Accelerating Positive Change In Electronic Recrds Management - An Emprical Toolkit Of Solutions

The AC+erm project aims to investigate and critically explore issues and practical strategies for accelerating positive change in electronic records management. The project’s focus is on designing an organisational-centred architecture from three perspectives: people, process and technology. This paper introduces the project, describes the methodology (a systematic literature review, e-Delphi studies and colloquia) and presents solutions for improving ERM developed from the people and process e-Delphi responses. ERM is particularly challenging and the solutions offered by the Delphi participants are numerous, and range in scale and complexity. The only firm conclusion that one can draw is that the majority of the solutions are people-focussed ones. The Cynefin framework is introduced as one approach for providing a conceptual overview to our findings on ERM. The sample solutions presented in this paper provide a toolkit of ‘probes’ and ‘interventions’ for practical application in organisations

Faktor-Faktor Yang Berhubungan Dengan Musculoskeletal Disorders (MSDs) Pada Pekerja Home Industry Konveksi X Tangerang Selatan

Penyakit musculoskeletal disorders (MSDs) menjadi penyebab utama dalam Years Lived Disability (YLD) sebesar 17% di seluruh dunia. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian MSDs. Penelitian ini menggunakan metode cross sectional, dengan sampel 30 pekerja konveksi. Teknik pengumpulan data pada penelitian ini menggunakan lembar observasi pengukuran REBA (Rapid Entire Body Assesment), dan kuesioner Nordic Body Map. Berdasarkan penilaian REBA ada 23 pekerja pada tingkat risiko sedang (76,7%), 5 pekerja (16,7%) pada tingkat risiko tinggi dan 2 pekerja pada tingkat risiko rendah (6,7%). Berdasarkan keluhan MSDs sebesar 63,3% mengalami keluhan sedang dan 36,7% pekerja mengalami keluhan ringan. Ada hubungan usia (p value=0,000), masa kerja (p value=0,000), aktivitas fisik (p value=0,009), postur kerja (p value=0,041) dengan kejadian MSDs. Tidak ada hubungan jenis kelamin (p value=0,425), kebiasaan merokok (p value=0,425) dengan kejadian MSDs. Banyak mengeluhkan terkait punggung, pinggang, bahu kanan, dan bokong mereka

The role of canopy structural complexity in wood net primary production of a maturing northern deciduous forest

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/117132/1/ecy20119291818.pd

Root canal instrumentation efficacy of non-fused and fused primary molar roots:a micro-computed tomography study

Purpose Pulpectomy may be indicated in restorable primary teeth exhibiting irreversible pulpitis or pulpal necrosis. The purpose of this study was to compare the cleaning and shaping efficacy of NiTi systems (Reciproc(R) Blue and MTwo(R)) with manual stainless-steel instrumentation in primary molars using micro-CT analysis. Methods Fifty-seven maxillary second primary molars were scanned using micro-CT. Teeth with three divergent roots were divided randomly (n = 15) according to instrument type (K file, MTwo (R), and Reciproc (R) Blue). Teeth with root fusion were instrumented manually as a separate group (n = 12). Pre- and post-instrumentation micro-CT images were superimposed, and the instrumentation area (IA) and procedural complications were recorded. Results No statistically significant differences in IA between file systems was observed in the non-fused teeth. The mean IA of fused roots was significantly lower than in the non-fused distobuccal (p = 0.003) and palatal (p 60%) occurred in both non-fused and fused primary teeth with fewer procedural complications observed after manual instrumentation

Pathophysiology and Treatment of Non-motor Dysfunction in Amyotrophic Lateral Sclerosis

Amyotrophic lateral sclerosis is a progressive and fatal neurodegenerative disease typically presenting with bulbar or limb weakness. There is increasing evidence that amyotrophic lateral sclerosis is a multisystem disease with early and frequent impacts on cognition, behaviour, sleep, pain and fatigue. Dysfunction of normal physiological and metabolic processes also appears common. Evidence from pre-symptomatic studies and large epidemiological cohorts examining risk factors for the future development of amyotrophic lateral sclerosis have reported a high prevalence of changes in behaviour and mental health before the emergence of motor weakness. This suggests that changes beyond the motor system are underway at an early stage with dysfunction across brain networks regulating a variety of cognitive, behavioural and other homeostatic processes. The full impact of non-motor dysfunction continues to be established but there is now sufficient evidence that the presence of non-motor symptoms impacts overall survival in amyotrophic lateral sclerosis, and with up to 80% reporting non-motor symptoms, there is an urgent need to develop more robust therapeutic approaches. This review provides a contemporary overview of the pathobiology of non-motor dysfunction, offering readers a practical approach with regard to assessment and management. We review the current evidence for pharmacological and non-pharmacological treatment of non-motor dysfunction in amyotrophic lateral sclerosis and highlight the need to further integrate non-motor dysfunction as an important outcome measure for future clinical trial design

Sustained carbon uptake and storage following moderate disturbance in a Great Lakes forest

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/117030/1/eap20132351202.pd