43,309 research outputs found
Business process re-engineering (BPR): The REBUS approach
Many organisations undertake business process re-engineering (BPR) projects in order to improve efficiency and reduce costs. Although this approach can result in significant improvements and benefits, there are high risks associated with radical changes of business processes and the failure rate of BPR projects is reported to be as high as 70%. The Centre for Re-engineering Business Processes (REBUS) was established at Brunel University to provide a multidisciplinary environment for research into BPR and its success factors. This paper describes the REBUS approach to research concerning the success of BPR projects and presents examples of some of the projects carried out
Arrhythmia induction using isoproterenol or epinephrine during electrophysiology study for supraventricular tachycardia
Background
Electrophysiology study (EPS) is an important part of the diagnosis and workup for supraventricular tachycardia (SVT). Provocative medications are used to induce arrhythmias, when they are not inducible at baseline. The most common medication is the β1‐specific agonist, isoproterenol, but recent price increases have resulted in a shift toward the nonspecific agonist, epinephrine.
Objective
We hypothesize that isoproterenol is a better induction agent for SVT during EPS than epinephrine.
Methods
We created a retrospective cohort of 131 patients, who underwent EPS and required medication infusion with either isoproterenol or epinephrine for SVT induction. The primary outcome was arrhythmia induction.
Results
Successful induction was achieved in 71% of isoproterenol cases and 53% of epinephrine cases (P = 0.020). Isoproterenol was significantly better than epinephrine for SVT induction during EPS (odds ratio [OR], 2.35; 95% confidence interval [CI], 1.14‐4.85; P = 0.021). There was no difference in baseline variables or complications between the two groups. Other variables associated with successful arrhythmia induction included a longer procedure duration and atrioventricular nodal re‐entry tachycardia as the clinical arrhythmia. In a multivariable model, isoproterenol remained significantly associated with successful induction (OR, 2.57; 95% CI, 1.002‐6.59; P = 0.05).
Conclusions
Isoproterenol was significantly better than epinephrine for SVT arrhythmia induction. However, epinephrine was safe and successfully induced arrhythmias in the majority of patients who received it. Furthermore, when atropine was added in epinephrine‐refractory cases, in a post hoc analysis there was no difference in arrhythmia induction between medications. Cost savings could thus be significant without compromising safety
Study of Parasite Hosts of the Genus Cuscuta and its Traditional Uses in Planpur Taluka, Gujarat, India
Cuscuta is a parasitic plant belonging to family Cuscutaceae. The present paper is an investigation of its various host plant species and its traditional uses in Palanpur Taluka of North Gujarat during 2005-2008. Two species of Cuscuta occur in the Palanpur Taluka. The preservation and documentation of traditional knowledge is a matter of prime importance. This will not only provide recognition of this knowledge but will also help in conservation of such gradually vanishing endangered semi/arid plant species. The present paper provide ethnomedicinal information of 2 species of Cuscuta. For each plant species listed, the botanical name, family, vernacular name, part used, uses/ailments treated, preparations/administrations, use (%) and locality are given
Singularity Free Inhomogeneous Models with Heat Flow
We present a class of singularity free exact cosmological solutions of
Einstein's equations describing a perfect fluid with heat flow. It is obtained
as generalization of the Senovilla class [1] corresponding to incoherent
radiation field. The spacetime is cylindrically symmetric and globally regular.Comment: 6 pages, TeX, to appear in Class.Quant.Gra
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Promoting positive communication environments: a service evaluation.
Purpose
The purpose of this paper is to present an evaluation of a programme of training and support provided to staff, which aimed to encourage supported communication environments for people with learning disabilities.
Design/methodology/approach
Training, monitoring and support for communication, specifically augmentative and alternative communication (AAC) strategies, was provided by speech and language therapy staff to two residential services over 46 weeks. Staff and service user communications were observed pre- and post-intervention.
Findings
In one provision there was an increase in service user initiations and the use of some AAC strategies by support staff. In the other provision there was no change in service user initiations and a decrease in the range of AAC strategies used. It appears that some forms for AAC remain challenging for staff to implement.
Originality/value
This evaluation explores ways of using specialist support services to improve communication environments for people with learning difficulties. Possible reasons for differences in the outcome of the intervention are discussed. Future research into the types of communication interactions experienced by people with learning disabilities across the range of communication styles may be useful so that support staff can be better helped to provide sustained and enriched communication environments
TRAVOS: Trust and Reputation in the Context of Inaccurate Information Sources
In many dynamic open systems, agents have to interact with one another to achieve their goals. Here, agents may be self-interested, and when trusted to perform an action for another, may betray that trust by not performing the action as required. In addition, due to the size of such systems, agents will often interact with other agents with which they have little or no past experience. There is therefore a need to develop a model of trust and reputation that will ensure good interactions among software agents in large scale open systems. Against this background, we have developed TRAVOS (Trust and Reputation model for Agent-based Virtual OrganisationS) which models an agent's trust in an interaction partner. Specifically, trust is calculated using probability theory taking account of past interactions between agents, and when there is a lack of personal experience between agents, the model draws upon reputation information gathered from third parties. In this latter case, we pay particular attention to handling the possibility that reputation information may be inaccurate
Effect of growth regulators and stages of spray on seed yield and seed quality parameters of ridge gourd [Luffa acutangula (Roxb) L.]
The experiment was undertaken to study the influence of different growth regulators on seed yield and seed quality parameters in ridge gourd [Luffa acutangula (Roxb) L.]. There were 30 treatment combinations comprising of two factors; plant growth stage as main plot treatment, and plant growth regulators as sub plot treatment embedded in a split plot design. The results indicated that significantly the highest average fruit weight (32.76 g), matured fruit yield per plant (65.84 g), 100 seed weight (13.41 g) and seed yield per plant (12.79 g) was recorded with spraying of 500 ppm ethereal, whereas significantly the maximum fruit length (20.89 cm) and fruit diameter (5.15 cm) with 25 ppm GA3. Significantly the highest seed germination (69.22 %) was recorded with spraying of 250 ppm ethereal, while application of NAA at 50 ppm recorded significantly the highest vigour index I (2737.85) and vigour index II (5029.33). Spraying of PGR at two to four leaf stage recorded the higher fruit length (20.19 cm), fruit yield per plant (47.49 g), 100 seed weight (13.18 g) and seed yield per plant (11.98 g) as well as highest germination (60.90%), vigour index I (2460.80) and vigour index II (4377.66). It is concluded that spraying of 500 ppm etherel at two to four leaf stage increased the higher fruit length, fruit yield per plant, 100 seed weight and seed yield per plant as well as highest germination, vigour index I and vigour index II
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Processing of advanced Al/SiC particulate metal matrix composites under intensive shearing – A novel rheo process
Particulate Metal Matrix Composites (PMMCs) have attracted interest for application in numerous fields. The current processing methods often produce agglomerated particles in the ductile matrix and as a result these composites exhibit extremely low ductility. The key idea to solve the current problem is to adopt a novel Rheo-process allowing the application of sufficient shear stress () on particulate clusters embedded in liquid metal to overcome the average cohesive force or the tensile strength of the cluster. In this study, cast A356/SiCp composites were produced using a conventional stir casting technique and a novel Rheo-process. The microstructure and properties were evaluated. The adopted Rheo-process significantly improved the distribution of the reinforcement in the matrix. A good combination of improved Ultimate Tensile Strength (UTS) and tensile elongation (ε) is obtained
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