421 research outputs found
A Vector-Based Approach to Virtual Machine Arrangement
Cloud based data centres benefit from minimizing operating costs and service level agreement violations. Vector-based data centre management policies have been shown to assist with these goals. Vector-based data centre management policies arrange virtual machines in a data centre to minimize the number of hosts being used which translates to greater power efficiency and reduced costs for the data centre overall. I propose an improved vector-based virtual machine arrangement algorithm with two novel additions, namely a technique that changes what it means for a host to be balanced and a concept that excludes undesirable target hosts, thereby improving the arrangement process. Experiments conducted with a simulated data centre demonstrate the effectiveness of this algorithm and compares it to existing algorithms
Labor Law - National Labor Relations Act - Section 8(b)(1)(A) - Union Restriction on Resignation and Post-Resignation Conduct
The National Labor Relations Board has held that any union restriction on a member\u27s right to resign or otherwise refrain from engaging in Section 7 activities is invalid.
International Association v. Machinists, Local 1414, 270 N.L.R.B. 1330 (1984
Motivation, Implementation and Outcomes of a Cross-border Education Partnership: A Case Study of the University of Pittsburgh School of Medicine and Nazarbayev University
ABSTRACT
MOTIVATION, IMPLEMENTATION AND OUTCOMES OF A CROSS-BORDER EDUCATION PARTNERSHIP: A CASE STUDY OF THE UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE AND NAZARBAYEV UNIVERSITY
Jaime Rakow Cerilli, PhD
University of Pittsburgh 2018
This case study explored three research questions: (RQ1): What are the emerging concepts from the literature that can guide or inform cross-border education partnerships? (RQ2): How do the elements of this conceptual framework describe the University of Pittsburgh School of Medicine (UPSOM) and Nazarbayev University (NU) cross-border education partnership case in each of the three phases: developing the partnership, developing the program, and implementing the program? (RQ3): How might the case inform other potential cross-border higher education partnerships? The initial conceptual framework for this study (RQ1) was developed from the review of six major published sources on cross-border education partnerships, which revealed 14 elements categorized by phase of partnership. Phase 1 encompassed development of the partnership: (A.1) identification of a suitable partner with shared vision; (A.2) development of mission statement, goals and governing documents; (A.3) adequate resources of staffing, programs and infrastructure; (A.4) financial capacity of home and host institutions (transparency and accountability); (A.5) authorization and institutional commitment from senior leadership; and (A.6) mutual agreement of contractual, legally binding agreements. Phase 2 encompassed development of the program: (B.1) strategic planning; (B.2) accommodations of social, cultural, language literacy, religious, legal and ethical values of institutions; (B.3) faculty and staff engagement; and (B.4) health safety and security of faculty and students. Phase 3 encompassed implementation of the program: (C.1) academic framework, policies and standards; (C.2) student selection, access, equity, support and student learning and development; (C.3) student code of conduct; and (C.4) quality assurance procedures for faculty and students. Semi-structured interviews of seven UPSOM key informants and stakeholders plus UPSOM-NU partnership documents were analyzed in the context of the conceptual framework (RQ2), at which time additional elements revealed through the case study – Phase 1 (A.7) transparency and accountability and (A.8) institutional flexibility; Phase 2 (B.5) curriculum planning and development and (B.6) hard and soft project management skills – and a new Phase 4: Evaluation and Sustainability were integrated into the conceptual framework. This revised conceptual framework provides key elements for each phase of a cross-border education partnership that can be used as a guide by future institutions considering their own partnerships (RQ3)
Renal transplantation at the university of Colorado
From March 1962 to April 1963, 118 patients were treated with renal transplantation, 3 with kidneys from identical twins, 9 with cadaveric homografts, and 106 with homografts from volunteer donors. Sixty-two of the patients are still alive after nine months to almost five years. The only completely satisfactory group was that of the identical twin recipients. The results after homotransplantation have not materially improved during this time despite the acquisition of increased experience, adjustments of timing and dosage of azathioprine and prednisone, and attempts to identify biologically suitable donors in advance of operation by tissue typing. It is suggested that an impasse has been reached, beyond which further reduction in mortality and morbidity will depend primarily upon the effective application of new immunosuppressive techniques. © 1967 by The Williams and Wilkins Co
The clinical use of antilymphocyte globulin in renal homotransplantation
Twenty patients were treated with antilymphocyte globulin (ALG) which was prepared from the serum of immunized horses. The ALG was used as an adjuvant to azathioprine and prednisone and its use limited to 4 months. The surviving patients are now 1 to 7 months postoperative. There was 1 death, the consequence of a technical accident. The function in the remaining 19 patients is excellent, despite reduced doses of azathioprine and especially prednisone. Biopsies were obtained in the first 8 consecutive cases from 108 to 145 days after operation. There was no evidence in the specimens of either Masugi-like or serum sickness nephritis. © 1967 by The Williams and Wilkins Co
A clinicopathological study of human liver allograft recipients harboring preformed IgG lymphocytotoxic antibodies
Twenty‐six adult patients with preformed IgG donor lymphocytotoxic antibodies received primary liver allografts under FK 506 immunosuppression. The effect of the crossmatch‐positive state on early graft function and on the immunopathological and histopathological findings was compared with that of 52 crossmatch‐negative control recipients. The presensitized (crossmatch‐positive) patients had prolongation of early graft dysfunction, underwent more clinically indicated biopsies and had a higher incidence of cellular rejection, both overall (p < 0.05) and within 10 days of transplantation (p < 0.01). They also had a higher incidence of graft failure in the first 180 days (p < 0.01). Hyperacute rejection with necrotizing or neutrophilic arteritis was not seen in the crossmatchpositive grafts. However, histological findings associated with presensitization included platelet margination in central veins and sinusoids in biopsy specimens 60 to 90 min after graft revascularization. Later biopsy specimens had neutrophilic portal venulitis followed by cholangiolar proliferation, acute cholangiolitis and centrilobular hepatocyte swelling that mimicked preservation injury, endothelial activation of arteries with medial changes and relapsing episodes of acute cellular rejection. These clinicopathological observations suggest that lymphocytotoxic antibodies can have a deleterious effect on liver allograft function and survival, even if they do not precipitate immediate or hyperacute rejection. (HEPATOLOGY 1992;16:671–681.) Copyright © 1992 American Association for the Study of Liver Disease
Environment and daily life in the Campagna Romana of the late Lower Palaeolithic. The case-study of La Polledrara di Cecanibbio (Latium, Italy)
The site of La Polledrara di Cecanibbio (Latium, Italy) is located about 22 kilometers northwest of Rome.Excavation campaigns conducted from 1985 to 2013 revealed 1200 square meters of deposits referable to a river that was active during the Middle Pleistocene. Two main sedimentary phases have been recognized. Initially, a fluvial episode led to the deposition of thousands of skeletal remains (mainly mammals, but also amphibians, reptiles, and birds) along with lithic and bone artifacts. Successively, a swampy phase occurred, during which some elephants (Palaeoloxodon antiquus) were trapped in muddy ponds. The skeleton of one of these individuals is surrounded by lithic implements that were carried at (and/or knapped on) the spot. The taphonomic analysis of the skeleton and artifacts context - including technology, refitting, use-wear, residues, and spatial analyses - indicates that the elephant carcass had been subjected to a butchering activity aimed at collecting meat and fat for food, possibly in more than one episode, as well as bones as raw material for making tools. The evidence collected at the site and the comparison with other relevant sites allow for some considerations about the daily dietary needs of the humans who frequented the site and the resources available there
Successful resuscitation of an elderly man with deep accidental hypothermia using portable extracorporeal circulation in the emergency department: a case report
<p>Abstract</p> <p>Introduction</p> <p>Deep accidental hypothermia (body temperature below 28°C) is rare and has a high mortality rate. Successful resuscitation usually occurs in the young, but a prompt intervention using a portable extracorporeal cardiopulmonary circulation device can also provide a good outcome for older persons.</p> <p>Case presentation</p> <p>We report the successful resuscitation of an 82-year-old male from deep accidental hypothermia using portable extracorporeal circulation in the emergency department.</p> <p>Conclusion</p> <p>This successful resuscitation of an 82-year-old patient demonstrates that a prompt intervention by a medical team that trains together, using a mobile cardiopulmonary bypass device via a percutaneous approach, can potentially provide good outcomes for all victims of deep accidental hypothermia, both in the operating suites and the emergency department.</p
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