Academic literature on the topic 'VBMC'

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Journal articles on the topic "VBMC"

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Busink, Ellen, Bernard Canaud, Peter Schröder-Bäck, Aggie T. G. Paulus, Silvia M. A. A. Evers, Christian Apel, Sudhir K. Bowry, and Andrea Stopper. "Chronic Kidney Disease: Exploring Value-Based Healthcare as a Potential Viable Solution." Blood Purification 47, no. 1-3 (2019): 156–65. http://dx.doi.org/10.1159/000496681.

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Background: Increasing healthcare expenditures have triggered a trend from volume to value by linking patient outcome to costs. This concept first described as value-based healthcare (VBHC) by Michael Porter is especially applicable for chronic conditions. This article aims to explore the applicability of the VBHC framework to the chronic kidney disease (CKD) care area. Methods: The 4 dimensions of VBHC (measure value; set and communicate value benchmarking; coordinate care; payment to reward value-add) were explored for the CKD care area. Available data was reviewed focusing on CKD initiatives in Europe to assess to what extent each of the 4 dimensions of VBHC have been applied in practice. Results: Translating VBHC into value-based renal care (VBRC) seems to be initiated to a limited extent in European health systems. In most cases not all dimensions of VBHC have been utilized in the renal care initiatives. Conclusion: The translation of VBHC into VBRC is possible and even desirable if an optimal treatment pathway for CKD patients could be achieved. This would require an organizational change in health system set up and should include a strategy focusing on full care responsibility. The patient outcome perspective and health economic analysis need to be the centre of attention.
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Bandurska, Ewa, Weronika Ciećko, Marzena Olszewska-Karaban, Iwona Damps-Konstańska, Dominika Szalewska, Piotr Janowiak, and Ewa Jassem. "Value-Based Integrated Care (VBIC) Concept Implementation in a Real-World Setting—Problem-Based Analysis of Barriers and Challenges." Healthcare 11, no. 8 (April 12, 2023): 1110. http://dx.doi.org/10.3390/healthcare11081110.

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Healthcare effectiveness measurement and value in health have been common topics in public health literature since 2006 when value-based healthcare (VBHC) was first defined by Porter and Teisberg. The aim of this study was to identify the barriers and challenges related to the implementation of VBHC solutions in the example of Poland. A case presentation was used as a method. The national integrated care programs (KOS-Infarction, POZ-Plus, and comprehensive treatment of chronic wounds) were used to present general challenges, along with the Integrated Care Model (ICM) for patients with advanced chronic obstructive pulmonary disease (COPD), to determine specific difficulties. ICM has been operating since 2012 in Gdańsk and gradually adapted the value-based integrated care (VBIC) approach. An analysis of the available data showed that the greatest difficulties related to the implementation of the VBHC and VBIC concepts are a lack of legal and reimbursement solutions, staff shortages, a lack of educational standards for some members of the multidisciplinary team, and insufficient awareness of the role of integrated care. As the level of preparation to implement VBHC policies varies between individual countries, the conclusions drawn from the experience of ICM and other Polish projects may be a valuable voice in discussion.
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David, Doris, Sumathy Sundarababu, and Jeffrey E. Gerst. "Involvement of Long Chain Fatty Acid Elongation in the Trafficking of Secretory Vesicles in Yeast." Journal of Cell Biology 143, no. 5 (November 30, 1998): 1167–82. http://dx.doi.org/10.1083/jcb.143.5.1167.

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Members of the synaptobrevin/VAMP family of v-SNAREs are thought to be essential for vesicle docking and exocytosis in both lower and higher eukaryotes. Here, we describe yeast mutants that appear to bypass the known v-SNARE requirement in secretion. Recessive mutations in either VBM1 or VBM2, which encode related ER-localized membrane proteins, allow yeast to grow normally and secrete in the absence of Snc v-SNAREs. These mutants show selective alterations in protein transport, resulting in the differential trafficking and secretion of certain protein cargo. Yet, processing of the vacuolar marker, carboxypeptidase Y, and the secreted protein, invertase, appear normal in these mutants indicating that general protein trafficking early in the pathway is unaffected. Interestingly, VBM1 and VBM2 are allelic to ELO3 and ELO2, two genes that have been shown recently to mediate the elongation of very long chain fatty acids and subsequent ceramide and inositol sphingolipid synthesis. Thus, the v-SNARE requirement in constitutive exocytosis is abrogated by mutations in early components of the secretory pathway that act at the level of lipid synthesis to affect the ability of secretory vesicles to sort and deliver protein cargo.
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SIGNORE, CAROLINE. "VBAC." Clinical Obstetrics and Gynecology 55, no. 4 (December 2012): 961–68. http://dx.doi.org/10.1097/grf.0b013e318263c55d.

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Spong, Catherine Y. "To VBAC or Not to VBAC." PLoS Medicine 9, no. 3 (March 13, 2012): e1001191. http://dx.doi.org/10.1371/journal.pmed.1001191.

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Mola, G., and DAA Verkuyl. "‘To VBAC or not to VBAC’." BJOG: An International Journal of Obstetrics & Gynaecology 121, no. 7 (May 20, 2014): 908. http://dx.doi.org/10.1111/1471-0528.12710.

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Wanyonyi, SZ, and SK Ngichabe. "Authors’ reply: ‘To VBAC or not to VBAC’." BJOG: An International Journal of Obstetrics & Gynaecology 121, no. 7 (May 20, 2014): 908–9. http://dx.doi.org/10.1111/1471-0528.12711.

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Scott, James R. "The VBAC dilemma." Issues in Women's Health 2, no. 2 (November 14, 2011): 1. http://dx.doi.org/10.17077/2154-4751.1120.

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Escamilla, Jorge O. "A VBAC question." American Journal of Obstetrics and Gynecology 186, no. 4 (April 2002): 851. http://dx.doi.org/10.1067/mob.2002.121658.

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Potera, Carol. "Back to VBAC." AJN, American Journal of Nursing 110, no. 6 (June 2010): 15. http://dx.doi.org/10.1097/01.naj.0000377671.55963.44.

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Dissertations / Theses on the topic "VBMC"

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Babic, Darko Andre [Verfasser]. "Induktion und Detektion des VBNC-Zustandes in Pseudomonas aeruginosa / Darko Andre Babic." Wuppertal : Universitätsbibliothek Wuppertal, 2017. http://d-nb.info/1135940487/34.

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ZANDRI, GIADA. "Ruolo di forme VBNC di stafilococco presenti in biofilm associati a cateteri endovascolari." Doctoral thesis, Università Politecnica delle Marche, 2009. http://hdl.handle.net/11566/242379.

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Koblentz, Jenna A. "Variables in VBAC Success: A Retrospective Review of Trial of Labor After Cesarean (TOLAC) and Labor Support." Scholarship @ Claremont, 2015. http://scholarship.claremont.edu/scripps_theses/560.

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For most of the 20th century, the saying “once a cesarean, always a cesarean” was a rule in the United States. Today, the National Institutes of Health (NIH) opposes the dictum and urges women to consider trial of labor after cesarean (TOLAC). However, the factors that lead to a successful outcome remain unclear, as research continues to be conducted in hopes of creating a predictive model for vaginal birth after cesarean (VBAC) success. The NIH’s request for more research in this area of obstetrics led to this retrospective cohort study of all TOLACs at Marin General Hospital (MGH) from 2000-2013. All labor trials were studied for patient demographics, details of labor, maternal and neonatal morbidities, insurance, and provider type. After confirming the quality of the data, verifying inclusion criteria and ignoring cases with missing data, a data set of 745 TOLACs with 13 explanatory variables of interest was prepared. A forward stepwise (Likelihood Ratio) binary logistic regression was run in IBM® SPSS® Statistics in order to create a model that could determine which variables were most predictive of delivery outcome in TOLAC patients. Ultimately, seven variables were predictive and were included in the model. Of the seven, the most predictive variable in determining VBAC success was provider type. The model concluded that a woman’s odds of having a successful VBAC were almost four times greater if she began her delivery with a certified nurse midwife, than if she began her deliver with a physician (odds ratio 0.27, 95% CI 0.17-0.44; < 0.01). The results from this study mimic the results of other models, and introduce labor support as a key factor in predicting VBAC success.
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Megumi, Yuzuru. "Multiple roles of Rbx1 in the VBC-Cul2 ubiquitin ligase complex." Kyoto University, 2006. http://hdl.handle.net/2433/144318.

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Cacace, A. T., Y. Ye, Faith W. Akin, Owen D. Murnane, A. Pearson, R. Gattu, and E. M. Haacke. "Voxel-Based Morphometry (VBM) in Individuals with Blast/Tbi-Related Balance Dysfunction." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1877.

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Alleron, Laëtitia. "Etude de l'état viable non cultivable (VBNC) chez Legionella pneumophila Lens après traitements monochloramine et thermique." Poitiers, 2008. http://theses.edel.univ-poitiers.fr/theses/2008/Alleron-Laetitia/2008-Alleron-Laetitia-These.pdf.

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Legionella pneumophila, l’agent responsable d’une pneumonie sévère atypique chez l’homme, appelée maladie du légionnaire, est ubiquitaire dans les environnements aquatiques. Les traitements généralement appliqués dans les réseaux d’eau afin d’éradiquer cette bactérie sont souvent suivis d’une recolonisation rapide de cette bactérie. Un des facteurs pouvant expliquer cette recolonisation peut être l’état Viable Non Cultivable (VBNC). L’objectif de nos travaux a été d’étudier la survie de L. Pneumophila après des traitements oxydant et thermique et notamment d’étudier l’état VBNC. Dans un premier temps nous avons réalisé un traitement monochloramine et un traitement thermique sur une suspension de légionelles. Nous avons observé que le traitement par 20 mg/L de monochloramine ainsi que celui à 57,5°C, conduisaient à la formation de VBNC chez L. Pneumophila. De plus ces bactéries peuvent persister dans cet état pendant au moins 169 jours après traitement. Dans un second temps, une étude partielle des protéines exprimées à l’état VBNC a été menée. Nous avons montré que l’expression de plusieurs protéines, impliquées dans les voies de production d’énergie, de synthèse protéique et dans la virulence, était augmentée d’un facteur supérieur ou égale à deux par comparaison avec des bactéries ayant subies un stress monochloramine ou une carence en nutriments. Dans un troisième temps, la recherche d’un facteur de ressuscitation Rpf a été entreprise chez L. Pneumophila. Un gène Rpf-like, possédant 33% d’identité et 51% de similarité avec celui de Salmonella, a été découvert. Ce gène a été cloné mais la protéine recombinante obtenue n’a pas conduit à un retour à la cultivabilité des cellules
Legionella pneumophila , the causative agent of an atypical severe pneumonia in human called Legionnaires’ disease, is ubiquitous in aquatic environments. The treatments usually applied to eradicate this bacterium are often followed by a quick new contamination. One of the causes that could explain this colonisation could be the Viable But NonCulturable state (VBNC). The aim of this work was to study the survival of L. Pneumophila after oxidative and heat treatments and then to study the VBNC. First, we have treated Legionella suspension with monochloramine and heat. We have observed that 20 mg/L monochloramine treatment and 57. 5°C treatment lead to the VBNC state. Moreover, these bacteria could persist in this state during at least 169 days. Secondly, we have realised a partial study of Legionella proteins expressed in the VBNC state. Several proteinsexpressions, implicated in energy production, protein synthesis and virulence, were induced more than 2-fold in comparison with bacteria stressed by monochloramine or in starvation. Finally, we have search for a Resuscitation-promoting-factor Rpf in L. Pneumophila genome. An rpf-like gene, showing 33% of identity and 51% similarity with Salmonella rpf was found. This gene has been cloned but the recombinant protein obtained didn’t lead to a recovery of legionella culturability
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Alleron, Laëtitia Frère Jacques. "Etude de l'état viable non cultivable (VBNC) chez Legionella pneumophila Lens après traitements monochloramine et thermique." Poitiers : I-Médias, 2008. http://theses.edel.univ-poitiers.fr/index.php?id-253.

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Veverka, Vojtěch. "Modely tranzistorů technologie CMOS 0.35 um I3T pro PSpice." Master's thesis, Vysoké učení technické v Brně. Fakulta elektrotechniky a komunikačních technologií, 2014. http://www.nusl.cz/ntk/nusl-220362.

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The master’s thesis focuses on model designing of active components for PSpice simulator. Creation of models are based on text description, which is avaible in Cadence Spectre libraries. The aim of this thesis is approximate conversion of CMOS and bipolar tranzistors based on I3T 0.35 m technology. Simulation’s results and their comparation are discussed below.
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Highmore, Callum. "Decontamination of biofilm and VBNC zoonotic pathogens on the salad leaf phylloplane for enhanced food security and safety." Thesis, University of Southampton, 2017. https://eprints.soton.ac.uk/419013/.

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Produce-associated outbreaks of foodborne pathogens such as Escherichia coli O157:H7, Listeria monocytogenes, and Salmonella enterica are rising in prominence among outbreaks of foodborne disease. Testing for foodborne pathogens by the agricultural industry relies heavily on culture-based techniques, excluding detection of viable but nonculturable (VBNC) pathogens. Here, a detection method is used that facilitates the use of qPCR on the complex environmental matrices of soil. Targeting the tir gene of E. coli O157, detection of the pathogen in peat-based compost and sand is achieved to a sensitivity of 10 CFU/g. When applied to pristine soil, 310 copies of the gene were detected. Further analysis using PNA-FISH and cell elongation determined the presence of 205 VBNC E. coli O157 cells per gram of soil sample. Resuscitation of the pathogen was achieved through prolonged enrichment in selective media. Decontamination of fresh produce using chlorine washes was simulated using L. monocytogenes and S. enterica serovar Thompson adhered to spinach leaves, resulting in complete VBNC induction of viable cells following two minutes exposure to 50 ppm and 100 ppm chlorine respectively. The infectivity of these chlorine induced VBNC pathogens was assessed in vivo using Caenorhabditis elegans as an animal model. VBNC L. monocytogenes retained its infectivity and caused a significant lifespan reduction (p=0.0064). Together, these data provide evidence of the presence and induction of VBNC foodborne pathogens throughout the food production chain, and determines that VBNC L. monocytogenes presents a threat to food safety.
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Toni, Jufner Celestino Vaz [UNESP]. "Transições reversíveis de células de leveduras entre estados viáveis, mas não cultiváveis (VBNC) e estados viáveis e cultiváveis." Universidade Estadual Paulista (UNESP), 2015. http://hdl.handle.net/11449/136009.

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Diversos estados fisiológicos têm sido descritos para células de levedura durante o cultivo, como células lesionadas, células mortas e células viáveis, mas não cultiváveis (VBNC). No entanto, pouca atenção ainda é dada à formação de células viáveis, mas não cultiváveis em leveduras e seus impactos sobre o processo de fermentação. O estado VBNC, também conhecido como estado de dormência celular pode ser definido como um estado fisiológico em que os micro-organismos não são capazes de crescer em meios bacteriológicos, mas apresentam características de células vivas. Fatores químicos e ambientais têm sido relatados para induzir um estado VBNC, incluindo a falta de nutrientes, temperaturas extremas, concentrações osmóticas e oxigênio. As células de levedura no estado VBNC podem exercer influencias sobre o rendimento de biocombustível gerado no final do processo. As leveduras industriais utilizadas neste estudo foram coletadas em uma usina sucroalcooleira localizada na cidade de Américo Brasiliense-SP-Brasil. Para fornecer evidências da existência de um estado VBNC em leveduras investigou-se a capacidade das células ao entrarem no estado VBNC, aplicando estresse térmico (40°C) e osmótico (30% de sacarose). Populações viáveis foram monitoradas utilizando o corante azul de metileno, e as populações cultiváveis foram identificadas por semeadura em meio de cultura. Todos os procedimentos foram realizados em triplicata, para todas as amostras e os dados amostrais foram submetidos à análise de variância (ANOVA). Após 48 horas no período de tempo em estresse, a comparação entre as células viáveis e as células cultiváveis demonstrou a presença de células viáveis, mas não cultiváveis. Além disso, a remoção do estresse permitiu que as células fossem novamente capazes de crescer, fornecendo evidências da existência de um estado VBNC em leveduras.
Several physiological conditions have been described for yeast cells during cultivation, such as injured cells, dead cells and viable cells, but not culturable (VBNC). However, little attention is still given to the formation of viable cells, but not cultivable in yeast and its impact on the fermentation process. The VBNC state, also known as state of numbness cell can be defined as a physiological condition in which the microorganisms are not able to grow on bacteriological media, but that present characteristics of living cells. Chemical and environmental factors have been reported to induce VBNC state, including a lack of nutrients, temperature extremes, osmotic concentration and oxygen. The yeast cells in the VBNC state may influence the yield of biofuel generated at the end of the process. The yeasts used in this study were collected in a sugarcane mill located in Américo Brasiliense-SP-Brazil. To provide evidence of the existence of a state in yeast VBNC investigated the ability of cells to enter the VBNC state, applying heat stress (40°C) and osmotic (30% sucrose). Viable populations were monitored using the methylene blue dye, and cultivated populations were identified by inoculation in culture. All procedures were performed in triplicate for all samples and sample data were submitted to analysis of variance (ANOVA). After 48 hours the time of stress, the comparison between viable cells and culturable cells showed the presence of viable cells, but not culturable. Moreover, removal of stress the cells were allowed to grow again able, providing evidence for the existence of a VBNC state in yeast.
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Books on the topic "VBMC"

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United States. Agency for Healthcare Research and Quality., ed. Vaginal birth after cesarean (VBAC). [Rockville, Md.]: Agency for Healthcare Research and Quality, 2003.

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United States. Agency for Healthcare Research and Quality, ed. Vaginal birth after cesarean (VBAC). [Rockville, Md.]: Agency for Healthcare Research and Quality, 2003.

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Jukelevics, Nicette. VBAC source book and teaching kit. Minneapolis: International Childbirth Education, 2000.

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Artemis speaks: VBAC stories and natural childbirth information. Occidental, Calif., U.S.A: J.R. Brown, 1985.

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Kaufmann, Elizabeth. Vaginal birth after cesarean: The smart woman's guide to VBAC. Alameda, CA: Hunter House Publishers, 1996.

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Kaufmann, Elizabeth. Vaginal birth after cesarean: The smart woman's guide to VBAC. Alameda, CA: Hunter House Publishers, 1996.

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Kaufmann, Elizabeth. Vaginal birth after cesarean: The smart woman's guide to VBAC. Alameda, Calif: Hunter House Publishers, 1996.

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Kaufmann, Elizabeth. Vaginal birth after cesarean: The smart woman's guide to VBAC. Alameda, CA: Hunter House Publishers, 1996.

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Korte, Diana. The VBAC companion: The expectant mother's guide to vaginal birth after cesarean. Boston, Mass: Harvard Common Press, 1997.

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Open season: A survival guide for natural childbirth and VBAC in the 90s. New York: Bergin & Garvey, 1991.

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Book chapters on the topic "VBMC"

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Limongelli, Maria Pina, Emil Manoach, Said Quqa, Pier Francesco Giordano, Basuraj Bhowmik, Vikram Pakrashi, and Alfredo Cigada. "Vibration Response-Based Damage Detection." In Structural Health Monitoring Damage Detection Systems for Aerospace, 133–73. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-72192-3_6.

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AbstractThis chapter aimed to present different data driven Vibration-Based Methods (VBMs) for Structural Health Monitoring (SHM). This family of methods, widely used for engineering applications, present several advantages for damage identification applications. First, VBMs provide continuous information on the health state of the structure at a global level without the need to access the damaged elements and to know their location. Furthermore, damage can be identified using the dynamic response of the structure measured by sensors non-necessarily located in the proximity of damage and without any prior knowledge about the damage location. By principle, VBMs can identify damage related to changes in the dynamic properties of structures, such as stiffness variations due to modifications in the connections between structural elements, or changes in geometric and material properties. A classification of different VBMs was presented in this chapter. Furthermore, several case studies were presented to demonstrate the potential of these methods.
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Trivedi, Kiran. "Vaginal Birth After Cesarean (VBAC)." In Labour and Delivery, 573–81. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-19-6145-8_40.

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Wasson, Cassandra, Albert Kelly, David Ninan, and Quy Tran. "Vaginal Birth After Cesarean Section (VBAC)." In Absolute Obstetric Anesthesia Review, 173. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-96980-0_57.

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Spengler, J. "Results From ARGUS About |Vbu|/|Vbc|." In XXIV International Conference on High Energy Physics, 505–10. Berlin, Heidelberg: Springer Berlin Heidelberg, 1989. http://dx.doi.org/10.1007/978-3-642-74136-4_30.

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Kumain, Sandeep Chand, and Kamal Kumar. "VBNC: Voting Based Noise Classification Framework Using Deep CNN." In Conference Proceedings of ICDLAIR2019, 357–63. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-67187-7_37.

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Wagley, Sariqa. "The Viable but Non-Culturable (VBNC) State in Vibrio Species: Why Studying the VBNC State Now Is More Exciting than Ever." In Advances in Experimental Medicine and Biology, 253–68. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-22997-8_13.

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Gao, Yun-Bo, Li-Xia Yan, Mao-qing Li, and Zhi-Yu Tian. "Research on Movement Authorization Generation of VBTC Based on Timed Automata." In Advances in Natural Computation, Fuzzy Systems and Knowledge Discovery, 596–609. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-70665-4_66.

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Weil, Ralph. "Danzas auf dem Weg zum Value Based Management (VBM)." In Wertorientierte Unternehmensführung, 431–43. Wiesbaden: Gabler Verlag, 1998. http://dx.doi.org/10.1007/978-3-663-07673-5_19.

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Chyzyk, Darya, Maite Termenon, and Alexandre Savio. "A Comparison of VBM Results by SPM, ICA and LICA." In Lecture Notes in Computer Science, 429–35. Berlin, Heidelberg: Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-642-13803-4_53.

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Svejda, Martin, and Roger Tait. "Characterisation of VBM Algorithms for Processing of Medical MRI Images." In Lecture Notes in Computer Science, 443–48. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-34885-4_34.

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Conference papers on the topic "VBMC"

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Takami, Tomoki, Yusuke Komoriyama, Takahiro Ando, and Kazuhiro Iijima. "Experimental Assessment of Form Based Approach for Predicting Extreme Value Distribution of Hull Girder Bending Moment in a Ship." In ASME 2019 38th International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/omae2019-95389.

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Abstract This paper describes a series of towing tank tests using a scaled model of a recent container ship for validating the First Order Reliability Method (FORM) based approach to predict the maximum response. The FORM based approach is adopted in conjunction with the nonlinear strip method as an estimation method for the most probable wave episodes (MPWEs) leading to the given extreme wave-induced vertical bending moments (VBMs). Tank tests under the pre-determined MPWEs are conducted to evaluate the extreme wave-induced VBMs. Numerical simulations based on the coupled Computational Fluid Dynamics (CFD) and Finite Element Analysis (FEA) are also conducted and are compared with the test results under the MPWEs. Furthermore, to estimate the extreme VBM statistics, tank tests under random irregular waves are conducted. A series of validations of the probability of exceedances (PoEs) of the VBM evaluated from the FORM based approach is carried out. The effect of hydroelastic (whipping) vibrations on the extreme VBM statistics are finally discussed.
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Yue, Jingxia, Lihua Peng, Wengang Mao, Chi Zhang, Wei Dong, and Zhentao Zhu. "Research on Ship Structural Fatigue Damage Under Nonlinear Wave Bending Moment." In ASME 2017 36th International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/omae2017-62328.

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Loads acting on ship structures are complex and randomly over time and the nonlinear effect caused by wave loading is one of the research focus. The linear and nonlinear vertical wave bending moment (VBM) in different speeds and sea states and their effects on ship structural fatigue strength were investigated for a flat container with high ratio of width to depth. The VBM under the linear regular waves and irregular waves were calculated based on the three dimension (3D) potential theory. The considered nonlinear wave loading was caused by sea pressure near the mean free surface as well as the geometric nonlinearity. Hydrodynamic calculations in regular wave were presented to figure out the frequency response function (FRF) of VBM in the mid-ship section. Irregular waves were verified to obtain the VBM history in 4 sea states. What’s more, VBMs from a segmented elastic model test were obtained to investigate the influence of nonlinearity. On the basis of the wave loadings obtained from simulation and test, the hotspot stress histories under irregular waves were deduced in time domain by using the beam theory. Fatigue cumulative damage per hour under several random sea states were obtained on the basis of the rain-flow counting and S-N curve. Based on the fatigue damage from the numerical analysis and model test, it is believed that speeds and significant wave height have a positive correlation with the fatigue damage of ship structures. A good agreement was obtained between the numerical analysis values and the low frequency part of the test and the nonlinear analysis in the simulation could offer reasonable prediction for the fatigue damage caused by the wave frequency response. Also shown as the test result, fully nonlinearities have a great contribution to the fatigue damage.
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Shi, Yuxia, Zhi Jin, Yongbo Su, Yuxiong Cao, and Yan Wang. "An improved VBIC model for InP DHBTs." In 2012 IEEE Radio Frequency Integrated Circuits Symposium (RFIC). IEEE, 2012. http://dx.doi.org/10.1109/rfic.2012.6242310.

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4

Petersone, Mara, Karlis Ketners, and Dainis Krievins. "Integrate health care system performance assessment for value-based health care implementation in Latvia." In Research for Rural Development 2021 : annual 27th International scientific conference proceedings. Latvia University of Life Sciences and Technologies, 2021. http://dx.doi.org/10.22616/rrd.27.2021.018.

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Every year, efforts are applied worldwide, particularly in the European Union, to improve health care systems by increasing the added value of resources already available for health care financing by increasing the performance of health care systems. According to experts of the World Health Organisation (WHO) and the Organisation for Economic Cooperation and Development (OECD), 20–40% of the resources are used for complications that could be avoided, for unnecessary treatment or administrative inefficiency. Therefore, a new initiative to improve health performance – the value-based health care concept (VBHC) is becoming increasingly popular in the world, and particularly in Europe. This scientific article aims to explore the possibilities of applying VBHC in Latvia and the interaction between various management tools in the field of health care. Application of the VBHC concept in Latvia is offered for discussion, where the outcome of the corresponding measure would be identified for each health service provider as part of a one-patient (care) pathway involving several independent health service providers. Based on the Health Care System Performance Assessment (HSPA), clinical (patient) pathways and indicators, to initiate an integrated VBHC model in four priority areas: circulatory system diseases, oncology, mental health, maternal and child health. Meta-analysis of the research is based on the use of qualitative data sources – the existing data sources from policies implemented by the Ministry of Health in Latvia and examples of the introduction of VBHC initiatives worldwide summarised by the VBHC Center Europe. The deductive research is based on the Value-Based Healthcare concept introduced by Porter and Teisberg (2007)
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Tustison, Nicholas J., Brian B. Avants, Philip A. Cook, James C. Gee, and James R. Stone. "Statistical bias in optimized VBM." In SPIE Medical Imaging, edited by John B. Weaver and Robert C. Molthen. SPIE, 2013. http://dx.doi.org/10.1117/12.2006377.

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6

Hossain, Md M., W. Alan Davis, Howard T. Russell, and Ronald L. Carter. "Thermal characterization of the VBIC dielectrically isolated device." In 2009 IEEE International Conference on Electro/Information Technology (eit '09). IEEE, 2009. http://dx.doi.org/10.1109/eit.2009.5189615.

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7

Petersone, Mara, Ingars Erins, and Karlis Ketners. "Is Latvia Ready For The Value-Based Healthcare Era?" In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002130.

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The Value Based Health Care (VBHC) has recently become the leading conceptual approach to health care in the world, but no value-based healthcare programme has yet been established in Latvia. Despite the critical interest in the implementation of VBHC programmes on the part of the health sector stakeholders, still the key persons in VBHC programmes are physicians. Goal of research: To clarify the views of physicians and young physicians on values-based health care fundamental principles and their vision for their further inclusion in Latvian health care. Method: The research uses data from a survey conducted among physicians and young physicians who practice at Pauls Stradins Clinical University Hospital.Results: 42% of physicians responded that patient surveys on the effectiveness of treatment for certain groups of patients could help to improve the results of treatment; 51% of physicians responded that patient surveys on their experience during treatment can help to improve their treatment results; much more cautious were physicians regarding the question whether comparing the results of treatment between physicians teams/hospitals could help to improve the results – 39% replied ‘Yes’ and 24% ‘Rather yes than no’; similarly cautious was the reply to the question whether the voluntary public availability of treatment results from a medical treatment facility could have a positive impact on the visibility of the service provider – 31% replied ‘Yes’ and 25% ‘Rather yes’; the convincing 82% of replies were to the question whether an exchange of experience and knowledge in the team of physicians helps to improve the results of treatment; the convincing majority of 86% of physicians believe that a multidisciplinary team of physicians can help improve the results of treatment; as a positive response, can be considered that 63% of respondents think that reforms in health care may be initiated not only by the Ministry of Health. The most interesting answer would be to the question of what management strategies should be developed in the healthcare system, where the first place, with 349 points, was taken by the answer “Cooperation with external partners (manufacturers, scientific centres, insurers, IT and other service providers)”.Conclusions: The results of the survey show that the application of VBHC principles will not contradict to views of physicians on traditional management models in health care and their role in it.Proposals: However, prior to starting the introduction of VBHC programmes in Latvian health care, there are grounds for launching discussions on the benefits of VBHC compared to the traditional management model. Policy recommendations: For hospital management and health sector supervisors to avoid resistance of physicians to implementing VBHC, the strategy should focus not on VBHC resource-efficient programmes but on patient-centred healthcare.
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Rajendran, Suresh, and C. Guedes Soares. "Short Term Statistics of Hydroelastic Loads of a Containership in Head and Oblique Seas." In ASME 2018 37th International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/omae2018-77486.

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Vertical bending moment (VBM) is an important parameter for the structural safety of any sea going ship. Generally, it is expected that ships encounter largest VBM in head seas. However, when it comes to flexible ships, it is not necessary that the largest VBM always occurs in head sea. It can also occur in oblique waves and high frequency response in waves with shorter period can be as large as the wave frequency response or can be even larger. Studies conducted in the recent past by other researchers has shed some light into this peculiar characteristics of VBM of flexible hulls. Therefore, it will be worthwhile to further investigate to check whether the nonlinear design load calculation of the flexible hull in head seas will lead to conservative results or should be tested for a range of headings with different combinations of wave period in order to estimate the largest VBM acting on the hull. In this paper, the numerical and the measured VBM of an ultra large container ship (ULCS) in low to severe sea states are analyzed and compared. The effect of speed, significant wave height, springing and bow flare slamming on the response is studied. The measured VBM in head and oblique waves are compared and interesting findings are observed.
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Komoriyama, Yusuke, Daichi Ota, Chong Ma, Hiroshi Sawada, Masayoshi Oka, Sadaoki Matsui, and Hidetaka Houtani. "Hull Structural Strength Evaluation Based on Fiber Bragg Gratings Pressure Sensors to Measure Spatial Pressure Distribution on Ship’s Hull in Waves." In ASME 2020 39th International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/omae2020-18434.

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Abstract In this study, the feasibility of Fiber Bragg Gratings (FBG) pressure sensors is verified for hull structural strength evaluation. To investigate the effectiveness of FBG pressure sensors for the strength evaluation, the towing tank test is carried out with a pure hydro-structural (PHS) ship model, which is capable of elastic deformation. FBG pressure sensors are installed on the outer hull surface and FBG strain sensors are installed inside the hull to calculate a vertical bending moment (VBM). Measured water pressure is interpolated on the whole hull surface by using the weighted average approach based on relative distance. Finite Element Analysis (FEA) is carried out based on interpolated water pressure. In FEA, inertia force is considered according to the inertia relief method, and VBM is calculated by FEA results. The strain measured by FBG strain sensors is transformed to VBM based on the calibration coefficient obtained by the vertical bending test. Finally, VBM obtained by the measured water pressure and strain are compared. As a result, VBM obtained by the measured water pressure is consistent with ones obtained by the measured strain. Therefore, the availability of water pressure measured by the FBG pressure sensors is validated for the hull structural strength evaluation in terms of VBM.
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Jin-Can, Zhang, Zhang Yu-Ming, Lu Hong-Liang, Zhang Yi-Men, Yang Shi, and Yuan Peng. "A simplified VBIC model and SDD implementation for InP DHBT." In 2011 International Conference of Electron Devices and Solid-State Circuits (EDSSC). IEEE, 2011. http://dx.doi.org/10.1109/edssc.2011.6117662.

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