369 research outputs found
Interactive Actor Analysis for Rural Water Management in The Netherlands
Recent developments in the policy sciences emphasize the social environment
in which decisions are made. The ‘network metaphor’ is often used to describe
the key role of interactions between interdependent actors involved in decision
making. These interactions take place in a policy arena drawn up by actors with an
interest in and control over decisions on the issues addressed. Interdependencies,
caused by the need for actors to increase their means of realizing objectives, are
the driving force behind these interactions. Dependency relations are of special
interest to water management and river basin management because of the fundamental
asymmetrical interdependencies that exist in river basins between upstream
and downstream stakeholders. Coleman’s linear system of action models decision
making process involving dependencies between multiple stakeholders as exchange
of control over issues, while interactions are required to negotiate exchanges of
control. We developed an interactive method for actor analysis based on Coleman’s
linear system of action and applied it to the national rural water management policy
domain in The Netherlands. The method is firmly rooted in mathematical sociology
and defies the criticism that methods for actor and stakeholder analysis do not specify
a theoretical basis explaining the causal relations between the variables analyzed and
policy change. With the application to the rural water management policy arena we
intended to increase our insight into the practical applicability of this analyticmethod
in an interactive workshop, the acceptability of the approach for the participating
actors, its contribution to the process of decision making and our understanding of
the rural water management policy arena in The Netherlands. We found that the
Association of Water Authorities, the Ministry of Public Works and the Ministry of
Agriculture are the most powerful actor in the policy domain, while governance and
cost and benefits of rural water management are the most salient issues. Progress
in policy development for rural water management is probably most promising for the issues governance, costs and benefits, safety and rural living conditions through
improved interaction between the Association of Water Authorities, the Ministry of
Agriculture and the Rural Credit Bank. Besides these analytic results the interactive
approach implemented increased the participants understanding of their dependency
on other actors in the rural water management policy domain and supported them
in developing a sound perspective on their dependency position. We concluded
that the method developed is acceptable to real-world policy decision makers, can
successfully be applied in an interactive setting, potentially contributes to the process
of decision making by increasing the participants understanding of their dependency
position, has the potential to delivers valuable advice for future decision-making and
increases our understanding of policy development for rural water management in
general
E-commerce ethics and its impact on buyer repurchase intentions and loyalty: an empirical study of small and medium Egyptian businesses
The theoretical understanding of e-commerce has received much attention over the years; however, relatively little focus has been directed towards e-commerce ethics, especially the SMEs B2B e-commerce aspect. Therefore, the purpose of this paper is to develop and empirically test a framework that explains the impact of SMEs B2B e-commerce ethics on buyer repurchase intentions and loyalty. Using SEM to analyse the data collected from a sample of SME e-commerce firms in Egypt, the results indicate that buyers’ perceptions of supplier ethics construct is composed of six dimensions (security, non-deception, fulfilment/reliability, service recovery, shared value, and communication) and strongly predictive of online buyer repurchase intentions and loyalty. Furthermore, our results also show that reliability/fulfilment and non-deception are the most effective relationship-building dimensions. In addition, relationship quality has a positive effect on buyer repurchase intentions and loyalty. The results offer important implications for B2B e-commerce and are likely to stimulate further research in the area of relationship marketing
Idiopathic membranous nephropathy in pediatric patients: presentation, response to therapy, and long-term outcome
<p>Abstract</p> <p>Background</p> <p>Idiopathic membranous nephropathy (IMN) is one of the most common causes of primary nephrotic syndrome in adults. However, it is a relatively rare entity in the pediatric population and there is a paucity of data about the incidence, prognosis, and optimal treatment of IMN in children and adolescents. We conducted this study to evaluate pediatric patients with IMN in order to clarify the presentation, response to therapy, and clinical outcome.</p> <p>Methods</p> <p>A retrospective chart review was performed on patients identified with biopsy-proven IMN between 1988–2005. Patients with systemic lupus erythematosus or hepatitis-related lesions were excluded. The following data were tabulated: age, gender, ethnicity, presenting clinical and laboratory findings, proteinuria in a first morning urine specimen, estimated glomerular filtration rate (GFR<sub>e</sub>), histopathology, type and duration of treatment, and clinical status at final evaluation.</p> <p>Results</p> <p>13 cases of IMN were identified out of 460 renal biopsies performed for evaluation of primary kidney disease during the study interval. Mean age was 9.6 ± 4.6, gender 6 M:7 F, ethnicity 8 W:2 B:3 H. At the initial visit hematuria was present in 9 patients, edema in 5, nephrotic-range proteinuria in 5, and hypertension in 3. Mean urinary protein:creatinine ratio 3.3 ± 2.5 and all patients had a normal GFR<sub>e</sub>. Classic glomerular findings of IMN were seen in all renal specimens, with concomitant interstitial changes in 2 cases. Treatment included an angiotensin converting enzyme inhibitor or angiotensin receptor blocker in 11 cases. Most patients were also given immunosuppressive medications – prednisone in 10, a calcineurin inhibitor in 5, and mycophenolate mofetil or azathioprine in 3 patients. At the last follow-up, 42 ± 35 months after the diagnostic biopsy, 7 children were hypertensive and the urine protein:creatinine ratio was 2.3 ± 3.1. The mean GFR<sub>e </sub>was 127 ± 57 mL/min/m<sup>2</sup>. Three patients had Chronic Kidney Disease Stage 3, all of whom were also hypertensive.</p> <p>Conclusion</p> <p>IMN is a rare but serious glomerulopathy in pediatrics. We estimate that it accounts for approximately 3% of renal biopsies. Long-term prognosis is guarded because approximately 50% of patients may have evidence of progressive kidney disease.</p
The use of VivaSight™ single lumen endotracheal tube in morbidly obese patients undergoing laparoscopic sleeve gastrectomy
Initiator Elements Function to Determine the Activity State of BX-C Enhancers
A >300 kb cis-regulatory region is required for the proper expression of the three bithorax complex (BX-C) homeotic genes. Based on genetic and transgenic analysis, a model has been proposed in which the numerous BX-C cis-regulatory elements are spatially restricted through the activation or repression of parasegment-specific chromatin domains. Particular early embryonic enhancers, called initiators, have been proposed to control this complex process. Here, in order to better understand the process of domain activation, we have undertaken a systematic in situ dissection of the iab-6 cis-regulatory domain using a new method, called InSIRT. Using this method, we create and genetically characterize mutations affecting iab-6 function, including mutations specifically modifying the iab-6 initiator. Through our mutagenesis of the iab-6 initiator, we provide strong evidence that initiators function not to directly control homeotic gene expression but rather as domain control centers to determine the activity state of the enhancers and silencers within a cis-regulatory domain
Lack of utility of risk score and gynecological examination for screening for sexually transmitted infections in sexually active adolescents
The Enhancer of Trithorax and Polycomb Corto Interacts with Cyclin G in Drosophila
BACKGROUND: Polycomb (PcG) and trithorax (trxG) genes encode proteins involved in the maintenance of gene expression patterns, notably Hox genes, throughout development. PcG proteins are required for long-term gene repression whereas TrxG proteins are positive regulators that counteract PcG action. PcG and TrxG proteins form large complexes that bind chromatin at overlapping sites called Polycomb and Trithorax Response Elements (PRE/TRE). A third class of proteins, so-called "Enhancers of Trithorax and Polycomb" (ETP), interacts with either complexes, behaving sometimes as repressors and sometimes as activators. The role of ETP proteins is largely unknown. METHODOLOGY/PRINCIPAL FINDINGS: In a two-hybrid screen, we identified Cyclin G (CycG) as a partner of the Drosophila ETP Corto. Inactivation of CycG by RNA interference highlights its essential role during development. We show here that Corto and CycG directly interact and bind to each other in embryos and S2 cells. Moreover, CycG is targeted to polytene chromosomes where it co-localizes at multiple sites with Corto and with the PcG factor Polyhomeotic (PH). We observed that corto is involved in maintaining Abd-B repression outside its normal expression domain in embryos. This could be achieved by association between Corto and CycG since both proteins bind the regulatory element iab-7 PRE and the promoter of the Abd-B gene. CONCLUSIONS/SIGNIFICANCE: Our results suggest that CycG could regulate the activity of Corto at chromatin and thus be involved in changing Corto from an Enhancer of TrxG into an Enhancer of PcG
Contralateral Prophylactic Mastectomy (CPM) Consensus Statement from the American Society of Breast Surgeons: Data on CPM Outcomes and Risks
Improving topological cluster reconstruction using calorimeter cell timing in ATLAS
Clusters of topologically connected calorimeter
cells around cells with large absolute signal-to-noise ratio
(topo-clusters) are the basis for calorimeter signal reconstruction in the ATLAS experiment. Topological cell clustering has proven performant in LHC Runs 1 and 2. It is,
however, susceptible to out-of-time pile-up of signals from
soft collisions outside the 25 ns proton-bunch-crossing window associated with the event’s hard collision. To reduce this
effect, a calorimeter-cell timing criterion was added to the
signal-to-noise ratio requirement in the clustering algorithm.
Multiple versions of this criterion were tested by reconstructing hadronic signals in simulated events and Run 2 ATLAS
data. The preferred version is found to reduce the out-of-time
pile-up jet multiplicity by ∼50% for jet pT ∼ 20 GeV and by
∼80% for jet pT 50 GeV, while not disrupting the reconstruction of hadronic signals of interest, and improving the
jet energy resolution by up to 5% for 20 < pT < 30 GeV.
Pile-up is also suppressed for other physics objects based on
topo-clusters (electrons, photons, τ -leptons), reducing the
overall event size on disk by about 6% in early Run 3 pileup conditions. Offline reconstruction for Run 3 includes the
timing requirement
Software Performance of the ATLAS Track Reconstruction for LHC Run 3
Charged particle reconstruction in the presence
of many simultaneous proton–proton (pp) collisions in the
LHC is a challenging task for the ATLAS experiment’s reconstruction software due to the combinatorial complexity. This
paper describes the major changes made to adapt the software
to reconstruct high-activity collisions with an average of 50 or
more simultaneous pp interactions per bunch crossing (pileup) promptly using the available computing resources. The
performance of the key components of the track reconstruction chain and its dependence on pile-up are evaluated, and
the improvement achieved compared to the previous software
version is quantified. For events with an average of 60 pp collisions per bunch crossing, the updated track reconstruction
is twice as fast as the previous version, without significant
reduction in reconstruction efficiency and while reducing the
rate of combinatorial fake tracks by more than a factor two
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