7,148 research outputs found

    Do team processes really have an effect on clinical performance? A systematic literature review

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    Summary There is a growing literature on the relationship between team processes and clinical performance. The purpose of this review is to summarize these articles and examine the impact of team process behaviours on clinical performance. We conducted a literature search in five major databases. Inclusion criteria were: English peer-reviewed papers published between January 2001 and May 2012, which showed or tried to show (i) a statistical relationship of a team process variable and clinical performance or (ii) an improvement of a performance variable through a team process intervention. Study quality was assessed using predefined quality indicators. For every study, we calculated the relevant effect sizes. We included 28 studies in the review, seven of which were intervention studies. Every study reported at least one significant relationship between team processes or an intervention and performance. Also, some non-significant effects were reported. Most of the reported effect sizes were large or medium. The study quality ranged from medium to high. The studies are highly diverse regarding the specific team process behaviours investigated and also regarding the methods used. However, they suggest that team process behaviours do influence clinical performance and that training results in increased performance. Future research should rely on existing theoretical frameworks, valid, and reliable methods to assess processes such as teamwork or coordination and focus on the development of adequate tools to assess process performance, linking them with outcomes in the clinical settin

    A Case of Multiple Sclerosis Presenting as Eight and Half Syndrome.

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    Multiple sclerosis (MS) is a chronic disease characterized by inflammation, demyelination, gliosis (scarring), and neuronal loss; the course can be relapsing-remitting or progressive. Manifestations of MS vary from a benign illness to a rapidly evolving and incapacitating disease requiring profound lifestyle adjustments. We report a 24 year old female who presented with right internuclear ophthalmoplegia with right lower motor neuron facial nerve palsy which is called eight and half syndrome. The etiology in our patient was multiple sclerosis which was confirmed by radio-imaging studies. Patient improved on pulse therapy of methyl prednisolone and tapering dose of steroids

    Parameterized Study of the Test Cover Problem

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    We carry out a systematic study of a natural covering problem, used for identification across several areas, in the realm of parameterized complexity. In the {\sc Test Cover} problem we are given a set [n]={1,...,n}[n]=\{1,...,n\} of items together with a collection, T\cal T, of distinct subsets of these items called tests. We assume that T\cal T is a test cover, i.e., for each pair of items there is a test in T\cal T containing exactly one of these items. The objective is to find a minimum size subcollection of T\cal T, which is still a test cover. The generic parameterized version of {\sc Test Cover} is denoted by p(k,n,T)p(k,n,|{\cal T}|)-{\sc Test Cover}. Here, we are given ([n],T)([n],\cal{T}) and a positive integer parameter kk as input and the objective is to decide whether there is a test cover of size at most p(k,n,T)p(k,n,|{\cal T}|). We study four parameterizations for {\sc Test Cover} and obtain the following: (a) kk-{\sc Test Cover}, and (nk)(n-k)-{\sc Test Cover} are fixed-parameter tractable (FPT). (b) (Tk)(|{\cal T}|-k)-{\sc Test Cover} and (logn+k)(\log n+k)-{\sc Test Cover} are W[1]-hard. Thus, it is unlikely that these problems are FPT

    Current iodine status and progress over the last decade towards elimination of iodine deficiency in Rajkot District, Gujarat

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    Objective: To find out prevalence of goitre in primary school children; to compare prevalence with previous survey; to determine median urinary iodine concentration; to assess level of iodine in salt samples at household and retail shop level; and to study profile of salt sold at retail shops. Design & Settings: 30 cluster survey study in primary schools of Rajkot district. Subjects: Children studying in 1st to 7th standard. Methods: Total 70 students including five boys and five girls from 1st to 7th standard present in class on the day of visit were selected randomly for Goitre examination, so, total 2100 students were examined in schools. Urine sample was collected from one boy & one girl from each standard in each cluster. From community, 28 students including two boys and two girls from each standard in same age group were examined and also salt samples were tested from their households. From each village, one retail shop was visited and salts were purchased and tested for iodine on the spot with spot kit. Results: Goitre prevalence was found 8.8% among primary school children compare to 5.6% in 1999. As the age increases the Goitre prevalence also increases except in age group of 12 years. Median urinary iodine excretion level was found 110 µg/L. Iodine level >15 ppm was found in 81% salts samples tested at household level. Conclusion: Present study showed mild Goitre prevalence in primary school children in Rajkot district of Gujarat but still iodine content of salt found inadequate at household level

    Spelter Pan - Design, Heating Systems and Operations

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    This is decided by the shape of article to be galvanized. It should be possible to immerse and withdraw articles without much agitation of the bath. The pans for wire, tube, strip, fasteners, have suitable designs to take care of this factor

    Probing large distance higher dimensional gravity from lensing data

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    The modifications induced in the standard weak-lensing formula if Newtonian gravity differs from inverse square law at large distances are studied. The possibility of putting bounds on the mass of gravitons from lensing data is explored. A bound on graviton mass, esitmated to be about 100 Mpc1^{-1} is obtained from analysis of some recent data on gravitational lensing.Comment: 6 pages, 1 figure, added reference
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