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1
Zubańska, Magdalena, et Przemysław Knut. « Cold cases from the past, modern forensic tools and police cold case units, or crimen grave non potest esse impunibile – part I ». Issues of Forensic Science 298 (2017) : 51–61. http://dx.doi.org/10.34836/pk.2017.298.2.
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The article addresses the issues relating to the operations of the police cold case units as well as highlights the role of modern forensic tools in solving cases that were dismissed at the pre-trial stage, due to a failure to detect the perpetrators. The first section presents the genesis of the police X-Files and the phases of their development. In addition, the authors discuss the structure of the cold case units and the manner of conducting investigative analysis. Finally, the entities collaborating with the X-Files are indicated. This article was drawn up on the basis of a master’s thesis entitled: “Role of modern forensic tools in solving undetected crimes”, written under the supervision of dr. Magdalena Zubańskia and defended in 2016 at the Department of Internal Security of the Police Academy in Szczytno.
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Zhang, Zhifeng, Yongjian Huang, Bo Ran, Wei Liu, Xiang Li et Chengshan Wang. « Chemostratigraphic Analysis of Wufeng and Longmaxi Formation in Changning, Sichuan, China : Achieved by Principal Component and Constrained Clustering Analysis ». Energies 14, no 21 (28 octobre 2021) : 7048. http://dx.doi.org/10.3390/en14217048.
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The increasing proportion of unconventional worldwide energy demands have consistently promoted the necessity for exploring a precise, high-resolution, objective, and quantitative stratigraphic division method for macroscopically homogeneous mudstone successions. The chemostratigraphy can resolve this problem well, although it has been applied successfully in North America, but not systematically studied in China for shale gas exploration and development. This work has conducted a chemostratigraphic analysis of Wufeng and Longmaxi Formation on the Changning section of Sichuan Province, southwestern China, to testify its applicability for shale gas exploration in China. Principal component analysis (PCA) was first employed to reduce the dimensionality of datasets. Three chemofacies, including detrital (K, Ti, Fe, Al, Na, Mg, Cr, Zr, Rb), authigenic (Ca, Sr, Mn, Si, S, Ba), and redox-organic (P, V, Ni, Zn, Cu, TOC), were found. Subsequently, constrained clustering analysis was utilized for the zonation of each chemofacies into chemozones. Consequently, the whole Changning section was divided into twelve chemozones (CZ I–CZ Ⅻ). The geochemical interpretation for these chemozones can be resolved from the regional changes in paleogeography and paleoceanography during the Late Ordovician to Early Silurian period. Thus, a three-stage geochemical evolution along the Changning section can be classified: (1) the siliceous and anoxic deposits of Wufeng Formation (CZ I–CZ III) with high TOC contents; (2) the siliceous and anoxic sedimentary rocks of bottom Longmaxi Formation with still higher TOC (CZ Ⅳ); (3) the calcarous-detrital and oxic sediments for the rest of Longmaxi Formation (CZ Ⅴ–CZ Ⅻ). In considering their high content of TOC and abundant brittle siliceous minerals, the CZ (I–Ⅳ, 0 m–33.6 m) are thought to be the most preferable sweet spot for shale gas exploration.
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Michaelson, M. Dror, Shilpa Gupta, Neeraj Agarwal, Russell Zelig Szmulewitz, Thomas Powles, Roberto Pili, Justine Yang Bruce et al. « Axitinib plus crizotinib in patients with advanced solid tumors and metastatic renal cell carcinoma (mRCC) : Preliminary phase 1b results. » Journal of Clinical Oncology 35, no 15_suppl (20 mai 2017) : 2551. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.2551.
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2551 Background: Axitinib (AX) is a tyrosine kinase inhibitor (TKI) of vascular endothelial growth factor receptor (VEGFR) and a standard treatment for mRCC. Upregulation of mesenchymal-epithelial transition factor (c-MET) is implicated in resistance to VEGFR-directed therapy. An ongoing ph Ib study (NCT01999972) evaluated the safety and efficacy of AX + crizotinib (CZ), a TKI of c-MET, anaplastic lymphoma kinase (ALK), and ROS1. Methods: mRCC patients (pts) with advanced solid tumors were treated with AX + CZ in a dose escalation phase (DESC). After determining maximum tolerated dose (MTD) (modified toxicity probability interval), mRCC pts were enrolled into 2 cohorts in a dose expansion phase (DEXP). Cohort 1 (C1) was treatment-naïve and C2 had 1–2 prior therapies. The primary objectives were to assess the tolerability of AX + CZ, to obtain the MTD, and to select the recommended phase II dose. Results: As of Aug 5, 2016, 24 pts were screened and 22 pts treated in the DESC. Pts received AX 3 mg twice daily (BID) + CZ 200 mg BID (n = 5); AX 3 mg BID + CZ 250 mg BID (n = 3); AX 5 mg BID + CZ 200 mg BID (n = 4); or AX 5 mg BID + CZ 250 mg BID (n = 10) in a median 4 (range 1–23) cycles. There were no cycle 1 dose-limiting toxicities. One pt discontinued due to an AX-related alanine aminotransferase increase. Fifteen (68.2%) pts experienced Grade 3–4 adverse events (AEs), none in ≥2 pts; 1 pt had a Grade 5 AE (disease progression). AX 5 mg BID + CZ 250 mg BID was established as the MTD. Most frequent AEs in the MTD group were fatigue (70.0%), nausea (70.0%) and diarrhea (60.0%). In the ongoing DEXP, 15 pts have been treated at the MTD (n = 11 in C1, and 4 C2). Response evaluation (RECIST) is ongoing, with 1 complete response (CR), 3 partial responses (PR) and 4 stable disease (SD) in 10 pts in C1, and 1 PR and 2 SD in 4 pts in C2. Overall, 10 (66.7%) pts experienced Grade 3–4 AEs and 1 pt had a Grade 5 AE (disease progression). Most frequent AEs (≥60% pts) were nausea and diarrhea. Conclusions: We have identified AX 5 mg BID + CZ 250 mg BID as the MTD for combination therapy. This regimen has manageable toxicities and exhibits antitumor activity in treatment-naïve and pretreated mRCC. Further studies in VEGFR, c-MET, ALK and ROS1 tumor types are warranted. Clinical trial information: NCT01999972.
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Lin, Long-Hui, Fei Mao, Ce Chen et Xiang Ji. « Reproductive traits of the gray ratsnake Ptyas korros from three geographically distinct populations ». Current Zoology 58, no 6 (1 décembre 2012) : 820–27. http://dx.doi.org/10.1093/czoolo/58.6.820.
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Abstract We collected gravid gray rat snakes Ptyas korros from three geographically distinct populations in China, Chenzhou (CZ), Jiangshan (JS) and Dinghai (DH), to study geographical variation in female reproductive traits. Egg-laying dates differed among the three populations such that at the most northern latitude egg-laying was latest, and earliest at the most southern lati-tutde. Clutch size, clutch mass, egg mass, egg shape, within clutch variability in egg sizes and relative clutch mass differed among the three populations, whereas post-oviposition body mass did not. Except for egg-laying date, none of the traits examined varied in a geographically continuous trend. CZ and DH females, although separated by a distance of approximately 1100 km as the crow flies, were similar in nearly all traits examined. JS females were distinguished from CZ and DH females by their higher fecundity (clutch size), greater reproductive output (clutch mass) and more rounded eggs. Our data do not validate the prediction that larger offspring should be produced in colder localities. The absence of an egg size-number trade-off in each of the three populations presumably suggests that P. korros is among species where eggs are well optimized for size within a population.
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MART, T., et A. K. SARI. « HADRONIC FORM FACTORS IN THE γp→K+Λ PROCESS ». Modern Physics Letters A 28, no 14 (10 mai 2013) : 1350054. http://dx.doi.org/10.1142/s0217732313500545.
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We have investigated the effects of different hadronic form factors on the performance of an isobaric model developed for kaon photo-production off the proton. We found that there is no ideal form factor in this case. The dipole and generalized dipole form factors can help to nicely reproduce the differential cross-section and hyperon polarization data. However, in the case of double polarization data Cx and Cz the Gaussian form factor is found to be superior.
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Bret, Ondřej, et Petra Čížková. « DEVELOPMENT OF THE MUNICIPAL NOISE-ABSORBING SCREEN AND TEST SECTION CONSTRUCTION TECHNOLOGY ». Acta Polytechnica CTU Proceedings 11 (28 août 2017) : 6. http://dx.doi.org/10.14311/app.2017.11.0006.
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The article presents the development and construction technology of the Municipal noise-absorbing screen (MNAS) – in Czech "Mestská protihluková clona" (MPHC). The Municipal noise-absorbing screen is a new acoustical element developed in cooperation of the Department of Railway Structures, Faculty of Civil Engineering, CTU in Prague and the Montstav CZ s.r.o. Company. It is characterised by very small dimensions – its height is only ca 0.3 metre above the top of rail. The element serves to attenuate the noise induced by rail traffic arising at the wheel-rail contact. The Municipal noise-absorbing screen consists of individual, mutually interlocked units, placed one after another, made of bound recycled rubber. The article describes the major limiting conditions for the placement, shape and execution of the Municipal noise-absorbing screen. It also describes the construction of the test section situated on a tram track in Prague and sums up the experience obtained after the first year of operation.
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Stephenson, J. D. « WSR section topography of ‘Inert’ gas diffusion/precipitation in CZ-(110) dislocation-f ree Si (Monochromator) crystals) ». Physica Status Solidi (a) 130, no 1 (16 mars 1992) : 75–82. http://dx.doi.org/10.1002/pssa.2211300109.
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Zeng, Fan Ming, Guang Tian Zou et Jing He Liu. « Growth and Absorption Spectrum of Tm,Ho:BaY2F8 Crystal ». Advanced Materials Research 335-336 (septembre 2011) : 1025–28. http://dx.doi.org/10.4028/www.scientific.net/amr.335-336.1025.
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The Tm,Ho:BaY2F8 single crystal was successfully grown by the Cz method. The optimal technical parameters obtained are as follows: the pulling rate is 0.5—0.6mm/h; the rotation speed is 5—7rpm; the cooling rate is 10°C/h. The result of XRD curve shows that as-grown Tm,Ho:BaY2F8 laser crystal belongs to the monoclynicsystem and space group I41/a, the cell parameters calculated are: a = 0.69829 nm, b = 1.0519 nm, c = 0.42644 nm, β=99.676°, Z=2. Absorption spectra of Tm,Ho:BaY2F8 laser crystal at room temperature were measured and analysed, the absorption cross-section at 781nm calculated are 7.66×10-21cm-2.
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Hankinson, R. J. « The Sceptical Inquirer ». History of Philosophy and Logical Analysis 23, no 1 (8 septembre 2020) : 74–99. http://dx.doi.org/10.30965/26664275-02301007.
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Abstract This article treats of whether scepticism, in particular Pyrrhonian scepticism, can be said to deploy a method of any kind. I begin by distinguishing various different notions of method, and their relations to the concept of expertise (section 1). I then (section 2) consider Sextus’s account, in the prologue to Outlines of Pyrrhonism, of the Pyrrhonist approach, and how it supposedly differs from those of other groups, sceptical and otherwise. In particular, I consider the central claim that the Pyrrhonist is a continuing investigator (section 3), who in spite of refusing to be satisfied with any answer (or none), none the less still achieves tranquillity, and whether this can avoid being presented as a method for so doing, and hence as compromising the purity of sceptical suspension of commitment (section 4). In doing so, I relate—and contrast—the Pyrrhonists’ account of their practice to the ‘Socratic Method’ (section 5), as well as to the argumentative practice of various Academics (section 6), and assess their claim in so doing to be offering a way of instruction (section 7). I conclude (section 8) that there is a consistent and interesting sense in which Pyrrhonian scepticism can be absolved of the charge that it incoherently, and crypto-dogmatically, presents itself as offering a method for achieving an intrinsically desirable goal.
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Zavada, J., L. Nekvindova, K. Pavelka, P. Horak et J. Vencovský. « AB1233 GENDER DIFFERENCE IN DISEASE SEVERITY AND TREATMENT OUTCOMES AMONG PATIENTS WITH RHEUMATOID ARTHRITIS (RA), AXIAL SPONDYLOARTHRITIS (AXSPA) AND PSORIATIC ARTHRITIS (PSA) STARTING TREATMENT WITH TARGETED THERAPY IN THE CZECH REPUBLIC ». Annals of the Rheumatic Diseases 79, Suppl 1 (juin 2020) : 1907.1–1908. http://dx.doi.org/10.1136/annrheumdis-2020-eular.2849.
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Background:The ATTRA registry captures more than 95% of patients with RA, AxSpA, or PSA treated with biologics in the Czech Republic (CZ). In CZ, anti-TNF therapy is reimbursed for RA if DAS28>5.1 despite therapy with csDMARDs, for PSA if disease is not “adequately controlled” with csDMARDs and for AS if BASDAI>4 and CRP/ESR elevated above normal.Objectives:We aimed to investigate gender-related differences in baseline characteristics and treatment effectiveness among patients with RA, AxSpa, and PsA starting first targeted therapy (TT) in CZ.Methods:In this observational cohort study, the ATTRA register provided prospectively collected data on RA, AxSpA and PsA patients who initiated their first TT (mostly by TNFi) in 2012–6/2018. Treatment effectiveness and adherence was assessed at 12 months by a change in patient-reported outcomes (PROs), CRP and % drug survival. Differences in categorical and continuous data btw males and females were assessed using the Pearson X2test (of Fisher exact test, as appropriate), or Mann-Whitney test resp. This study was largely descriptive, and no statistical adjustments have been made.Results:A total of 1602 RA, 1306 AxSpa, and 493 PsA patients were included. The difference in baseline characteristics btw women and men starting TT are shown in table 1. Their response and adherence to TT after one year is shown in table 2.Conclusion:When starting their first TT, males tended to have higher levels of CRP, while females were more often (ex)smokers and reported worse parameters of quality of life across the diagnostic groups. The improvement of PROs was similar in males and females, while males with axSpA and PsA showed larger improvements in CRP. Survival on drug at one year was similar, save for AxSpA, where males showed better survival.References:Acknowledgments:Supported by project 00023728 of Ministry of Health, CZDisclosure of Interests:Jakub Zavada Speakers bureau: Abbvie, UCB, Sanofi, Elli-Lilly, Novartis, Zentiva, Accord, Lucie Nekvindova: None declared, Karel Pavelka Consultant of: Abbvie, MSD, BMS, Egis, Roche, UCB, Medac, Pfizer, Biogen, Speakers bureau: Abbvie, MSD, BMS, Egis, Roche, UCB, Medac, Pfizer, Biogen, Pavel Horak Speakers bureau: Pfizer, Abbvie, Eli lilly. Novartis, Roche, Sanofi, Jiří Vencovský: None declared
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Grace, R. F., et V. J. Roach. « Caesarean Section in a Patient with Paramyotonia Congenita ». Anaesthesia and Intensive Care 26, no 5 (octobre 1998) : 534–37. http://dx.doi.org/10.1177/0310057x9802600511.
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This case report details spinal anaesthesia for an elective caesarean section in a patient with the rare condition of paramyotonia congenita. There are few case reports of anaesthesia in this condition and none in the Australian anaesthetic literature. This case highlights the need for the avoidance of hypothermia and depolarizing muscle relaxants, the safety of spinal anaesthesia and a conservative approach to the management of plasma potassium concentration. The subsequent review outlines the current literature and discusses other issues involved in the anaesthetic management of this disorder.
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Begum, Tahera, M. Jalal Uddin et Ishrat Jabin. « Caesarean Section Without Indwelling Catheter ». Chattagram Maa-O-Shishu Hospital Medical College Journal 14, no 1 (4 avril 2015) : 34–35. http://dx.doi.org/10.3329/cmoshmcj.v14i1.22878.
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Background: Many studies were conducted worldwide on the subject but there is none in Chittagong. To get our experience we had conducted the study. Methods: It was an experimental study. 70 cases were conveniently selected under certain inclusion and exclusion criteria. Cases were managed by the obstetricians unrelated to the study. All cases were meticulously observed by the investigators and findings were instantly recorded. All data were manually managed. A discussion was made and conclusion was drawn. Results: Total 70 cases were studied. 35 primae and 35 multipara. Mean age was 27 years +2.3 . All were literate and 86% were housewives. Cases were without medical, surgical complications and were uneventfully managed. First voiding time was 4.28 hours +0.45. 07% cases were evacuated with plain catheter after 7 hours for pain and bladder distention. Average hospital stay 2.3 days. There was no occurrence of urinary tract infection. Conclusion: Indwelling catheter should not be used unless it is strongly indicated. DOI: http://dx.doi.org/10.3329/cmoshmcj.v14i1.22878 Chatt Maa Shi Hosp Med Coll J; Vol.14 (1); Jan 2015; Page 34-35
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Woźny, Tomasz. « Pomiędzy Limanową a Gorlicami. Działania wojenne w Galicji Zachodniej od połowy grudnia 1914 r. do końca kwietnia 1915 r. – cz. 2 ». Textus et Studia, no 3(23) (26 juillet 2021) : 135–54. http://dx.doi.org/10.15633/tes.06305.
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In the battle of Jasło and Tarnów at the turn of 1914 and 1915, the victorious Russian troops significantly limited the size of the earlier defeat at Limanowa and Łapanów. The front in Western Galicia stabilized for the next four months, despite the fighting, it did not undergo any major changes. In addition, it became a secondary section, from where both sides moved subsequent troops to the Carpathians. The events described in the text significantly influenced the later victory of the Central Powers in the Battle of Gorlice.
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Woźny, Tomasz. « Pomiędzy Limanową a Gorlicami. Działania wojenne w Galicji Zachodniej od połowy grudnia 1914 r. do końca kwietnia 1915 r. – cz. 1 ». Textus et Studia, no 2(22) (26 juillet 2021) : 83–113. http://dx.doi.org/10.15633/tes.06205.
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In the battle of Jasło and Tarnów at the turn of 1914 and 1915, the victorious Russian troops significantly limited the size of the earlier defeat at Limanowa and Łapanów. The front in Western Galicia stabilized for the next four months, despite the fighting, it did not undergo any major changes. In addition, it became a secondary section, from where both sides moved subsequent troops to the Carpathians. The events described in the text significantly influenced the later victory of the Central Powers in the Battle of Gorlice.
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Chowdhury, Liza, et Ishrat Jahan. « Cesarean Section without Urethral Catheterization ». Journal of Armed Forces Medical College, Bangladesh 11, no 1 (15 décembre 2016) : 3–6. http://dx.doi.org/10.3329/jafmc.v11i1.30658.
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Introduction: Urethral catheterization is done as a routine procedure in cesarean section. It is associated with great discomfort, high incidence of urinary tract infection, delayed ambulation and longer hospital stay.Objectives: To determine the feasibility and safety of cesarean section without urethral catheterization.Materials and Methods: A prospective, observational study was carried out from April 2012 to March 2013, in the Department of Obstetrics and Gynaecology, CMH Dhaka and IBN Sina Hospital Dhaka among 65 patients who had undergone cesarean section without catheterization. There were some limitations of this study. We had excluded previous cesarean from our study, so the results of this study cannot be generalized.Results: Firs void discomfort was not significantly associated without the use of indwelling catheter. Hospital stay was shorter (94% was discharged on 3rd post operative day). None of the patients had bladder injury. Mean duration of surgery was 45 minutes (44%) and ambulation time 11-14 hours (60%). Average estimated blood loss was 500 ml (41%) and time of 1st voiding was 5-8 hrs (58%). Need for catheterization was significantly low (3%).Conclusion: Cesarean section can be done safely without urethral catheterization with reduced morbidities.Journal of Armed Forces Medical College Bangladesh Vol.11(1) 2015: 3-6
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Gurung, Tara, Sangeeta Shrestha, Ujjwal Basnet et Amirbabu Shrestha. « Awareness with Recall in General Anesthesia undergoing Cesarean Section ». Nepal Journal of Obstetrics and Gynaecology 13, no 1 (12 novembre 2018) : 18–22. http://dx.doi.org/10.3126/njog.v13i1.21611.
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Aims: To determine the incidence of awareness with recall in parturient undergoing cesarean section under general anesthesia in Paropakar Maternity and Women’s Hospital.Methods: Retrospective observational cohort study of the patients who underwent cesarean section under general anesthesia from April mid 2014 to April mid 2017 (Baishakh 2071 to Chaitra 2073 BS). Awareness questionnaires filled up through the modified Brice interview.Results: A total of 162 patients underwent Cesarean Section under general anesthesia and138 were included in the study. None of them had awareness and six patients had a dream.Conclusion: No awareness with recall found and prospective study is required to determine the condition.
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Varga, Gyorgy, et Ricardo Dias de Oliveira Brito. « The Cross-Section of Expected Stock Returns in Brazil ». Brazilian Review of Finance 14, no 2 (27 juin 2016) : 151. http://dx.doi.org/10.12660/rbfin.v14n2.2016.60916.
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In a sample of the Brazilian stock market from 1999 to 2015, this paper shows that the book-to-market and momentum of individual firms capture some of the cross-sectional variation in average stock returns, while the market β and size do not play a role. The positive relation of cross-section of returns with book-to-market is more evident earlier, while the positive relation with momentum is stronger later in the sample. However, because none of these characteristics show explanatory power for all the subsamples studied, we are not fully convinced that they capture fundamental risk factors.
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Rice, P. M., M. J. Kim et R. W. Carpenter. « Copper precipitation on extrinsic defects in silicon ». Proceedings, annual meeting, Electron Microscopy Society of America 48, no 4 (août 1990) : 652–53. http://dx.doi.org/10.1017/s0424820100176393.
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The gettering of impurity copper in silicon has been investigated for over a decade because of its technological importance in electronic device fabrication.it is known that Cu can be extrinsically gettered in silicon at deliberately introduced nucleation sites. However, its reaction mechanism and the nature of the reaction product are not well understood. Here we report the interaction of Cu with dislocations in Si created by mechanical abrasion.A damaged region was introduced into CZ{001} silicon wafers on one side by abrasion. A Cu layer 200nm thick was deposited onto the abraded surface in a UHV chamber at room temperature. After Cu deposition the wafers were sealed immediately into quartz ampules under vacuum and annealed at 1000 C for 24 hrs, followed by quenching. Cross section specimens were prepared by mechanical dimpling and Ar beam ion milling. Diffraction contrast imaging and microdiffraction experiments were done in a JEM-2000FX at 200kV, and a Philips 400TEM/STEM/FEG at 100kV.
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Luijkx, Katrien, Leonieke van Boekel, Meriam Janssen, Marjolein Verbiest et Annerieke Stoop. « The Academic Collaborative Center Older Adults : A Description of Co-Creation between Science, Care Practice and Education with the Aim to Contribute to Person-Centered Care for Older Adults ». International Journal of Environmental Research and Public Health 17, no 23 (3 décembre 2020) : 9014. http://dx.doi.org/10.3390/ijerph17239014.
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Long-term care for older adults is in transition. Organizations offering long-term care for older adults are expected to provide person-centered care (PCC) in a complex context, with older adults aging in place and participating in society for as long as possible, staff shortages and the slow adoption of technological solutions. To address these challenges, these organizations increasingly use scientific knowledge to evaluate and innovate long-term care. This paper describes how co-creation, in the sense of close, intensive, and equivalent collaboration between science, care practice, and education, is a key factor in the success of improving long-term care for older adults. Such co-creation is central in the Academic Collaborative Center (ACC) Older Adults of Tilburg University. In this ACC, Tilburg University has joined forces with ten organizations that provide care for older adults and CZ zorgkantoor to create both scientific knowledge and societal impact in order to improve the quality of person-centered care for older adults. In the Netherlands, a “zorgkantoor” arranges long-term (residential) care on behalf of the national government. A zorgkantoor makes agreements on cost and quality with care providers and helps people that are in need of care to decide what the best possible option in their situation is. The CZ zorgkantoor arranges the long-term (residential) care in the south and southwest of the Netherlands. This paper describes how we create scientific knowledge to contribute to the knowledge base of PCC for older adults by conducting social scientific research in which the perspectives of older adults are central. Subsequently, we show how we create societal impact by facilitating and stimulating the use of our scientific knowledge in daily care practice. In the closing section, our ambitions for the future are discussed.
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Roy, Priyankur, Lakshmanan Jeyaseelan et Jose Ruby. « Respiratory Morbidity in Term Infants delivered by Elective Cesarean Section at a Tertiary Care Hospital in India : A Randomized Controlled Trial ». Journal of South Asian Federation of Obstetrics and Gynaecology 9, no 4 (2017) : 312–17. http://dx.doi.org/10.5005/jp-journals-10006-1520.
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ABSTRACT Objectives (1) To investigate the association between term elective cesarean sections and neonatal respiratory morbidity and the importance of timing of the cesarean. (2) To assess the maternal morbidity when emergency lower segment cesarean section (LSCS) was required. Participants All women with singleton term (37—41 + 6 weeks) pregnancies and planned for elective cesarean section in Christian Medical College, Vellore, India. Outcome measures The primary outcome measures were neonatal morbidities such as transient tachypnea of newborn (TTN) and respiratory distress syndrome (RDS). The secondary outcome measures were emergency cesarean section and maternal morbidities such as scar dehiscence, urinary tract infection (UTI), endometritis, peritonitis, and hemoperitoneum in the mother. Results The percentage of TTN in the infants in group I was 1.3% while there were none in group II. No infants were diagnosed to have RDS. Out of the 150 women who were planned for elective cesarean section, 55 women underwent emergency cesarean section. Among this, 19 (25.3%) of women were from group I as compared with 36 (48.0%) in group II. The difference in proportion between the two groups was –22.7 [95% confidence interval (CI): –37.7, –7.7], which was statistically significant (p < 0.01). The incidence of scar dehiscence, UTI, endometritis, and hemoperitoneum in the mothers of group II was marginally higher than that in the mothers of group I. There was one woman with peritonitis in group I while none was reported in the other group. All the maternal morbidities occurred to women who underwent emergency cesarean section. Out of the 19 women in group I and 36 women in group II who underwent emergency cesarean section, 1 (5.3%) and 6 (16.7%) women had morbidities. Conclusion Women requiring elective cesarean section can safely be done between 37 and 39 weeks with no further significant increase in the rates of neonatal morbidity such as TTN and RDS. How to cite this article Roy P, Jeyaseelan L, Ruby J, Garg R. Respiratory Morbidity in Term Infants delivered by Elective Cesarean Section at a Tertiary Care Hospital in India: A Randomized Controlled Trial. J South Asian Feder Obst Gynae 2017;9(4):312-317.
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Lambropoulos, John C., et Chien-Hsing Wu. « Mechanics of shaped crystal growth from the melt ». Journal of Materials Research 11, no 9 (septembre 1996) : 2163–76. http://dx.doi.org/10.1557/jmr.1996.0276.
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We present the numerical formulation of the thermal stress driven steady-state dislocation generation during the growth of shaped crystals from the melt, with Czochralski (CZ) growth of solid cylinder III–V compound semiconductors as an example. We use and compare the Haasen–Alexander model, coupling dislocation multiplication and creep strain rates, and the Jordan model, based on thermoelastic stresses. Growth parameters may be chosen so as to produce an overall approximately flat interface, leading to reduced dislocation density in the majority of the crystal's cross section. Calculation of final dislocation density requires the initial dislocation density and all stress components along the solid-liquid interface, microstructural features which depend on the physical processes leading to solidification. The final dislocation density is not sensitive to the initial dislocation density along the solid-liquid interface, but strongly depends on the interface stress. Significant stress relaxation at the interface is required to produce experimentally observed “W” shaped dislocation patterns. Crystal growth direction and crystalline anisotropy couple elastic (lattice) and plastic (slip systems) crystalline anisotropy.
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Maric, Irina, Olga Simakova, Neha Korde, Adriana Zingone, Rene Costello, Elisabet E. Manasanch, Manisha Bhutani et al. « Pretreatment Plasma Cell Proteasome Levels Predict Responses To Treatment With Carfilzomib, Lenalidomide, and Dexamethasone (CRd) Followed By Lenalidomide Extended Dosing (CRd-R) In Newly Diagnosed Multiple Myeloma Patients ». Blood 122, no 21 (15 novembre 2013) : 1905. http://dx.doi.org/10.1182/blood.v122.21.1905.1905.
Texte intégralRésumé :
Abstract Background Carfilzomib (Cz) is an irreversible proteasome inhibitor with potent anti-myeloma effects resulting in deep clinical responses and durable remissions in the majority of patients. In our two-stage phase II trial of 45 newly diagnosed multiple myeloma (MM) patients using carfilzomib (Cz), lenalidomide (Ln), and dexamethasone (Dx) combination therapy followed by 2 years of Ln maintenance, best responses after a median of 9 completed cycles (range 2-20), included 17-stringent-(s)-complete response-(CR)/1-CR/6-near-(n)-CR (63%), 10-very good partial response (VGPR) (26%), 3-partial response (PR) (8%), and 1-stable disease (SD) (3%) (reported in a separate abstract). In this pre-planned correlative sub-study based on our ongoing clinical CRd trial for newly diagnosed MM patients, we conducted a prospective flow cytometric study designed to characterize pretreatment levels of proteasomes and aggresomes in plasma cells in relation to response to therapy. Methods Bone marrow aspirates were collected at baseline and C1D2 (single agent Cz exposed). Permeabilized CD138 and CD38 positive plasma cells were tested using anti-19S proteasome subunit antibodies (Abcam, Cambridge, UK). In parallel, cells were labeled with ProteoStat Aggresome Detection Reagent (Enzo Life Sciences, Farmingdale, NY). Multicolor flow cytometric acquisition and analysis was performed using BD FACS CANTO and DIVA software. Data was expressed as mean fluorescence intensity (MFI) ratio using isotype-matched controls. Patients’ best responses to therapy after minimum of 4 cycles were correlated to the acquired proteasome and aggresome data. Statistical analysis was performed using DataPrism software. Statistical significance was considered as p-value <0.05. Results Total of 21 patients were assessed: 14 achieved CR (CR group), 4-VGPR, 2-PR and 1-SD (non-CR group). The median plasma cell 19S MFI ratio in the CR group was 20.21 (range 5.21-84.27), and in the non-CR group 6.19 (range 2.88-11.68), p<0.005. The percent of plasma cells in bone marrow aspirates was not statistically significantly different between two groups. 45% of non-CR patients had plasma cell 19S MFI ratio of less than 5, while 65% of CR patients had plasma cell 19S MFI ratio of over 12. After single agent Cz treatment (C1D2) plasma cell 19S proteasome MFI ratio in the CR group decreased in 90% of patients, while aggresome MFI ratio increased compared to baseline. Conversely, in the non-CR group, C1D2 plasma cell 19S MFI ratio increased in 80% of patients, while aggresome MFI ratio remained unchanged or decreased compared to baseline. Conclusions We found the pretreatment florescence intensity (MFI) ratio of 19S proteasome subunit in plasma cells to be significantly higher in MM patients who obtained CR (versus non-CR) when treated with CRd treatment. None of the patients with pretreatment 19S MFI ratio of less than 5 achieved CR; conversely, all patients with pretreatment 19S MFI ratio of over 12 achieved CR. After a single dose of carfilzomib, 90% of CR patients had decreased 19S MFI and increased aggresomes MFI ratio, while 80% of non-CR patients showed opposite changes: increased 19S MFI and unchanged/decreased aggresomes MFI ratio. We conclude that pretreatment plasma cell proteasome levels predict response to the CRd treatment in newly diagnosed MM patients. Disclosures: No relevant conflicts of interest to declare.
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Hamir, Amir N., et Charles E. Rupprecht. « Hepatic Capillariasis (Capillaria Hepatica) in Porcupines (Erethizon Dorsatum) in Pennsylvania ». Journal of Veterinary Diagnostic Investigation 12, no 5 (septembre 2000) : 463–65. http://dx.doi.org/10.1177/104063870001200514.
Texte intégralRésumé :
Tissues of 53 adult porcupines ( Erethizon dorsatum) from Pennsylvania were obtained for histopathologic examination. Hepatic capillariasis was recorded in 9% of the porcupines. An additional 11% of the liver sections showed lesions that were compatible with migration by Capillaria hepatica. Because only 1 section of the liver per animal was examined microscopically, the documented prevalence of C. hepatica in Pennsylvania is considered conservatively low. However, this condition was subclinical, because none of the infected animals showed clinical signs, and none revealed severe pathologic changes in the affected livers. This seems to be the only report of C. hepatica in porcupines.
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HASSAN, SAMIA, MISBAH KAUSAR JAVAID et SADIA TARIQ. « EMERGENCY CAESAREAN SECTION ». Professional Medical Journal 15, no 02 (10 mars 2008) : 211–15. http://dx.doi.org/10.29309/tpmj/2008.15.02.2772.
Texte intégralRésumé :
Objective: Comparative analysis of problems encountered betweenpatients of elective caesarean section and patients for whom elective caesarean section was planned but ended upin emergency caesarean section. Design: Descriptive prospective analysis. Setting: Gynae Unit-II, Services Hospital,Lahore. Duration: One year, 1 January 2006 to 31 December 2006. Patients & Methods: A prospective study of st st100 patients who presented for antenatal care (ANC) and for whom elective caesarean section (CS) was planned wasdone. Patients evaluation was done on a designed performa that included demographic, social and obstetrical histories.Problems encountered in the preparatory stage, logistic problems, administrative problems, problems encounteredduring surgery, maternal, fetal mortality and morbidity were noted. Results: The patients were divided into twocategories. Categories I: included patients who had elective CS and category II: included patients who ended up inemergency CS. Numerous problems were encountered for category II patients. In the preparatory phase there wasdifficulty in arranging medicines for 32 patients. (59.2%), arranging blood for 28 patients (51.8%), obtaining consentfor 1 patient (1.85%). Logistic problems included non-availability of operation theatre for 15 patients (27.75%), nonavailability of anaesthetist for 9 patients (16.65%), and non-availability of paediatrician for 38 babies (17.3%). Noneof the emergency CS were done with in the recommended 30 minutes interval. Despite this, there was no significantcoloration between the decision delivery interval (DDI) and perinatal outcome. In our study like threatening cases wereoperative within 60 minutes. Intra operative problems in the category II patients included adhesions in 40 patients (74%)vs 10 patients (21.7%) of category I, partial dehiscence in 16 patients (29.6%) of category II vs 4 patients (8.68%) ofcategory I. Excessive hemorrhage in 8 patients (14.8%) of category II vs 2 patients (4.34%) of category I. Among thepost operative complications anemia was present in 20 patients (43.4%) of category I vs 45 patients (83.25%) ofcategory II patients. Blood transfusion was required for 16 patients (29.6%) of category II vs 4 patients (8.68%) ofcategory I and all patients were given iron supplement. Major wound infection were seen in 9 patients (16.65%) ofcategory II vs 2 patients (4.34%) of category I. Resuturing was done after appropriate antibiotic cover and dailyantiseptic dressing. Minor wound infections were seen in 22 patients (40.7%) of category II vs 12 patients (26.04%)of category I. Urinary Tract Infections (UTI) was seen in 6 patients (11.1%) of category II vs 1 patient (2.17%) ofcategory I. Respiratory Tract Infection (RTI) was seen in 5 patients (9.25%) of category II vs 2 patients (4.34%) ofcategory I. All these were treated by appropriate antibiotic cover. Regarding the neonatal outcome 16 babies (29.6%)of category II were kept under observation in neonatal nursery (NNU) as compared to 6 (13.02%) babies of categoryI. Admission for 2-10 days in NNU were 8 babies (14.96%) of category II vs 2 babies (4.34%) of category I. 2 babies(3.74%) of category II expired later while none of category I. Conclusion: Patients for whom elective CS was plannedbut who ended up in emergency CS, the DDI was prolonged and there was increase risk of maternal morbidity, fetalmorbidity and mortality as compared to those patients who had elective CS.
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Kakkar, Rakesh, et Pradeep Aggarwal. « Book Review : ‘Till We Win - India’s fight against the COVID-19 Pandemic’ ». Indian Journal of Community Health 32, no 4 (31 décembre 2020) : 755–56. http://dx.doi.org/10.47203/ijch.2020.v32i04.028.
Texte intégralRésumé :
‘Till We Win’ is a book which provides a comprehensive overview of India’s journey. It deliberates how India, as a nation, fought and continue to fight against the novel coronavirus, SARS CoV-2. It documents and analyses the COVID-19 pandemic responses and provides lessons for health systems strengthening.
The book has four section and eleven chapters. The first section focuses upon why viruses are likely to cause pandemic and how human activities are increasing the risks of outbreaks and epidemics. The next section deliberates on India’s pandemic response and how the policies had evolved with every new emerging condition. The authors argue that none of the country was fully prepared for the pandemic of the such a magnitude which eventually had disrupted even ‘so called’ better performing health system.
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Burnside, Craig. « The Cross Section of Foreign Currency Risk Premia and Consumption Growth Risk : Comment ». American Economic Review 101, no 7 (1 décembre 2011) : 3456–76. http://dx.doi.org/10.1257/aer.101.7.3456.
Texte intégralRésumé :
Lustig and Verdelhan (2007) argue that the excess returns to borrowing US dollars and lending in foreign currency “compensate US investors for taking on more US consumption growth risk,” yet the stochastic discount factor corresponding to their benchmark model is approximately uncorrelated with the returns they study. Hence, one cannot reject the null hypothesis that their model explains none of the cross sectional variation of the expected returns. Given this finding, and other evidence, I argue that the forward premium puzzle remains a puzzle. JEL: C58, E21, F31, G11, G12
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Hall, A. D., B. K. Puri, T. Stewart et P. S. Grahame. « Doctors' Holding Power in Practice : Section 5(2) of the Mental Health Act 1983 ». Medicine, Science and the Law 35, no 3 (juillet 1995) : 231–36. http://dx.doi.org/10.1177/002580249503500310.
Texte intégralRésumé :
Section 5(2) of the Mental Health Act 1983 (England and Wales) is a commonly used short term power of detention often implemented by junior medical staff, which has no statutory right of appeal. There is little published analysis of its use in clinical practice. A detailed case note study of its use in a psychiatric service with a large catchment area is presented. Fifty-seven per cent of the patients detained under s.5(2) were female. Affective psychosis was over-represented in detained females, while schizophrenia and paranoid states were over-represented in males. Eight per cent of s.5(2) detentions were initiated via the nurses' holding power, s.5(4). None of these patients were subsequently regraded to s.2 or 3, which may be accounted for by the finding that personality disorder and alcohol dependence were more commonly diagnosed in this subgroup. Of s.5(2) detainees, none of those with a non-psychotic disorder were regraded to s.2 or 3. Three patients had not accepted in-patient admission prior to implementation of s.5(2). Moreover, 38 per cent of all s.5(2) detentions took place within 24 hours of admission. Patients with a psychotic disorder were more likely to be detained within 24 hours of admission. Doubts regarding the validity of consent to voluntary admission in these patients are raised.
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Abboud, Therese K., Michael J. Moore, Jerry Jacobs, Kazushige Murakawa, Manoutchehr Soraya et Jay Zhu. « Epidural Mepivacaine for Cesarean Section : Maternal and Neonatal Effects ». Regional Anesthesia : The Journal of Neural Blockade in Obstetrics, Surgery, & ; Pain Control 12, no 2 (avril 1987) : 76–79. http://dx.doi.org/10.1136/rapm-00115550-198712020-00003.
Texte intégralRésumé :
The effects of epidural anesthesia using mepivacaine on maternal blood pressure, newborn Apgar scores, neonatal acid-base status, and the Early Neonatal Neurobehavioral Scale (ENNS) were studied in 21 pregnant women undergoing cesarean section. Maternal and neonatal blood levels of mepivacaine were also determined. Neonatal outcome was compared with a control group of 14 neonates of healthy mothers who received 3% 2-chloroprocaine for elective cesarean section. All patients had satisfactory anesthesia for cesarean section with an onset of 19 ± 1.8 minutes (mean ± SEM) and duration of 95 ± 11.9 minutes. Hypotension developed in two patients, and they were treated with intravenous ephedrine. All neonates had Apgar scores of 8 or more at 1 and 5 minutes and normal blood gases and acid-base status. None of the variables of the ENNS differed significantly between the mepivacaine and the chloroprocaine control group with the exception of truncal tone, which was significantly higher in the mepivacaine group ( p < 0.05). Mepivacaine was detected in all maternal and fetal samples, and the umbilical venous to maternal venous ratio was 0.57 ± 0.17 (mean ± SEM).
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Lowe-Ponsford, Francesca L., et Ayaz Begg. « Place of Safety and Section 136 at Gatwick Airport ». Medicine, Science and the Law 36, no 4 (octobre 1996) : 306–12. http://dx.doi.org/10.1177/002580249603600406.
Texte intégralRésumé :
Seventy-nine adults and nineteen children were arrested at Gatwick Airport under s.136 over the period of one year although not all were formally held under this section at the police station (i.e. not all were accepted by the custody police officer). Their notes at the police station were reviewed. None of the children and only half of the adults were eventually seen by a doctor. The police were able to deal with the others. Half of these latter were missing persons. Those referred to a doctor tended to be suicidal or confused compared with those who were dealt with solely by the police. In addition, the police station as a place of safety probably influenced management in that people were dealt with quickly. The phenomenon of ‘wanderers’ is commented upon. This study suggests that when reviewing people held by the police as a result of their behaviour, a more comprehensive study can be performed by considering those arrested under s.136, but needing a more informal approach, at the police station.
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Gupta, Nupur, Taru Gupta et Ritu Singh. « Feto-maternal outcome in second versus first stage caesarean delivery in a tertiary medical care centre ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no 12 (26 novembre 2018) : 5084. http://dx.doi.org/10.18203/2320-1770.ijrcog20184971.
Texte intégralRésumé :
Background: The aim is to study neonatal and maternal outcomes of the caesarean sections performed in first stage versus second stage of labour. Methods: The retrospective analysis of data were done of caesarean section done at Department of Obstetrics and Gynaecology at ESI PGIMSR Basaidarapur New Delhi between January 2016 to December 2016. 45 women, who underwent second stage caesarean section were studied. For each case, two consecutive cases, who underwent caesarean delivery during the first stage of labour were taken as control for the study. Primary maternal outcomes of interest were uterine atonia, transfusion requirement, urinary system injury and postoperative complications. Results: Out of 4477 deliveries, 1466 had caesarean section with a rate of 32%. The rate of second stage caesarean section was 3% of total caesarean section and 1% of total deliveries. Second stage caesarean section had higher maternal and perinatal morbidity like atonic PPH (33.3%), lower uterine segment extension (7%), febrile morbidity (10%), and need for blood transfusion (15%). There were 15.5% NICU admission in second stage caesarean group while none in first stage group. Conclusions: Caesarean section in the second stage of the labour is associated with increased maternal and neonatal morbidities. Special attention is required to the patients undergoing caesarean section in the second stage of the labour. They should be handled by senior and experienced obstetrician. Neonatologist should be present for every second stage caesarean section.
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Vaswani, Babita P., Aditi Trivedi et Sriram Gopal. « Extraperitoneal versus transperitoneal cesarean section : a retrospective analysis ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no 2 (28 janvier 2020) : 567. http://dx.doi.org/10.18203/2320-1770.ijrcog20200337.
Texte intégralRésumé :
Background: Cesarean section is becoming a more common delivery type worldwide. The objective of this study was to compare surgical morbidity in extraperitoneal versus transperitoneal techniques of cesarean section.Methods: A total of 60 patients was included in this study out of which 30 underwent extraperitoneal cesarean section(ECS) and 30 patients underwent transperitoneal cesarean section (TCS) and compared both the techniques with respect to nausea or vomiting intra-operatively, pain score (as measured by visual analogue scale) post operatively, return of bowel function and blood loss.Results: Intra-operative nausea and vomiting was noted in 33.34% of patients in TCS group while none of the patients in ECS group had any such complaints. No difference was noted in average blood loss between the 2 groups. Post-operative pain in ECS was 4.13 as compared to 6.86 in TCS. Return of bowel sounds in ECS group was much earlier (5.46 hours) as compared to TCS group (11.33 hours).Conclusions: We conclude that extraperitoneal technique is advantageous over transperitoneal approach. Decreased nausea and vomiting, early return of bowel function in the post-operative period, decreased post-operative pain allowing early feeding and mobilization are definite benefits of this technique. This further helps in making a relatively smoother post-operative recovery.
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Šimberová, Iveta, et Peter Kita. « New Business Models Based on Multiple Value Creation for the Customer : A Case Study in the Chemical Industry ». Sustainability 12, no 9 (11 mai 2020) : 3932. http://dx.doi.org/10.3390/su12093932.
Texte intégralRésumé :
The paper’s objective is to describe business models currently used in terms of sustainable multiple customer creation in the chemical industry in the Czech Republic, namely Section 20.1 in the CZ NACE (Classification of Economic Activities). The business models are described through a specified set of business model elements, which correspond with the presented theoretical bodies. The business models are also evaluated and benchmarked based on a custom indicator measuring business model novelty. The theoretical background of the research consists of three theoretical bodies: Sustainability, multiple customer value creation, and new business models. The research stems from the theoretical background and anticipates that the business model development dynamics drives companies to consider the reasons and conditions of their very existence. The Canvas business model serves as a visualization tool, as it is sufficiently comprehensive, analytical, flexible, and general. For this reason, it is appropriate for the research of new business models aimed at multiple value creation in any industry. Owing to the frequency of occurrence of elements in the fields of the canvas business model, it is possible to develop the majority and minority business model design representing the basis of the research.
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Pan, Y. « Morphology and development of flow-pattern defect with extended nonagitated Secco etching ». Proceedings, annual meeting, Electron Microscopy Society of America 52 (1994) : 868–69. http://dx.doi.org/10.1017/s0424820100172073.
Texte intégralRésumé :
The D defect, which causes the degradation of gate oxide integrities (GOI), can be revealed by Secco etching as flow pattern defect (FPD) in both float zone (FZ) and Czochralski (Cz) silicon crystal or as crystal originated particles (COP) by a multiple-step SC-1 cleaning process. By decreasing the crystal growth rate or high temperature annealing, the FPD density can be reduced, while the D defectsize increased. During the etching, the FPD surface density and etch pit size (FPD #1) increased withthe etch depth, while the wedge shaped contours do not change their positions and curvatures (FIG.l).In this paper, with atomic force microscopy (AFM), a simple model for FPD morphology by non-crystallographic preferential etching, such as Secco etching, was established.One sample wafer (FPD #2) was Secco etched with surface removed by 4 μm (FIG.2). The cross section view shows the FPD has a circular saucer pit and the wedge contours are actually the side surfaces of a terrace structure with very small slopes. Note that the scale in z direction is purposely enhanced in the AFM images. The pit dimensions are listed in TABLE 1.
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Li, Liang, Tianhua Zhou, Junwu Chen et Jianfeng Chen. « A New Buckling-Restrained Brace with a Variable Cross-Section Core ». Advances in Civil Engineering 2019 (26 décembre 2019) : 1–15. http://dx.doi.org/10.1155/2019/4620430.
Texte intégralRésumé :
In this paper, a new type of buckling-restrained brace characterized by a variable cross-section core (BRB-VCC) is proposed and investigated. The practical design equations of the BRB-VCC are derived based on mechanical and mathematical theories. Six specimens are designed and tested to clarify the mechanical behaviours of the BRB-VCC and to validate the reliability of the proposed equations. The test results show that (1) none of the specimens buckle under compression, as expected, and their ductilities and energy dissipation capacities are satisfactory; (2) the derived formulas are reliable and can be conveniently used in engineering practice; and (3) the yielding displacement of the BRB-VCC is approximately 70% that of the traditional TJ-1 buckling-restrained brace (BRB-TJ-1), which may yield earlier than the BRB-TJ-1 in concrete structures under the action of an earthquake.
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Muthukrishnan, Dharini, et Prabha Janakiraman. « Successful conservative management of viable caesarean scar pregnancy with systemically administered methotrexate followed by ultrasound guided ethanol ablation of gestational sac : a rare case report ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no 6 (26 mai 2022) : 1782. http://dx.doi.org/10.18203/2320-1770.ijrcog20221459.
Texte intégralRésumé :
The incidence and diagnosis of caesarean scar pregnancy is on rise because of rising caesarean section rates. Though many modalities are available for its management, none seems to be superior and data regarding them are also lacking. Here we are presenting a rare case report of successful conservative management of viable caesarean scar pregnancy with systemic methotrexate followed by ultrasound guided ethanol ablation of gestational sac.
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Steele, Russell W., James R. McConnell, Richard F. Jacobs et John R. Mawk. « Recurrent Bacterial Meningitis : Coronal Thin-Section Cranial Computed Tomography to Delineate Anatomic Defects ». Pediatrics 76, no 6 (1 décembre 1985) : 950–53. http://dx.doi.org/10.1542/peds.76.6.950.
Texte intégralRésumé :
Three patients with histories of recurrent bacterial meningitis were previously examined with skull and sinus radiographs, routine cranial computed tomography, intrathecal radioisotope tracer studies, and immunologic evaluation. None of these studies were diagnostic. Pneumococcal vaccine and prophylactic penicillin therapy were ineffective in preventing recurrent episodes in two cases. Thin-section (2-mm) direct coronal computed cranial tomography demonstrated anatomic defects in all three patients. The use of metrizamide cisternography was not necessary to diagnose the defects. All patients had basiethmoidal encephaloceles which were repaired surgically. Direct coronal computed tomography offers a relatively easy noninvasive method for delineating anatomic abnormalities in patients with recurrent meningitis.
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Cummings, James. « Strong ultrapowers and long core models ». Journal of Symbolic Logic 58, no 1 (mars 1993) : 240–48. http://dx.doi.org/10.2307/2275336.
Texte intégralRésumé :
In his paper [7] Steel asked whether there can exist a normal measure U on a cardinal κ such thatWe use Reverse Easton forcing to show that this is consistent from a P2κ hypermeasure; we also show that the result is sharp, using the core model for nonoverlapping coherent extender sequences.The proof uses forcing technology due to Woodin.In this section we collect some facts that are useful in the forcing constructions of the next section. None of them are due to us, and we are unsure to whom they should be attributed for the most part. We give sketchy proofs; the reader who wants to see more details is referred to [2].
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van Gelderen, Elly. « The Northumbrian Old English glosses ». NOWELE / North-Western European Language Evolution 72, no 2 (10 décembre 2019) : 119–33. http://dx.doi.org/10.1075/nowele.00024.gel.
Texte intégralRésumé :
Abstract The articles in this volume contribute to our understanding of Northumbrian Old English of the 10th century, of the nature of external influence, and of the authorship of the glosses. This introduction provides a background to these three areas. Most of the introduction and contributions examine the Lindisfarne Glosses with some discussion of the Rushworth and Durham Glosses. Section 2 shows that the Lindisfarne glossator often adds a (first and second person) pronoun where the Latin has none but allows third person null subjects. Therefore, although the Latin original has obvious influence, Old English grammar comes through. Section 3 reviews the loss of third person -th verbal inflection in favor of -s, especially in Matthew. This reduction may be relevant to the role of external (Scandinavian and British Celtic) influence and is also interesting when the language of the Lindisfarne and Durham Glosses is compared. In Section 4, the use of overt pronouns, relatives, and demonstratives shows an early use of th-pronouns, casting doubt on a Norse origin of they. Section 5 looks at negation mainly from a northern versus southern perspective and Section 6 sums up. Section 7 previews the other contributions and their major themes, namely possible external (Latin, Norse, or British Celtic) influence, the linguistic differences among glossators, the spacing of ‘prefixes’ as evidence for grammaticalization, and the role of doublets.
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OKUDAIRA, RYUJI, et ANDREW HUXLEY. « A Burmese tract on kingship : political theory in the 1782 manuscript of Manugye ». Bulletin of the School of Oriental and African Studies 64, no 2 (juin 2001) : 248–59. http://dx.doi.org/10.1017/s0041977x01000143.
Texte intégralRésumé :
In 1782, the year of King Badon's coronation, someone close to the Burmese palace wrote a legal manuscript. This paper gives a translation of and commentary on that section of the manuscript dealing with kingship. By tracing the sources of the material used, it contributes to the debate about the sources of Burmese political philosophy. Was precolonial Burmese political thought primarily Hindu, primarily Buddhist, primarily Indian or none of the above?
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S., Bebincy D., et Chitra J. « Extraperitoneal versus transperitoneal cesarean section in surgical morbidity in a tertiary care centre ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no 8 (26 juillet 2017) : 3397. http://dx.doi.org/10.18203/2320-1770.ijrcog20173450.
Texte intégralRésumé :
Background: To test the advantages of extraperitoneal cesarean section over transperitoneal cesarean section.Methods: It is a single blinded prospective study. Women who were planned for emergency LSCS in the department of OG, Kanyakumari Government Medical College, Asaripallam were randomly allocated into extraperitoneal cesarean section (ECS) (n=80) or transperitoneal cesarean section (TCS) (n=80) from November 2015 to January 2017 and evaluated.Results: Even though the time taken to deliver the baby was more in ECS group (Average 4:57 minutes) than TCS group (Average 2:05 minutes, there is no change in Apgar score at 1 minute. The postoperative pain measured by VAS was lesser (4.28) in ECS than TCS (7.06). Bowel function returned early in ECS (8.687 hours) than in TCS (16.487 hours) group. None of the cases in ECS group had peroperative vomiting or post-operative wound infection.Conclusions: So, we can conclude that ECS is a better method in experienced hands than the TCS in selected cases.
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Gouvea, Rodrigo A. dos S. « Physicalism without identity ». Trans/Form/Ação 43, no 2 (juin 2020) : 253–80. http://dx.doi.org/10.1590/0101-3173.2020.v43n2.14.p253.
Texte intégralRésumé :
Abstract This paper presents and discusses the most influential attempts to characterize physicalism without postulating relations of identity between the physical and the prima facie non-physical. The first section deals with a possible criticism that these attempts are misguided, since they contradict the physicalist slogan “everything there is physical.” In the second section, I elucidate the different formulations of the physicalist supervenience claim, and argue that none of them consists in an adequate characterization of physicalism. Three reasons are given in favor of this conclusion: their compatibility with forms of dualism (or pluralism); the fact that the supervenience relation is left unexplained; and Kim’s causal exclusion argument, which asserts that merely supervenient entities (i.e., ones that are not in identity relations with strictly physical entities) must be epiphenomenal. The third section presents the general features of another identity-independent attempt to characterize physicalism, namely realization physicalism. According to this view, tokens of prima facie non-physical types are realized by tokens of strictly physical types performing functional roles that specify the nature of the former. The third section also shows how realization physicalism deals with the objections that make physicalist supervenience claims inadequate for characterizing physicalism.
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Acharya, S., DK Uprety, HP Pokharel, R. Amatya et R. Rai. « Cesarean Section without Urethral Catheterization : A Randomized Control Trial ». Kathmandu University Medical Journal 10, no 2 (3 janvier 2013) : 18–22. http://dx.doi.org/10.3126/kumj.v10i2.7337.
Texte intégralRésumé :
Background Urethral catheterization is done as a routine procedure in cesarean section. It is associated with high incidence of urinary tract infections, discomfort, delayed ambulation and longer hospital stay. Objective To determine the feasibility and safety of cesarean section without urethral catheterization. Methods A prospective, randomized controlled trial was carried out from April 2008 to March 2009, in the Department of Obstetrics and Gynecology, B. P. Koirala Institute of Health Sciences. Among 150 patients who had undergone cesarean section 75 were catheterized and 75 were uncatheterized. Results First void discomfort was significantly associated with the use of indwelling catheter (OR 6.95, CI 95 %, 3.74 to 12.95; P< 0.001).Significant number of patients with indwelling catheter had signs and symptoms of urinary tract infection (OR 6,CI 95%, 2.59 to 13. 86; P < 0.001). Positive urinalysis for urinary tract infection was high in catheterized group (P <0.001). Hospital stay was shorter in patients without catheter (p < 0.05). None of the patients had bladder injury. There were no significant differences in duration of surgery and ambulation time between two groups of patients. Conclusions Cesarean section can be done safely without urethral catheterization with reduced morbidities. Kathmandu University Medical Journal | Vol.10 | No. 2 | Issue 38 | Apr – June 2012 | Page 18-22 DOI: http://dx.doi.org/10.3126/kumj.v10i2.7337
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Khlebnikova, O. A., et Ya E. Terekhina. « New objects in section of the eastern Black Sea basin from 3D seismic data ». Moscow University Bulletin. Series 4. Geology, no 3 (28 juin 2020) : 138–43. http://dx.doi.org/10.33623/0579-9406-2020-3-138-143.
Texte intégralRésumé :
In the section of the eastern Black Sea basin and the Caucasus continental slope, according to 3D seismic data, unique objects were first discovered and described — vertical failure in the Upper Cretaceous — Lower Miocene deposits. An interesting feature of these structures is a close to isometric shape in plan. About 40 objects have been identified on an area of more than 1000 m2. «Bulls-eye» («multiphase») paleo-pockmarks [Andresen, Huuse, 2011], as well as karst collapse [Zuo et al., 2009] are proposed as world analogues with a similar wave pattern on seismic data. The corresponding genesis models are considered, but none of the theories allows drawing a conclusion. The discovered objects are unique and require further investigation.
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Ajaz, Muhammad, Irfan Khan et M. K. Suleymanov. « Production cross-section of heavy flavored hadrons in pp collision at s = 7 TeV ». Modern Physics Letters A 34, no 19 (20 juin 2019) : 1950150. http://dx.doi.org/10.1142/s0217732319501505.
Texte intégralRésumé :
The transverse momentum distribution of the differential production cross-sections of heavy flavored charm hadrons [Formula: see text], [Formula: see text] in pp collisions at 7 TeV are simulated. Predictions of DPMJETIII.17-1, HIJING1.383 and Sibyll2.3c are compared to the differential cross-section measurements of the LHCb experimental data presented in the region of [Formula: see text] and [Formula: see text], where the pp center of mass frame is used to measure the transverse momentum and rapidity. The models reproduce only some regions of [Formula: see text] and/or bins of [Formula: see text] but none of them predict completely all the [Formula: see text] bins over the entire [Formula: see text] range.
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Nasreen, Shaikh Zinnatara, Safinaz Shahreen, Saleheen Huq et Sabereen Huq. « Prevention of Postoperative Adhesions of Caesarean Section ». Journal of Bangladesh College of Physicians and Surgeons 35, no 2 (29 juillet 2017) : 86–90. http://dx.doi.org/10.3329/jbcps.v35i2.33369.
Texte intégralRésumé :
Adhesions means fibrous or scar tissue that results from the healing process. Up to 95% of patients who have surgery develop adhesions. Adhesions formation and its long term sequel is a well known complication of the surgery but unfortunately very little is investigated about the prevention. The long term morbidities such as chronic pelvic pain, secondary infertility, hospital readmission, bowel obstruction, difficult repeat C/S with increased bleeding, longer operative time, injury to bowel ,bladder, ureters and placental accreta spectrum disorder from adhesions are the main concern. The cost for these adhesions is extreme burden for the developing countries. Several preventive agents against postoperative adhesions have been investigated. The proper surgical technique remains the cornerstone for good outcomes and risks reduction. Careful tissue handling, keeping tissue moist, meticulous homeostasis, minimization of tissue ishcaemia and avoiding excessive tissue desiccation, the use of micro and a traumatic instruments are very important to prevent the adhesive disorders. Several chemical agents, mechanical barriers and hydrofloatation are being used which seems to be promising. But all of them have some limitations. All these Barriers are being used widely but need to be properly evaluated, before its routine use. FDA approved Barrier Seprafilm, Hydrofloation Adept are popular but also CoSeal, SurgiWrap and Plasmax( not FDA approved ) are getting much popularity. Oxidized regenerated cellulose is promising but for C/S is not properly evaluated. The chemical barriers like NSAID, Steroids, antifibrinolytic agents and anticoagulant are being used since ancient period but they are not proved to be superior to adhesive barriers. In the current state of knowledge, none can replace the good surgical technique. Therefore along with the training of appropriate surgical technique, preclinical or clinical studies are still necessary to evaluate the effectiveness of the several proposed prevention strategies and more researches are time demanding to prevent postoperative adhesions.J Bangladesh Coll Phys Surg 2017; 35(2): 86-90
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C., T. E. « CAESAREAN SECTION BY AN OX (1885) ». Pediatrics 84, no 1 (1 juillet 1989) : 82. http://dx.doi.org/10.1542/peds.84.1.82.
Texte intégralRésumé :
In scanning medical journals of the nineteenth century I have come across a number of bizarre anecdotal clinical reports. None, however, has yet equaled the case cited below. The following case is probably unique in the medical literature. My memory is refreshed from notes taken by DR. MEANS, who saw the case with me in consultation. Mrs. P, age 34, the mother of seven children and near full term in her eighth pregnancy, on November 16th. was gored by an infuriated ox. The horn of the beast entered at the anterior superior spinous process of the ilium, and made a rent extending to the umbilicus, and involving both the abdominal parietes and the walls of the uterus. The child was extruded through the wound in half an hour after the occurrence of the accident. When I arrived on the scene, I found the child fully delivered but remaining attached to the cord, which I ligatured and severed. There being no dilatation of either the os uteri or the vagina, I delivered the placenta through the rent and applied a bandage. The patient was almost lifeless from hemorrhage and shock, and I placed her on morphine and whisky. On the following day she was still alive and DR. MEANS was called in consultation at 9:30 a.m. The small intestines escaped from the wound on removal of the bandage, and were returned with much difficulty. The wound was now closed with interrupted sutures, a carbolized compress was applied, and the morphine and whisky continued internally. At 5:00 p.m. of the same day I found the pulse 130 and respiration 25 per minute; the abdomen was greatly distended, and the vital powers were fast becoming exhausted. On the following morning I found on my visit that the woman had expired at 10:00 o'clock of the previous night. SHAKESPEARE speaks of MACBETH as having been torn from his mother's womb by a wild boar, but probably the statement must be charged to poetic license. I believe the case I have above reported to be the only authentic case of Caesarian section performed by a beast on record. It may be interesting to know that the child suffered little or nothing from the violent and unusual method of delivery, and is alive to-day, a vigorous and thriving boy.
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Govardhanam, V., P. Tandon et V. huang. « A181 CAUSES FOR C-SECTION IN IBD PATIENTS : A RETROSPECTIVE REVIEW ». Journal of the Canadian Association of Gastroenterology 4, Supplement_1 (1 mars 2021) : 195–96. http://dx.doi.org/10.1093/jcag/gwab002.179.
Texte intégralRésumé :
Abstract Background Inflammatory bowel disease (IBD) is a group of chronic inflammatory conditions including ulcerative colitis (UC), Crohn’s disease (CD) or IBD-unclassified. Current expert guidelines recommend only two IBD-related reasons to consider C-section: perianal CD and ileal pouch-anal anastomosis (IPAA) history. However, the incidence of C section among IBD patients is higher than the non-IBD patients. There is a sparsity of literature on what other factors influence the decision to perform caesarean delivery among IBD patients. Aims To investigate IBD-related and non-IBD related reasons leading to C-section in IBD patients. Methods A retrospective chart review was performed on women with IBD, >18 years of age and/or older, who delivered at Mount Sinai Hospital, Toronto 2016–2019. OB records and OR records were reviewed to obtain information specific to C-section. Results A total of 119 deliveries were reviewed. 47 out of the 119 had C-section delivery. 42.9% (N=21) of C-section was in UC patients and 57.1% (N=28) was in CD patients. Maternal request comprised 2.1% (N=1) and arrest of cervical dilation 6.4% (N=3). 20.4% (N=10) patients failed vaginal delivery. Only 8.7% of C-section deliveries were Primiparous. 42.9% (N=12) of patients from the CD category that underwent C-section had fistulizing CD. 46.4% (N=13) of patients with CD had stricturing CD and underwent C-Section. 63.8% (N=30) of the patients that had C-section had planned C-Section. 26.6% (N=8) of the planned C-section was due to a history of the perianal disease and only 13.3% (N=4) had an active perianal disease. Other causes for planned C-section included J-pouch (10%, N=3) and active UC (2.1%, N=1). As per expert recommendation, we would anticipate 14% of patients to have C-section due to IBD related reasons however we found that 30% of the patients had C-section due to IBD related reasons. Conclusions Based on the preliminary data from our retrospective study we find that 30% of the C-sections were due to IBD related reasons and 70% C-sections were from non-IBD related reasons. Funding Agencies None
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Wilson, Trevor C., Barry J. Conn et Murray J. Henwood. « Molecular phylogeny and systematics of Prostanthera (Lamiaceae) ». Australian Systematic Botany 25, no 5 (2012) : 341. http://dx.doi.org/10.1071/sb12006.
Texte intégralRésumé :
Prostanthera is the largest genus of Lamiaceae in Australia and was last comprehensively revised in 1870. To test the classification, and the homology of the morphological characters on which it is based, we analysed nuclear (ETS) and chloroplast (trnT–F and ndhF–rpl32) sequence data for 71 species of Westringieae (Lamiaceae) in separate and combined datasets by using maximum-parsimony and Bayesian-inference methods. Results supported the monophyly of the Westringieae, but indicated that Prostanthera is paraphyletic with respect to Wrixonia, requiring the latter to be synonymised with the former. Although combinations of datasets provided some degree of infrageneric resolution within Prostanthera sensu lato, none of its sections or series could be recovered unambiguously. Prostanthera section Prostanthera and P. section Klanderia (regarded as entomophilous and ornithophilous, respectively) did not form a sister relationship, and neither could be unequivocally resolved as monophyletic. However, all species of P. section Klanderia nested within P. section Prostanthera raising the possibility that P. section Prostanthera is paraphyletic. Similarly, the phylogeny of Prostanthera based on molecular data could not be reconciled with the morphological definition of the traditionally recognised series. We recommend abandoning Bentham’s series as a means of organising morphological variation within the genus, but acknowledge that it is premature to discard Bentham’s sections. The evolutionary and systematic implications of the lack of congruence between our molecular phylogeny and morphologically defined subgeneric taxa are discussed.
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Kotyza, Pavel, et Josef Slaboch. « Food Self Sufficiency in Selected Crops in the Czech Republic and Poland ». Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis 62, no 6 (2014) : 1329–41. http://dx.doi.org/10.11118/actaun201462061329.
Texte intégralRésumé :
Being a member of the EU, today the Czech Republic is not entirely dependent on domestic production of food and farming commodities. Since borders inside the EU are open, particular commodities can flow without any tariff measures. But food self-sufficiency belongs to internal factors of national security and therefore it deserves sufficient attention. The aim of this article is to evaluate, based on an analysis, the self-sufficiency rate of the Czech Republic and Poland in selected commodities of crop production between marketing years 2000/2001–2009/2010, with special attention to the most important and cultivated commodities – basic cereals, oilseeds, corn and potatoes. Based on analyses of self-sufficiency rate it can be concluded, that both countries can be considered as stabilised with restpect to rate of self-sufficency of selected crops – none of the presented groups falls under 80%. For most described commodities the trend of self-sufficiency rate in the Czech Republic and Poland is stabilised or growing. Only production of potatoes is coming close to critical treshhold in CZ, therefore national strategies should be put in place to maintain the self-sufficiency rate above the critical limit. After an analysis of internation trade it can be concluded that the Czech Republic is specialised exporter of not-processed commodities but country significantly falls behind Poland in competitiveness of processing of commodities.
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Trafimow, David. « A Frequentist Alternative to Significance Testing, p-Values, and Confidence Intervals ». Econometrics 7, no 2 (4 juin 2019) : 26. http://dx.doi.org/10.3390/econometrics7020026.
Texte intégralRésumé :
There has been much debate about null hypothesis significance testing, p-values without null hypothesis significance testing, and confidence intervals. The first major section of the present article addresses some of the main reasons these procedures are problematic. The conclusion is that none of them are satisfactory. However, there is a new procedure, termed the a priori procedure (APP), that validly aids researchers in obtaining sample statistics that have acceptable probabilities of being close to their corresponding population parameters. The second major section provides a description and review of APP advances. Not only does the APP avoid the problems that plague other inferential statistical procedures, but it is easy to perform too. Although the APP can be performed in conjunction with other procedures, the present recommendation is that it be used alone.