70 research outputs found

    Sunrise Presentations: A Study in Valuing and Divesting a Small Business

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    Sarah Barnett has decided to go back to school to earn an MBA. For several years she has run a graphic design business. Sarah has unexpectedly been accepted into the MBA program with a scholarship a year earlier than she planned. Classes begin in two weeks and the school she is attending does not allow first year MBAs to work outside of the school curriculum. Sarah has decided to divest her business and now must consider several options to do so. She is most concerned about making sure her customers continue to receive outstanding service, and secondarily concerned about selling the business for enough to pay off the business debt and to help pay her living expenses while she is a graduate student

    Impact of enteral protein supplementation in premature infants

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    David M Barrus1, Joann Romano-Keeler2, Christopher Carr3, Kira Segebarth4, Betty Claxton2, William F Walsh2, Paul J Flakoll51Department of Neonatology, Saint Francis Hospital–Bartlett, Memphis, TN, 2Department of Pediatrics, Vanderbilt Medical Center, Nashville, TN, 3Department of Surgery, Naval Hospital Bremerton, Bremerton, WA, 4Pediatric and Diabetes Specialists, Carolinas Medical Center, Charlotte, NC, 5Department of Surgery, Vanderbilt Medical Center, Nashville, TN, USAObjective: The quantity of enteral protein supplementation required by premature infants to optimize growth has not been determined. This study compares the growth of premature infants fed the current standard intake of protein (3.5 g/kg/day) with the growth of those fed a higher amount (4.0 g/kg/day).Study design: Fifty-two infants <1500 g and <33 weeks gestational age participated in a blinded, single-center, prospective randomized control trial to compare growth between two groups of different protein-intake levels. Primary outcomes were average daily weight gain (g/kg/day), head-circumference (cm/kg/week) and linear growth velocity (cm/kg/week). Secondary outcomes were serum indices of protein tolerance and plasma amino acid concentrations.Results: Infants receiving higher amounts of protein had higher rates of growth for body weight (18.2 ± 0.7 versus 16.2 ± 1.0 g/kg/day; P < 0.05) and head circumference (0.87 ± 0.08 versus 0.62 ± 0.07 cm/kg/week; P < 0.05), with no differences in blood protein or plasma amino acid concentrations. Length of hospital stay was 14 days shorter for the higher-protein group (51.4 ± 4.0 versus 65.9 ± 6.3 days).Conclusion: Increasing premature infant enteral protein supplementation from a calculated intake of 3.5–4.0 g/kg/day improved growth in a safe manner.Keywords: human milk, human milk fortifier, growth, low birth weigh

    High-Resolution X-ray Spectroscopy of the Interstellar Medium

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    The interstellar medium (ISM) has a multiphase structure characterized by gas, dust and molecules. The gas can be found in different charge states: neutral, low-ionized (warm) and high-ionized (hot). It is possible to probe the multiphase ISM through the observation of its absorption lines and edges in the X-ray spectra of background sources. We present a high-quality RGS spectrum of the low-mass X-ray binary GS 1826-238 with an unprecedent detailed treatment of the absorption features due to the dust and both the neutral and ionized gas of the ISM. We constrain the column density ratios within the different phases of the ISM and measure the abundances of elements such as O, Ne, Fe and Mg. We found significant deviations from the proto-Solar abundances: oxygen is over-abundant by a factor 1.23 +/- 0.05, neon 1.75 +/- 0.11, iron 1.37 +/- 0.17 and magnesium 2.45 +/- 0.35. The abundances are consistent with the measured metallicity gradient in our Galaxy: the ISM appears to be metal-rich in the inner regions. The spectrum also shows the presence of warm/hot ionized gas. The gas column has a total ionization degree less than 10%. We also show that dust plays an important role as expected from the position of GS 1826-238: most iron appears to be bound in dust grains, while 10-40% of oxygen consists of a mixture of dust and molecules

    New approach to phase and modulation resolved spectra

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    Time domain fluorescence spectrometry offers a versatile and powerful approach to the analysis of heterogeneous emitting systems. In this paper we describe a new approach, based on software, to the acquisition of phase and modulation resolved spectra. Mixtures of fluorophores with different lifetimes can be analyzed in real time to give the individual excitation or emission spectra. Examples of two- and three-component mixtures are given and comparisons are made with the commercially available hardware approach. © 1985, American Chemical Society. All rights reserved

    A Distributed Autonomous-Agent Network-Intrusion Detection and Response System

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    Procedings of the 1998 Command and Control Research and Technology Symposium, Monterey CA, June-July 1998We propose a distributed architecture with autonomous agents to monitor security-related activity within a network. Each agent operates cooperatively yet independently of the others, providing for efficiency, realtime response and distribution of resources. This architecture provides significant advantages in scalability, flexibility, extensibility, fault tolerance, and resistance to compromise. We also propose a scheme of escalating levels of alertness, and a way to notify other agents on other computers in a network of attacks so they can take preemptive or reactive measures. We designed a neural network to measure and determine alert threshold values. A communication protocol is proposed to relay these alerts throughout the network. We illustrate our design with a detailed scenario.Approved for public release; distribution is unlimited

    Increasing Driving Safety Conversations Between Primary Care Providers and Older Adults

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    Letter from C[lara] Barrus to John Muir, 1913 Jul 30.

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    [in margin: John Muir, Esq.Martinez,California]Roxbury, N.Y. 7/30/13A humming bird is lucky to get such tall holly hocks to hover about. It\u27s own hum is a very poor affair.I wish you were here in the Catskills for a season.C. Barrushttps://scholarlycommons.pacific.edu/jmcl/42515/thumbnail.jp

    Letter from C[lara] Barrus to John Muir, 1913 Jul 30.

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    [in margin: John Muir, Esq.Martinez,California]Roxbury, N.Y. 7/30/13A humming bird is lucky to get such tall holly hocks to hover about. It\u27s own hum is a very poor affair.I wish you were here in the Catskills for a season.C. Barrushttps://scholarlycommons.pacific.edu/jmcl/42515/thumbnail.jp
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