Improving Sustainable Performance of SMEs

"This thesis aims to design and develop a comprehensive SME model and measuring tool and to close the narrowing gap of research concerned with performance optimization in SMEs. This study focuses on the positions of 27 individual SMEs concerning specific issues against their societal, economic and physical context.

Electric Polarizability of Mesons in Semirelativistic Quark Models

The electric polarizability of mesons, in particular, that of the charged pion, is studied in the framework of a semirelativistic description of hadrons as bound states of valence quarks in terms of a Hamiltonian composed of the relativistic kinetic energy as well as a phenomenological potential describing the strong interactions between the quarks. The quark-core contribution to the electric polarizability obtainable in quark models of this kind turns out to be in the semirelativistic approaches even smaller than in the nonrelativistic limit.Comment: 13 pages, LaTeX, extended version, to appear in Phys. Lett.

Goitre and Iodine Deficiency in Europe

The prevalence of endemic iodine-deficiency goitre in Europe has been reduced in many areas by the introduction of iodination programmes. Recent reports, however, show that goitre remains a significant problem and that its prevalence has not decreased in a number of European countries. Hetzel1 has pointed out that the high global prevalence of iodine-deficiency disorders could be eradicated within 5-10 years by introduction of an iodised salt programme. The current World Health Organisation recommendations for iodine intake are between 150 and 300 μg/da

Effectiveness of a procalcitonin algorithm to guide antibiotic therapy in respiratory tract infections outside of study conditions: a post-study survey

All published evidence on procalcitonin (PCT)-guided antibiotic therapy was obtained in trials where physicians knew that they were being monitored, possibly resulting in higher adherence to the PCT algorithm. This study investigates the effectiveness of PCT guidance in an observational quality control survey. We monitored antibiotic therapy and algorithm adherence in consecutive patients with respiratory tract infections admitted to the Kantonsspital Aarau, Switzerland, between May 2008 and February 2009. The results were compared to the site-specific results of the former ProHOSP study. Overall and more pronounced for patients with community-acquired pneumonia, the median duration of antibiotic treatment in this survey was shorter than the ProHOSP control patients (6 vs. 7days, P = 0.048 and 7 vs. 9days, P < 0.001). In 72.5% of patients, antibiotics were administered according to the prespecified PCT algorithm. No significant differences concerning adverse medical outcome could be detected. This study mirrors the use of PCT-guided antibiotic therapy in clinical practice, outside of trial conditions. If algorithm adherence is reinforced, antibiotic exposure can be markedly reduced with subsequent reduction of antibiotic-associated side effects and antibiotic resistance. The integration of the PCT algorithm into daily practice requires ongoing reinforcement and involves a learning process of the prescribing physician

Virtual Compton Scattering off the Pseudoscalar Meson Octet

We present a calculation of the virtual Compton scattering amplitude for the pseudoscalar meson octet in the framework of chiral perturbation theory at ${\cal O}(p^4)$. We calculate the electromagnetic generalized polarizabilities and compare the results in the real Compton scattering limit to available experimental values. Finally, we give predictions for the differential cross section of electron-meson bremsstrahlung.Comment: 9 pages, Latex, uses cjp3.sty (included), 4 eps figures, to be published in the proceedings of the 13th Indian-Summer School "Understanding the Structure of Hadrons," August 28 - September 1, 2000, Prague, Czech Republi

Lifetimes of electrons in the Shockley surface state band of Ag(111)

We present a theoretical many-body analysis of the electron-electron (e-e) inelastic damping rate $\Gamma$ of electron-like excitations in the Shockley surface state band of Ag(111). It takes into account ab-initio band structures for both bulk and surface states. $\Gamma$ is found to increase more rapidly as a function of surface state energy E than previously reported, thus leading to an improved agreement with experimental data

Effect of multidimensional lifestyle intervention on fitness and adiposity in predominantly migrant preschool children (Ballabeina): cluster randomised controlled trial

Objective To test the effect of a multidimensional lifestyle intervention on aerobic fitness and adiposity in predominantly migrant preschool children

Two-point function of strangeness-carrying vector-currents in two-loop Chiral Perturbation Theory

We calculate the correlator between two external vector-currents having the quantum-numbers of a charged kaon. We give the renormalized expression to two loops in standard chiral perturbation theory in the isospin limit, which, as a physical result, is finite and scale-independent. Applications include a low energy theorem, valid at two loop order, of a flavor breaking combination of vector current correlators as well as a determination of the phenomenologically relevant finite $O(p^6)$-counterterm combination $Q_V$ by means of inverse moment finite energy sum rules. This determination is less sensitive to isospin-breaking effects than previous attempts.Comment: 24 pages, revtex, 4 figures, 2 tables, revised version, one ref. adde

DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS (DISH) OF THE ELBOW: A CAUSE OF ELBOW PAIN? A CONTROLLED STUDY

Elbow pain is a common complaint and elbow hyperostosis a frequent radiological condition. However, little is known about the association between the clinical and radiological findings. To evaluate the relationship between spinal and extraspinal hyperostotic features and the clinical relevance of elbow hyperostosis we have performed the first controlled, double-blinded study of 85 hospitalized probands, 33 with and 52 without thoracospinal hyperostosis on lateral chest X-ray. Elbow and shoulder hyperostosis were graded on bilateral standard radiographs. Elbow pain was assessed by an interviewer using a standardized questionnaire and extraskeletal causes of elbow pain were recorded. The prevalence of elbow hyperostosis was increased in cases with thoracospinal hyperostosis compared to controls (82% versus 58%, X2 = 5.32, P<0.025, n = 85, odds ratio (OR) 3.30 (95% Cl 1.16-9.35)). Similarly, the prevalence of elbow hyperostosis was increased in cases with shoulder hyperostosis compared to controls (83% versus 60%, x2 = 4.51, P<0.05, n = 84, OR = 3.20 (95% CI 1.06-9.66)), emphasizing the multifocal nature of hyperostotic features. Elbow pain was only slightly more prevalent in cases with elbow hyperostosis compared to controls (21% versus l3%, x2 = 0.75, NS, OR = 1.84 (95% CI 0.46-7.44)). We conclude that elbow hyperostosis is a radiological finding of doubtful clinical relevanc