328 research outputs found
Perceptions of the road transport management system (RTMS) : promoting voluntary certification
Abstract: This paper uses a structured survey to provide insight into how the Road Transport Management System (RTMS), SABS standard SANS 1395:2014, has developed and is viewed within the road transport industry in South Africa. The RTMS is an industry-led, government-supported, voluntary, self-regulation scheme that encourages consignees, consignors and road transport operators to implement a management system that demonstrates compliance with road traffic regulations and contributes to preserving road infrastructure, improving road safety and increasing productivity. The surveyed views of the road traffic authorities, banks, insurance companies, the RTMS steering committee, and road transport operators provide insights into the perceptions and experiences with respect to the RTMS from diverse stakeholders. Respondents indicate that improved safety, operational efficiency and reduced road crashes are seen as attractive benefits to implementing the RTMS. The main obstacles to certification are a lack of awareness of the RTMS and a poor understanding of the requirements for becoming RTMS certified. The clients of road transporters play a significant role in the transporter’s decision to become RTMS certified
Performance Analysis of Software Implementation of Reproducing Music from Musical Notes (Mozart)
In this research take a picture of Mozart of any music or instrument than the process on the captured image and all information pass to the MATLAB for image processing. The Algorithm separates the one line of Mozart and then separate another line in this way separate line by line of the whole Mozart. After separating line another step is to separate beat one by one from the separated line from the picture of Mozart. In this way, all the line and beats of Mozart are separated using the MATLAB software. When all the beats and lines are individual then find the meaning according to their symbol and combined the entire tune related to whole music or instrument. Then whole the music which is combining from the image of Mozart (musical notes) is played through the MATLAB software
Perceptions of the road transport management system (RTMS) : promoting voluntary certification
This paper uses a structured survey to provide insight into how the Road Transport Management System (RTMS), SABS standard SANS 1395:2014, has developed and is viewed within the road transport industry in South Africa. The RTMS is an industry-led, government-supported, voluntary, self-regulation scheme that encourages consignees, consignors and road transport operators to implement a management system that demonstrates compliance with road traffic regulations and contributes to preserving road infrastructure, improving road safety and increasing productivity. The surveyed views of the road traffic authorities, banks, insurance companies, the RTMS steering committee, and road transport operators provide insights into the perceptions and experiences with respect to the RTMS from diverse stakeholders. Respondents indicate that improved safety, operational efficiency and reduced road crashes are seen as attractive benefits to implementing the RTMS. The main obstacles to certification are a lack of awareness of the RTMS and a poor understanding of the requirements for becoming RTMS certified. The clients of road transporters play a significant role in the transporter’s decision to become RTMS certified.Papers presented at the 36th Southern African Transport Conference, CSIR International Convention Centre, Pretoria, South Africa on 10-13 July 2017.Transportation research board of the national academie
Rates of colpopexy and colporrhaphy at the time of hysterectomy for prolapse Q1
BACKGROUND: It has Q8 been shown that addressing apical support at the time of hysterectomy for pelvic organ prolapse (POP) reduces recurrence and reoperation rates. In fact, national guidelines consider hysterectomy alone to be inadequate treatment for POP. Despite this, anterior and posterior colporrhaphy are frequently performed without a colpopexy procedure and hysterectomy alone is often utilized for treatment of prolapse. OBJECTIVE: The objectives of this study were to: (1) determine rates of concomitant procedures for POP in hysterectomies performed with POP as an indication, (2) identify factors associated with performance of a colpopexy at the time of hysterectomy for POP, and (3) identify the influence of surgical complexity on perioperative complication rates. STUDY DESIGN: This is a retrospective cohort study of hysterectomies performed for POP from Jan. 1, 2013, through May 7, 2014, in a statewide surgical quality database. Patients were stratified based on procedures performed: hysterectomy alone, hysterectomy with colporrhaphy and without apical suspension, and hysterectomy with colpopexy with or without colporrhaphy. Demographics, medical history and intraoperative care, and perioperative care were compared between the groups. Multivariable logistic regression models were created to identify factors independently associated with use of colpopexy and factors associated with increased rates of postoperative complications. RESULTS: POP was an indication in 1557 hysterectomies. Most hysterectomies were vaginal (59.6%), followed by laparoscopic or robotic (34.1%), and abdominal (6.2%). Hysterectomy alone was performed in 43.1% (95% confidence interval [CI], 40.6e45.6) of cases, 32.8% (95% CI, 30.4e35.1) had a colporrhaphy without colpopexy, and 24.1% (95% CI, 22e26.3) had a colpopexy with or without colporrhaphy. Use of colpopexy was independently associated with patient age >40 years, POP as the only indication for surgery (odd ratio [OR], 1.6; 95% CI, 1.185e2.230), laparoscopic surgery (OR, 3.2; 95% CI, 2.860e5.153), and a surgeon specializing in urogynecology (OR, 8.2; 95% CI, 5.156e12.923). The overall perioperative complication rate was 6.6%, with the majority being considered minor. Complications were more likely when the procedure was performed with an abdominal approach (OR, 2.3; 95% CI, 1.088e4.686), with the use of a colpopexy procedure (OR, 3.1; 95% CI, 1.840e5.194), and by a surgeon specializing in urogynecology (OR, 2.2; 95% CI, 1.144e4.315). CONCLUSION: Colpopexy and colporrhaphy may be underutilized and are potential targets for quality improvement. Performance of additional procedures at the time of hysterectomy increased the rate of perioperative complications. Long-term consequences of these surgical practices deserve additional study
Structural and chemical embrittlement of grain boundaries by impurities: a general theory and first principles calculations for copper
First principles calculations of the Sigma 5 (310)[001] symmetric tilt grain
boundary in Cu with Bi, Na, and Ag substitutional impurities provide evidence
that in the phenomenon of Bi embrittlement of Cu grain boundaries electronic
effects do not play a major role; on the contrary, the embrittlement is mostly
a structural or "size" effect. Na is predicted to be nearly as good an
embrittler as Bi, whereas Ag does not embrittle the boundary in agreement with
experiment. While we reject the prevailing view that "electronic" effects
(i.e., charge transfer) are responsible for embrittlement, we do not exclude
the role of chemistry. However numerical results show a striking equivalence
between the alkali metal Na and the semi metal Bi, small differences being
accounted for by their contrasting "size" and "softness" (defined here). In
order to separate structural and chemical effects unambiguously if not
uniquely, we model the embrittlement process by taking the system of grain
boundary and free surfaces through a sequence of precisely defined gedanken
processes; each of these representing a putative mechanism. We thereby identify
three mechanisms of embrittlement by substitutional impurities, two of which
survive in the case of embrittlement or cohesion enhancement by interstitials.
Two of the three are purely structural and the third contains both structural
and chemical elements that by their very nature cannot be further unravelled.
We are able to take the systems we study through each of these stages by
explicit computer simulations and assess the contribution of each to the nett
reduction in intergranular cohesion. The conclusion we reach is that
embrittlement by both Bi and Na is almost exclusively structural in origin;
that is, the embrittlement is a size effect.Comment: 13 pages, 5 figures; Accepted in Phys. Rev.
Titles versus titles and abstracts for initial screening of articles for systematic reviews
PMC3933432BACKGROUND:
There is no consensus on whether screening titles alone or titles and abstracts together is the preferable strategy for inclusion of articles in a systematic review.
METHODS:
TWO METHODS OF SCREENING ARTICLES FOR INCLUSION IN A SYSTEMATIC REVIEW WERE COMPARED: titles first versus titles and abstracts simultaneously. Each citation found in MEDLINE or Embase was reviewed by two physician reviewers for prespecified criteria: the citation included (1) primary data; (2) the exposure of interest; and (3) the outcome of interest.
RESULTS:
There were 2965 unique citations. The titles first strategy resulted in an immediate rejection of 2558 (86%) of the records after reading the title alone, requiring review of 239 titles and abstracts, and subsequently 176 full text articles. The simultaneous titles and abstracts review led to rejection of 2782 citations (94%) and review of 183 full text articles. Interreviewer agreement to include an article for full text review using the titles-first screening strategy was 89%-94% (kappa = 0.54) and 96%-97% (kappa = 0.56) for titles and abstracts combined. The final systematic review included 13 articles, all of which were identified by both screening strategies (yield 100%, burden 114%). Precision was higher in the titles and abstracts method (7.1% versus 3.2%) but recall was the same (100% versus 100%), leading to a higher F-measure for the titles and abstracts approach (0.1327 versus 0.0619).
CONCLUSION:
Screening via a titles-first approach may be more efficient than screening titles and abstracts together.JH Libraries Open Access Fun
A Visual Analytics Framework Case Study: Understanding Colombia’s National Administrative Department of Statistics Datasets
In a world filled with data, it is expected for a nation to take decisions informed by data. However, countries need to first collect and publish such data in a way meaningful for both citizens and policy makers. A good thematic classification could be instrumental in helping users to navigate and find the right resources on a rich data repository, such as the one collected by the DANE (Departamento Administrativo Nacional de EstadĂstica, i.e. the Colombia’s National Administrative Department of Statistics). The Visual Analytics Framework is a methodology for conducting visual analysis developed by T. Munzner et al.1 that could help with this task. This paper presents a case study applying such framework conducted to help the DANE to better visualize their data repository, and also to understand it better by using another classification extracted from its metadata. It describes the three main analysis tasks identified and the proposed solutions. Usability testing results during the process helped to correct the visualizations and make them adapted to decision-making. Finally, we explained the collection of insights generated from them
Fatty acid desaturase-2 (ahFAD2) mutant alleles in peanut (Arachis hypogaea L.) pre-breeding lines: an insight into the source, features, discourse, and selection of novel pre-breeding lines
High oleic peanuts and derived food
products offer longer shelf life benefits to the food
processing industry in addition to multiple health
benefits to the consumers. The two mutant alleles,
ahFAD2A and ahFAD2B control composition of oleic,
linoleic and palmitic acid content in peanut. A total of
563 peanut pre-breeding lines were tested for the
presence ahFAD2A and ahFAD2B mutant alleles
using allele specific markers. The ahFAD2A mutant
allele was present in 82 lines, while none of these lines
had ahFAD2B mutant allele. Among botanical types,
ahFAD2A mutant allele was more frequent in lines
with Virginia growth habit than Spanish bunch
although no correlation of ahFAD2A mutant allele
with high oleic acid content and growth habit could be
established. Oleic and linoleic acid content in 82 prebreeding
lines ranged from 39.70 to 62.70% and 17.76 to 31.95%, respectively, with maximum oleic to
linoleic acid ratio of 4. Oleic acid was found to be
negatively correlated with linoleic and palmitic acid.
Further, pre-breeding lines with ahFAD2A mutant
allele, high oleic content and high oleic to linoleic
ratio were investigated and novel lines were identified
for resistance to late leaf spot, short duration, higher
pod yield and other yield related traits. These novel
pre-breeding lines can be used as a potential donor in
peanut improvement programme and to diversify the
primary gene pool including initiating further research
on induction of fresh ahFAD2B mutant allele
Does improved oleic acid content due to marker-assisted introgression of ahFAD2 mutant alleles in peanuts alter its mineral and vitamin composition?
Peanuts (Arachis hypogaea L.) with high oleic acid content have extended shelf life and several health benefits. Oleic, linoleic, and palmitic acid contents in peanuts are regulated by ahFAD2A and ahFAD2B mutant alleles. In the present study, ahFAD2A and ahFAD2B mutant alleles from SunOleic 95R were introgressed into two popular peanut cultivars, GG-7 and TKG19A, followed by markers-assisted selection (MAS) and backcrossing (MABC). A total of 22 MAS and three MABC derived lines were developed with increased oleic acid (78–80%) compared to those of GG 7 (40%) and TKG 19A (50%). Peanut kernel mineral and vitamin composition remained unchanged, while potassium content was altered in high oleic ingression lines. Two introgression lines, HOMS Nos. 37 and 113 had over 10% higher pooled pod yield than respective best check varieties. More than 70% recurrent parent genome recovery was observed in HOMS-37 and HOMS-113 through recombination breeding. However, the absence of recombination in the vicinity of the target locus resulted in its precise introgression along with ample background genome recovery. Selected introgression lines could be released for commercial cultivation based on potential pod yield and oleic acid content
Comparison of Collaborative Goal Setting With Enhanced Education for Managing Diabetes-Associated Distress and Hemoglobin A1c Levels: A Randomized Clinical Trial
IMPORTANCE: Type 2 diabetes is a prevalent and morbid condition. Poor engagement with self-management can contribute to diabetes-associated distress and hinder diabetes control.
OBJECTIVE: To evaluate the implementation and effectiveness of Empowering Patients in Chronic Care (EPICC), an evidence-based intervention to improve diabetes-associated distress and hemoglobin A1c (HbA1c) levels after the intervention and after 6-month maintenance.
DESIGN, SETTING, AND PARTICIPANTS: This hybrid (implementation-effectiveness) randomized clinical trial was performed in Veterans Affairs clinics across Illinois, Indiana, and Texas from July 1, 2015, to June 30, 2017. Participants included adults with uncontrolled type 2 diabetes (HbA1c level \u3e8.0%) who received primary care during the prior year in participating clinics. Data collection was completed on November 30, 2018, and data analysis was completed on June 30, 2020. All analyses were based on intention to treat.
INTERVENTIONS: Participants in EPICC attended 6 group sessions based on a collaborative goal-setting theory led by health care professionals. Clinicians conducted individual motivational interviewing sessions after each group. Usual care was enhanced (EUC) with diabetes education.
MAIN OUTCOMES AND MEASURES: The primary outcome consisted of changes in HbA1c levels after the intervention and during maintenance. Secondary outcomes included the Diabetes Distress Scale (DDS), Morisky Medication Adherence Scale, and Lorig Self-efficacy Scale. Secondary implementation outcomes included reach, adoption, and implementation (number of sessions attended per patient).
RESULTS: A total of 280 participants with type 2 diabetes (mean [SD] age, 67.2 [8.4] years; 264 men [94.3]; 134 non-Hispanic White individuals [47.9%]) were equally randomized to EPICC or EUC. Participants receiving EPICC had significant postintervention improvements in HbA1c levels (F1, 252 = 9.12, Cohen d = 0.36 [95% CI, 0.12-0.59]; P = .003) and DDS (F1, 245 = 9.06, Cohen d = 0.37 [95% CI, 0.13-0.60]; P = .003) compared with EUC. During maintenance, differences between the EUC and EPICC groups remained significant for DDS score (F1, 245 = 8.94, Cohen d = 0.36 [95% CI, 0.12-0.59]; P = .003) but not for HbA1c levels (F1, 252 = 0.29, Cohen d = 0.06 [95% CI, -0.17 to 0.30]; P = .60). Improvements in DDS scores were modest. There were no differences between EPICC and EUC in improvements after intervention or maintenance for either adherence or self-efficacy. Among all 4002 eligible patients, 280 (7.0%) enrolled in the study (reach). Each clinic conducted all planned EPICC sessions and cohorts (100% adoption). The EPICC group participants attended a mean (SD) of 4.34 (1.98) sessions, with 54 (38.6%) receiving all 6 sessions.
CONCLUSIONS AND RELEVANCE: A patient-empowerment approach using longitudinal collaborative goal setting and motivational interviewing is feasible in primary care. Improvements in HbA1c levels after the intervention were not sustained after maintenance. Modest improvements in diabetes-associated distress after the intervention were sustained after maintenance. Innovations to expand reach (eg, telemedicine-enabled shared appointments) and sustainability are needed.
TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01876485
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