779 resultados para key indicator


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Lymphatic vessels serve as major routes for regional dissemination, and therefore, lymph node status is a key indicator of prognosis. To predict lymph node metastasis, tumor lymphatic density and lymphangiogenesis-related molecules have been studied in various tumor types. To our knowledge, no previous studies have evaluated the role of intratumoral lymphatic vessel density (LVD) in the behavior of vulvar carcinomas. The aim of this study was to analyze intratumoral LVD in relation to patient survival and well-characterized prognostic factors for cancer. Thirty-five patients with vulvar squamous cell carcinoma underwent vulvectomy and dissection of regional lymph nodes. Clinical records were reviewed, in addition to histological grade, peritumoral lymphatic invasion, and depth of infiltration for each case. Tissue microarray paraffin blocks were created, and lymphatic vessels were detected using immunohistochemical staining of podoplanin (D2-40 antibody). Intratumoral LVD was quantified by counting the number of stained vessels. Higher values for intratumoral LVD were associated with low-grade and low-stage tumors, and with tumors without lymphatic invasion and reduced stromal infiltration. In a univariate analysis, high intratumoral LVD was associated with a higher rate of overall survival and a lower rate of lymph node metastasis. Our results suggest that increased intratumoral LVD is associated with favorable prognosis in vulvar squamous carcinomas.

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Glacier fluctuations are a key indicator of changing climate. Their reconstruction beyond historical times unravels glacier variability and its forcing factors on long time scales, which can considerably improve our understanding of the climate–glacier relationship. Here, we present a 2250-year-long reconstruction of particle-mass accumulation rates recorded in the lacustrine sediments of Lake Trüebsee (Central Swiss Alps) that are directly related to glacier extent, thus reflecting a continuous record of fluctuations of the upstream-located Titlis Glacier. Mass accumulation rate values show strong centennial to multi-centennial fluctuations and reveal 12 well-pronounced periods of enhanced values corresponding to times of maximum extent of the neighboring Lower Grindelwald Glacier. This result supports previous studies of proglacial lake sediments that documented high mass accumulation rate values during glacier advances. The strong variability in the Lake Trüebsee mass accumulation rate record thus represents a highly sensitive paleoclimatic archive, which mirrors rapid and pronounced feedbacks of Titlis Glacier to climatic changes over the past 2250years. The comparison of our data with independent paleo-temperature reconstructions from tree rings suggests that variations in mean summer temperature were the primary driving factor of fluctuations of Titlis Glacier. Also, advances of Titlis Glacier occurred during the grand solar minima (Dalton, Maunder, Spörer, Wolf) of the last millennium. This relation of glacier extent with summer temperature reveals strong evidence that the mass balance of this Alpine glacier is primarily controlled by the intensity of glacier melting during summer.

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This analysis provides an emergent framework that emphasizes a neglected component of both direct practice with families and organizational development. Human emotions, both beneficial (positive emotional labor) and harmful (negative emotional labor), have received short shrift in leadership development, supervision, direct practice preparation and supports, and workforce stabilization, and professionalization. Significantly, a key indicator of negative emotional labor—secondary traumatic stress (STS)—often has been ignored and neglected, despite the fact that it may be endemic in the workforce. STS typically results from traumatic events in practice, but it also stems from workplace violence. Often undetected and untreated, STS is at least a hidden correlate and perhaps a probable cause of myriad problems such as questionable practice with families, life-work conflicts, undesirable workforce turnover, and a sub-optimal organizational climate. Special interventions are needed. At the same time, new organizational designs are needed to promote and reinforce positive emotional labor. Arguably, positive emotional labor and the positive organizational climates it facilitates are requisites for harmonious relations between jobs and personal lives, desirable workforce retention, and better outcomes for children and families. What’s more, specialized interventions for positive emotional labor constitute a key component in the prevention system for STS. A dual design for positive emotional labor and STS (and other negative emotional labor) prevention/intervention is provided herewith. Early detection and rapid response systems for STS, with social work leadership, receive special attention. Guidelines for new organizational designs for emotional labor in child welfare are offered in conclusion.

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We map the weekly position of the Antarctic Polar Front (PF) in the Southern Ocean over a 12-year period (2002-2014) using satellite sea surface temperature (SST) estimated from cloud-penetrating microwave radiometers. Our study advances previous efforts to map the PF using hydrographic and satellite data and provides a unique realization of the PF at weekly resolution across all longitudes. The mean path of the PF is asymmetric; its latitudinal position spans from 44 to 64° S along its circumpolar path. SST at the PF ranges from 0.6 to 6.9 °C, reflecting the large spread in latitudinal position. The average intensity of the front is 1.7 °C per 100 km, with intensity ranging from 1.4 to 2.3 °C per 100 km. Front intensity is significantly correlated with the depth of bottom topography, suggesting that the front intensifies over shallow bathymetry. Realizations of the PF are consistent with the corresponding surface expressions of the PF estimated using expendable bathythermograph data in the Drake Passage and Australian and African sectors. The climatological mean position of the PF is similar, though not identical, to previously published estimates. As the PF is a key indicator of physical circulation, surface nutrient concentration, and biogeography in the Southern Ocean, future studies of physical and biogeochemical oceanography in this region will benefit from the provided data set.

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Changing factors (mainly traffic intensity and weather conditions) affecting road conditions require a suitable optimal speed at any time. To solve this problem, variable speed limit systems (VSL) - as opposed to fixed limits - have been developed in recent decades. This term has included a number of speed management systems, most notably dynamic speed limits (DSL). In order to avoid the indiscriminate use of both terms in the literature, this paper proposes a simple classification and offers a review of some experiences, how their effects are evaluated and their results. This study also presents a key indicator which measures the speed homogeneity and a methodology to obtain the data based on floating cars and GPS technology applying it to a case study on a section of the M30 urban motorway in Madrid (Spain). It also presents the relation between this indicator and road performance and emissions values.

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This book draws together relevant research findings to produce the first comprehensive overview of Indigenous peoples' mobility. Chapters draw from a range of disciplinary sources, and from a diversity of regions and nation-states. Within nations, mobility is the key determinant of local population change, with implications for service delivery, needs assessment, and governance. Mobility also provides a key indicator of social and economic transformation. As such, it informs both social theory and policy debate. For much of the twentieth century conventional wisdom anticipated the steady convergence of socio-demographic trends, seeing this as an inevitable concomitant of the development process. However, the patterns and trends in population movement observed in this book suggest otherwise, and provide a forceful manifestation of changing race relations in these new world settings. © 2009 Informa plc

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This thesis presents a thorough and principled investigation into the application of artificial neural networks to the biological monitoring of freshwater. It contains original ideas on the classification and interpretation of benthic macroinvertebrates, and aims to demonstrate their superiority over the biotic systems currently used in the UK to report river water quality. The conceptual basis of a new biological classification system is described, and a full review and analysis of a number of river data sets is presented. The biological classification is compared to the common biotic systems using data from the Upper Trent catchment. This data contained 292 expertly classified invertebrate samples identified to mixed taxonomic levels. The neural network experimental work concentrates on the classification of the invertebrate samples into biological class, where only a subset of the sample is used to form the classification. Other experimentation is conducted into the identification of novel input samples, the classification of samples from different biotopes and the use of prior information in the neural network models. The biological classification is shown to provide an intuitive interpretation of a graphical representation, generated without reference to the class labels, of the Upper Trent data. The selection of key indicator taxa is considered using three different approaches; one novel, one from information theory and one from classical statistical methods. Good indicators of quality class based on these analyses are found to be in good agreement with those chosen by a domain expert. The change in information associated with different levels of identification and enumeration of taxa is quantified. The feasibility of using neural network classifiers and predictors to develop numeric criteria for the biological assessment of sediment contamination in the Great Lakes is also investigated.

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Globally, human populations are increasing and coastal ecosystems are becoming increasingly impacted by anthropogenic stressors. As eutrophication and exploitation of coastal resources increases, primary producer response to these drivers becomes a key indicator of ecosystem stability. Despite the importance of monitoring primary producers such as seagrasses and macroalgae, detailed studies on the response of these benthic habitat components to drivers remain relatively sparse. Utilizing a multi-faceted examination of turtle-seagrass and sea urchin-macroalgae consumer and nutrient dynamics, I elucidate the impact of these drivers in Akumal, Quintana Roo, Mexico. In Yal Ku Lagoon, macroalgae bioindicators signified high nutrient availability, which is important for further studies, but did not consistently follow published trends reflecting decreased δ 15N content with distance from suspected source. In Akumal Bay, eutrophication and grazing by turtles and fishes combine to structure patches within the seagrass beds. Grazed seagrass patches had higher structural complexity and productivity than patches continually grazed by turtles and fishes. Results from this study indicate that patch abandonment may follow giving-up density theory, the first to be recorded in the marine environment. As Diadema antillarum populations recover after their massive mortality thirty years ago, the role these echinoids will have in reducing macroalgae cover and altering ecosystem state remains to be clear. Although Diadema antillarum densities within the coral reef ecosystem were comparable to other regions within the Caribbean, the echinoid population in Akumal Bay was an insufficient driver to prevent dominance of a turf-algal-sediment (TAS) state. After a four year study, declining coral cover coupled with increased algal cover suggests that the TAS-dominated state is likely to persist over time despite echinoid recovery. Studies on macroalgal diversity and nutrients within this same region of echinoids indicated diversity and nutrient content of macroalgae increased, which may further increase the persistence of the algal-dominated state. This study provides valuable insight into the variable effects of herbivores and nutrients on primary producers within a tropical coastal ecosystem. Results from this work challenge many of the currently accepted theories on primary producer response to nutrients and herbivory while providing a framework for further studies into these dynamics.

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Ostracodes were studied from deep Arctic Ocean cores obtained during the Arctic 91 expedition of the Polarstern to the Nansen, Amundsen and Makarov Basins, the Lomonosov Ridge, Morris Jesup Rise and Yermak Plateau, in order to investigate their distribution in Arctic Ocean deep water (AODW) and apply these data to paleoceanographic reconstruction of bottom water masses during the Quaternary. Analyses of coretop assemblages from Arctic 91 boxcores indicate the following: ostracodes are common at all depths between 1000 and 4500 m, and species distribution is strongly influenced by water mass characteristics and bathymetry; quantitative analyses comparing Eurasian and Canada Basin assemblages indicate that distinct assemblages inhabit regions east and west of the Lomonosov Ridge, a barrier especially important to species living in lower AODW; deep Eurasian Basin assemblages are more similar to those living in Greenland Sea deep water (GSDW) than those in Canada Basin deep water; two upper AODW assemblages were recognized throughout the Arctic Ocean, one living between 1000 and 1500 m, and the other, having high species diversity, at 1500-3000 m. Downcore quantitative analyses of species' abundances and the squared chord distance coefficient of similarity reveals a distinct series of abundance peaks in key indicator taxa interpreted to signify the following late Quaternary deep water history of the Eurasian Basin. During the Last Glacial Maximum (LGM), a GSDW/AODW assemblage, characteristic of cold, well oxygenated deep water > 3000 m today, inhabited the Lomonosov Ridge to depths as shallow as 1000 m, perhaps indicating the influence of GSDW at mid-depths in the central Arctic Ocean. During Termination 1, a period of high organic productivity associated with a strong inflowing warm North Atlantic layer occurred. During the mid-Holocene, several key faunal events indicate a period of warming and/or enhanced flow between the Canada and Eurasian Basins. A long-term record of ostracode assemblages from kastenlot core PS2200-5 (1073 m water depth) from the Morris Jesup Rise indicates a quasi-cyclic pattern of water mass changes during the last 300 kyr. Interglacial ostracode assemblages corresponding to oxygen isotope stages 1, 5, and 7 indicate rapid changes in dissolved oxygen and productivity during glacial-interglacial transitions.

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The colour of commercial cooked black tiger prawns (Penaeus monodon) is a key quality requirement to ensure product is not rejected in wholesale markets. The colour, due to the carotenoid astaxanthin, can be impacted by frozen storage, but changes in colour or astaxanthin profile, during frozen storage, have not been studied in detail. Subsequently in this study, the aims were to define the astaxanthin (as cis, trans, mono-ester and di-ester forms) content, together with the colour properties, in both pleopods (legs) and abdominal segments. Changes in astaxanthin content and colour properties were further determined during frozen storage (−20°C). Total astaxanthin content was seen to decrease in all samples over time, with the rate of degradation being significantly greater (P < 0.05) in pleopods than abdomen. In both pleopods and abdomen, rate of degradation of esterified forms was significantly greater (P < 0.05) than non-esterified forms. Hue angle (increase), a* value (decrease) and L value (increase) were all seen to significantly change (P < 0.05) during storage, with changes being more prevalent in the pleopods. The pleopods are the key indicator of astaxanthin and colour loss in cooked black tiger prawns and preservation strategies are required to preserve astaxanthin and colour during frozen storage.

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Dans un contexte d’aménagement forestier, la dynamique spatio-temporelle des habitats est susceptible d’isoler les oiseaux nicheurs durant des périodes de plusieurs années, exerçant une pression pour une grande mobilité chez les oiseaux en dispersion. Les grandes distances migratoires de certaines espèces s’ajoutent aux pressions favorisant la mobilité. Par contre, les déplacements dans un feuillage dense peuvent imposer de fortes contraintes aux attributs conférant une grande mobilité aux oiseaux. Du point de vue de la conservation, il serait très utile de prévoir la réponse des différentes espèces d’oiseaux à la fragmentation de leur habitat, à partir de leurs traits écologiques. La morphologie des ailes d’oiseau, notamment la projection des rémiges primaires, est un indicateur clé de mobilité, et pourrait donc servir à de telles prédictions. Malgré les contraintes aérodynamiques, la projection primaire varie considérablement d’une espèce à l’autre. Afin de mieux comprendre les facteurs déterminant cette diversité, j’ai mesuré les ailes de 1017 spécimens vivants de 22 espèces d’oiseaux à la Forêt Montmorency (Québec) en 2013 et 2014. Conformément à mes prédictions, les espèces d’oiseaux dont la projection des primaires était plus longue migrent sur de plus longues distances et vivent dans des habitats ayant un faible indice de densité végétale. Par contre, je n’ai trouvé aucun lien entre la densité moyenne des populations en nidification, un indicateur d’isolement, et la morphologie des ailes. Ces résultats suggèrent que les réponses variées des oiseaux forestiers face à la fragmentation de leurs habitats seraient difficilement prévisibles par la morphologie liée au vol. Mots clés : fragmentation d’habitat, isolement de l’habitat, morphologie des ailes, écomorphologie, distance migratoire, densité de végétation.

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Introducción: Siendo la desnutrición infantil, un indicador trazador en el perfil de salud de una población y prioridad establecida por los objetivos de desarrollo del milenio y el plan decenal de salud pública en Colombia - PDSP en su dimensión de seguridad alimentaria y nutricional, mantiene gran prevalencia a nivel nacional a pesar de presentar subregistro en la información reportada, por ende, es prioridad la medición, notificación y tratamiento de la misma. La OMS estandarizó los parámetros de medición y el gobierno nacional los adoptó mediante la resolución 2121 de 2010. Sin embargo, para disminuir el indicador de desnutrición que al año 2015 debería estar reducido en un 50% según el PDSP, es necesario identificar el sub registro que hay en el diagnóstico de la misma. Metodología: Se realizó un estudio poblacional, descriptivo y transversal, en el cual se analizó la base de datos de los niños menores de 5 años asistentes a consulta de crecimiento y desarrollo en una institución de salud del municipio de Puerto Inírida, con el fin de realizar una caracterización nutricional basados en mediciones antropométricas y contrastándolas realizadas por los profesionales de salud con las encontradas utilizando los patrones establecidos por la OMS. La información se analizó con el Software WHO Anthro propiedad de la OMS. Resultados: Se encontró que el 33,6% de los menores de 5 años registrados presentan desnutrición crónica, el 7,6% desnutrición aguda, el 13,2% de desnutrición global y el 13,9% tiene obesidad. Al discriminarlo por edad se encontró mayor prevalencia de desnutrición crónica en ambos sexos, siendo mayor en población de sexo masculino (40,1% masculino – 27,6% femenino); al igual que al realizar la comparación por pertenencia puesto que se encuentra la misma prevalencia en desnutrición crónica (29,1% en población indígena y 29% en población no indígena). Según los estándares de la OMS, en la población estudiada 12 se identificaron 243 casos de malnutrición, mientras que en la consulta de crecimiento y desarrollo fueron diagnosticados como casos de malnutrición por los profesionales de salud solo 99. Discusión: La malnutrición es un problema estructural, por ende, se deben tener en cuenta factores tanto intrínsecos como extrínsecos de la persona. Las medidas antropométricas son sólo una manera de medir, que se debe contextualizar con el entorno y las condiciones socioeconómicas, patológicas y culturales en las que se encuentre la población. El estado nutricional de los menores asistentes a los controles de crecimiento y desarrollo de la población estudiada, se encuentra mal registrado, de la misma manera se encontró una gran prevalencia de desnutrición crónica que es un determinante en la calidad de vida. Es imperante la implementación de políticas públicas adecuadas que permitan profundizar en las causas de este flagelo y así mismo en su tratamiento.

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Montados are presently facing the threat of either abandonment or intensification, and livestock overgrazing has been suspected of contributing to reduced natural regeneration and biodiversity. However, reliable data are to our knowledge, lacking. To avoid potential risks of overgrazing, an adaptive and efficient management is essential. In the present paper we review the main sources of complexity for grazing management linked with interactions among pasture, livestock and human decisions. We describe the overgrazing risk in montados and favour grazing pressure over stocking rate, as a key indicator for monitoring changes and support management decisions. We suggest the use of presently available imaging and communication technologies for assessing pasture dynamics and livestock spatial location. This simple and effective tools used for monitoring the grazing pressure, could provide an efficient day-to-day aid for farm managers’ operational use and also for rangeland research through data collection and analysis.

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In recent decade customer loyalty programs have become very popular and almost every retail chain seems to have one. Through the loyalty programs companies are able to collect information about the customer behavior and to use this information in business and marketing management to guide decision making and resource allocation. The benefits for the loyalty program member are often monetary, which has an effect on the profitability of the loyalty program. Not all the loyalty program members are equally profitable, as some purchase products for the recommended retail price and some buy only discounted products. If the company spends similar amount of resources to all members, it can be seen that the customer margin is lower on the customer who bought only discounted products. It is vital for a company to measure the profitability of their members in order to be able to calculate the customer value. To calculate the customer value several different customer value metrics can be used. During the recent years especially customer lifetime value has received a lot of attention and it is seen to be superior against other customer value metrics. In this master’s thesis the customer lifetime value is implemented on the case company’s customer loyalty program. The data was collected from the customer loyalty program’s database and represents year 2012 on the Finnish market. The data was not complete to fully take advantage of customer lifetime value and as a conclusion it can be stated that a new key performance indicator of customer margin should be acquired in order to profitably drive the business of the customer loyalty program. Through the customer margin the company would be able to compute the customer lifetime value on regular basis enabling efficient resource allocation in marketing.

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Impact Assessment and Project Appraisal, vol. 22, n.1, March 2004, p. 47–62