Knowledge Conversion Pada Proses Perencanaan Proyek Di PT. Len Railway System Untuk Standardisasi Proses Dengan Metode Seci

The economic foundation movement of industrial era into the knowledge era has involved the project PT LEN Railway System which operates in the construction of the railway signaling project. This research uses SECI method (Socialization, Externalization, Combination, Internalization). In socialization stage, data exploration is done toward workers regarding business, and tacit and explicit knowledge from each activity. The result from data exploration of converting tacit knowledge into explicit knowledge is then documented in externalization stage. In combination stage, best practice from the activity is selected by using several tools: Delphi method in determining criteria, AHP method in weighing each criteria and factor rating to rate best practice. The best practice later will be combined with activity process from PMBOK. In internalization stage, information about best practice is delivered to the employees. Best practice that selected from the result of factor rating calculation obtain following create WBS is the best practice from second respondent with score 8,710, for determine project schedule is the best practice from second respondent with score 8,067, for determine project cost is the best practice from third respondent with score 9,554, for supplier selection is the best practice from first respondent with score 8,330, for create project design is the best practice from first respondent with score 8,368 and for procurement is the best practice from first respondent with score 8,195

Factors that Contribute to Resident Teaching Effectiveness

Background One of the key components of residency training is to become an educator. Resident physicians teach students, advanced practice providers, nurses, and even faculty on a daily basis. Objective The goal of this study was to identify the objective characteristics of residents, which correlate with perceived overall teaching effectiveness. Methods We conducted a one-year, retrospective study to identify factors that were associated with higher resident teaching evaluations. Senior emergency medicine (EM) teaching residents are evaluated by medical students following clinical teaching shifts. Eighteen factors pertaining to resident teaching effectiveness were chosen. Two items from the medical students' evaluations were analyzed against each factor: teaching effectiveness was measured on a five-point Likert scale and an overall teaching score (1-75). Results A total of 46 EM residents and 843 medical student evaluations were analyzed. The ACGME milestones for systems-based practice (p = 0.02) and accountability (p = 0.05) showed a statistically significant association with a rating of "five" on the Likert scale for teaching effectiveness. Three other ACGME milestones, systems-based practice (p = 0.01), task switching (p = 0.04), and team management (p = 0.03) also showed a statically significant association of receiving a score of 70 or greater on the overall teaching score. Conclusion Residents with higher performance associated with system management and accountability were perceived as highly effective teachers. USMLE and in-service exams were not predictive of higher teaching evaluations. Our data also suggest that effective teachers are working in both academic and community settings, providing a potential resource to academic departments and institutions

Endoluminal calprotectin measurement in assessment of pouchitis and a new index of disease activity. A pilot study

Pouchitis is the most common complication following proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis (UC). To provide a standardized definition of pouchitis clinical, endoscopic and histological markers were grouped and weighted in the pouch disease activity index (PDAI). However, the delay in the assessment of the final score due to the time requested for histological analysis remains the main obstacle to the index implementation in clinical practice so that the use of modified-PDAI (mPDAI) with exclusion of histologic subscore has been proposed. We tested the ability of calprotectin measurement in the pouch endoluminal content to mimic the histologic score as defined in the PDAI, the index that we adopted as gold standard for pouchitis diagnosis. Calprotectin was measured by ELISA in the pouch endoluminal content collected during endoscopy in 40 consecutive patients with J-pouch. In each patient PDAI and mPDAI were calculated and 15% of patients were erroneously classified by mPDAI. ROC analysis of calprotectin values vs. acute histological subscore 3 identified different calprotectin cut-off values with corresponding sensitivity and specificity allowing the definition and scoring of different range of calprotectin subscores. We incorporated the calprotectin score in the mPDAI obtaining a new score that shows the same specificity as PDAI for diagnosis of pouchitis and higher sensitivity when compared with mPDAI. The use of the proposed new score, once validated in a larger series of patients, might be useful in the early management of patients with symptoms of pouchitis

Music Memory Following Short-term Practice and Its Relationship with the Sight-reading Abilities of Professional Pianists

This study investigated the relationship between the ability to sight-read and the ability to memorize a score using a behavioral experiment. By measuring the amount of memorization following short-term practice, we examined whether better sight-readers not only estimate forthcoming notes but also memorize musical structures and phrases with more practice. Eleven pianists performed the music first by sight-reading. After a 20-minute practice, the participants were asked to perform from memory without any advance notice. The number of mistakes was used as an index of performance. There were no correlations in the numbers of mistakes between sight-reading and memory trial performance. Some pianists memorized almost the entire score, while others hardly remembered it despite demonstrating almost completely accurate performance just before memory trial performance. However, judging from the participants’ responses to a questionnaire regarding their practice strategies, we found auditory memory was helpful for memorizing music following short-term practice

Prospective study on the knowledge and practice of foot care among diabetic patients

Background: The magnitude of diabetic foot ulcers (DFUs) and the amputation rates due to DFUs are high in India. Proper diabetic foot care can minimize these rates. Although numerous such studies have been done, reinforcement of awareness to practice diabetic foot care is necessary to reduce the incidents of DFUs.Methods: 134 voluntary participants from SSMC, Tumkur and Karnataka Institute of Endocrinology and Research, Bangalore were included following ethical clearance. The patients were requested to fill the validated knowledge and practice questionnaire which were presented to them in their own language. Demographic details of the participants were also collected. The responses were recorded and statistically analyzed. A score of >70% was gauged as good, 50 to 70% as satisfactory and <50% as poor.Results: Of the 134 participants, 73.13% had good knowledge on foot care, 22.8% had good foot care practice and 73.13% had a satisfactory practice score. Patients with history of foot ulcer had a mean score (±SD) of 12.75 (±1.91) knowledge score and 47.75 (±6.05) practice score which is lower compared to those without history of ulcers, 13.86 (±2.37) and 55.40 (±6.88) respectively. Patients from urban and rural areas had about the same mean scores, 13.51 (±2.50), 54.98 (±6.83) and 13.30 (±2.60), 54.73 (±7.49) (knowledge, practice score) respectively.Conclusions: Foot care among diabetics is only satisfactory and has to be improved. Knowledge is the key to better practice so early diagnosis, repeated counselling, regular follow ups and good sugar control is necessary to reduce incidents of DFUs

Exploring the ResearchGate score as an academic metric: reflections and implications for practice

This paper presents a response to the paper ‘A critical look at the ResearchGate score as a measure of scientific reputation’. Following up on arguments presented by the authors, which argue that the ResearchGate score is irreproducible and dependent upon Journal Impact Factors, a small-scale exploratory analysis of ResearchGate scores was undertaken to examine correlations between ResearchGate score and profile metrics. The importance of the Journal Impact Factor in determining ResearchGate score is confirmed, and insights gained into the relationship. A model which significantly predicts ResearchGate score is described. The findings are discussed in terms of the three arguments outlined in the original paper, and in relation to academic practice

Knowledge, attitude and preventive practice of women concerning osteoporosis above 45 years women

Background: The objective is to determine the knowledge, attitude and preventive practice of women above 45 years old.Methods: It is a cross-sectional analytical study of 100 women above 45 years of upper class women. The interview schedule consisted of 4 parts including questions about knowledge, attitude and practice (KAP) and also demographic questions.Results: A significant relationship between the score of preventive practice and all the following parameters was found: level of education, hearing about osteoporosis, knowledge score, perceived barrier to preventive actions and perceived seriousness of osteoporosis.Conclusions: Inaccurate or insufficient knowledge and their negative attitude to the preventive actions and their weak practice in case of prevention, it is the responsibility of health policymakers and medical associations to plan for osteoporosis education and prevention initiatives

Game-related statistics that discriminated winning and losing teams from the spanish mens professional basketball teams

The purpose of the present study was to analyse men’s basketball competitions, trying to identify which game-related statistics allow to discriminate winning and losing teams. The sample used corresponded to 306 games from the 2004– 2005 Regular Season of the Spanish Men’s Professional League. The game-related statistics gathered were: 2 and 3 points field-goals (both successful and unsuccessful), free-throws (both successful and unsuccessful), offensive and defensive rebounds, blocks, assists, fouls, turnovers and steals. The data were analysed in two groups: balanced games (final score differences equal or below 12 points) and unbalanced games (final score differences above 12 points). Discriminant analysis allowed to conclude the following: (i) in balanced games, the variable that best differentiate both groups were the defensive rebounds; (ii) in unbalanced games, the variables that discriminate between both groups were the successful 2 points field-goals, the defensive rebounds and the assists; and (iii) in all games, the statistical analysis identified two variables that discriminate winning and losing teams (defensive rebounds and assists). The defensive rebounds were the only game-related statistic that discriminates both groups in all performed analysis. Coaches and players should be aware of these different profiles in order to increase knowledge about game cognitive and motor solicitation and, therefore, to enhance specificity at the time of practice and game planning

Educational Intervention for Health Care Providers Prescribing Opioids for Individuals with Chronic Pain

Background: Health care providers (HCP) are the primary caregivers for chronic pain in ambulatory care practice and are the predominant prescribers of opioids. Pain medication accounts for at least 11% of all prescriptions in ambulatory care yet research suggests the number could be as high as 20%. Given the current opioid epidemic, HCPs need guidelines to assist in treating chronic pain patients. Methods: An educational intervention was implemented in a primary care practice to increase provider knowledge of chronic pain management and opioid prescribing utilizing a pre-survey, PowerPoint presentation, and post-knowledge survey. Results: Seven providers attended the education intervention and completed the pre-test survey. Out of the seven providers, only four completed the final assessment. The KnowPain-12 survey was used to measure the knowledge, attitude, and practice (KAP) of health care providers. The KnowPain-12 survey score ranges from 0 to 60, with a higher score corresponding to a more correct response (Gordon et al., 2014). Amongst the four providers, the results were evenly split. Two of the four providers had a higher score following the intervention and two had lower scores. The scores following the intervention indicate that there was an increase in two of the providers\u27 KAP. However, two providers decreased in KAP. Conclusion: Further research into educational interventions and opioid prescribing needs to be done. The KAP Survey should be amended to include provider demographics, level of experience, and level of prior pain management education. Future studies should also have a larger sample size and include other types of healthcare professionals