, G.

1978-01-01

The development of fast breeder reactors in France is at present characterized by the successful operation of the 250 MW reactor, Phenix, and the speedy progress made in construction of the 1200 MW Superphenix plant. The technical concept of Superphenix is a logical extension of the Phenix concept, i.e., the pool type sodium cooled breeder reactor. While the only change in the primary system has been an increase in capacity, the main modification over Phenix is the change from small modular steam generators to four large units. The development of the work to date does not cast any doubt upon the envisaged date of first criticality in the second half of 1982. The basis of German-French cooperation is a joint declaration by the then Ministers for Research of the two countries on February 13, 1976 in which the Ministers had expressed themselves in favor of close cooperation between both countries in the development of safe, reliable and economic fast breeder reactors. On this basis, the two governments, the research centers and the industrial partners in the two countries, including the previous partners in Belgium, the Netherlands and Italy, agreed on the general principles of this cooperation. Meanwhile, the cooperation formalized in 1977 has been activated. Both in research and development and among planning and building industries the exchange of know-how and cooperation is in full swing. The joint company, SERENA, is the pool for the know-how introduced by the partners and the sole representative of the partners in the scheme. (orig.) 891 UA [de

Congenital heart surgery: what we do to our patients

African Journals Online (AJOL)

congenital heart surgery does not end at discharge at the door of the ... of obstructed right ventricular outflow, for example in tetralogy of. Fallot, or ... Patent ductus arteriosus (PDA). PDAs are commonly closed by transvascular catheter ...

Third-party punishment increases cooperation in children through (misaligned) expectations and conditional cooperation.

Science.gov (United States)

Lergetporer, Philipp; Angerer, Silvia; Glätzle-Rützler, Daniela; Sutter, Matthias

2014-05-13

The human ability to establish cooperation, even in large groups of genetically unrelated strangers, depends upon the enforcement of cooperation norms. Third-party punishment is one important factor to explain high levels of cooperation among humans, although it is still somewhat disputed whether other animal species also use this mechanism for promoting cooperation. We study the effectiveness of third-party punishment to increase children's cooperative behavior in a large-scale cooperation game. Based on an experiment with 1,120 children, aged 7 to 11 y, we find that the threat of third-party punishment more than doubles cooperation rates, despite the fact that children are rarely willing to execute costly punishment. We can show that the higher cooperation levels with third-party punishment are driven by two components. First, cooperation is a rational (expected payoff-maximizing) response to incorrect beliefs about the punishment behavior of third parties. Second, cooperation is a conditionally cooperative reaction to correct beliefs that third party punishment will increase a partner's level of cooperation.

[Structured teaching of surgery the LMU model in Munich].

Science.gov (United States)

Chiapponi, C; Bruns, C J; Pilz, F; Kanz, K-G; Mutschler, W; Jauch, K-W; Siebeck, M

2014-12-01

The medical curriculum (MeCuM) of the Ludwig Maximilian University (LMU) in Munich is a dynamic curriculum aimed to support the learning process of all students with their different learning styles. It is based on interactive, activating teaching methods in order to increase students' interest, and on repetitive evaluation of teaching units to modify the teaching in order to meet students' needs and wishes. In this context the teaching of surgery at our faculty takes place. Besides interdisciplinary lessons where diseases are taught in cooperation with our colleagues from internal medicine, indications for surgery, complications and consequences of surgery for the patients are analysed in PBL tutorials, online cases, bedside teachings and practical teaching on the ward. Surgical skills like suturing are demonstrated in videos, practiced on models or during practical teaching on the ward and they are tested in OSCEs. During the "praktisches Jahr", the students in the last year of their medical studies are supposed to apply their practical skills besides repeating theoretical knowledge in order to pass the final examination. For this purpose they are taught in a revision course called "LMU-StaR" (revision course for the Staatsexamen). In this paper we describe in detail the teaching of surgery at our faculty. Georg Thieme Verlag KG Stuttgart · New York.

Cooperative Content Distribution over Wireless Networks for Energy and Delay Minimization

KAUST Repository

Atat, Rachad

2012-06-01

Content distribution with mobile-to-mobile cooperation is studied. Data is sent to mobile terminals on a long range link then the terminals exchange the content using an appropriate short range wireless technology. Unicasting and multicasting are investigated, both on the long range and short range links. Energy minimization is formulated as an optimization problem for each scenario, and the optimal solutions are determined in closed form. Moreover, the schemes are applied in public safety vehicular networks, where Long Term Evolution (LTE) network is used for the long range link, while IEEE 802.11 p is considered for inter-vehicle collaboration on the short range links. Finally, relay-based multicasting is applied in high speed trains for energy and delay minimization. Results show that cooperative schemes outperform non-cooperative ones and other previous related work in terms of energy and delay savings. Furthermore, practical implementation aspects of the proposed methods are also discussed.

Military Training and Education: an Opportunity for V4 Co-Operation

Directory of Open Access Journals (Sweden)

Milan ŠUPLATA

2015-03-01

Full Text Available The Visegrad Group needs success stories if its defence co-operation is to develop. The recent differences between Poland and the rest of the region, as well as the closing window of opportunity to improve interoperability through the ISAF mission, make the hunger for concrete examples of co-operation even more urgent. Education and training projects are not only comparatively easily to implement in terms of time and money, but also represent a way of bringing the region’s civilian and military leaders closer together in terms of strategic thinking. Regional defence collaboration is also one of the ways to materialize NATO’s Smart Defence agenda. For the whole region, the way to keep Visegrad defence cooperation alive is not straightforward and certain, but it is likely to prove rewarding in the long term. It presents not only a chance to keep the whole region better prepared militarily, but also to build a more cohesive strategic awareness, thanks to intensive communication at all levels.

How to prevent endophthalmitis in cataract surgeries?

Directory of Open Access Journals (Sweden)

Kelkar Aditya

2008-01-01

Full Text Available Postoperative endophthalmitis is a very devastating complication and every step should be taken to reduce its occurrence. Unattended air conditioning filter systems are often the culprits and regular maintenance of the filters is of paramount importance. Shedders of pathogenic organisms amongst the theater personnel should be identified by regular screening and should be promptly treated. In addition to the use of Povidone iodine 5% solution in the conjunctival sac few minutes prior to surgery, proper construction of wound, injectable intraocular lenses, use of prophylactic intracameral antibiotics or prophylactic subconjunctival antibiotic injection at the conclusion of cataract surgery, placing a patch after the surgery for at least 4 h and initiating topical antibiotics from the same day of surgery helps to lower the frequency of postoperative endophthalmitis. Intraoperative posterior capsule rupture and anterior vitrectomy are risk factors for acute endophthalmitis, and utmost care to prevent posterior capsular rent should be taken while performing cataract surgery. Also, in case of such complication, these patients should be closely monitored for early signs of endophthalmitis in the postoperative period. In the unfortunate event of endophthalmitis the diagnosis should be prompt and treatment must be initiated as early as possible.

The Industrial Vocational High School Teacher Training Program Cooperating with the Enterprises.

Science.gov (United States)

Chi, Cheng-Feng

Training of vocational education teachers should be closely linked to the industries in which the teachers are preparing to instruct students. A teacher training program in Taiwan has been designed with the cooperation of the metals manufacturing industry. In this four-year program, students are assigned to the industry to learn the product…

Does the closure of mesenteric defects during laparoscopic gastric bypass surgery cause complications?

DEFF Research Database (Denmark)

Kristensen, Sara Danshøj; Floyd, Andrea Karen; Naver, Lars

2015-01-01

BACKGROUND: A well-known complication of laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) is bowel obstruction due to internal herniation (IH). Evidence suggests that mesenteric defects should be closed during LRYGB to reduce the risk of IH. Therefore, surgeons are now closing mesenteric...

Virtues in participatory design: cooperation, curiosity, creativity, empowerment and reflexivity.

Science.gov (United States)

Steen, Marc

2013-09-01

In this essay several virtues are discussed that are needed in people who work in participatory design (PD). The term PD is used here to refer specifically to an approach in designing information systems with its roots in Scandinavia in the 1970s and 1980s. Through the lens of virtue ethics and based on key texts in PD, the virtues of cooperation, curiosity, creativity, empowerment and reflexivity are discussed. Cooperation helps people in PD projects to engage in cooperative curiosity and cooperative creativity. Curiosity helps them to empathize with others and their experiences, and to engage in joint learning. Creativity helps them to envision, try out and materialize ideas, and to jointly create new products and services. Empowerment helps them to share power and to enable other people to flourish. Moreover, reflexivity helps them to perceive and to modify their own thoughts, feelings and actions. In the spirit of virtue ethics-which focuses on specific people in concrete situations-several examples from one PD project are provided. Virtue ethics is likely to appeal to people in PD projects because it is practice-oriented, provides room for exploration and experimentation, and promotes professional and personal development. In closing, some ideas for practical application, for education and for further research are discussed.

Boron neutron capture therapy: An interdisciplinary co-operation

International Nuclear Information System (INIS)

Sauerwein, W.; Hideghety, K.; Rassow, J.; Moss, R.L.; Stecher-Rasmussen, F.; Heimans, J.; Gabel, D.; Vries, M.J. de; Touw, D.J.

2001-01-01

The international (European) undertaking in BNCT in the Netherlands has required close scrutiny of the organisational structure required to establish BNCT facilities. The multidisciplinary co-operation and the tasks of the participants in the hospital (Radiation Oncologist, Medical Physicist, Pharmacist and other medical and paramedical staff) and those attached to the reactor) are described. The organisational structure and regulatory aspects required for the international functioning of the Petten treatment facility are provided for guidance to new projects in this field. (author)

SSI's International Development Cooperation (SIUS). Status report, October 1998

International Nuclear Information System (INIS)

Szendroe, G.; Grapengiesser, S.; Johansson, Gunnar

1998-12-01

Until now the Swedish program for radiation protection work in Central and Eastern Europe, has since its start in 1992 been granted SEK 109.1 million by the Swedish government. The projects are assessed, planned and performed in close co-operation with partner organisations in Eastern Europe. This report presents a summary of the projects, their status, allocated funds and distribution over the countries and project areas. The presentation is updated as for October 1998

Personality traits in aesthetic surgery patients

Directory of Open Access Journals (Sweden)

S. Visal Buturak

2016-09-01

Full Text Available Purpose: It has been known that psychological factors have an important effect on the decision to undergo aesthetic surgery. In this study, we aimed to test the hypothesis that the personality traits of people admitted for aesthetic surgery differ from those of people who have never planned to undergo aesthetic surgery in their lives. Material and Methods: Forty-seven patients who were referred to the outpatient clinic of the Faculty of Medicine, Department of Plastic, Reconstructive, and Aesthetic Surgery, Kirikkale University to undergo aesthetic surgery were enrolled in the study. Forty-three subjects who neither underwent nor planned to undergo aesthetic surgery at any time in their lives were included in the study as a control group. Psychometric evaluation of the patients and the control group was conducted using the Turkish version of the Minnesota Multiphasic Personality Inventory (MMPI. Results: Taking 65 as a cut-off point, the ratio of patients who scored and #8805;65 on the hysteria subscale of the MMPI was found to be significantly higher in the sugery group than in the control group and the ratio on social introversion subscale was also higher in the patient group than in the control group, very closely approaching significance. Conclusion: It should be kept in mind that people who have personality traits that can be partially improved with psyachiatric treatment, such as social introverted, lonely, timid, shy, and hysterical and feel the need for validation by others, may be more often admitted for aesthetic surgery. [Cukurova Med J 2016; 41(3.000: 554-558

Effect of Growing Size of Interaction Neighbors on the Evolution of Cooperation in Spatial Snowdrift Game

International Nuclear Information System (INIS)

Zhang Juanjuan; Sun Shiwen; Wang Li; Xia Chengyi; Wang Juan; Wang Zhen

2012-01-01

In this paper, we study the influence of the size of interaction neighbors (k) on the evolution of cooperation in the spatial snowdrift game. At first, we consider the effects of noise K and cost-to-benefit ratio r, the simulation results indicate that the evolution of cooperation depends on the combined action of noise and cost-to-benefit ratio. For a lower r, the cooperators are multitudinous and the cooperation frequency ultimately increases to 1 as the increase of noise. However, for a higher r, the defectors account for the majority of the game and dominate the game if the noise is large enough. Then we mainly investigate how k influences the evolution of cooperation by varying the noise in detail. We find that the frequency of cooperators is closely related to the size of neighborhood and cost-to-benefit ratio r. In the case of lower r, the augmentation of k plays no positive role in promoting the cooperation as compared with that of k = 4, while for higher r the cooperation is improved for a growing size of neighborhood. At last, based on the above discussions, we explore the cluster-forming mechanism among the cooperators. The current results are beneficial to further understand the evolution of cooperation in many natural, social and biological systems. (general)

Cooperative vehicles for robust traffic congestion reduction: An analysis based on algorithmic, environmental and agent behavioral factors.

Directory of Open Access Journals (Sweden)

Prajakta Desai

Full Text Available Traffic congestion continues to be a persistent problem throughout the world. As vehicle-to-vehicle communication develops, there is an opportunity of using cooperation among close proximity vehicles to tackle the congestion problem. The intuition is that if vehicles could cooperate opportunistically when they come close enough to each other, they could, in effect, spread themselves out among alternative routes so that vehicles do not all jam up on the same roads. Our previous work proposed a decentralized multiagent based vehicular congestion management algorithm entitled Congestion Avoidance and Route Allocation using Virtual Agent Negotiation (CARAVAN, wherein the vehicles acting as intelligent agents perform cooperative route allocation using inter-vehicular communication. This paper focuses on evaluating the practical applicability of this approach by testing its robustness and performance (in terms of travel time reduction, across variations in: (a environmental parameters such as road network topology and configuration; (b algorithmic parameters such as vehicle agent preferences and route cost/preference multipliers; and (c agent-related parameters such as equipped/non-equipped vehicles and compliant/non-compliant agents. Overall, the results demonstrate the adaptability and robustness of the decentralized cooperative vehicles approach to providing global travel time reduction using simple local coordination strategies.

Cooperative vehicles for robust traffic congestion reduction: An analysis based on algorithmic, environmental and agent behavioral factors.

Science.gov (United States)

Desai, Prajakta; Loke, Seng W; Desai, Aniruddha

2017-01-01

Traffic congestion continues to be a persistent problem throughout the world. As vehicle-to-vehicle communication develops, there is an opportunity of using cooperation among close proximity vehicles to tackle the congestion problem. The intuition is that if vehicles could cooperate opportunistically when they come close enough to each other, they could, in effect, spread themselves out among alternative routes so that vehicles do not all jam up on the same roads. Our previous work proposed a decentralized multiagent based vehicular congestion management algorithm entitled Congestion Avoidance and Route Allocation using Virtual Agent Negotiation (CARAVAN), wherein the vehicles acting as intelligent agents perform cooperative route allocation using inter-vehicular communication. This paper focuses on evaluating the practical applicability of this approach by testing its robustness and performance (in terms of travel time reduction), across variations in: (a) environmental parameters such as road network topology and configuration; (b) algorithmic parameters such as vehicle agent preferences and route cost/preference multipliers; and (c) agent-related parameters such as equipped/non-equipped vehicles and compliant/non-compliant agents. Overall, the results demonstrate the adaptability and robustness of the decentralized cooperative vehicles approach to providing global travel time reduction using simple local coordination strategies.

Multihop Capability Analysis in Wireless Information and Power Transfer Multirelay Cooperative Networks

Directory of Open Access Journals (Sweden)

Qilin Wu

2018-01-01

Full Text Available We study simultaneous wireless information and power transfer (SWIPT in multihop wireless cooperative networks, where the multihop capability that denotes the largest number of transmission hops is investigated. By utilizing the broadcast nature of multihop wireless networks, we first propose a cooperative forwarding power (CFP scheme. In CFP scheme, the multiple relays and receiver have distinctly different tasks. Specifically, multiple relays close to the transmitter harvest power from the transmitter first and then cooperatively forward the power (not the information towards the receiver. The receiver receives the information (not the power from the transmitter first, and then it harvests the power from the relays and is taken as the transmitter of the next hop. Furthermore, for performance comparison, we suggest two schemes: cooperative forwarding information and power (CFIP and direct receiving information and power (DFIP. Also, we construct an analysis model to investigate the multihop capabilities of CFP, CFIP, and DFIP schemes under the given targeted throughput requirement. Finally, simulation results validate the analysis model and show that the multihop capability of CFP is better than CFIP and DFIP, and for improving the multihop capabilities, it is best effective to increase the average number of relay nodes in cooperative set.

Indicators for surgery in adhesive bowel obstruction.

Science.gov (United States)

Rajanikmanth, P V; Kate, V; Ananthakrishnan, N

2001-01-01

There is lack of data on risk factors, which, if present, would indicate the need for surgery in patients with adhesive bowel obstruction. A Cohort of 100 consecutive patients with adhesive obstruction was studied prospectively to compare clinical and investigative parameters between the operative and conservative group. It was found that female gender, previous obstetric or gynaecological procedures, pulse and BP on admission, nature of nasogastric aspirate, single distended loop on abdominal x-ray as also predominant ileal distension were independent factors indicating a high probability of surgical intervention. Patients with 2 or more risk factors had 12 times higher probability of surgery and in those with 3 or more the relative risk was 30 times. Patients with such risk factors should be monitored closely after admission and should be taken for surgery after an initial short trial of conservative measures.

Exploitative and hierarchical antagonism in a cooperative bacterium.

Directory of Open Access Journals (Sweden)

Francesca Fiegna

2005-11-01

Full Text Available Social organisms that cooperate with some members of their own species, such as close relatives, may fail to cooperate with other genotypes of the same species. Such noncooperation may take the form of outright antagonism or social exploitation. Myxococcus xanthus is a highly social prokaryote that cooperatively develops into spore-bearing, multicellular fruiting bodies in response to starvation. Here we have characterized the nature of social interactions among nine developmentally proficient strains of M. xanthus isolated from spatially distant locations. Strains were competed against one another in all possible pairwise combinations during starvation-induced development. In most pairings, at least one competitor exhibited strong antagonism toward its partner and a majority of mixes showed bidirectional antagonism that decreased total spore production, even to the point of driving whole populations to extinction. Differential response to mixing was the primary determinant of competitive superiority rather than the sporulation efficiencies of unmixed populations. In some competitive pairings, the dominant partner sporulated more efficiently in mixed populations than in clonal isolation. This finding represents a novel form of exploitation in bacteria carried out by socially competent genotypes and is the first documentation of social exploitation among natural bacterial isolates. Patterns of antagonistic superiority among these strains form a highly linear dominance hierarchy. At least some competition pairs construct chimeric, rather than segregated, fruiting bodies. The cooperative prokaryote M. xanthus has diverged into a large number of distinct social types that cooperate with clone-mates but exhibit intense antagonism toward distinct social types of the same species. Most lengthy migration events in nature may thus result in strong antagonism between migratory and resident populations, and this antagonism may have large effects on local

Sorting and sustaining cooperation

DEFF Research Database (Denmark)

Vikander, Nick

2013-01-01

This paper looks at cooperation in teams where some people are selfish and others are conditional cooperators, and where lay-offs will occur at a fixed future date. I show that the best way to sustain cooperation prior to the lay-offs is often in a sorting equilibrium, where conditional cooperators...... can identify and then work with one another. Changes to parameters that would seem to make cooperation more attractive, such as an increase in the discount factor or the fraction of conditional cooperators, can reduce equilibrium cooperation if they decrease a selfish player's incentive to sort....

[Orthognathic surgery in adults: state of the art].

Science.gov (United States)

Charrier, Jean-Baptiste

2014-03-01

The objective of orthognathic surgery is the repositioning of the osseous bases of the jaws. Its consequences are both aesthetic and functional. As adults are increasingly concerned with appearance, orthognathic surgery is today, more than ever, a close collaboration between the orthodontist, surgeon and general dentist. The whole team must be capable of coordinating its approach with an aesthetic objective. For the surgeon, a perfect knowledge of complementary techniques (rhinoplasty, bone grafts, plastic surgery of the face, lipostructure or fillers) makes orthognathic surgery a completely separate surgical speciality. The aim of this article is to establish the philosophy underlying this type of treatment and define relevant fundamental aspects. We propose an esthetic "extra-oral" clinical approach not focused on occlusal anomalies but on classification of tooth positional abnormalities in the smile and the therapeutic options that we have for placing teeth in correct positions in the smile. © EDP Sciences, SFODF, 2014.

The financialization of Danish cooperatives and the debasement of a collective housing good

DEFF Research Database (Denmark)

Bruun, Maja Hojer

2018-01-01

The article tells the story of Danish cooperative housing’s radical transformation from a collective housing good and commons to a financialized asset during the 2000s when neoliberal housing reforms were introduced and the mortgage finance market was deregulated. Processes of financialization...... and private interests. Housing cooperatives have existed as a form of collective housing throughout the 20th century, balanced, on the one hand, between the reproduction of kin, family and local communities and the common good and, on the other, between the market and the reproduction of the base for both...... families, local communities and the larger public sharing the housing commons. During the 2000s, processes of financialization brought the market and the cooperatives' base so close together, primarily through new mortgaging opportunities, that families and communities have lost their savings and the base...

The Outlook of China-Russia Energy Cooperation in The Light of the Strategic Framework of The Silk Road Economic Belt

Directory of Open Access Journals (Sweden)

Liu Zhongwei

2016-12-01

Full Text Available In September 2013, Chinese President Xi Jinping initially proposed the building of the Strategic Framework of The Silk Road Economic Belt. Against this background, the involved countries will achieve joint development and co-prosperity by carrying out all-round regional cooperation. As close neighbors, both China and Russia have very important political and economic positions in the world; meanwhile, energy cooperation is one of most significant and influential fields in the China-Russia relationship. This paper tries to analyze some concrete issues in the process of the China-Russia energy cooperation, illustrate the outlook of the cooperation between the two countries in terms of the Silk Road Economic Belt, and finally raise policy references to deepen the China-Russia energy cooperation in the future.

Cooperatives as Entrants

OpenAIRE

Richard J. Sexton; Terri A. Sexton

1987-01-01

A potential shortcoming of game-theoretic models in industrial organization is their failure to consider consumers as players. We introduce a customer coalition --- a cooperative -- as a potential entrant and compare the cooperative entry threat with that posed by the usual for-profit entrant. We identify four fundamental distinctions between cooperative and for-profit entrants and demonstrate that the strategic interplay between a cooperative and an incumbent firm may differ markedly from th...

CO2 for refrigeration. Co-operation with Indonesia

International Nuclear Information System (INIS)

Bredesen, Arne M.

2000-01-01

NTNU and SINTEF Energy Research, Norway, have co-operated closely with universities in Indonesia on the use of CO2 as a working fluid in refrigeration systems. The Asian market is the largest in the world and so it is very important to use environmentally friendly working fluids. In Indonesia, Institut Teknologi Bandung (ITB) plays a leading role in the efforts to meet the national emission goals. For economical reasons, Indonesia considers natural working fluids such as CO2 rather than the new expensive synthetic ones

Close the high seas to fishing?

Directory of Open Access Journals (Sweden)

Crow White

2014-03-01

Full Text Available The world's oceans are governed as a system of over 150 sovereign exclusive economic zones (EEZs, ∼42% of the ocean and one large high seas (HS commons (∼58% of ocean with essentially open access. Many high-valued fish species such as tuna, billfish, and shark migrate around these large oceanic regions, which as a consequence of competition across EEZs and a global race-to-fish on the HS, have been over-exploited and now return far less than their economic potential. We address this global challenge by analyzing with a spatial bioeconomic model the effects of completely closing the HS to fishing. This policy both induces cooperation among countries in the exploitation of migratory stocks and provides a refuge sufficiently large to recover and maintain these stocks at levels close to those that would maximize fisheries returns. We find that completely closing the HS to fishing would simultaneously give rise to large gains in fisheries profit (>100%, fisheries yields (>30%, and fish stock conservation (>150%. We also find that changing EEZ size may benefit some fisheries; nonetheless, a complete closure of the HS still returns larger fishery and conservation outcomes than does a HS open to fishing.

International co-operation in developing the GT-MHR

International Nuclear Information System (INIS)

La Bar, M.P.; Simon, W.A.

1997-01-01

In the Fall of 1995, driven by budget constraints and anti-nuclear sentiments, the US government decided to discontinue financial support of the Gas Turbine-Modular Helium Reactor (GT-MHR). At that time, significant work was underway with participation of several vendors with specialized expertise in various aspects of the GT-MHR. Fortunately the US government provided for documenting the design and development status through an orderly close-out program. Concurrent elimination of government restrictions opened the door for broader international cooperation. Discussion between General Atomics and the Russian Ministry of Atomic Energy (MINATOM), in the summer of 1994, led to an agreement on a jointly funded design and development program for the GT-MHR. The program is initially focused on the burning of weapons plutonium that becomes available from dismantled nuclear weapons. The long term goal is to utilize the same design for commercial applications - using uranium fuel. This program took advantage of existing technologies and facilities in the US and Russia, but right from the beginning left the door open for broader international cooperation. Accordingly, in January 1996, FRAMATOME has joined the ongoing effort. Discussions are underway with other international entities to join this program. The program is proceeding well. Several Russian laboratories/design organizations are participating with GA and FRAMATOME. Significant improvements in the power conversion system design are a clear example of the benefit of the cooperative effort. Further work needs to be done to confirm fuel and components prior to full deployment, etc., providing ample opportunities for international cooperation in many areas

A ten year analysis of the traumatic maxillofacial and brain injury patient in Amsterdam: complications and treatment

NARCIS (Netherlands)

Salentijn, E.G.; Collin, J.D.; Boffano, P.; Forouzanfar, T.

2014-01-01

Maxillofacial trauma is often associated with injuries to the cranium, especially in high-energy trauma. The management of such cases can be challenging and requires close cooperation between oral and maxillofacial surgery and neurosurgical teams. There are few reports in the current literature

Alternative vision or utopian fantasy? Cooperation, empowerment and women's cooperative development in India.

Science.gov (United States)

Mayoux, L

1995-01-01

The discussion addresses the costs and benefits of working in cooperatives in India, imposed participation, methods for increasing incomes, preconceived models, the importance of meeting the actual needs of women, and participatory options. This author evaluated 10 producer cooperatives in West Bengal, Karnataka, and Tamil Nadu during 1984-92. It is argued that more discussion is needed on how ideals of cooperation and empowerment of women can occur simultaneous with the context in which cooperatives must operate. The ten study cooperatives were all officially registered cooperatives. Cooperatives varied in size, organizational structure, and forms of support. Four were determined to be successful in economic and participatory terms. Three were successful because of the efforts of the women themselves. All three cases were based on earning goals that were higher than the women could have achieved on their own. Six failed in terms of participatory decision making and cooperative operations. Lack of sufficient support and/or excessive bureaucratic red tape were involved in the six failures, but to varying degrees. Type of support and means of implementation were important in the six failures. All women used cooperatives as a means of increasing income. Participation rules were imposed by outside agencies. Women were given "cooperative" training. Disputes occurred because women selected to power positions were powerful leaders outside the cooperative. Consensus was difficult to reach. There were conflicts of interest between different departments. Quality control was made difficult by women's inability to provide discipline. Personal conflicts from outside were carried on within the cooperative. Incomes could be improved by training women in local marketing and networking, insuring adequate resources and capital, and providing savings schemes. Gender inequalities were a key factor limiting income for women, but cooperatives did not address this issue. Gains for women

Topological field theory and surgery on three-manifolds

International Nuclear Information System (INIS)

Guadagnini, E.; Panicucci, S.

1992-01-01

The solution of the SU(2) quantum Chern-Simons field theory defined on a closed, connected and orientable three-manifold is presented. The vacuum expectation values of Wilson line operators, associated with framed links in a generic manifold, are computed in terms of the expectation values of the three-sphere. The method consists of using an operator realization of Dehn surgery. The rules, corresponding to the surgery instructions in the three-sphere, are derived and the three-manifold invariant defined by the Chern-Simons theory is constructed. Several examples are considered and explicit results are reported. (orig.)

General surgery 2.0: the emergence of acute care surgery in Canada

Science.gov (United States)

Hameed, S. Morad; Brenneman, Frederick D.; Ball, Chad G.; Pagliarello, Joe; Razek, Tarek; Parry, Neil; Widder, Sandy; Minor, Sam; Buczkowski, Andrzej; MacPherson, Cailan; Johner, Amanda; Jenkin, Dan; Wood, Leanne; McLoughlin, Karen; Anderson, Ian; Davey, Doug; Zabolotny, Brent; Saadia, Roger; Bracken, John; Nathens, Avery; Ahmed, Najma; Panton, Ormond; Warnock, Garth L.

2010-01-01

Over the past 5 years, there has been a groundswell of support in Canada for the development of organized, focused and multidisciplinary approaches to caring for acutely ill general surgical patients. Newly forged acute care surgery (ACS) services are beginning to provide prompt, evidence-based and goal-directed care to acutely ill general surgical patients who often present with a diverse range of complex pathologies and little or no pre- or postoperative planning. Through a team-based structure with attention to processes of care and information sharing, ACS services are well positioned to improve outcomes, while finding and developing efficiencies and reducing costs of surgical and emergency health care delivery. The ACS model also offers enhanced opportunities for surgical education for students, residents and practicing surgeons, and it will provide avenues to strengthen clinical and academic bonds between the community and academic surgical centres. In the near future, cooperation of ACS services from community and academic hospitals across the country will lead to the formation of systems of acute surgical care whose development will be informed by rigorous data collection and research and evidence-based quality-improvement initiatives. In an era of increasing subspecialization, ACS is a strong unifying force in general surgery and a platform for collective advocacy for an important patient population. PMID:20334738

Value of Cooperative Relationships for Security of a Safer World

International Nuclear Information System (INIS)

Malollari, Ilirjan; Civici, Nikolla; Hirsch, Kristin; Randolph, John David

2010-01-01

Cooperation of countries for improving security of radioactive and nuclear assets is clearly the key to success in establishing a more safe and secure world. Over the past few years the United States Department of Energy s Global Threat Reduction Initiatives (GTRI) program has been actively engaged with many countries of the world to identify, account for, and support enhancements to security and accounting measures for these materials. The Republic of Albania has demonstrated its willingness and desire to work closely with the United States to achieve and implement the GTRI goals for security of their assets. The GTRI program has assisted the International Atomic Energy Agency (IAEA) in development on a variety of subject areas related to security of sources and nuclear materials. Albania, a Member State of the IAEA, received training and information support from the agency. The leadership of the Albanian nuclear program has changed but the commitment of Albania to work closely with GTRI continues. The GTRI/Albania global partnership made significant accomplishments in security and safe storage of Albania's nuclear assets. This paper will describe a brief history of the Albanian program and the achievements resulting from the cooperative program with GTRI, which have resulted in a more secure Albania.

Cooperative Cognitive Radio Systems over Nakagami-m Fading Channels

KAUST Repository

Hyadi, Amal

2013-05-08

This thesis aims to investigate the incorporation of cooperative techniques in cognitive radio networks over Nakagami-m fading channels. These last years, spectrum sharing mechanisms has gained a lot of interest in the wireless communication domain. Using cooperation in a cognitive set up make the use of spectrum much more efficient. Moreover, it helps to extend the coverage area of the cognitive network and also to reduce the transmitting power and, thus, the generated interference. In this work, we consider two particular scenarios for cooperative cognitive radio systems. The first scenario consider multihop regenerative relaying in an underlay cognitive set up. The cooperation is performed in the secondary system, in the presence of multiple primary users. Both interference power and peak power constraints are taking into account. Closed-form expressions for the statistical characteristics and multiple end- to-end performance metrics are derived. Different scenarios are presented to illustrate the obtained results and Monte Carlo simulations confirm the accuracy of our analytical derivations. In the second part of this work, we consider an overlay cognitive network with the spectrally efficient two-phase two-way relaying protocol. Two relay selection techniques, optimizing both the primary and the secondary communication, are presented. The overall outage performance is investigated and an optimal power allocation scheme, that ameliorate the outage performance of the system, is proposed. Numerical simulations are presented to illustrate and compare the obtained results.

Effect of initial fraction of cooperators on cooperative behavior in evolutionary prisoner's dilemma game.

Directory of Open Access Journals (Sweden)

Keizo Shigaki

Full Text Available We investigate the influence of initial fraction of cooperators on the evolution of cooperation in spatial prisoner's dilemma games. Compared with the results of heterogeneous networks, we find that there is a relatively low initial fraction of cooperators to guarantee higher equilibrium cooperative level. While this interesting phenomenon is contrary to the commonly shared knowledge that higher initial fraction of cooperators can provide better environment for the evolution of cooperation. To support our outcome, we explore the time courses of cooperation and find that the whole course can be divided into two sequent stages: enduring (END and expanding (EXP periods. At the end of END period, thought there is a limited number of cooperator clusters left for the case of low initial setup, these clusters can smoothly expand to hold the whole system in the EXP period. However, for high initial fraction of cooperators, superfluous cooperator clusters hinder their effective expansion, which induces many remaining defectors surrounding the cooperator clusters. Moreover, through intensive analysis, we also demonstrate that when the tendency of three cooperation cluster characteristics (cluster size, cluster number and cluster shape are consistent within END and EXP periods, the state that maximizes cooperation can be favored.

Physical Layer Security for Cooperative Relaying Over Generalized-K Fading Channels

KAUST Repository

Wu, Ling; Yang, Liang; Chen, Jianchao; Alouini, Mohamed-Slim

2018-01-01

In this letter, we analyze the secrecy performance for a cooperative diversity system with amplify-and-forward (AF) over generalized-K fading channels. More specifically, some lower bounds on the secrecy performance, such as secure outage probability (SOP), average secrecy capacity (ASC), and strictly positive secrecy capacity (SPSC), are derived in closed-form. Finally, we provide simulation results to verify the accuracy of our analytical results.

Physical Layer Security for Cooperative Relaying Over Generalized-K Fading Channels

KAUST Repository

Wu, Ling

2018-02-02

In this letter, we analyze the secrecy performance for a cooperative diversity system with amplify-and-forward (AF) over generalized-K fading channels. More specifically, some lower bounds on the secrecy performance, such as secure outage probability (SOP), average secrecy capacity (ASC), and strictly positive secrecy capacity (SPSC), are derived in closed-form. Finally, we provide simulation results to verify the accuracy of our analytical results.

Mechanisms and dynamics of cooperation and competition emergence in complex networked systems

Science.gov (United States)

Gianetto, David A.

Cooperative behavior is a pervasive phenomenon in human interactions and yet how it can evolve and become established, through the selfish process of natural selection, is an enduring puzzle. These behaviors emerge when agents interact in a structured manner; even so, the key structural factors that affect cooperation are not well understood. Moreover, the literature often considers cooperation a single attribute of primitive agents who do not react to environmental changes but real-world actors are more perceptive. The present work moves beyond these assumptions by evolving more realistic game participants, with memories of the past, on complex networks. Agents play repeated games with a three-part Markovian strategy that allows us to separate the cooperation phenomenon into trust, reciprocity, and forgiveness characteristics. Our results show that networks matter most when agents gain the most by acting in a selfish manner, irrespective of how much they may lose by cooperating; since the context provided by neighborhoods inhibits greedy impulses that agents otherwise succumb to in isolation. Network modularity is the most important driver of cooperation emergence in these high-stakes games. However, modularity fails to tell the complete story. Modular scale-free graphs impede cooperation when close coordination is required, partially due to the acyclic nature of scale-free network models. To achieve the highest cooperation in diverse social conditions, both high modularity, low connectivity within modules, and a rich network of long cycles become important. With these findings in hand, we study the influence of networks on coordination and competition within the federal health care insurance exchange. In this applied study, we show that systemic health care coordination is encouraged by the emergent insurance network. The network helps underpin the viability of the exchange and provides an environment of stronger competition once a critical-mass of insurers have

Managing adolescent obesity and the role of bariatric surgery.

Science.gov (United States)

McGinty, Shannon; Richmond, Tracy K; Desai, Nirav K

2015-08-01

This update explores the current management options for adolescent obesity with a specific focus on bariatric surgery. Research has highlighted the serious health complications associated with adolescent obesity and thus emphasized the need for effective interventions. With the increasing severity of obesity seen in younger populations, coupled with the modest effects of most behavioral and even pharmacologic interventions, there has been increased interest in, and attention on, bariatric surgery in younger populations. Recent adult-focused guidelines regarding the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient outline the importance of careful patient selection, in addition to close monitoring, with a particular focus on preventing nutritional deficiencies. Several recent publications have focused on issues specific to bariatric surgery in the adolescent patient including the relationship between a patient's physical and emotional maturity and timing of surgery. Adolescent obesity is prevalent with increasing severity and long-term health implications. To date nonsurgical interventions have had modest effects. Bariatric surgery is becoming more common and has been shown to be well tolerated and effective in adolescents, but requires careful preoperative screening and postoperative monitoring.

Epipona media cooper (Hymenoptera: Vespidae), a social wasp new to the Brazilian Atlantic Forest.

Science.gov (United States)

Menezes, Rodolpho S T; Carvalho Filho, Antonio F; Raw, Anthony; Costa, Marco A

2010-01-01

An occupied nest of Epipona media Cooper was discovered and collected in a cabruca (cocoa plantation with native tree cover). This is the first record of E. media from Bahia State. We described the nest structure and compared the adults with the closely related species Epipona tatua Cuvier.

A framework using cluster-based hybrid network architecture for collaborative virtual surgery.

Science.gov (United States)

Qin, Jing; Choi, Kup-Sze; Poon, Wai-Sang; Heng, Pheng-Ann

2009-12-01

Research on collaborative virtual environments (CVEs) opens the opportunity for simulating the cooperative work in surgical operations. It is however a challenging task to implement a high performance collaborative surgical simulation system because of the difficulty in maintaining state consistency with minimum network latencies, especially when sophisticated deformable models and haptics are involved. In this paper, an integrated framework using cluster-based hybrid network architecture is proposed to support collaborative virtual surgery. Multicast transmission is employed to transmit updated information among participants in order to reduce network latencies, while system consistency is maintained by an administrative server. Reliable multicast is implemented using distributed message acknowledgment based on cluster cooperation and sliding window technique. The robustness of the framework is guaranteed by the failure detection chain which enables smooth transition when participants join and leave the collaboration, including normal and involuntary leaving. Communication overhead is further reduced by implementing a number of management approaches such as computational policies and collaborative mechanisms. The feasibility of the proposed framework is demonstrated by successfully extending an existing standalone orthopedic surgery trainer into a collaborative simulation system. A series of experiments have been conducted to evaluate the system performance. The results demonstrate that the proposed framework is capable of supporting collaborative surgical simulation.

Kiva.org: Crowd-Sourced Microfinance & Cooperation in Group Lending

OpenAIRE

Hartley, Scott

2010-01-01

At the end of 2008 Kiva.org announced the creation of “Lending Teams,” or cohesive open or closed membership groups established and categorized according to scope. These Lending Teams introduce forms of cooperative many-to-one and many-to-many group lending, based on tenuous concepts of identity. Groups vary according to category, size, scope, and activity, and this impacts participatory vitality of crowd-sourced lending. Looking specifically at Kiva.org as a prominent online community for p...

Venous thromboembolism prophylaxis risk assessment in a general surgery cohort: a closed-loop audit.

Science.gov (United States)

McGoldrick, D M; Redmond, H P

2017-08-01

Venous thromboembolism (VTE) is a potential source of morbidity and mortality in surgical in-patients. A number of guidelines exist that advise on prophylactic measures. We aimed to assess VTE prophylaxis prescribing practices and compliance with a kardex-based risk assessment tool in a general surgery population. Data on general surgery in-patients were collected on two separate wards on two separate days. Drug kardexes were assessed for VTE prophylaxis measures and use of the risk assessment tool. NICE and SIGN guidelines were adopted as a gold standard. The audit results and information on the risk assessment tool were presented as an educational intervention at two separate departmental teaching sessions. A re-audit was completed after 3 months. In Audit A, 74 patients were assessed. 70% were emergency admissions. The risk assessment tool was completed in 2.7%. 75 and 97% of patients were correctly prescribed anti-embolic stockings (AES) and low-molecular weight heparin (LMWH), respectively. 30 patients were included in Audit B, 56% of whom were emergency admissions. 66% had a risk assessment performed, a statistically significant improvement (p audit and intervention.

Exact performance of cooperative spectrum sensing for cognitive radios with quantized information under imperfect reporting channels

KAUST Repository

Ben Ghorbel, Mahdi

2013-09-01

Spectrum sensing is the first and main step for cognitive radio systems to achieve an efficient use of the spectrum. Cooperation among cognitive radio users is a technique employed to improve the sensing performance by exploiting the diversity between the sensing channels to overcome the fading and shadowing effects which allows reduction of miss-detection and false alarm probabilities. Information can be exchanged between cooperating users in different formats from the binary hard information to the full soft information. Quantized information has shown its efficiency as a trade-off between binary hard and full soft for other cooperative schemes, in this paper, we investigate the use of quantized information between cooperating cognitive users. We derive closed-form expressions of the cooperative average false alarm and detection probabilities over fading channels for a generalized system model with not necessarily identical average sensing Signal-to-Noise Ratio (SNR) and imperfect reporting channels. Numerical simulations allow us to conclude a tradeoff between the quantization size and the reporting energy in order to achieve the optimal cooperative error probability. Copyright © 2013 by the Institute of Electrical and Electronic Engineers, Inc.

International co-operation

International Nuclear Information System (INIS)

Klinda, J.; Lieskovska, Z.

1998-01-01

Within the Union Nations (UN) framework, the Slovak Republic participated in following activities on environment protection co-operation: UN European Economic Commission, UN Industrial Development Organization, UN Development Programme, UN Human Habitat Organization, UN Environment Programme, and UN Commission on Sustainable Development. Relevant activities of the Slovak Republic in these co-operations as well as in European Union and OECD activities are reviewed. International conventions and other forms of multilateral co-operation, bilateral co-operation, and international programmes and projects in which the Slovak Republic took participate are presented

Initial evaluation of the "Trauma surgery course"

Directory of Open Access Journals (Sweden)

Tugnoli Gregorio

2006-03-01

Full Text Available Abstract Background The consequence of the low rate of penetrating injuries in Europe and the increase in non-operative management of blunt trauma is a decrease in surgeons' confidence in managing traumatic injuries has led to the need for new didactic tools. The aim of this retrospective study was to present the Corso di Chirurgia del Politrauma (Trauma Surgery Course, developed as a model for teaching operative trauma techniques, and assess its efficacy. Method the two-day course consisted of theoretical lectures and practical experience on large-sized swine. Data of the first 126 participants were collected and analyzed. Results All of the 126 general surgeons who had participated in the course judged it to be an efficient model to improve knowledge about the surgical treatment of trauma. Conclusion A two-day course, focusing on trauma surgery, with lectures and life-like operation situations, represents a model for simulated training and can be useful to improve surgeons' confidence in managing trauma patients. Cooperation between organizers of similar initiatives would be beneficial and could lead to standardizing and improving such courses.

Persistent RCSMA: A MAC Protocol for a Distributed Cooperative ARQ Scheme in Wireless Networks

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J. Alonso-Zárate

2008-05-01

Full Text Available The persistent relay carrier sensing multiple access (PRCSMA protocol is presented in this paper as a novel medium access control (MAC protocol that allows for the execution of a distributed cooperative automatic retransmission request (ARQ scheme in IEEE 802.11 wireless networks. The underlying idea of the PRCSMA protocol is to modify the basic rules of the IEEE 802.11 MAC protocol to execute a distributed cooperative ARQ scheme in wireless networks in order to enhance their performance and to extend coverage. A closed formulation of the distributed cooperative ARQ average packet transmission delay in a saturated network is derived in the paper. The analytical equations are then used to evaluate the performance of the protocol under different network configurations. Both the accuracy of the analysis and the performance evaluation of the protocol are supported and validated through computer simulations.

Conflictual cooperation

DEFF Research Database (Denmark)

Axel, Erik

2011-01-01

, cooperation appeared as the continuous reworking of contradictions in the local arrangement of societal con- ditions. Subjects were distributed and distributed themselves according to social privileges, resources, and dilemmas in cooperation. Here, the subjects’ activities and understandings took form from...

Cooperating with a palliative home-care team: expectations and evaluations of GPs and district nurses

DEFF Research Database (Denmark)

Goldschmidt, Dorthe; Groenvold, Mogens; Johnsen, Anna Thit

2005-01-01

BACKGROUND: Palliative home-care teams often cooperate with general practitioners (GPs) and district nurses. Our aim was to evaluate a palliative home-care team from the viewpoint of GPs and district nurses. METHODS: GPs and district nurses received questionnaires at the start of home-care and one...... month later. Questions focussed on benefits to patients, training issues for professionals and cooperation between the home-care team and the GP/ district nurse. A combination of closed- and open-ended questions was used. RESULTS: Response rate was 84% (467/553). Benefits to patients were experienced...... by 91 %, mainly due to improvement in symptom management, 'security', and accessibility of specialists in palliative care. After one month, 57% of the participants reported to have learnt aspects of palliative care, primarily symptom control, and 89% of them found cooperation satisfactory...

Organizational aspects of the Warrior Basin Environmental Cooperative

International Nuclear Information System (INIS)

Lasseter, E.L. Jr.

1993-01-01

Beginning in 1987, the coalbed methane industry in the Black Warrior Coal Basin of Alabama was on the verge of a boom. The industry soon recognized plans for development might require significant changes in disposal techniques for produced water or a change in the existing system for issuance of NPDES permits for the discharge of produced water. The industry, working closely with the Alabama Department of Environmental Management (ADEM), resolved this problem through with the formation of the Warrior Basin Environmental Cooperative, Inc. (WBEC), a cooperative venture which constructed and now operates a large-scale, integrated water monitoring system providing real-time water quality data to its member organizations. The monitoring system operated by the WBEC covers a 150 mile reach of the Black Warrior River in Alabama affected by coalbed methane discharges. The system provides its eleven members with access to real-time water quality data and monthly summary reports. The system is functionally integrated with the operational requirements of its members and with relevant NPDES permit requirements. September, 1992 marked the second year of full operation of the system. The concept of cooperative use of large-scale, integrated water monitoring systems and the experience gained in the formation of the WBEC and the operation of its system appear to have many potential benefits beyond the scope of its present application

To Cooperate or Not? An Analysis of Complementary Product Pricing in Green Supply Chain

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Jie Wei

2018-05-01

Full Text Available This paper investigates the green supply chain pricing problem when two manufacturers sell complementary products to one retailer. Considering the manufacturers’ cooperation or noncooperation strategies, we first give the centralized pricing model as a benchmark. According to market power among the supply chain, we analyze two types of supply chains: supplier-led type where the green driving factor comes from the suppliers and retailer-led type where the core member retailer leads the green supply chain. We then give two decentralized pricing models through considering strategic cooperation between two manufacturers and different structures. Corresponding closed-form expressions for equilibrium pricing strategies are established. Finally, many valuable managerial results are acquired through comparing the profits and equilibrium decisions of these models. Our paper shows that consumers are indifferent as to who is the leader of the two echelons when the manufacturers adopt non-cooperative action; the two complementary products get the same optimal wholesale/retail prices, maximum retail margins, and maximum demands regardless of the manufacturers’ cooperation or noncooperation strategies.

Design and development of gas cooled reactors with closed cycle gas turbines. Proceedings of a technical committee meeting

International Nuclear Information System (INIS)

1996-08-01

Technological advances over the past fifteen years in the design of turbomachinery, recuperators and magnetic bearings provide the potential for a quantum improvement in nuclear power generation economics through the use of the HTGR with a closed cycle gas turbine. Enhanced international co-operation among national gas cooled reactor programmes in these common technology areas could facilitate the development of this nuclear power concept thereby achieving safety, environmental and economic benefits with overall reduced development costs. This TCM and Workshop was convened to provide the opportunity to review and examine the status of design activities and technology development in national HTGR programmes with specific emphasis on the closed cycle gas turbine, and to identify pathways which take advantage of the opportunity for international co-operation in the development of this concept. Refs, figs, tabs

Design and development of gas cooled reactors with closed cycle gas turbines. Proceedings of a technical committee meeting

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-08-01

Technological advances over the past fifteen years in the design of turbomachinery, recuperators and magnetic bearings provide the potential for a quantum improvement in nuclear power generation economics through the use of the HTGR with a closed cycle gas turbine. Enhanced international co-operation among national gas cooled reactor programmes in these common technology areas could facilitate the development of this nuclear power concept thereby achieving safety, environmental and economic benefits with overall reduced development costs. This TCM and Workshop was convened to provide the opportunity to review and examine the status of design activities and technology development in national HTGR programmes with specific emphasis on the closed cycle gas turbine, and to identify pathways which take advantage of the opportunity for international co-operation in the development of this concept. Refs, figs, tabs.

The effect of juvenile hormone on Polistes wasp fertility varies with cooperative behavior.

Science.gov (United States)

Tibbetts, Elizabeth A; Sheehan, Michael J

2012-04-01

Social insects provide good models for studying how and why the mechanisms that underlie reproduction vary, as there is dramatic reproductive plasticity within and between species. Here, we test how the effect of juvenile hormone (JH) on fertility covaries with cooperative behavior in workers and nest-founding queens in the primitively eusocial wasp Polistes metricus. P. metricus foundresses and workers appear morphologically similar and both are capable of reproduction, though there is variation in the extent of social cooperation and the probability of reproduction across castes. Do the endocrine mechanisms that mediate reproduction co-vary with cooperative behavior? We found dramatic differences in the effect of JH on fertility across castes. In non-cooperative nest-founding queens, all individuals responded to JH by increasing their fertility. However, in cooperative workers, the effect of JH on fertility varies with body weight; large workers increase their fertility in response to JH while small workers do not. The variation in JH response may be an adaptation to facilitate resource allocation based on the probability of independent reproduction. This work contrasts with previous studies in closely related Polistes dominulus paper wasps, in which both foundresses and workers form cooperative associations and both castes show similar, condition-dependent JH response. The variation in JH responsiveness within and between species suggests that endocrine responsiveness and the factors influencing caste differentiation are surprisingly evolutionarily labile. Copyright © 2012 Elsevier Inc. All rights reserved.

When cooperation begets cooperation: the role of key individuals in galvanizing support.

Science.gov (United States)

McAuliffe, Katherine; Wrangham, Richard; Glowacki, Luke; Russell, Andrew F

2015-12-05

Life abounds with examples of conspecifics actively cooperating to a common end, despite conflicts of interest being expected concerning how much each individual should contribute. Mathematical models typically find that such conflict can be resolved by partial-response strategies, leading investors to contribute relatively equitably. Using a case study approach, we show that such model expectations can be contradicted in at least four disparate contexts: (i) bi-parental care; (ii) cooperative breeding; (iii) cooperative hunting; and (iv) human cooperation. We highlight that: (a) marked variation in contributions is commonplace; and (b) individuals can often respond positively rather than negatively to the contributions of others. Existing models have surprisingly limited power in explaining these phenomena. Here, we propose that, although among-individual variation in cooperative contributions will be influenced by differential costs and benefits, there is likely to be a strong genetic or epigenetic component. We then suggest that selection can maintain high investors (key individuals) when their contributions promote support by increasing the benefits and/or reducing the costs for others. Our intentions are to raise awareness in--and provide testable hypotheses of--two of the most poorly understood, yet integral, questions regarding cooperative ventures: why do individuals vary in their contributions and when does cooperation beget cooperation? © 2015 The Author(s).

Enhancement of international cooperation for utilization of OECD/NEA Data BAnk

International Nuclear Information System (INIS)

Lee, HaeCho; Chang, JongHwa; Kang, SinBok; Song, TaeGil; Ko, YoungChul; Kim, JinHee; Moon, DongSup; Hwang, HyeSun

2008-06-01

The purpose of research is to register Korean computer codes at OECD/NEA Data Bank and to promote cooperation on use of the computer codes and libraries between the international organization and foreign countries. - 10 computer codes related to nuclear industry have been registered at and supplied to OECD/NEA through this project, which is regarded as good example of close international cooperation among the member states of OECD/NEA - This project has provided member states with motives on creating human networks and high level of expertise between domestic code developers and foreign users of the codes - Expert group in the field of nuclear related computer codes is formed in this project, that is also beneficial for Korea in preparation of exporting and marketing nuclear technologies in the world

Enhancement of international cooperation for utilization of OECD/NEA Data BAnk

Energy Technology Data Exchange (ETDEWEB)

Lee, HaeCho; Chang, JongHwa; Kang, SinBok; Song, TaeGil; Ko, YoungChul; Kim, JinHee; Moon, DongSup; Hwang, HyeSun

2008-06-15

The purpose of research is to register Korean computer codes at OECD/NEA Data Bank and to promote cooperation on use of the computer codes and libraries between the international organization and foreign countries. - 10 computer codes related to nuclear industry have been registered at and supplied to OECD/NEA through this project, which is regarded as good example of close international cooperation among the member states of OECD/NEA - This project has provided member states with motives on creating human networks and high level of expertise between domestic code developers and foreign users of the codes - Expert group in the field of nuclear related computer codes is formed in this project, that is also beneficial for Korea in preparation of exporting and marketing nuclear technologies in the world.

Short-term Recovery after Orthognathic Surgery: A Medical Daily Diary Approach

Science.gov (United States)

Blakey, George

2008-01-01

This study assessed the utility of a quality-of-life diary for the assessment of postoperative recovery following orthognathic surgery. A 20-item daily recovery diary was designed to assess the patients’ perception of recovery in 4 domains (postoperative sequelae; pain/discomfort; oral function; daily activities) during each of the first 90 days after surgery. Fifteen of 185 patients who had agreed to participate did not return any portion of the diary. Of the remaining patients, 87% returned the full 90 days requested. Younger patients were more likely to complete the entire protocol (P = 0.01). At 30 days, a lower percentage, in general, of patients who completed all 90 days reported recovery in oral function and general activity compared with those who did not complete all diary days. This study confirms that patients will cooperate with the completion of structured medical / health-related quality-of-life diaries during the first few months after orthognathic surgery. Information from such diaries would be valuable to patients deciding on treatment options and to the clinicians counseling them. PMID:18768296

Plasma glutamine levels before cardiac surgery are related to post-surgery infections; an observational study

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Hanneke Buter

2016-11-01

Full Text Available Abstract Background A low plasma glutamine level was found in 34% of patients after elective cardiothoracic surgery. This could be a result of the inflammation caused by surgical stress or the use of extracorporeal circulation (ECC. But it is also possible that plasma glutamine levels were already lowered before surgery and reflect an impaired metabolic state and a higher likelihood to develop complications. In the present study plasma glutamine levels were measured before and after cardiac surgery and we questioned whether there is a relation between plasma glutamine levels and duration of ECC and the occurrence of postoperative infections. Methods We performed a single-centre prospective, observational study in a closed-format, 20-bed, mixed ICU in a tertiary teaching hospital. We included consecutive patients after elective cardiac surgery with use of extracorporeal circulation. Blood samples were collected on the day prior to surgery and at admission on the ICU. The study was approved by the local Medical Ethics Committee (Regional Review Committee Patient-related Research, Medical Centre Leeuwarden, nWMO 115, April 28th 2015. Results Ninety patients were included. Pre-operative plasma glutamine level was 0.42 ± 0.10 mmol/l and post-operative 0.38 ± 0.09 mmol/l (p < 0.001. There was no relation between duration of extracorporeal circulation or aortic occlusion time and changes in plasma glutamine levels. A logistic regression analysis showed a significant correlation between the presence of a positive culture during the post-operative course and pre-operative plasma glutamine levels (p = 0.04. Conclusion Plasma glutamine levels are significantly lower just after cardiac surgery compared to pre-operative levels. We did not find a relation between the decrease in plasma glutamine levels and the duration of extracorporeal circulation or aortic clamp time. There was a correlation between pre-operative plasma glutamine levels

Effect of playing violent video games cooperatively or competitively on subsequent cooperative behavior.

Science.gov (United States)

Ewoldsen, David R; Eno, Cassie A; Okdie, Bradley M; Velez, John A; Guadagno, Rosanna E; DeCoster, Jamie

2012-05-01

Research on video games has yielded consistent findings that violent video games increase aggression and decrease prosocial behavior. However, these studies typically examined single-player games. Of interest is the effect of cooperative play in a violent video game on subsequent cooperative or competitive behavior. Participants played Halo II (a first-person shooter game) cooperatively or competitively and then completed a modified prisoner's dilemma task to assess competitive and cooperative behavior. Compared with the competitive play conditions, players in the cooperative condition engaged in more tit-for-tat behaviors-a pattern of behavior that typically precedes cooperative behavior. The social context of game play influenced subsequent behavior more than the content of the game that was played.

Nonregenerative Dual-Hop Cooperative Links with Selection Diversity

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Karagiannidis George K

2006-01-01

Full Text Available The end-to-end performance of dual-hop cooperative diversity systems equipped with nonregenerative relays and a selection combining receiver at the destination terminal over independent and nonidentical Nakagami- fading channels is studied. Closed-form expressions for the cumulative distribution function and the probability density function of the end-to-end signal-to-noise ratio ( are presented, while analytical formulae are derived for the moments and the moment generating function. Using these statistical results, closed-form expressions for the outage probability are presented for both channel state information and fixed gain relays. Furthermore, for the case of fixed gain relay, the average end-to-end , the amount of fading, and the average bit error rate can be numerically evaluated. The proposed mathematical analysis is complemented by numerical examples, including the effects on the overall performance of the s unbalancing as well as the fading severity.

Medical cooperative projects. From Nagasaki to Chernobyl and Semipalatinsk

International Nuclear Information System (INIS)

Takamura, Noboru; Yamashita, Shunichi

2005-01-01

For many years, Nagasaki University, particularly the Atomic Bomb Disease Institute, has been engaged in research regarding the late health effects of radiation exposure in Nagasaki atomic bomb survivors. Since 1991, we have participated in several Chernobyl projects including the Chernobyl Sasakawa Medical Cooperation Project which demonstrated a marked increase in the incidence of childhood thyroid cancer around Chernobyl, especially in the Gomel region, Belarus. Furthermore, we have performed both fieldwork and research to clarify the late effects of radiation exposure around Semipalatinsk Nuclear Testing Site and participated in bilateral official medical assistance projects between Japan and Kazakhstan to strengthen the medical infrastructure in this area. Through these humanitarian and scientific projects, we have been collaborating closely with our counterparts in the former Union of Soviet Socialist Republics (USSR) for the past 15 years. Here, we present a brief review of our past activities and future directions of international cooperative radiation research from Nagasaki to Chernobyl and Semipalatinsk. (author)

Proto-cooperation

DEFF Research Database (Denmark)

Herbert-Read, James E; Romanczuk, Pawel; Krause, Stefan

2016-01-01

beneficial if the cost of attacking is high, and only then when waiting times are short. Our findings provide evidence that cooperative benefits can be realized through the facilitative effects of individuals' hunting actions without spatial coordination of attacks. Such 'proto-cooperation' may be the pre...

Cooperating to learn teaching to cooperate: adviser processes for program implement CA/AC

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José Ramón LAGO

2011-11-01

Full Text Available The aim of this paper is present some results of advise strategy to introduce cooperative learning from the «Cooperating to Learn/ Learning to Cooperate» CL/LC Programme. The first part situates the research project and the research objective focused on how introduction of CL/LC program through a process of advice facilitates permanent improvements to the inclusion of students. In the second we analyzed the phases and tasks of an adviser process for the introduction of cooperative learning and three stages to build on cooperative learning in school: the introduction, generalization and consolidation. The third part is the central part. We describe five process of adviser to implement cooperative learning which we can observe different degrees and modalities of collaboration between teachers and counselors and between teachers. Is possible the first step of a network centers to work cooperatively.

Performance analysis of best relay selection scheme for amplify-and-forward cooperative networks in identical Nakagami-m channels

KAUST Repository

Hussain, Syed Imtiaz; Alouini, Mohamed-Slim; Hasna, Mazen Omar

2010-01-01

for a cooperative network with multiple relays operating in amplify-and-forward (AF) mode over identical Nakagami-m channels using exact source-relay-destination signal to noise ratio (SNR) expression. We derive accurate closed form expressions

Esthetic periodontal surgery for impacted dilacerated maxillary central incisors.

Science.gov (United States)

Wei, Yu-Ju; Lin, Yi-Chun; Kaung, Shou-Shin; Yang, Shue-Fen; Lee, Shyh-Yuan; Lai, Yu-Lin

2012-10-01

Clinicians do not frequently see impacted dilacerated maxillary incisors in their patients. When they do, there are several diagnostic and management challenges for correcting root dilacerations. An unfavorable esthetic outcome might occur as a result of soft-tissue complications during surgical eruption procedures. We present 2 patients with an impacted and dilacerated maxillary central incisor. Computed tomography scans with 3-dimensional reformation were used to accurately assess the positions of the dilacerated teeth, the degree of dilaceration, and the stage of root formation. The therapy primarily involved 2-stage crown exposure surgery combined with orthodontic traction. An apicoectomy was performed on 1 dilacerated tooth; the other exhibited pulp vitality. This article highlights the periodontal surgical strategies for the esthetic management of inverted crowns. Through periodontal plastic surgery and interdisciplinary cooperation, the impacted dilacerated central incisors were properly aligned, and successful esthetic results were achieved. Copyright © 2012 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

Monogamy and high relatedness do not preferentially favor the evolution of cooperation

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Nonacs Peter

2011-03-01

Full Text Available Abstract Background Phylogenetic analyses strongly associate nonsocial ancestors of cooperatively-breeding or eusocial species with monogamy. Because monogamy creates high-relatedness family groups, kin selection has been concluded to drive the evolution of cooperative breeding (i.e., the monogamy hypothesis. Although kin selection is criticized as inappropriate for modeling and predicting the evolution of cooperation, there are no examples where specific inclusive fitness-based predictions are intrinsically wrong. The monogamy hypothesis may be the first case of such a flawed calculation. Results A simulation model mutated helping alleles into non-cooperative populations where females mated either once or multiply. Although multiple mating produces sibling broods of lower relatedness, it also increases the likelihood that one offspring will adopt a helper role. Examining this tradeoff showed that under a wide range of conditions polygamy, rather than monogamy, allowed helping to spread more rapidly through populations. Further simulations with mating strategies as heritable traits confirmed that multiple-mating is selectively advantageous. Although cooperation evolves similarly regardless of whether dependent young are close or more distant kin, it does not evolve if they are unrelated. Conclusions The solitary ancestral species to cooperative breeders may have been predominantly monogamous, but it cannot be concluded that monogamy is a predisposing state for the evolution of helping behavior. Monogamy may simply be coincidental to other more important life history characteristics such as nest defense or sequential provisioning of offspring. The differing predictive outcome from a gene-based model also supports arguments that inclusive fitness formulations poorly model some evolutionary questions. Nevertheless, cooperation only evolves when benefits are provided for kin: helping alleles did not increase in frequency in the absence of potential

Cooperative Trust Games

Science.gov (United States)

2013-01-01

the more widely recognized competitive (non-cooperative) game theory. Cooperative game theory focuses on what groups of self-interested agents can...provides immediate justification for using non-cooperative game theory as the basis for modeling the purely competitive agents. 2.4. Superadditive...the competitive and altruistic contributions of the subset team. Definition: Given a payoff function ( ) in a subset team game , the total marginal

Exploiting Outage and Error Probability of Cooperative Incremental Relaying in Underwater Wireless Sensor Networks

Directory of Open Access Journals (Sweden)

Hina Nasir

2016-07-01

Full Text Available This paper embeds a bi-fold contribution for Underwater Wireless Sensor Networks (UWSNs; performance analysis of incremental relaying in terms of outage and error probability, and based on the analysis proposition of two new cooperative routing protocols. Subject to the first contribution, a three step procedure is carried out; a system model is presented, the number of available relays are determined, and based on cooperative incremental retransmission methodology, closed-form expressions for outage and error probability are derived. Subject to the second contribution, Adaptive Cooperation in Energy (ACE efficient depth based routing and Enhanced-ACE (E-ACE are presented. In the proposed model, feedback mechanism indicates success or failure of data transmission. If direct transmission is successful, there is no need for relaying by cooperative relay nodes. In case of failure, all the available relays retransmit the data one by one till the desired signal quality is achieved at destination. Simulation results show that the ACE and E-ACE significantly improves network performance, i.e., throughput, when compared with other incremental relaying protocols like Cooperative Automatic Repeat reQuest (CARQ. E-ACE and ACE achieve 69% and 63% more throughput respectively as compared to CARQ in hard underwater environment.

Gut microbiota and bacterial translocation in digestive surgery: the impact of probiotics.

Science.gov (United States)

Komatsu, Shunichiro; Yokoyama, Yukihiro; Nagino, Masato

2017-05-01

It is conceivable that manipulation of the gut microbiota could reduce the incidence or magnitude of surgical complications in digestive surgery. However, the evidence remains inconclusive, although much effort has been devoted to randomized controlled trials (RCTs) and meta-analyses on probiotics. Furthermore, the mechanism behind the protective effects of probiotics appears elusive, our understanding of probiotic actions being fragmentary. The objective of this review is to assess the clinical relevance of the perioperative use of probiotics in major digestive surgery, based on a comprehensive view of the gut microbiota, bacterial translocation (BT), and host defense system. The first part of this article describes the pathophysiological events associated with the gut microbiota. Results of RCTs for the perioperative use of probiotics in major digestive surgery are reviewed in the latter part. The development of the structural and functional barrier to protect against BT primarily results from the generally cooperative interactions between the host and resident microbiota. There is a large body of evidence indicating that probiotics, by enhancing beneficial interactions, reinforce the host defense system to limit BT. The perioperative use of probiotics in patients undergoing hepatobiliary and pancreatic surgery is a promising approach for the prevention of postoperative infectious complications, while the effectiveness in colorectal surgery remains controversial due to substantial heterogeneity among the RCTs with small sample populations. Further studies, such as multi-center RCTs with a larger sample size, are necessary to confirm the clinical relevance of probiotic agents in major digestive surgery.

Whole brain irradiation following surgery or radiosurgery for solitary brain metastases: Mature results of a prematurely closed randomized Trans-Tasman Radiation Oncology Group trial (TROG 98.05)

International Nuclear Information System (INIS)

Roos, Daniel E.; Wirth, Andrew; Burmeister, Bryan H.; Spry, Nigel A.; Drummond, Katharine J.; Beresford, Jennifer A.; McClure, Beverley E.

2006-01-01

We evaluated the effect of adjuvant whole brain irradiation (WBI) after surgery or radiosurgery for solitary brain metastases in a Phase III multicentre trial with randomization to 30-36 Gy WBI or observation. The study was closed early due to slow accrual after 19 patients (WBI 10, observation 9). There was no difference in CNS failure-free survival or overall survival between the arms. There was a trend to reduced CNS relapse with WBI (30% versus 78%, P = 0.12). Limited analysis of quality of life and neurocognitive function data revealed no evidence of difference between the arms. Our results are not inconsistent with two larger randomized trials and support the use of upfront WBI to decrease brain recurrence in this setting

Cooperative strategies European perspectives

CERN Document Server

Killing, J Peter

1997-01-01

Cooperative Strategies: European Perspectives is one of three geographically targeted volumes in which the contributors present the most current research on topics such as advances in theories of cooperative strategies, the formation of cooperative alliances, the dynamics of partner relationships, and the role of information and knowledge in cooperative alliances. Blending conceptual insights with empirical analyses, the contributors highlight commonalities and differences across national, cultural, and trade zones. The chapters in this volume are anchored in a wide set of theoretical approaches, conceptual frameworks, and models, illustrating how rich the area of cooperative strategies is for scholarly inquiry.

Instrumental tactile diagnostics in robot-assisted surgery

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Solodova RF

2016-10-01

Full Text Available Rozalia F Solodova,1,2 Vladimir V Galatenko,1,2 Eldar R Nakashidze,3 Igor L Andreytsev,3 Alexey V Galatenko,1 Dmitriy K Senchik,2 Vladimir M Staroverov,1 Vladimir E Podolskii,1,2 Mikhail E Sokolov,1,2 Victor A Sadovnichy1,2 1Faculty of Mechanics and Mathematics, 2Institute of Mathematical Studies of Complex Systems, Lomonosov Moscow State University, 31st Surgery Department, Clinical Hospital 31, Moscow, Russia Background: Robotic surgery has gained wide acceptance due to minimizing trauma in patients. However, the lack of tactile feedback is an essential limiting factor for the further expansion. In robotic surgery, feedback related to touch is currently kinesthetic, and it is mainly aimed at the minimization of force applied to tissues and organs. Design and implementation of diagnostic tactile feedback is still an open problem. We hypothesized that a sufficient tactile feedback in robot-assisted surgery can be provided by utilization of Medical Tactile Endosurgical Complex (MTEC, which is a novel specialized tool that is already commercially available in the Russian Federation. MTEC allows registration of tactile images by a mechanoreceptor, real-time visualization of these images, and reproduction of images via a tactile display. Materials and methods: Nine elective surgeries were performed with da Vinci™ robotic system. An assistant performed tactile examination through an additional port under the guidance of a surgeon during revision of tissues. The operating surgeon sensed registered tactile data using a tactile display, and the assistant inspected the visualization of tactile data. First, surgeries where lesion boundaries were visually detectable were performed. The goal was to promote cooperation between the surgeon and the assistant and to train them in perception of the tactile feedback. Then, instrumental tactile diagnostics was utilized in case of visually undetectable boundaries. Results: In robot-assisted surgeries where lesion

Impotence after mesorectal and close rectal dissection for inflammatory bowel disease.

Science.gov (United States)

Lindsey, I; George, B D; Kettlewell, M G; Mortensen, N J

2001-06-01

Close rectal dissection is a surgical technique used by some surgeons in inflammatory bowel disease. It is performed within the mesorectum, close to the rectal muscle wall, with the aim of minimizing damage to the pelvic sexual nerves. Other surgeons dissect in the more anatomical mesorectal plane. Our aim was to determine whether close rectal dissection is more protective of the pelvic sexual nerves than mesorectal dissection. Patients undergoing surgery for inflammatory bowel disease were entered prospectively into a database. Male patients were mailed a standardized, validated, urologic impotence questionnaire: the International Index of Erectile Function. There was an 81 percent response rate. Six of 156 assessable patients were totally impotent (3.8 percent). They were all in the 50-year-old to 70-year-old age group, with no impotence in patients younger than 50 years old. Twenty-one patients complained of minor diminution of erectile function (13.5 percent), where sexual activity was still possible. There was no statistical difference in the rate of complete (2.2 percent vs. 4.5 percent, P = 0.67) or partial (13.5 percent vs. 13.3 percent, P = 0.99) impotence between close rectal and mesorectal dissection (Fisher's exact test). There were no ejaculatory difficulties. The time elapsed since surgery ranged from 2.7 months to 192.7 months, with a median of 74.5 months. Rectal excision for inflammatory bowel disease can be conducted with low rates of impotence. Minor degrees of erectile dysfunction may be more common than currently recognized. We could not demonstrate that close rectal dissection significantly protects the patient from impotence compared with operating in the anatomical mesorectal plane. Age appears to be the most important risk factor for postoperative impotence.

Cooperatives management evaluation of four Savings and Credit Cooperatives of Quito, Ecuador

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Richard Joel Alba Caluguillin

2017-07-01

Full Text Available The administrative management in cooperative enterprises develops in each of the stages of the administrative process of the traditional companies, which are planning, organization, direction and control, with the only difference that the savings and credit cooperatives comply with cooperative principles and values such as mutual aid, social responsibility, democracy, equality, equity and solidarity. The objective of this research was to evaluate the process of administrative management in four selected savings and credit cooperatives from Quito city, Ecuador, were applied theoretical and empirical methods of research. From the empirical point of view, a survey was applied getting results from this process. In general, in the cooperatives evaluated, it was recognized the importance of comprehensive management, strategic planning, motivation as a key element for good job performance, the effectiveness of formal communication channels and other aspects inherent in administrative management, although there are certain deficiencies that limit the results of the cooperative activity.

Cited Brazilian papers in general surgery between 1970 and 2009

Directory of Open Access Journals (Sweden)

Flavio L. Heldwein

2010-01-01

Full Text Available OBJECTIVES: To identify the most cited articles in general surgery published by Brazilian authors. INTRODUCTION: There are several ways for the international community to recognize the quality of a scientific article. Although controversial, the most widely used and reliable methodology to identify the importance of an article is citation analysis. METHODS: A search using the Institute for Scientific Information citation database (Science Citation Index Expanded was performed to identify highly cited Brazilian papers published in twenty-six highly cited general surgery journals, selected based on their elevated impact factors, from 1970 to 2009. Further analysis was done on the 65 most-cited papers. RESULTS: We identified 1,713 Brazilian articles, from which nine papers emerged as classics (more than 100 citations received. For the Brazilian contributions, a total increase of about 21-fold was evident between 1970 and 2009. Although several topics were covered, articles covering trauma, oncology and organ transplantation were the most cited. The majority of classic studies were done with international cooperation. CONCLUSIONS: This study identified the most influential Brazilian articles published in internationally renowned general surgery journals.

Inertia in Cooperative Remodeling

OpenAIRE

Nilsson, Jerker

1997-01-01

Which organization model is appropriate for a cooperative enterprise depends on the prerequisites in its business environment. When conditions are changing, the firm must adapt itself. The entry of Sweden, Finland, and Austria into the European Union led to radical changes for agricultural cooperation, especially for Swedish cooperatives since agricultural policy was not allowed a transitional period. After two years, Swedish cooperatives have still not adapted their organization model despit...

[Risk factors related to surgical site infection in elective surgery].

Science.gov (United States)

Angeles-Garay, Ulises; Morales-Márquez, Lucy Isabel; Sandoval-Balanzarios, Miguel Antonio; Velázquez-García, José Arturo; Maldonado-Torres, Lulia; Méndez-Cano, Andrea Fernanda

2014-01-01

The risk factors for surgical site infections in surgery should be measured and monitored from admission to 30 days after the surgical procedure, because 30% of Surgical Site Infection is detected when the patient was discharged. Calculate the Relative Risk of associated factors to surgical site infections in adult with elective surgery. Patients were classified according to the surgery contamination degree; patient with surgery clean was defined as no exposed and patient with clean-contaminated or contaminated surgery was defined exposed. Risk factors for infection were classified as: inherent to the patient, pre-operative, intra-operative and post-operative. Statistical analysis; we realized Student t or Mann-Whitney U, chi square for Relative Risk (RR) and multivariate analysis by Cox proportional hazards. Were monitored up to 30 days after surgery 403 patients (59.8% women), 35 (8.7%) developed surgical site infections. The factors associated in multivariate analysis were: smoking, RR of 3.21, underweight 3.4 hand washing unsuitable techniques 4.61, transfusion during the procedure 3.22, contaminated surgery 60, and intensive care stay 8 to 14 days 11.64, permanence of 1 to 3 days 2.4 and use of catheter 1 to 3 days 2.27. To avoid all risk factors is almost impossible; therefore close monitoring of elective surgery patients can prevent infectious complications.

Cooperation and cheating in microbes

Science.gov (United States)

Gore, Jeff

2011-03-01

Understanding the cooperative and competitive dynamics within and between species is a central challenge in evolutionary biology. Microbial model systems represent a unique opportunity to experimentally test fundamental theories regarding the evolution of cooperative behaviors. In this talk I will describe our experiments probing cooperation in microbes. In particular, I will compare the cooperative growth of yeast in sucrose and the cooperative inactivation of antibiotics by bacteria. In both cases we find that cheater strains---which don't contribute to the public welfare---are able to take advantage of the cooperator strains. However, this ability of cheaters to out-compete cooperators occurs only when cheaters are present at low frequency, thus leading to steady-state coexistence. These microbial experiments provide fresh insight into the evolutionary origin of cooperation.

An innovative virtual reality training tool for orthognathic surgery.

Science.gov (United States)

Pulijala, Y; Ma, M; Pears, M; Peebles, D; Ayoub, A

2018-02-01

Virtual reality (VR) surgery using Oculus Rift and Leap Motion devices is a multi-sensory, holistic surgical training experience. A multimedia combination including 360° videos, three-dimensional interaction, and stereoscopic videos in VR has been developed to enable trainees to experience a realistic surgery environment. The innovation allows trainees to interact with the individual components of the maxillofacial anatomy and apply surgical instruments while watching close-up stereoscopic three-dimensional videos of the surgery. In this study, a novel training tool for Le Fort I osteotomy based on immersive virtual reality (iVR) was developed and validated. Seven consultant oral and maxillofacial surgeons evaluated the application for face and content validity. Using a structured assessment process, the surgeons commented on the content of the developed training tool, its realism and usability, and the applicability of VR surgery for orthognathic surgical training. The results confirmed the clinical applicability of VR for delivering training in orthognathic surgery. Modifications were suggested to improve the user experience and interactions with the surgical instruments. This training tool is ready for testing with surgical trainees. Copyright © 2018 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Evaluation of aesthetic and functional outcomes in rhinoplasty surgery: a prospective study.

Science.gov (United States)

Sena Esteves, Sara; Gonçalves Ferreira, Miguel; Carvalho Almeida, João; Abrunhosa, José; Almeida E Sousa, Cecília

Evaluation of surgery outcome measured by patient satisfaction or quality of life is very important, especially in plastic surgery. There is increasing interest in self-reporting outcomes evaluation in plastic surgery. The aim of our study was to determine patient satisfaction in regard to nose appearance and function with the use of a validated questionnaire, before and after rhinoplasty surgery. A prospective study was realized at a tertiary centre. All rhinoplasty surgeries performed in adults between February 2013 and August 2014 were included. Many patients underwent additional nasal surgery such as septoplasty or turbinoplasty. The surgical procedures and patients' characteristics were also recorded. Among 113 patients, 107 completed the questionnaires and the follow-up period. Analysis of pre-operative and post-operative Rhinoplasty Evaluation Outcome showed a significant improvement after 3 and 6 months in functional and aesthetic questions (pprocedures, primary or revision surgery and open versus closed approach. We found that patients with lower literacy degree were more satisfied with the procedure. Rhinoplasty surgery significantly improved patient quality of life regarding nose function and appearance. Copyright © 2016 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

The delta between postoperative seizure freedom and persistence: Automatically detected focal slow waves after epilepsy surgery

Directory of Open Access Journals (Sweden)

Margit Schönherr

2017-01-01

Significance: The quantity of delta activity could be used as a diagnostic marker for recurrent seizures. The close relation to epileptic spike localizations and the resection volume of patients with successful second surgery imply involvement in seizure recurrence. This initial evidence suggests a potential application in the planning of second epilepsy surgery.

MULTI: a shared memory approach to cooperative molecular modeling.

Science.gov (United States)

Darden, T; Johnson, P; Smith, H

1991-03-01

A general purpose molecular modeling system, MULTI, based on the UNIX shared memory and semaphore facilities for interprocess communication is described. In addition to the normal querying or monitoring of geometric data, MULTI also provides processes for manipulating conformations, and for displaying peptide or nucleic acid ribbons, Connolly surfaces, close nonbonded contacts, crystal-symmetry related images, least-squares superpositions, and so forth. This paper outlines the basic techniques used in MULTI to ensure cooperation among these specialized processes, and then describes how they can work together to provide a flexible modeling environment.

Cooperating for assisting intelligently operators

International Nuclear Information System (INIS)

Brezillon, P.; Cases, E.; CEA Centre d'Etudes de la Vallee du Rhone, 30 - Marcoule

1995-01-01

We are in the process of an intelligent cooperative system in a nuclear plant application. The system must cooperate with an operator who accomplishes a task of supervision of a real-world process. We point out in the paper that a cooperation between a cooperative system and an operator has two modes: a waking state and a participating state. During the waking state, the system observes the operator's behavior and the consequences on the process. During the participation state, the cooperative system builds jointly with the user a solution to the problem. In our approach, the cooperation depends on the system capabilities to explain, to incrementally acquire knowledge and to make explicit the context of the cooperation. We develop these ideas in the framework of the design of the cooperative system in the nuclear plant. (authors). 22 refs., 1 fig

Technical co-operation report for 1999. Report by the Director General

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-08-01

This report presents the IAEA Technical Co-operation (TC) activities in 1999 and covers three separate topics. Part I reports on the Strengthening of TC and looks at the elements of the TC Strategy and how they contributed to the TC Programme. Part II reports on the major achievements of the TC Programme in 1999 in different regions of the world. In addition to reviewing some of the results of national and regional activities in each region - including activities under Regional Co-operation Agreements - this section looks at three interregional projects, and provides highlights of selected projects that were closed in 1999. Part III presents a technical discussion of the financial parameters of the TC Programme. A more detailed review of resources and contributions, disbursements, and non-financial indicators is provided in a Supplement to this report.

Technical co-operation report for 1999. Report by the Director General

International Nuclear Information System (INIS)

2000-08-01

This report presents the IAEA Technical Co-operation (TC) activities in 1999 and covers three separate topics. Part I reports on the Strengthening of TC and looks at the elements of the TC Strategy and how they contributed to the TC Programme. Part II reports on the major achievements of the TC Programme in 1999 in different regions of the world. In addition to reviewing some of the results of national and regional activities in each region - including activities under Regional Co-operation Agreements - this section looks at three interregional projects, and provides highlights of selected projects that were closed in 1999. Part III presents a technical discussion of the financial parameters of the TC Programme. A more detailed review of resources and contributions, disbursements, and non-financial indicators is provided in a Supplement to this report

The redefinition of aging in American surgery.

Science.gov (United States)

Neuman, Mark D; Bosk, Charles L

2013-06-01

Adults aged sixty-five and over account for a large fraction of all surgeries performed in the United States each year. While historical growth in rates of surgery in this population is commonly attributed to financial incentives and technological innovations, the shifts in thought that underpinned the spread of surgery among the U.S. elderly remain largely unexplored. We examined changing perspectives on aging over time in American surgery through two case studies: the expansion of general surgical procedures among older U.S. adults between 1945 and 1965, and the spread of coronary artery bypass grafting (CABG) among the U.S. elderly between 1975 and 1995. For this article, we used close readings of historical journal articles, textbook excerpts, survey reports, and government documents related to surgery and aging. Similar perspectives on aging informed the spread of both general surgical procedures among older adults after World War II and CABG in the elderly from the mid-1970s onward. In each case, surgeons argued against earlier views that surgery was contraindicated in old age using rhetoric that negated the relevance of age to medical decisions. Furthermore, surgeons elevated other types of information-such as the presence or absence of chronic diseases-to supplant age as an explanation for the high operative mortality rates seen among older patients. By stressing the modifiability of operative risk in the elderly, surgeons' arguments positioned old age itself as a new surgical "frontier." Surgeons' arguments for the expansion of surgery among the U.S. elderly over time worked to negate the relevance of age to medical decisions and to portray the wider use of surgery in the elderly as uniformly beneficial. While potentially promoting broader access to surgical care, such perspectives may also have contributed to ongoing health policy challenges by normalizing surgery at any stage in the life-course, with implications for current patterns of surgical

Cooperation in wireless networks principles and applications : real egoistic behavior is to cooperate!

CERN Document Server

Fitzek, Frank HP

2006-01-01

Covers the underlying principles of cooperative techniques as well as several applications demonstrating the use of such techniques in practical systems. This book also summarizes the strength of cooperation for wireless communication systems, motivating the use of cooperative techniques.

Irradiation and surgery for selected cancers

International Nuclear Information System (INIS)

Moss, W.T.

1982-01-01

Combinations of radiation therapy with surgery originated when the surgeon thought he had transected cancer. Unrealistic expectations, however, plagued these combinations until it was appreciated that the dose required to eradicate a given cancerous mass varied primarily with its volume and the associated oxygen tension of its cells. This helped to establish the rationale for combining irradiation and surgery and enabled the radiation therapist to more closely tailor dose needs to each specific clinical problem. Tailoring of dose remains crude. Our greatest errors continue to be attributable to poor definition of tumor extent and the underestimation of residual tumor volume. We need more precise information from the surgeon and pathologist along with greater knowledge of patterns of spread. To the degree that such added information becomes available, we have the means to increase loco-regional control rates

Social heuristics shape intuitive cooperation.

Science.gov (United States)

Rand, David G; Peysakhovich, Alexander; Kraft-Todd, Gordon T; Newman, George E; Wurzbacher, Owen; Nowak, Martin A; Greene, Joshua D

2014-04-22

Cooperation is central to human societies. Yet relatively little is known about the cognitive underpinnings of cooperative decision making. Does cooperation require deliberate self-restraint? Or is spontaneous prosociality reined in by calculating self-interest? Here we present a theory of why (and for whom) intuition favors cooperation: cooperation is typically advantageous in everyday life, leading to the formation of generalized cooperative intuitions. Deliberation, by contrast, adjusts behaviour towards the optimum for a given situation. Thus, in one-shot anonymous interactions where selfishness is optimal, intuitive responses tend to be more cooperative than deliberative responses. We test this 'social heuristics hypothesis' by aggregating across every cooperation experiment using time pressure that we conducted over a 2-year period (15 studies and 6,910 decisions), as well as performing a novel time pressure experiment. Doing so demonstrates a positive average effect of time pressure on cooperation. We also find substantial variation in this effect, and show that this variation is partly explained by previous experience with one-shot lab experiments.

Cooperative games and network structures

NARCIS (Netherlands)

Musegaas, Marieke

2017-01-01

This thesis covers various research topics involving cooperative game theory, a mathematical tool to analyze the cooperative behavior within a group of players. The focus is mainly on interrelations between operations research and cooperative game theory by analyzing specific types of cooperative

Association between fundus autofluorescence and visual outcome in surgically closed macular holes.

Science.gov (United States)

Lee, Young Seob; Yu, Seung-Young; Cho, Nam Suk; Kim, Moo Sang; Kim, Young Gyun; Kim, Eung Suk; Kwak, Hyung Woo

2013-06-01

To investigate the association between fundus autofluorescence (FAF) and visual acuity, recovery of foveal microstructure, and FAF in surgically closed macular holes. Twenty-six eyes with surgically closed macular hole were classified into two groups based on foveal FAF: normal autofluorescence (NAF) or increased autofluorescence (IAF). The association between foveal FAF and visual acuity was analyzed. In addition, we examined the relationship between recovery of the foveal microstructure assessed by spectral domain optical coherence tomography and FAF after macular hole surgery. At 1 month and 6 months after surgery, there were 9 NAF eyes and 17 IAF eyes. There were no differences between NAF and IAF eyes at 1 month and 6 months after surgery. Preoperative best-corrected visual acuity (logarithm of the minimum angle of resolution) did not differ between groups. Best-corrected visual acuity was significantly higher in the NAF group than in the IAF group at 1 month postoperatively (0.59 ± 0.34 vs. 0.91 ± 0.36, P = 0.044) and tended to be higher at 6 months (0.37 ± 0.38 vs. 0.69 ± 0.53, P = 0.126). Restoration of photoreceptor external limiting membrane differed significantly in 8 NAF eyes (89%) and 4 IAF eyes (24%) at postoperation 1 month (P = 0.001). After 6 months, external limiting membrane was restored in all 9 NAF eyes (100%) and in only 11 IAF eyes (65%) (P = 0.042). Fundus autofluorescence findings observed in surgically closed macular holes correlated with visual improvement and photoreceptor status. Eyes with visual improvement had restoration of normal foveal autofluorescence and retinal microstructure, whereas eyes with persistent foveal hyperautofluorescence did not achieve complete restoration of the retinal microstructure, and visual improvement was not as significant.

What drives cooperative breeding?

Directory of Open Access Journals (Sweden)

Walter D Koenig

2017-06-01

Full Text Available Cooperative breeding, in which more than a pair of conspecifics cooperate to raise young at a single nest or brood, is widespread among vertebrates but highly variable in its geographic distribution. Particularly vexing has been identifying the ecological correlates of this phenomenon, which has been suggested to be favored in populations inhabiting both relatively stable, productive environments and in populations living under highly variable and unpredictable conditions. Griesser et al. provide a novel approach to this problem, performing a phylogenetic analysis indicating that family living is an intermediate step between nonsocial and cooperative breeding birds. They then examine the ecological and climatic conditions associated with these different social systems, concluding that cooperative breeding emerges when family living is favored in highly productive environments, followed secondarily by selection for cooperative breeding when environmental conditions deteriorate and within-year variability increases. Combined with recent work addressing the fitness consequences of cooperative breeding, Griesser et al.'s contribution stands to move the field forward by demonstrating that the evolution of complex adaptations such as cooperative breeding may only be understood when each of the steps leading to it are identified and carefully integrated.

Infection management following ambulatory surgery

Directory of Open Access Journals (Sweden)

Chin AB

2015-10-01

Full Text Available Anne B Chin, Elizabeth C Wick Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA Abstract: Surgical site infections (SSIs are frequent postoperative complications that are linked to measures of surgical quality and payment determinations. As surgical procedures are increasingly performed in the ambulatory setting, management of SSIs must transition with this trend. Prevention of SSIs should include optimization of patient comorbidities, aggressive infection control policies including appropriate skin decontamination, maintenance of normothermia, and appropriate antibiotic prophylaxis. Systems must also be set in place to provide adequate surveillance for identification of SSIs when they do occur as well as provide direct feedback to surgeons regarding SSI rates. This may require utilization of claims-based surveillance. Patient education and close follow-up with the clinical team are essential for early identification and management of SSIs. Therapy should remain focused on source control and appropriate antibiotic therapy. Keywords: ambulatory surgery, SSI, infection

Cooperation in Construction:

DEFF Research Database (Denmark)

Vogelius, Peter; Storgaard, Kresten

2016-01-01

The study presents a building project executed by a major Danish construction company, where cooperation and its staging were essential for achieving high productivity and competitiveness. The form of this cooperation is the main theme for the article. The contractor actively changed the communic......The study presents a building project executed by a major Danish construction company, where cooperation and its staging were essential for achieving high productivity and competitiveness. The form of this cooperation is the main theme for the article. The contractor actively changed...... the companies in the case can be understood as possessing a social capital which is enforced and united by initiatives of the main contractor. The social capital was built up and maintained through the actual constitution of cooperation already in the initial phase of bidding before the building process....... The management logic of the main contractor is interpreted as based on a sociology-inspired understanding focusing on norms and social values rather than on contractual (law) and functional (engineering) logic, which had hitherto been prevalent in Danish construction management....

'Co-operation and Communism cannot work side by side': Organized Consumers and the Early Cold War in Britain.

Science.gov (United States)

Gurney, Peter

2018-04-02

This article contributes to a better understanding of labour anti-communism in Britain through an exploration of the evolution of ideas and attitudes within the co-operative movement during the early Cold War. It demonstrates that the period witnessed an increasingly rigid separation of co-operation from communism and argues that this separation made it harder for activists within the co-operative movement to imagine a total or utopian alternative to capitalism. Drawing particularly on a close reading of the co-operative press as well as other sources, the study is divided into three main parts. The first section discusses sympathy among co-operators for the achievements of the Soviet Union, which increased during the war against fascism. The article then moves on to consider the continuing dialogue between British co-operators and their counterparts in European communist states and how international tensions shaped co-operators' views. The final major section explores the hardening of attitude towards communism after Marshall Aid was declared in June 1947, and underlines the role played by figures such as A. V. Alexander and Jack Bailey who worked with the Information Research Department at the Foreign Office to spread anti-communism within the movement. The conclusion reflects, more speculatively, on what implications this shift may have had for the medium and long-term decline of co-operation and the hegemony of capitalist consumerism post-war.

Russian Thyroid Surgery Origin, Development in XIX - Beginning of XX Century and Present Time

Directory of Open Access Journals (Sweden)

A F Romanchishen

2014-03-01

Full Text Available Contribution of outstanding Russian surgeons (Pirogov N.I., Inozemcev F.I., Bobrov A.A., Lezhnev N.F., Fyodorov S.P. and their pupils to thyroid surgery is not fully appreciated yet. Dr. N.I. Pirogov (1831 described the major principles of thyroid anatomy, topography, syntopy and surgery. In 1847, he performed the first strumectomy in Russia with a detailed description of the technique and the outcome. It was also the first surgery on the thyroid in the world performed under general anesthesia. In 1904, Russian surgeon N.F. Lezhnev (Moscow reported on 106 thyroid surgeries using visual control of recurrent laryngeal nerves in A.A. Bobrov’s clinic since 1893. V.I. Razumovsky was the first to describe medullary and anaplastic carcinoma of the thyroid in 1904. He also recommended laryngoscopy in all patients prior to the surgery. S.P. Fyodorov - Professor of Imperial Military Medical Academy in Saint-Petersburg, was extremely reputable in Europe, he was also interested in ectopic goiter, and lingual goiter. When W. Mayo saw Dr. Fyodorov’s surgical skills he called him “Master of Surgery” and invited Fyodorov to become Surgeon-in-Chief at the Mayo Clinic. Recent political changes opened new opportunities for a more effective cooperation between surgeons throughout the world.

Transnational Research Co-operation: Opportunities and Challenges for transnational research co-operation

DEFF Research Database (Denmark)

of the NGOs have a lot of international experience (mainly in Denmark and Germany) as partners in different co-operation projects. Almost all the NGOs have recognized the important role of the scientific information in their activity. NGOs also feel the need for an easy access to required information...... for transnational co-operation like: an investigation/project concerning the driving forces behind urban development,or a co-operation in the field of wastewater reuse and minimization of wastewater loads and discharge, or a service page (internet) to search for potential partners. The governmental institutions...... in order to improve transnational cooperation are identified to be: • Search for national/international project partners • Access to existent co-operation projects or networks • Develop in common project proposals on themes requested by community groups • Exchange information/good operational practices...

Segmental osteotomies of the maxilla.

Science.gov (United States)

Rosen, H M

1989-10-01

Multiple segment Le Fort I osteotomies provide the maxillofacial surgeon with the capabilities to treat complex dentofacial deformities existing in all three planes of space. Sagittal, vertical, and transverse maxillomandibular discrepancies as well as three-dimensional abnormalities within the maxillary arch can be corrected simultaneously. Accordingly, optimal aesthetic enhancement of the facial skeleton and a functional, healthy occlusion can be realized. What may be perceived as elaborate treatment plans are in reality conservative in terms of osseous stability and treatment time required. The close cooperation of an orthodontist well-versed in segmental orthodontics and orthognathic surgery is critical to the success of such surgery. With close attention to surgical detail, the complication rate inherent in such surgery can be minimized and the treatment goals achieved in a timely and predictable fashion.

Classical pathological variables recorded in the Danish Breast Cancer Cooperative Group's register 1978-2006

DEFF Research Database (Denmark)

Kiaer, Henrik W; Laenkholm, Anne-Vibeke; Nielsen, Bernt B

2008-01-01

>50mm from 7 to 4%. The distribution of the histological subtypes of malignant breast tumours has been almost unchanged. We found however a significant increase in the number of high grade tumours. A large increase in the number of removed axillary lymph nodes from 1989-2001 is related to improved......The Danish Breast Cancer Cooperative Group's register containing data from about 75 000 patients undergoing surgery for primary invasive breast cancer from 1978-2006 has been examined for classical pathological variables. During that period the diagnostic approach of malignant breast tumours...

Track 7: policy and public interest U.S.-Russian nuclear security cooperation: navigating the present realities. Panel Discussion

International Nuclear Information System (INIS)

Hayden, N.K.; Hayden-Prindle, Nancy; McCarthy, Maureen; Rich, John; Graham, Thomas Jr.; Mizin, Victor; Cagan, Debra; Alessi, Vic

2001-01-01

Full text of publication follows: In the 10 yr since the beginning of cooperation between the United States and the Russian Federation on nuclear security and nonproliferation issues, the political, economic, and security environment governing the nuclear security cooperation has evolved and, in some cases, undergone dramatic changes. On one hand, the protection of nuclear weapons and materials continues as an urgent national security concern for both the United States and Russia. At the same time, defense infrastructures have been closed or converted to civilian purposes, and there has been increased activity in international cooperation for civilian nuclear technology. This special panel will explore the future of the U.S.-Russia nuclear cooperation with particular attention to the following three themes. Theme 1: Managing the Risks: U.S.-Russian Federation Cooperative Programs for Nuclear Weapons and Materials Security; Theme 2: Creating the Benefits: The Changing Nature of Russia's Domestic Nuclear Industry; Theme 3: Addressing the Impediments: United States and Russia as Nuclear Exporters: Reconciling Nonproliferation Goals, Technology Advancements, and Economic Incentives

Cooperative Monitoring Center Occasional Paper/8: Cooperative Border Security for Jordan: Assessment and Options

Energy Technology Data Exchange (ETDEWEB)

Qojas, M.

1999-03-01

This document is an analysis of options for unilateral and cooperative action to improve the security of Jordan's borders. Sections describe the current political, economic, and social interactions along Jordan's borders. Next, the document discusses border security strategy for cooperation among neighboring countries and the adoption of confidence-building measures. A practical cooperative monitoring system would consist of hardware for early warning, command and control, communications, and transportation. Technical solutions can expand opportunities for the detection and identification of intruders. Sensors (such as seismic, break-wire, pressure-sensing, etc.) can warn border security forces of intrusion and contribute to the identification of the intrusion and help formulate the response. This document describes conceptual options for cooperation, offering three scenarios that relate to three hypothetical levels (low, medium, and high) of cooperation. Potential cooperative efforts under a low cooperation scenario could include information exchanges on military equipment and schedules to prevent misunderstandings and the establishment of protocols for handling emergency situations or unusual circumstances. Measures under a medium cooperation scenario could include establishing joint monitoring groups for better communications, with hot lines and scheduled meetings. The high cooperation scenario describes coordinated responses, joint border patrols, and sharing border intrusion information. Finally, the document lists recommendations for organizational, technical, and operational initiatives that could be applicable to the current situation.

Exact Throughput Analyses of Energy-Harvesting Cooperation Scheme with Best Relay Selections Under I/Q Imbalance

Directory of Open Access Journals (Sweden)

Tan Phuoc Huynh

2017-01-01

Full Text Available In this paper, we propose an energy-harvesting cooperation scheme in which relays suffer in-phase and quadrature-phase imbalances (IQI and harvest energy from a wireless transmit source. A best relay is selected based on end-to-end signal-to-interference-plus-noise ratios (SINRs in both Amplify-and-Forward (called an EHAF protocol and Decode-and-Forward (called an EHDF protocol cooperation methods. We analyze and evaluate the system performance in terms of exact closed-form throughputs over Rayleigh fading channels. Simulation and analysis results discover contributions as follows. Firstly, the throughput performance of the proposed protocols EHAF and EHDF is improved when comparing with that of a non-selection cooperation scheme. Secondly, the EHDF protocol is more efficient than the EHAF protocol. Finally, the theoretical analyses are validated by performing Monte Carlo simulations.

Fundamentals of force feedback and application to a surgery simulator.

Science.gov (United States)

Maass, Heiko; Chantier, Benjamin B A; Cakmak, Hueseyin K; Trantakis, Christos; Kuehnapfel, Uwe G

2003-01-01

Force feedback increases the effectiveness of virtual-reality surgery training systems. An overview of the fundamentals of applying force feedback is presented. An impedance control technique and data processing methods for stability preservation are illustrated. A flexible interface for general force-feedback applications has been developed. This interface is capable of controlling several different force-feedback hardware systems, including the SensAble PHANTOM, the Laparoscopic Impulse Engines from Immersion, and the VS-One virtual endoscopic surgery trainer. The findings are evaluated using the main simulation system, KISMET, and the modeling tools KISMO and VESUV. Within the scope of a cooperative project called HapticIO (funded by the German Ministry of Education and Research [BMBF]), new haptic devices have been designed for virtual neuroendoscopy and laparoscopy. The concept and implementations presented in this paper have been found to be flexible, stable and suitable for universal use. The impedance method, combined with the open-loop feed-forward control technique, is well suited and appropriate for the task.

The story of technical cooperation

International Nuclear Information System (INIS)

Park, Yang Taek

1989-09-01

This book gives descriptions of technical cooperation, which is about why does technology transfer?, process of technology transfer with model, decisive cause and cooperation of technology transfer, cost and effect of technology transfer, historical experience of technology transfer, cases of technology transfer by field such as rubber tire, medicine and computer industry and automobile industry, technology transfer process and present condition of technical cooperation, and strategy for rising of technical cooperation : selection of technology for object of cooperation and development of human resources.

What is a cooperative?

Science.gov (United States)

Kimberly Zeuli

2006-01-01

Groups of individuals throughout time have worked together in pursuit of common goals. The earliest forms of hunting and agriculture required a great deal of cooperation among humans. Although the word "cooperative" can be applied to many different types of group activities, in this publication it refers to a formal business model. Cooperative businesses are...

Neurological complications in thyroid surgery: a surgical point of view on laryngeal nerves.

Directory of Open Access Journals (Sweden)

EMANUELA eVARALDO

2014-07-01

Full Text Available The cervical branches of the vagus nerve that are pertinent to endocrine surgery are the superior and the inferior laryngeal nerves: their anatomical course in the neck places them at risk during thyroid surgery. The external branch of the superior laryngeal nerve (EB is at risk during thyroid surgery because of its close anatomical relationship with the superior thyroid vessels and the superior thyroid pole region. The rate of EB injury (which leads to the paralysis of the cricothyroid muscle varies from 0 to 58%. The identification of the EB during surgery helps avoiding both an accidental transection and an excessive stretching. When the nerve is not identified,the ligation of superior thyroid artery branches close to the thyroid gland is suggested, as well as the abstention from an indiscriminate use of energy-based devices that might damage it. The inferior laryngeal nerve (RLN runs in the tracheoesophageal groove toward the larynx, close to the posterior aspect of the thyroid. It is the main motor nerve of the intrinsic laryngeal muscles, and also provides sensory innervation to the larynx. Its injury finally causes the paralysis of the omolateral vocal cord and various sensory alterations: the symptoms range from mild to severe hoarseness, to acute airway obstruction and swallowing impairment. Permanent lesions of the RNL occur from 0.3 to 7% of cases, according to different factors. The surgeon must be aware of the possible anatomical variations of the nerve which should be actively searched for and identified. Visual control and gentle dissection of RLN are imperative. The use of intraoperative nerve monitoring has been safely applied but, at the moment, its impact in the incidence of RLN injuries has not been clarified. In conclusion, despite a thorough surgical technique and the use of intraoperative neuromonitoring, the incidence of neurological complications after thyroid surgery cannot be suppressed, but should be maintained in a

Scandinavian Cooperative Advantage

DEFF Research Database (Denmark)

Strand, Robert; Freeman, R. Edward

2015-01-01

. We conclude by endorsing the expression “Scandinavian cooperative advantage” in an effort to draw attention to the Scandinavian context and encourage the field of strategic management to shift its focus from achieving a competitive advantage toward achieving a cooperative advantage....

Milk marketing under cooperative and non-cooperative marketing channels: Evidence from west Bengal

Directory of Open Access Journals (Sweden)

Sarker Debnarayan

2010-01-01

Full Text Available The present study is an attempt to empirically investigate the price spread, marketing costs, marketing margins, marketing efficiency, and profit efficiency among market middlemen under cooperative and non-cooperative marketing channels in the domestic trade market of liquid milk in West Bengal. One of the important findings of this study is that, although the inter-market (and intramarket price variation for liquid milk under the cooperative marketing agency in not far from uniformity, and all marketing agencies under cooperative channels receive much lower abnormal profit per unit of milk as compared with non-cooperative channels, the former fails to provide much economic benefit, either to the producer or to the consumer, because of the burden of much higher fixed cost per unit of liquid milk.

Pilot Study Comparing Closed Versus Open Tracheal Suctioning in Postoperative Neonates and Infants With Complex Congenital Heart Disease.

Science.gov (United States)

Tume, Lyvonne N; Baines, Paul B; Guerrero, Rafael; Hurley, Margaret A; Johnson, Robert; Kalantre, Atul; Ramaraj, Ram; Ritson, Paul C; Walsh, Laura; Arnold, Philip D

2017-07-01

To determine the hemodynamic effect of tracheal suction method in the first 36 hours after high-risk infant heart surgery on the PICU and to compare open and closed suctioning techniques. Pilot randomized crossover study. Single PICU in United Kingdom. Infants undergoing surgical palliation with Norwood Sano, modified Blalock-Taussig shunt, or pulmonary artery banding in the first 36 hours postoperatively. Infants were randomized to receive open or closed (in-line) tracheal suctioning either for their first or second study tracheal suction in the first 36 hours postoperatively. Twenty-four infants were enrolled over 18 months, 11 after modified Blalock-Taussig shunt, seven after Norwood Sano, and six after pulmonary artery banding. Thirteen patients received the open suction method first followed by the closed suction method second, and 11 patients received the closed suction method first followed by the open suction method second in the first 36 hours after their surgery. There were statistically significant larger changes in heart rate (p = 0.002), systolic blood pressure (p = 0.022), diastolic blood pressure (p = 0.009), mean blood pressure (p = 0.007), and arterial saturation (p = 0.040) using the open suction method, compared with closed suctioning, although none were clinically significant (defined as requiring any intervention). There were no clinically significant differences between closed and open tracheal suction methods; however, there were statistically significant greater changes in some hemodynamic variables with open tracheal suctioning, suggesting that closed technique may be safer in children with more precarious physiology.

Performance analysis of best relay selection scheme for amplify-and-forward cooperative networks in identical Nakagami-m channels

KAUST Repository

Hussain, Syed Imtiaz

2010-06-01

In cooperative communication networks, the use of multiple relays between the source and the destination was proposed to increase the diversity gain. Since the source and all the relays must transmit on orthogonal channels, multiple relay cooperation is considered inefficient in terms of channel resources and bandwidth utilization. To overcome this problem, the concept of best relay selection was recently proposed. In this paper, we analyze the performance of the best relay selection scheme for a cooperative network with multiple relays operating in amplify-and-forward (AF) mode over identical Nakagami-m channels using exact source-relay-destination signal to noise ratio (SNR) expression. We derive accurate closed form expressions for various system parameters including probability density function (pdf) of end-to-end SNR, average output SNR, average probability of bit error and average channel capacity. T he analytical results are verified through extensive simulations. It is shown that the best relay selection scheme performs better than the regular all relay cooperation.

Group Cooperation without Group Selection: Modest Punishment Can Recruit Much Cooperation.

Science.gov (United States)

Krasnow, Max M; Delton, Andrew W; Cosmides, Leda; Tooby, John

2015-01-01

Humans everywhere cooperate in groups to achieve benefits not attainable by individuals. Individual effort is often not automatically tied to a proportionate share of group benefits. This decoupling allows for free-riding, a strategy that (absent countermeasures) outcompetes cooperation. Empirically and formally, punishment potentially solves the evolutionary puzzle of group cooperation. Nevertheless, standard analyses appear to show that punishment alone is insufficient, because second-order free riders (those who cooperate but do not punish) can be shown to outcompete punishers. Consequently, many have concluded that other processes, such as cultural or genetic group selection, are required. Here, we present a series of agent-based simulations that show that group cooperation sustained by punishment easily evolves by individual selection when you introduce into standard models more biologically plausible assumptions about the social ecology and psychology of ancestral humans. We relax three unrealistic assumptions of past models. First, past models assume all punishers must punish every act of free riding in their group. We instead allow punishment to be probabilistic, meaning punishers can evolve to only punish some free riders some of the time. This drastically lowers the cost of punishment as group size increases. Second, most models unrealistically do not allow punishment to recruit labor; punishment merely reduces the punished agent's fitness. We instead realistically allow punished free riders to cooperate in the future to avoid punishment. Third, past models usually restrict agents to interact in a single group their entire lives. We instead introduce realistic social ecologies in which agents participate in multiple, partially overlapping groups. Because of this, punitive tendencies are more expressed and therefore more exposed to natural selection. These three moves toward greater model realism reveal that punishment and cooperation easily evolve by

Group Cooperation without Group Selection: Modest Punishment Can Recruit Much Cooperation.

Directory of Open Access Journals (Sweden)

Max M Krasnow

Full Text Available Humans everywhere cooperate in groups to achieve benefits not attainable by individuals. Individual effort is often not automatically tied to a proportionate share of group benefits. This decoupling allows for free-riding, a strategy that (absent countermeasures outcompetes cooperation. Empirically and formally, punishment potentially solves the evolutionary puzzle of group cooperation. Nevertheless, standard analyses appear to show that punishment alone is insufficient, because second-order free riders (those who cooperate but do not punish can be shown to outcompete punishers. Consequently, many have concluded that other processes, such as cultural or genetic group selection, are required. Here, we present a series of agent-based simulations that show that group cooperation sustained by punishment easily evolves by individual selection when you introduce into standard models more biologically plausible assumptions about the social ecology and psychology of ancestral humans. We relax three unrealistic assumptions of past models. First, past models assume all punishers must punish every act of free riding in their group. We instead allow punishment to be probabilistic, meaning punishers can evolve to only punish some free riders some of the time. This drastically lowers the cost of punishment as group size increases. Second, most models unrealistically do not allow punishment to recruit labor; punishment merely reduces the punished agent's fitness. We instead realistically allow punished free riders to cooperate in the future to avoid punishment. Third, past models usually restrict agents to interact in a single group their entire lives. We instead introduce realistic social ecologies in which agents participate in multiple, partially overlapping groups. Because of this, punitive tendencies are more expressed and therefore more exposed to natural selection. These three moves toward greater model realism reveal that punishment and cooperation

Cooperative HARQ with Poisson Interference and Opportunistic Routing

KAUST Repository

Kaveh, Mostafa

2014-01-06

This presentation considers reliable transmission of data from a source to a destination, aided cooperatively by wireless relays selected opportunistically and utilizing hybrid forward error correction/detection, and automatic repeat request (Hybrid ARQ, or HARQ). Specifically, we present a performance analysis of the cooperative HARQ protocol in a wireless adhoc multihop network employing spatial ALOHA. We model the nodes in such a network by a homogeneous 2-D Poisson point process. We study the tradeoff between the per-hop rate, spatial density and range of transmissions inherent in the network by optimizing the transport capacity with respect to the network design parameters, HARQ coding rate and medium access probability. We obtain an approximate analytic expression for the expected progress of opportunistic routing and optimize the capacity approximation by convex optimization. By way of numerical results, we show that the network design parameters obtained by optimizing the analytic approximation of transport capacity closely follows that of Monte Carlo based exact transport capacity optimization. As a result of the analysis, we argue that the optimal HARQ coding rate and medium access probability are independent of the node density in the network.

Colloidal Microworms Propelling via a Cooperative Hydrodynamic Conveyor Belt.

Science.gov (United States)

Martinez-Pedrero, Fernando; Ortiz-Ambriz, Antonio; Pagonabarraga, Ignacio; Tierno, Pietro

2015-09-25

We study propulsion arising from microscopic colloidal rotors dynamically assembled and driven in a viscous fluid upon application of an elliptically polarized rotating magnetic field. Close to a confining plate, the motion of this self-assembled microscopic worm results from the cooperative flow generated by the spinning particles which act as a hydrodynamic "conveyor belt." Chains of rotors propel faster than individual ones, until reaching a saturation speed at distances where induced-flow additivity vanishes. By combining experiments and theoretical arguments, we elucidate the mechanism of motion and fully characterize the propulsion speed in terms of the field parameters.

Spontaneous cooperation for prosocials, but not for proselfs: Social value orientation moderates spontaneous cooperation behavior

Science.gov (United States)

Mischkowski, Dorothee; Glöckner, Andreas

2016-01-01

Cooperation is essential for the success of societies and there is an ongoing debate whether individuals have therefore developed a general spontaneous tendency to cooperate or not. Findings that cooperative behavior is related to shorter decision times provide support for the spontaneous cooperation effect, although contrary results have also been reported. We show that cooperative behavior is better described as person × situation interaction, in that there is a spontaneous cooperation effect for prosocial but not for proself persons. In three studies, one involving population representative samples from the US and Germany, we found that cooperation in a public good game is dependent on an interaction between individuals’ social value orientation and decision time. Increasing deliberation about the dilemma situation does not affect persons that are selfish to begin with, but it is related to decreasing cooperation for prosocial persons that gain positive utility from outcomes of others and score high on the related general personality trait honesty/humility. Our results demonstrate that the spontaneous cooperation hypothesis has to be qualified in that it is limited to persons with a specific personality and social values. Furthermore, they allow reconciling conflicting previous findings by identifying an important moderator for the effect. PMID:26876773

Extending the Cooperative Phenotype: Assessing the Stability of Cooperation across Countries.

Science.gov (United States)

Reigstad, Amanda G; Strømland, Eirik A; Tinghög, Gustav

2017-01-01

This paper studies whether individual cooperation is stable across settings and over time. Involving more than 7,000 subjects on two different continents, this study documents positive correlation in cooperative behavior across economic games in Norway, Sweden, Austria, and the United States. The game measures also correlate with a tendency to make deontological judgments in moral dilemmas, and display of general trust toward strangers. Using time-variation in the data, we test whether temporal stability of behavior is similar in the United States and Norway, and find similar stability estimates for both the American and Norwegian samples. The findings here provide further evidence of the existence of a stable behavioral inclination toward prosociality - a "cooperative phenotype," as it has recently been termed. Also in line with previous research, we find that punishment and cooperation seem to be uncorrelated.

Clinical evaluation of an automatic blood pressure controller during cardiac surgery

NARCIS (Netherlands)

Meijers, R.H.A.M.; Schmartz, D.; Cantraine, F.R.L.; Barvais, L.; d Hollander, A.A.; Blom, J.A.

1997-01-01

During surgery, computers can be of great use to support the anesthesiologist in providing task automation. In this paper we describe a closed loop blood pressure controller and show the results of its clinical evalua- tion.Methods. The controller is based on a simple and robust

Excited cooper pairs

Energy Technology Data Exchange (ETDEWEB)

Lopez-Arrietea, M. G.; Solis, M. A.; De Llano, M. [Universidad Nacional Autonoma de Mexico, Mexico, D.F (Mexico)

2001-02-01

Excited cooper pairs formed in a many-fermion system are those with nonzero total center-of mass momentum (CMM). They are normally neglected in the standard Bardeen-Cooper-Schrieffer (BCS) theory of superconductivity for being too few compared with zero CMM pairs. However, a Bose-Einstein condensation picture requires both zero and nonzero CMM pairs. Assuming a BCS model interaction between fermions we determine the populations for all CMM values of Cooper pairs by actually calculating the number of nonzero-CMM pairs relative to that of zero-CMM ones in both 2D and 3D. Although this ratio decreases rapidly with CMM, the number of Cooper pairs for any specific CMM less than the maximum (or breakup of the pair) momentum turns out to be typically larger than about 95% of those with zero-CMM at zero temperature T. Even at T {approx}100 K this fraction en 2D is still as large as about 70% for typical quasi-2D cuprate superconductor parameters. [Spanish] Los pares de cooper excitados formados en un sistema de muchos electrones, son aquellos con momentos de centro de masa (CMM) diferente de cero. Normalmente estos no son tomados en cuenta en la teoria estandar de la superconductividad de Bardeen-Cooper-Schrieffer (BCS) al suponer que su numero es muy pequeno comparados con los pares de centro de masa igual a cero. Sin embargo, un esquema de condensacion Bose-Einstein requiere de ambos pares, con CMM cero y diferente de cero. Asumiendo una interaccion modelo BCS entre los fermiones, determinamos la poblacion de pares cooper con cada uno de todos los posibles valores del CMM calculando el numero de pares con momentos de centro de masa diferente de cero relativo a los pares de CMM igual a cero, en 2D y 3D. Aunque esta razon decrece rapidamente con el CMM, el numero de pares de cooper para cualquier CMM especifico menor que el momento maximo (o rompimiento de par) es tipicamente mas grande que el 95% de aquellos con CMM cero. Aun a T {approx}100 K esta fraccion en 2D es

Internal limiting membrane flap transposition for surgical repair of macular holes in primary surgery and in persistent macular holes.

Science.gov (United States)

Leisser, Christoph; Hirnschall, Nino; Döller, Birgit; Varsits, Ralph; Ullrich, Marlies; Kefer, Katharina; Findl, Oliver

2018-03-01

Classical or temporal internal limiting membrane (ILM) flap transposition with air or gas tamponade are current trends with the potential to improve surgical results, especially in cases with large macular holes. A prospective case series included patients with idiopathic macular holes or persistent macular holes after 23-G pars plana vitrectomy (PPV) and ILM peeling with gas tamponade. In all patients, 23-G PPV and ILM peeling with ILM flap transposition with gas tamponade and postoperative face-down position was performed. In 7 of 9 eyes, temporal ILM flap transposition combined with pedicle ILM flap could be successfully performed and macular holes were closed in all eyes after surgery. The remaining 2 eyes were converted to pedicle ILM flap transposition with macular hole closure after surgery. Three eyes were scheduled as pedicle ILM flap transposition due to previous ILM peeling. In 2 of these eyes, the macular hole could be closed with pedicle ILM flap transposition. In 3 eyes, free ILM flap transposition was performed and in 2 of these eyes macular hole could be closed after surgery, whereas in 1 eye a second surgery, performed as pedicle ILM flap transposition, was performed and led to successful macular hole closure. Use of ILM flaps in surgical repair of macular hole surgery is a new option of treatment with excellent results independent of the diameter of macular holes. For patients with persistent macular holes, pedicle ILM flap transposition or free ILM flap transposition are surgical options.

International co-operation

International Nuclear Information System (INIS)

1997-01-01

In 1996, Nuclear Regulatory Authority of the Slovak Republic (NRA SR) ensured the Slovak Republic (SR) obligations with relation to the international agreements and with the SR membership in the IAEA.International co-operation has been ensured on the basis of the bilateral international agreements. With the Ministry of Foreign Affairs co-operation, the SR fulfilled its financial obligations to this organization in due time and in the full scope. Representing Central and Eastern Europe interest in the Board of Governors, the SR participation in the highest executive in the highest executive authority was finished in 1996.The Board of Governors Vice-chairman position was executed by NRA SR Chairman. 5 national and 6 regional technical co-operation and assistance projects were realized in 1996. 12 organizations participated in these projects and accordingly 104 experts took part in training programmes, scientific visits or as the mission members abroad. Besides, Slovak experts participated at work of technical advisory and consultation groups with the significant assistance. In the framework of IAEA co-operation, the SR was visited by 11 expert missions formed by 28 experts from 19 countries including IAEA. Slovak organizations, namely institutes of the Academy of Sciences, Slovak research centres and universities participated in IAEA scientific and research activities through NRA SR. 15 scientific contracts in total were approved and realized and these contracts are utilized as supplementary financing of the own scientific and research projects. Other international co-operation and regional co-operation activities of the NRA SR in 1996 are reviewed

The Impact of Specialty on Cases Performed During Hand Surgery Fellowship Training.

Science.gov (United States)

Silvestre, Jason; Upton, Joseph; Chang, Benjamin; Steinberg, David R

2018-03-07

Hand surgery fellowship programs in the United States are predominately sponsored by departments or divisions of orthopaedic surgery or plastic surgery. This study compares the operative experiences of hand surgery fellows graduating from orthopaedic or plastic surgery hand surgery fellowships. Operative case logs of 3 cohorts of hand surgery fellows graduating during the academic years of 2012-2013, 2013-2014, and 2014-2015 were analyzed. The median case volumes were compared by specialty via Mann-Whitney U tests. An arbitrary 1,000% change between the 90th and 10th percentiles of fellows was used as a threshold to highlight case categories with substantial variability. In this study, 413 orthopaedic hand surgery fellows (87%) and 62 plastic surgery hand surgery fellows (13%) were included. Plastic surgery fellows reported more cases in the following categories: wound closure with graft; wound reconstruction with flap; vascular repair, reconstruction, replantation, or microvascular; closed treatment of fracture or dislocation; nerve injury; and congenital (p < 0.05). Orthopaedic surgery fellows reported more cases in the following categories: wound irrigation and debridement fasciotomy or wound preparation; hand reconstruction or releases; wrist reconstruction, releases, or arthrodesis; forearm, elbow, or shoulder reconstruction or releases; hand fractures, dislocation, or ligament injury; wrist fractures or dislocations; forearm and proximal fractures or dislocations; miscellaneous insertion or removal of devices; shoulder arthroscopy, elbow arthroscopy, and wrist arthroscopy; decompression of tendon sheath, synovectomy, or ganglions; nerve decompression; Dupuytren; and tumor or osteomyelitis (p < 0.05). Plastic surgery fellows reported substantial variability for 12 case categories (range, 1,024% to 2,880%). Orthopaedic surgery fellows reported substantial variability for 9 case categories (range, 1,110% to 9,700%). Orthopaedic and plastic hand surgery

Range expansions transition from pulled to pushed waves with increasing cooperativity in an experimental microbial population

Science.gov (United States)

Gandhi, Saurabh; Yurtsev, Eugene; Korolev, Kirill; Gore, Jeff

Range expansions are becoming more frequent due to environmental changes and rare long distance dispersal, often facilitated by anthropogenic activities. Simple models in theoretical ecology explain many emergent properties of range expansions, such as a constant expansion velocity, in terms of organism-level properties such as growth and dispersal rates. Testing these quantitative predictions in natural populations is difficult because of large environmental variability. Here, we used a controlled microbial model system to study range expansions of populations with and without intra-specific cooperativity. For non-cooperative growth, the expansion dynamics were dominated by population growth at the low-density front, which pulled the expansion forward. We found these expansions to be in close quantitative agreement with the classical theory of pulled waves by Fisher and Skellam, suitably adapted to our experimental system. However, as cooperativity increased, the expansions transitioned to being pushed, i.e. controlled by growth in the bulk as well as in the front. Although both pulled and pushed waves expand at a constant velocity and appear otherwise similar, their distinct dynamics leads to very different evolutionary consequences. Given the prevalence of cooperative growth in nature, understanding the effects of cooperativity is essential to managing invading species and understanding their evolution.

[Incidence and causes of early end in awake surgery for language mapping not directly related to eloquence].

Science.gov (United States)

Villalba, Gloria; Pacreu, Susana; Fernández-Candil, Juan Luis; León, Alba; Serrano, Laura; Conesa, Gerardo

2016-01-01

The incidence and causes that may lead to an early end (unfinished cortical/subcortical mapping) of awake surgery for language mapping are little known. A study was conducted on 41 patients with brain glioma located in the language area that had awake surgery under conscious sedation. Surgery was ended early in 6 patients. The causes were: tonic-clonic seizure (1), lack of cooperation due to fatigue/sleep (4), whether or not word articulation was involved, a decreased level of consciousness for ammonia encephalopathy that required endotracheal intubation (1). There are causes that could be expected and in some cases avoided. Tumour size, preoperative aphasia, valproate treatment, and type of anaesthesia used are variables to consider to avoid failure in awake surgery for language mapping. With these results, the following measures are proposed: l) If the tumour is large, perform surgery in two times to avoid fatigue, 2) if patient has a preoperative aphasia, do not use sedation during surgery to ensure that sleepiness does not cause worse word articulation, 3) if the patient is on valproate treatment, it is necessary to rule out the pre-operative symptoms that are not due to ammonia encephalopathy. Copyright © 2015 Sociedad Española de Neurocirugía. Published by Elsevier España. All rights reserved.

Midazolam intravenous conscious sedation in oral surgery. A retrospective study of 372 cases.

Science.gov (United States)

Runes, J; Ström, C

1996-01-01

In 1987 the Swedish Dental Act was amended to allow Swedish dentists who have undergone a specific accreditation course to administer intra-venous sedation. Midazolam is a benzodiazepin derivate with express sedative and hypnotic qualities, powerful amnesia, a short half-life time and few secondary effects. From 1989-1994 midazolam intravenous conscious sedation (ICS) was administered in 372 cases in the Department of Oral and Maxillofacial Surgery, County Hospital, Falun. This study presents data on the 298 patients. Although surgical removal of impacted wisdom teeth predominated, implant surgery, reduction of fractures and correction of anomalies were also carried out. Supplementary sedative premedication was rarely used. Most patients were treated under local anaesthesia. The mean dosage was 10.45 mg (range 1.25-40 mg). Mean dosage/kg was 0.15 mg (range 0.03-0.50 mg). The average duration of anaesthesia was 50 minutes. The average recovery time was 94 minutes. Three hundred and sixty-nine of 372 planned treatments were completed. No serious complications occurred. The patients were co-operative during surgery and were satisfied with the treatment. Compared with full anaesthesia this method required less resources and is a valuable complement in management of anxious patients undergoing oral surgery.

THE RELATION BETWEEN TERRITORIAL COLECTIVITIES IN FRANCE AND THE EUROPEAN UNION. THOUGHTS ON THE CROSS-BORDER COOPERATION

Directory of Open Access Journals (Sweden)

CLAUDIA BARBOIU-GILIA

2012-05-01

Full Text Available France, one of the founding members of the European Union, is a unitary state from the administrativeterritorial point of view, based on deep centralism. Having territorial collectivities with highly complex structure (communes, departments, regions, sui-generis collectivities and overseas collectivities, France committed itself to cooperation not only between its own administrative structures, but also to cross-border cooperation within the European Union. After showing reluctance to external actions underwent by territorial collectivities, France ended up with acknowledging this right of its territorial collectivities within the «decentralized cooperation», expressly brought under regulation by the Law of 6 February 1992. According to the law, there is no need for any ratification on behalf of the State to allow cooperation between territorial collectivities, within the boundaries of their competence. The Law of 1992 thus authorized the territorial collectivities to close agreements with other collectivities from abroad. Furthermore, the Law of 4 February 1995 allowed several treaties with the border states to be signed, thus creating the SAAR-LOR-LUX region (an European cross-border region that made way for cooperation between Germany, France and Luxembourg. The French legislation also allowed several European districts to be created, acting as local groups for cross-border cooperation, created on the initiative of territorial collectivities. The aim of our study is to identify the main relationship between territorial collectivities in France and EU and to analyze the cooperation instruments used by the French collectivities in order to foster the cross-border cooperation.

Strategies of EU agro-food cooperatives to confront globalization: The case of wine cooperatives

Directory of Open Access Journals (Sweden)

Juan Sebastián Castillo Valero

2013-06-01

Full Text Available Due to globalization and market integration, the agro-food cooperative sector needs to be more competitive. This generates new challenges for cooperative enterprises in the agro-food sector. In this article the analysis of the wine producing sector is undertaken in the area of greatest world-wide wine production and commercialization, Castilla-La Mancha. EU wineries and cooperatives should propose strategic lines within an economy marked by a globalization process in world markets. The paradigmatic case is analyzed in this paper of the comparison of strategies followed by cooperatives confronting capitalist winery enterprises. Therefore, the degree of suitability is aimed to be elucidated and the success of the foundations of international commercial strategies that cooperative enterprises of the sector have followed, depending on their characteristics. Moreover, an exhaustive diagnosis is offered of the current strategic situation of cooperatives and their probability of gaining access to and/or growing in the international market. The parameters that have resulted significant are used as conclusions and recommendations so that cooperatives will reformulate their strategies and the organizations linked to the agro-food sector will know what factors to foment and support in their internationalization and global competitive positioning.

Regional cooperation in nuclear energy development

International Nuclear Information System (INIS)

Chung, K.; Muntzing, L.M.

1987-01-01

In November 1985, PBNCC (the Pacific Basin Nuclear Cooperation Committee) was formally established. Currently six Pacific Basin members have been participating in PBNCC: Canada, Japan, South Korea, Mexico, Taiwan of Chian, and the United States of America. The People's Republic of China has sent observes to the PBNCC meetings. The technical contents of PBWCC working groups are as follows: 1. Regional cooperative for pooled spare parts of nuclear power plants and inventory management; 2. Regional cooperation in nuclear training; 3. Regional cooperation on nuclear safety; 4. Regional cooperation in Codes and Standards; 5. Regional Cooperation in public acceptance; 6. Regional cooperation on radwaste management. (Liu)

International cooperation workshop. Regional workshop for CTBTO international cooperation: Africa

International Nuclear Information System (INIS)

1999-08-01

Pursuant to the 1999 programme of work, and following the International Cooperation Workshop held in Vienna, Austria, in 1998, the Provisional Technical Secretariat (PTS) of the Preparatory Commission for the CTBTO (Prep Com) held a regional Workshop for CTBTO International Cooperation in Cairo. The purpose of the workshop was to identify how and by what means the Africa region can promote international cooperation in CTBT verification related technologies, and how the region can benefit from and contribute to Prep Com activity. PTS staff briefed the 40 participants from 22 African States who attended the Workshop on general aspects, including costs, of the establishment and operation of the CTBT verification system, including its four monitoring technologies. Participants were informed on opportunities for local institutions in the establishment of monitoring stations and on possible support for national and regional data centres. National experts presented their research and development activities and reviewed existing experiences on bi/multi-lateral cooperation. The main points of the discussion focused on the need to engage governments to advance signature/ratification, and further training opportunities for African states

Application of image guidance in pituitary surgery

Science.gov (United States)

de Lara, Danielle; Filho, Leo F. S. Ditzel; Prevedello, Daniel M.; Otto, Bradley A.; Carrau, Ricardo L.

2012-01-01

Background: Surgical treatment of pituitary pathologies has evolved along the years, adding safety and decreasing morbidity related to the procedure. Advances in the field of radiology, coupled with stereotactic technology and computer modeling, have culminated in the contemporary and widespread use of image guidance systems, as we know them today. Image guidance navigation has become a frequently used technology that provides continuous three-dimensional information for the accurate performance of neurosurgical procedures. We present a discussion about the application of image guidance in pituitary surgeries. Methods: Major indications for image guidance neuronavigation application in pituitary surgery are presented and demonstrated with illustrative cases. Limitations of this technology are also presented. Results: Patients presenting a history of previous transsphenoidal surgeries, anatomical variances of the sphenoid sinus, tumors with a close relation to the internal carotid arteries, and extrasellar tumors are the most important indications for image guidance in pituitary surgeries. The high cost of the equipment, increased time of surgery due to setup time, and registration and the need of specific training for the operating room personnel could be pointed as limitations of this technology. Conclusion: Intraoperative image guidance systems provide real-time images, increasing surgical accuracy and enabling safe, minimally invasive interventions. However, the use of intraoperative navigation is not a replacement for surgical experience and a systematic knowledge of regional anatomy. It must be recognized as a tool by which the neurosurgeon can reduce the risk associated with surgical approach and treatment of pituitary pathologies. PMID:22826819

Extending the Cooperative Phenotype: Assessing the Stability of Cooperation across Countries

Directory of Open Access Journals (Sweden)

Amanda G. Reigstad

2017-11-01

Full Text Available This paper studies whether individual cooperation is stable across settings and over time. Involving more than 7,000 subjects on two different continents, this study documents positive correlation in cooperative behavior across economic games in Norway, Sweden, Austria, and the United States. The game measures also correlate with a tendency to make deontological judgments in moral dilemmas, and display of general trust toward strangers. Using time-variation in the data, we test whether temporal stability of behavior is similar in the United States and Norway, and find similar stability estimates for both the American and Norwegian samples. The findings here provide further evidence of the existence of a stable behavioral inclination toward prosociality – a “cooperative phenotype,” as it has recently been termed. Also in line with previous research, we find that punishment and cooperation seem to be uncorrelated.

The significance of the interconnection of second-level cooperatives and their peer-associated cooperatives for productivity growth

International Nuclear Information System (INIS)

Martínez-Victoria, M.; Maté-Sánchez-Val, M.L.; Arcas-Lario, N.

2017-01-01

Cooperatives are especially important in current agri-food markets. These companies have responded to the current demand requirements with greater market orientation strategies to attract and satisfy customers. To do so, cooperatives have adopted different collaboration alternatives. In Spain, the most common alliance between cooperatives is materialised in second-level cooperatives, which are cooperatives integrated by at least two first-level cooperatives. The aim of this study was to analyse the interaction effects between first- and second level agri-food cooperatives on their productive growth and its components. To get this purpose, a Cobb-Douglas specification with spatial econometrics techniques was applied to evaluate this relationship. We included a spatial connectivity matrix to establish the interconnection among cooperatives of first- and second-level. Our results show a positive interaction effect highlighting the importance of these alliances on the productivity growth in the agri-food sector. The scarce amount of empirical papers explaining how second-level cooperatives influence the performance of first-level cooperatives shows the relevance of our study.

The significance of the interconnection of second-level cooperatives and their peer-associated cooperatives for productivity growth

Energy Technology Data Exchange (ETDEWEB)

Martínez-Victoria, M.; Maté-Sánchez-Val, M.L.; Arcas-Lario, N.

2017-09-01

Cooperatives are especially important in current agri-food markets. These companies have responded to the current demand requirements with greater market orientation strategies to attract and satisfy customers. To do so, cooperatives have adopted different collaboration alternatives. In Spain, the most common alliance between cooperatives is materialised in second-level cooperatives, which are cooperatives integrated by at least two first-level cooperatives. The aim of this study was to analyse the interaction effects between first- and second level agri-food cooperatives on their productive growth and its components. To get this purpose, a Cobb-Douglas specification with spatial econometrics techniques was applied to evaluate this relationship. We included a spatial connectivity matrix to establish the interconnection among cooperatives of first- and second-level. Our results show a positive interaction effect highlighting the importance of these alliances on the productivity growth in the agri-food sector. The scarce amount of empirical papers explaining how second-level cooperatives influence the performance of first-level cooperatives shows the relevance of our study.

[Endovascular surgery in the war].

Science.gov (United States)

Reva, V A; Samokhvalov, I M

2015-01-01

Rapid growth of medical technologies has led to implementation of endovascular methods of diagnosis and treatment into rapidly developing battlefield surgery. This work based on analysing all available current publications generalizes the data on using endovascular surgery in combat vascular injury. During the Korean war (1950-1953) American surgeons for the first time performed endovascular balloon occlusion of the aorta - the first intravascular intervention carried out in a zone of combat operations. Half a century thereafter, with the beginning of the war in Afghanistan (2001) and in Iraq (2003) surgeons of central hospitals of the USA Armed Forces began performing delayed endovascular operations to the wounded. The development of technologies, advent of mobile angiographs made it possible to later on implement high-tech endovascular interventions in a zone of combat operations. At first, more often they performed implantation of cava filters, somewhat afterward - angioembolization of damaged accessory vessels, stenting and endovascular repair of major arteries. The first in the theatre of war endovascular prosthetic repair of the thoracic aorta for severe closed injury was performed in 2008. Russian experience of using endovascular surgery in combat injuries is limited to diagnostic angiography and regional intraarterial perfusion. Despite the advent of stationary angiographs in large hospitals of the RF Ministry of Defence in the early 1990s, endovascular operations for combat vascular injury are casuistic. Foreign experience in active implementation of endovascular technologies to treatment of war-time injuries has substantiated feasibility of using intravascular interventions in tertiary care military hospitals. Carrying out basic training courses on endovascular surgery should become an organic part of preparing multimodality general battlefield surgeons rendering care on the theatre of combat operations.

The hard problem of cooperation.

Directory of Open Access Journals (Sweden)

Kimmo Eriksson

Full Text Available Based on individual variation in cooperative inclinations, we define the "hard problem of cooperation" as that of achieving high levels of cooperation in a group of non-cooperative types. Can the hard problem be solved by institutions with monitoring and sanctions? In a laboratory experiment we find that the answer is affirmative if the institution is imposed on the group but negative if development of the institution is left to the group to vote on. In the experiment, participants were divided into groups of either cooperative types or non-cooperative types depending on their behavior in a public goods game. In these homogeneous groups they repeatedly played a public goods game regulated by an institution that incorporated several of the key properties identified by Ostrom: operational rules, monitoring, rewards, punishments, and (in one condition change of rules. When change of rules was not possible and punishments were set to be high, groups of both types generally abided by operational rules demanding high contributions to the common good, and thereby achieved high levels of payoffs. Under less severe rules, both types of groups did worse but non-cooperative types did worst. Thus, non-cooperative groups profited the most from being governed by an institution demanding high contributions and employing high punishments. Nevertheless, in a condition where change of rules through voting was made possible, development of the institution in this direction was more often voted down in groups of non-cooperative types. We discuss the relevance of the hard problem and fit our results into a bigger picture of institutional and individual determinants of cooperative behavior.

The hard problem of cooperation.

Science.gov (United States)

Eriksson, Kimmo; Strimling, Pontus

2012-01-01

Based on individual variation in cooperative inclinations, we define the "hard problem of cooperation" as that of achieving high levels of cooperation in a group of non-cooperative types. Can the hard problem be solved by institutions with monitoring and sanctions? In a laboratory experiment we find that the answer is affirmative if the institution is imposed on the group but negative if development of the institution is left to the group to vote on. In the experiment, participants were divided into groups of either cooperative types or non-cooperative types depending on their behavior in a public goods game. In these homogeneous groups they repeatedly played a public goods game regulated by an institution that incorporated several of the key properties identified by Ostrom: operational rules, monitoring, rewards, punishments, and (in one condition) change of rules. When change of rules was not possible and punishments were set to be high, groups of both types generally abided by operational rules demanding high contributions to the common good, and thereby achieved high levels of payoffs. Under less severe rules, both types of groups did worse but non-cooperative types did worst. Thus, non-cooperative groups profited the most from being governed by an institution demanding high contributions and employing high punishments. Nevertheless, in a condition where change of rules through voting was made possible, development of the institution in this direction was more often voted down in groups of non-cooperative types. We discuss the relevance of the hard problem and fit our results into a bigger picture of institutional and individual determinants of cooperative behavior.

Efficiency in Microfinance Cooperatives

Directory of Open Access Journals (Sweden)

HARTARSKA, Valentina

2012-12-01

Full Text Available In recognition of cooperatives’ contribution to the socio-economic well-being of their participants, the United Nations has declared 2012 as the International Year of Cooperatives. Microfinance cooperatives make a large part of the microfinance industry. We study efficiency of microfinance cooperatives and provide estimates of the optimal size of such organizations. We employ the classical efficiency analysis consisting of estimating a system of equations and identify the optimal size of microfinance cooperatives in terms of their number of clients (outreach efficiency, as well as dollar value of lending and deposits (sustainability. We find that microfinance cooperatives have increasing returns to scale which means that the vast majority can lower cost if they become larger. We calculate that the optimal size is around $100 million in lending and half of that in deposits. We find less robust estimates in terms of reaching many clients with a range from 40,000 to 180,000 borrowers.

Non-cooperative game theory

CERN Document Server

Fujiwara-Greve, Takako

2015-01-01

This is a textbook for university juniors, seniors, and graduate students majoring in economics, applied mathematics, and related fields. Each chapter is structured so that a core concept of that chapter is presented with motivations, useful applications are given, and related advanced topics are discussed for future study. Many helpful exercises at various levels are provided at the end of each chapter. Therefore, this book is most suitable for readers who intend to study non-cooperative game theory rigorously for both theoretical studies and applications. Game theory consists of non-cooperative games and cooperative games. This book covers only non-cooperative games, which are major tools used in current economics and related areas. Non-cooperative game theory aims to provide a mathematical prediction of strategic choices by decision makers (players) in situations of conflicting interest. Through the logical analyses of strategic choices, we obtain a better understanding of social (economic, business) probl...

Cooperative Communications for Wireless Information Assurance: Secure Cooperative Communications and Testbed Development

National Research Council Canada - National Science Library

Li, Xiaohua

2007-01-01

..., and have invented a new cooperative OFDM transmission scheme to combat transmission asynchronism. They are helpful to the development of future physical-layer wireless information assurance techniques as well as the cooperative communication techniques...

Conditional cooperation on three continents

NARCIS (Netherlands)

Kocher, M.G.; Cherry, T.; Kroll, S.; Netzer, R.; Sutter, M.

2007-01-01

We show in a public goods experiment on three continents that conditional cooperation is a universal behavioral regularity. Yet, the number of conditional cooperators and the extent of conditional cooperation are much higher in the U.S.A. than anywhere else.

Distributed Cooperative Current-Sharing Control of Parallel Chargers Using Feedback Linearization

Directory of Open Access Journals (Sweden)

Jiangang Liu

2014-01-01

Full Text Available We propose a distributed current-sharing scheme to address the output current imbalance problem for the parallel chargers in the energy storage type light rail vehicle system. By treating the parallel chargers as a group of agents with output information sharing through communication network, the current-sharing control problem is recast as the consensus tracking problem of multiagents. To facilitate the design, input-output feedback linearization is first applied to transform the nonidentical nonlinear charging system model into the first-order integrator. Then, a general saturation function is introduced to design the cooperative current-sharing control law which can guarantee the boundedness of the proposed control. The cooperative stability of the closed-loop system under fixed and dynamic communication topologies is rigorously proved with the aid of Lyapunov function and LaSalle invariant principle. Simulation using a multicharging test system further illustrates that the output currents of parallel chargers are balanced using the proposed control.

Faith 7 L. Gordon Cooper, Jr., and the final Mercury mission

CERN Document Server

Burgess, Colin

2016-01-01

This book celebrates the final spaceflight in the Mercury series, flown by NASA astronaut Gordon Cooper, who led an adventurous life in the cockpit of airplanes and spacecraft alike, and on his Mercury mission he became the last American ever to rocket into space alone. He flew in the Mercury and Gemini programs and served as head of flight crew operations in both the Apollo and Skylab programs. His final Mercury mission closed out a pivotal chapter in American spaceflight. Based on extensive research and first-person interviews, this is a complete history of the Faith 7 flight and its astronaut. Cooper later gained notoriety following the release of the movie, The Right Stuff, in which he was depicted by Dennis Quaid, but Burgess discovers there was even more drama to his story. This recounting of the final Mercury 7 flight completes Burgess's investigation of the early spaceflight program in thrilling fashion.

An abbreviated history of osseous surgery.

Science.gov (United States)

Rudy, Robert J; Marcuschamer, Eduardo

2011-01-01

Various forms of periodontal therapy, including surgery, have been advocated and documented in the dental literature during the last three centuries. This variety of treatment modalities has been developed to address the anatomical consequences (pocket formation and bone loss) sustained from chronic periodontal disease. The marked differences in techniques have created significant controversies between the greatest leaders in dentistry and their equally influential disciples. Nevertheless, these leaders have always shared a common goal: the preservation of the natural dentition in a harmonious environment of health, comfort, and proper function. This article discusses the history of periodontal osseous surgery, including not only the technical issues, but also the conceptual underpinnings of this form of therapeutic intervention. In the process of examining this subject closely, three main controversies in the field of periodontics are brought into sharper focus: non-surgical versus surgical periodontal therapy; gingivectomy versus osseous resective periodontal therapy; and the nature of clinical decision-making: scientific and evidenced-based versus subjective clinical judgement.

Under new auspices: transition process and cooperation models in the French-German energy relations

International Nuclear Information System (INIS)

Diechtl, Franca; Fischer, Severin

2015-06-01

Cooperation on energy matters has been a matter of priority in Franco-German consultations for some time. Not only is close coordination advisable due to the geographic proximity of Europe's two largest national energy markets. Their growing degree of economic (and energy) integration makes it necessary. The significance of energy policy for industrial policy on both sides of the Rhine is unmistakable. While policy approaches in the two countries' energy sectors have differed in the past and in some ways continue to do so, this has not diminished the topic's relevance or lessened the importance of cross-border cooperation. What is new is that both states are now pursuing the same goal: energy transformation (known as Energiewende, or 'transition energetique', depending on which side of the Rhine you are on). There are therefore plenty of good reasons to strive for closer cooperation on matters of energy policy and, in doing so, help bridge some of the gaps in the sputtering Franco-German relationship. (authors)

Hierarchy is Detrimental for Human Cooperation

OpenAIRE

Cronin, Katherine A.; Acheson, Daniel J.; Hernández, Penélope; Sánchez, Angel

2016-01-01

Studies of animal behavior consistently demonstrate that the social environment impacts cooperation, yet the effect of social dynamics has been largely excluded from studies of human cooperation. Here, we introduce a novel approach inspired by nonhuman primate research to address how social hierarchies impact human cooperation. Participants competed to earn hierarchy positions and then could cooperate with another individual in the hierarchy by investing in a common effort. Cooperation was ac...

Agricultural Co-Operatives in Ethiopia

NARCIS (Netherlands)

Tefera, Delelegne A.; Bijman, Jos; Slingerland, Maja A.

2017-01-01

To what extent can co-operatives strengthen rural development in sub-Saharan Africa? This paper explores the development of agricultural co-operatives in Ethiopia, particularly the changes in economic functions. Co-operative development in Ethiopia has been strongly influenced by various political

International cooperation for operating safety

International Nuclear Information System (INIS)

Dupuis, M.C.

1989-03-01

The international-cooperation organization in nuclear safety domain is discussed. The nuclear energy Direction Committee is helped by the Security Committee for Nuclear Power Plants in the cooperation between security organizations of member countries and in the safety and nuclear activity regulations. The importance of the cooperation between experts in human being and engine problems is underlined. The applied methods, exchange activities and activity analysis, and the cooperation of the Nuclear Energy Agency and international organizations is analysed [fr

Cooperation in regional nuclear training

International Nuclear Information System (INIS)

Newstead, C.M.; Lee, D.S.; Spitalnik, J.

1985-01-01

This paper presents an overview of the nuclear training currently being undertaken in the countries of the co-authors, and considers the degree to which training problems are amenable to common solutions such as cooperative regional training programs. Different types of cooperation are discussed including the development of regional and international training centers, cooperative bilateral and multilateral training, and the proposed US International Nuclear Safety Training Academy. The paper provides suggestions of ways for enhancing regional cooperation

Models in cooperative game theory

CERN Document Server

Branzei, Rodica; Tijs, Stef

2008-01-01

This book investigates models in cooperative game theory in which the players have the possibility to cooperate partially. In a crisp game the agents are either fully involved or not involved at all in cooperation with some other agents, while in a fuzzy game players are allowed to cooperate with infinite many different participation levels, varying from non-cooperation to full cooperation. A multi-choice game describes the intermediate case in which each player may have a fixed number of activity levels. Different set and one-point solution concepts for these games are presented. The properties of these solution concepts and their interrelations on several classes of crisp, fuzzy, and multi-choice games are studied. Applications of the investigated models to many economic situations are indicated as well. The second edition is highly enlarged and contains new results and additional sections in the different chapters as well as one new chapter.

[Child protection--cooperation and conflict management].

Science.gov (United States)

Averbeck, Birgit; Hermans, Björn Enno

2010-01-01

When people have to deal with conflicts or opposing views they often refer to the term cooperation. But after lengthy discussions the question may be raised if it is more useful not to cooperate. The authors of this article analyse why cooperation is often called for but frequently fails. In this article key prerequisites for successful cooperation are described before the authors present their practical method of 'sYpport'. 'SYpport' mostly refers to trans-institutional cooperation and focuses on the required attitude of those involved. The authors' simple but crucial conclusion is that cooperation requires faith in others.

Corrective Jaw Surgery

Medline Plus

Full Text Available ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ...

John Locke and the case of Anthony Ashley Cooper.

Science.gov (United States)

Anstey, Peter R; Principe, Lawrence M

2011-01-01

In June 1668 Anthony Ashley Cooper, later to become the 1st Earl of Shaftesbury, underwent abdominal surgery to drain a large abscess above his liver. The case is extraordinary, not simply on account of the eminence of the patient and the danger of the procedure, but also because of the many celebrated figures involved. A trove of manuscripts relating to this famous operation survives amongst the Shaftesbury Papers in the National Archives at Kew. These include case notes in the hand of the philosopher John Locke and advice from leading physicians of the day including Francis Glisson, Sir George Ent and Thomas Sydenham. The majority of this material has never been published before. This article provides complete transcriptions and translations of all of these manuscripts, thus providing for the first time a comprehensive case history. It is prefaced with an extended introduction.

Case review analysis of operating room decisions to cancel surgery.

Science.gov (United States)

Chang, Ju-Hsin; Chen, Ke-Wei; Chen, Kuen-Bao; Poon, Kin-Shing; Liu, Shih-Kai

2014-07-23

Cancellation of surgery close to scheduled time causes a waste of healthcare resources. The current study analyzes surgery cancellations occurring after the patient has been prepared for the operating room, in order to see whether improvements in the surgery planning process may reduce the number of cancellations. In a retrospective chart review of operating room surgery cancellations during the period from 2006 to 2011, cancellations were divided into the following categories: inadequate NPO; medical; surgical; system; airway; incomplete evaluation. The relative use of these reasons in relation to patient age and surgical department was then evaluated. Forty-one percent of cancellations were for other than medical reasons. Among these, 17.7% were due to incomplete evaluation, and 8.2% were due to family issues. Sixty seven percent of cancelled cases eventually received surgery. The relative use of individual reasons for cancellation varied with patient age and surgical department. The difference between cancellations before and after anesthesia was dependent on the causes of cancellation, but not age, sex, ASA status, or follow-up procedures required. Almost half of the cancellations were not due to medical reasons, and these cancellations could be reduced by better administrative and surgical planning and better communication with the patient and/or his family.

Subgame consistent cooperation a comprehensive treatise

CERN Document Server

Yeung, David W K

2016-01-01

Strategic behavior in the human and social world has been increasingly recognized in theory and practice. It is well known that non-cooperative behavior could lead to suboptimal or even highly undesirable outcomes. Cooperation suggests the possibility of obtaining socially optimal solutions and the calls for cooperation are prevalent in real-life problems. Dynamic cooperation cannot be sustainable if there is no guarantee that the agreed upon optimality principle at the beginning is maintained throughout the cooperation duration. It is due to the lack of this kind of guarantees that cooperative schemes fail to last till its end or even fail to get started. The property of subgame consistency in cooperative dynamic games and the corresponding solution mechanism resolve this “classic” problem in game theory. This book is a comprehensive treatise on subgame consistent dynamic cooperation covering the up-to-date state of the art analyses in this important topic. It sets out to provide the theory, solution tec...

Evidence for strategic cooperation in humans.

Science.gov (United States)

Burton-Chellew, Maxwell N; El Mouden, Claire; West, Stuart A

2017-06-14

Humans may cooperate strategically, cooperating at higher levels than expected from their short-term interests, to try and stimulate others to cooperate. To test this hypothesis, we experimentally manipulated the extent an individual's behaviour is known to others, and hence whether or not strategic cooperation is possible. In contrast with many previous studies, we avoided confounding factors by preventing individuals from learning during the game about either pay-offs or about how other individuals behave. We found clear evidence for strategic cooperators-just telling some individuals that their groupmates would be informed about their behaviour led to them tripling their initial level of cooperation, from 17 to 50%. We also found that many individuals play as if they do not understand the game, and their presence obscures the detection of strategic cooperation. Identifying such players allowed us to detect and study strategic motives for cooperation in novel, more powerful, ways. © 2017 The Author(s).

Comparison of Early and Delayed Open Reduction and Internal Fixation for Treating Closed Tibial Pilon Fractures.

Science.gov (United States)

Tang, Xin; Liu, Lei; Tu, Chong-qi; Li, Jian; Li, Qi; Pei, Fu-xing

2014-07-01

The timing of surgery for osteosynthesis of type C pilon (AO/OTA) fractures remains controversial. The aim of this study was to determine the outcome of early and delayed open reduction and internal fixation (ORIF) for treating closed type C pilon fractures. Forty-six patients with closed type C pilon fractures matched according to age, gender, soft tissue conditions, and fracture pattern were divided into group A (early group: underwent surgery within 36 hours of the injury) or group B (delayed group: underwent surgery 10 days to 3 weeks postinjury after the soft tissue swelling subsided). In the delayed group, 9 patients were treated first by temporary external fixation. All the closed fractures were managed by ORIF with locking plates. At follow-up, the clinical and radiographic results were retrospectively analyzed. The mean follow-up time was 25.8 months (range, 14 to 48 months) in group A and 26.0 months (range, 15 to 44 months) in group B. There was no significant difference (P > .05) between the 2 groups regarding the rate of soft tissue complication, the rate of fracture union, and the final functional score. The patients in group A had a significantly shorter mean time to fracture union (21.5 ± 4.0 weeks vs 23.3 ± 3.7 weeks, P fractures can be safe and effective, with similar rates of wound complication, fracture union, and final good functional recovery but shorter operative time, union time, and hospital stay. These results favorably compare with delayed ORIF treatment. Level III, retrospective comparative study. © The Author(s) 2014.

Neural correlates of social cooperation and non-cooperation as a function of psychopathy.

Science.gov (United States)

Rilling, James K; Glenn, Andrea L; Jairam, Meeta R; Pagnoni, Giuseppe; Goldsmith, David R; Elfenbein, Hanie A; Lilienfeld, Scott O

2007-06-01

Psychopathy is a disorder involving a failure to experience many emotions that are necessary for appropriate social behavior. In this study, we probed the behavioral, emotional, and neural correlates of psychopathic traits within the context of a dyadic social interaction. Thirty subjects were imaged with functional magnetic resonance imaging while playing an iterated Prisoner's Dilemma game with human confederates who were outside the scanner. Subjects also completed two self-report psychopathy questionnaires. Subjects scoring higher on psychopathy, particularly males, defected more often and were less likely to continue cooperating after establishing mutual cooperation with a partner. Further, they experienced more outcomes in which their cooperation was not reciprocated (cooperate-defect outcome). After such outcomes, subjects scoring high in psychopathy showed less amygdala activation, suggesting weaker aversive conditioning to those outcomes. Compared with low-psychopathy subjects, subjects higher in psychopathy also showed weaker activation within orbitofrontal cortex when choosing to cooperate and showed weaker activation within dorsolateral prefrontal and rostral anterior cingulate cortex when choosing to defect. These findings suggest that whereas subjects scoring low on psychopathy have emotional biases toward cooperation that can only be overcome with effortful cognitive control, subjects scoring high on psychopathy have an opposing bias toward defection that likewise can only be overcome with cognitive effort.

Systematic review and meta-analysis of closed suction drainage versus non-drainage in primary hip arthroplasty.

LENUS (Irish Health Repository)

Kelly, Enda G

2014-03-01

The routine use of drains in surgery has been dogmatically instituted in some disciplines. Orthopaedic surgery is one such sub-speciality. The use of postoperative closed suction drainage in total hip arthroplasty (THA) has become increasingly controversial with multiple randomised control trials performed to assess the benefit to outcome in THA. The hypothesis of this systematic review is that closed suction drainage does not infer a benefit and increase transfusion requirements of primary total hip arthroplasty patients. A systematic review and meta-analysis was conducted adhering to the PRISMA guidelines. A search of the available literature was performed on PubMed, Cochrane Central Registry of Controlled Trials, MEDLINE (OVID) and EMBASE using a combination of MeSH terms and Boolean operators. All data analysis was performed using the Cochrane Collaboration\\'s Review Manager 5.1. Sixteen studies (n=2705) were included in the analysis. Post-operative closed suction drainage was found to increase total blood loss and blood transfusion requirements (p<0.05). Surgical site infection demonstrated no significant difference between the two groups (p=0.82). No significant difference in haematoma formation between groups (p=0.19) was elicited. The routine use of closed suction drainage systems post primary hip arthroplasty is not supported by this meta-analysis. However, the heterogeneity between studies does limit the accuracy of the meta-analysis.

From cooperation to globalization

Directory of Open Access Journals (Sweden)

Gabriela UNGUREANU

2010-09-01

Full Text Available Globalization is seen as a consequence of cross-border business. This complex and irreversible process can be seen as an extension of capitalist relations of production or increased interdependence in the economic system. Globalization has given rise to more and more fields of activity worldwide. To meet the challenges of business globalization, many companies form strategic alliances, cooperate or merge with other companies. Cooperation is seen by many companies as an alternative path to success. In recent years joint international associations, licensing, co-production agreements, joint research programs, exploration of consortia and other cooperative relationships between two or more corporations with potential have increased. We notice a cooperation tendency among small-sized companies, especially among those from the developing countries.

Formation, “Gold Rule” for the cooperative development

OpenAIRE

Alcides López Labrada

2013-01-01

Before the arising of the cooperative movement in the world, cooperation already existed. So, it is logical to affirm that there can be cooperation without cooperative movement. But there cannot be cooperative movement without cooperation, because cooperation is an indispensable premise for the existence of cooperative movement. Both the precursors of the cooperative movement and the classics of Marxism agreed on the necessity of cooperative formation. Lenin called socialism “the regime o...

Cooperative Learning: Developments in Research

Science.gov (United States)

Gillies, Robyn M.

2014-01-01

Cooperative learning is widely recognized as a pedagogical practice that promotes socialization and learning among students from kindergarten through to college level and across different subject areas. Cooperative learning involves students working together to achieve common goals or complete group tasks. Interest in cooperative learning has…

Reciprocity Outperforms Conformity to Promote Cooperation.

Science.gov (United States)

Romano, Angelo; Balliet, Daniel

2017-10-01

Evolutionary psychologists have proposed two processes that could give rise to the pervasiveness of human cooperation observed among individuals who are not genetically related: reciprocity and conformity. We tested whether reciprocity outperformed conformity in promoting cooperation, especially when these psychological processes would promote a different cooperative or noncooperative response. To do so, across three studies, we observed participants' cooperation with a partner after learning (a) that their partner had behaved cooperatively (or not) on several previous trials and (b) that their group members had behaved cooperatively (or not) on several previous trials with that same partner. Although we found that people both reciprocate and conform, reciprocity has a stronger influence on cooperation. Moreover, we found that conformity can be partly explained by a concern about one's reputation-a finding that supports a reciprocity framework.

7 CFR 1425.19 - Member cooperatives.

Science.gov (United States)

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Member cooperatives. 1425.19 Section 1425.19... OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS COOPERATIVE MARKETING ASSOCIATIONS § 1425.19 Member cooperatives. A CMA may obtain loans or LDP's on behalf of a member cooperative when the member...

Predisposed to cooperate

Directory of Open Access Journals (Sweden)

Cathryn Costello

2013-09-01

Full Text Available Recent research in Toronto and Geneva indicates that asylum seekers and refugees are predisposed to be cooperative with the refugee status determination system and other immigration procedures, and that the design of alternatives to detention can create, foster and support this cooperative predisposition – or can undermine or even demolish it.

Helping Children Cooperate

Science.gov (United States)

Pica, Rae

2011-01-01

There are occasions in life when the competitive process is appropriate. But when people consider the relationships in their lives--with friends, family members, coworkers, and the larger community--they realize the value of cooperation. When adults give children the chance to cooperate, to work together toward a solution or a common goal like…

Soft cooperation systems and games

Science.gov (United States)

Fernández, J. R.; Gallego, I.; Jiménez-Losada, A.; Ordóñez, M.

2018-04-01

A cooperative game for a set of agents establishes a fair allocation of the profit obtained for their cooperation. In order to obtain this allocation, a characteristic function is known. It establishes the profit of each coalition of agents if this coalition decides to act alone. Originally players are considered symmetric and then the allocation only depends on the characteristic function; this paper is about cooperative games with an asymmetric set of agents. We introduced cooperative games with a soft set of agents which explains those parameters determining the asymmetry among them in the cooperation. Now the characteristic function is defined not over the coalitions but over the soft coalitions, namely the profit depends not only on the formed coalition but also on the attributes considered for the players in the coalition. The best known of the allocation rules for cooperative games is the Shapley value. We propose a Shapley kind solution for soft games.

Political Ideology, Trust, and Cooperation

Science.gov (United States)

Balliet, Daniel; Tybur, Joshua M.; Wu, Junhui; Antonellis, Christian; Van Lange, Paul A. M.

2016-01-01

Theories suggest that political ideology relates to cooperation, with conservatives being more likely to pursue selfish outcomes, and liberals more likely to pursue egalitarian outcomes. In study 1, we examine how political ideology and political party affiliation (Republican vs. Democrat) predict cooperation with a partner who self-identifies as Republican or Democrat in two samples before (n = 362) and after (n = 366) the 2012 US presidential election. Liberals show slightly more concern for their partners’ outcomes compared to conservatives (study 1), and in study 2 this relation is supported by a meta-analysis (r = .15). However, in study 1, political ideology did not relate to cooperation in general. Both Republicans and Democrats extend more cooperation to their in-group relative to the out-group, and this is explained by expectations of cooperation from in-group versus out-group members. We discuss the relation between political ideology and cooperation within and between groups. PMID:29593363

Formation, “Gold Rule” for the cooperative development

Directory of Open Access Journals (Sweden)

Alcides López Labrada

2013-06-01

Full Text Available Before the arising of the cooperative movement in the world, cooperation already existed. So, it is logical to affirm that there can be cooperation without cooperative movement. But there cannot be cooperative movement without cooperation, because cooperation is an indispensable premise for the existence of cooperative movement. Both the precursors of the cooperative movement and the classics of Marxism agreed on the necessity of cooperative formation. Lenin called socialism “the regime of cultured cooperators” and the International Cooperative Alliance (ICA contemplated the following, among the seven universal principles of the cooperative movement: education, formation and training of cooperative members, as one of the most important and strategic principles. They have been recognized as the golden rule of the cooperative movement. The changes occurred in Cuba (the existence and evolution of different types of cooperatives, the updating of the economic model, the dynamics of the agrarian sector and the opening of the cooperative movement towards other sectors of the National Economy fully justify the achievement of a cooperative culture, not only of cooperative members but also the actors that perform around cooperatives, the decision- makers and all society. Among the most significant proposals for the achievement of a cooperative culture in Cuba the following can be found: to integrate the different actors that participate in the cooperative formation by means of a national network for cooperative formation by identifying the training demand and training the people that should really implement the change, while building capacities of all the individuals involved in the cooperative movement in a direct or indirect way.

International cooperation and technology transfer for coal and power development in ASEAN

Energy Technology Data Exchange (ETDEWEB)

Husin, Z.A. (Tenaga Nasional Berhad (Malaysia))

1991-12-01

Coal resources in the ASEAN region are being developed to meet the forecast rise in electricity demand of 9% per year to 2000. From a virtual non-existence in the early 1980s, it is hoped that coal will provide up to 37% of increased power plant capacity. Close cooperation with industrialised countries outside the region are necessary to help overcome the pressures being put on available energy and financial resources, technological knowledge, and the environment. 13 refs., 5 figs.

Radiotherapy of the most frequent solid tumors in childhood

International Nuclear Information System (INIS)

Pfeiffer, J.; Kamprad, F.

1980-01-01

During the past decade the prognosis of malignant tumors in childhood could be clearly improved, realized by combining surgery, radiation therapy and chemotherapy. Recommendations for the use of radiotherapy for the most frequent solid tumors in childhood are represented basing on the experience of the study groups 'Pediatric Hematology and Oncology' of the Society for Pediatrics of the GDR and 'Tumors in Childhood' of the Section of Children's Surgery of the GDR. Besides general problems which have to be taken into consideration in the treatment of infantile tumors the radiotherapeutical measures for Wilms' tumors, neuroblastomas, cerebral tumors, embryonal sarcomas of the soft parts and bone tumors are discussed. The necessary close cooperation of the attending branches is pointed out and both the regional centralization of patients' care and a superregional cooperation are required. (author)

The financialization of Danish cooperatives and the debasement of a collective housing good

DEFF Research Database (Denmark)

Bruun, Maja Hojer

2018-01-01

The article tells the story of Danish cooperative housing’s radical transformation from a collective housing good and commons to a financialized asset during the 2000s when neoliberal housing reforms were introduced and the mortgage finance market was deregulated. Processes of financialization...... families, local communities and the larger public sharing the housing commons. During the 2000s, processes of financialization brought the market and the cooperatives' base so close together, primarily through new mortgaging opportunities, that families and communities have lost their savings and the base...... of collectively-owned housing have to be understood not only in relation to the dynamics of the surrounding housing market and political-economic changes but also to the communities and social relations that they presuppose and feed off, often in contradictory ways, as people are motivated by both solidarity...

The financialization of Danish cooperatives and the debasement of a collective housing good

DEFF Research Database (Denmark)

Bruun, Maja Hojer

2018-01-01

The article tells the story of Danish cooperative housing’s radical transformation from a collective housing good and commons to a financialized asset during the 2000s when neoliberal housing reforms were introduced and the mortgage finance market was deregulated. Processes of financialization...... and private interests. Housing cooperatives have existed as a form of collective housing throughout the 20th century, balanced, on the one hand, between the reproduction of kin, family and local communities and the common good and, on the other, between the market and the reproduction of the base for both...... families, local communities and the larger public sharing the housing commons. During the 2000s, processes of financialization brought the market and the cooperatives’ base so close together, primarily through new mortgaging opportunities, that families and communi- ties have lost their savings...

Hierarchy is Detrimental for Human Cooperation.

Science.gov (United States)

Cronin, Katherine A; Acheson, Daniel J; Hernández, Penélope; Sánchez, Angel

2015-12-22

Studies of animal behavior consistently demonstrate that the social environment impacts cooperation, yet the effect of social dynamics has been largely excluded from studies of human cooperation. Here, we introduce a novel approach inspired by nonhuman primate research to address how social hierarchies impact human cooperation. Participants competed to earn hierarchy positions and then could cooperate with another individual in the hierarchy by investing in a common effort. Cooperation was achieved if the combined investments exceeded a threshold, and the higher ranked individual distributed the spoils unless control was contested by the partner. Compared to a condition lacking hierarchy, cooperation declined in the presence of a hierarchy due to a decrease in investment by lower ranked individuals. Furthermore, hierarchy was detrimental to cooperation regardless of whether it was earned or arbitrary. These findings mirror results from nonhuman primates and demonstrate that hierarchies are detrimental to cooperation. However, these results deviate from nonhuman primate findings by demonstrating that human behavior is responsive to changing hierarchical structures and suggests partnership dynamics that may improve cooperation. This work introduces a controlled way to investigate the social influences on human behavior, and demonstrates the evolutionary continuity of human behavior with other primate species.

Partial Cooperative Equilibria: Existence and Characterization

Directory of Open Access Journals (Sweden)

Amandine Ghintran

2010-09-01

Full Text Available We study the solution concepts of partial cooperative Cournot-Nash equilibria and partial cooperative Stackelberg equilibria. The partial cooperative Cournot-Nash equilibrium is axiomatically characterized by using notions of rationality, consistency and converse consistency with regard to reduced games. We also establish sufficient conditions for which partial cooperative Cournot-Nash equilibria and partial cooperative Stackelberg equilibria exist in supermodular games. Finally, we provide an application to strategic network formation where such solution concepts may be useful.

[The German guideline "legal evaluation after closed head injury"].

Science.gov (United States)

Wallesch, C W; Fries, W; Marx, P; du Mesnil de Rochemont, R; Roschmann, R; Schmidt, R; Schwerdtfeger, K; Tegenthoff, M; Widder, B

2013-09-01

In 2005, the "Deutsche Gesellschaft für Neurowissenschaftliche Begutachtung" (German Society for Neuroscientific Legal Evaluation) together with other Societies published a guideline for the legal evaluation of patients with closed head injuries. Meanwhile, not only scientific progress in imaging techniques but also in other fields such as neuropsychology has necessitated a revision, which is presented here. In the mean time, the handling of guidelines has been systematised in Germany so that a registration with the Cooperation of German Medical Learned Societies is applied for and publication in the German Guideline Registry is expected. © Georg Thieme Verlag KG Stuttgart · New York.

[Transoral thyroid and parathyroid surgery : Implementation and evaluation of the transoral endoscopic technique via the vestibular approach (TOETVA)].

Science.gov (United States)

Karakas, E; Anuwong, A; Ketwong, K; Kounnamas, A; Schopf, S; Klein, G

2018-04-10

More than 10 years ago various research groups in Germany first reported the possibility of transoral surgery of the thyroid and parathyroid glands. These were developed and evaluated within the framework of natural orifice transluminal endoscopic surgery (NOTES). While development of these innovative and new techniques that enabled surgery without visible scars did not become well accepted in Europe and America, it led to an optimized transoral endoscopic thyroidectomy vestibular approach (TOETVA), which was implemented particularly in Asia. We report the preparation, step-by-step implementation, and first promising results for TOETVA of an international surgical cooperation. A Thai-Austrian-German cooperation was started in June 2017. Between June and November 2017 the first 10 TOETVA procedures were performed in female and male patient(s) presenting with single thyroid nodules, sporadic primary hyperparathyroidism and solitary parathyroid adenoma or thyroglossal duct cysts. The TOETVA technique was performed using 3 laparoscopic ports inserted at the oral vestibule and a CO 2 insufflation pressure at 6-8 mm Hg. Each surgery was performed using laparoscopic instruments and ultrasonic or bipolar devices. Surgical outcome, complications and conversions to an open technique were recorded. Of the patients six presented with single thyroid nodules, two patients had multinodular goitre with scintigraphically cold nodules and multifocal hyperfunctioning thyroid tissue, one patient suffered from sporadic primary hyperparathyroidism with a left sided parathyroid adenoma and one patient suffered from a thyroglossal duct cyst. No conversion to conventional open surgery was necessary. Average tumor size was 3.1 cm (range 1-4 cm). There was no relevant loss of blood or subsequent bleeding. No temporary or permanent hoarseness or mental nerve injury occurred, while transient hypoparathyroidism was evident after successful parathyroid resection. Of the patients five

Cooperative Learning in Elementary Schools

Science.gov (United States)

Slavin, Robert E.

2015-01-01

Cooperative learning refers to instructional methods in which students work in small groups to help each other learn. Although cooperative learning methods are used for different age groups, they are particularly popular in elementary (primary) schools. This article discusses methods and theoretical perspectives on cooperative learning for the…

Delay efficient cooperation in public safety vehicular networks using LTE and IEEE 802.11p

KAUST Repository

Atat, Rachad

2012-01-01

Cooperative schemes for critical content distribution over vehicular networks are presented and analyzed. The first scheme is based on unicasting from the base station, whereas the second is based on threshold based multicasting. Long Term Evolution (LTE) is used for long range communications with the base station (BS) and 802.11p is considered for inter-vehicle collaboration on the short range. A high mobility environment with correlated shadowing is adopted. Both schemes are shown to outperform non-cooperative unicasting and multicasting, respectively, when the appropriate 802.11p power class is used. The first scheme achieves the best performance among the compared methods, and a practical approximation of that scheme is shown to be close to optimal performance. © 2012 IEEE.

Nuclear energy and international cooperation

International Nuclear Information System (INIS)

Oshima, Keiichi

1981-01-01

There is no need to emphasize that nuclear energy cannot be developed without international cooperation at either the industrial or the academic level. In the meanwhile, there have been some marked political, economic and social changes in recent years which are posing constraints to the international cooperation in nuclear energy. The problems and constraints impeding nuclear power programs cannot be overcome by only one nation; international cooperation with common efforts to solve the problems is essential. Nuclear energy is different from fossil energy resources in that it is highly technology-intensive while others are resource-intensive. International cooperation in technology has an entirely different importance in the field of nuclear energy. Educational institutions will play a role in a new era of the international cooperation. (Mori, K.)

Transparency in Cooperative Online Education

DEFF Research Database (Denmark)

Dalsgaard, Christian; Paulsen, Morten Flate

2009-01-01

The purpose of this article is to discuss the following question: What is the potential of social networking within cooperative online education? Social networking does not necessarily involve communication, dialogue, or collaboration. Instead, the authors argue that transparency is a unique...... feature of social networking services. Transparency gives students insight into each other’s actions. Cooperative learning seeks to develop virtual learning environments that allow students to have optimal individual freedom within online learning communities. This article demonstrates how cooperative...... learning can be supported by transparency. To illustrate this with current examples, the article presents NKI Distance Education’s surveys and experiences with cooperative learning. The article discusses by which means social networking and transparency may be utilized within cooperative online education...

Cooperation: the foundation of improvement.

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Clemmer, T P; Spuhler, V J; Berwick, D M; Nolan, T W

1998-06-15

Cooperation--working together to produce mutual benefit or attain a common purpose--is almost inseparable from the quest for improvement. Although the case for cooperation can be made on ethical grounds, neither the motivation for nor the effects of cooperation need to be interpreted solely in terms of altruism. Cooperation can be a shrewd and pragmatic strategy for accomplishing personal goals in an interdependent system. Earlier papers in this series have explored the conceptual roots of modern approaches to improvement, which lie in systems theory. To improve systems, we must usually attend first and foremost to interactions. Among humans, "better interaction" is almost synonymous with "better cooperation." Physicians have ample opportunities and, indeed, an obligation to cooperate with other physicians in the same or different specialties, with nurses and other clinical workers, with administrators, and with patients and families. Many intellectual disciplines have made cooperation an object of study. These include anthropology; social psychology; genetics; biology; mathematics; game theory; linguistics; operations research; economics; and, of course, moral and rational philosophy. Scientifically grounded methods to enhance cooperation include developing a shared purpose; creating an open, safe environment; including all who share a common purpose and encouraging diverse viewpoints; negotiating agreement; and insisting on fairness and equity in the application of rules. These methods apply at the organizational level and at the level of the individual physician. This paper describes the application of these methods at the organizational level and focuses on one especially successful example of system-level cooperation in a care delivery site where interactions matter a great deal: the modern intensive care unit.

Does intuition cause cooperation?

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Verkoeijen, Peter P J L; Bouwmeester, Samantha

2014-01-01

Recently, researchers claimed that people are intuitively inclined to cooperate with reflection causing them to behave selfishly. Empirical support for this claim came from experiments using a 4-player public goods game with a marginal return of 0.5 showing that people contributed more money to a common project when they had to decide quickly (i.e., a decision based on intuition) than when they were instructed to reflect and decide slowly. This intuitive-cooperation effect is of high scientific and practical importance because it argues against a central assumption of traditional economic and evolutionary models. The first experiment of present study was set up to examine the generality of the intuitive-cooperation effect and to further validate the experimental task producing the effect. In Experiment 1, we investigated Amazon Mechanical Turk (AMT) workers' contributions to a 4-player public goods game with a marginal return of 0.5 while we manipulated the knowledge about the other players' contribution to the public goods game (contribution known vs. contribution unknown), the identity of the other players (humans vs. computers randomly generating contributions) and the time constraint (time pressure/intuition vs. forced delay/reflection). However, the results of Experiment 1 failed to reveal an intuitive-cooperation effect. Furthermore, four subsequent direct replications attempts with AMT workers (Experiments 2a, 2b, 2c and Experiment 3, which was conducted with naïve/inexperienced participants) also failed to demonstrate intuitive-cooperation effects. Taken together, the results of the present study could not corroborate the idea that people are intuitively cooperative, hence suggesting that the theoretical relationship between intuition and cooperation should be further scrutinized.

Does intuition cause cooperation?

Directory of Open Access Journals (Sweden)

Peter P J L Verkoeijen

Full Text Available Recently, researchers claimed that people are intuitively inclined to cooperate with reflection causing them to behave selfishly. Empirical support for this claim came from experiments using a 4-player public goods game with a marginal return of 0.5 showing that people contributed more money to a common project when they had to decide quickly (i.e., a decision based on intuition than when they were instructed to reflect and decide slowly. This intuitive-cooperation effect is of high scientific and practical importance because it argues against a central assumption of traditional economic and evolutionary models. The first experiment of present study was set up to examine the generality of the intuitive-cooperation effect and to further validate the experimental task producing the effect. In Experiment 1, we investigated Amazon Mechanical Turk (AMT workers' contributions to a 4-player public goods game with a marginal return of 0.5 while we manipulated the knowledge about the other players' contribution to the public goods game (contribution known vs. contribution unknown, the identity of the other players (humans vs. computers randomly generating contributions and the time constraint (time pressure/intuition vs. forced delay/reflection. However, the results of Experiment 1 failed to reveal an intuitive-cooperation effect. Furthermore, four subsequent direct replications attempts with AMT workers (Experiments 2a, 2b, 2c and Experiment 3, which was conducted with naïve/inexperienced participants also failed to demonstrate intuitive-cooperation effects. Taken together, the results of the present study could not corroborate the idea that people are intuitively cooperative, hence suggesting that the theoretical relationship between intuition and cooperation should be further scrutinized.

Working and training conditions of residents in pediatric surgery: a nationwide survey in Germany.

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Reismann, M; Ellerkamp, V; Dingemann, J

2010-09-01

As in other surgical specialties, increasing concern has been expressed worldwide about the shortage of trainees in pediatric surgery training programs. We performed a nationwide survey to investigate the current situation in Germany. An internet-based nationwide survey comprising 36 questions on training conditions in pediatric surgery was linked to the homepage of the German Society of Pediatric Surgery from June to September 2008. Statements on the following aspects were evaluated by responding residents using a scale from 1 (I do not agree at all) to 5 (I fully agree): workplace, cooperation with colleagues, head of the department, cooperation with other specialties, training and research conditions. A median value of 3 indicated an unsatisfactory assessment, with at least 50% of respondents giving an indifferent or negative response. 70 questionnaires were completed. Some of the evaluations revealed problematic areas. In particular, statements regarding working hours revealed dissatisfaction among the responding doctors. The median value accorded the statement "I am satisfied with the current working time regulation" was 2.9. With regard to departmental heads, some criticisms were directed against a perceived lack of soft skills. According to the respondents, their involvement in decision-making processes was insufficient ("We are involved in decision-making processes affecting our working conditions" - median value 2.4). Residents were also dissatisfied with the feedback they received for their work ("I get enough feedback regarding my achievement" - median value 2.6). Another problem area was career development ("I will finish my specialist training in time" - median value 2.9). However, these points did not affect overall satisfaction. Trainee satisfaction with regulations on working hours is low. Despite a general satisfaction with all fields appraised, improvements in various individual areas, e. g., the attitude of departmental heads and strategies of

Chromodynamics of cooperation in finite populations.

Directory of Open Access Journals (Sweden)

Arne Traulsen

2007-03-01

Full Text Available The basic idea of tag-based models for cooperation is that individuals recognize each other via arbitrary signals, so-called tags. If there are tags of different colors, then cooperators can always establish new signals of recognition. The resulting "chromodynamics" is a mechanism for the evolution of cooperation. Cooperators use a secret tag until they are discovered by defectors who then destroy cooperation based on this tag. Subsequently, a fraction of the population manages to establish cooperation based on a new tag.We derive a mathematical description of stochastic evolutionary dynamics of tag-based cooperation in populations of finite size. Benefit and cost of cooperation are given by b and c. We find that cooperators are more abundant than defectors if b/c > 1+2u/v, where u is the mutation rate changing only the strategy and v is the mutation rate changing strategy and tag. We study specific assumptions for u and v in two genetic models and one cultural model.In a genetic model, tag-based cooperation only evolves if a gene encodes both strategy and tag. In a cultural model with equal mutation rates between all possible phenotypes (tags and behaviors, the crucial condition is b/c > (K+1/(K-1, where K is the number of tags. A larger number of tags requires a smaller benefit-to-cost ratio. In the limit of many different tags, the condition for cooperators to have a higher average abundance than defectors becomes b > c.

[History of cranial surgery, cerebral tumor surgery and epilepsy surgery in Mexico].

Science.gov (United States)

Chico-Ponce de León, F

2009-08-01

The first report of intra-cerebral tumor surgery was provided by Bennett & Goodle, in London, 1884. Worldwide this kind of surgery was performed in France by Chipault, in Italy by Durante, in the United States by Keen and in Deutchland by Krause & Oppenheim. Lavista in Mexico City operated on intra-cerebral tumor in 1891, and the report was printed in 1892. In the same publication, Lavista exhibited the first cases of epilepsy surgery. Since now, it is the first report of this kind of surgery in the Spanish-speaking world.

The governance of cooperative societies

Directory of Open Access Journals (Sweden)

Yaiza Juanes Sobradillo

2005-12-01

Full Text Available The present work aims to expose the appropriate legislation for cooperative societies to which Article 129 of the Spanish Constitution refers, deepen the analysis of the organs of management and control based on the Spanish and Basque Laws on Cooperatives and the Statute for the European Cooperative Societies.

Does facial resemblance enhance cooperation?

Directory of Open Access Journals (Sweden)

Trang Giang

Full Text Available Facial self-resemblance has been proposed to serve as a kinship cue that facilitates cooperation between kin. In the present study, facial resemblance was manipulated by morphing stimulus faces with the participants' own faces or control faces (resulting in self-resemblant or other-resemblant composite faces. A norming study showed that the perceived degree of kinship was higher for the participants and the self-resemblant composite faces than for actual first-degree relatives. Effects of facial self-resemblance on trust and cooperation were tested in a paradigm that has proven to be sensitive to facial trustworthiness, facial likability, and facial expression. First, participants played a cooperation game in which the composite faces were shown. Then, likability ratings were assessed. In a source memory test, participants were required to identify old and new faces, and were asked to remember whether the faces belonged to cooperators or cheaters in the cooperation game. Old-new recognition was enhanced for self-resemblant faces in comparison to other-resemblant faces. However, facial self-resemblance had no effects on the degree of cooperation in the cooperation game, on the emotional evaluation of the faces as reflected in the likability judgments, and on the expectation that a face belonged to a cooperator rather than to a cheater. Therefore, the present results are clearly inconsistent with the assumption of an evolved kin recognition module built into the human face recognition system.

Presidential address: adjusting the art and the science of surgery.

Science.gov (United States)

Traverso, L William

2007-10-01

Why are there so many opinions for surgical treatments? Why do surgeons not agree on the same definitions? To adjust the art and science of surgery, we should understand the reason behind this Tower of Babel and ourselves by grasping the three biological lessons of history. These lessons are instincts of man--our instincts have not changed for as long as there has been recorded history. The lessons were elucidated by Will and Ariel Durant and these are competition, selection, and reproduction. How might they be applied to improving our surgical science? First, competition has always forced individuals or small groups to strengthen themselves with cooperation. Cooperate or not survive. Cooperation increases with social development and technology. Next, we must realize that nature relishes diversity. We are all born unequal and diverse. The second biological lesson is selection; which individual among a diverse group of individuals will succeed (by improving)? Therefore, by nature, man's instincts provide diverse opinions and bias. This creates a myopic view when surgeons try to discern the truth. The results are the trendy bandwagons that divert us, like tonsillectomy. Too much diversity is bad, and a balance is required. Man's third lesson of history is reproduction. Better stated is that nature loves quantity. We naturally give priority to quantity over quality. To obtain quality rather than just quantity, we need the antidotes for competition and diversity--that would be cooperation using the Deming guidelines of leadership, profound knowledge, and technology. One example of this urge for quantity and diversity is our lack of standardized definitions. These three biological lessons can be summarized by viewing competition as an impediment for quality improvement in the complex challenges of modern healthcare. Cooperation (trust) is the antidote to the bandwagon effect of unproven treatments. Cooperation and technology can be joined to establish a successful team

Cooperative Tagging Center (CTC)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The Cooperative Tagging Center (CTC) began as the Cooperative Game Fish Tagging Program (GTP) at Woods Hole Oceanographic Institute (WHOI) in 1954. The GTP was...

Astronaut Gordon Cooper during flight tests

Science.gov (United States)

1963-01-01

Astronaut L. Gordon Cooper, prime pilot for the Mercury-Atlas 9 mission, relaxes while waiting for weight and balance tests to begin (03974); Cooper prior to entering the Mercury Spacecraft for a series of simulated flight tests. During these tests NASA doctors, engineers and technicians monitor Cooper's performance (03975); Cooper undergoing suit pressurization tests (03976).

26 CFR 1.1382-3 - Taxable income of cooperatives; special deductions for exempt farmers' cooperatives.

Science.gov (United States)

2010-04-01

... deductions for exempt farmers' cooperatives. 1.1382-3 Section 1.1382-3 Internal Revenue INTERNAL REVENUE... Patrons § 1.1382-3 Taxable income of cooperatives; special deductions for exempt farmers' cooperatives. (a) In general. (1) Section 1382(c) provides that in determining the taxable income of a farmers', fruit...

Project Radiation Protection East. Swedish cooperation program for radiation protection in Eastern and Central Europe. Status Report, March 1996

International Nuclear Information System (INIS)

Snihs, J.O.; Johansson, Mai; Grapengiesser, S.; Bennerstedt, T.

1996-04-01

Until now the Swedish program for radiation protection work in central and Eastern europe has been granted 55 MSEK by the Swedish government. The projects are assessed, planned and performed in close cooperation with partner organizations in the East. Since 1994, radiation protection cooperation concerning the former Soviet Navy training reactors in Paldiski, Estonia, is included in Radiation Protection East. The government has granted 8 MSEK for this purpose. This report presents a summary over some 150 projects, their status, allocated funds and their distribution over countries and project areas. The presentation is updated up to March 1996. 7 figs

Kazakhstan's economic soft balancing policy vis-à-vis Russia: From the Eurasian Union to the economic cooperation with Turkey

Directory of Open Access Journals (Sweden)

Lyailya Nurgaliyeva

2016-01-01

When Russia started asserting its economic and political power over the Central Asian and Caspian regions, Nazarbayev once again resorted to the economic soft balancing policy, but this time by relying on outside players. Part 2 of this article discusses two cases of such external economic soft balancing efforts: participation in the Baku–Tbilisi–Ceyhan (BTC pipeline project, and the economic cooperation with Turkey as part of a free trade zone. The BTC pipeline project and the close economic cooperation with Turkey ended up being a more productive soft balancing effort than the earlier Eurasian Union initiative.

The Cooperative Education as central axis for the integral Formation in the cooperative sector

Directory of Open Access Journals (Sweden)

Iriadna Marín de León

2013-06-01

Full Text Available The cooperative constitutes one of the most important sectors in the economy in any economic formation - social, its fundamental cell is the man's integral development who should be capable for, from a reflexive and creative position, to assume the challenges that it implies an efficient and effective administration in function of the cooperative company. It is the educational dimension in cooperative values the key for the future, conceived in a systematic way and assuming an appropriate methodological conception. In this perspective, leaving of the theoretical foundation of the administration of the human resources in general, he intends to be carried out an integral analysis of the formation processes and education for the cooperative with the purpose of valuing the central aspects of this thematic one, leaving of the fact that the education constitutes the medullary element that leads to a true cooperative formation.

China-Africa: New Directions of Cooperation

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L V Ponomarenko

2015-12-01

Full Text Available This article analyzes the policy of fifth generation of Chinese leadership with regard to African states. The article deals with the concept of “Chinese Dream”, which was first declared in Africa, an innovative model of international cooperation in the framework of the formation of “economic zone of the Silk Road”. The authors reveal three basic directions of cooperation - political, economic and humanitarian cooperation. Political cooperation is characterized by the activation of mutual visits at the highest level, the interaction in the framework of the UN General Assembly, participation in UN peacekeeping operations. Economic cooperation is characterized by the activation of bilateral trade, the transition to a “modernized version of” investment cooperation, implementation of the strategy of “going abroad” of Chinese products, imports of natural resources from Africa, creating jobs for the local population, financing of infrastructure projects, the transfer of labor-intensive industries in Africa. Humanitarian cooperation includes training program for Africa, the implementation of the Sino-African programs, technology partnerships, research and exchange, and the China-Africa Forum “Think Tank”. Cooperation in health care also plays an important role. The authors note that the new Chinese leadership declares transition to an upgraded version of the Sino-African cooperation.

Hierarchy is Detrimental for Human Cooperation

Science.gov (United States)

Cronin, Katherine A.; Acheson, Daniel J.; Hernández, Penélope; Sánchez, Angel

2015-01-01

Studies of animal behavior consistently demonstrate that the social environment impacts cooperation, yet the effect of social dynamics has been largely excluded from studies of human cooperation. Here, we introduce a novel approach inspired by nonhuman primate research to address how social hierarchies impact human cooperation. Participants competed to earn hierarchy positions and then could cooperate with another individual in the hierarchy by investing in a common effort. Cooperation was achieved if the combined investments exceeded a threshold, and the higher ranked individual distributed the spoils unless control was contested by the partner. Compared to a condition lacking hierarchy, cooperation declined in the presence of a hierarchy due to a decrease in investment by lower ranked individuals. Furthermore, hierarchy was detrimental to cooperation regardless of whether it was earned or arbitrary. These findings mirror results from nonhuman primates and demonstrate that hierarchies are detrimental to cooperation. However, these results deviate from nonhuman primate findings by demonstrating that human behavior is responsive to changing hierarchical structures and suggests partnership dynamics that may improve cooperation. This work introduces a controlled way to investigate the social influences on human behavior, and demonstrates the evolutionary continuity of human behavior with other primate species. PMID:26692287

The Innovation Development of the BRICS Countries: Preconditions and Prospects for Cooperation

Directory of Open Access Journals (Sweden)

E. Sidorova

2018-03-01

Full Text Available The most important factor in the development of the global economy is the intensification of international innovation processes. The degree of state involvement in the international innovation market determines the overall level of national economic competitiveness. However, the pace and scale of innovation in the Russian economy are insufficient. At the same time, innovation processes are closely linked to integration processes. Currently, the role of international integration associations is increasing; as significant subjects of the global economy, they directly interact with other associations, states, transnational corporations and international institutions. In this context, this article analyzes the development of innovation in the BRICS grouping of Brazil, Russia, India, China and South Africa, identifying and describing the preconditions and prospects for cooperation in this field. In this regard, first, the article investigates the development of innovation in the BRICS countries by analyzing the statistical data and the indices to determine the key achievements and problems of countries in this field. Second, it identifies the preconditions and prospects for innovation cooperation among the BRICS countries. This article demonstrates that, despite the obvious leadership of China, all BRICS countries have advantages of development. It also shows that in different years joint research projects of the BRICS countries have been successfully implemented. However, active cooperation began in 2015. The main international agreements are the Memorandum of Understanding on Cooperation in Science, Technology and Innovation, the Strategy for BRICS Economic Partnership and the BRICS Science, Technology and Innovation Work Plan 2015–2018. This article concludes by identifying a number of measures aimed at stimulating further innovation development of the BRICS countries. This article extends the knowledge about the innovation development and

Exploring Hope, Self-Efficacy, Procrastination, and Study Skills between Cooperative and Non-Cooperative Education Students

Science.gov (United States)

Drysdale, Maureen T. B.; McBeath, Margaret

2014-01-01

The aim of this study was to examine the relationship between participation in cooperative education, and several psychological constructs believed to be related to success in both academic and professional settings. Participants, undergraduate cooperative (n = 1224) and non-cooperative education (n = 746) students in all years of study and from…

The Future of the European Union is Closely Related to a Stronger Economic Cooperation between Member States

Directory of Open Access Journals (Sweden)

Andreea Drăgoi

2013-01-01

Full Text Available Since the onset of the crisis in the euro area, the EU has implemented a series of measures to respond to the major economic challenges and support the efforts to boost growth and create jobs in the Member States. In October 2012, EU leaders have decided that in order to overcome the challenges brought by the sovereign debt crisis is necessary to establish a closer economic cooperation between European countries. Our paper aims to analyze the main measures taken at European level to converge toward this goal, aiming to highlight the extent to which they are "successful steps" leading to the creation of banking, fiscal and economic union in Europe.

Nordic Energy Policy Cooperation

DEFF Research Database (Denmark)

Jørgensen, Birte Holst

2016-01-01

Brundtland Commission Report, and climate change became a common concern. Energy technology cooperation was an integral part of Nordic energy policy cooperation from the very beginning. The Nordic Energy Research Programme was established with funding from each of the Nordic countries, and was earmarked...... by a committee of senior officials and a secretariat. This was characterised by an incremental development of the cooperation based on consensus, mutual understanding and trust facilitated through exchange of experiences, work groups, seminars, educational activities and mobility schemes for energy policy...

Hormonal mechanisms of cooperative behaviour

Science.gov (United States)

Soares, Marta C.; Bshary, Redouan; Fusani, Leonida; Goymann, Wolfgang; Hau, Michaela; Hirschenhauser, Katharina; Oliveira, Rui F.

2010-01-01

Research on the diversity, evolution and stability of cooperative behaviour has generated a considerable body of work. As concepts simplify the real world, theoretical solutions are typically also simple. Real behaviour, in contrast, is often much more diverse. Such diversity, which is increasingly acknowledged to help in stabilizing cooperative outcomes, warrants detailed research about the proximate mechanisms underlying decision-making. Our aim here is to focus on the potential role of neuroendocrine mechanisms on the regulation of the expression of cooperative behaviour in vertebrates. We first provide a brief introduction into the neuroendocrine basis of social behaviour. We then evaluate how hormones may influence known cognitive modules that are involved in decision-making processes that may lead to cooperative behaviour. Based on this evaluation, we will discuss specific examples of how hormones may contribute to the variability of cooperative behaviour at three different levels: (i) within an individual; (ii) between individuals and (iii) between species. We hope that these ideas spur increased research on the behavioural endocrinology of cooperation. PMID:20679116

Three-dimensional modelling and three-dimensional printing in pediatric and congenital cardiac surgery.

Science.gov (United States)

Kiraly, Laszlo

2018-04-01

Three-dimensional (3D) modelling and printing methods greatly support advances in individualized medicine and surgery. In pediatric and congenital cardiac surgery, personalized imaging and 3D modelling presents with a range of advantages, e.g., better understanding of complex anatomy, interactivity and hands-on approach, possibility for preoperative surgical planning and virtual surgery, ability to assess expected results, and improved communication within the multidisciplinary team and with patients. 3D virtual and printed models often add important new anatomical findings and prompt alternative operative scenarios. For the lack of critical mass of evidence, controlled randomized trials, however, most of these general benefits remain anecdotal. For an individual surgical case-scenario, prior knowledge, preparedness and possibility of emulation are indispensable in raising patient-safety. It is advocated that added value of 3D printing in healthcare could be raised by establishment of a multidisciplinary centre of excellence (COE). Policymakers, research scientists, clinicians, as well as health care financers and local entrepreneurs should cooperate and communicate along a legal framework and established scientific guidelines for the clinical benefit of patients, and towards financial sustainability. It is expected that besides the proven utility of 3D printed patient-specific anatomical models, 3D printing will have a major role in pediatric and congenital cardiac surgery by providing individually customized implants and prostheses, especially in combination with evolving techniques of bioprinting.

Bariatric surgery insurance requirements independently predict surgery dropout.

Science.gov (United States)

Love, Kaitlin M; Mehaffey, J Hunter; Safavian, Dana; Schirmer, Bruce; Malin, Steven K; Hallowell, Peter T; Kirby, Jennifer L

2017-05-01

Many insurance companies have considerable prebariatric surgery requirements despite a lack of evidence for improved clinical outcomes. The hypothesis of this study is that insurance-specific requirements will be associated with a decreased progression to surgery and increased delay in time to surgery. Retrospective data collection was performed for patients undergoing bariatric surgery evaluation from 2010-2015. Patients who underwent surgery (SGY; n = 827; mean body mass index [BMI] 49.1) were compared with those who did not (no-SGY; n = 648; mean BMI: 49.4). Univariate and multivariate analysis were performed to identify specific co-morbidity and insurance specific predictors of surgical dropout and time to surgery. A total of 1475 patients using 12 major insurance payors were included. Univariate analysis found insurance requirements associated with surgical drop out included longer median diet duration (no-SGY = 6 mo; SGY = 3 mo; Psurgery dropout. Additionally, surgical patients had an average interval between initial visit and surgery of 5.8±4.6 months with significant weight gain (2.1 kg, Psurgery insurance requirements were associated with lack of patient progression to surgery in this study. In addition, delays in surgery were associated with preoperative weight gain. Although prospective and multicenter studies are needed, these findings have major policy implications suggesting insurance requirements may need to be reconsidered to improve medical care. Copyright © 2017 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Evaluation of diffusion-tensor imaging-based global search and tractography for tumor surgery close to the language system.

Directory of Open Access Journals (Sweden)

Mirco Richter

Full Text Available Pre-operative planning and intra-operative guidance in neurosurgery require detailed information about the location of functional areas and their anatomo-functional connectivity. In particular, regarding the language system, post-operative deficits such as aphasia can be avoided. By combining functional magnetic resonance imaging and diffusion tensor imaging, the connectivity between functional areas can be reconstructed by tractography techniques that need to cope with limitations such as limited resolution and low anisotropic diffusion close to functional areas. Tumors pose particular challenges because of edema, displacement effects on brain tissue and infiltration of white matter. Under these conditions, standard fiber tracking methods reconstruct pathways of insufficient quality. Therefore, robust global or probabilistic approaches are required. In this study, two commonly used standard fiber tracking algorithms, streamline propagation and tensor deflection, were compared with a previously published global search, Gibbs tracking and a connection-oriented probabilistic tractography approach. All methods were applied to reconstruct neuronal pathways of the language system of patients undergoing brain tumor surgery, and control subjects. Connections between Broca and Wernicke areas via the arcuate fasciculus (AF and the inferior fronto-occipital fasciculus (IFOF were validated by a clinical expert to ensure anatomical feasibility, and compared using distance- and diffusion-based similarity metrics to evaluate their agreement on pathway locations. For both patients and controls, a strong agreement between all methods was observed regarding the location of the AF. In case of the IFOF however, standard fiber tracking and Gibbs tracking predominantly identified the inferior longitudinal fasciculus that plays a secondary role in semantic language processing. In contrast, global search resolved connections in almost every case via the IFOF which

Venous Thromboembolism in Podiatric Foot and Ankle Surgery.

Science.gov (United States)

Matthews, Jemma H; Terrill, Alexander J; Barwick, Alex L; Butterworth, Paul A

2018-01-01

The extent to which podiatric surgeons follow venous thromboembolism guidelines is unknown. The aim of this study therefore, was 2-fold: (a) to determine the rate of venous thromboembolism following podiatric surgery and (b) to investigate the factors that influence the use of thromboprophylaxis. Data from 4238 patients who underwent foot and ankle surgery over 2 years were analyzed. Venous thromboembolism within the first 30 days following surgery was recorded using the Australasian College of Podiatric Surgeons surgical audit tool. Logistic regression analyses were undertaken to determine the factors that influenced thromboprophylaxis. Of the 4238 patient records, 3677 records (87%) provided complete data (age range 2-94 years; mean ± SD, 49.1 ± 19.7 years; 2693 females). A total of 7 venous thromboembolic events (0.2% rate) were reported. Operative duration and age (OR 12.63, 95% CI 9.47 to 16.84, P < 0.01), postoperative immobilization (OR 6.94, 95% CI 3.95 to 12.20, P < 0.01), and a prior history of VTE (OR 3.41, 95% CI 1.01 to 11.04, P = 0.04) were the strongest predictors of thromboprophylaxis. Podiatric foot and ankle surgery is associated with a low rate of venous thromboembolism. This may be due in part to the thromboprophylaxis regime implemented by podiatric surgeons, which closely aligns with current evidence-based guidelines. Level II: Prospective cohort study.

Forestry cooperatives: past and present

Science.gov (United States)

Mark G. Rickenbach

2006-01-01

Forest landowner cooperatives are not a new phenomenon, but past efforts to create and sustain these businesses have been largely unsuccessful in the U.S. Before and just after World War II saw significant investment in cooperative development that failed to create durable business. The purpose of this chapter is to briefly describe the history of forestry cooperatives...

Cooperative Bacterial Foraging Optimization

Directory of Open Access Journals (Sweden)

Hanning Chen

2009-01-01

Full Text Available Bacterial Foraging Optimization (BFO is a novel optimization algorithm based on the social foraging behavior of E. coli bacteria. This paper presents a variation on the original BFO algorithm, namely, the Cooperative Bacterial Foraging Optimization (CBFO, which significantly improve the original BFO in solving complex optimization problems. This significant improvement is achieved by applying two cooperative approaches to the original BFO, namely, the serial heterogeneous cooperation on the implicit space decomposition level and the serial heterogeneous cooperation on the hybrid space decomposition level. The experiments compare the performance of two CBFO variants with the original BFO, the standard PSO and a real-coded GA on four widely used benchmark functions. The new method shows a marked improvement in performance over the original BFO and appears to be comparable with the PSO and GA.

The Agency's Technical Co-operation activities in 1986. Report by the Director General

International Nuclear Information System (INIS)

1987-08-01

During 1986, a total of 854 projects were operational and 71 training courses were held. These activities involved 1930 expert assignments. In addition, 937 persons received training under the fellowship programme. Performance indicators (non-financial) are given in Part II of this report (Sections B and C) in order to provide some impression of the increase in implementation actions related to the delivery of a growing programme. Although total resources were higher in 1986 than in previous years, the overall growth rate declined further while new obligations and disbursements increased steeply. The near-stagnation in the net expenditure rate for Technical Assistance and Co-operation Fund (TACF) resources which occurred in 1985 prompted close monitoring and follow-up measures in 1986. These actions led to an all-time high TACF net expenditure rate, namely 75.7%, in 1986. As the TACF represented 71% of all technical co-operation resources, overall programme performance in terms of net expenditure reached 67.6%, which is also the highest rate ever recorded. TACF resources increased by 11%. Pledges and miscellaneous income covered 92.7% of the target. The percentage attainment of the target has been declining since 1983. As actual disbursements against the TACF increased at a much higher rate than new resources, the unobligated balance decreased to the extent that striving for even higher net expenditure rates would no longer be consistent with judicious resource management. The share of extrabudgetary funds in the programme declined: they accounted for 14.5% of the resources and 12.6% of the disbursements in 1986. The Federal Republic of Germany became the largest contributor of extrabudgetary funds. Special attention will be given to the utilization of these resources so that delivery rates can be improved. As anticipated, UNDP's share in resources and disbursements increased and several new large-scale projects were approved. In-kind assistance continued to play a

Signaling emotion and reason in cooperation.

Science.gov (United States)

Levine, Emma E; Barasch, Alixandra; Rand, David; Berman, Jonathan Z; Small, Deborah A

2018-05-01

We explore the signal value of emotion and reason in human cooperation. Across four experiments utilizing dyadic prisoner dilemma games, we establish three central results. First, individuals infer prosocial feelings and motivations from signals of emotion. As a result, individuals believe that a reliance on emotion signals that one will cooperate more so than a reliance on reason. Second, these beliefs are generally accurate-those who act based on emotion are more likely to cooperate than those who act based on reason. Third, individuals' behavioral responses towards signals of emotion and reason depend on their own decision mode: those who rely on emotion tend to conditionally cooperate (that is, cooperate only when they believe that their partner has cooperated), whereas those who rely on reason tend to defect regardless of their partner's signal. These findings shed light on how different decision processes, and lay theories about decision processes, facilitate and impede cooperation. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

¿EXISTE UNA CULTURA COOPERATIVA ORGANIZACIONAL EN TRABAJADORES COOPERATIVISTAS Y NO COOPERATIVISTAS?/IS THERE A CULTURE IN ORGANIZATIONAL COOPERATIVE WORKERS COOPERATIVES AND NO COOPERATIVES?

Directory of Open Access Journals (Sweden)

Francisco DIAZ BRETONES

2009-01-01

Full Text Available En este trabajo se explora si el tipo de cultura cooperativa influye en la estructura de valores personales. Asumiendo que los valores son elementos cambiantes, hipotetizamos que aquellas personas que trabajan en cooperativas desarrollarán perfiles de valores más colectivistas que otros trabajadores de empresas no cooperativas, de manera que la cooperativa tendría una función formativa y de conformación en el desarrollo de valores más colectivistas hacia todos sus integrantes, frete a otro tipo de empresas. Para estudiar este problema de investigación, llevamos a cabo una investigación en dos empresas cooperativas y otras dos no cooperativas. En total se recogieron 148 cuestionarios (74 de trabajadores de cooperativas y 74 de no cooperativas. Los resultados muestran como ambos grupos poseen diferencias significativas aunque no el sentido esperado. /In this work it is explored if the type of cooperative culture influences the structure of personal values. Assuming that the values are changeable elements, suppose that those persons who are employed at cooperatives will develop profiles of more collectivist values than other workpeople of not cooperative companies, so that the cooperative would have a formative function in the development of the most collectivist values towards all his members, opposite to another type of companies. To study this investigation problem, we carry out an investigation in two cooperative companies and other two not co-operatives. In whole there were gathered 148 questionnaires (74 of workpeople of cooperatives and 74 of not cooperatives.The results show both groups possess significant differences although not the awaited ones.

Cooperation, trust and confidence

NARCIS (Netherlands)

Korver, T.; Oeij, P.R.A.; Urze, P.C.G.D.

2007-01-01

Environmental complexity may strain cooperative relationships, both within and beyond organizations, for two reasons. First, when complexity implies uncertainty the predictability of change disappears. Secondly, change may and often will entail different estimates of the cooperating partners on the

Performance analysis of selective cooperation in underlay cognitive networks over Rayleigh channels

KAUST Repository

Hussain, Syed Imtiaz

2011-06-01

Underlay cognitive networks should follow strict interference thresholds to operate in parallel with primary networks. This constraint limits their transmission power and eventually the area of coverage. Therefore, it is very likely that the underlay networks will make use of relays to transmit signals to the distant secondary users. In this paper, we propose a secondary relay selection scheme which maximizes the end-to-end signal to noise ratio (SNR) for the secondary link while keeping the interference levels to the primary network below a certain threshold. We derive closed form expressions for the probability density function (PDF) of the SNR at the secondary destination, average bit error probability and outage probability. Analytical results are verified through simulations which also give insight about the benefits and tradeoffs of the selective cooperation in underlay cognitive networks. It is shown that, in contrast to non-cognitive selective cooperation, this scheme performs better in low SNR region for cognitive networks. © 2011 IEEE.

Corrective Jaw Surgery

Medline Plus

Full Text Available ... out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment of jaws ... out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment of jaws ...

CLOSING MACULAR HOLES WITH "MACULAR PLUG" WITHOUT GAS TAMPONADE AND POSTOPERATIVE POSTURING.

Science.gov (United States)

Chakrabarti, Meena; Benjamin, Preethi; Chakrabarti, Keya; Chakrabarti, Arup

2017-03-01

To investigate the surgical results of macular hole surgery without gas tamponade or postoperative posturing in patients with Stage 3 and Stage 4 macular holes with ≥500 μm mean base diameter. Retrospective interventional case series. Twenty-six patients with Stage 3 and Stage 4 macular holes. Twenty-six eyes of 26 patients with Stage 3 and Stage 4 macular holes and a mean base diameter of 892.8 ± 349 μm underwent pars plana 23-gauge vitrectomy with broad internal limiting membrane peel (ILM peel), inverted ILM flap repositioning (ILMR), and use of autologous gluconated blood clumps as a macular plug to close the macular hole. No fluid-air exchange, endotamponade, or postoperative posturing was used. The subjects were followed up for 12 months. The anatomical outcome of the procedure was evaluated by fundus examination and optical coherence tomography. Spectral domain optical coherence tomography was used to study the restoration of the outer retinal layer integrity in the postoperative period. The preoperative and postoperative best-corrected visual acuities in logMAR units were compared to evaluate functional outcome. Macular hole closure and best-corrected visual acuity before and after surgery. Twenty-six patients with mean age 62.8 ± 7.3 years, preoperative median best-corrected visual acuity 6/60 (1.0 logMAR units), and a mean base diameter of 892.8 ± 349 μm underwent surgery to close macular holes without gas tamponade or postoperative posturing. Twenty patients (76.9%) were phakic. Twenty eyes (76.92%) had Stage 3 macular holes and 6 eyes (23.10%) had Stage 4 macular holes. After a single surgery, hole closure was achieved in 100% of eyes. The median best-corrected visual acuity improved from 6/60 (1.0 logMAR units) to 6/18 (0.50 logMAR units) (P hole closure with statically significant functional improvement for large Stage 3 and Stage 4 macular holes.

Network Coding for Backhaul Offloading in D2D Cooperative Fog Data Networks

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Ben Quinton

2018-01-01

Full Text Available Future distributed data networks are expected to be assisted by users cooperation and coding schemes. Given the explosive increase in the end-users’ demand for download of the content from the servers, in this paper, the implementation of instantly decodable network coding (IDNC is considered in full-duplex device-to-device (D2D cooperative fog data networks. In particular, this paper is concerned with designing efficient transmission schemes to offload traffic from the expensive backhaul of network servers by employing IDNC and users cooperation. The generalized framework where users send request for multiple packets and the transmissions are subject to erasure is considered. The optimal problem formulation is presented using the stochastic shortest path (SSP technique over the IDNC graph with induced subgraphs. However, as the optimal solution suffers from the intractability of being NP-hard, it is not suitable for real-time communications. The complexity of the problem is addressed by presenting a greedy heuristic algorithm used over the proposed graph model. The paper shows that by implementing IDNC in a full-duplex cooperative D2D network model significant reduction in the number of downloads required from the servers can be achieved, which will result in offloading of the backhaul servers and thus saving valuable servers’ resources. It is also shown that the performance of the proposed heuristic algorithm is very close to the optimal solution with much lower computational complexity.

Tax cooperation among member states of European Union and Directive on administrative cooperation in the field of taxation

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Josimovski Aleksandar G.

2013-01-01

Full Text Available Countries have possibility to choose between several alternatives for cooperation in international tax matters at global level. They can decide not to cooperate or provide some form of tax cooperation. Because of harmful tax competition among countries and efforts of international organizations, all countries in the world are oblidged to comply with one of multiple alternatives for tax cooperation. Situation in European Union (hereinafter EU is specific. EU is not country or classic international organization. By the reason of its successful functioning, EU has need for tax cooperation. EU has attempted to harmonise tax policies of member states, but member states did not approve that. Only indirect taxes are harmonized on EU level, direct taxes are harmonized only to the point necessarily for functioning of single market. That is why tax cooperation instruments are so important. Object of this paper are procedures and measures, stipulated by the most important instrument in the field of tax cooperation enacted by institutions of EU, its development and status in international tax law. Regulatives and directives in field of tax cooperation in the EU are 'pioneers' in tax matters. EU instruments provide standards which are subsequently accepted by several international organizations - Organisation for Economic Co-operation and Development (OECD and United Nations (UN. Our purpose is to present positive and negative aspects of tax cooperation in the EU. In time of crisis efficient tax cooperation provides higher revenues for the member states, on the other hand, taxpayers and tax administrations have increased expenses as result of tax cooperation which are not fairly distributed.

Social learning in cooperative dilemmas.

Science.gov (United States)

Lamba, Shakti

2014-07-22

Helping is a cornerstone of social organization and commonplace in human societies. A major challenge for the evolutionary sciences is to explain how cooperation is maintained in large populations with high levels of migration, conditions under which cooperators can be exploited by selfish individuals. Cultural group selection models posit that such large-scale cooperation evolves via selection acting on populations among which behavioural variation is maintained by the cultural transmission of cooperative norms. These models assume that individuals acquire cooperative strategies via social learning. This assumption remains empirically untested. Here, I test this by investigating whether individuals employ conformist or payoff-biased learning in public goods games conducted in 14 villages of a forager-horticulturist society, the Pahari Korwa of India. Individuals did not show a clear tendency to conform or to be payoff-biased and are highly variable in their use of social learning. This variation is partly explained by both individual and village characteristics. The tendency to conform decreases and to be payoff-biased increases as the value of the modal contribution increases. These findings suggest that the use of social learning in cooperative dilemmas is contingent on individuals' circumstances and environments, and question the existence of stably transmitted cultural norms of cooperation. © 2014 The Author(s) Published by the Royal Society. All rights reserved.

SEBACEOUS CYSTS MINOR SURGERY

Directory of Open Access Journals (Sweden)

I Gusti Ayu Agung Laksemi

2013-12-01

Full Text Available Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 Minor surgery is small surgery or localized example cut ulcers and boils, cyst excision, and suturing. Somethings that need to be considered in the preparation of the surgery is minor tools, operating rooms and operating tables, lighting, maintenance of tools and equipment, sterilization and desinfection equipment, preparation of patients and anesthesia. In general cysts is walled chamber that consist of fluid, cells and the remaining cells. Cysts are formed not due to inflammation although then be inflamed. Lining of the cysts wall is composed of fibrous tissue and usually coated epithelial cells or endothelial. Cysts formed by dilated glands and closed channels, glands, blood vessels, lymph channels or layers of the epidermis. Contents of the cysts wall consists of the results is serum, lymph, sweat sebum, epithelial cells, the stratum corneum, and hair. /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}

Cooperative Control of Multi-Master-Slave Islanded Microgrid with Power Quality Enhancement Based on Conservative Power Theory

DEFF Research Database (Denmark)

Mortezaei, Ali; Simoes, Marcelo; Savaghebi, Mehdi

2018-01-01

Cooperative control of power converters in a microgrid offers power quality enhancement at sensitive load buses. Such cooperation is particularly important in the presence of reactive, nonlinear and unbalanced loads. In this paper, a multi-master-slave-based control of Distributed Generators (DGs...... in a selective control strategy able to share each current component with desired percentage among the microgrid inverters. Simulation results are presented to demonstrate the effectiveness of the proposed method.......) interface converters in a three-phase four-wire islanded microgrid using the Conservative Power Theory (CPT) is proposed. Inverters located in close proximity operate as a group in master-salve mode. Slaves inject the available energy and compensate selectively unwanted current components of local loads...

[A cooperative project in the district of Mettmann: preventive assistance for mentally ill parents and their children].

Science.gov (United States)

Hipp, Michael; Schatte, Dirk; Altrogge, Birgit

2010-01-01

Mentally ill parents are impaired in their ability to care for their children. To support the affected families from the perspective of the parents and the children alike a close cooperation between the institutions of psychiatry and child-welfare is of utmost importance. In the district of Mettmann a cooperation agreement was concluded to realize a cross-system concept to care for the families with mentally ill parents. To prevent children from developing psychiatric disorders the taboo of the psychiatric diseases has to be overcome, an early diagnostic clarification to be reached, and multiinstitutional help to be implemented. In the article the experience in dealing with the affected families in a multidisciplinary context is described.

Telemanipulation of cooperative robots: a case of study

Science.gov (United States)

Pliego-Jiménez, Javier; Arteaga-Pérez, Marco

2018-06-01

This article addresses the problem of dexterous robotic grasping by means of a telemanipulation system composed of a single master and two slave robot manipulators. The slave robots are analysed as a cooperative system where it is assumed that the robots can push but not pull the object. In order to achieve a stable rigid grasp, a centralised adaptive position-force control algorithm for the slave robots is proposed. On the other hand, a linear velocity observer for the master robot is developed to avoid numerical differentiation. A set of experiments with different human operators were carried out to show the good performance and capabilities of the proposed control-observer algorithm. In addition, the dynamic model and closed-loop dynamics of the telemanipulation is presented.

Modified closed-loop double-endobutton technique for repair of rockwood type III acromioclavicular dislocation

Science.gov (United States)

Zhang, Lei; Zhou, Xin; Qi, Ji; Zeng, Yan; Zhang, Shaoqun; Liu, Gang; Ping, Ruiyue; Li, Yikai; Fu, Shijie

2018-01-01

Acromioclavicular dislocation (ACD) is a common injury. According to the Rockwood classification, ACD is classified into six types (type I–VI); however, for type III injuries, it remains controversial whether or not operative treatment should be applied. Numerous studies have advocated early surgical treatment to ensure early rehabilitation activities. Thus, the present study aimed to investigate a modified closed-loop double-endobutton technique (MCDT), that may be used to repair Rockwood type III ACD. In the current study, 61 patients with Rockwood type III ACD were enrolled during a period of 5 years at the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University. Patients were divided into three groups according to the surgical method used, the MCDT group (n=20), the common closed-loop double-endobutton technique (CCDT) group (n=21), and the clavicular hook plate fixation (CHPF) group (n=20). Preoperative and intraoperative information were recorded. Furthermore, the functional scores of injured shoulder were evaluated prior to surgery and following surgery with a 1-year follow-up. Among the three groups, postoperative functional scores were significantly more improved compared with those prior to surgery (P0.05). Postoperative functional scores in the MCDT and CCDT groups were significantly more improved compared those in the CHPF group (P<0.05). In addition, the duration of surgery in the MCDT group was significantly shorter compared with that in the CCDT group (P<0.05). Furthermore, compared with the CHPF group, the incision length was significantly shorter with reduced hemorrhage in the MCDT group (P<0.05). In conclusion, the results of the current study suggest that MCDT is more simple, convenient and efficient compared with CCDT, and is worth popularizing. PMID:29399102

Autologous fat grafting: use of closed syringe microcannula system for enhanced autologous structural grafting

Directory of Open Access Journals (Sweden)

Alexander RW

2013-04-01

Full Text Available Robert W Alexander,1 David Harrell2 1Department of Surgery, School of Medicine and Dentistry, University of Washington, Seattle, WA, USA; 2Harvest-Terumo Inc, Plymouth, MA, USA Objectives: Provide background for use of acquiring autologous adipose tissue as a tissue graft and source of adult progenitor cells for use in cosmetic plastic surgery. Discuss the background and mechanisms of action of closed syringe vacuum lipoaspiration, with emphasis on accessing adipose-derived mesenchymal/stromal cells and the stromal vascular fraction (SVF for use in aesthetic, structural reconstruction and regenerative applications. Explain a proven protocol for acquiring high-quality autologous fat grafts (AFG with use of disposable, microcannula systems. Design: Explain the components and advantage of use of the patented super luer-lock and microcannulas system for use with the closed-syringe system. A sequential explanation of equipment selection for minimally traumatic lipoaspiration in small volumes is presented, including use of blunt injection cannulas to reduce risk of embolism. Results: Thousands of AFG have proven safe and efficacious for lipoaspiration techniques for large and small structural fat grafting procedures. The importance and advantages of gentle harvesting of the adipose tissue complex has become very clear in the past 5 years. The closed-syringe system offers a minimally invasive, gentle system with which to mobilize subdermal fat tissues in a suspension form. Resulting total nuclear counting of undifferentiated cells of the adipose-derived -SVF suggests that the yield achieved is better than use of always-on, constant mechanical pump applied vacuum systems. Conclusion: Use of a closed-syringe lipoaspiration system featuring disposable microcannulas offers a safe and effective means of harvesting small volumes of nonmanipulated adipose tissues and its accompanying progenitor cells within the SVF. Closed syringes and microcannulas are

Performance analysis of selective cooperation in amplify-and-forward relay networks over identical Nakagami-m channels

KAUST Repository

Hussain, Syed Imtiaz; Alouini, Mohamed-Slim; Hasna, Mazen Omar

2011-01-01

In cooperative communications, multiple relays between a source and a destination can increase the diversity gain. Because all the nodes must use orthogonal channels, multiple-relay cooperation becomes spectrally inefficient. Therefore, a bestrelay selection scheme was recently proposed. In this paper, we analyzed the performance of this scheme for a system with the relays operating in amplify-and-forward mode over identical Nakagami-m channels using an exact source-relay-destination signal-to-noise ratio (SNR).We derived accurate closed-form expressions for various system parameters including the probability density function of end-to-end SNR, the average output SNR, the bit error probability, and the channel capacity. The analytical results were verified through Monte Carlo simulations. Copyright © 2011 John Wiley & Sons, Ltd.

Performance analysis of selective cooperation in amplify-and-forward relay networks over identical Nakagami-m channels

KAUST Repository

Hussain, Syed Imtiaz

2011-05-02

In cooperative communications, multiple relays between a source and a destination can increase the diversity gain. Because all the nodes must use orthogonal channels, multiple-relay cooperation becomes spectrally inefficient. Therefore, a bestrelay selection scheme was recently proposed. In this paper, we analyzed the performance of this scheme for a system with the relays operating in amplify-and-forward mode over identical Nakagami-m channels using an exact source-relay-destination signal-to-noise ratio (SNR).We derived accurate closed-form expressions for various system parameters including the probability density function of end-to-end SNR, the average output SNR, the bit error probability, and the channel capacity. The analytical results were verified through Monte Carlo simulations. Copyright © 2011 John Wiley & Sons, Ltd.

Electron and Cooper-pair transport across a single magnetic molecule explored with a scanning tunneling microscope

Science.gov (United States)

Brand, J.; Gozdzik, S.; Néel, N.; Lado, J. L.; Fernández-Rossier, J.; Kröger, J.

2018-05-01

A scanning tunneling microscope is used to explore the evolution of electron and Cooper-pair transport across single Mn-phthalocyanine molecules adsorbed on Pb(111) from tunneling to contact ranges. Normal-metal as well as superconducting tips give rise to a gradual transition of the Bardeen-Cooper-Schrieffer energy gap in the tunneling range into a zero-energy resonance close to and at contact. Supporting transport calculations show that in the normal-metal-superconductor junctions this resonance reflects the merging of in-gap Yu-Shiba-Rusinov states as well as the onset of Andreev reflection. For the superconductor-superconductor contacts, the zero-energy resonance is rationalized in terms of a finite Josephson current that is carried by phase-dependent Andreev and Yu-Shiba-Rusinov levels.

Outage Performance Analysis of Relay Selection Schemes in Wireless Energy Harvesting Cooperative Networks over Non-Identical Rayleigh Fading Channels.

Science.gov (United States)

Do, Nhu Tri; Bao, Vo Nguyen Quoc; An, Beongku

2016-02-26

In this paper, we study relay selection in decode-and-forward wireless energy harvesting cooperative networks. In contrast to conventional cooperative networks, the relays harvest energy from the source's radio-frequency radiation and then use that energy to forward the source information. Considering power splitting receiver architecture used at relays to harvest energy, we are concerned with the performance of two popular relay selection schemes, namely, partial relay selection (PRS) scheme and optimal relay selection (ORS) scheme. In particular, we analyze the system performance in terms of outage probability (OP) over independent and non-identical (i.n.i.d.) Rayleigh fading channels. We derive the closed-form approximations for the system outage probabilities of both schemes and validate the analysis by the Monte-Carlo simulation. The numerical results provide comprehensive performance comparison between the PRS and ORS schemes and reveal the effect of wireless energy harvesting on the outage performances of both schemes. Additionally, we also show the advantages and drawbacks of the wireless energy harvesting cooperative networks and compare to the conventional cooperative networks.

Distributed cooperative H∞ optimal tracking control of MIMO nonlinear multi-agent systems in strict-feedback form via adaptive dynamic programming

Science.gov (United States)

Luy, N. T.

2018-04-01

The design of distributed cooperative H∞ optimal controllers for multi-agent systems is a major challenge when the agents' models are uncertain multi-input and multi-output nonlinear systems in strict-feedback form in the presence of external disturbances. In this paper, first, the distributed cooperative H∞ optimal tracking problem is transformed into controlling the cooperative tracking error dynamics in affine form. Second, control schemes and online algorithms are proposed via adaptive dynamic programming (ADP) and the theory of zero-sum differential graphical games. The schemes use only one neural network (NN) for each agent instead of three from ADP to reduce computational complexity as well as avoid choosing initial NN weights for stabilising controllers. It is shown that despite not using knowledge of cooperative internal dynamics, the proposed algorithms not only approximate values to Nash equilibrium but also guarantee all signals, such as the NN weight approximation errors and the cooperative tracking errors in the closed-loop system, to be uniformly ultimately bounded. Finally, the effectiveness of the proposed method is shown by simulation results of an application to wheeled mobile multi-robot systems.

OSAS Surgery and Postoperative Discomfort: Phase I Surgery versus Phase II Surgery

Directory of Open Access Journals (Sweden)

Giulio Gasparini

2015-01-01

Full Text Available Introduction. This study aims to investigate the reasons that discourage the patients affected by OSAS to undergo orthognathic surgery and compares the postoperative discomfort of phase I (soft tissue surgery and phase II (orthognathic surgery procedures for treatment of OSAS. Material and Methods. A pool of 46 patients affected by OSAS was divided into two groups: “surgery patients” who accepted surgical treatments of their condition and “no surgery patients” who refused surgical procedures. The “surgery patients” group was further subdivided into two arms: patients who accepted phase I procedures (IP and those who accepted phase II (IIP. To better understand the motivations behind the refusal of II phase procedures, we asked the patients belonging to both the IP group and “no surgery” group to indicate the main reason that influenced their decision to avoid II phase procedures. We also monitored and compared five parameters of postoperative discomfort: pain, painkiller assumption, length of hospitalization, foreign body sensation, and diet assumption following IP and IIP procedures. Results. The main reason to avoid IIP procedures was the concern of a more severe postoperative discomfort. Comparison of the postoperative discomfort following IP versus IIP procedures showed that the former scored worse in 4 out of 5 parameters analyzed. Conclusion. IIP procedures produce less postoperative discomfort. IIP procedures, namely, orthognathic surgery, should be the first choice intervention in patients affected by OSAS and dentoskeletal malformation.

Web-video-mining-supported workflow modeling for laparoscopic surgeries.

Science.gov (United States)

Liu, Rui; Zhang, Xiaoli; Zhang, Hao

2016-11-01

As quality assurance is of strong concern in advanced surgeries, intelligent surgical systems are expected to have knowledge such as the knowledge of the surgical workflow model (SWM) to support their intuitive cooperation with surgeons. For generating a robust and reliable SWM, a large amount of training data is required. However, training data collected by physically recording surgery operations is often limited and data collection is time-consuming and labor-intensive, severely influencing knowledge scalability of the surgical systems. The objective of this research is to solve the knowledge scalability problem in surgical workflow modeling with a low cost and labor efficient way. A novel web-video-mining-supported surgical workflow modeling (webSWM) method is developed. A novel video quality analysis method based on topic analysis and sentiment analysis techniques is developed to select high-quality videos from abundant and noisy web videos. A statistical learning method is then used to build the workflow model based on the selected videos. To test the effectiveness of the webSWM method, 250 web videos were mined to generate a surgical workflow for the robotic cholecystectomy surgery. The generated workflow was evaluated by 4 web-retrieved videos and 4 operation-room-recorded videos, respectively. The evaluation results (video selection consistency n-index ≥0.60; surgical workflow matching degree ≥0.84) proved the effectiveness of the webSWM method in generating robust and reliable SWM knowledge by mining web videos. With the webSWM method, abundant web videos were selected and a reliable SWM was modeled in a short time with low labor cost. Satisfied performances in mining web videos and learning surgery-related knowledge show that the webSWM method is promising in scaling knowledge for intelligent surgical systems. Copyright © 2016 Elsevier B.V. All rights reserved.

Five Rules for the Evolution of Cooperation

Science.gov (United States)

Nowak, Martin A.

2006-12-01

Cooperation is needed for evolution to construct new levels of organization. Genomes, cells, multicellular organisms, social insects, and human society are all based on cooperation. Cooperation means that selfish replicators forgo some of their reproductive potential to help one another. But natural selection implies competition and therefore opposes cooperation unless a specific mechanism is at work. Here I discuss five mechanisms for the evolution of cooperation: kin selection, direct reciprocity, indirect reciprocity, network reciprocity, and group selection. For each mechanism, a simple rule is derived that specifies whether natural selection can lead to cooperation.

Effects of selection for cooperation and attention in dogs

Directory of Open Access Journals (Sweden)

Miklósi Ádám

2009-07-01

Full Text Available Abstract Background It has been suggested that the functional similarities in the socio-cognitive behaviour of dogs and humans emerged as a consequence of comparable environmental selection pressures. Here we use a novel approach to account for the facilitating effect of domestication in dogs and reveal that selection for two factors under genetic influence (visual cooperation and focused attention may have led independently to increased comprehension of human communicational cues. Method In Study 1, we observed the performance of three groups of dogs in utilizing the human pointing gesture in a two-way object choice test. We compared breeds selected to work while visually separated from human partners (N = 30, 21 breeds, clustered as independent worker group, with those selected to work in close cooperation and continuous visual contact with human partners (N = 30, 22 breeds, clustered as cooperative worker group, and with a group of mongrels (N = 30. Secondly, it has been reported that, in dogs, selective breeding to produce an abnormal shortening of the skull is associated with a more pronounced area centralis (location of greatest visual acuity. In Study 2, breeds with high cephalic index and more frontally placed eyes (brachycephalic breeds, N = 25, 14 breeds were compared with breeds with low cephalic index and laterally placed eyes (dolichocephalic breeds, N = 25, 14 breeds. Results In Study 1, cooperative workers were significantly more successful in utilizing the human pointing gesture than both the independent workers and the mongrels. In study 2, we found that brachycephalic dogs performed significantly better than dolichocephalic breeds. Discussion After controlling for environmental factors, we have provided evidence that at least two independent phenotypic traits with certain genetic variability affect the ability of dogs to rely on human visual cues. This finding should caution researchers against making simple generalizations

[Suture simulator - Cleft palate surgery].

Science.gov (United States)

Devinck, F; Riot, S; Qassemyar, A; Belkhou, A; Wolber, A; Martinot Duquennoy, V; Guerreschi, P

2017-04-01

Cleft palate requires surgery in the first years of life, furthermore repairing anatomically the soft and hard palate is complex on a surgical level because of the fine tissues and the local intraoral configuration. It is valuable to train first on simulators before going to the operating room. However, there is no material dedicated to learning how to perform intraoral sutures in cleft palate surgery. We made one, in an artisanal manner, in order to practice before the real surgical gesture. The simulator was designed based on precise anatomical data. A steel pipe, fixed on a rigid base represented the oral cavity. An adapted split spoon represented the palate. All pieces could be removed in order to apply a hydrocellular dressing before training for sutures. Our simulator was tested by 3 senior surgeons in our department in close to real-life conditions in order to evaluate its anatomical accuracy. It is valuable to have a simulator to train on cleft palate sutures within teaching university hospitals that manage this pathology. Our simulator has a very low cost, it is easy to make and is anatomically accurate. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

ITDB Cooperation With International Organizations

International Nuclear Information System (INIS)

2010-01-01

IAEA illicit trafficking database cooperates with many international organizations. Among these organizations are Interpol, Universal Postal Union,and World Customs Organization. Other organizations are Organization for Security and Cooperation in Europe, UN Economic Commission for Europe, UN-Department of Disarmament Affairs and UN office for Drug and Crime. The cooperation with Interpol involves consultations on issues of training and technical assistance and other matters of common interest.

Cooperation, compensation and transition

NARCIS (Netherlands)

Ju, Y.

2004-01-01

Cooperation and compensation are two important and well-linked issues in economics. The central question in cooperation is how to share the joint gains among participating players. Compensation is a specific aspect of surplus sharing problems providing incentives for agents to sacrifice their own

Industrial Buyer-Supplier Cooperation

DEFF Research Database (Denmark)

Olsen, Rasmus Friis

The dissertation considers industrial buyer-supplier cooperation from a systems and management perspective. The purpose is to discuss and elaborate on the buying company’s choice of cooperation strategy (governance mechanism). It is stated that no single governance mechanism will be the best in all...

The cooperation between family and school in cooperative education of children and youth in the Second Polish Republic (1918-1939

Directory of Open Access Journals (Sweden)

ELŻBIETA MAGIERA

2017-10-01

Full Text Available Pedagogical journalism and literature of the interwar period emphasised importance of the cooperation between family and school with respect to cooperative education of school-age children and youth. Cooperative education started usually in family through the formation of reason, will and emotions. Family home constituted a basic level of education and could repeatedly stimulate cooperative interests. Common work of the family at family farm or in craft or cottage industry business became the first school of cooperation and joint-action on which cooperative activity was based. Family home played a supporting part in the development of student cooperative. The acceptance of parents and their recognition, and sometimes their involvement in the work of student cooperation, were a form of encouragement for students and teachers for further activity of the cooperative. At the same time, student cooperative – in particular in rural areas – was a medium stimulating the parents of these students and the environment to cooperatistic actions. The social life of school was guided by the principle of convergence, i.e. its interpenetration and complementation by the family home and environment life. The idea of cooperation in the interwar educational system being accomplished in practice by means of student cooperatives had the possibilities of playing a very big part. This was determined by its broad application in educational activity of the Polish school as well as its understanding and acceptance by the family and environment. Important part was played by the tutor of student cooperative. His / her duty was to tighten the cooperation between student cooperative and family home which, on the one hand, ensured the understanding of teacher's actions and, on the other hand, provided material and moral assistance for the cooperative. At the same time, teacher – through student cooperative – could influence socially and educationally the family and

Cognitive Load and Cooperation

DEFF Research Database (Denmark)

Døssing, Felix Sebastian; Piovesan, Marco; Wengström, Erik Roland

2017-01-01

We study the effect of intuitive and reflective processes on cooperation using cognitive load. Compared with time constraint, which has been used in the previous literature, cognitive load is a more direct way to block reflective processes, and thus a more suitable way to study the link between...... intuition and cooperation. Using a repeated public goods game, we study the effect of different levels of cognitive load on contributions. We show that a higher cognitive load increases the initial level of cooperation. In particular, subjects are significantly less likely to fully free ride under high...... cognitive load....

Prospects for regional cooperation. Regional cooperation in remote monitoring for nuclear nonproliferation and transparency

International Nuclear Information System (INIS)

Olsen, John

2006-01-01

The JAEA and Sandia National Laboratories (SNL) have cooperated for a decade in development and testing of remote monitoring technologies in support of international safeguards. With this technology approaching maturity, the JAEA/SNL partnership now envisions regional cooperation to use these technologies to advance nuclear transparency and strengthen nonproliferation, as well. This presentation summarizes the technical evolution and notes the opportunity for regional cooperation to include institutions in the ROK, as well as Japan and the US. (author)

Tennis elbow surgery

Science.gov (United States)

Lateral epicondylitis - surgery; Lateral tendinosis - surgery; Lateral tennis elbow - surgery ... Surgery to repair tennis elbow is often an outpatient surgery. This means you will not stay in the hospital overnight. You will be given ...

Territorial Cooperation With Non-Eu Regions

OpenAIRE

Rodriguez-Cohard, Juan Carlos; Alfonso, Javier; Vázquez-Barquero, Antonio

2012-01-01

TERRITORIAL COOPERATION WITH NON-EU REGIONS Territorial Cooperation (TC) has been possible because there is a trajectory of many years of work invested by the local actors, participants who have become the architects of TC through the city or region involved. Transcontinental cooperation as studied by the European Union TERCO project is providing important lessons for understanding TC. The purpose of the presentation is to analyze the Andalusian-North of Morocco territorial cooperation during...

Oophorectomy by natural orifice transluminal endoscopic surgery: feasibility study in dogs.

Science.gov (United States)

Freeman, Lynetta J; Rahmani, Emad Y; Sherman, Stuart; Chiorean, Michael V; Selzer, Don J; Constable, Peter D; Snyder, Paul W

2009-06-01

Natural orifice transluminal endoscopic surgery (NOTES) represents a potentially less-invasive alternative to conventional or laparoscopic surgery. Our purpose was to develop a canine oophorectomy model for prospective evaluation of intraoperative complications, surgical stress, and postoperative pain and recovery with NOTES. Feasibility study. Academic preclinical research. Ten healthy female dogs. NOTES procedures were performed through gastric access with an electrocautery snare to resect and retrieve the ovaries. The gastrotomy was closed with prototype T-fasteners. Operative time; complications; postoperative pain scores, and nociceptive threshold; surgical stress markers (interleukin-6 [IL-6], C-reactive protein); systemic stress parameters (cortisol, glucose); necropsy evaluation at 10 to 14 days. The mean operative time was 154 minutes (SD +/- 58 minutes) and no animals died as a result of complications from the procedure. The primary difficulty was incomplete ovarian excision and conversion to an open procedure in 1 dog. Serum glucose concentrations increased after surgery and remained elevated for at least 36 hours. The serum cortisol concentration was transiently increased from baseline at 2 hours after surgery. The serum IL-6 concentration peaked at 2 hours after surgery and returned to the baseline value by 18 hours. The serum C-reactive protein concentration increased significantly from baseline, peaked at 12 hours after surgery, and then slowly declined toward baseline but remained elevated at 72 hours after surgery. Nociceptive threshold measurements indicated increased sensitivity to pain for 2 to 24 hours after surgery. At necropsy, surgical sites were healing uneventfully with no significant damage to surrounding organs, no significant growth on bacterial cultures, and no evidence of peritonitis. Small number of animals, single center. The NOTES approach to oophorectomy in dogs appears to be a reasonable alternative to traditional surgery

Theoretical and methodological bases of the cooperation and the cooperative

Directory of Open Access Journals (Sweden)

Claudio Alberto Rivera Rodríguez

2013-12-01

Full Text Available The present work has the purpose to approach the theoretical and methodological foundations of the rise of the cooperatives. In this article are studied the logical antecedents of the cooperativism, the premises  establish by  the Industrial Revolution for the emergence of the first modern cooperative “The Pioneers of Rochdale”  that  is  the inflection point of  cooperativism, until analyzing the contributions of the whole thinking  of the time that maintain this process.

Mohs micrographic surgery

Science.gov (United States)

Skin cancer - Mohs surgery; Basal cell skin cancer - Mohs surgery; Squamous cell skin cancer - Mohs surgery ... Mohs surgery usually takes place in the doctor's office. The surgery is started early in the morning and is ...

Advisory and autonomous cooperative driving systems

NARCIS (Netherlands)

Broek, T.H.A. van den; Ploeg, J.; Netten, B.D.

2011-01-01

In this paper, the traffic efficiency of an advisory cooperative driving system, Advisory Acceleration Control is examined and compared to the efficiency of an autonomous cooperative driving system, Cooperative Adaptive Cruise Control. The algorithms and implementation thereof are explained. The

[Thymus surgery in a general surgery department].

Science.gov (United States)

Mega, Raquel; Coelho, Fátima; Pimentel, Teresa; Ribero, Rui; Matos, Novo de; Araújo, António

2005-01-01

Evaluation of thymectomy cases between 1990-2003, in a General Surgery Department. Evaluation of the therapeutic efficacy in Miastenia Gravis patients. Retrospective study based on evaluation of data from Serviço de Cirurgia, Neurologia and Consult de Neurology processes, between 1990-2003, of 15 patients submitted to total thymectomy. 15 patients, aged 17 to 72, 11 female and 4 male. Miastenia Gravis was the main indication for surgery, for uncontrollable symptoms or suspicion of thymoma. In patients with myasthenia, surgery was accomplish after compensation of symptoms. There weren't post-surgery complications. Pathology were divided in thymic hyperplasia and thymoma. Miastenia patients have there symptoms diminished or stable with reduction or cessation of medical therapy. Miastenia was the most frequent indication for thymectomy. Surgery was good results, with low morbimortality, as long as the protocols are respected.

Singing together or apart: The effect of competitive and cooperative singing on social bonding within and between sub-groups of a university Fraternity

Science.gov (United States)

Pearce, Eiluned; Launay, Jacques; van Duijn, Max; Rotkirch, Anna; David-Barrett, Tamas; Dunbar, Robin I M

2016-01-01

Singing together seems to facilitate social bonding, but it is unclear whether this is true in all contexts. Here we examine the social bonding outcomes of naturalistic singing behaviour in a European university Fraternity composed of exclusive ‘Cliques’: recognised sub-groups of 5-20 friends who adopt a special name and identity. Singing occurs frequently in this Fraternity, both ‘competitively’ (contests between Cliques) and ‘cooperatively’ (multiple Cliques singing together). Both situations were re-created experimentally in order to explore how competitive and cooperative singing affects feelings of closeness towards others. Participants were assigned to teams of four and were asked to sing together with another team either from the same Clique or from a different Clique. Participants (N = 88) felt significantly closer to teams from different Cliques after singing with them compared to before, regardless of whether they cooperated with (singing loudly together) or competed against (trying to singing louder than) the other team. In contrast, participants reported reduced closeness with other teams from their own Clique after competing with them. These results indicate that group singing can increase closeness to less familiar individuals regardless of whether they share a common motivation, but that singing competitively may reduce closeness within a very tight-knit group. PMID:27777494

Cooperation induces other cooperation: Fruiting bodies promote the evolution of macrocysts in Dictyostelium discoideum.

Science.gov (United States)

Shibasaki, Shota; Shirokawa, Yuka; Shimada, Masakazu

2017-05-21

Biological studies of the evolution of cooperation are challenging because this process is vulnerable to cheating. Many mechanisms, including kin discrimination, spatial structure, or by-products of self-interested behaviors, can explain this evolution. Here we propose that the evolution of cooperation can be induced by other cooperation. To test this idea, we used a model organism Dictyostelium discoideum because it exhibits two cooperative dormant phases, the fruiting body and the macrocyst. In both phases, the same chemoattractant, cyclic AMP (cAMP), is used to collect cells. This common feature led us to hypothesize that the evolution of macrocyst formation would be induced by coexistence with fruiting bodies. Before forming a mathematical model, we confirmed that macrocysts coexisted with fruiting bodies, at least under laboratory conditions. Next, we analyzed our evolutionary game theory-based model to investigate whether coexistence with fruiting bodies would stabilize macrocyst formation. The model suggests that macrocyst formation represents an evolutionarily stable strategy and a global invader strategy under this coexistence, but is unstable if the model ignores the fruiting body formation. This result indicates that the evolution of macrocyst formation and maintenance is attributable to coexistence with fruiting bodies. Therefore, macrocyst evolution can be considered as an example of evolution of cooperation induced by other cooperation. Copyright © 2017 Elsevier Ltd. All rights reserved.

Corrective Jaw Surgery

Medline Plus

Full Text Available ... and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require one or more ... find out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment ...

Cooperative Prototyping Experiments

DEFF Research Database (Denmark)

Bødker, Susanne; Grønbæk, Kaj

1989-01-01

This paper describes experiments with a design technique that we denote cooperative prototyping. The experiments consider design of a patient case record system for municipal dental clinics in which we used HyperCard, an off the shelf programming environment for the Macintosh. In the ecperiments we...... tried to achieve a fluent work-like evaluation of prototypes where users envisioned future work with a computer tool, at the same time as we made on-line modifications of prototypes in cooperation with the users when breakdown occur in their work-like evaluation. The experiments showed...... that it was possible to make a number of direct manipulation changes of prototypes in cooperation with the users, in interplay with their fluent work-like evaluation of these. However, breakdown occurred in the prototyping process when we reached the limits of the direct manipulation support for modification. From...

Cooperative decision making in a stochastic environment

NARCIS (Netherlands)

Suijs, J.P.M.

1998-01-01

Cooperative game theory is a mathematical tool to analyze situations involving several individuals who can obtain certain benefits by cooperating. The main questions this theory addresses are who will cooperate with whom and how will the corresponding benefits be divided. Most results of cooperative

Is Cooperative Memory Special? The Role of Costly Errors, Context, and Social Network Size When Remembering Cooperative Actions

Directory of Open Access Journals (Sweden)

Tim Winke

2017-10-01

Full Text Available Theoretical studies of cooperative behavior have focused on decision strategies, such as tit-for-tat, that depend on remembering a partner’s last choices. Yet, an empirical study by Stevens et al. (2011 demonstrated that human memory may not meet the requirements that needed to use these strategies. When asked to recall the previous behavior of simulated partners in a cooperative memory task, participants performed poorly, making errors in 10–24% of the trials. However, we do not know the extent to which this task taps specialized cognition for cooperation. It may be possible to engage participants in more cooperative, strategic thinking, which may improve memory. On the other hand, compared with other situations, a cooperative context may already engage improved memory via cheater detection mechanisms. This study investigated the specificity of memory in cooperative contexts by varying (1 the costs of errors in memory by making forgetting defection more costly and (2 whether the recall situation is framed as a cooperative or neutral context. Also, we investigated whether variation in participants’ social network size could account for individual differences observed in memory accuracy. We found that neither including differential costs for misremembering defection nor removing the cooperative context influenced memory accuracy for cooperation. Combined, these results suggest that memory accuracy is robust to differences in the cooperative context: Adding more strategic components does not help accuracy, and removing cooperative components does not hurt accuracy. Social network size, however, did correlate with memory accuracy: People with larger networks remembered the events better. These findings suggest that cooperative memory does not seem to be special compared with other forms of memory, which aligns with previous work demonstrating the domain generality of memory. However, the demands of interacting in a large social network may

Establishment of International Cooperative Network and Cooperative Research Strategy Between Korea and USA on Nuclear Thermal Hydraulics

International Nuclear Information System (INIS)

Baek, Won Pil; Song, Chul Hwa; Jeong, Jae Jun; Choi, Ki Yong; Kang, Kyoung Ho

2004-07-01

1. Scope and Objectives of the Project - Successful holding of the NURETH-10 - Analysis of the international trends in technology development and applications for nuclear thermal-hydraulics - Establishment of the international cooperative network and cooperative research strategy between Korea and USA on nuclear thermal-hydraulics 2. Research Results - Successful holding of the NURETH-10 - Analysis of the international trends in technology development and applications for nuclear thermal-hydraulics: - Establishment of international cooperative network and cooperative research strategy focused between Korea and USA on nuclear thermal-hydraulics: 3. Application Plan of the Research Results - Utilization as the basic data/information in establishing the domestic R and D directions and the international cooperative research strategy, - Application of the relevant experiences and data bases of NURETH-10 for holding future international conferences, - Promote more effective and productive research cooperation between Korea and USA

South-South Development Cooperation and Soft Power. The case of Brazil's foreign policy and technical cooperation

DEFF Research Database (Denmark)

Bry, Sandra

's participation in development cooperation and how these international political ambitions influence the project model of its South-South Development Cooperation, called technical cooperation. This was done by investigating the manifestations of ‘soft power’ in Brazilian development cooperation activities...... of the agent's attractive actions without which a country's soft power is non-existent. Therefore this thesis maintains that soft power theory should shift its current analytical focus from the agent to the subject and enhance the analysis on the role of subject's perceptions in the creation of ‘soft...

[Teamwork in the operating theatre: the German Observational Teamwork Assessment for Surgery (OTAS-D) and its first application in Germany].

Science.gov (United States)

Passauer-Baierl, S; Chiapponi, C; Bruns, C J; Weigl, M

2014-12-01

The quality of surgical teamwork contributes to performance of the operating theatre team, service quality and patient safety in surgery. Observational tools are a feasible and reliable way to capture and evaluate teamwork in the operating theatre (OT). We introduce the German version of the Observational Teamwork Assessment for Surgery (OTAS-D) and present the first observational results from German OTs. Quality of surgical teamwork was assessed with observational teamwork assessment for surgery (OTAS-D). It evaluates five dimensions of OT teamwork: communication, coordination, cooperation/backup behaviour, leadership, and team monitoring/situation awareness. Each dimension is evaluated for each profession (surgical, nursing, and anaesthesia team) as well for each phase of the procedure (pre-, intra-, and post-operative). We observed n = 63 procedures, mainly in abdominal/general and orthopaedic surgery. Additionally, all OT team members scored their individual evaluation of the intra-operative teamwork (standardised 1-item questions). The OTAS-D evaluations showed meaningful results and differences for the OT professions as well as across the different phases of the procedures. Overall, a medium to good level of the OT teamwork was observed. There were no differences in regard to type of surgery (minimally invasive vs. open) or surgical specialties. With an increased coordination of the surgical team we observed a significantly increased cooperation of the nursing team (r = 0.36, p = 0.004). Concerning the OT staffs self-reports, the surgical and nursing teams reported higher scores for quality of surgical teamwork during the procedure than their anaesthesia team members. No significant relationships between observed quality of OT teamwork and self-reports were found. The German version of OTAS-D is a psychometrically robust method to capture the quality of teamwork in operating theatres. It enables the analyses of teamwork between the surgical

45 CFR 46.114 - Cooperative research.

Science.gov (United States)

2010-10-01

... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROTECTION OF HUMAN SUBJECTS Basic HHS Policy for Protection of Human Research Subjects § 46.114 Cooperative research. Cooperative... conduct of cooperative research projects, each institution is responsible for safeguarding the rights and...

Building up active membership in cooperatives

NARCIS (Netherlands)

Verhees, F.J.H.M.; Sergaki, P.; Dijk, van G.

2015-01-01

Abstract Active membership is crucial for agricultural cooperatives as it engenders better performance. It even is the key for cooperative competitiveness. Active membership, however, decreases in many cooperatives. Thus, it is important to know what galvanizes members to become active members. The

7 CFR 1220.107 - Cooperator organization.

Science.gov (United States)

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Cooperator organization. 1220.107 Section 1220.107... CONSUMER INFORMATION Soybean Promotion and Research Order Definitions § 1220.107 Cooperator organization. The term Cooperator Organization means the American Soybean Association, or any successor organization...

50 CFR 81.3 - Cooperative Agreement.

Science.gov (United States)

2010-10-01

...) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM CONSERVATION OF ENDANGERED AND THREATENED SPECIES OF FISH, WILDLIFE, AND PLANTS-COOPERATION WITH THE STATES § 81.3 Cooperative Agreement. Upon... Project Agreement can be approved for endangered or threatened species projects. A cooperative agreement...

Is the timing of surgery associated with avascular necrosis after unstable slipped capital femoral epiphysis? A multicenter study.

Science.gov (United States)

Kohno, Yusuke; Nakashima, Yasuharu; Kitano, Toshio; Irie, Taichi; Kita, Atsushi; Nakamura, Tomoyuki; Endo, Hirosuke; Fujii, Yosuke; Kuroda, Takayuki; Mitani, Shigeru; Kitoh, Hiroshi; Matsushita, Masaki; Hattori, Tadashi; Iwata, Koji; Iwamoto, Yukihide

2017-01-01

An unstable slipped capital femoral epiphysis (SCFE) is associated with a high rate of avascular necrosis (AVN). The etiology of AVN seems to be multifactorial, although it is not thoroughly known. The aims of our study were to determine the rate of AVN after an unstable SCFE and to investigate the risk factors for AVN, specifically evaluating the notion of an "unsafe window", during which medical interventions would increase the risk for AVN. This retrospective multicenter study included 60 patients with an unstable SCFE diagnosed between 1985 and 2014. Timing of surgery was evaluated for three time periods, from acute onset of symptoms to surgery: period I, 7 days. Multivariate logistic regression analysis was used to identify risk factors for AVN. Closed reduction and pinning was performed in 43 patients and in situ pinning in 17. Among these cases, 16 patients (27%) developed AVN. The rate of AVN was significantly higher in patients treated by closed reduction and pinning (15/43, 35%) than in those treated by in situ pinning (1/17, 5.9%) (p = 0.022). In patients treated by closed reduction and pinning, the incidence of AVN was 2/11 (18%) in period I, 10/13 (77%) in period II and 3/15 (20%) in period III, showing the significantly higher rate in period II (p = 0.002). The surgery provided in period II was identified as an independent risk factor for the development of AVN. Our rate of AVN was 27% using two classical treatment methods. Time-to-surgery, between 24 h and 7 days, was independently associated with AVN, supporting the possible existence of an "unsafe window" in patients with unstable SCFE treated by closed reduction and pinning. Copyright © 2016 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.

A Nucleolus for Stochastic Cooperative Games

OpenAIRE

Suijs, J.P.M.

1996-01-01

This paper extends the definition of the nucleolus to stochastic cooperative games, that is, to cooperative games with random payoffs to the coalitions. It is shown that the nucleolus is nonempty and that it belongs to the core whenever the core is nonempty. Furthermore, it is shown for a particular class of stochastic cooperative games that the nucleolus can be determined by calculating the traditional nucleolus introduced by Schmeidler (1969) of a specific deterministic cooperative game.

On the relative advantage of cooperatives

DEFF Research Database (Denmark)

Albæk, Svend; Schultz, Christian

1998-01-01

We show that the fact that farmers in a cooperative individually decide how much to supply to the cooperative may serve as a commitment device for credibly (and profitably) gaining market share in competition with a profit maximizing firm......We show that the fact that farmers in a cooperative individually decide how much to supply to the cooperative may serve as a commitment device for credibly (and profitably) gaining market share in competition with a profit maximizing firm...

Regional cooperation planning. Project planning for JAEA/SNL regional cooperation on remote monitoring

International Nuclear Information System (INIS)

Olsen, John

2006-01-01

Developing cooperation between the JAEA's NPSTC and the NNCA may take advantage of bilateral activities between those parties and SNL. The merger of JNC and JAERI has affected the schedule for JAEA/SNL cooperation. Also, the evolution of the NNCA as an independent agency has slowed the projected schedule for cooperation between the JAEA and the NNCA. A potential schedule for establishment of a quadrilateral remote monitoring system may include interim activities, securing an agreement of some type, and actual establishment of VPN links. A parallel schedule might exist for informing other regional parties and gaining their interest. (author)

Management of hypotony and flat anterior chamber associated with glaucoma filtration surgery

Directory of Open Access Journals (Sweden)

Yavuz Tunç

2015-10-01

Full Text Available AIM:To determine the effectiveness of pharmacological and interventional treatment of hypotony and flat anterior chamber (FAC resulting from glaucoma filtration surgery.METHODS:We retrospectively examined the medical records of fifty-two trabeculectomy patients (52 eyes who developed postoperative hypotony and FAC. The management and associated complications of hypotony, changing intraocular pressure (IOP and best corrected visual acuity (BCVA were evaluated.RESULT:Of the 52 patients with hypotony, 29 (56% had a grade 1 FAC, 21 (40% had a grade 2 FAC, and only 2 had a grade 3 FAC. There was no significant difference between the mean preoperative IOP and the mean IOP at three and six months after surgery. Thirteen eyes (25% required antiglaucomatous medication three months after surgery. The mean BCVA at 6mo after surgery was significantly reduced as compared with the mean preoperative BCVA.CONCLUSION:Hypotonia and FAC following trabeculectomy are associated with troublesome complications that require pharmacological and/or surgical treatment. Thus, close follow-up is essential for affected patients.

Cooperative Optimal Operation of Wind-Storage Facilities

DEFF Research Database (Denmark)

Farashbashi-Astaneh, Seyed-Mostafa; Hu, Weihao; Chen, Zhe

2014-01-01

investment cost. We suggest benefitting the storage unit as a regulation service provider beside its normal operation for mitigating wind power imbalances. This idea comes from the fact that storage units have a fast ramping capability which is necessary to meet close to real-time regulation needs......As the penetration of wind power increases in power systems across the world, wind forecast errors become an emerging problem. Storage units are reliable tools to be used in cooperation with wind farms to mitigate imbalance penalties. Nevertheless they are not still economically viable due to huge....... In this paper a framework is proposed to formulate the optimal design of storage unit’s operation under different scenarios. These scenarios include whether the wind farm is actually generating more or less than the scheduled level submitted to day-ahead market. The results emphasize that the deployment...

Subsidizing R&D cooperatives

NARCIS (Netherlands)

Hinloopen, J.

2001-01-01

A framework is developed with which the implementation of two commonly used R&D-stimulating policies can be evaluated: providing R&D subsidies and sustaining the formation of R&D cooperatives. Subsidized R&D cooperatives can also be analyzed. The analysis shows that providing R&D subsidies is more

Annealing helicase HARP closes RPA-stabilized DNA bubbles non-processively.

Science.gov (United States)

Burnham, Daniel R; Nijholt, Bas; De Vlaminck, Iwijn; Quan, Jinhua; Yusufzai, Timur; Dekker, Cees

2017-05-05

We investigate the mechanistic nature of the Snf2 family protein HARP, mutations of which are responsible for Schimke immuno-osseous dysplasia. Using a single-molecule magnetic tweezers assay, we construct RPA-stabilized DNA bubbles within torsionally constrained DNA to investigate the annealing action of HARP on a physiologically relevant substrate. We find that HARP closes RPA-stabilized bubbles in a slow reaction, taking on the order of tens of minutes for ∼600 bp of DNA to be re-annealed. The data indicate that DNA re-anneals through the removal of RPA, which is observed as clear steps in the bubble-closing traces. The dependence of the closing rate on both ionic strength and HARP concentration indicates that removal of RPA occurs via an association-dissociation mechanism where HARP does not remain associated with the DNA. The enzyme exhibits classical Michaelis-Menten kinetics and acts cooperatively with a Hill coefficient of 3 ± 1. Our work also allows the determination of some important features of RPA-bubble structures at low supercoiling, including the existence of multiple bubbles and that RPA molecules are mis-registered on the two strands. © The Author(s) 2017. Published by Oxford University Press on behalf of Nucleic Acids Research.

Systematic review of the surgery-first approach in orthognathic surgery

Directory of Open Access Journals (Sweden)

Chiung Shing Huang

2014-08-01

Full Text Available The surgery-first approach in orthognathic surgery has recently created a broader interest in completely eliminating time-consuming preoperative orthodontic treatment. Available evidence on the surgery-first approach should be appraised to support its use in orthognathic surgery. A MEDLINE search using the keywords "surgery first" and "orthognathic surgery" was conducted to select studies using the surgery-first approach. We also manually searched the reference list of the selected keywords to include articles not selected by the MEDLINE search. The search identified 18 articles related to the surgery-first approach. There was no randomized controlled clinical trial. Four papers were excluded as the content was only personal opinion or basic scientific research. Three studies were retrospective cohort studies in nature. The other 11 studies were case reports. For skeletal Class III surgical correction, the final long-term outcomes for maxillofacial and dental relationship were not significantly different between the surgery-first approach and the orthodontics-first approach in transverse (e.g., intercanine or intermolar width dimension, vertical (e.g., anterior open bite, lower anterior facial height dimension, and sagittal (e.g., anterior-posterior position of pogonion and lower incisors dimension. Total treatment duration was substantially shorter in cases of surgery-first approach use. In conclusion, most published studies related to the surgery-first approach were mainly on orthognathic correction of skeletal Class III malocclusion. Both the surgery-first approach and orthodontics-first approach had similar long-term outcomes in dentofacial relationship. However, the surgery-first approach had shorter treatment time.

International cooperation in healthcare: model of IRCCS Policlinico San Donato and Bambini Cardiopatici nel Mondo Association for congenital heart diseases.

Science.gov (United States)

Frigiola, Alessandro; Moussaidi, Nadia; Giamberti, Alessandro; Pomé, Giuseppe; Isgrò, Giuseppe; Youssef, Tammam; Reali, Matteo; Varrica, Alessandro; Nuri, Halkawt A; Cirri, Silvia; Carminati, Mario; Menicanti, Lorenzo; Ferrari, Roberto; Ranucci, Marco

2016-04-28

Cooperation activity in training programmes promoted by IRCCS Policlinico San Donato and Bambini Cardiopatici nel Mondo Association is a model of cooperation between people as an alternative intervention in promoting the right to healthcare, especially offering programmes of training and medical care on cardiovascular and congenital heart disease. This new strategy, implemented in several developing countries, has absolutely contributed to the improvement of the medical services concerning the diagnostic and surgical approach in the treatment of paediatric and adult cardiovascular disease. To strengthen this kind of activity, both IRCCS Policlinico San Donato and Bambini Cardiopatici nel Mondo have introduced a global perspective aiming at the realization of surgical missions 'in situ', building new cardiac surgery units in collaboration with the local partners, which are mainly university hospitals. They, furthermore, support financially the scholarship and accommodation in favour of medical and paramedical staff.

The energy sector in Northeast Asia : new projects, delivery systems and prospects for co-operation

International Nuclear Information System (INIS)

Ivanov, V.I.

2000-01-01

This study examines the needs and opportunities for energy co-operation in Northeast Asia, with particular reference to development of resources in eastern Russia, Siberia and the Far East to supply energy to consumers in Northeast Asia. Given the high projected demand for energy resources, Japan, South Korea and China are compelled to consider diversifying their energy supplies and developing new links with eastern Russia. The environmental degradation caused by coal burning in China is another incentive for looking for sources of natural gas in Eurasia. Russia and Japan are concentrating on the Sakhalin oil and gas projects. China and Russia have agreed to work closely in the energy sector, focusing on a pipeline from the natural gas field near Irkutsk. The challenges lies in developing a co-ordinated approach to energy resource development and use, by modifying energy policies and long-term supply outlooks. Another challenge lies in the fact that private investors and intergovernmental co-operation are required to build an expensive cross-border infrastructure to transport natural gas, electricity and oil. Co-operation is also required to improve energy efficiency, modernize existing facilities and promote cleaner sources of energy, energy conservation and environmental protection. This report examined forecasted energy demand and imports in Northeast Asia and identified opportunities for co-operation. refs., tabs

University-Company Cooperation in a Hydroelectric Plant: Cooperation Study in Environmental Management

Directory of Open Access Journals (Sweden)

Fabricio Mussi

2017-05-01

Full Text Available Hydroelectric power plants are considered strategic for the country when considering their relevance and impact on other sectors of the economy. However, the dynamics of the operation of a plant, its support structure and power generation activities can cause impacts on the environment, which must be constantly monitored in order to mitigate any environmental risks. The purpose of this study is to examine the partnership relations between a plant by menas of the creation of a department within the environmental management and universities and research institutes to identify specific partnerships in environmental management and hydroelectric plants. Six projects have been selected for analysis, four of them related to projects with universities and two related to cooperation with research institutes. The focus of the analysis was restricted to the main points observed in the management of these partnerships, which are: (a motivation for establishing partnerships, (b the composition of the estimated costs for implementing these partnerships, (c the difficulties of reconciling technical management and financial management, and (d the measurement of results and contributions from these interactions. Administrative practices of management of partnerships were also analyzed in the stages preceding cooperation for cooperation and further cooperation. Although other such studies are needed to strengthen the findings presented, one can conclude that the purposes of the establishment of cooperation in environmental management differ from those observed in other fields of knowledge such as engineering and biotechnology, for example.

Soviet/Russian-American space cooperation

Science.gov (United States)

Karash, Yuri Y.

This dissertation seeks to answer two questions: (1) what are the necessary conditions for the emergence of meaningful space cooperation between Russia and the United States, and (2) might this cooperation continue developing on its own merit, contributing to the further rapprochement between the two countries, even if the conditions that originated the cooperation were to change? The study examines the entire space era up to this point, 1957 to 1997, from the first satellite launch through the joint U.S.-Russian work on the ISS project. It focuses on the analysis of three distinct periods of possible and real cooperation between the United States and the Soviet Union/Russia. The first possibility for a limited Soviet-American cooperation in space emerged in the late 1950s, together with the space age, and continued until the mid-1960s. The major potential joint project of this period was a human expedition to the Moon. The global competition/confrontation between the two countries prevented actual cooperation. The second period was from the late 1960s until 1985 with consideration of experimental docking missions, including the docking of a reusable U.S. shuttle to a Soviet Salyut-type station. The global U.S.-Soviet competition still continued, but the confrontation was replaced by detente for a brief period of time lasting from the end of 1960s until mid-1970s. Detente gave the first example of U.S.-Soviet cooperation in space---the Apollo-Soyuz joint space flight (ASTP) which took place in 1975. However, the lack of interest of political leaderships in continuation of broad-scale cooperation between the two countries, and the end of detente, removed ASTP-like projects out of question at least until 1985. The third period started together with Mikhail Gorbachev's Perestroika in 1985 and continues until now. It involves almost a hundred of joint space projects both at the governmental and at the private sectors levels. The mainstream of the joint activities

Turbinate surgery

Science.gov (United States)

Turbinectomy; Turbinoplasty; Turbinate reduction; Nasal airway surgery; Nasal obstruction - turbinate surgery ... There are several types of turbinate surgery: Turbinectomy: All or ... This can be done in several different ways, but sometimes a ...

Helping enhances productivity in campo flicker ( Colaptes campestris) cooperative groups

Science.gov (United States)

Dias, Raphael Igor; Webster, Michael S.; Macedo, Regina H.

2015-06-01

Reproductive adults in many bird species are assisted by non-breeding auxiliary helpers at the nest, yet the impact of auxiliaries on reproduction is variable and not always obvious. In this study, we tested Hamilton's rule and evaluated the effect of auxiliaries on productivity in the facultative cooperative breeder campo flicker ( Colaptes campestris campestris). Campo flickers have a variable mating system, with some groups having auxiliaries and others lacking them (i.e., unassisted pairs). Most auxiliaries are closely related to the breeding pair (primary auxiliaries), but some auxiliaries (secondary auxiliaries) are unrelated females that joined established groups. We found no effect of breeder quality (body condition) or territory quality (food availability) on group productivity, but the presence of auxiliaries increased the number of fledglings produced relative to unassisted pairs. Nonetheless, the indirect benefit of helping was small and did not outweigh the costs of delayed breeding and so seemed insufficient to explain the evolution of cooperative breeding in campo flickers. We concluded that some ecological constraints must limit dispersal or independent breeding, making staying in the group a "best-of-a-bad-job" situation for auxiliaries.

Post-socialist agricultural cooperatives in Russia : A case study of top-down cooperatives in the Belgorod region

NARCIS (Netherlands)

A. Kurakin (Alexander); O. Visser (Oane)

2017-01-01

markdownabstractThrough a study of agricultural service cooperatives in Russia’s Belgorod region, this article addresses two gaps in the literature: _first_, the dearth of empirical studies on cooperatives in post-socialist Russia; _second_, the lack of attention to top-down cooperatives in

Organizational choices for international cooperation: East-West European cooperation on regional environmental problems

Science.gov (United States)

Connolly, Barbara Mary

This dissertation applies theoretical insights from transaction cost economics to explain and predict the organizational form of cooperative agreements between Eastern and Western Europe in areas of regional environmental and political concern. It examines five contracting problems related to nuclear power safety and acid rain, and describes the history of international negotiations to manage these problems. It argues that the level of interdependence in a given issue area, or costly effects experienced in one state due to activities and decisions of other states, along with the level of transactional vulnerability, or sunk costs invested in support of a particular contractual relationship among these states, are key determinants of the governance structures states choose to facilitate cooperation in that issue area. Empirically, the dissertation traces the evolution of three sets of institutional arrangements related to nuclear safety: governance for western nuclear safety assistance to Eastern Europe, negotiations of a global convention on safety standards for nuclear power plants, and contracts among utilities and multilateral banks to build new nuclear power plants in Eastern Europe. Next it studies European acid rain, chronicling the history of international acid rain controls within the UNECE Convention on Long-Range Transboundary Air Pollution (LRTAP) and the European Union, and finally examining institutional arrangements for burden-sharing to promote European bargains on emissions reduction, including bilateral aid transfers and proposals for multilateral burden sharing. Political actors have a wide range of choice among institutional arrangements to facilitate international cooperation, from simple market-type exchanges, to arbitration-type regimes that provide information and enhance reputation effects, to self-enforcing agreements such as issue-linkage, to supranational governance. The governance structures states devise to manage their cooperative

Variable Operative Experience in Hand Surgery for Plastic Surgery Residents.

Science.gov (United States)

Silvestre, Jason; Lin, Ines C; Levin, Lawrence Scott; Chang, Benjamin

Efforts to standardize hand surgery training during plastic surgery residency remain challenging. We analyze the variability of operative hand experience at U.S. plastic surgery residency programs. Operative case logs of chief residents in accredited U.S. plastic surgery residency programs were analyzed (2011-2015). Trends in fold differences of hand surgery case volume between the 10th and 90th percentiles of residents were assessed graphically. Percentile data were used to calculate the number of residents achieving case minimums in hand surgery for 2015. Case logs from 818 plastic surgery residents were analyzed of which a minority were from integrated (35.7%) versus independent/combined (64.3%) residents. Trend analysis of fold differences in case volume demonstrated decreasing variability among procedure categories over time. By 2015, fold differences for hand reconstruction, tendon cases, nerve cases, arthroplasty/arthrodesis, amputation, arterial repair, Dupuytren release, and neoplasm cases were below 10-fold. Congenital deformity cases among independent/combined residents was the sole category that exceeded 10-fold by 2015. Percentile data suggested that approximately 10% of independent/combined residents did not meet case minimums for arterial repair and congenital deformity in 2015. Variable operative experience during plastic surgery residency may limit adequate exposure to hand surgery for certain residents. Future studies should establish empiric case minimums for plastic surgery residents to ensure hand surgery competency upon graduation. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

The integrated North American electricity market : assuring an adequate supply of electricity through cross-border cooperation and trade

International Nuclear Information System (INIS)

Egan, T.

2005-03-01

The purpose of this paper is to support cooperation and discussion of the long-term sufficiency of the electricity trading system between Canada and the United States. It discusses the integrated electricity market including details on exports and imports of electricity, major transmission interconnections, the economic and environmental benefits of an integrated market and electricity generation statistics by fuel source. The paper also discusses several areas of cooperation and presents several recommendations including: greater dialogue on regional supply requirements; mandatory reliability standards; coordinated regulatory approaches to new cross-border transmission; the role of emerging generation and transmission technologies; opportunities to exchange experience and learning on demand-side measures; coordinated strategies to manage greenhouse gas and other air pollutants; and, critical infrastructure protection. The paper concludes that the integration between Canada and the United States will only increase as energy demand and trade continue to grow, making close cooperation between the two countries a necessity. 6 figs

Coordinating choice in partial cooperative equilibrium

NARCIS (Netherlands)

Mallozzi, L.; Tijs, S.H.

2009-01-01

In this paper we consider symmetric aggregative games and investigate partial cooperation between a portion of the players that sign a cooperative agreement and the rest of the players. Existence results of partial cooperative equilibria are obtained when the players who do not sign the agreement

Report: National Conference on Cooperative Education.

Science.gov (United States)

Bureau of Occupational and Adult Education (DHEW/OE), Washington, DC. Div. of Vocational and Technical Education.

The conference report on cooperative vocational education contains four main sections. The first, background papers, contains three papers: Education in a Changing Society, Carl H. Madden; A Prospectus for Cooperative Vocational Education, William F. Pierce; and Critical Issues in Cooperative Vocational Education, Robert M. Worthington. The second…

Closed-loop approach for situation awareness of medical devices and operating room infrastructure

Directory of Open Access Journals (Sweden)

Rockstroh Max

2015-09-01

Full Text Available In recent years, approaches for information and control integration in the digital operating room have emerged. A major step towards an intelligent operating room and a cooperative technical environment would be autonomous adaptation of medical devices and systems to the surgical workflow. The OR staff should be freed from information seeking and maintenance tasks. We propose a closed-loop concept integrating workflow monitoring, processing and (semi-automatic interaction to bridge the gap between OR integration of medical devices and workflow-related information management.

Human cooperation by lethal group competition.

Science.gov (United States)

Egas, Martijn; Kats, Ralph; van der Sar, Xander; Reuben, Ernesto; Sabelis, Maurice W

2013-01-01

Why humans are prone to cooperate puzzles biologists, psychologists and economists alike. Between-group conflict has been hypothesized to drive within-group cooperation. However, such conflicts did not have lasting effects in laboratory experiments, because they were about luxury goods, not needed for survival ("looting"). Here, we find within-group cooperation to last when between-group conflict is implemented as "all-out war" (eliminating the weakest groups). Human subjects invested in helping group members to avoid having the lowest collective pay-off, whereas they failed to cooperate in control treatments with random group elimination or with no subdivision in groups. When the game was repeated, experience was found to promote helping. Thus, not within-group interactions alone, not random group elimination, but pay-off-dependent group elimination was found to drive within-group cooperation in our experiment. We suggest that some forms of human cooperation are maintained by multi-level selection: reciprocity within groups and lethal competition among groups acting together.

Bariatric Surgery

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... often. Each type of surgery has advantages and disadvantages. Bariatric Surgery Benefits Bariatric surgery can improve many ... Grants & Grant History Research Resources Research at NIDDK Technology Advancement & Transfer Meetings & Workshops Health Information Diabetes Digestive ...

The level of influence of trust, commitment, cooperation, and power in the interorganizational relationships of Brazilian credit cooperatives

Directory of Open Access Journals (Sweden)

Denise Maria Martins

Full Text Available Abstract This article aims to analyze the level of influence of trust, commitment, cooperation, and power in the interrelationships of individual credit cooperatives and their central organization in Brazil. The quantitative and descriptive research was developed in unique credit unions linked to the Central Bank of Brazil and the Organization of Brazilian Cooperatives. The data were analyzed using structural equation modeling, with the estimation through partial least squares. The results obtained for the coefficients of determination (R2 of the endogenous latent variables confirmed the assumptions found in the theoretical models of Morgan and Hunt (1994 and Coote, Forrest, and Tam (2003. Statistical significance was also found in the relationships between power and trust, commitment and cooperation, trust and commitment, trust and cooperation, and power and commitment. However, in this study the relationship between power and commitment characterized the significance and was positive between the individual credit cooperatives and their central organization. This is in line with the understanding that power is the solution to resolving conflicts. The research identifies how the constructs of trust, commitment, cooperation, and power show relevance to the alignment of relations between individual credit cooperatives and their central organization.

Outage Performance Analysis of Relay Selection Schemes in Wireless Energy Harvesting Cooperative Networks over Non-Identical Rayleigh Fading Channels †

Science.gov (United States)

Do, Nhu Tri; Bao, Vo Nguyen Quoc; An, Beongku

2016-01-01

In this paper, we study relay selection in decode-and-forward wireless energy harvesting cooperative networks. In contrast to conventional cooperative networks, the relays harvest energy from the source’s radio-frequency radiation and then use that energy to forward the source information. Considering power splitting receiver architecture used at relays to harvest energy, we are concerned with the performance of two popular relay selection schemes, namely, partial relay selection (PRS) scheme and optimal relay selection (ORS) scheme. In particular, we analyze the system performance in terms of outage probability (OP) over independent and non-identical (i.n.i.d.) Rayleigh fading channels. We derive the closed-form approximations for the system outage probabilities of both schemes and validate the analysis by the Monte-Carlo simulation. The numerical results provide comprehensive performance comparison between the PRS and ORS schemes and reveal the effect of wireless energy harvesting on the outage performances of both schemes. Additionally, we also show the advantages and drawbacks of the wireless energy harvesting cooperative networks and compare to the conventional cooperative networks. PMID:26927119

Lung surgery

Science.gov (United States)

... are thoracotomy and video-assisted thoracoscopic surgery (VATS). Robotic surgery may also be used. Lung surgery using ... Center-Shreveport, Shreveport, LA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, ...

Cooperation between territorial communities: theory and practice

Directory of Open Access Journals (Sweden)

П. М. Любченко

2015-05-01

Full Text Available Problem Setting. The paper analyzes the problems in the system of legal regulation of cooperation between communities, highlights the advantages and disadvantages of such cooperation in Ukrainian local government. Analysis of the recent researches and publications. The legal basis for cooperation in the field of local government are provisions of the Constitution and laws of Ukraine, by-laws. The organizational principles of communities cooperation, principles, forms and mechanisms of such cooperation and its promotion, financing and monitoring prescribed by the Law of Ukraine «On cooperation of local communities» 17 June 2014, which provides five possible forms of cooperation. Paper main body. The first form - delegation to one party of cooperation by another parties of cooperation execution of one or few tasks with transferring of appropriate resources - one of the most difficult to implement, therefore in Ukraine it is not yet implemented. The second form – realization of joint projects, involving coordination of activities between parties of cooperation and accumulating them for a certain period resources to joint implementation of appropriate measures - one of the most common. This  form is popular because of its simplicity and versatility. Parties are determining the purpose of the project, terms and conditions of its implementation, a list of activities and conditions for their implementation, financial liabilities, other forms of local governments participation in implementation of the project and mechanism of coordination. The third and fourth forms aimed on the creation and maintenance of communal enterprises, institutions and organizations - joint infrastructure projects by parties of cooperation. This form of cooperation with the prospect of widespread use because it is aimed at ensuring effective use of resources of local communities based on common application available in one of the subjects of cooperation of municipal

Latin American cooperation on nuclear energy

International Nuclear Information System (INIS)

Faria, N.M. de; Associacao Brasileira de Direito Nuclear, Rio de Janeiro)

1984-01-01

The cooperation between Latin American countries on nuclear matters in which Brazil should play a significant role is presented. The possible areas for cooperation, particularly the nuclear law, are focused. The cooperation should be developed on bilateral or multilateral basis, by governmental and non governmental entities. (Author) [pt

Co-Operative Learning and Development Networks.

Science.gov (United States)

Hodgson, V.; McConnell, D.

1995-01-01

Discusses the theory, nature, and benefits of cooperative learning. Considers the Cooperative Learning and Development Network (CLDN) trial in the JITOL (Just in Time Open Learning) project and examines the relationship between theories about cooperative learning and the reality of a group of professionals participating in a virtual cooperative…

Adult meerkats modify close call rate in the presence of pups

Institute of Scientific and Technical Information of China (English)

Megan T.WYMAN; Pearl R.RIVERS; Coline MULLER; Pauline TONI; Marta B.MANSER

2017-01-01

In animals,signaling behavior is often context-dependent,with variation in the probability of emitting certain signals dependent on fitness advantages.Senders may adjust signaling rate depending on receiver identity,presence of audiences,or noise masking the signal,all of which can affect the benefits and costs of signal production.In the cooperative breeding meerkat Suricata suricatta,group members emit soft contact calls,termed as "close calls",while foraging in order to maintain group cohesion.Here,we investigated how the close calling rate during foraging was affected by the presence of pups,that produce continuous,noisy begging calls as they follow older group members.Adults decreased their overall close call rate substantially when pups were foraging with the group in comparison to periods when no pups were present.We suggest this decrease was likely due to a masking effect of the loud begging calls,which makes the close call function of maintaining group cohesion partly redundant as the centrally located begging calls can be used instead to maintain cohesion.There was some support that adults use close calls strategically to attract specific pups based on fitness advantages,that is,as the philopatric sex,females should call more than males and more to female pups than male pups.Dominant females called more than dominant males when a pup was in close proximity,while subordinates showed no sex-based differences.The sex of the nearest pup did not affect the calling rate of adults.The study shows that meerkats modify their close call production depending on benefits gained from calling and provides an example of the flexible use of one calling system in the presence of another,here contact calls versus begging calls,within the same species.

Adult meerkats modify close call rate in the presence of pups.

Science.gov (United States)

Wyman, Megan T; Rivers, Pearl R; Muller, Coline; Toni, Pauline; Manser, Marta B

2017-06-01

In animals, signaling behavior is often context-dependent, with variation in the probability of emitting certain signals dependent on fitness advantages. Senders may adjust signaling rate depending on receiver identity, presence of audiences, or noise masking the signal, all of which can affect the benefits and costs of signal production. In the cooperative breeding meerkat Suricata suricatta , group members emit soft contact calls, termed as "close calls", while foraging in order to maintain group cohesion. Here, we investigated how the close calling rate during foraging was affected by the presence of pups, that produce continuous, noisy begging calls as they follow older group members. Adults decreased their overall close call rate substantially when pups were foraging with the group in comparison to periods when no pups were present. We suggest this decrease was likely due to a masking effect of the loud begging calls, which makes the close call function of maintaining group cohesion partly redundant as the centrally located begging calls can be used instead to maintain cohesion. There was some support that adults use close calls strategically to attract specific pups based on fitness advantages, that is, as the philopatric sex, females should call more than males and more to female pups than male pups. Dominant females called more than dominant males when a pup was in close proximity, while subordinates showed no sex-based differences. The sex of the nearest pup did not affect the calling rate of adults. The study shows that meerkats modify their close call production depending on benefits gained from calling and provides an example of the flexible use of one calling system in the presence of another, here contact calls versus begging calls, within the same species.

Fostering cooperative activism through critical design

DEFF Research Database (Denmark)

Menendez Blanco, Maria; Bjørn, Pernille; De Angeli, Antonella

2017-01-01

Critical design is gaining momentum in interaction design, yet little CSCW research has focused on articulating the cooperative potentials of critical design artefacts. We address this gap by reflecting upon a design project aimed at overturning the prevailing narrative regarding dyslexia in Italy....... The adversarial propositions embedded in our critical design artefacts challenged the description of dyslexia as a learning disorder putting forward the view of a learning difference. These artefacts demonstrated their capacity to bridge heterogeneous social worlds (those of teachers, children, and parents......) into one cooperative entity and mobilise cooperative activism. The contribution to CSCW is two-fold. Firstly, we introduce the cooperative potentials of critical design artefacts; secondly, we propose critical design as a strategy for researchers engaging with cooperative activism....