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1

Stauch, G., K. W. Schweppe, and K. Kayser. "Diagnostic Errors in Interactive Telepathology." Analytical Cellular Pathology 21, no. 3-4 (2000): 201–6. http://dx.doi.org/10.1155/2000/154031.

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Telepathology (TP) as a service in pathology at a distance is now widely used. It is integrated in the daily workflow of numerous pathologists. Meanwhile, in Germany 15 departments of pathology are using the telepathology technique for frozen section service; however, a common recognised quality standard in diagnostic accuracy is still missing. In a first step, the working group Aurich uses a TP system for frozen section service in order to analyse the frequency and sources of errors in TP frozen section diagnoses for evaluating the quality of frozen section slides, the important components of image quality and their influences an diagnostic accuracy. The authors point to the necessity of an optimal training program for all participants in this service in order to reduce the risk of diagnostic errors. In addition, there is need for optimal cooperation of all partners involved in TP service.
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Chen, Pingjun, Xiaoshuang Shi, Yun Liang, Yuan Li, Lin Yang, and Paul D. Gader. "Interactive thyroid whole slide image diagnostic system using deep representation." Computer Methods and Programs in Biomedicine 195 (October 2020): 105630. http://dx.doi.org/10.1016/j.cmpb.2020.105630.

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Su, Sophia, Kevin Baird, and Herb Schoch. "Management control systems." Journal of Accounting & Organizational Change 13, no. 1 (March 6, 2017): 2–24. http://dx.doi.org/10.1108/jaoc-03-2015-0032.

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Purpose This paper aims to examine the association between the interactive and diagnostic approaches to using controls and Miller and Friesen’s (1984) organizational life cycle (OLC) stages (birth, growth, maturity, revival). Design/methodology/approach Data were collected from a random sample of 343 general managers in Australian manufacturing organizations. Findings The results indicate that both approaches are used to a greater extent in the growth and revival stages than the birth and maturity stages, whereas the interactive and diagnostic approaches are used to a similar extent in each of the four OLC stages. Research limitations/implications This study contributes to the management control system literature by examining the use of the interactive and diagnostic approaches from an OLC perspective. The findings highlight that the complementary nature of the interactive and diagnostic approaches applies in each OLC stages, and suggest that similar attention should be placed on the use of both the interactive and diagnostic approaches in each OLC stage. Practical implications The study provides managers with an insight into the prevalence of the use of interactive and diagnostic approaches across the birth, growth, maturity and revival stages. Originality/value This study contributes to the management control system literature by adopting the configuration approach to examine how multiple contingent variables simultaneously affect the approach to using controls. Specifically, this study examines how organizations adjust their emphasis on Simons’ (1995) interactive and diagnostic approaches to using controls as they move across different development stages. These development stages were labelled as OLC stages and are determined based on the simultaneous consideration of multiple contingent factors.
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Rushinek, Avi, and Sara F. Rushinek. "INTERACTIVE DIAGNOSTIC SYSTEM FOR INSURANCE SOFTWARE: AN EXPERT SYSTEM USING ARTIFICIAL INTELLIGENCE (ESAI)." Cybernetics and Systems 18, no. 3 (January 1987): 203–19. http://dx.doi.org/10.1080/01969728708902137.

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Sulistyani, Lilis, Imam Ghozali, and Jaka Isgiyarta. "Organizational control and performance: An empirical study of financial institutions." Corporate Ownership and Control 14, no. 3 (2017): 51–63. http://dx.doi.org/10.22495/cocv14i3art6.

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The aim of this research was to examine the effect of diagnostic control system and interactive control system on organizational performance with organizational capability as intervening variable. Resource-based view theory was used for underlying the association between the variables. The respondents were 84 Financial Institutions in Indonesia. The data were analyzed using Structural Equation Model with Warp PLS 3.0. The results show that the diagnostic control system has positive significant effect on organizational capability but no significant effect on organizational performance. Interactive control system is proven to have positive significant effect on organizational capability and organizational performance. Organizational capability is proven not to mediate the association between diagnostic control system and organizational performance, but it mediates partially the association between interactive control system and organizational performance partially.
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Mura, Matteo, Pietro Micheli, and Mariolina Longo. "The effects of performance measurement system uses on organizational ambidexterity and firm performance." International Journal of Operations & Production Management 41, no. 13 (October 8, 2021): 127–51. http://dx.doi.org/10.1108/ijopm-02-2021-0101.

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PurposeThis study aims to investigate how dynamic tensions between performance measurement system (PMS) uses enable organizations to achieve both exploitation and exploration and enhance firm performance.Design/methodology/approachThe authors collected survey data on 153 Italian companies. Scales for each construct were validated through an exploratory factor analysis. Data on firm performance were cross-validated by using lagged accounting data. The authors tested our hypotheses using hierarchical ordinary least squares regressions, together with bootstrapping procedures for the test on mediation.FindingsA diagnostic use of PMS has a positive association with both exploitation – e.g. reductions in total costs and lead times – and exploration, e.g. introduction of new products and extension of product ranges. The dynamic tension created by a joint diagnostic and interactive use has the strongest association with organizational ambidexterity, measured as the multiplicative interaction between exploration and exploitation.Practical implicationsIf an organization or business unit is mainly pursuing exploitative goals, a mainly diagnostic use of PMS would be most suitable. If goals are both exploitative and explorative, a mix of diagnostic and interactive uses would be most effective.Originality/valueThis research helps reconcile conflicting views in the literature. The diagnostic use of PMS, far from acting as a “negative force,” appears to be necessary to guide opportunity search and to establish an appropriate scope for exploration-related activities. The authors’ focus on the uses of PMSs shows that ambidexterity is achieved through managerial capability, rather than just through the introduction of systems and structures.
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Espindola, Andres S., and Kitty F. Cardwell. "Microbe Finder (MiFi®): Implementation of an Interactive Pathogen Detection Tool in Metagenomic Sequence Data." Plants 10, no. 2 (January 28, 2021): 250. http://dx.doi.org/10.3390/plants10020250.

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Agricultural high throughput diagnostics need to be fast, accurate and have multiplexing capacity. Metagenomic sequencing is being widely evaluated for plant and animal diagnostics. Bioinformatic analysis of metagenomic sequence data has been a bottleneck for diagnostic analysis due to the size of the data files. Most available tools for analyzing high-throughput sequencing (HTS) data require that the user have computer coding skills and access to high-performance computing. To overcome constraints to most sequencing-based diagnostic pipelines today, we have developed Microbe Finder (MiFi®). MiFi® is a web application for quick detection and identification of known pathogen species/strains in raw, unassembled HTS metagenomic data. HTS-based diagnostic tools developed through MiFi® must pass rigorous validation, which is outlined in this manuscript. MiFi® allows researchers to collaborate in the development and validation of HTS-based diagnostic assays using MiProbe™, a platform used for developing pathogen-specific e-probes. Validated e-probes are made available to diagnosticians through MiDetect™. Here we describe the e-probe development, curation and validation process of MiFi® using grapevine pathogens as a model system. MiFi® can be used with any pathosystem and HTS platform after e-probes have been validated.
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Chen, Clara Xiaoling, Jeremy B. Lill, and Thomas W. Vance. "Management Control System Design and Employees' Autonomous Motivation." Journal of Management Accounting Research 32, no. 3 (December 11, 2019): 71–91. http://dx.doi.org/10.2308/jmar-17-068.

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ABSTRACT Using an online survey of 468 U.S. employees from diverse industries and professions, we provide empirical evidence that management control system design choices can affect autonomous motivation in employees. Drawing on self-determination theory and the levers of control framework, we predict and find that employee autonomous motivation is positively associated with the use of beliefs control systems and interactive control systems and negatively associated with the use of diagnostic control systems. Moreover, we find that the joint use of diagnostic and interactive controls is positively associated with autonomous motivation. We also find a positive association between employees' autonomous motivation and individual self-reported effort, job performance, and creativity. Additional analyses examine the sources of motivation behind these results, focusing on identified motivation. The theory and results of our study provide a potential explanation for the recent trend in practice of organizations increasingly emphasizing their values and higher purposes. Data Availability: Data are available upon request.
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Orlando, G., P. Marandola, R. Macchi, E. Cremaschi, A. Trinchieri, and A. Speroni. "Interactive multimediality system on personal computer for teaching in urology." Urologia Journal 59, no. 1_suppl (January 1992): 99–101. http://dx.doi.org/10.1177/039156039205901s32.

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The multimediality systems are specifically informatics procedures. These allow the contemporary presentation and the active interaction on the monitor of a personal computer of texts, dias, videomovies, animations. Our study presents an interactive-multimediality system for the training of the urologist in medical school. The object of the development at this moment is the presentation and illustration of the urethrocystoscopic procedure. The graphic interface allows the user the choice of modality, e.g. text, animation, videomovie or dia; the user “clicks” on the icon and the system starts; the modality can be changed at any time to have a better visualization of the problem. The user can choose to read or hear the text. The development of the system will be a complete teaching media for endourologic diagnostic and therapeutic methods. In the future the virtual reality will be very interesting: the student will be able to read, see and verify the pathologies and the therapeutic methods on the computer before real application on the human body.
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Fauzi, Hasan, and Kamil M. Idris. "The Effect of Contextual Variables in the Relationship between CSR and CFP: Evidence from Indonesian Companies." Issues In Social And Environmental Accounting 4, no. 1 (June 30, 2010): 40. http://dx.doi.org/10.22164/isea.v4i1.46.

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The objectives of this study is to investigate whether business environment, business strategy, formalization, decentralization, reliance on combination of belief &amp; boundary system, reliance on combination of diagnostic &amp; interactive control system, reliance on interactive control system moderate the relationship between CSR and CFP under the slack resource and good management theories. 220 respondents from manufacturing companies listed on the Jakarta Stock Exchange were selected and two regression models were developed to examine the relationship between the related variables. The findings show that business environment has moderated the CSR-CFP link under good management theory, decentralization has moderated the CSR-CFP link under slack resource theory, and reliance on combination of diagnostic and interactive control system has moderated the CSR and CFP link based on slack resource theory.<br /><br /><br /><br />
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Muhammad Dahlan. "The Effect of Management Control Systems on Employee Performance: Communication Skill as a Moderating Variable." Asia Proceedings of Social Sciences 7, no. 1 (January 31, 2021): 18–25. http://dx.doi.org/10.31580/apss.v7i1.1735.

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This study examines the effect of management control systems (MCS) on performance, communication skill as a moderating variable. We had distributed questionnaire to collect data of 42 institution of public services, that are population were draw in West Java, Indonesia period of June – November, 2019. The names of 140 middle-level managers random was used their perception what cause and effect strategic use of management control systems implementation to subordinate level and their employees working departmental and that gained of 71 usable responses for final data. The analysis indicated that MCS namely are diagnostic control and interactive control has a direct and positively effect on employee performance, and that communication skill has a moderate effect on the relationship between diagnostic control system and performance. Interactive control did not as a moderating variable, still on that interacting have been extent to which of intensively communicate in the organizational context, but diagnostic control namely periodically to communicate between top management and subordinate level. We also find that use of MCS package, while employees themselves participate in their own departmental performance measures will improve performance were put to use. The West Java Institution is join approach of strategic use between DCS and ICS for subordinate level, that are encourages for employee motivations and performance.
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Tallian, T. E. "A Computerized Expert System for Tribological Failure Diagnosis." Journal of Tribology 111, no. 2 (April 1, 1989): 238–44. http://dx.doi.org/10.1115/1.3261896.

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A micro-computer supported, rule-based expert system for failure diagnosis of tribo-components is described. Included is a brief review of AI tools and system organization methods used. The system, as implemented, encompasses: (a) observation of the machine or device containing the tribo-components; (b) identification of component failure modes by visual appearance comparison with photographic standards, and (c) reverse-engineering of the component selection for the application. Not implemented, but defined are: laboratory and advanced analytic diagnostic methods. The system consists of interactive screen-dialogs, augmented by engineering computation routines and followed by the generation of formatted diagnostic and corrective action reports.
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Oates, M. Elizabeth, and Michael A. Brooks. "Retooling Nuclear Medicine Education in Diagnostic Radiology: Interactive Strategies Using Audience Response System Technology." Journal of the American College of Radiology 10, no. 9 (September 2013): 715–17. http://dx.doi.org/10.1016/j.jacr.2013.02.025.

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Ruiter, Henk, Frank De Feijter, and Koos Wagensveld. "Management Control and Business Model Innovation in the Context of a Circular Economy in the Dutch Construction Industry." Sustainability 14, no. 1 (December 30, 2021): 366. http://dx.doi.org/10.3390/su14010366.

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This study explores how different forms of management control support and enable business model innovation in the context of the principles of the circular economy. Following a qualitative research approach, empirical data is collected from construction companies and governmental organizations in the Netherlands. Building on Simons’ four levers of control. This paper illustrates how to balance the intended and emergent strategies via the organization’s management control system. According to Simons, the four levers encompass the beliefs systems, the interactive control systems, the diagnostic control systems, and the boundary controls. The empirical findings uncover the beliefs systems and the interactive control systems to be the most relevant levers that enable and drive business model innovation striving for the effective use of materials. Rather than measuring the output with predefined performance indicators, business model innovation in this context is better served by diagnostic controls which evaluate how innovative business models contribute to the organization’s mission.
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Motorina, L. E., and G. V. Cherniaeva. "Psychological virtual reality in a computer interactive environment." Social Psychology and Society 11, no. 1 (2020): 8–26. http://dx.doi.org/10.17759/sps.2020110102.

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Objectives: analysis of the correlation between concepts “cyberspace”, “computer virtual reality”, “computer interactive environment”, “interactive experience”; wording of the author’s definition of the term “psychological virtual reality”; identification of its functions and features. Background. Computer interactive environments are becoming the main platforms for the professional and personal self-realization of a modern person, the social activity of youth is shifting to the Internet space, models and forms of interpersonal interaction and communication are changing, new psychological constructs are formed that reflect virtual world and provide interaction with it. Psychological virtual reality acts as an intermediary between a person as a personality and a computer interactive environment as a form of cyberspace representation in modern human life, and the psychological constructs generated in it determine the formation of new socio-psychological behavior patterns. Methodology: systemic and subjective approaches, comparative analysis method. Conclusions. The creation of computer interactive environments has opened a new stage in the formation of a new interactive human experience as a system of information technology and socio-psychological competencies. There is a need for a systematic study of the conceptual-categorical apparatus that is used to describe computer interactive environments. Psychological virtual reality is a component of computer interactive environment, performing number of important functions of optimizing human interaction with computer environment. The analysis of the "man—computer environment" system gives reason to distinguish between nine basic psychotypes of social subjects which are participants of virtual reality. The typology developed in the article can be recommended for use as a methodological basis in the development of socio-psychological diagnostic tools, in the practice of socio-psychological counseling and social work.
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Adorni, Elisa, and Carlo Blasi. "Masonry Analysis Interpretation and Data Archive System." Advanced Materials Research 133-134 (October 2010): 485–89. http://dx.doi.org/10.4028/www.scientific.net/amr.133-134.485.

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Diagnostic analysis, required to characterize materials and mechanical parameters of ancient masonry, needs a systematic collection and a careful reading of data results, as well as the cross-check of results of the different samples collected. This work assumes that diagnostic is part of the knowledge phase of existing buildings: knowledge level is fundamental to evaluate the state of conservation, as prescribed also in italian Technical Standards for Construction (2008). This paper describe some characteristics of a database system, M.A.I.D.A - Masonry Analysis Interpretation and Data Archive, performed to contain diagnostic analysis results of traditional materials and constituted by interactive analysis cards. Cards nomenclature and method follow UNI Normal rules for the construction materials: stones, bricks, mortars. Some tests on M.A.I.D.A system were carried out in a cooperation project between University of Parma and University of Rome ‘La Sapienza’. The project comprehends analysis of the Carolingian masonry and mortars from some buildings in Rome: SS. Quattro Coronati ecclesiastic complex, S. Francesca Romana Church and a Carolingian part of the Aurelian Walls in Rome. In order to enforce the data archives and to share the results M.A.I.D.A system will be put in a internet server.
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Nicolas, Carolina, Javiera Müller, and Francisco-Javier Arroyo-Cañada. "A Fuzzy Inference System for Management Control Tools." Mathematics 9, no. 17 (September 2, 2021): 2145. http://dx.doi.org/10.3390/math9172145.

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Despite the importance of the role of small and medium enterprises (SMEs) in developing and growing economies, little is known regarding the use of management control tools in them. In management control in SMEs, a holistic system needs to be modeled to enable a careful study of how each lever (belief systems, boundary systems, interactive control systems, and diagnostic control systems) affects the organizational performance of SMEs. In this article, a fuzzy logic approach is proposed for the decision-making system in management control in small and medium enterprises. C. Mamdani fuzzy inference system (MFIS) was applied as a decision-making technique to explore the influence of the use of management control tools on the organizational performance of SMEs. Perceptions data analysis is obtained through empirical research.
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Beuren, Ilse Maria, Guilherme Eduardo de Souza, and Daniele Cristina Bernd. "Effects of budget system use on innovation performance." European Journal of Innovation Management 24, no. 1 (December 2, 2019): 109–29. http://dx.doi.org/10.1108/ejim-06-2019-0166.

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Purpose The purpose of this paper is to analyze the effects of the budget system use on innovation performance concerning products and processes in Brazilian companies. Design/methodology/approach A survey was conducted in companies with economic activities addressed by the Brazilian Industrial Research of Technological Innovation carried out by the Brazilian Institute for Geography and Statistics, which provided 111 valid answers. The structural equation modeling was used to test the hypotheses. Findings The results indicate that considering the budget use with control (diagnostic) characteristics as a mechanism able to elide the benefits of innovation does not find support because no negative effect may be detected in the moderation tests. On the other hand, the belief that budget use with (interactive) planning characteristics might potentiate the effects of innovation on performance has also not been confirmed, i.e. rather flexible budget use types, which could be aligned with the elasticity required by creative processes, do not seem to have the positive effect advocated in the literature. Research limitations/implications The sample did not allow a detailed analysis of other contextual characteristics that could evidence heterogeneity. The size difference between companies, based on the number of employees rather than the volume of innovation investments, may have affected the results. Originality/value The results show there is no moderation in the relation between technological innovation and performance, both by using interactive budget and diagnostic budget.
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Karas, S. I., S. O. Kolganov, S. B. Kochetkov, E. V. Grakova, M. V. Balakhonova, V. V. Datsyuk, G. K. Nozdrin, et al. "Development of computer-based methodology for remote advanced training of medical doctors." Siberian Journal of Clinical and Experimental Medicine 35, no. 4 (December 25, 2020): 150–60. http://dx.doi.org/10.29001/2073-8552-2020-35-4-150-160.

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Aim. To formulate the methodology for developing the interactive virtual computer simulations with a rating assessment of trainees’ decisions and the capability of remote access.Material and Methods. The methods of knowledge engineering were used to extract and formalize expert knowledge about the structure, significance, and relevance of clinical diagnostic information. The materials for creating virtual computer simulations were based on texts from the archival medical records, laboratory data, and multimedia results of instrumental methods of study. A three-tier network architecture was applied to provide the capabilities of remote access. It was organizationally represented by three components: a client layer, a business logic layer, and a data layer. Data transfer was provided by the Web protocols while microservices represented the infrastructure.Results. The information was formalized and structured after expert analysis and identification of significant diagnostic and prognostic data. The process included defining the domain model, identifying the aggregates and connections between them, and designing software and user interfaces. Possible solutions for trainees are now presented in the form of interactive reference lists. The artifacts of the user’s work are saved in the storage represented by the module for working with the server file system and the object-relational database management system. Each task module contains static and interactive blocks of information. The purpose of static blocks is to provide trainees with the necessary information for making clinical and diagnostic decisions. The interactive blocks allow selecting one or more solutions from the list. The content and sequence of further information presentation are determined by the trainees’ answers to the questions of an interactive block. Trainees’ decision-making competencies are evaluated using the rating system. The final personal rating is calculated as a multiplication of all coefficients related to the trainees’ decisions. This approach integrates a rating system with the trajectory chosen by the trainee for task completion.Conclusions. The distance learning technologies, developed for clinical disciplines in this study, are quite new and innovative. The repository of virtual computer simulations is under development to improve the methodological support of remote clinical training.
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Hernando, Riski, Eko Prasetyo, and Rezi Abdurrahman. "Pengaruh gaya kepemimpinan struktur inisiasi, subjektif diagnostik, subjektif interaktif terhadap keadilan evaluasi." Jurnal Kajian Manajemen Bisnis 9, no. 2 (December 2, 2020): 56. http://dx.doi.org/10.24036/jkmb.10988800.

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Abstract: This study aims to examine the effect of initiation structure leadership on evaluation fairness. This study also examines the mediation of subjective diagnostic and subjective interactive on the relationship between initiation structure leadership and evaluation fairness. The population and sample this study use subordinates in service, merchandising and manufacturing business. Data were collected using a questionnaire with hand delivery system technique and processed using structural equation modeling with WarpPLS 3.0 software. The results of this study indicate that initiation structure leadership influences evaluation fairness. However, mediation variable do not support the hypotheses in this study.Keyword: Evaluation Fairness, Initiation Structure Leadership, Subjective Diagnostic, Subjective Interactive
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Bennett, Randy Elliot, and J. R. Jefferson Wadkins. "Interactive Performance Assessment in Computer Science: The Advanced Placement Computer Science (APCS) Practice System." Journal of Educational Computing Research 12, no. 4 (June 1995): 363–78. http://dx.doi.org/10.2190/5wqa-jb0j-1cm5-4h50.

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The Advanced Placement Computer Science (APCS) Practice System is an instructional assessment device meant to give students practice in, and feedback on, elementary programming tasks. The system includes a programming editor, item pool, two feedback facilities, and electronic portfolio tools. Students write Pascal procedures using the editor, test them with system-generated data, and, for selected problems, can call for a nonsyntactic analysis that produces a partial-credit score and a diagnostic commentary. Results of solution testing and nonsyntactic analysis are recorded by the portfolio tools. This article describes the system's background, instructional model, feedback facilities, and potential uses.
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Ngonadi, Ifeoma V., Daniel K. Akinbusoye, and Jesurukome Ovuokerie. "SIMULATING A REAL TIME INTERACTIVE TELEMEDICINE IN A TYPICAL NIGERIAN HOSPITAL." International Research Journal of Computer Science 8, no. 5 (May 30, 2021): 117–24. http://dx.doi.org/10.26562/irjcs.2021.v0805.003.

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Telemedicine involves the provision of health care and sharing of medical knowledge using telecommunications technologies. Diagnostic, patient education health can be provided via telemedicine. Due to the shortage of medical experts, hospitals coupled with geographic isolation and lack of opportunities, delay in the system, and cost of transportation, it important to develop a robust system that will improve and change the present state of health care and delivery services. In this research work, interactive service telemedicine is designed to provide tools for overcoming the unequal distribution of health care. The proposed system also provides opportunities for patients to gain easy access to medical personnel. The methodology used for this research work is the Dynamic System Development Method (DSDM). As a result of this research medical personnel, have real homes. Telemedicine is the future of health care.
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Frare, Anderson Betti, Vagner Horz, Alexandre Costa Quintana, and Ana Paula Capuano da Cruz. "Antecedentes do Sistema de Controle Gerencial em Cooperativas de Crédito da Região Sul do Brasil." Contabilidade Gestão e Governança 24, no. 1 (April 26, 2021): 109. http://dx.doi.org/10.51341/1984-3925_2021v24n1a7.

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Objective: Considering the turbulent economic environment as well as the peculiarities of the operations conducted by cooperative entities, this study sought to analyze the connections between strategic risks and uncertainties and the use of the Management Control System (MCS) by credit cooperatives in Brazil’s South region.Method: This is a quantitative study, conducted as a survey with a sample of 57 credit cooperatives. The data was analyzed through Structural equation modeling, with partial least square estimation on SmartPLS 3.0 software. The strategic risk and strategic uncertainty constructs were analyzed in relation to their connection with Simons’ Levers of Control (1995), which contemplates the beliefs and boundary controls and interactive and diagnostic control systems. Furthermore, the connections between the four Levers of Control are also analyzed.Originality/Relevance: The study covers the antecedents (strategic risks and uncertainties) of MCS use, contemplating different compositions of type and class in credit cooperatives, taking previous studies into consideration, as well as covering a singular and pertinent region in the context of Brazilian credit cooperatives.Results: Strategic risk is not associated with the use of the Management Control System. Strategic uncertainty was proven to be the element that receives the most importance from managers in the process of using the four Levers of Control. Regarding the beliefs system construct, its importance is positively linked to the interactive control system, as also occurs with the connection between the interactive control system and the diagnostic control system.Theoretical/Methodological contributions: The study demonstrates the pertinence of the Levers of Control for credit cooperatives, inserted in the context of strategic risks and uncertainties.Social/management contributions: The findings bring about relevant contributions by proving that the balanced use of the four Levers of Control is relevant for promoting the strategic renovation of credit cooperatives, especially regarding strategic uncertainty.
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Zhang, Qiuyue, Xiao Zheng, and Xiujun Wang. "An Efficient Online Multiparty Interactive Medical Prediagnosis Scheme with Privacy Protection." Wireless Communications and Mobile Computing 2021 (December 15, 2021): 1–13. http://dx.doi.org/10.1155/2021/7746286.

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Medical prediagnosis systems are now available online to give users quick and preliminary diagnosis information. The need for such a system has become particularly evident in areas with insufficient health professionals. Due to the privacy of patient medical information and the sensitivity of cloud diagnosis models, it is necessary to protect the security of data, models, and communications. These existing diagnosis systems can hardly provide a satisfied diagnosis accuracy while ensuring comprehensive security and high efficiency. In order to solve these problems, we proposed Relief- k minimum Wasserstein distance (Relief- k MW) classification method, which combined data encryption and BLS signature to form a privacy-preserving efficient online multiparty interactive medical prediagnostic scheme (OMPD). Theoretical analysis shows our OMPD effectively provides high-precision prediagnosis services. Extensive experimental results demonstrate that OMPD not only greatly improves the diagnostic accuracy but also reduces the computational and communication overhead.
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Farahani, Navid, Zheng Liu, Dylan Jutt, and Jeffrey L. Fine. "Pathologists' Computer-Assisted Diagnosis: A Mock-up of a Prototype Information System to Facilitate Automation of Pathology Sign-out." Archives of Pathology & Laboratory Medicine 141, no. 10 (July 7, 2017): 1413–20. http://dx.doi.org/10.5858/arpa.2016-0214-oa.

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Context.— Pathologists' computer-assisted diagnosis (pCAD) is a proposed framework for alleviating challenges through the automation of their routine sign-out work. Currently, hypothetical pCAD is based on a triad of advanced image analysis, deep integration with heterogeneous information systems, and a concrete understanding of traditional pathology workflow. Prototyping is an established method for designing complex new computer systems such as pCAD. Objective.— To describe, in detail, a prototype of pCAD for the sign-out of a breast cancer specimen. Design.— Deidentified glass slides and data from breast cancer specimens were used. Slides were digitized into whole-slide images with an Aperio ScanScope XT, and screen captures were created by using vendor-provided software. The advanced workflow prototype was constructed by using PowerPoint software. Results.— We modeled an interactive, computer-assisted workflow: pCAD previews whole-slide images in the context of integrated, disparate data and predefined diagnostic tasks and subtasks. Relevant regions of interest (ROIs) would be automatically identified and triaged by the computer. A pathologist's sign-out work would consist of an interactive review of important ROIs, driven by required diagnostic tasks. The interactive session would generate a pathology report automatically. Conclusions.— Using animations and real ROIs, the pCAD prototype demonstrates the hypothetical sign-out in a stepwise fashion, illustrating various interactions and explaining how steps can be automated. The file is publicly available and should be widely compatible. This mock-up is intended to spur discussion and to help usher in the next era of digitization for pathologists by providing desperately needed and long-awaited automation.
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Sriwidadi, Teguh. "INTEGRASI METODE BALANCED SCORECARD DAN SISTEM MANAJEMEN PENGENDALIAN." Binus Business Review 3, no. 2 (November 30, 2012): 862. http://dx.doi.org/10.21512/bbr.v3i2.1269.

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This article discusses sales force performance measurement at PT Merapi Utama Pharma and integrates performance measurement and management control system. The balanced scorecard (BSC) is a strategic planning and management system that is used extensively in business and industry, government, and nonprofit organizations worldwide to align business activities to the vision and strategy of the organization, improve internal and external communications, and monitor organization performance against strategic goals. The balanced scorecard suggests that we view the organization from four perspectives : the learning and growth perspective, the internal business processes perspective, the customer perspective, and the financial perspective.The management control system used is levers of control framework, included beliefs control system, boundary control system, diagnostic control system, and interactive control systems.
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Cools, Martine, Kristof Stouthuysen, and Alexandra Van den Abbeele. "Management Control for Stimulating Different Types of Creativity: The Role of Budgets." Journal of Management Accounting Research 29, no. 3 (May 1, 2017): 1–21. http://dx.doi.org/10.2308/jmar-51789.

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ABSTRACT In this paper, we examine the role of budgets as a central instrument within the management control system (MCS) in a creative context. In particular we investigate whether creative firms characterized by different kinds of creativity use their budgets in a similar way. We hereby distinguish between expected creativity (for open, self-discovered problems) and responsive creativity (for closed, presented problems) (Unsworth 2001) and investigate the interactive versus diagnostic use of budgets (Simons 1990, 1991, 1995). Based on a comparative study involving four creative firms, we find that creative firms, being mainly characterized by expected creativity, use their budgets in a more interactive way. In creative firms in which responsive creativity is most important, the budgets are used in a rather diagnostic way. This study contributes to the management control literature by acknowledging that a diagnostic use of budgets does not per se stifle creativity. Instead, it is important to understand that the specific creative context might have implications for the way in which MCS instruments are used to sustain the creative process.
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Adhitama, Satria, and Dwi Rahma Ramadani Aulia. "ANALISIS PENERAPAN SISTEM PENGENDALIAN MANAJEMEN DENGAN MODEL FOUR LEVERS OF CONTROL DI PUSAT PENDIDIKAN DAN PELATIHAN BEA DAN CUKAI." INFO ARTHA 1, no. 1 (July 24, 2017): 35–46. http://dx.doi.org/10.31092/jia.v1i1.16.

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Dalam menghadapi kondisi organisasi yang semakin berkembang dan penuh tantangan, dibutuhkan suatu model sistem pengendalian yang dapat memastikan organisasi tetap terkontrol namun tidak membatasi kebebasan pegawai dalam berinovasi dan berkreasi. Penelitian ini melihat bagaimana penerapan sistem pengendalian manajemen di organisasi pemerintah. Tujuan dari penelitian ini adalah untuk mengetahui dan mendeskripsikan penerapan sistem pengendalian manajemen dengan model four levers of control di Pusdiklat Bea dan Cukai. Konsep yang digunakan dalam penelitian ini adalah konsep four levers of control. Penelitian ini menggunakan paradigma konstruktivis dengan pendekatan kualitatif. Sedangkan metode pengumpulan data dilakukan dengan studi kepustakaan, teknik wawancara semi terstruktur dan analisis dokumen. Berdasarkan hasil penelitian yang telah dilakukan maka terlihat bahwa Pusdiklat Bea dan Cukai menerapkan four levers of control secara alami berupa belief system yang mencakup pernyataan visi-misi dan nilai-nilai pedoman organisasi, boundary system berupa business conduct boundaries dan strategic boundaries, diagnostic control system berupa planning system, budgeting dan pengukuran kinerja berbasis balance score card serta interactive control system berupa pembukaan forum diskusi oleh pimpinan tertinggi. Peneliti masih menemukan kekurangan dalam penerapan belief system berupa kurang efektifnya metode penyampaian belief system, masih kurangnya sosialisasi atas boundary system, kelemahan dalam diagnostic control system berupa lemahnya koordinasi terkait anggaran, serta penetapan target kinerja pelaksana yang mudah dicapai dan kemungkinan pengukuran variabel yang salah. Masih adanya lower management yang tidak membuka komunikasi interaktif dengan bawahan menjadi satu kelemahan dalam interactive control system di Pusdiklat Bea dan Cukai.
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Teslow, T. N., R. A. Gilbert, W. H. Grant, S. Y. Woo, E. B. Butler, and J. H. Liem. "A Teleradiology Case Conference System." Journal of Telemedicine and Telecare 1, no. 2 (June 1995): 95–99. http://dx.doi.org/10.1177/1357633x9500100205.

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To investigate the use of teleradiology in the quality assurance programme of a multicentre radiotherapy practice, we installed image acquisition and display workstations at each of two affiliated radiation oncology clinics. A commercial diagnostic teleradiology system was successfully modified to suit the requirements of the radiotherapy subspecialty. The system allowed intersite transmission of images, access to high-resolution images from each site and, by use of laser film scanners, made accessible all types of radiation therapy image. Transmission speed and storage capacity were better than expected. Using the system, radiation oncology residents and staff reviewed 83 complex cases over eight months. Case presentation and discussion were enhanced. In the same period, 276 cases were reviewed by conference in person. Case conferences for quality assurance conducted with the teleradiology system influenced changes in treatment planning as effectively as those conducted in person. Equivalent treatment outcomes were produced. The teleradiology system facilitated quality assurance through review of patients' radiation treatments by allowing natural interactive consultation.
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Karas, S. I., E. V. Grakova, M. V. Balakhonova, M. B. Arzhanik, and E. E. Kara-Sal. "Distance learning in cardiology: the use of multimedia clinical diagnostic tasks." Russian Journal of Cardiology 25, no. 10 (November 18, 2020): 4116. http://dx.doi.org/10.15829/1560-4071-2020-4116.

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Aim. To create a methodological base for distance learning of cardiology healthcare professionals — multimedia clinical diagnostic tasks.Material and methods. The interdisciplinary team used text and multimedia formats for clinical diagnostic data. Web technologies provided remote access to information located on the server.Results. The report presents the experience of the practical implementation of multimedia clinical diagnostic tasks in cardiology, including the augmented reality. The variability of presenting information to students is implemented in the multimedia clinical diagnostic tasks, which is integrated with the rating system for evaluating decisions. The solution paths are determined by the actions of the students in the trigger interactive blocks and is evaluated by the rating system. Personal rating is a numerical value that integrally characterizes the decisionmaking competence of students. The conversion of the quantitative rating into the conventional form (‘pass/fail’, ‘excellent’, ‘good’, ‘passing grade’) will be provided after the trial period of the software.Conclusion. The created Web service and computer simulations can become a methodological basis for the distance learning in cardiology. This technology can be in demand in the continuing medical education.
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Derscheid, Rachel J., Michael C. Rahe, Eric R. Burrough, Kent J. Schwartz, and Bailey Arruda. "Disease diagnostic coding to facilitate evidence-based medicine: current and future perspectives." Journal of Veterinary Diagnostic Investigation 33, no. 3 (March 10, 2021): 419–27. http://dx.doi.org/10.1177/1040638721999373.

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Technologic advances in information management have rapidly changed laboratory testing and the practice of veterinary medicine. Timely and strategic sampling, same-day assays, and 24-h access to laboratory results allow for rapid implementation of intervention and treatment protocols. Although agent detection and monitoring systems have progressed, and wider tracking of diseases across veterinary diagnostic laboratories exists, such as by the National Animal Health Laboratory Network (NAHLN), the distinction between detection of agent and manifestation of disease is critical to improved disease management. The implementation of a consistent, intuitive, and useful disease diagnosis coding system, specific for veterinary medicine and applicable to multiple animal species within and between veterinary diagnostic laboratories, is the first phase of disease data aggregation. Feedback loops for continuous improvement that could aggregate existing clinical and laboratory databases to improve the value and applications of diagnostic processes and clinical interventions, with interactive capabilities between clinicians and diagnosticians, and that differentiate disease causation from mere agent detection, remain incomplete. Creating an interface that allows aggregation of existing data from clinicians, including final diagnosis, interventions, or treatments applied, and measures of outcomes, is the second phase. Prototypes for stakeholder cooperation, collaboration, and beta testing of this vision are in development and becoming a reality. We focus here on how such a system is being developed and utilized at the Iowa State University Veterinary Diagnostic Laboratory to facilitate evidence-based medicine and utilize diagnostic coding for continuous improvement of animal health and welfare.
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Fauzi, Hasan, and Azhar Abdul Rahman. "The Role of Control System in Increasing Corporate social Performance: The Use of Levers of Control." Issues In Social And Environmental Accounting 2, no. 1 (June 30, 2008): 131. http://dx.doi.org/10.22164/isea.v2i1.28.

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One important instrument to be used in the control system design is strategic behaviors that can lead to the expected organization performance. Referring to the extended definition of strategic behavior using stakeholder-based strategic behavior, corporate social performance is kind of strategic behavior to be influenced by using control system. This paper discusses how control system, using Simons‟ levers of control can play important role in increasing the corporate social performance. The interaction between control system, including belief system, boundary system, diagnostic control system, and interactive control system, as well as the corporate financial performance (CFP) can affect the corporate social performance (CSP) due to fact that increase in CFP resulting from the appropriate use of control system components enables the company has more chance to do the CSP. The levers of control are deemed to form an integral part of employee socialization and support the development of an organization‟s culture, the system of shared beliefs, values, norms, and mores of organizational members which are deemed to be a primary determinant of the direction of employee behavior.
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Trishananto, Yudha. "Sistem Pengukuran Kinerja dan Kinerja Pembiayaan bagi Hasil Perbankan Syariah di Indonesia." Muqtasid: Jurnal Ekonomi dan Perbankan Syariah 7, no. 2 (December 1, 2016): 95. http://dx.doi.org/10.18326/muqtasid.v7i2.95-116.

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This study aims to examine the role of Management Control System (MCS),attitude to risk and organizational learning to improve the performance ofprofit and loss of sharing defrayal. MCS concept used in this study is diagnostic, interactive and dynamic performance measurement system (PMS). Performance of defrayal of profit and revenue sharing is operationalized into the quantity and quality of defrayal. This study uses a survey by branches of Islamic banks in Indonesia. A total of 99 questionnaires were returned. It is proven that interactive use of PMS has a positive effect on the attitude towards risk and learning organization. This study shows that the resource-based view further elucidate the role of the PMS improves performance compared with agency theory. Practically, this study demonstrates the role of PMS as a system to control the behavior of managers in improving the performance of Islamic banks profit and loss of sharing defrayal
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Rubtsova, Natalya N., and Elena A. Rudenko. "Interaction between University Teachers and Educational Organizations as a Factor in the Formation of Flexible Skills of a Future Teacher." Volga Region Pedagogical Search 4, no. 38 (2021): 35–42. http://dx.doi.org/10.33065/2307-1052-2021-4-38-35-42.

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Effective interaction between pedagogical universities and employers is a prerequisite for the full development of the system of higher pedagogical education and the pedagogical labor market in Russia. The relevance of the study is due to the need to find ways to implement personalized training for future teachers with the involvement of practitioners in the field of education. The article is devoted to the psychological, pedagogical and methodological issues of the formation of flexible skills of students in the context of interaction between a pedagogical university and educational organizations. Purpose of the study is modeling an interactive personalized environment when training a modern teacher in an educational partnership. The tasks solved by the authors within the framework of the project were to study the ideas of a teacher of a pedagogical university and students about flexible skills, diagnostics of flexible skills, the formation of flexible skills of future teachers in compliance with the principles of personalized learning in cooperation with educational organizations. The result of the work was the creation of a databank of diagnostic procedures to determine the professional deficiencies of future teachers and practitioners in the field of education, the conduct of educational activities in the interaction of university teachers and educational organizations.
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Sujar, Aaron, Graham Kelly, Marcos García, and Franck P. Vidal. "Interactive teaching environment for diagnostic radiography with real-time X-ray simulation and patient positioning." International Journal of Computer Assisted Radiology and Surgery 17, no. 1 (October 13, 2021): 85–95. http://dx.doi.org/10.1007/s11548-021-02499-7.

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Abstract Purpose Traditional undergraduate radiographer training mixes academic lectures and clinical practice. Our goal is to bridge the current disconnection between theory and practice in a safe environment, avoiding the risk of radiation for both practitioners and patients. To this end, this research proposes a new software to teach diagnostic radiography using real-time interactive X-ray simulation and patient positioning. Methods The proposed medical simulator is composed of three main modules. A fast and accurate character animation technique is in charge of simulating the patient positioning phase and adapts their internal anatomy accordingly. gVirtualXRay is an open-source X-ray simulation library and generates the corresponding radiographs in real time. Finally, the courseware allows going through all the diagnostic radiology steps from the patient positioning and the machine configuration to the final image enhancing. Results A face and content validation study has been conducted; 18 radiology professionals were recruited to evaluate our software using a questionnaire. The results show that our tool is realistic in many ways (72% of the participants agreed that the simulations are visually realistic), useful (67%) and suitable (78%) for teaching X-ray radiography. Conclusions The proposed tool allows simulating the most relevant steps of the projectional radiography procedure. The virtual patient posing system and X-ray simulation module execute at interactive rates. These features enable the lectures to show their students the results of good and bad practices in a classroom environment, avoiding radiation risk.
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Krejčí, Denisa, Matěj Karolyi, Lucie Pehalová, Jakub Ščavnický, Michaela Zapletalová, Ivana Katinová, Jaroslav Štěrba, et al. "Development of the Czech Childhood Cancer Information System: Data Analysis and Interactive Visualization." JMIR Public Health and Surveillance 7, no. 6 (June 29, 2021): e23990. http://dx.doi.org/10.2196/23990.

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Background The knowledge of cancer burden in the population, its time trends, and the possibility of international comparison is an important starting point for cancer programs. A reliable interactive tool describing cancer epidemiology in children and adolescents has been nonexistent in the Czech Republic until recently. Objective The goal of this study is to develop a new web portal entitled the Czech Childhood Cancer Information System (CCCIS), which would provide information on childhood cancer epidemiology in the Czech Republic. Methods Data on childhood cancers have been obtained from the Czech National Cancer Registry. These data were validated using the clinical database of childhood cancer patients and subsequently combined with data from the National Register of Hospitalised Patients and with data from death certificates. These validated data were then used to determine the incidence and survival rates of childhood cancer patients aged 0 to 19 years who were diagnosed in the period 1994 to 2016 (N=9435). Data from death certificates were used to monitor long-term mortality trends. The technical solution is based on the robust PHP development Symfony framework, with the PostgreSQL system used to accommodate the data basis. Results The web portal has been available for anyone since November 2019, providing basic information for experts (ie, analyses and publications) on individual diagnostic groups of childhood cancers. It involves an interactive tool for analytical reporting, which provides information on the following basic topics in the form of graphs or tables: incidence, mortality, and overall survival. Feedback was obtained and the accuracy of outputs published on the CCCIS portal was verified using the following methods: the validation of the theoretical background and the user testing. Conclusions We developed software capable of processing data from multiple sources, which is freely available to all users and makes it possible to carry out automated analyses even for users without mathematical background; a simple selection of a topic to be analyzed is required from the user.
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Pujiati, Desi, Misdiyono Misdiyono, and Eko Sri Margianti. "Meta Analysis: Management Control System, Strategy, Company Performance." APTIKOM Journal on Computer Science and Information Technologies 4, no. 3 (November 1, 2019): 96–104. http://dx.doi.org/10.11591/aptikom.j.csit.15.

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This study aims to determine and analyze the influence of management control systems on the strategy and its impact on business unit performance. Management control system uses lever's control approach consisting of belief system, boundary system, diagnostic control system and interactive control system. The influence and impact of the management control system resulted from previous research studies. This research used meta-analysis method. Meta-analysis is the study of a number of research results in similar problems. The unit of analysis in the study are written documents about the research of management control system in the form of journal articles and research reports taken purposively based on their compatibility with the research theme. Data analysis used is quantitative data analysis with percentage and qualitative data analysis for descriptive analysis result data on 25 research related to management control system. Findings of meta-analysis results based on research objectives, research variables used, population / sample of research, data collection techniques and analysis tools show that management control system lever's of control approach can contribute to the achievement of strategy and impact on business unit performance improvement.
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Rushinek, Avi, and Sara F. Rushinek. "Statistical/mathematical software related to computer user satisfaction: an interactive online expert system using diagnostic audit trails through telecommunication networks." International Journal of Mathematical Education in Science and Technology 17, no. 3 (May 1986): 285–303. http://dx.doi.org/10.1080/0020739860170304.

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Chairunisa, Mariyam. "BELIEF SYSTEM, SISTEM PENGENDALIAN DIAGNOSTIK, SISTEM PENGENDALIAN INTERAKTIF, INOVASI, KINERJA ORGANISASI (STUDI PADA PERUSAHAAN MANUFAKTUR DI JAWA BARAT)." Jurnal Profita 12, no. 2 (August 20, 2019): 342. http://dx.doi.org/10.22441/profita.2019.v12.02.012.

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This study aims to examine impact of Management Control System on organizational performance mediated by innovativeness. Contingency and Levers of Control theories are used in this research with data collection and judgment sampling method on manufacturing companies. The data are represented by managers and assistant managers as respondents in West Java Area. The data is collected by post, electronic mail and direct survey from January 27, 2016 to March 2016. Result of this study indicates that management control system consisting belief system and interactive control system have a positive effect and significant on innovativeness and innovativeness ultimately have a positive and significant impact to organizational performance. However, diagnostic control system does not have significant influence to innovativeness. This study solely relies on construct of innovativeness capability.
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Pujiati, Desi, Margianti ., and Misdiyono . "Meta analysis: management control system, strategy, company performance." APTIKOM Journal on Computer Science and Information Technologies 4, no. 3 (January 27, 2020): 96–104. http://dx.doi.org/10.34306/csit.v4i3.97.

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This study aimed at determining and analyzing the meta analysis on journals review of the managementcontrol system, strategy and company performance theme. The management control system used lever's approach ofcontrol consisting of belief system, boundary system, diagnostic control system and interactive control system. Theinfluence and impact of the management control system was resulted from previous research studies. This researchused meta-analysis method. Meta-analysis is the study of a number of research results in similar problems. The unit ofanalysis in the study were written documents about the research of management control system in the form of journalarticles and research reports taken purposively based on their compatibility with the research theme. Data analysisused was quantitative data analysis with percentage and qualitative data analysis for descriptive analysis result dataon 25 research related to management control system. Findings of meta-analysis results based on research objectives,research variables used, population / sample of research, data collection techniques and analysis tools show thatmanagement control system lever's of control approach can contribute to the achievement of strategy and impact onbusiness unit performance improvement.
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Litvinova, Anastasiia, Vadym Pienov, and Hanna Tymchenko. "Diagnostic Tools for Health Status of Physical Education Students." Bulletin of Luhansk Taras Shevchenko National University 2, no. 2 (340) (2021): 28–44. http://dx.doi.org/10.12958/2227-2844-2021-2(340)-2-28-44.

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The article is devoted to the study of the problem of using available diagnostic tools for the health status of students who are engaged in physical education on the basis of a classical university using the LMS Moodle system. The goal of the study is to create diagnostic tools for the health status of the students which are in physical education using available innovative technologies. The study involved 46 students of the Kharkov National University named after V. N. Karazin aged 19-21 years who are engaged in sections of the sport games at the Department of Physical Culture (26 girls and 20 boys). Students performed health diagnostics using an open distance course based on LMS Moodle during the fall semester in the classroom and at home. The analysis of the results using innovative technologies was carried out by agreement and personal will of the participants. To solve the above goal, we set the following tasks: to analyze the available innovative technologies in the higher education system on the basis of a classical university; create an affordable system for diagnosing the health status of students involved in physical education on the basis of a classical university; introduce a system for diagnosing the health status of the students which are in physical education on the basis of a classical university in the educational process of physical education; make recommendations for the correction of the health status of students which are in physical education using available innovative technologies. The work used electronic methods for diagnosing health; methods of index assessment of health status; methods of mathematical statistics. The analysis of available innovative technologies in the higher education system on the basis of the classical university was carried out; an affordable system for diagnosing the health status of the students involved in physical education on the basis of a classical university has been created; a system for diagnosing the health status of students involved in physical education on the basis of a classical university was accomplished into the educational process of physical education; recommendations for the health status correction of the of students involved in physical education using available innovative technologies were selected. The created electronic «Health Passport», that concerns of all components of human health for monitoring the health of a classical university students’, is located in the open distance course «Fundamentals of Health and Rehabilitation», which is an interactive tool for studying the basic components of a healthy lifestyle: state of physical activity, biorhythms, features of daily energy consumption and diet analysis, diagnosis and health monitoring for all comers.
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Eliseeva, E. Yu. "Increasing the self-assessment level of adolescent children through interactive work forms." Vestnik Universiteta, no. 2 (April 5, 2022): 216–22. http://dx.doi.org/10.26425/1816-4277-2022-2-216-222.

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In this article, the author conducts a comprehensive theoretical analysis of the possibilities of using interactive (dialogue) work forms in the context of increasing the self-esteem level of adolescent children. Mainly, the current activity areas of a teacher-psychologist with younger and older adolescents are analysed. The main advantages of the subject-subject work form are formed, as well as the potential opportunities for introducing modern information technologies into the work system on the self-esteem level of adolescents are given. Thus, the theoretical analysis results carried out allow us to note that interactive work forms provide colossal variant directions for the psychological and pedagogical diagnostic implementation and directly corrective activity aspects. Among other things, the key feature of their application is the ability to adapt the dialogue to the personal characteristics of each teenager, which increases the successful communication likelihood and further psychological and pedagogical support organisation.
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Truchaud, Alain, Tanguy Le Neel, Hugues Brochard, Sophie Malvaux, Marine Moyon, and Murielle Cazaubiel. "New tools for laboratory design and management." Clinical Chemistry 43, no. 9 (September 1, 1997): 1709–15. http://dx.doi.org/10.1093/clinchem/43.9.1709.

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Abstract The clinical laboratory is changing from a place of activity based on sample analysis to an in vitro diagnostic network. To convince our team, partners, and administrators, we need new comprehensive tools to define a strategy with limited risk of failure or conflicts. Specific quality goals should be established before choosing automated tools for sample handling, analytical systems, laboratory information systems, communication systems, or advanced technologies. A system approach maps and simplifies the process, based more on a functional study than on classical disciplines. A customer–supplier approach establishes the requirements between partners either inside or outside the laboratory. The quality system must be a management tool, linking samples, tasks, information, and documents. Quantitative simulation modeling explores different automation alternatives and their impact on laboratory workflow. Finally, integration of results in interactive semirealistic simulation tools for laboratory design or reengineering can be used as communications tools to involve laboratory professionals in the change of their practice.
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Jennett, P. A., W. G. Hall, J. E. Morin, and M. Watanabe. "Evaluation of a Distance Consulting Service Based on Interactive Video and Integrated Computerized Technology." Journal of Telemedicine and Telecare 1, no. 2 (June 1995): 69–78. http://dx.doi.org/10.1177/1357633x9500100202.

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Telemedicine equipment was installed at a rural site in Drumheller and at Calgary, 85 miles (136 km) away. It allowed consultation between health-care providers at Drumheller and specialists and subspecialists at the Faculty of Medicine in Calgary. The efficacy of the system in providing more equitable access to health care for persons living in geographically remote sites was evaluated during a 12-month pilot project. Seventy-five encounters were attempted during the study. A total of 55 encounters (42 clinical and 13 non-clinical) were completed. The completed clinical encounters were distributed across a wide spectrum of medical specialties. Users of the system reported favourably on the impact of the telemedicine system on access to health services for rural patients, on diagnostic, investigative and management decisions, on patient and physician travel times, on feelings of professional isolation and educational opportunities and on overall patient health status. The study provides new knowledge and demonstrates the success of the technology in this project. As expected, other problems were raised and addressed in a preliminary manner including: the potential for health-provider education; acquisition and retention of rural physicians; ethical, legal and patient confidentiality issues; minimum acceptable technology; and network management issues.
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Rushinek, Avi, and Sara F. Rushinek. "Computer Assisted Manufacturing Software Related to User Satisfaction: An Interactive Knowledge Based System Using Diagnostic Audit Trails for Planning and Control." Journal of Information and Optimization Sciences 6, no. 3 (January 1985): 265–83. http://dx.doi.org/10.1080/02522667.1985.10698827.

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Rushinek, Avi, and Sara F. Rushinek. "Health and medical software related to computer user satisfaction: an interactive online expert system using diagnostic audit trails through telecommunication networks." Health Policy 4, no. 3 (January 1985): 199–219. http://dx.doi.org/10.1016/0168-8510(85)90035-1.

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Musiek, Frank E., Teri James Bellis, and Gail D. Chermak. "Nonmodularity of the Central Auditory Nervous System." American Journal of Audiology 14, no. 2 (December 2005): 128–38. http://dx.doi.org/10.1044/1059-0889(2005/014).

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This response to A. T. Cacace and D. J. McFarland (2005) identifies points of agreement and disagreement regarding the concept of modularity in the diagnosis of (central) auditory processing disorder [(C)APD]. We concur that the evaluation of (C)APD must take into consideration the influence of higher order global or pansensory issues on performance on tests of central auditory function. To accomplish this goal, multidisciplinary (e.g., multimodal) testing is an integral part of differential diagnosis of (C)APD. We also agree that the efficiency of diagnostic tests of (C)APD should not be evaluated by imprecise criteria [e.g., "presumed" or "suspected" (C)APD], which do not provide accurate measures of the true sensitivity and specificity of these tests. Our conceptualization and recommendations for clinical practice in this area diverge, however, from that of Cacace and McFarland in a number of pivotal ways. Based on the current limitations of multimodal assessment relative to issues related to scope of practice and test efficiency, as well as the accumulated basic science and clinical literature that demonstrates the nonmodularity and interactive organization of the brain, we recommend use of the sensitized test battery of the central auditory nervous system (CANS) in combination with multidisciplinary testing to differentially diagnose (C)APD and to guide treatment of the disorder. We assert that sensitivity and specificity measures derived from individuals with well-circumscribed lesions of the CANS provide an important guide to establishing the validity of central auditory diagnostic tests. We note that researchers in the area of auditory science and (C)APD must acknowledge the challenges of the clinical arena, and we encourage their continued help to develop diagnostic tools that are both efficient and practical for the differential diagnosis of (C)APD. We conclude that our approach, which combines multidisciplinary evaluation and specific tests of central auditory function that have demonstrated sensitivity and specificity for disorders of the CANS, allows us to identify (and thus rehabilitate) the auditory deficits present in individuals with (C)APD in its "purest" form. It also permits the identification and rehabilitation of auditory deficits in individuals who exhibit auditory perceptual problems that coexist with other processing problems, while ruling out those who perform poorly on auditory tests because of a global, supramodal problem involving cognition, attention, language, memory, or related skills.
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Shekhovtseva, T. G., and M. О. Dolinna. "INTERACTIVE LEARNING IN THE COURSE OF INTERNAL MEDICINE: STEPS IN MAKING DIAGNOSIS." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 20, no. 2 (July 6, 2020): 248–52. http://dx.doi.org/10.31718/2077-1096.20.2.248.

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Current trends in the development of the Ukrainian education system provide a new approach to the organization of educational process. A doctor must know the algorithm of the diagnostic process and medical decision-making peculiarities underlying the making diagnosis. This requires constant improvement as the number of law cases has demonstrated that diagnostic errors are merely not due to physician’s insufficient medical qualification but often as a consequence of violation of the basic procedural laws. Studying the theory of medial diagnosis stimulates the development of clinical thinking. The purpose of this work was to systematize the main stages in making diagnosis and to outline the ways of their implementation through the interactive learning. The study involved the medical students of Zaporizhzhia State Medical University. The methodology included theoretical systematic analysis of scientific and methodological literature as well as own experience in applying interactive learning. The main motivating factor in the professional training organization should be focused on the professionally oriented use of material and fostering students’ own experience. Under these conditions, the importance of a semiotic approach to the diagnosis of diseases is increasing, i.e. the process of disease identification relies on the ability to catch and to recognise its signs. When making a diagnosis, the doctor has to rely on facts only. This is described as "clinical thinking." The interactive learning in the courses of various disciplines in the program of medical doctor training is being actively implemented at Zaporszhzhia State Medical University. It provides the opportunity for more pronounced pedagogical influence, which induces students to be more active in mastering the program, as well as to demonstrate creativity and research for solving various tasks in daily class practice. Deep understanding the theory of medical decision-making process and making diagnosis greatly contributes to clinical thinking.
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49

Smith, G. Denice, Matt Riding, Kim Oswald, and Joel S. Bentz. "Integrating a FISH imaging system into the cytology laboratory." CytoJournal 7 (April 6, 2010): 3. http://dx.doi.org/10.4103/1742-6413.62258.

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We have implemented an interactive imaging system for the interpretation of UroVysion fluorescence in situ hybridization (FISH) to improve throughput, productivity, quality control and diagnostic accuracy. We describe the Duet imaging system, our experiences with implementation, and outline the financial investment, space requirements, information technology needs, validation, and training of cytotechnologists needed to integrate such a system into a cytology laboratory. Before purchasing the imaging system, we evaluated and validated the instrument at our facility. Implementation required slide preparation changes, IT modifications, development of training programs, and revision of job descriptions for cytotechnologists. A darkened room was built to house the automated scanning station and microscope, as well as two imaging stations. IT changes included generation of storage for archival images on the LAN, addition of external hard drives for back-up, and changes to cable connections for communication between remote locations. Training programs for cytotechnologists, and pathologists/fellows/residents were developed, and cytotechnologists were integrated into multiple steps of the process. The imaging system has resulted in increased productivity for pathologists, concomitant with an expanded role of cytotechnologists in multiple critical steps, including FISH, scan setup, reclassification, and initial interpretation.
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50

V., Ulagamuthalvi, Kulanthaivel G., and Sridharan D. "A NOVEL APPROACH FOR DIAGNOSING LIVER LESION IMAGES IN TELEMEDICINE MODE." Journal of Health and Allied Sciences NU 02, no. 04 (December 2012): 50–53. http://dx.doi.org/10.1055/s-0040-1703612.

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AbstractIn this article, a novel approach for diagnosing liver lesion using ultrasound image in telemedince mode is attempted. Liver cancer is a one of the neoplastic diseases. It has a high rate of mortality. The low quality of clinical ultrasound image limits the success of early detection and diagnosis based on the images. Filtering the spcekle noise to enhance the quality and segment the ROI from the ultrasound image are carried out. Wavelet-based texture descriptors are calculated and classification has been done using support vector machine. Telemedicine is the ability to provide interactive healthcare utilizing modern technology and telecommunications. In this telemedicne mode based diagnostic classification system, a client at remote location can submit the ultrasound B-scan liver image using the Internet and after analysis in the web server, the client at remote location will receive the diagnostic result.
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