When Do Vendors Benefit from Relational Governance? Contracts, Relational Governance and Vendor Profitability in Software Development Outsourcing

We examine the interacting effect of formal contracts and relational governance on vendor profitability in the software outsourcing industry. We argue that the presence of relational governance is driven by perceptions of exchange hazards. In a departure from extant literature, we propose that its benefits depend on the manner in which exchange risks are shared. Specifically, we hypothesize that relational governance provides benefits to an exchange partner only in those contracts in which they are exposed to greater risk. We test these arguments by examining 105 software projects completed by a software vendor. We conclude with a discussion of the implications of our findings

Milk Yield During the First Four Months of Lactation and Cow Productivity of Brahman and Tuli Beef Cattle in South-East Botswana

The climate of Botswana because of its semi-aridity, is mostly suitable for livestock farming, especially beef cattle production under extensive grazing conditions. The major indigenous cattle breed is the Tswana, while the Tuli (TT) and Brahman (BB) are popular and increasing in numbers to the cattle population of 2.5 million. In the present study, the TT (n=15) and BB (n=24) breeds were compared for cow productivity and milk production using the weigh-suckle-weigh technique. The TT cows produced more milk than BB cows (12.4 vs 9.2 kg/d) during the first four months of lactation. However, BB cows produced heavier (P0.001) calves at weaning than TT cows (164.8 vs 150.4 kg). Similarly, BB cows produced faster (P0.001) growing calves than TT cows (.69 vs .64 kg/d). Across breeds, calves born earlier in the season had a higher (P0.01) average daily gain (ADG) than those born later in the season (.69 vs .64 kg/d). It is an advantage to producers to have the majority of calves born early in the calving season (September/October) so that calves are bigger and heavier at weaning than those calves born late in the season (November/December)

Left atrial volume: comparison of 2D and 3D transthoracic echocardiography with ECG-gated CT angiography.

RATIONALE AND OBJECTIVES: Left atrial volume (LAV) measurement by conventional two-dimensional (2D) transthoracic echocardiography (TTE) may be limited by the geometric model, by suboptimal definition of left atrial endocardium, or by chamber foreshortening. Three-dimensional (3D) TTE is posited to eliminate chamber foreshortening, and LAV measurement by 3D TTE should be more reflective of true LAV. The aim of this study was to compare conventional 2D TTE and newer 3D TTE for measurements of LAV to multidetector computed tomographic (MDCT) measurements using automated chamber reconstruction (ACR). MATERIALS AND METHODS: Twenty-two subjects consented to undergo 2D TTE and 3D TTE immediately prior to or following coronary computed tomographic angiography. LAV was calculated from 2D TTE using the area-length method (ALM) and from 3D TTE with the ALM as well as with a 3D model. Electrocardiographically gated coronary computed tomographic angiography was performed in helical mode. LAV was measured using the ALM as well as ACR. RESULTS: LAV was significantly smaller by 2D TTE (80 ± 21 mL) and 3D-TTE (90 ± 24 mL with the ALM, 61 ± 16 mL with the 3D model) compared to MDCT ACR (120 ± 30 mL) (P \u3c .01). Correlation between MDCT ALM and MDCT ACR was excellent (mean Δ = -1.4 ± 14 mL, r = 0.91). Correlation with MDCT ACR was no better for 3D TTE (r = 0.80) than for 2D TTE (r = 0.80). CONCLUSIONS: LAV is underestimated by both 2D TTE and 3D TTE relative to coronary computed tomographic angiography. Excellent agreement between the ALM and ACR with MDCT imaging suggests that the geometric model plays a negligible role in the underestimation of LAV. Underestimation of LAV by echocardiography is likely related to suboptimal definition of left atrial contour

Leadership diversity in science : women editors of dental journals are underrepresented compared to women editors of medical journals

OBJECTIVES : Increasing numbers of women are entering dentistry and medicine and it is anticipated that global leadership positions represent this demographic. In this study, the proportion of women editors of prominent medical and dental journals was compared. METHODS : A list of dental and medical journals, ranked by impact factor, were obtained through Web of Science Journal Citation Reports 2020. Chief and associate editors of these journals were identified as either a woman or a man. RESULTS : Ninety one dental journals had 100 editors, 15 of whom were women. There were significantly less women chief editors than men (p < 0.0001) compared to the percentage expected (global proportion of women and men dental scientists [IADR] membership: 43.72% women). Of ninety one comparable medical journals ranked by impact factor, there were 103 chief editors, 41 of whom were women. There was no significant difference in the number of men and women chief editors for medical journals (p = 0.242). There were significantly fewer women chief editors for dental journals compared to medical journals (p < 0.0001). There was no significant difference between the mean impact factor for journals with women and men editors for dental (p = 0.556) or medical (p = 0.492) journals. For the 91 dental journals, there were a total of 828 associate editors, of whom 638 were men and 190 were women and this difference was significant (p < 0.0001). CONCLUSIONS : The results demonstrate that women in dental research have attained editor positions with less frequency than men indicating the presence of barriers to progress in scientific dental publishing.https://www.elsevier.com/locate/jdenthj2022Prosthodontic

Decision analytic model for evaluation of suspected coronary disease with stress testing and coronary CT angiography.

RATIONALE AND OBJECTIVES: The aim of this study was to apply a decision analytic model for the evaluation of coronary artery disease (CAD) to define the optimal utilization of coronary computed tomographic angiography (cCTA) and stress testing. MATERIALS AND METHODS: The model tested in this study assumes that CAD is evaluated with a stress test and/or cCTA and that a patient with positive evaluation results undergoes cardiac catheterization. On the basis of values of sensitivity, specificity, and radiation dose from the published literature and test costs from the Medicare fee schedule, a decision tree model was constructed as a function of disease prevalence. RESULTS: The false-negative rate is lowest when cCTA is used as an isolated test. The false-positive rate is minimized when cCTA is used in combination with stress echocardiography. Effective radiation is minimized by use of stress electrocardiography or stress echocardiography alone or prior to cCTA. When the pretest probability of CAD is low, a strategy that uses stress echocardiography followed by cCTA minimizes the false-positive rate and effective radiation exposure, with relatively low imaging costs and with a false-negative rate only slightly higher than a strategy including stress myocardial scintigraphy. As the pretest probability of CAD increases above 20%, the false-negative rate of stress echocardiography followed by cCTA increases by \u3e5% relative to cCTA alone. CONCLUSION: Effective radiation dose and imaging costs for the workup of CAD may be minimized by an appropriate combination of stress testing and cCTA. A strategy that uses stress echocardiography followed by cCTA is most appropriate for the evaluation of low-risk patients with CAD with a pretest probability \u3c 20%, while cCTA alone may be more appropriate in intermediate-risk patients

Coordinate Expression and Trans Presentation of Interleukin (IL)-15Rα and IL-15 Supports Natural Killer Cell and Memory CD8+ T Cell Homeostasis

The high affinity interleukin (IL)-15 receptor, IL-15Rα, is essential for supporting lymphoid homeostasis. To assess whether IL-15Rα's role in vivo is to trans present IL-15, we generated mixed bone marrow chimera from IL-15Rα– and IL-2/15Rβ–deficient mice. We find that IL-15Rα–competent, IL-2/15Rβ–deficient cells are able to support IL-15Rα–deficient natural killer (NK) and memory CD8+ T cells, thus ruling out secondary signals on these cells and demonstrating that IL-15Rα–mediated presentation of IL-15 in trans is the primary mechanism by which IL-15Rα functions in vivo. Surprisingly, using IL-15– and IL-15Rα–deficient mixed chimera, we also find that IL-15 and IL-15Rα must be expressed by the same cells to present IL-15 in trans, indicating that IL-15Rα is required on a cellular level for the elaboration of IL-15. These studies indicate that IL-15Rα defines homeostatic niches for NK and memory CD8+ T cells by controlling both the production and the presentation of IL-15 in trans to NK and CD8+ memory T cells

The role of Legal Proxies in End-of-Life Decisions in Albania: the need for an ad hoc Law

Western European public policy includes end-of-life situations. Ergo, an in-depth investigation here analyzes the Albanian legislature relating to end-of-life decisions by concentrating on the role of legal proxy in end-of-life decisions. This paper explores the Albanian legal system, national medical jurisprudence, with special attention paid to the Code of Medical Ethics. Also included are publications written by the two main advisory public bodies on health issues: the National Ethics Committee and the National Committee of Health. Following a discussion of the fundamental role of a legal proxy in end-of-life decisions, and taking into account the experience of some Western European countries, some policy suggestions become clear. In the conclusion, this paper emphasizes the need for ad hoc legislature to establish the role of legal proxy in end-of-life decisions as well as the utilization of the international framework as a source of guidance to address the shortcomings in the national system in the interim

Introduction

Since the 1990s, Albania has aimed to introduce democratic values into its legislation. This process can come to fruition only by the recognition and protection of private property. As a result, a new Civil Code was enacted at the beginning of the 1990s through intensive collaboration between Albanian and foreign scholars. Book II of the Albanian Civil Code of 1994 highlights the importance of private property. This book fills the gap in the national and international scientific literature since there is no scientific contribution written in English that examines the development of the Albanian law of property showing the similarities and differences between the Albanian and the Italian civil codes. Another novelty rests on its identification of the rules of the Albanian Civil Codes of 1929 and of 1982 that regulate the various legal institutional parts of the property law. Furthermore, this research summarizes the EU impact on Albanian property law by examining the differences between the legal institutions established at the supranational level such as Dir. 2014/60/EU, Dir. 2008/122/EC, Dir. 1346/2000/EC, and Reg. 2015/848 with the current Albanian system. In the conclusions, this research demonstrates that the Albanian law of property of 1994 is similar, sometimes identical, to the rules established in the Italian Civil Code of 1942

Associations of Genetic Ancestry with Terminal Duct Lobular Unit Involution among Healthy Women

Reduced age-related terminal duct lobular unit (TDLU) involution has been linked to increased breast cancer risk and triple-negative breast cancer. Associations of TDLU involution levels with race and ethnicity remain incompletely explored. Herein, we examined the association between genetic ancestry and TDLU involution in normal breast tissue donated by 2014 healthy women in the United States. Women of African ancestry were more likely than European women to have increased TDLU counts (odds ratio [OR](trend) = 1.36, 95% confidence interval [CI] = 1.07 to 1.74), acini counts per TDLU (OR = 1.47, 95% CI = 1.06 to 2.03), and median TDLU span (OR(trend) = 1.44, 95% CI = 1.08 to 1.91), indicating lower involution, whereas East Asian descendants were associated with decreased TDLU counts (OR(trend) = 0.52, 95% CI = 0.35 to 0.78) after controlling for potential confounders. These associations are consistent with the racial variations in incidence rates of triple-negative breast cancer in the United States and suggest opportunities for future work examining whether TDLU involution may mediate the racial differences in subtype-specific breast cancer risk