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Journal articles on the topic 'Register balancing'
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Healy, Judith M., Costanza L. Maffi, and Paul Dugdale. "A national medical register: balancing public transparency and professional privacy." Medical Journal of Australia 188, no. 4 (February 2008): 247–49. http://dx.doi.org/10.5694/j.1326-5377.2008.tb01597.x.
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Arnold, Peter C. "A national medical register: balancing public transparency and professional privacy." Medical Journal of Australia 188, no. 9 (May 2008): 549–50. http://dx.doi.org/10.5694/j.1326-5377.2008.tb01781.x.
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Healy, Judith M., and Paul Dugdale. "A national medical register: balancing public transparency and professional privacy." Medical Journal of Australia 188, no. 9 (May 2008): 549–50. http://dx.doi.org/10.5694/j.1326-5377.2008.tb01782.x.
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Zhuang, Xiaotong, and Santosh Pande. "Balancing register allocation across threads for a multithreaded network processor." ACM SIGPLAN Notices 39, no. 6 (June 9, 2004): 289–300. http://dx.doi.org/10.1145/996893.996876.
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Ott, James M., and Anura P. Jayasumana. "Performance and bandwidth balancing of the register insertion bus (RIB) fiber optic network." Computer Communications 20, no. 15 (December 1997): 1342–53. http://dx.doi.org/10.1016/s0140-3664(97)00064-9.
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Wang, Shuai, Tao Jin, Chuanlei Zheng, and Guangshan Duan. "Low Power Aging-Aware On-Chip Memory Structure Design by Duty Cycle Balancing." Journal of Circuits, Systems and Computers 25, no. 09 (June 21, 2016): 1650115. http://dx.doi.org/10.1142/s0218126616501152.
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The degradation of CMOS devices over the lifetime can cause severe threat to the system performance and reliability at deep submicron semiconductor technologies. The negative bias temperature instability (NBTI) is among the most important sources of the aging mechanisms. Applying the traditional guardbanding technique to address the decreased speed of devices is too costly. On-chip memory structures, such as register files and on-chip caches, suffer a very high NBTI stress. In this paper, we propose the aging-aware design to combat the NBTI-induced aging in integer register files, data caches and instruction caches in high-performance microprocessors. The proposed aging-aware design can mitigate the negative aging effects by balancing the duty cycle ratio of the internal bits in on-chip memory structures. Besides the aging problem, the power consumption is also one of the most prominent issues in microprocessor design. Therefore, we further propose to apply the low power schemes to different memory structures under aging-aware design. The proposed low power aging-aware design can also achieve a significant power reduction, which will further reduce the temperature and NBTI degradation of the on-chip memory structures. Our experimental results show that our aging-aware design can effectively reduce the NBTI stress with 30.8%, 64.5% and 72.0% power saving for the integer register file, data cache and instruction cache, respectively.
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Alobaidi, Ali Hadi. "EVALUATING MAXIMUM COMPENSATION CRITERIA FOR PROPERTY DEVELOPERS ACCORDING TO THE INTERIM REAL PROPERTY REGISTER IN DUBAI." UUM Journal of Legal Studies 12, Number 2 (July 5, 2021): 23–40. http://dx.doi.org/10.32890/uumjls2021.12.2.2.
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This paper presents an assessment of the criteria for setting the maximum amount of compensation given to a property developer when a buyer breaches their contractual obligations according to the law of the Interim Real Property Register in the Emirate of Dubai. The register gives the developer the power to deduct a certain percentage of the amount paid to them by the buyer, without the need to resort to justice or arbitration. Such a power is one of certain exceptional powers granted to the developer under this law to encourage property investment in Dubai. This research aims to define the type of compensation that the property developer deserves, as well as present the criteria for the maximum amount of compensation and an evaluation of them. This was achieved by analyzing Article 11 of the mentioned law for accuracy and fairness on this issue, and its success in balancing the conflicting interests of both parties. One key result found was that the legislator had not succeeded in balancing the two parties of the off-plan sale. It is strongly recommended that the legislator abolish the three criteria on the maximum amount of compensation and adopt alternative criteria.
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Poortinga, Ype H. "Balancing Individual Interests and Quality of the Profession in the Formulation of Professional Standards." European Psychologist 10, no. 2 (January 2005): 103–9. http://dx.doi.org/10.1027/1016-9040.10.2.103.
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Abstract. In the EU-funded working group that has been developing a European Diploma of Psychology several issues arose where a balance had to be found between individual interests of practicing psychologists and standards of professional quality. These issues included: an accredited curriculum or individual on-the-job performance as requirement for entry to the profession; open access of diploma holders to all areas of practice or access limited to a specific area defined by previous training and experience; time-limited or life-long validity of the diploma and low vs. high continued education requirements for revalidation; and the use of the register of diploma holders for the profession as a marketing tool for the individual psychologist.
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HERBORDT, MARTIN C., and CHARLES C. WEEMS. "ENPASSANT: AN ENVIRONMENT FOR EVALUATING MASSIVELY PARALLEL ARRAY ARCHITECTURES FOR SPATIALLY MAPPED APPLICATIONS." International Journal of Pattern Recognition and Artificial Intelligence 09, no. 02 (April 1995): 175–200. http://dx.doi.org/10.1142/s0218001495000109.
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Although massively parallel arrays for spatially mapped applications have been proposed since the 1950s42 and built since the 1960s,12 there have been very few systematic empirical studies that cover more than a small fraction of the design space. The problems have included the lack of a test suite of non-trivial application codes; inadequate language support; the difficulties of balancing evaluation performance with flexibility; and balancing test suite portability with accuracy of evaluation. We describe an environment that addresses these problems. A realistic workload including a series of applications currently being used as building blocks in vision research has been constructed. Both flexibility in architectural parameter selection and simulation efficiency are maintained with a novel new technique that combines virtual machine emulation with trace-driven simulation. The trade-off between fairness to diverse target architectures and programmability of the test suite is addressed through the use of operator and application libraries for a small set of critical functions. We also present examples of the type of results we are obtaining, including the effects of changing ALU designs and datapath widths, finding critical points in register set and cache sizes, the benefits of various types of router networks, and the performance cost of processor virtualization.
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Hao, Yunqiang, Dongbai Yi, Xiaowei Zhang, Wenxin Yu, Jianxiong Xi, and Lenian He. "A Power Management IC Used for Monitoring and Protection of Li-Ion Battery Packs." Journal of Sensors 2021 (April 8, 2021): 1–13. http://dx.doi.org/10.1155/2021/6611648.
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A power management system is a critical component of the system which needs Li-ion battery packs for power supply. This paper proposes a fully integrated, high-precision, and high-reliability Integrated Circuit (IC) for the power management system of Li-ion battery packs. It has full protection circuits including overvoltage, overtemperature, and overcurrent circuits with measuring voltage accuracy of 0.2 mV and a 15-bit internal Successive Approximation Register (SAR) Analog-to-Digital Converter (ADC). This IC is designed to protect the system automatically and measure the battery cells’ voltage, temperature, and charging or discharging current with high precision. It also provides an I2C interface to communicate with an external Microcontroller Unit (MCU), making it achievable to perform battery cells’ voltage balancing and SOC estimation with 0.1% estimation accuracy in an hour.
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McCauley-Elsom, Kay, and Jayashri Kulkarni. "Managing Psychosis in Pregnancy." Australian & New Zealand Journal of Psychiatry 41, no. 3 (March 2007): 289–92. http://dx.doi.org/10.1080/00048670601172798.
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Objective: This article provides an introduction to the complex issues surrounding the management of women who have a history of psychosis and who become pregnant. Balancing the mental wellbeing of the woman and the safety and wellbeing of the baby is a complex task for both the expectant mother and the health professionals involved in her care. Clinical picture: Within this article the complexity of the issues will be outlined as a case report of a woman with a history of psychotic related disorders, who was also pregnant. Treatment: The woman was being case managed by a Mental Health Service in Victoria, Australia, and was included on the National Register of Antipsychotic Medications in Pregnancy Register (NRAMP) recently established at the Alfred Psychiatry Research Centre (APRC). Outcome: The profile of women with a history of previous mental illness, and who are pregnant, often includes a poor psychosocial history and involvement with child protection agencies with regard to custody of the children. Well meant but poorly coordinated decisions by health professionals result in sub-optimal outcomes for both mother and infant. Conclusion: There is a need for the exploration of the management and experiences of women who have a history of psychosis and who are pregnant. This case example highlights the complexity of issues surrounding the management of this vulnerable group of women and their babies.
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Cason, Nicolae-Marius, Petru Aurel Babeș, Enikő Béres, and Katalin Babeș. "The Relative Risk of Developing Type 2 Diabetes Mellitus in Young Adults with Schizophrenia Treated with Different Atypical Antipsychotic." Romanian Journal of Diabetes Nutrition and Metabolic Diseases 26, no. 4 (December 1, 2019): 445–53. http://dx.doi.org/10.2478/rjdnmd-2019-0047.
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Abstract Background and aim: While the link between antipsychotic treatment and metabolic adverse events, including type 2 diabetes mellitus (T2DM) are clear in adults with schizophrenia, in young this association is not so well studied although the use of secondgeneration antipsychotics (SGA) is more and more frequent. Material and methods: The local diabetes register was compared with the list of all registered young adults (18-35 years) with schizophrenia 2 years retrospective and 2 years prospective. Cumulative incidence, rate of incidence and relative risk was calculated knowing the number of persons in this age group within this region. Results: Cumulative incidence for exposed group was 0.7% with a rate of incidence of 6.27 (95%CI: 4.1-10.5) per 1,000 patientyears, when in normal population was 0.2%, respectively 2.01 (95%CI: 0.72-3.79). This means a relative risk of 3.4736 (95%CI: 1.79-6.72), p=0.0002 and NNH=202 (95%CI: 134-404). Multivariate analysis showed that gender male (OR=1.83; 95%CI: 0.9-2.7; p=0.002) and olanzapine prescription (OR=4.76; 95%CI: 1.7-7.7; p=0.0001) were independent risk factors for T2DM. Conclusions: The metabolic risk should be taken in account every time introducing or changing a SGA in young schizophrenic patient, balancing the benefits and negative metabolic effects (especially with olanzapine). Healthy nutrition and physical activities are necessary components of these patients lifestyle to avoid early onset of T2DM.
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Idzura Yusuf, Siti, Suhaidi Shafie, Hasmayadi Abdul Majid, and Izhal Abdul Halin. "Differential input range driver for SAR ADC measurement setup." Indonesian Journal of Electrical Engineering and Computer Science 17, no. 2 (February 1, 2020): 750. http://dx.doi.org/10.11591/ijeecs.v17.i2.pp750-758.
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<span>Differential successive approximation register (SAR) of analog to digital converter (ADC) requires two balancing input signals that have same amplitude with 180⁰ out of phase. Otherwise, it performs inaccurately and degrades the performance during ADC testing procedure. Therefore, an implementation of AD8139 chip single to differential amplifier was chosen as an ADC driver to generate sufficient differential output for the ADC. The chip was placed on a printed circuit board (PCB) to test the functionality as well as the performance of static and dynamic SAR ADC. The result shows that the single-ended input transform into differential voltage outputs. The amplitudes for the amplifier remain equal and is 180° out of phase for DC and AC voltage input signal. Besides, the fabricated 0.18µm CMOS technology of differential 10-bit SAR ADC is capable of digitising full code digital output and perform 9.5-bit effective number of bit (ENOB) from analog input driving by the ADC driver.</span>
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Roche, Cicely, Michelle Flood, Matthew Lynch, and Laura J. Sahm. "Balancing Assessment with “In-Service Practical Training”: A Case Report on Collaborative Curriculum Design for Delivery in the Practice Setting." Pharmacy 7, no. 3 (July 16, 2019): 93. http://dx.doi.org/10.3390/pharmacy7030093.
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Three Higher Education Institutions (HEIs) in Ireland are accredited to provide education and training, successful completion of which, entitles one to register as a pharmacist with the Pharmaceutical Society of Ireland (PSI). Legislation (2014) mandated that these HEIs replace their existing structure (four-year degree followed by a one-year internship), with a five-year ‘integrated Master’s programme’. Integration includes ‘in-service practical training’ (placement) at the beginning of Year 4 (four months), and the end of Year 5 (eight months). Year 4 placements do not have to be ‘patient-facing’. Students receive a Bachelor’s degree at the end of Year 4. The Affiliation for Pharmacy Practice Experiential Learning (APPEL), established by the HEIs, manages student placements, training establishments, preceptor training, the preceptors’ competency assessment process, and the virtual learning environment (VLE) that enables delivery of co-developed online modules aligned with placements in Years 4 and 5. This case report aims to describe the process by which this integration has taken place across and within these HEIs and the challenges faced by educators, students, preceptors, and other stakeholders along the way.
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Pauelsen, Mascha, Hedyeh Jafari, Viktor Strandkvist, Lars Nyberg, Thomas Gustafsson, Irene Vikman, and Ulrik Röijezon. "Frequency domain shows: Fall-related concerns and sensorimotor decline explain inability to adjust postural control strategy in older adults." PLOS ONE 15, no. 11 (November 20, 2020): e0242608. http://dx.doi.org/10.1371/journal.pone.0242608.
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Human postural control is a complex system and changes as we age. Frequency based analyses have been argued to be useful to identify altered postural control strategies in balance tasks. The aim of this study was to explore the frequency domain of the quiet stance centre of pressure of older adults with various degrees of fall-related concerns and sensorimotor functioning. We included 45 community dwelling older adults and used a force plate to register 30 seconds of quiet stance with eyes open and closed respectively. We also measured sensory and motor functions, as well as fall-related concerns and morale. We analysed the centre of pressure power spectrum density and extracted the frequency of 4 of its features for each participant. Orthogonal projection of latent structures–discriminant analysis revealed two groups for each quiet stance trial. Group 1 of each trial showed less sensory and motor decline, low/no fall-related concerns and higher frequencies. Group 2 showed more decline, higher fall-related concerns and lower frequencies. During the closed eyes trial, group 1 and group 2 shifted their features to higher frequencies, but only group 1 did so in any significant way. Higher fall-related concerns, sensory and motor decline, and explorative balancing strategies are highly correlated. The control system of individuals experiencing this seems to be highly dependent on vision. Higher fall-related concerns, and sensory and motor decline are also correlated with the inability to adjust to faster, more reactive balancing strategies, when vision is not available.
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Gilbey, Zoë, and Justine Bold. "A Gluten Free Diet in the Management of Epilepsy in People with Coeliac Disease or Gluten Sensitivity." Gastrointestinal Disorders 2, no. 3 (September 8, 2020): 281–99. http://dx.doi.org/10.3390/gidisord2030026.
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The aim of this review was to assess the effects of a gluten free diet (GFD) in the management of epilepsy in people with coeliac disease (CD) or gluten sensitivity (GS). A systematic approach was used to undertake a literature review. Five electronic databases (PubMed; Scopus; Google Scholar; Cochrane Epilepsy Group specialised register; Cochrane Register of Controlled Trails (CENTRAL) via the Cochrane Register of Online Trials) were searched using predetermined relevant search terms. In total, 668 articles were identified. Duplicates were removed and predefined inclusion and exclusion criteria were applied, and a PRISMA flow chart was produced. Data was extracted using Covidence software. Twelve studies on Epilepsy and CD involving a total of 70 participants were selected for analysis; narrative synthesis was used owing to the small sample sizes in the selected studies. None of the 12 studies meeting inclusion criteria investigated gluten sensitivity and epilepsy. All the included studies support a link between epilepsy and CD. GFD was effective in 44 out of 70 participants across the studies in terms of a reduction of seizures, reduction of antiepileptic drugs (AEDs) or normalisation of EEG pattern. A total of 44 participants showed a reduction in seizures (across eight studies) and complete cessation of seizures was reported in 22 participants. In general, the earlier the GFD is implemented after the onset of seizures, the better the likelihood of the GFD being successful in supporting control of seizures. Mechanisms linking gluten with epilepsy are not fully understood; possible hypotheses include gluten mediated toxicity, immune-induced cortical damage and malabsorption. Evidence suggests the effectiveness of a GFD in supporting the management of epilepsy in patients with CD, although the quality of evidence is low. There appears to be a growing number of neurologists who are prepared to advocate the use of a GFD. A multidisciplinary approaches and further research are recommended. It could be argued that when balancing potential treatments such as AEDs or surgery, a GFD has a low likelihood of harm.
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Doetsch, Julia Nadine, Vasco Dias, Marit S. Indredavik, Jarkko Reittu, Randi Kallar Devold, Raquel Teixeira, Eero Kajantie, and Henrique Barros. "Record linkage of population-based cohort data from minors with national register data: a scoping review and comparative legal analysis of four European countries." Open Research Europe 1 (May 27, 2021): 58. http://dx.doi.org/10.12688/openreseurope.13689.1.
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Background: The General Data Protection Regulation (GDPR) was implemented to build an overarching framework for personal data protection across the European Union/Economic Area (EU/EEA). Linkage of data directly collected from cohort participants based on individual consent must respect data protection rules and privacy rights of data subjects. Our objective was to investigate possibilities of linking cohort data of minors with routinely collected education and health data comparing EU/EEA member states. Methods: A legal comparative analysis and scoping review was conducted of openly online accessible published laws and regulations in EUR-Lex and national law databases on GDPR’s implementation in Portugal, Finland, Norway, and the Netherlands and its connected national regulations purposing record linkage for health research that have been implemented up until April 30, 2021. Results: EU/EEA has limited legislative authority over member states. The GDPR offers flexibility for national legislation. Exceptions to process personal data, e.g., public interest and scientific research, must be laid down in EU/EEA or national law. Differences in national interpretation caused obstacles in cross-national research and record linkage: Portugal requires written consent and ethical approval; Finland allows linkage mostly without consent through the national Data Protection Supervisory Authority; Norway when based on regional ethics committee’s approval and adequate information technology safeguarding confidentiality; the Netherlands mainly bases linkage on the opt-out system and Data Protection Impact Assessment. Conclusions: Though the GDPR is the most important legal framework, national legislation execution matters most when linking cohort data with routinely collected health and education data. As national interpretation varies, legal intervention balancing individual right to informational self-determination and public good is gravely needed for scientific research. More harmonization across EU/EEA could be helpful but should not be detrimental in those member states which already opened a leeway for registries and research for the public good without explicit consent.
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Doetsch, Julia Nadine, Vasco Dias, Marit S. Indredavik, Jarkko Reittu, Randi Kallar Devold, Raquel Teixeira, Eero Kajantie, and Henrique Barros. "Record linkage of population-based cohort data from minors with national register data: a scoping review and comparative legal analysis of four European countries." Open Research Europe 1 (September 27, 2021): 58. http://dx.doi.org/10.12688/openreseurope.13689.2.
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Background: The GDPR was implemented to build an overarching framework for personal data protection across the EU/EEA. Linkage of data directly collected from cohort participants, potentially serving as a prominent tool for health research, must respect data protection rules and privacy rights. Our objective was to investigate law possibilities of linking cohort data of minors with routinely collected education and health data comparing EU/EEA member states. Methods: A legal comparative analysis and scoping review was conducted of openly accessible published laws and regulations in EUR-Lex and national law databases on GDPR’s implementation in Portugal, Finland, Norway, and the Netherlands and its connected national regulations purposing record linkage for health research that have been implemented up until April 30, 2021. Results: The GDPR does not ensure total uniformity in data protection legislation across member states offering flexibility for national legislation. Exceptions to process personal data, e.g., public interest and scientific research, must be laid down in EU/EEA or national law. Differences in national interpretation caused obstacles in cross-national research and record linkage: Portugal requires written consent and ethical approval; Finland allows linkage mostly without consent through the national Social and Health Data Permit Authority; Norway when based on regional ethics committee’s approval and adequate information technology safeguarding confidentiality; the Netherlands mainly bases linkage on the opt-out system and Data Protection Impact Assessment. Conclusions: Though the GDPR is the most important legal framework, national legislation execution matters most when linking cohort data with routinely collected health and education data. As national interpretation varies, legal intervention balancing individual right to informational self-determination and public good is gravely needed for health research. More harmonization across EU/EEA could be helpful but should not be detrimental in those member states which already opened a leeway for registries and research for the public good without explicit consent.
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Bruni, Renato, Giuseppe Catalano, Cinzia Daraio, Martina Gregori, and Henk F. Moed. "Studying the heterogeneity of European higher education institutions." Scientometrics 125, no. 2 (October 29, 2020): 1117–44. http://dx.doi.org/10.1007/s11192-020-03717-w.
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AbstractThe heterogeneity of the Higher Education (HE) Institutions is one of the main critical issues in the assessment of their performance. This paper adopts a multi-level and multi-dimensional perspective, combining national (macro) and institution (micro) level data, and measuring both research and teaching activity, using performance indicators derived from the European Tertiary Education Register, CWTS Leiden Ranking, and PATSTAT patent database. Clustering and efficiency analysis are combined to characterize the heterogeneity of national HE systems in European countries, and reveal the potential of using micro level data to characterize national level performance. Large differences are observed between the European countries, partially due to the fact that they are in different phases of their scientific (and economic) development and of the re-structuring of their HE systems. Evidence is found that universities specializing either in teaching or in research tend to have a higher efficiency than those institutions balancing research and teaching. Tradeoffs are observed between undergraduate and post-graduate activities, and a “Matthew cumulative effect” seems in place on the European institutions analysed: high quality research is able to attract external funds that stimulate innovative and patenting activities that in turn are self-reinforcing to the scientific activities. The results reveal once more the limits and dangers of one-dimensional approaches to the performance of HEIs.
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Davis, CR, AEJ Trevatt, A. Dixit, and V. Datta. "Systematic review of clinical outcomes after prophylactic surgery." Annals of The Royal College of Surgeons of England 98, no. 6 (July 2016): 353–57. http://dx.doi.org/10.1308/rcsann.2016.0089.
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Introduction Prophylactic appendicectomy is performed prior to military, polar and space expeditions to prevent acute appendicitis in the field. However, the risk–benefit ratio of prophylactic surgery is controversial. This study aimed to systematically review the evidence for prophylactic appendicectomy. It is supplemented by a clinical example of prophylactic surgery resulting in life-threatening complications. Methods A systematic review was performed using MEDLINE® and the Cochrane Central Register of Controlled Trials. Keyword variants of ‘prophylaxis’ and ‘appendicectomy’ were combined to identify potential papers for inclusion. Papers related to prophylactic appendicectomy risks and benefits were reviewed. Results Overall, 511 papers were identified, with 37 papers satisfying the inclusion criteria. Nine reported outcomes after incidental appendicectomy during concurrent surgical procedures. No papers focused explicitly on prophylactic appendicectomy in asymptomatic patients. The clinical example outlined acute obstruction secondary to adhesions from a prophylactic appendicectomy. Complications after elective appendicectomy versus the natural history of acute appendicitis in scenarios such as polar expeditions or covert operations suggest prophylactic appendicectomy may be appropriate prior to extreme situations. Nevertheless, the long-term risk of adhesion related complications render prophylactic appendicectomy feasible only when the short-term risk of acute appendicitis outweighs the long-term risks of surgery. Conclusions Prophylactic appendicectomy is rarely performed and not without risk. This is the first documented evidence of long-term complications following prophylactic appendicectomy. Surgery should be considered on an individual basis by balancing the risks of acute appendicitis in the field with the potential consequences of an otherwise unnecessary surgical procedure in a healthy patient.
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Cheng, Yanming, Xieqiu Zhao, Jing Wu, Hemiao Liu, Yulian Zhao, Mahmoud Al Shurafa, and Ilkyoo Lee. "Research on the Smart Medical System Based on NB-IoT Technology." Mobile Information Systems 2021 (June 24, 2021): 1–10. http://dx.doi.org/10.1155/2021/7801365.
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In recent years, with the constant development and integration of Internet technology, Internet of Things technology, and intelligent terminal technology, to make people’s work and life more comfortable and convenient, these new technologies have been more and more widely used in daily home life such as social education, agricultural production, industrial production, medical, and other fields. However, at present, there are still a lot of room for development in the application of new technologies in the medical and health industry. Especially in the context of hospital information construction and medical difficulties, the functions of fixed information points such as traditional nurse stations and doctor stations no longer meet the growing medical needs of people. Therefore, how to introduce these new technologies and design to a practical and low-cost intelligent medical information management system that realizes the convenient management and efficient management of medical personnel has become a top priority. In view of the problems faced by the hospital, this paper proposes an intelligent medical plan based on NB-IoT technology and develops a smart hospital information management system. Test results indicate that patients can easily and conveniently register their appointments through the Android mobile client. Through checking medical records and hospital news updates, medical staff can more easily complete their work. Comparison results of performance variance between the common server and adaptive algorithm web server demonstrate that an adaptive load balancing algorithm can achieve a more accurate allocation of the load. Therefore, the web smart medical information management platform can manage hospitals more comprehensively.
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Cousins, Gráinne, Louise Durand, Fiona Boland, Norma Harnedy, Íde Delargy, Mike Scully, Margaret Bourke, William Ebbitt, María Otero Vázquez, and Eamon Keenan. "Impact of the COVID-19 pandemic on opioid agonist treatment in Ireland: Protocol for an interrupted time series analysis." HRB Open Research 4 (August 19, 2021): 91. http://dx.doi.org/10.12688/hrbopenres.13341.1.
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While opioid agonist treatment (OAT) is the most effective treatment for opioid dependence, it is heavily dependent on regular face-to-face healthcare delivery placing both clients and treatment providers at risk of COVID-19. Following the emergence of COVID-19, policies were rapidly changed in Ireland, with the introduction of national contingency guidelines by the HSE National Social Inclusion Office, beginning in March 2020 to ensure rapid and uninterrupted access to OAT while balancing efforts to mitigate COVID-19 risk. This study aims to assess the impact of the national contingency guidelines, on the quality of OAT care delivered in Ireland. An interrupted time series analysis will be conducted using anonymised aggregated level data obtained from the Central Treatment List (CTL), the national register of people receiving OAT, administered by the National Drug Treatment Centre Board on behalf of the HSE. Separate segmented regressions will be conducted to estimate the impact of the national contingency guidelines on the following outcomes: (1) number of patients in treatment; (2) number of patients starting OAT; (3) average waiting time for treatment; (4) number of people on waiting list; (5) number of patients dropping out of treatment. The study period will be divided into pre-(March 2019 to February 2020) and post- intervention (April 2020 to March 2021) segments. Immediate (change in level) and longer-term impacts (change in slope) of changes to provision of OAT in each of the outcomes will be investigated. Regression coefficients (β) and 95% confidence intervals (CIs) will be reported.
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Dams, Judith, Angela Buchholz, Ludwig Kraus, Jens Reimer, Norbert Scherbaum, Alexander Konnopka, and Hans-Helmut König. "Excess costs of alcohol-dependent patients in German psychiatric care compared with matched non-alcohol-dependent individuals from the general population: a secondary analysis of two datasets." BMJ Open 8, no. 8 (August 2018): e020563. http://dx.doi.org/10.1136/bmjopen-2017-020563.
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ObjectivesHeavy alcohol use can cause somatic and mental diseases, affects patients’ social life and is associated with social isolation, unemployment and reduced quality of life. Therefore, societal costs of alcohol dependence are expected to be high. The aim of this study was to estimate excess costs of patients with alcohol dependence diagnosed using theDiagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria compared with individuals without alcohol dependence in Germany.DesignIn a secondary analysis, baseline data of patients with alcohol dependence enrolled in a randomised controlled trial (German Clinical Trials Register DRS00005035) were compared with data collected via a telephone survey from individuals without alcohol dependence and that had been matched by entropy balancing. Health service use was evaluated retrospectively for a 6-month period.SettingsFour German psychiatric university clinics (patients with alcohol dependence) and the German general adult population (individuals without alcohol dependence).Participantsn=236 adult patients with alcohol dependence and n=4687 adult individuals without alcohol dependence.Primary and secondary outcome measuresThe excess costs of health service use, absenteeism and unemployment of patients with alcohol dependence were calculated and compared with individuals without alcohol dependence. In subgroup analyses, the associations between excess cost and gender, comorbidities and the duration of disease were investigated.ResultsTotal 6-month excess costs of €11 839 (95% CI €11 529 to €12 147) were caused by direct excess costs of €4349 (95% CI €4129 to €4566) and indirect costs of €7490 (95% CI €5124 to €9856). In particular, costs of inpatient treatment, formal long-term care, absenteeism and unemployment were high.ConclusionsAlcohol dependence causes substantial direct and indirect excess costs. Cost-effective interventions to prevent and treat alcohol dependence are urgently needed.Trial registration numberDRKS00005035.
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Symons, Lisa, James Delgado, Deborah Marx, and Erika Martin Seibert. "A Means to Streamline Historic and Cultural Resource Consultation and Compliance for Pollution Assessment and Recovery Activities on Shipwrecks." International Oil Spill Conference Proceedings 2014, no. 1 (May 1, 2014): 2024–36. http://dx.doi.org/10.7901/2169-3358-2014.1.2024.
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ABSTRACT In May 2013, per Congressional direction and to support a better understanding of pollution sources in the U. S. waters, the National Oceanic and Atmospheric Administration (NOAA) provided the U. S. Coast Guard (USCG) a detailed report on the assessment of risks from potentially polluting shipwrecks. The report, Risk Assessment for Potentially Polluting Wrecks in U.S. Waters, was a result of the Remediation of Underwater Legacy Environmental Threats (RULET) project that evaluated 20,000 shipwrecks for their pollution potential as well as issues that could impact operations including whether or not those wrecks could be historically significant properties and/or gravesites. “Historic property” is defined by the National Historic Preservation Act of 1966 (NHPA), to be any prehistoric or historic district, site, building, structure, or object included in, or eligible for inclusion in, the National Register of Historic Places (NRHP.) The NHPA requires a Federal agency to “take into account” the effects of its undertakings, such as pollution removal from a submerged shipwreck, and afford the Advisory Council on Historic Preservation (ACHP) a reasonable opportunity to comment. Federal agencies meet Section 106 responsibilities through a consultation process with the ACHP and other parties as set out in the ACHP's regulations implementing Section 106 of the NHPA (36 CFR Part 800), or through implementation of the nationwide 1997 Programmatic Agreement for emergency response under the National Oil and Hazardous Substances Pollution Contingency Plan. NOAA evaluated a number of the report's shipwrecks for eligibility under the NRHP criteria to determine if any could be considered historic properties. The majority of RULET sites are associated with World War II casualties in the Battle of the Atlantic. As of 2013, the average age of each wreck is 83 years old, as many were built or retrofitted for service during WWII, meeting one of the criteria, per the National Park Service's regulations at 36 CFR Part 60 for eligibility for nomination to the NRHP. Three potentially eligible shipwrecks were subsequently nominated and accepted to the NRHP. The information contained in the RULET risk assessments and the NRHP nominations, facilitates the efforts of USCG to work through the required consultation processes; more effectively balancing responsibilities to address potential environmental impacts and legal mandates to avoid or mitigate impacts to historic resources.
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Royzman, Vilen, Algimantas Bubulis, and Ilona Drach. "System Analysis of Automatic Balancing (Self-Balancing) Machine Rotors with Liquid Working Bodies." Solid State Phenomena 147-149 (January 2009): 374–79. http://dx.doi.org/10.4028/www.scientific.net/ssp.147-149.374.
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This article deals with automatic balancing (self-equalizing) of rotors with vertical axis of rotation by means of liquid. There used to be a statement claiming that automatic balancing was possible only after first critical (above resonance) rotation zone of rotors. However in 1995 the phenomenon of automatic balancing with liquid in both below resonance zone of rotor rotation and in the resonance itself was registered using the method of high speed video shooting. The paper suggests theoretical explanation of the phenomenon stated by means of carried out experiments.
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Skoczylas, Norbert. "Fast evaluation of the coalbed methane content of coal viewed as an element leading to improvement in exploitation conditions." Gospodarka Surowcami Mineralnymi 32, no. 2 (June 1, 2016): 153–74. http://dx.doi.org/10.1515/gospo-2016-0017.
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Abstract Methane, as a co-occurring compound, can be found in the majority of coal basins all over the world. The knowledge of methane content is a basic piece of information used in balancing and describing a given coal seam, in conducting safe exploitation – with methane hazards and methane and rock outburst hazards in mind – as well as in less common procedures, such as coal seam fracturing and methane extraction, or storing carbon dioxide in off-balance coal seams. The author of the present paper outlines a thoroughly modified desorbometric method used to analyze the coal-methane system. The research object, in underground conditions, is the full process of releasing methane from coal, which makes it possible to determine gas losses, the desorbable methane content, and the effective diffusion coefficient. This type of research can be conducted in less than 24 hours due to the reduction of the grain fraction of the analyzed bore dust. The thorough research in underground conditions was preceded by a model analysis of the simultaneous impact of the desorbable methane content in coal and the effective diffusion coefficient upon the value of the desorption indensity index. The influence of a grain fraction on the kinetics of methane release from coal was described, and the 0.20–0.25 [mm] grain fraction was selected. The choice of this particular fraction made it possible to register the full process of methane release from coal, in the assumed time. An original methodology of performing underground measurements was presented, together with an instrument used to perform these measurements. The underground research involved measuring the desorbable methane content according to the presented original methodology, which was done simultaneously with an analysis of the coalbed methane content carried out by means of the bore dust method, an analysis of desorption intensity, and an analysis of the technical parameters of coal. The results point to a substantial discrepancy between the desorbable methane content in coal and the coalbed methane content measured by the bore hole method in compliance with the Polish standard. The mean relative percentage error for 17 measurements was 6.5%. The author provided an example concerning using the effective diffusion coefficient in explaining substantial differences in the desorption intensity index for two samples characterized by the similar coalbed methane content.
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Paull, Sandra. "Balancing a Checkbook: Children Using Mathematics Skills." Arithmetic Teacher 33, no. 9 (May 1986): 32–33. http://dx.doi.org/10.5951/at.33.9.0032.
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My fourth and fifth grader needed to practice addition and subtraction skills in a practical way. Many realized that adults commonly use these kills to balance checkbooks. The use of checkbook balance registers in class seemed to be an opportunity for children both to experience a ritual they will perform in the future and to practice kills they needed to review. Little did I know how this simple activity would develop into a eries of le sons that included general computation, estimation, problem solving, and economics.
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Kim, Byungkwan, and Taejoon Kim. "Relay Positioning for Load-Balancing and Throughput Enhancement in Dual-Hop Relay Networks." Sensors 21, no. 5 (March 9, 2021): 1914. http://dx.doi.org/10.3390/s21051914.
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In a cellular communication system, deploying a relay station (RS) is an effective alternative to installing a new base station (BS). A dual-hop network enhances the throughput of mobile stations (MSs) located in shadow areas or at cell edges by installing RSs between BSs and MSs. Because additional radio resources should be allocated to the wireless link between BS and RS, a frame to be transmitted from BS is divided into an access zone (AZ) and a relay zone (RZ). BS and RS communicate with each other through the RZ, and they communicate with their registered MSs through an AZ. However, if too many MSs are registered with a certain BS or RS, MS overloading may cause performance degradation. To prevent such performance degradation, it is very important to find the proper positions for RSs to be deployed. In this paper, we propose a method for finding the sub-optimal RS deployment location for the purpose of load-balancing and throughput enhancement. The advantage of the proposed method is the efficiency in find the sub-optimal location of RSs and its reliable tradeoff between load-balancing throughput enhancement. Since the proposed scheme finds the proper position by adjusting the distance and angle of RSs, its computational complexity lower than other global optimization approach or learning-based approach. In addition, the proposed scheme is constituted with the two stages of load-balancing and throughput enhancement. These procedures result in the appropriate tradeoff between load-balancing and throughput enhancement. The simulation results support these advancements of the proposed scheme.
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Chiovitti, Rosalina F. "Theory of protective empowering for balancing patient safety and choices." Nursing Ethics 18, no. 1 (January 2011): 88–101. http://dx.doi.org/10.1177/0969733010386169.
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Registered nurses in psychiatric-mental health nursing continuously balance the ethical principles of duty to do good (beneficence) and no harm (non-maleficence) with the duty to respect patient choices (autonomy). However, the problem of nurses’ level of control versus patients’ choices remains a challenge. The aim of this article is to discuss how nurses accomplish their simultaneous responsibility for balancing patient safety (beneficence and non-maleficence) with patient choices (autonomy) through the theory of protective empowering. This is done by reflecting on interview excerpts about caring from 17 registered nurses taking part in a grounded theory study conducted in three acute urban psychiatric hospital settings in Canada. The interplay between the protective and empowering dimensions of the theory of protective empowering was found to correspond with international, national, and local nursing codes of ethics and standards. The overall core process of protective empowering, and its associated reflective questions, is offered as a new lens for balancing patient safety with choices.
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Yu, Jiayi Joey, Christopher S. Tang, Zuo-Jun Max Shen, and Xiqun Michael Chen. "A Balancing Act of Regulating On-Demand Ride Services." Management Science 66, no. 7 (July 2020): 2975–92. http://dx.doi.org/10.1287/mnsc.2019.3351.
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Regulating on-demand ride-hailing services (e.g., Uber and DiDi) requires a balance of multiple competing objectives: encouraging innovative business models (e.g., DiDi), sustaining traditional industries (e.g., taxi), creating new jobs, and reducing traffic congestion. This study is motivated by a regulatory policy implemented by the Chinese government in 2017 and a similar policy approved by the New York City Council in 2018 that regulate the “maximum” number of registered Uber/DiDi drivers. We examine the impact of these policies on the welfare of different stakeholders (i.e., consumers, taxi drivers, on-demand ride service company, and independent drivers). By analyzing a two-period dynamic game that involves these stakeholders, we find that, without government intervention, the on-demand ride service platform can drive the traditional taxi industry out of the market under certain conditions. Relative to no regulations and a complete ban policy, a carefully designed regulatory policy can strike a better balance of multiple competing objectives. Finally, if a government can reform the taxi industry by adjusting the taxi fare, then lowering the taxi fare instead of imposing a strict policy toward on-demand ride services can improve the total social welfare. This paper was accepted by Serguei Netessine, operations management.
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Wiebe, James H. "Calculators and the Mathematics Curriculum." Arithmetic Teacher 34, no. 6 (February 1987): 57–60. http://dx.doi.org/10.5951/at.34.6.0057.
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While the computer revolution has been making headlines, another much quieter revolution has taken place—in the way people in our society do arithmetic. With electronic calculators selling for less than $5, most people now use them to do such everyday computations as balancing a checkbook or determining how large a refund is due them at income-tax time. This revolution will and should have more of an impact than computers on the types of things we teach in the elementary school mathematics classroom. The abundance of cheap electronic calculators and the presence of sophisticated cash registers in virtually all retail outlets have nearly eliminated the need for pencil-and-paper computations, both at home and in the workplace.
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Shibliyev, Orxan, and Ibrahim Sezai. "Overset Grid Assembler and Flow Solver with Adaptive Spatial Load Balancing." Applied Sciences 11, no. 11 (May 31, 2021): 5132. http://dx.doi.org/10.3390/app11115132.
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An overset mesh approach is useful for unsteady flow problems which involve components moving relative to each other. Since the generation of a single mesh around all components is prone to mesh stretching due to the relative motion of bodies, using the overset grid methodology, an individual mesh can be generated for each component. In this study, a parallel overset grid assembler was developed to establish connectivity across component meshes. Connectivity information was transferred to the developed parallel flow solver. The assembler uses multiple methods such as alternating digital tree and stencil walking to reduce the time spent on domain connectivity. Both the assembler and solver were partitioned spatially so that overlapping mesh blocks reside in the same partitions. Spatial partitioning was performed using a 3D space partitioning structure, namely octree, to which mesh blocks are registered. The octree was refined adaptively until bins of octree could be evenly distributed to processors. The assembler and solver were tested on a generic helicopter configuration in terms of load balance, scalability, and memory usage.
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Jayasinghe, Darshana, Aleksandar Ignjatovic, Roshan Ragel, Jude Angelo Ambrose, and Sri Parameswaran. "QuadSeal: Quadruple Balancing to Mitigate Power Analysis Attacks with Variability Effects and Electromagnetic Fault Injection Attacks." ACM Transactions on Design Automation of Electronic Systems 26, no. 5 (June 5, 2021): 1–36. http://dx.doi.org/10.1145/3443706.
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Side channel analysis attacks employ the emanated side channel information to deduce the secret keys from cryptographic implementations by analyzing the power traces during execution or scrutinizing faulty outputs. To be effective, a countermeasure must remove or conceal as many as possible side channels. However, many of the countermeasures against side channel attacks are applied independently. In this article, the authors present a novel countermeasure (referred to as QuadSeal ) against Power Analysis Attacks and Electromagentic Fault Injection Attacks (FIAs), which is an extension of the work proposed in Reference [27]. The proposed solution relies on algorithmically balancing both Hamming distances and Hamming weights (where the bit transitions on the registers and gates are balanced, and the total number of 1s and 0s are balanced) by the use of four identical circuits with differing inputs and modified SubByte tables. By randomly rotating the four encryptions, the system is protected against variations, path imbalances, and aging effects. After generating the ciphertext, the output of each circuit is compared against each other to detect any fault injections or to correct the faulty ciphertext to gain reliability. The proposed countermeasure allows components to be switched off to save power or to run four executions in parallel for high performance when resistance against power analysis attacks is not of high priority, which is not available with the existing countermeasures (except software based where source code can be changed). The proposed countermeasure is implemented for Advanced Encryption Standard (AES) and tested against Correlation Power Analysis and Mutual Information Attacks attacks (for up to a million traces), and none of the secret keys was found even after one million power traces (the unprotected AES circuit is vulnerable for power analysis attacks within 5,000 power traces). A detection circuit (referred to as C-FIA circuit) is operated using the algorithmic redundancy presented in four circuits of QuadSeal to mitigate Electromagnetic Fault Injection Attacks. Using Synopsys PrimeTime, we measured the power dissipation of QuadSeal registers and XOR gates to test the effectiveness of Quadruple balancing methodology. We tested the QuadSeal countermeasure with C-FIA circuit against Differential Fault Analysis Attacks up to one million traces; no bytes of the secret key were found. This is the smallest known circuit that is capable of withstanding power-based side channel attacks when electromagnetic injection attack resistance, process variations, path imbalances, and aging effects are considered.
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Merivaki, Thessalia. "“Our Voter Rolls Are Cleaner Than Yours”: Balancing Access and Integrity in Voter List Maintenance." American Politics Research 48, no. 5 (February 17, 2020): 560–70. http://dx.doi.org/10.1177/1532673x20906472.
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Accurate voter lists facilitate access to the electoral process, indicate efficient voter list maintenance, and reinforce electoral integrity. Errors in voter records often result from variation in practices that are difficult to avoid given the decentralized structure of election administration in the United States. In many states, localities lack capacity to efficiently complete voter list maintenance, especially when pressured to keep “clean” voter rolls. I argue that local challenges remain when maintaining voters’ registration and voting history information, which undermines the quality of voter lists and the integrity of the electoral process. I analyze Mississippi’s Statewide Election Management System (SEMS) records and find that voter registration and voting history errors are linked to the county’s active and inactive registered voter rates and demographic characteristics. These findings confirm that local variation in voter list maintenance can impact voters depending on their voter registration status and can result in premature voter list removal.
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Mulska, Olha. "Balancing the labour market in conditions of growing migration activity of the population." Socio-Economic Problems of the Modern Period of Ukraine, no. 1(135) (2019): 59–65. http://dx.doi.org/10.36818/2071-4653-2019-1-11.
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The article deals with the labour market model in conditions of high migration activity of the population in Ukraine on the basis of the method of system dynamics. The author suggests a hypothesis that labour migration is determined by the level of wages in the donor country, the level of employment and unemployment, the number of current jobs and vacancies. The assumption is grounded on the basis of the obtained results of the multifactor economic-mathematical model. The article proves that statistics on the labour market in Ukraine are not complete and reliable, and experts' opinions about the necessary conditions for balancing aggregate demand and supply vary. Given the low competitiveness of the domestic economy, the low level of wages, unemployment, shadow employment and the general impoverishment of Ukrainians, an open European labour market creates new incentives and conditions for job search abroad - conditions for outflow of workers from Ukraine. In addition, the crisis socio-economic situation, the increase in the number of refugees from Ukraine as a result of the annexation of the Crimea and military actions in the East of Ukraine create a high probability of an explosion of migration in our country. The author's analysis of the functioning of the national labour market in recent years gives grounds for asserting its ineffectiveness, namely: reduction of the level of economic activity and the level of employment of the population, increase of unemployment, imbalance between demand for labour and its offer, decrease of the load of registered unemployed on one free workplace, due to high rates of labour migration, lower real wages. The article argues that the urgent problems concerning the migration of the population of Ukraine are to increase the economic activity of the population; preventing the growth of unemployment, limiting the scope of labour under the pressure of the financial and economic crisis; ensuring the correspondence between the supply and demand of the workforce. The solution of this problem requires the formation of a well-balanced state policy taking into account the regional specificity of the trends of labour migration, including increasing the competitiveness of the labour force, ensuring a high level of employment, social protection, wages and incomes, and their approach to similar parameters of economically developed countries of the world. Thus, the solution of issues related to the migration of the population is a prerequisite for the implementation of an effective public employment policy.
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Karlsson, Margareta, Anne Kasén, and Carola Wärnå-Furu. "Reflecting on one's own death: The existential questions that nurses face during end-of-life care." Palliative and Supportive Care 15, no. 2 (June 27, 2016): 158–67. http://dx.doi.org/10.1017/s1478951516000468.
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AbstractObjective:When registered nurses care for patients at the end of life, they are often confronted with different issues related to suffering, dying, and death whether working in hospital or community care. Serious existential questions that challenge nurses’ identities as human beings can arise as a result of these situations. The aim of our study was to describe and gain a deeper understanding of nurses’ existential questions when caring for dying patients.Method:Focus-group interviews with registered nurses who shared similar experiences and backgrounds about experiences in end-of-life care were employed to gain a deeper understanding about this sensitive subject. Focus-group interviews were performed in hospice care, in community care, and in a palliative care unit in western Sweden. A qualitative hermeneutic approach was employed to interpret the data.Results:Nurses’ existential questions balanced between responsibility and guilt in relation to their patients, between fear and courage in relation to being professional caregivers and fellow human beings, and between hope and despair in relation to the other's and their own death.Significance of results:Nurses in end-of-life care experience various emotions from patients related to things physical, spatial, and temporal. When nurses encounter these emotions as expressing a patient's suffering, they lead to challenges of balancing between different feelings in relation to patients, as both professional caregivers and fellow human beings. Nurses can experience growth both professionally and as human beings when caring for patients at the end of life.
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Supardi, Eddy. "TANGGAPAN WAJIB PAJAK TERHADAP KUALITAS PELAYANAN DILIHAT DARI TINGKAT KEPENTINGAN DAN KINERJA PADA KANTOR PELAYANAN PAJAK KOTA BOGOR." Jurnal Ilmiah Binaniaga 2, no. 01 (November 22, 2018): 14. http://dx.doi.org/10.33062/jib.v2i01.199.
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The Tax Payer obidience in fulfiling their taxation obligation will be influenced a lot by the satisfaction level toward the service fiscus. The aim of this observation is to know the response of Tax Payer toward service quality through importance and performance. The population which become the object of this observation is the personal Tax Payer registered in Bogor Tax Service Office and the number of respondents taken as the sample are 100 respondents with Slovin formula. The analysis method used is descriptive analysis and importance-performance analysis. The result of this observation will be able to be used as one of the input to Bogor Tax Service Office in improving the quality service and for the following observation, especially those who take the same object as the observation in order to improve the quality service to the Tax Payer based on the service of its working way which is felt less. Otherwise it is important for The Tax Payer, maintaining the good work or balancing the service quality based on the working way which is evaluated less important by The Taxe Payer, but has been done reasonably well or very well by The Service Office
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Li, Zhi Yong, and Yun Ping Ai. "Study on the Multi-Core DSP Parallel Processing of Polarization Images Registration." Advanced Materials Research 756-759 (September 2013): 3532–36. http://dx.doi.org/10.4028/www.scientific.net/amr.756-759.3532.
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Three-channel polarization images must be registered before pixel-level fusion processing to acquire accurate polarization characteristics information. In the condition of serial processing, the image registration efficiency is bad, and then the real-time of polarization imaging application is poor. The multi-core DSP chip which type is TMS320C6670 is selected as the polarization images processing platform. Fourier-Mellin Transform (FMT) is selected as the registration algorithm. The parallel processing of the polarization image registration is studied based on data flow model. The hierarchical task graph is designed in the parallel processing tasks partitioning. According to processing performance and functions, four DSP cores and two FFT coprocessors are divided into different processor groups in each task processing stage. Same hierarchical tasks are assigned to each processor group. According to principles including load balancing and reducing inter-processor communication, algorithms and data of each hierarchical task are assigned manually to each processing unit in the processor group. Experimental results show that the average processing time is 0.429 second while the average registration accuracy achieves 0.5 pixel, the propose parallel processing method improves the efficiency of the polarization image registration.
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Cereijido, Manuel, Fernando Nuño, Alberto M. Pernía, Miguel J. Prieto, and Pedro J. Villegas. "Real-Time Automatic Calculation of Euro Coins and Banknotes in a Cash Drawer." Sensors 19, no. 11 (June 9, 2019): 2623. http://dx.doi.org/10.3390/s19112623.
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A very interesting and useful complement to classical cash-registers is presented in this paper, coming up with a real-time auto-counting solution for the money inside a cash drawer. The system allows knowing not only the total amount of money but also how many coins and banknotes there are of each value. The embedded solution developed has been intended to become a low-cost solution, allowing better control over the money and helping both owners and workers in the establishments. By using this system, new utilities including automatic final balancing, instant error handling when making operations, and the lack of certain types of banknotes or coins inside the drawer or the excess of some in a certain compartment, could be implemented. Coins-counting solution is based on their weight, and small individual scales made by load cells have been integrated in each coin compartment. With respect to the banknotes, an innovative alternative based on the electrical properties of capacitors is presented. Additionally, considering the relevance of interoperability in today’s systems, a Bluetooth module has been integrated into the system, allowing for data to be accessed remotely from any smartphone, tablet or computer within the range of the module. In this work, an Android application to both control and interact with the system has also been designed.
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Rahmawati, Christina Heti Tri. "THE PROFITABILITY, FIRM’S SIZE, DIVIDEND PAYOUT RATIO AND FIRM’S VALUE: CAPITAL STRUCTURE INTERVENTION." Jurnal Ekonomi Bisnis dan Kewirausahaan 9, no. 3 (December 28, 2020): 218. http://dx.doi.org/10.26418/jebik.v9i3.39765.
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This research aims to investigate the influence of profitability, firm’s size, and dividend payout ratio towards firm’s value with the capital structure as the intervening variable. The samples employed were the manufacturing companies registered in Indonesia Stock Exchange from 2016-2018. The statistic method used to investigate the hypothesis was a path analysis. The result of the hypothesis investigation proved that the profitability brought significant negative influence towards capital structure, the firm’s size and dividend payout ratio brought insignificant influence towards capital structure; the profitability, firm’s size, dividend payout ratio, and capital structure brought significant positive influence towards the firm’s value. On the other hand, the intervening testing results proved that the capital structure intervened in the influence of the profitability towards the firm’s value, and the capital structure did not intervened in the influence of the firm’s size and dividend payout ratio towards the firm’s value. Being able to pick stocks with profitability value and high dividend payout ratio and choosing a large-scale company are the research implications for investors to scale up the firm’s value. Furthermore, companies can increase profitability, pay higher dividend, and choose a large-scale company by balancing the capital structure, so that firm’s value increases.
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Hellqvist, Elina, and Auli Vähäkangas. "Experiences of (Mis)recognition of Same-Sex Partnerships in the Evangelical Lutheran Church of Finland." Exchange 47, no. 3 (July 5, 2018): 258–81. http://dx.doi.org/10.1163/1572543x-12341489.
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Abstract The article discusses the recognition of same-sex partnerships in the Evangelical Lutheran Church of Finland (ELCF). The main focus is on the experiences of recognition and misrecognition of same-sex couples when the couples have asked for a prayer on behalf of their registered partnership. The findings of this study confirm that the researched experiences of recognition have two dimensions, vertical and horizontal. Vertical recognition deals with institutional recognition and experiences with the sacred. Horizontal recognition entails experiences of interpersonal recognition. Narrated experiences often contained both horizontal and vertical dimensions of (mis)recognition. Recognition is a social phenomenon. Participants of the study had two distinct social contexts for recognition. One is the more loosely defined “rainbow community”, the other the formally authoritative, institutional ELCF. Most of the interviewees had positive experiences of recognition from the informal community but mainly negative experiences of misrecognition from the institutional ELCF. The difficult balancing between the conviction of the equal human dignity of each individual and the understanding of marriage as a social category for heterosexuals only led to same-sex couples’ experience of not being treated as equal members of the church. The study affirmed the importance of experiences and feelings as indicators in identifying a valid struggle for recognition.
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Dawadi, Babu Ram, Subarna Shakya, and Rajendra Paudyal. "CoMMoN: The Real-Time Container and Migration Monitoring as a Service in the Cloud." Journal of the Institute of Engineering 12, no. 1 (March 6, 2017): 51–62. http://dx.doi.org/10.3126/jie.v12i1.16770.
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With the advancement of computing technologies, the modern cloud computing and virtualization system is highly distributed by the invention of better and light weight distributed applications packaging toolkit over the cloud environment, called the container technology. Cloud containers feature the management of applications with easy plug and play ability, migration, replication, relocation, upgrading et cetera in the real time. Such containers running different applications over the cloud infrastructure may consume different resources that require real time monitoring. Docker is an open source platform independent tool to create, deploy, and run applications by using Containers. Billions of applications for the end users and SMEs running over the cloud require efficient management, monitoring and operations to achieve better SLAs for cloud service providers. With this research, a Docker Container and Migration Monitoring System (CoMMoN) has been developed in which a customer running its application in a Container shall monitor its application in the real-time as well as take decision for the migration of Container to another network by service provider for liad balancing or by the customer under the violation of SLA. Once the customer registers its Container to the monitoring system, the monitoring probe collects different monitoring metrics and sends those parameters to remote monitoring system. The system which stores the monitoring metrics into InFluxDB, a time series database, also monitors the real-time migration of the Containers among the network.Journal of the Institute of Engineering, 2016, 12(1): 51-62
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Auad, Lígia, Verônica Ginani, Eliana dos Santos Leandro, Aline Nunes, Luiz Domingues Junior, and Renata Zandonadi. "Who Is Serving Us? Food Safety Rules Compliance Among Brazilian Food Truck Vendors." International Journal of Environmental Research and Public Health 15, no. 12 (December 10, 2018): 2807. http://dx.doi.org/10.3390/ijerph15122807.
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The rise of food trucks as an eating out option requires knowledge of this sector. Balancing the reality of the food truck sector with access to safe food should guide actions and public policies to cater to its peculiarities. Therefore, this study aimed to characterize the Brazilian food truck vendors’ profile regarding their socioeconomic status and compliance with food safety rules. From the 118 food truck vendors registered in the Brazilian Federal District, 30% (n = 35) participated in the study. We conducted structured interviews from December 2017 to April 2018. We ranked compliance levels according to a five-point Likert scale based on calculated compliance scores. The interviews revealed that food truck vendors were mostly married males, who had completed at least a tertiary education level, and wanted to start up their own businesses. The compliance levels depict good compliance with food safety rules (overall compliance (OC)-score = 0.69, on a 0 to 1 scale). The food trucks assessed in this study distinguished themselves from the street food and food retail sectors due to their operational structure and the complexity of food production processes. Those particular features should be considered to ensure adequate and effective sanitary control and inspections, as well as to reduce the probability of microbial growth and food contamination and the consequent risk of foodborne illnesses.
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Giardini, Marica, Antonio Nardone, Marco Godi, Simone Guglielmetti, Ilaria Arcolin, Fabrizio Pisano, and Marco Schieppati. "Instrumental or Physical-Exercise Rehabilitation of Balance Improves Both Balance and Gait in Parkinson’s Disease." Neural Plasticity 2018 (2018): 1–17. http://dx.doi.org/10.1155/2018/5614242.
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We hypothesised that rehabilitation specifically addressing balance in Parkinson’s disease patients might improve not only balance but locomotion as well. Two balance-training protocols (standing on a moving platform and traditional balance exercises) were assessed by assigning patients to two groups (Platform,n=15, and Exercises,n=17). The platform moved periodically in the anteroposterior, laterolateral, and oblique direction, with and without vision in different trials. Balance exercises were based on the Otago Exercise Program. Both platform and exercise sessions were administered from easy to difficult. Outcome measures were (a) balancing behaviour, assessed by both Index of Stability (IS) on platform and Mini-BESTest, and (b) gait, assessed by both baropodometry and Timed Up and Go (TUG) test. Falls Efficacy Scale-International (FES-I) and Parkinson’s Disease Questionnaire (PDQ-8) were administered. Both groups exhibited better balance control, as assessed both by IS and by Mini-BESTest. Gait speed at baropodometry also improved in both groups, while TUG was less sensitive to improvement. Scores of FES-I and PDQ-8 showed a marginal improvement. A four-week treatment featuring no gait training but focused on challenging balance tasks produces considerable gait enhancement in mildly to moderately affected patients. Walking problems in PD depend on postural instability and are successfully relieved by appropriate balance rehabilitation. This trial is registered with ClinicalTrials.govNCT03314597.
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Russell, Deborah J., Matthew R. McGrail, John S. Humphreys, and John Wakerman. "What factors contribute most to the retention of general practitioners in rural and remote areas?" Australian Journal of Primary Health 18, no. 4 (2012): 289. http://dx.doi.org/10.1071/py11049.
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The objectives of this study were to measure the relative strength, significance and contribution of factors associated with rural and remote medical workforce retention. Length of stay data from two Australian GP workforce datasets, the 2008 National Minimum Data Set (4223 GPs) and a subset of the 2008 Medicine in Australia: Balancing Employment and Life dataset (1189 GPs), were separately analysed using multiple linear regression models and the results compared. Length of employment in their current practice location was the outcome measure. Consistent results were obtained across both datasets. The most important factors associated with the retention of rural and remote GPs, after adjusting for GP age, were primary income source, registrar status, hospital work and restrictions on practice location (which are linked to geographic location). Practice ownership was associated with ~70% higher retention than average, whilst undertaking hospital work in addition to routine general practice was associated with at least 18% higher retention compared with if no hospital work was undertaken. Less important factors included geographic location, procedural skills, annual leave, workload and practice size. Our findings quantify a range of financial and economic, professional and organisational, and geographic factors contributing to the retention of rural GPs. These findings have important implications for future medical workforce policy, providing an empirical evidence base to support the targeting and ‘bundling’ of retention initiatives in order to optimise the retention of rural GPs.
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Le, Doan Cong, Jirapa Chansangrat, Nattawut Keeratibharat, and Paramate Horkaew. "Symmetric Reconstruction of Functional Liver Segments and Cross-Individual Correspondence of Hepatectomy." Diagnostics 11, no. 5 (May 10, 2021): 852. http://dx.doi.org/10.3390/diagnostics11050852.
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Accurate localization and analyses of functional liver segments are crucial in devising various surgical procedures, including hepatectomy. To this end, they require the extraction of a liver from computed tomography, and then the identification of resection correspondence between individuals. The first part is usually impeded by inherent deficiencies, as present in medical images, and vast anatomical variations across subjects. While the model-based approach is found viable to tackle both issues, it is often undermined by an inadequate number of labeled samples, to capture all plausible variations. To address segmentation problems by balancing between accuracy, resource consumption, and data availability, this paper presents an efficient method for liver segmentation based on a graph-cut algorithm. One of its main novelties is the incorporation of a feature preserving a metric for boundary separation. Intuitive anatomical constraints are imposed to ensure valid extraction. The second part involves the symmetric conformal parameterization of the extracted liver surface onto a genus-0 domain. Provided with a few landmarks specified on two livers, we demonstrated that, by using a modified Beltrami differential, not only could they be non-rigidly registered, but also the hepatectomy on one liver could be envisioned on another. The merits of the proposed scheme were elucidated by both visual and numerical assessments on a standard MICCAI SLIVER07 dataset.
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Chaar, Dima, Ji Youn Shin, Amanda Mazzoli, Rebecca Vue, Jacob Kedroske, Grant Chappell, David A. Hanauer, Debra Barton, Afton L. Hassett, and Sung Won Choi. "A Mobile Health App (Roadmap 2.0) for Patients Undergoing Hematopoietic Stem Cell Transplant: Qualitative Study on Family Caregivers' Perspectives and Design Considerations." JMIR mHealth and uHealth 7, no. 10 (October 24, 2019): e15775. http://dx.doi.org/10.2196/15775.
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Background Hematopoietic stem cell transplantation (HCT), also referred to as blood and marrow transplantation (BMT), is a high-risk, but potentially curative therapy for a number of cancer and noncancer conditions. BMT Roadmap (Roadmap 1.0) is a mobile health app that was developed as a family caregiver–facing tool to provide informational needs about the health status of patients undergoing inpatient HCT. Objective This study explored the views and perceptions of family caregivers of patients undergoing HCT and their input regarding further technology development and expansion of BMT Roadmap into the outpatient setting (referred to as Roadmap 2.0). Methods Semistructured qualitative interviews were conducted among 24 family caregivers. Questions were developed from existing literature coupled with prior in-depth observations and interviews in hospital-based settings to explore the study objectives. Participants were recruited during routine outpatient clinic appointments of HCT patients, and all interviews were conducted in the participants’ homes, the setting in which Roadmap 2.0 is intended for use. A thematic analysis was performed using a consistent set of codes derived from our prior research. New emerging codes were also included, and the coding structure was refined with iterative cycles of coding and data collection. Results Four major themes emerged through our qualitative analysis: (1) stress related to balancing caregiving duties; (2) learning and adapting to new routines (resilience); (3) balancing one’s own needs with the patient’s needs (insight); and (4) benefits of caregiving. When caregivers were further probed about their views on engagement with positive activity interventions (ie, pleasant activities that promote positive emotions and well-being such as expressing gratitude or engaging in activities that promote positive thoughts, emotions, and behaviors), they preferred a “menu” of positive activities to help support caregiver health and well-being. Conclusions This study involved family caregivers as participants in the development of new components for Roadmap 2.0. Our research provided a further understanding of the many priorities that hematopoietic stem cell transplant family caregivers face while maintaining balance in their lives. Their schedules can often be unpredictable, even more so once the patient is discharged from the hospital. Our findings suggest that expanding Roadmap 2.0 into the outpatient setting may provide critical caregiver support and that HCT caregivers are interested in and willing to engage in positive activities that may enhance well-being and attenuate the stress associated with caregiving. International Registered Report Identifier (IRRID) RR2-10.2196/resprot.4918
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Mancini, Francesco, Sabrina Romano, Gianluigi Lo Basso, Jacopo Cimaglia, and Livio de Santoli. "How the Italian Residential Sector Could Contribute to Load Flexibility in Demand Response Activities: A Methodology for Residential Clustering and Developing a Flexibility Strategy." Energies 13, no. 13 (July 1, 2020): 3359. http://dx.doi.org/10.3390/en13133359.
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This work aims at exploring the potential contribution of the Italian residential sector in implementing load flexibility for Demand Response activities. In detail, by combining experimental and statistical approaches, a method to estimate the load profile of a dwelling cluster of 751 units has been presented. To do so, 14 dwelling archetypes have been defined and the algorithm to categorise the sample units has been built. Then, once the potential flexible loads for each archetype have been evaluated, a control strategy for applying load time shifting has been implemented. That strategy accounts for both the power demand profile and the hourly electricity price. Specifically, it has been assumed that end users access a pricing mechanism following the hourly trend of electricity economic value, which is traded day by day in the Italian spot market, instead of the current Time of Use (TOU) system. In such a way, it is possible to flatten the dwellings cluster profile, limiting undesired and unexpected results on the balancing market. In the end, monthly and yearly flexibility indexes have been defined along with the strategy effectiveness parameter. From calculations, it emerges that a dwelling cluster for the Italian residential sector is characterised by a flexibility index of 10.3% and by a strategy effectiveness equal to 34%. It is noteworthy that the highest values for flexibility purpose have been registered over the heating season (winter) for the weekends.
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Seo, Dong Gi. "Overview and current management of computerized adaptive testing in licensing/certification examinations." Journal of Educational Evaluation for Health Professions 14 (July 26, 2017): 17. http://dx.doi.org/10.3352/jeehp.2017.14.17.
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Computerized adaptive testing (CAT) has been implemented in high-stakes examinations such as the National Council Licensure Examination-Registered Nurses in the United States since 1994. Subsequently, the National Registry of Emergency Medical Technicians in the United States adopted CAT for certifying emergency medical technicians in 2007. This was done with the goal of introducing the implementation of CAT for medical health licensing examinations. Most implementations of CAT are based on item response theory, which hypothesizes that both the examinee and items have their own characteristics that do not change. There are 5 steps for implementing CAT: first, determining whether the CAT approach is feasible for a given testing program; second, establishing an item bank; third, pretesting, calibrating, and linking item parameters via statistical analysis; fourth, determining the specification for the final CAT related to the 5 components of the CAT algorithm; and finally, deploying the final CAT after specifying all the necessary components. The 5 components of the CAT algorithm are as follows: item bank, starting item, item selection rule, scoring procedure, and termination criterion. CAT management includes content balancing, item analysis, item scoring, standard setting, practice analysis, and item bank updates. Remaining issues include the cost of constructing CAT platforms and deploying the computer technology required to build an item bank. In conclusion, in order to ensure more accurate estimations of examinees’ ability, CAT may be a good option for national licensing examinations. Measurement theory can support its implementation for high-stakes examinations.
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Lodi-Smith, Jennifer, and Eileen K. Graham. "THE IMPORTANCE OF TRANSPARENCY AND OPEN SCIENCE IN GERONTOLOGY: PERSPECTIVES FROM EARLY-CAREER RESEARCHERS." Innovation in Aging 3, Supplement_1 (November 2019): S23. http://dx.doi.org/10.1093/geroni/igz038.086.
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Abstract The past decade has seen rapid growth in conversations around and progress towards fostering a more transparent, open, and cumulative science. Best practices are being codified and established across fields relevant to gerontology from cancer science to psychological science. Many of the areas currently under development are of particular relevance to gerontologists such as best practices in balancing open science with participant confidentiality or best practices for preregistering archival, longitudinal data analysis. The present panel showcases one of the particular strengths of the open science movement - the contribution that early career researchers are making to these ongoing conversations on best practices. Early career researchers have the opportunity to blend their expertise with technology, their knowledge of their disciplines, and their vision for the future in shaping these conversations. In this panel, three early career researchers share their insights. Pfund presents an introduction to preregistration and the value of preregistration from the perspective of “growing up” within the open science movement. Seaman discusses efforts in and tool for transparency and reproducibility in neuroimaging of aging research. Ludwig introduces the idea of registered reports as a particularly useful form of publication for researchers who use longitudinal methods, and/or those who work with hard-to-access samples. The symposium will include time for the audience to engage the panel in questions and discussion about current efforts in and future directions for transparent, open, and cumulative science efforts in gerontology.