87 research outputs found
Long-term outcome with the automatic implantable cardioverter-defibrillator
AbstractThe automatic implantable cardioverter-defibrillator was implanted in 270 patients because of life-threatening arrhythmias over a 7 year period. There was a history of sustained ventricular tachycardia or fibrillation, or both, in 96% of these patients, 80% had one or more prior cardiac arrests and 78% had coronary artery disease as their underlying diagnosis. The average ejection fraction was 34%, and 96% of these patients had had an average of 3.4 antiarrhythmic drug failures per patient before defibrillator implantation. There were four perioperative deaths and eight patients had generator infection or generator erosion, or both, during the perioperative period or during long-term follow-up. Concomitant antiarrhythmic drug therapy was given to 69% of patients.Shocks from the device were given to 58% of patients, and 20% received “problematic” shocks. The device was removed from 16 patients during long-term follow-up for a variety of reasons. There were 7 sudden cardiac deaths and 30 nonsudden cardiac deaths, 18 of which were secondary to congestive heart failure. The actuarial incidence of sudden death, total cardiac death and total mortality from all causes was 1%, 7% and 8%, respectively, at 1 year, and 4%, 24% and 26% at 5 years.The automatic implantable cardioverter-defibrillator nearly eliminates sudden death over a long-term follow-up period in a high risk group of patients. It has an acceptable rate of complications or problems, or both, and most late deaths in these patients are nonsudden and of cardiovascular origin
Community Justice and Public Safety: Assessing Criminal Justice Policy Through the Lens of the Social Contract
A reconceptualization of the idea of “community justice” is framed in the logic of the social contract and emphasizes the responsibility of the justice system for the provision of public safety. First, we illustrate the ways in which the criminal justice system has hindered the efforts of community residents to participate in the production of public safety by disrupting informal social networks. Then we turn to an examination of the compositional dynamics of California prison populations over time to demonstrate that the American justice system has failed to meet their obligations to provide public safety by incapacitating dangerous offenders. We argue that these policy failures represent a breach of the social contract and advocate for more effective collaboration between communities and the formal criminal justice system so that all parties can fulfill their obligations under the contract
Saturn Atmospheric Structure and Dynamics
2 Saturn inhabits a dynamical regime of rapidly rotating, internally heated atmospheres similar to Jupiter. Zonal winds have remained fairly steady since the time of Voyager except in the equatorial zone and slightly stronger winds occur at deeper levels. Eddies supply energy to the jets at a rate somewhat less than on Jupiter and mix potential vorticity near westward jets. Convective clouds exist preferentially in cyclonic shear regions as on Jupiter but also near jets, including major outbreaks near 35°S associated with Saturn electrostatic discharges, and in sporadic giant equatorial storms perhaps generated from frequent events at depth. The implied meridional circulation at and below the visible cloud tops consists of upwelling (downwelling) at cyclonic (anti-cyclonic) shear latitudes. Thermal winds decay upward above the clouds, implying a reversal of the circulation there. Warm-core vortices with associated cyclonic circulations exist at both poles, including surrounding thick high clouds at the south pole. Disequilibrium gas concentrations in the tropical upper troposphere imply rising motion there. The radiative-convective boundary and tropopause occur at higher pressure in the southern (summer) hemisphere due to greater penetration of solar heating there. A temperature “knee ” of warm air below the tropopause, perhaps due to haze heating, is stronger in the summer hemisphere as well. Saturn’s south polar stratosphere is warmer than predicted by radiative models and enhanced in ethane, suggesting subsidence-driven adiabatic warming there. Recent modeling advances suggest that shallow weather laye
EFEKTIVITAS PENGAWASAN UNIT KERJA ANTI FRAUD PADA BANK MUAMALAT INDONESIA
Perkembangan perbankan syari‟ah di Indonesia demikian pesat yang
ditandai dengan berdirinya Bank Muamalat Indonesia. Perkembangan ini
berimplikasi pada besarnya tantangan perbankan syari‟ah di Indonesia terutama
dalam mempertahankan identitasnya sebagai perusahaan yang bergerak
berlandaskan prinsip-prinsip syari‟ah. Sejak berdirinya perbankan
syariah,berbagai kontroversi muncul dari masyarakat, masalah yang paling
banyak disorot adalah pelekatan label syariah pada institusi keuangan Islam yang
masih dianggap belum layak. Keraguan masyarakat tersebut seolah terjawab
dengan munculnya kasus yang cukup menggemparkan yakni kasus fraud (tindak
kecurangan) yang terjadi di lembaga syariah.
Bank Muamalat Indonesia merupakan bank syari‟ah pertama yang muncul
dengan gagasan bank murni syari‟ah. Akan tetapi, bank Muamalat Indonesia juga
tak luput dari kasus fraud yang dilakukan oleh karyawan bank tersebut.
Berdasarkan Laporan Tahunan BMI menyebutkan bahwa telah terjadi
peningkatan kasus fraud dari tahun sebelumnya yang berjumlah 18 kasus menjadi
82 kasus pada tahun 2016. Padahal perusahaan yang menggunakan identitas
syariah seharusnya dapat lebih meminimalisir bahkan meniadakan resiko
terjadinya kasus fraud dengan adanya internal control perusahaan. Dari latar
belakang tersebut, peneliti berusaha mendalami peran pengawasan Unit Kerja
Anti Fraud dalam fraud preventive pada Bank Muamalat Indonesia. Penelitian ini
merupakan penelitin pustaka yang bersifat deskriptif analisis dengan pendekatan
kualitatif. Adapun sumber bahan hukum primer yang dipakai yaitu berdasarkan
Laporan Tahunan Bank Muamalat Indonesia Tahun 2016. Sedangkan sumber
bahan hukum sekunder berupa buku-buku, jurnal,karya ilmiah, artikel, terkait
dengan strategi anti fraud perbankan syariah.
Dari hasil penelitian dikemukakan bahwa peningkatan kasus fraud yang
terjadi pada Bank Muamalat Indonesia disebabkan kurang efektifnya pengawasan
Unit Kerja Anti Fraud. Hal ini dikarenakan kegiatan yang dilakukan selama tahun
2016 belum menujukkan adanya usaha preventif terhadap kasus fraud. Sedangkan
pencegahan merupakan pilar penting dalam keefektivan sebuah pengawasan.
Tujuan perusahaan dalam mencegah fraud dapat tercapai, jika fungsi pengawasan
dilakukan sebelum terjadinya penyimpangan-penyimpangan sehingga lebih
bersifat mencegah (prefentive control). Oleh karena itu, keefektivan pengawasan
Unit Kerja Anti Fraud diharapkan dapat meminimalisir tindak kecurangan demi
mewujudkan perusahaan yang patuh terhadap ketentuan syariah sesuai dengan
identitas perusahaan.
vii
Usaha pencegahan terjadinya kasus pada Bank Muamalat Indonesia
diharapkan dapat menjadi bukti terlaksananya tatakelola perusahaan (Good
Corporate Governance) pada Bank Syari‟ah dengan baik. Hal ini berdasarkan
dalam dalam perbankan syariah dikenal adanya prinsip-prinsip syariah yang
mendukung bagi terlaksananya prinsip GCG yakni keharusan bagi subjek hukum
termasuk bank untuk menerapkan prinsip kejujuran (shiddiq), edukasi kepada
masyarakat (tabligh), kepercayaan (amanah), dan pengelolaan secara profesional
(fathanah)
Optimal foraging and community structure: implications for a guild of generalist grassland herbivores
A particular linear programming model is constructed to predict the diets of each of 14 species of generalist herbivores at the National Bison Range, Montana. The herbivores have body masses ranging over seven orders of magnitude and belonging to two major taxa: insects and mammals. The linear programming model has three feeding constraints: digestive capacity, feeding time and energy requirements. A foraging strategy that maximizes daily energy intake agrees very well with the observed diets. Body size appears to be an underlying determinant of the foraging parameters leading to diet selection. Species that possess digestive capacity and feeding time constraints which approach each other in magnitude have the most generalized diets. The degree that the linear programming models change their diet predictions with a given percent change in parameter values (sensitivity) may reflect the observed ability of the species to vary their diets. In particular, the species which show the most diet variability are those whose diets tend to be balanced between monocots and dicots. The community-ecological parameters of herbivore body-size ranges and species number can possibly be related to foraging behavior.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/47765/1/442_2004_Article_BF00377109.pd
Risk factors for Coronavirus disease 2019 (Covid-19) death in a population cohort study from the Western Cape province, South Africa
Risk factors for coronavirus disease 2019 (COVID-19) death in sub-Saharan Africa and the effects of human immunodeficiency virus (HIV) and tuberculosis on COVID-19 outcomes are unknown. We conducted a population cohort study using linked data from adults attending public-sector health facilities in the
Western Cape, South Africa. We used Cox proportional hazards models, adjusted for age, sex, location, and comorbidities, to examine the associations between HIV, tuberculosis, and COVID-19 death from 1 March to 9 June 2020 among (1) public-sector “active patients” (≥1 visit in the 3 years before March 2020); (2) laboratory-diagnosed COVID-19 cases; and (3) hospitalized COVID-19
cases. We calculated the standardized mortality ratio (SMR) for COVID-19, comparing adults living with and without HIV using
modeled population estimates.Among 3 460 932 patients (16% living with HIV), 22 308 were diagnosed with COVID-19, of whom 625 died. COVID19 death was associated with male sex, increasing age, diabetes, hypertension, and chronic kidney disease. HIV was associated with
COVID-19 mortality (adjusted hazard ratio [aHR], 2.14; 95% confidence interval [CI], 1.70–2.70), with similar risks across strata of
viral loads and immunosuppression. Current and previous diagnoses of tuberculosis were associated with COVID-19 death (aHR,
2.70 [95% CI, 1.81–4.04] and 1.51 [95% CI, 1.18–1.93], respectively). The SMR for COVID-19 death associated with HIV was 2.39
(95% CI, 1.96–2.86); population attributable fraction 8.5% (95% CI, 6.1–11.1)
Transvenous catheter ablation of extranodal accessory pathways
AbstractTwelve patients with an accessory pathway and recurrent symptomatic reciprocating tachycardia or atrial fibrillation, or both, underwent attempted transvenous catheter ablation of the accessory pathway. In one patient with a small right coronary artery, the pathway was along the right free wall. In 11 patients, the pathway was located at or within 15 mm of the coronary sinus os. For these patients, a quadripolar electrode catheter was placed in the coronary sinus and positioned, if possible, so that the proximal pair of electrodes straddled the pathway. For those patients with a pathway > 5 mm within the coronary sinus, the most proximal electrode was placed at the os. This proximal pair of electrodes was connected to the cathodal output of a defibrillator with an anterior chest wall patch serving as the current sink. Two shocks were then delivered for a cumulative energy of 500 to 600 J (stored energy).Among the eight patients with a pathway at or within 5 mm of the coronary sinus os, conduction over the pathway was abolished in five and modified in one. Among the four patients with a pathway farther from the os (10 to 15 mm) and along the right free wall, pathway conduction was modified only in two. Rupture of the coronary sinus did not occur in any patient. There were no serious complications. Minor damage surrounding the area of ablation was seen at the time of surgical division of the accessory pathway in two of five patients with unsuccessful ablation who subsequently underwent surgery.Transvenous catheter ablation of accessory pathways appears to be a safe and reasonably effective alternative to surgery for those patients with a pathway at or near the coronary sinus os, but not for those with a pathway farther from the septum. Although subsequent intraoperative mapping was more difficult because of the loss of large, discrete atrial electrograms, surgical division was successful in all five patients after unsuccessful catheter ablation
“This Time It’s Different” Preparing for Release Through a Prison-Model of CoSA: A Phenomenological and Repertory Grid Analysis
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