THE FOUR Ps: A SIMPLE TOOL FOR MAKING BETTER LEADERSHIP DECISIONS

2021 ◽  
Author(s):  
Ed Hajim
2013 ◽  
pp. 47-57
Author(s):  
Van Trong Le ◽  
Thi Tuyet Mai Nguyen ◽  
Thi Xuan Duyen Nguyen ◽  
Ba Luan Nguyen ◽  
Tuyen Pham ◽  
...  

Objectives: Presents heat stress Standard ISO 7243, which is based upon the wet bulb globe temperature index (WBGT), and considers its suitability for use worldwide. Materials and Methods: The WBGT index are considered and how it is used in ISO 7243 and across the world as a simple index for monitoring and assessing hot environments. Results: Management systems, involving risk assessments, that take account of context and culture, are required to ensure successful use of the standard and global applicability. For use outdoors, a WBGT equation that includes solar absorptivity is recommended. A ‘clothed WBGT’ is proposed to account for the effects of clothing. Conclusion: ISO 7243 is a simple tool to assess the heat stress and may be applicated worldwide.


2021 ◽  
pp. jim-2020-001525
Author(s):  
Johanna S van Zyl ◽  
Amit Alam ◽  
Joost Felius ◽  
Ronnie M Youssef ◽  
Dipesh Bhakta ◽  
...  

The global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic leading to coronavirus disease 2019 (COVID-19) is straining hospitals. Judicious resource allocation is paramount but difficult due to the unpredictable disease course. Once hospitalized, discerning which patients may progress to critical disease would be valuable for resource planning. Medical records were reviewed for consecutive hospitalized patients with COVID-19 in a large healthcare system in Texas. The main outcome was progression to critical disease within 10 days from admission. Albumin trends from admission to 7 days were analyzed using mixed-effects models, and progression to critical disease was modeled by multivariable logistic regression of laboratory results. Risk models were evaluated in an independent group. Of 153 non-critical patients, 28 (18%) progressed to critical disease. The rate of decrease in mean baseline-corrected (Δ) albumin was −0.08 g/dL/day (95% CI −0.11 to −0.04; p<0.001) or four times faster, in those who progressed compared with those who did not progress. A model of Δ albumin combined with lymphocyte percentage predicting progression to critical disease was validated in 60 separate patients (sensitivity, 0.70; specificity, 0.74). ALLY (delta albumin and lymphocyte percentage) is a simple tool to identify patients with COVID-19 at higher risk of disease progression when: (1) a 0.9 g/dL or greater albumin drop from baseline within 5 days of admission or (2) baseline lymphocyte of ≤10% is observed. The ALLY tool identified >70% of hospitalized cases that progressed to critical COVID-19 disease. We recommend prospectively tracking albumin. This is a globally applicable tool for all healthcare systems.


2021 ◽  
pp. 1-8
Author(s):  
Xiao Liu ◽  
Ayiguli Abudukeremu ◽  
Yuan Jiang ◽  
Zhengyu Cao ◽  
Maoxiong Wu ◽  
...  

Background: Several kinds of motor dysfunction can predict future cognitive impairment in elderly individuals. However, the ability of the fine motor index (FINEA) and gross motor index (GROSSA) to predict the risk of cognitive impairment has not been assessed. Objective: We investigated the associations between FINEA/GROSSA and cognitive impairment. Methods: The data of 4,745 participants from The Irish Longitudinal Study on Ageing (TILDA) were analyzed. Cognitive function was assessed using the Mini-Mental State Examination (MMSE). We first assessed the correlation between the FINEA GROSSA and MMSE in a cross-sectional study. Then, we further investigated the predictive role of the incidence of cognitive impairment in a prospective cohort study. Results: We found that both FINEA and GROSSA were negatively correlated with MMSE in both the unadjusted (FINEA: B = –1.00, 95%confidence intervals (CI): –1.17, –0.83, t = –11.53, p <  0.001; GROSSA: B = –0.85, 95%CI: –0.94, –0.76, t = –18.29, p <  0.001) and adjusted (FINEA: B = –0.63, 95%CI: –0.79, –0.47, t = –7.77, p <  0.001; GROSSA: B = –0.57, 95%CI: –0.66, –0.48, t = –12.61, p <  0.001) analyses in a cross-sectional study. In a prospective cohort study, both high FINEA and high GROSSA were associated with an increased incidence of cognitive function impairment (FINEA: adjusted odds ratios (OR) = 2.35, 95%CI: 1.05, 5.23, p = 0.036; GROSSA adjusted OR = 3.00, 95%CI: 1.49, 6.03, p = 0.002) after 2 years of follow-up. Conclusion: Higher FINEA and GROSSA scores were both associated with an increased incidence of cognitive impairment. FINEA or GROSSA might be a simple tool for identifying patients with cognitive impairment.


2015 ◽  
Vol 2015 ◽  
pp. 1-13
Author(s):  
Guglielmo D’Amico ◽  
Fulvio Gismondi ◽  
Jacques Janssen ◽  
Raimondo Manca

Discrete time alternating renewal process is a very simple tool that permits solving many real life problems. This paper, after the presentation of this tool, introduces the compound environment in the alternating process giving a systematization to this important tool. The claim costs for a temporary disability insurance contract are presented. The algorithm and an example of application are also provided.


2014 ◽  
Vol 19 (3) ◽  
pp. 270-276 ◽  
Author(s):  
Lester E. Jones ◽  
Desmond F.P. O'Shaughnessy
Keyword(s):  

2020 ◽  
Vol 70 (4) ◽  
pp. 439-447
Author(s):  
Juan J. González ◽  
Henry Quesada ◽  
Sailesh Adhikari ◽  
Brian Bond ◽  
Shawn Grushecky

Abstract This article introduces a total revenue forecasting tool designed for calculating the economic output of visually graded hardwood lumber. The tool integrates Monte Carlo simulation from previous studies' data, providing a pseudoestimation of total board-feet based on log grades. The lumber output from different log groups is modeled using probability distributions for each lumber grade. The estimated volume output is multiplied by the respective price for each grade, leading to an expected amount of economic output for given log-grades. The tool was implemented using Microsoft Excel 2016 and Visual Basic. This work provides hardwood lumber producers with a valuable and simple tool to determine different scenarios of total income from each log, as established by the user with a statistical perspective. This total revenue forecasting tool provides the industry with a way to reduce waste and estimate their potential revenue by maximizing the interaction between the log yield's variables and providing the economic output of log, leading to an improvement of the economy of the hardwood market.


Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Susanna Prat-Gonzalez ◽  
Gonzalo Pizarro ◽  
Babu A. Benson ◽  
Borja Ibanez ◽  
Giovanni Cimmino ◽  
...  

Background: The aim of this study was to evaluate 2D Speckle Tracking radial strain by ultrasound in stunned and scarred myocardium as defined by cardiac magnetic resonance (CMR) in a porcine reperfusion model of acute MI. Methods: Seven pigs underwent MI induction by 90′ mid-LAD balloon occlusion. CMR was performed in a 1.5 T magnet 4 days post-MI. For edema imaging a T2-weighted sequence was employed. Delayed enhancement (DE) images were acquired 10–15 minutes after the administration of 0.2 mmol/kg of Gd-DTPA using an inversion recovery gradient-echo sequence. Before CMR, echocardiographic short axis images of the LV were obtained at the basal, mid and apical levels. Echo and CMR images were matched and divided into 6 segments per slice. DE and edema were defined as those regions with signal intensity >3 SD of the mean signal of remote normal myocardium, and quantified as % of the LV. Stunned myocardium was defined as edema- DE. Radial strain was compared in segments containing predominantly normal myocardium (<10% edema; n=70), stunned myocardium [>25% (edema - DE); n=12] or predominantly scar (>75 % DE; n=19). Results: A total of 126 segments were analyzed. Radial strain was negatively correlated with the amount of edema (r=−0.41) and scar (r=−0.39, p<0.0001 for both). Radial strain was significantly lower in necrotic than in normal segments (p<0.001). Stunned segments showed intermediate degrees of myocardial deformation. (Figure ) Conclusions: Our study suggests that 2D Speckle Tracking radial strain can be a simple tool to differentiate stunned from scarred segments. This could be particularly useful in unstable patients after acute MI.


2021 ◽  
Vol 5 (4) ◽  
pp. 147
Author(s):  
Petr A. Ryapolov ◽  
Eugene B. Postnikov

In this work, we show that the static magnetization curve of high-concentrated ferrofluids can be accurately approximated by the Mittag–Leffler function of the inverse external magnetic field. The dependence of the Mittag–Leffler function’s fractional index on physical characteristics of samples is analysed and its growth with the growing degree of system’s dilution is revealed. These results provide a certain background for revealing mechanisms of hindered fluctuations in concentrated solutions of strongly interacting of the magnetic nanoparticles as well as a simple tool for an explicit specification of macroscopic force fields in ferrofluid-based technical systems.


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