599 research outputs found

    Success factors between suppliers and customers in service outsourcing activities

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    This study examines the relationship between outsourcing motives, supplier-customer relationship and perceived value in non-core service outsourcing. That is, key factors responsible for supplier-customer relationship which provide customer value in service outsourcing is still unclear. A total of 1,757 companies were randomly selected for the survey. 234 valid questionnaires were returned (13.4% response rate). The structural equation method was used to obtain the best fit model. The most significant contribution of this study is that, ‘relationship interaction’ has a greater impact on customer perceived value than ‘relationship quality’ in service outsourcing. That is, customer-supplier ‘relationship interaction’ that enhances communication, cooperation, coordination, conflict resolution, and integration activities rather than ‘relationship quality’ such as loyalty and trust, would exert the greatest effect on perceived customer value

    Threshold voltage model for hetero-gate-dielectric tunneling field effect transistors

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    In this paper, a two dimensional analytical model of the threshold voltage for HGD TFET structure has been proposed. We have also presented the analytical models for the tunneling width and the channel potential. The potential model is used to develop the physics based model of threshold voltage by exploring the transition between linear to exponential dependence of drain current on the gate bias. The proposed model depends on the drain voltage, gate dielectric near the source and drain, silicon film thickness, work function of gate metal and oxide thickness. The accuracy of the proposed model is verified by simulation results of 2-D ATLAS simulator. Due to the reduction of the equivalent oxide thickness, the coupling between the gate and the channel junction enhances which results in lower threshold voltage. Tunneling width becomes narrower at a given gate voltage for the optimum channel concentration of 1016 /cm3. The higher concentration in the source (Ns) causes a steep bending in the conduction and valence bands compared to the lower concentration which results in smaller tunneling width at the source-channel interface

    Properties of reaction fronts in a non-adiabatic two stage exothermic-endothermic competitive reaction scheme

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    We numerically derive the properties of reaction fronts arising in a pre-mixed one dimensional two staged non-adiabatic competitive exothermic-endothermic reaction scheme where both reaction pathways compete for the same fuel. We utilise FlexPDE and the method of lines to obtain numerical solutions for properties such as the front speed and stability over a range of parameter values such as the Lewis number and the ratios of enthalpies and activation energies. Steady and pulsating speeds are demonstrated for specific regions of the parameter space. We also show that in some circumstances there exists a chaotic regime of combustion wave propagation. References M. J. Antal and G. Varhegyi, Cellulose Pyrolysis Kinetics - The Current State of Knowledge, Industrial and Engineering Chemistry Research, 34(3):703–717, 1995 doi:10.1021/ie00042a001 R. Ball, A. C. McIntosh and J. Brindley, Thermokinetic Models for Simultaneous Reactions: a Comparative Study, Combustion Theory and Modelling, 3(3):447–468, 1999. doi:10.1088/1364-7830/3/3/302 S. K. Chan and R. Turcotte, Onset Temperatures in Hot Wire Ignition of AN-Based Emulsions, Propellants Explosives Pyrotechnics, 34(1):41–49, 2009. doi:10.1002/prep.200700288 FlexPDETM^{TM}, PDE Solutions Inc, http://www.pdesolutions.com. V. V. Gubernov, A. Kobolov, A. Polezhaev and H. Sidhu, Period Doubling and Chaotic Transient in a Model of Chain-Branching Combustion Wave Propagation, Proceedings of the Royal Society A, 2011. doi:10.1098/rspa.2009.0668 V. V. Gubernov, J. J. Sharples, H. S. Sidhu, A. C. McIntosh and J. Brindley, Properties of Combustion Waves in the Model with Competitive Exo- and Endothermic Reactions, Journal of Mathematical Chemistry, 50(8):2130–2140, 2012. doi:10.1007/s10910-012-0021-y V. V. Gubernov, H. S. Sidhu, G. N. Mercer, The Effect of Ambient Temperature on the Propagation of Nonadiabatic Combustion Waves, Journal of Mathematical of Mathematical Chemistry, 37(2):149–162, 2005. doi:10.1007/s10910-004-1447-7 A. Hmaidi, A. C. McIntosh and J. Brindley, A Mathematical Model of Hotspot Condensed Phase Ignition in the Presence of a Competitive Endothermic Reaction, Combustion Theory and Modelling, 14(6):893–920, 2010. doi:10.1080/13647830.2010.519050 D. A. Kessler, V. N. Gamezo and E. S. Oran, Simulations of Flame Acceleration and Deflagration-to-Detonation Transitions in Methane-Air Systems, Combustion and Flame, 157(11):2063–2077, 2010. doi:10.1016/j.combustflame.2010.04.011 F. Liu, D. L. S. McElwain and C. P. Please, Simulation of Combustion Waves for Two-Stage Reactions, Proceedings of the 8th Biennial Computational Techniques and Applications Conference (CTAC97), pages 385–392, 1998. A. Makino, Fundamental Aspects of the Heterogeneous Flame in the Self-Propagating High-Temperature Synthesis (SHS) Process, Progress in Energy and Combustion Sciences, 27(1):1–74, 2001. doi:10.1016/S0360-1285(00)00004-6 A. G. Merzhanov and E. N. Rumanov, Physics of Reaction Waves, Reviews of Modern Physics, 71(4):1173–1211, 1999. doi:10.1103/RevModPhys.71.1173 C. P. Please, F. Liu and D. L. S. McElwain, Condensed Phase Combustion Travelling Waves with Sequential Exothermic or Endothermic Reactions, Combustion Theory and Modelling, 7(1):129–143, 2003. doi:10.1088/1364-7830/7/1/307 W. E. Schiesser, The numerical method of lines: Integration of Partial Differential Equations, Academic Press, Inc, 1991. J. J. Sharples, H. S. Sidhu, A. C. Mcintosh, J. Brindley and V. V. Gubernov, Analysis of Combustion Waves Arising in the Presence of a Competitive Endothermic Reaction, IMA Journal of Applied Mathematics, 77(1):18–31, 2012. doi:10.1093/imamat/hxr072 V. P. Sinditskii, V. Y. Egorshev, A. I. Levshenkov and V. V. Serushkin, Ammonium nitrate: Combustion Mechanism and the Role of Additives, Propellants Explosives Pyrotechnics, 30(4):269–280, 2005. doi:10.1002/prep.200500017 J. Subrahmanyam and M. Vijayakumar, Self-Propagating High-Temperature Synthesis, Journal of Materials Science, 27(23):6249–6273, 1992. doi:10.1007/BF00576271 R. Turcotte, S. Goldthorp, C. M. Badeen and S. K. Chan, Hot-Wire Ignition of AN-Based Emulsions, Propellants Explosives Pyrotechnics, 33(6):472–481, 2008. doi:10.1002/prep.200700276 S. Walia, R. O. Weber, K. Latham, P. Petersen, J. T. Abrahamson, M. S. Strano, and K. Kalantar-zadeh, Oscillatory Thermopower Waves Based on Bi2_2Te3_3 Films, Advanced Functional Materials, 21(11):2072–2079, 2011. doi:10.1002/adfm.201001979 R. O. Weber, G. N. Mercer, H. S. Sidhu and B. F. Gray, Combustion Waves for Gases (Le=1Le=1) and Solids (LeLe\rightarrow \infty ), Proceedings of the Royal Society of London A, 453(1960):1105–1118, 1997. doi:10.1098/rspa.1997.0062 W. Y. S. Wee, J. J. Sharples, H. S. Sidhu and V. V. Gubernov, Analysis of a Two-Stage Competitive Endothermic-Exothermic Reaction Scheme, Proceedings of the 40th Australian Chemical Engineering Conference (CHEMECA 2012), submitted June 2012

    Vortex Keratopathy in a Patient Receiving Vandetanib for Non-Small Cell Lung Cancer

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    We report a case of vortex keratopathy in a patient treated with vandetanib for non-small cell lung cancer (NSCLC). A 44-year-old female who underwent two cycles of chemotherapy for NSCLC complained of visual blurring in both eyes after the initiation of vandetanib, an anti-epidermal growth factor receptor (EGFR) and anti-vascular endothelial growth factor receptor 2 protein tyrosine kinase inhibitor. On ophthalmic examination, visual acuities were 20 / 20 OU and, with the exception of diffuse vortex keratopathy in both eyes, other findings were unremarkable. Vandetanib is believed to have caused vortex keratopathy in this patient. Anti-EGFR properties affecting normal corneal epithelial cell migration and wound healing or drug associated metabolite deposition, which is the case in numerous drug-associated vortex keratopathies, may be possible underlying mechanisms in the formation of this corneal complication

    Effect of Base Curve Radius of Therapeutic Lenses on Epithelial Healing after Laser-Assisted Subepithelial Keratectomy

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    PURPOSE: To determine the effect of the base curve radius (BCR) of therapeutic soft contact lens (T-lens) on epithelial healing after laser-assisted subepithelial keratectomy (LASEK). METHODS: Ninety-two eyes in 47 patients with myopia were prospectively evaluated after LASEK. All the patients wore T-lenses with the BCR (R1) randomly chosen after LASEK. The T-lenses were removed after complete healing of the epithelial wounds. We calculated an estimated BCR (R2) from postoperative topography using a diopter conversion table. The patients were divided into two groups according to the differences between the BCR (R1) and the estimated BCR (R2). The flat fitting group was R1 > R2 (Group A), and the steep fitting group was R1R2) had 53 eyes, and Group B (R1<R2) had 39 eyes. Group A showed a shorter epithelial healing time than Group B (5.8+/-1.7 days vs. 6.7+/-2.1 days, p=0.04). CONCLUSIONS: The flat fitting group showed a shorter epithelial healing time than the steep fitting group after LASEK

    Family carer experiences of hospice care at home: qualitative findings from a mixed methods realist evaluation

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    This document is the Accepted Manuscript version of a published work that appeared in final form in [Palliative Medicine]. To access the final edited and published work see https://doi.org/10.1177/02692163231206027Background: Hospice-at-home aims to enable patients approaching end-of-life to die at home and support their carers. A wide range of different service models exists but synthesised evidence on how best to support family carers to provide sustainable end-of -life care at home is limited. Aim: To explore what works best to promote family carers’ experiences of hospice-at-home. Design: Realist evaluation with mixed methods. This paper focuses on qualitative interviews with carers (to gain their perspective and as proxy for patients) and service providers from twelve case study sites in England. Interviews were coded and programme theories were refined by the research team including two public members. Setting/participants: Interviews with carers (involved daily) of patients admitted to hospice-at-home services (n=58) and hospice-at-home staff (n=78). Results: Post bereavement, 76.4% of carers thought that they had received as much help and support as they needed and most carers (75.8%) rated the help and support as excellent or outstanding. Of six final programme theories capturing key factors relevant to providing optimum services, those directly relevant to carer experiences were: integration and co-ordination of services; knowledge, skills and ethos of hospice staff; volunteer roles; support directed at the patient–carer dyad. Conclusions: Carers in hospice-at-home services identified care to be of a higher quality than generic community services. Hospice staff were perceived as having ‘time to care’, communicated well and were comfortable with dying and death. Hands-on care was particularly valued in the period close to death

    Patient-Related Diet and Exercise Counseling: Do Providers’ Own Lifestyle Habits Matter?

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    The goal of this research was to evaluate the personal health behaviors of physicians in training and attending physicians in association with patient-related lifestyle counseling. Physicians at a major teaching hospital were surveyed regarding their personal lifestyle behavior, perceived confidence, and frequency of counseling patients regarding lifestyle behaviors. One hundred eighty-three total responses were received. Trainees were more likely to consume fast food and less likely to consume fruits and vegetables than attendings. Attending physicians were more likely to exercise 4 or more days per week and more than 150 minutes per week. Attending physicians were more likely to counsel their patients regarding a healthy diet (70.7% vs 36.3%, P150 minutes per week, being overweight, and reported adequate training in counseling. Only adequate training in counseling was a predictor of strong self-efficacy for counseling in diet. Many physicians lack confidence in their ability to counsel patients regarding lifestyle. Personal behaviors including regular exercise and better training in counseling techniques may improve patient counseling. Prev Cardiol. 2010;13:180–185. © 2010 Wiley Periodicals, Inc.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/79167/1/j.1751-7141.2010.00079.x.pd
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