7,085 research outputs found

    Configural information processing in audit evidence evaluation / 1569

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    Includes bibliographical references (p. 28-30)

    Auditor configural information processing in control risk appraisal / 1585

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    Includes bibliographical references (p. 30-33)

    A second-order approximation for the variance of a renewal reward process

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    AbstractLet {C(t), t â©ľ 0} be a renewal reward process. We obtain the approximation Var C(t) = ct + d + o(1), and explicitly identify c and d

    Auditors\u27 judgments and decisions under time pressure: an illustration and agenda for research

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    https://egrove.olemiss.edu/dl_proceedings/1098/thumbnail.jp

    A qualitative study of the development of a multidisciplinary case conference review methodology to reduce involved margins in pelvic exenteration surgery for recurrent rectal cancer

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    Aim Pelvic exenteration surgery remains the only curative option for recurrent rectal cancer. Microscopically involved surgical margins (R1) are associated with a higher risk of local recurrence and decreased survival. Our study aimed to develop a post hoc multidisciplinary case conference review and investigate its potential for identifying areas for improvement. Method Results Patients who underwent pelvic exenteration surgery for recurrent rectal cancer with R1 resections at a tertiary referral centre between April 2014 and January 2016 were retrospectively reviewed from a prospectively maintained database. Patients with non-rectal cancers or who underwent palliative surgery were excluded. Cases, imaging and histopathology were evaluated by a dedicated panel including colorectal surgeons, an abdominal radiologist and a gastrointestinal pathologist. R1 resections were reported in 32 of 110 pelvic exenterations. Patients with other tumours were excluded and one patient had a palliative resection. Nine male patients with 11 exenterations were included with a median age of 56 years. All patients had positive soft tissue margins, and one patient also had an involved bony margin. Failures were due to (interdisciplinary) communication problems, specific management of tumour biology (multifocality, spiculated tumours), which can lead to radiological undercalling, and inadequate surgical technical planning. In hindsight, surgery would have been withheld from one patient. Conclusion A retrospective multidisciplinary case evaluation of pelvic exenteration patients with involved surgical margins led to a list of recommendations which included the need to plan for wider surgical soft tissue resections and improvement in interdisciplinary communication. Lessons learned may increase clear margin rates in future resections

    An Efficient Source of Single Photons: A Single Quantum Dot in a Micropost Microcavity

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    We have demonstrated efficient production of triggered single photons by coupling a single semiconductor quantum dot to a three-dimensionally confined optical mode in a micropost microcavity. The efficiency of emitting single photons into a single-mode travelling wave is approximately 38%, which is nearly two orders of magnitude higher than for a quantum dot in bulk semiconductor material. At the same time, the probability of having more than one photon in a given pulse is reduced by a factor of seven as compared to light with Poissonian photon statistics
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