Search results for "OUTCOME"

Re: Technique of internal mammary dissection using pectoralis major flap to prevent contour deformities

2009

Adaptive strategies of territory formation

2003

How do territorial animals gain ownership of an area? Early modelling has considered the evolution of fighting when the winner can claim the right to the resource. Recently, alternative hypotheses have been offered where repeated interactions lead to division of space through 'nagging' instead of one decisive fight. However, these models assume that animals avoid areas in which they have taken part in aggressive interactions, but do not consider whether avoidance itself is adaptive. We aim to bridge this gap between mechanistic and adaptive explanations, by presenting a game-theory model where individuals choose whether to return to an area after a fight with a specific outcome (win, loss, …

Fifteen operationally important decisions in the planning of biodiversity offsets

2018

Many development projects, whether they are about construction of factories, mines, roads, railways, new suburbs, shopping malls, or even individual houses, have negative environmental consequences. Biodiversity offsetting is about compensating that damage, typically via habitat restoration, land management, or by establishment of new protected areas. Offsets are the fourth step of the so-called mitigation hierarchy, in which ecological damage is first avoided, minimized second, and third restored locally. Whatever residual damage remains is then offset. Offsetting has been increasingly adopted all around the world, but simultaneously serious concerns are expressed about the validity of the…

Novel simple templates for reproducible positioning of skin applicators in brachytherapy.

2016

Purpose : Esteya and Valencia surface applicators are designed to treat skin tumors using brachytherapy. In clinical practice, in order to avoid errors that may affect the treatment outcome, there are two issues that need to be carefully addressed. First, the selected applicator for the treatment should provide adequate margin for the target, and second, the applicator has to be precisely positioned before each treatment fraction. In this work, we describe the development and use of a new acrylic templates named Template La Fe-ITIC. They have been designed specifically to help the clinical user in the selection of the correct applicator, and to assist the medical staff in reproducing the po…

Precision, Applicability, and Economic Implications: A Comparison of Alternative Biodiversity Offset Indexes

2021

AbstractThe rates of ecosystem degradation and biodiversity loss are alarming and current conservation efforts are not sufficient to stop them. The need for new tools is urgent. One approach is biodiversity offsetting: a developer causing habitat degradation provides an improvement in biodiversity so that the lost ecological value is compensated for. Accurate and ecologically meaningful measurement of losses and estimation of gains are essential in reaching the no net loss goal or any other desired outcome of biodiversity offsetting. The chosen calculation method strongly influences biodiversity outcomes. We compare a multiplicative method, which is based on a habitat condition index develo…

Experience and overall satisfaction of foreign patients with the health care services received in Latvia

2020

The study evaluates foreign patients' experience and satisfaction in relation to the health care received in Latvia. By applying the gap model of service evaluation, the study reveals the difference between expected and received service outcome in Latvia, and draws conclusions about the importance of individual and patient experience factors related to the overall patient satisfaction. The study concludes that in all groups of factors matrix proposed in the study: (1) general travel or destination factors; (2) communication factors; (3) factors related to the choice of service and (4) factors related to the choice of health care institution, patients evaluated the perceived health care outc…

Three ways to deliver a net positive impact with biodiversity offsets

2020

Biodiversity offsetting is the practice of using conservation actions, such as habitat restoration, management, or protection, to compensate for ecological losses caused by development activity, including construction projects. The typical goal of offsetting is no net loss (NNL), which means that all ecological losses are compensated for by commensurate offset gains. We focused on a conceptual and methodological exploration of net positive impact (NPI), an ambitious goal that implies commitment beyond NNL and that has recently received increasing attention from big business and environmental nongovernmental organizations. We identified 3 main ways NPI could be delivered: use of an additiona…

Lying Cheating Robots : Robots and Infidelity

2018

Love has been described as unpredictable, immeasurable and non-purchasable and as such, poses challenges for anyone in a relationship to both stay in love, and to not fall in love with someone else. Scientists are still discovering whether or not love follows any specific recipe. Outlooks, personality, sense of humor and talent may not perfectly guarantee an individual falls in love with another, and more importantly is able to sustain that relationship. This article portrays a futuristic scenario in which truly intelligent and emotional robots already exist. Here, the bi-directional love discussed in Lovotics is not simulated through engineering, but rather is genuine from the perspectives…

2020

Decreases in aerobic fitness during military operations have been observed in several studies. Thus, differences in training adaptations during a 6-month crisis-management operation were compared by using the change in endurance performance as the outcome measure. Sixty-six male soldiers volunteered for the study, consisting of pre–post assessments of blood biomarkers, body composition, physical performance, and the military simulation test (MST) performance. Physical training volume was self-reported. After the follow-up, the data were divided based on individual changes in endurance performance. Endurance performance was improved in the high-responder group (HiR, n = 25) and maintained or…

Recombinant factor VIII: past, present and future of treatment of hemophilia A.

2018

The development of recombinant factor VIII (rFVIII) was initially driven by the necessity to treat hemophilia A (HA) patients with FVIII concentrates without the risk of transmitting infectious agents. Over the last three decades the safety of rFVIII has been further improved by completely removing animal or human proteins from the manufacturing process, so that patients would not be exposed to known or emerging pathogens. Recent efforts have concentrated on improving the expression of rFVIII, reducing its immunogenicity and enhancing its pharmacokinetic (PK) behavior. These new goals have been possible thanks to the develop-ment of biotechnology and a better knowledge of the function and s…