Perspectives of Executives and Students on Leadership Characteristics for Healthcare Managers: Does a Gap Exist?

Preparing healthcare managers for the complexity of the healthcare industry poses a heavy challenge on healthcare organizations, CEOs, managers, and educational institutions. In order to ensure that future healthcare managers are prepared to enter the workforce, it is important that the characteristics and skills deemed important by current CEOs in the field are similar to those of undergraduate healthcare management students that will be entering the workforce

On the consistency of the peculiar GRBs 060218 and 060614 with the Ep,i - Eiso correlation

We analyze and discuss the position of GRB 060218 and GRB 060614 in the Ep,i - Eiso plane. GRB 060218 is important because of its similarity with GRB 980425, the proto-type event of the GRB-SN connection. While GRB 980425 is an outlier of the Ep,i - Eiso correlation, we find that GRB 060218 is fully consistent with it. This evidence, combined with the `chromatic' behavior of the afterglow light curves, is at odds with the hypothesis that GRB 060218 was a `standard' GRB seen off-axis and supports the existence of a class of truly sub--energetic GRBs. GRB 060614 is a peculiar event not accompanied by a bright Supernova. Based on published spectral information, we find that also this event is consistent with the Ep,i - Eiso correlation. We discuss the implications of our results for the rate of sub--energetic GRBs, the GRB/SN connection and the properties of the newly discovered sub-class of long GRBs not associated with bright Supernovae. We have included in our analysis other recent GRBs with clear evidence (or clear no evidence) of associated SNe.Comment: 9 pages, 4 figures, FINAL REVISED VERSION (added Figure 4 and short GRBs in Figure 1; minor changes and style corrections applied; references updated), submitted to A&A on November 25, 200

Ultrasonography-Guided Identification With Methylene Blue Tattooing of the Ilioinguinal Nerve for Neurectomy for Chronic Pain: A Case Series

Chronic ilioinguinal pain is a common but morbid complication of inguinal herniorrhaphy for 12% to 62% of patients.1 Although pharmacologic options exist (such as nerve blocks), long-term pain relief is inferior to surgical neurectomy.2,3 We present our experience in ilioinguinal neurectomy with preoperative ultrasonography-guided identification and perineural injection of methylene blue to tattoo the nerve

On feasible and infeasible search for equitable graph coloring

An equitable legal k-coloring of an undirected graph G = (V, E) is a partition of the vertex set V into k disjoint independent sets, such that the cardinalities of any two independent sets differ by at most one (this is called the equity constraint). As a variant of the popular graph coloring problem (GCP), the equitable coloring problem (ECP) involves finding a minimum k for which an equitable legal k-coloring exists. In this paper, we present a study of searching both feasible and infeasible solutions with respect to the equity constraint. The resulting algorithm relies on a mixed search strategy exploring both equitable and inequitable colorings unlike existing algorithms where the search is limited to equitable colorings only. We present experimental results on 73 DIMACS and COLOR benchmark graphs and demonstrate the competitiveness of this search strategy by showing 9 improved best-known results (new upper bounds)

Gravity for FDI

Gravity equations explaining foreign affiliates’ sales are ad hoc and hence, estimated coefficients are hard to interpret. We therefore provide the theoretical underpinnings of the gravity equation applied to the analysis of sales of foreign affiliates of multinational firms. We argue that the success of the gravity equation results from the fact that it can be derived from various theoretical models. We illustrate this point by deriving a gravity equation from three different models of multinational firms. Using data on real affiliate sales, we show how this derived gravity equation can nevertheless be used to discriminate between the different theoretical models

A rating scale to be used as a guide in grade determination for clinical practice of freshman students in the nursing course of a specific school of nursing

Thesis (M.S.)--Boston Universit

An overreaction implementation of the coherent market hypothesis and option pricing

Inspired by the theory of social imitation (Weidlich 1970) and its adaptation to financial markets by the Coherent Market Hypothesis (Vaga 1990), we present a behavioral model of stock prices that supports the overreaction hypothesis. Using our dynamic stock price model, we develop a two factor general equilibrium model for pricing derivative securities. The two factors of our model are the stock price and a market polarization variable which determines the level of overreaction. We consider three kinds of market scenarios: Risk-neutral investors, representative Bernoulli investors and myopic Bernoulli investors. In case of the latter two, risk premia provide that herding as well as contrarian investor behaviour may be rationally explained and justified in equilibrium. Applying Monte Carlo methods, we examine the pricing of European call options. We show that option prices depend significantly on the level of overreaction, regardless of prevailing risk preferences: Downward overreaction leads to high option prices and upward overreaction results in low option prices

Classification of behaviour in housed dairy cows using an accelerometer-based activity monitoring system

Background Advances in bio-telemetry technology have made it possible to automatically monitor and classify behavioural activities in many animals, including domesticated species such as dairy cows. Automated behavioural classification has the potential to improve health and welfare monitoring processes as part of a Precision Livestock Farming approach. Recent studies have used accelerometers and pedometers to classify behavioural activities in dairy cows, but such approaches often cannot discriminate accurately between biologically important behaviours such as feeding, lying and standing or transition events between lying and standing. In this study we develop a decision-tree algorithm that uses tri-axial accelerometer data from a neck-mounted sensor to both classify biologically important behaviour in dairy cows and to detect transition events between lying and standing. Results Data were collected from six dairy cows that were monitored continuously for 36 h. Direct visual observations of each cow were used to validate the algorithm. Results show that the decision-tree algorithm is able to accurately classify three types of biologically relevant behaviours: lying (77.42 % sensitivity, 98.63 % precision), standing (88.00 % sensitivity, 55.00 % precision), and feeding (98.78 % sensitivity, 93.10 % precision). Transitions between standing and lying were also detected accurately with an average sensitivity of 96.45 % and an average precision of 87.50 %. The sensitivity and precision of the decision-tree algorithm matches the performance of more computationally intensive algorithms such as hidden Markov models and support vector machines. Conclusions Biologically important behavioural activities in housed dairy cows can be classified accurately using a simple decision-tree algorithm applied to data collected from a neck-mounted tri-axial accelerometer. The algorithm could form part of a real-time behavioural monitoring system in order to automatically detect dairy cow health and welfare status

The combination of intravitreal triamcinolone and phacoemulsification surgery in patients with diabeticfoveal oedema and cataract

BACKGROUND: The management of diabetic patients with refractory macular oedema or patients with no adequate pre-operative view to administer laser treatment provide a challenge to the ophthalmologist. We wished to assess the use, safety and effect of intravitreal triamcinolone injection at the time of cataract surgery in patients with diabetic foveal oedema and sight limiting lens opacities. METHOD: This was a longitudinal non-randomised prospective pilot study in 18 eyes (12 patients). All patients had visually significant lens opacities and either persistent diabetic foveal oedema unresponsive to laser treatment-group A, or foveal oedema with no adequate pre-operative view for laser treatment- group B. The cataract surgery was carried out under full aseptic technique using a self-sealing temporal incision and a foldable acrylic lens. Intravitreal triamcinolone was given infratemporally pars plana at the completion of the cataract surgery. The patients were reviewed at day 5, 2 weeks, 2 months and then every 3 months as required. The Wilcoxin matched-pairs test was used to assess the significance of the improvement in visual acuity at 2 months. RESULTS: Twelve patients with a total of 18 eyes were included in the study. There were 10 patients (15 eyes) in group A and 3 patients (3 eyes) in group B. Preoperatively 16 of the 18 eyes had a visual acuity of 6/24 or worse. Postoperatively 83% of patients had completely dry foveae at 2 weeks. Best-corrected visual acuities at two months review ranged from 6/6 to CF with 9 eyes (50%) achieving 6/12 or better (7 eyes (47%) in group A and 2 eyes (67%) in group B). Three eyes had no recorded improvement in visual acuity, but no eyes had deterioration in acuity. The improvement in visual acuity was significant at p = 0.001. There were no significant sight threatening complications. CONCLUSION: Intravitreal triamcinolone has been shown to lead to an improvement in macular oedema and visual improvement in diabetic patients not undergoing cataract surgery but has not, to our knowledge, been previously used in a study like this one. We suggest that intravitreal injection at the time of cataract surgery could be carried out safely with encouraging visual outcomes in patients with diabetic foveal oedema and cataract

Electron-muon ranger: performance in the MICE muon beam

The Muon Ionization Cooling Experiment (MICE) will perform a detailed study of ionization cooling to evaluate the feasibility of the technique. To carry out this program, MICE requires an efficient particle-identification (PID) system to identify muons. The Electron-Muon Ranger (EMR) is a fully-active tracking-calorimeter that forms part of the PID system and tags muons that traverse the cooling channel without decaying. The detector is capable of identifying electrons with an efficiency of 98.6%, providing a purity for the MICE beam that exceeds 99.8%. The EMR also proved to be a powerful tool for the reconstruction of muon momenta in the range 100–280 MeV/c