Screening for adolescent idiopathic scoliosis: an information statement by the scoliosis research society international task force

Background: Routine screening of scoliosis is a controversial subject and screening efforts vary greatly around the world. METHODS: Consensus was sought among an international group of experts (seven spine surgeons and one clinical epidemiologist) using a modified Delphi approach. The consensus achieved was based on careful analysis of a recent critical review of the literature on scoliosis screening, performed using a conceptual framework of analysis focusing on five main dimensions: technical, clinical, program, cost and treatment effectiveness. FINDINGS: A consensus was obtained in all five dimensions of analysis, resulting in 10 statements and recommendations. In summary, there is scientific evidence to support the value of scoliosis screening with respect to technical efficacy, clinical, program and treatment effectiveness, but there insufficient evidence to make a statement with respect to cost effectiveness. Scoliosis screening should be aimed at identifying suspected cases of scoliosis that will be referred for diagnostic evaluation and confirmed, or ruled out, with a clinically significant scoliosis. The scoliometer is currently the best tool available for scoliosis screening and there is moderate evidence to recommend referral with values between 5 degrees and 7 degrees. There is moderate evidence that scoliosis screening allows for detection and referral of patients at an earlier stage of the clinical course, and there is low evidence suggesting that scoliosis patients detected by screening are less likely to need surgery than those who did not have screening. There is strong evidence to support treatment by bracing. INTERPRETATION: This information statement by an expert panel supports scoliosis screening in 4 of the 5 domains studied, using a framework of analysis which includes all of the World Health Organisation criteria for a valid screening procedure.

Legal Protection for Consumer of Pharmaceutical Products

The overall focus of the thesis involves the legal protection for consumers of pharmaceutical products.The work on “Legal Protection for Consumers of Pharmaceutical Products” is undertaken to study the legal framework that is existing for this purpose and the functioning of regulating mechanism that is envisaged under it. The purpose of the study is to analyse how far these measures are effective in adequately protecting various aspects of consumer interest. Methodology adopted for the study is analytical.The present study revealed that the theory of freedom of contract is only an ideal relevant when the parties are assumed to be on equal footing.In a more complicated social and economic society, it ceased to have any relevance. Many countries in the world enacted legislations to protect the consumers of pharmaceutical products.The meaning of ‘consumers of drugs’ provided in the law is inclusive and not exhaustive one. The definition of ‘drug’ as interpreted by the courts is comprehensive enough to take in it not only medicines but also substances. The meaning of the word substances has been widened by the interpretation of the courts so as to include all the things used in treatment.The definition of the word ‘consumer’ has been liberally interpreted by the courts so as to provide protective net to a large section of the public.The studies subsequent to this report also revealed that there is a shortage of essential drugs necessary to cure local diseases like tuberculosis and malaria where as drugs containing vitamins and other combinations which are more profitable for the manufacturers are produced and marketed in abundance.The study of the provisions in this regard revealed that the duty of the drug controlling authorities is confined to scrutinize the data of the clinical test already conducted by the sponsor of the drug.Study of the clinical trial procedure under the U.S. law revealed that there is a continuous supervision over clinical trials and controls are provided on the treatment use of an investigational productStudy of the clinical trial procedure under the U.S. law revealed that there is a continuous supervision over clinical trials and controls are provided on the treatment use of an investigational product.the study of the provisions of the Drugs and Cosmetics Act and the rules framed under it revealed that the law in this regard is comprehensive to protect the consumer provided it is sufficiently supported by adequately equipped enforcement machinery.

Influence of the driving mechanism on the response of systems with athermal dynamics: The example of the random-field Ising model

We investigate the influence of the driving mechanism on the hysteretic response of systems with athermal dynamics. In the framework of local mean-field theory at finite temperature (but neglecting thermally activated processes), we compare the rate-independent hysteresis loops obtained in the random field Ising model when controlling either the external magnetic field H or the extensive magnetization M. Two distinct behaviors are observed, depending on disorder strength. At large disorder, the H-driven and M-driven protocols yield identical hysteresis loops in the thermodynamic limit. At low disorder, when the H-driven magnetization curve is discontinuous (due to the presence of a macroscopic avalanche), the M-driven loop is reentrant while the induced field exhibits strong intermittent fluctuations and is only weakly self-averaging. The relevance of these results to the experimental observations in ferromagnetic materials, shape memory alloys, and other disordered systems is discussed.

Influence Of Forecasting, Planning And Controlling On The Performance Of Small And Medium Enterprises

Production Planning and Control (PPC) systems have grown and changed because of the developments in planning tools and models as well as the use of computers and information systems in this area. Though so much is available in research journals, practice of PPC is lagging behind and does not use much from published research. The practices of PPC in SMEs lag behind because of many reasons, which need to be explored This research work deals with the effect of identified variables such as forecasting, planning and control methods adopted, demographics of the key person, standardization practices followed, effect of training, learning and IT usage on firm performance. A model and framework has been developed based on literature. Empirical testing of the model has been done after collecting data using a questionnaire schedule administered among the selected respondents from Small and Medium Enterprises (SMEs) in India. Final data included 382 responses. Hypotheses linking SME performance with the use of forecasting, planning and controlling were formed and tested. Exploratory factor analysis was used for data reduction and for identifying the factor structure. High and low performing firms were classified using a Logistic Regression model. A confirmatory factor analysis was used to study the structural relationship between firm performance and dependent variables.

MgO/Ag(001) interface structure and STM images from first principles

The interface of MgO/Ag(001) has been studied with density functional theory applied to slabs. We have found that regular MgO films show a small adhesion to the silver substrate, the binding can be increased in off-stoichiometric regimes, either by the presence of O vacancies at the oxide film or by a small excess of O atoms at the interface between the ceramic to the metal. By means of theoretical methods, the scanning tunneling microscopy signatures of these films is also analyzed in some detail. For defect free deposits containing 1 or 2 ML and at low voltages, tunnelling takes place from the surface Ag substrate, and at large positive voltages Mg atoms are imaged. If defects, oxygen vacancies, are present on the surface of the oxide they introduce much easier channels for tunnelling resulting in big protrusions and controlling the shape of the image, the extra O stored at the interface can also be detected for very thin films.

”Public Health Protection through Air Quality Controls”

Health is an important aspect of everybody’s life. Today, there is an increasing recognition and commitment to the pursuit of health both within government and beyond. Any attempt on the part of the " State to protect and promote people’s health, in turn, must be accompanied by effective controls on air quality, as air constitutes ‘ one of the important elements of man’s life and the consequences of air pollution covers a very wide spectrum ranging from material ---damage to personal discomfort and illness. The broad social and economic objectives adumbrated in the Directive Principles of State Policy including the commitment to improve public health underlying in Article 47 and the obligation to preserve and protect-the natural environment cast under Article 48A of the Constitution are being used as versatile weapons by the State to regulate the public health scenario. Preservation and maintenance of air quality is a significant area within the sphere of public health, where the regulatory arm of the law is not adequately touched and in this arena urgent State intervention through legislative and administrative action is called for in the well-being of the society. Judiciary also plays a pivotal role in this arena in the larger interest of the society and for the benefit of the present and future generations. The research study is an attempt to analyze how far the existing legal system, for maintaining air quality and in controlling air pollution, is effective in protecting public health. The study also analyzes the limitations of the control mechanisms. The study focuses on industrial air pollution, indoor and personal air pollution, vehicular pollution and noise pollution which are today appearing as the major public health hazards affecting the air quality. However, this is not to overlook the importance of controls required under other areas of public health.

Significance of soil microorganisms with special reference to climate change

There are a large number of agronomic-ecological interactions that occur in a world with increasing levels of CO2, higher temperatures and a more variable climate. Climate change and the associated severe problems will alter soil microbial populations and diversity. Soils supply many atmospheric green house gases by performing as sources or sinks. The most important of these gases include CH4, CO2 and N2O. Most of the green house gases production and consumption processes in soil are probably due to microorganisms. There is strong inquisitiveness to store carbon (C) in soils to balance global climate change. Microorganisms are vital to C sequestration by mediating putrefaction and controlling the paneling of plant residue-C between CO2 respiration losses or storage in semi-permanent soil-C pools. Microbial population groups and utility can be manipulated or distorted in the course of disturbance and C inputs to either support or edge the retention of C. Fungi play a significant role in decomposition and appear to produce organic matter that is more recalcitrant and favor long-term C storage and thus are key functional group to focus on in developing C sequestration systems. Plant residue chemistry can influence microbial communities and C loss or flow into soil C pools. Therefore, as research takings to maximize C sequestration for agricultural and forest ecosystems - moreover plant biomass production, similar studies should be conducted on microbial communities that considers the environmental situations

Organized Retail Market Boom and the Indian Society

IT and related services played a major role for India’s current 9.2. GDP growth. Organized retailing in India is one more example for its open economy. The IT industries where able develop a demand for Indian talents all over the world and improved their living standards. It directly impacts only a small minority of Indian population while organized retail affects every single Indian and every sector of Indian society. The paper gives a glimpse of the slow evolution of retail market over the years in India and its contribution for economic growth. The likely positive impact of this revolution in different sectors is enumerated. Paper addresses its ability to manipulate consumption pattern of society, increased customer satisfaction and likely change in the market shares of the different types of sellers. Paper discusses its flip sides like increasing social tension among families below poverty line and greater loss of self employment opportunities by this revolution. The main theme of enquiry of this paper is what it all means for the Indian society.

THE SOCIETY AS REFLECTED IN HINDI Er KONKANI PROVERBS

Hindi

Molecular mechanisms controlling the precision of chemokine guided cell migration

By the end of the first day of embryonic development, zebrafish primordial germ cells (PGCs) arrive at the site where the gonad develops. In our study we investigated the mechanisms controlling the precision of primordial germ cell arrival at their target. We found that in contrast with our expectations which were based on findings in Drosophila and mouse, the endoderm does not constitute a preferred migration substrate for the PGCs. Rather, endoderm derivatives are important for later stages of organogenesis keeping the PGC clusters separated. It would be interesting to investigate the precise mechanism by which endoderm controls germ cell position in the gonad. In their migration towards the gonad, zebrafish germ cells follow the gradient of chemokine SDF-1a, which they detect using the receptor CXCR4b that is expressed on their membrane. Here we show that the C-terminal region of CXCR4b is responsible for down-regulation of receptor activity as well as for receptor internalization. We demonstrate that receptor molecules unable to internalize are less potent in guiding germ cells to the site where the gonad develops, thereby implicating chemokine receptor internalization in facilitating precision of migration during chemotaxis in vivo. We demonstrate that while CXCR4b activity positively regulates the duration of the active migration phases, the down-regulation of CXCR4b signalling by internalization limits the duration of this phase. This way, receptor signalling contributes to the persistence of germ cell migration, whereas receptor down-regulation enables the cells to stop and correct their migration path close to the target where germ cells encounter the highest chemokine signal. Chemokine receptors are involved in directing cell migration in different processes such as lymphocyte trafficking, cancer and in the development of the vascular system. The C-terminal domain of many chemokine receptors was shown to be essential for controlling receptor signalling and internalization. It would therefore be important to determine whether the role for receptor internalization in vivo as described here (allowing periodical corrections to the migration route) and the mechanisms involved (reducing the level of signalling) apply for those other events, too.

Customer Recovery Controlling

Die langfristige Sicherung bestehender (profitabler) Kundenbeziehungen erweist sich für Unternehmen zunehmend als eine wichtige und zugleich immer schwieriger zu bewältigende Herausforderung. Vor dem Hintergrund hoher Kosten für die Neukundengewinnung und sinkender Kundenloyalität auf gesättigten, wettbewerbsintensiven und transparenten Märkten – verbunden mit tendenziell steigenden Abwanderungsraten – rücken die Früherkennung und Prävention von Kundenabwanderungen sowie die Kundenrückgewinnung verstärkt in den Fokus. Der Aufwand für derartige Anstrengungen muss in einem sinnvollen Verhältnis zum Ertrag stehen. Letztlich wird also für den Komplex „Kundenabwanderung“ ein ergebnisgesteuertes Gesamtsystem der Früherkennung, Prävention und Rückgewinnung benötigt. An dieser Stelle setzt das Customer Recovery Controlling an. Auf Basis des kontributionsorientierten Controllingansatzes wird ein ganzheitliches Controllingsystem für das Customer Recovery Management entwickelt. Dabei werden die führungsunterstützenden Controllingprinzipien der Entscheidungsfundierung, -reflexion und Koordinationsentlastung einschließlich zentraler Controllinginstrumente in den Gesamtzusammenhang des Customer Recovery Managementprozesses gestellt. Es wird aufgezeigt, dass mit einem professionellen Customer Recovery Controlling große Nutzenpotenziale verbunden sind, die sich auf der Customer Recovery Managementebene (z.B. verbesserte Entscheidungsqualität, höhere Präventions- bzw. Rückgewinnungsraten) wie auch auf der Ebene der Gesamtunternehmung (z.B. Sicherung bzw. Erhöhung des Kundenstammwertes) auswirken. Die Erfolgsmodellierung zählt zu den wesentlichen Aufgaben des Controlling. Diesbezüglich bedarf es eines mehrdimensionalen Controllinginstruments, das neben Ergebnisindikatoren auch Leistungstreiber berücksichtigt: die Customer Recovery Scorecard. Ihre Perspektiven – Finanz-, Kunden-, Prozess-, Potenzial- und Wettbewerbsperspektive – sichern eine ganzheitliche Betrachtung der strategisch relevanten Erfolgsfaktoren und darüber hinaus gewährleisten die Kennzahlen eine systematische Planung, Steuerung und Kontrolle des Customer Recovery Management Erfolgs. Für die Erfolgsgrößen werden kausale Abhängigkeiten in Form von Ursache-Wirkungs-Beziehungen innerhalb und zwischen den Perspektiven erfasst (Strategy Maps), wodurch gewissermaßen eine Modellierung der Wertschöpfungskette im Customer Recovery Management erfolgt. Unsere durchgeführte Studie zum Status Quo des Customer Recovery Controlling in der deutschen (groß-)unternehmerischen Dienstleistungspraxis hat gezeigt, dass der präventive Umgang mit Kundenabwanderung zukünftig an Bedeutung gewinnen wird. Obwohl die Mehrheit der befragten Unternehmen über ein organisatorisch verankertes Controlling verfügt, sind bezüglich des allgemeinen Controllingentwicklungsstandes inkl. des Instrumenteneinsatzes Defizite zu konstatieren. In Bezug auf Letzteres hat sich herausgestellt, dass rein ökonomische Aspekte eine dominante Stellung einnehmen; Finanzkennzahlen werden gegenüber den Markt-, Prozess und Potenzialkennzahlen zum einen häufiger eingesetzt und zum anderen auch in ihrer Bedeutung höher eingeschätzt. Darüber hinaus ist der Einsatz von Kennzahlensystemen im Customer Recovery Management noch nicht weit verbreitet und auch hier ist ein finanzwirtschaftlicher Fokus festzustellen. Der Erfolg von Customer Recovery Maßnahmen wird zu einem großen Ausmaß durch die Nutzung des Synergiepotenzials von Customer Recovery Management (Führung vom Markt bzw. Kunden her) und Controlling (Führung vom Erfolg her) determiniert.

Controlling und RFID - konzeptionelle Grundlagen, Nutzenpotenziale und empirische Analyse drahtloser Funkchips im Rahmen der Managementunterstützung

Die bereits seit einigen Jahren stark in der wissenschaftlichen Literatur diskutierte RFID-Technologie ermöglicht es, Informationen (echt-)zeitnah, detailliert und mit einer höheren Objektivität bereitzustellen. Der Fokus vieler Arbeiten lag dabei vor allem auf RFID-spezifischen Einsatzmöglichkeiten in den Bereichen des Supply Chain- und des Customer Relationship Managements. Aber auch für ein modernes Controlling bzw. für die Managementunterstützung sind Innovationen in der Informationstechnik – hier die Besonderheiten und Eigenschaften von RFID-Daten – von sehr hoher Bedeutung. Dieses Forschungsfeld hat bisher jedoch kaum Beachtung gefunden. Mit der vorliegenden Dissertationsschrift wird versucht, diese Forschungslücke sowohl konzeptionell als auch empirisch zu schließen. Sie gliedert sich zu diesem Zweck in vier Kapitel. Nach einer Einleitung werden im zweiten Kapitel die konzeptionellen Grundlagen geschaffen. Dazu werden verschiedene Controllingkonzeptionen vorgestellt und anhand ausgewählter Kriterien dahingehend überprüft, ob diese dazu geeignet sind, die RFID-Nutzenpotenziale im Controlling darzustellen. Der kontributionsorientierte Ansatz nach Link erweist sich hierbei als zweckmäßiger Controllingansatz. Im zweiten Grundlagenkapitel werden u. a. die Funktionsweise sowie verschiedene Vorteile der RFID-Technologie vorgestellt. Im Hauptkapitel wird zunächst der Stand der Controllingforschung in Bezug auf RFID sowie dessen Einordnung in das Controlling gezeigt. Im Anschluss daran folgt die Arbeit dem systematischen Aufbau des kontributionsorientierten Ansatzes wie folgt: - Harmonisation: RFID auf der Ebene der Unternehmensleitung - Harmonisationsunterstützung: RFID auf der Ebene des Controlling • RFID-Einfluss auf das Zielsystem: Sachziele, Formalziele und Sozialziele • RFID und Vorsteuerung • Der RFID-Beitrag zur Umsetzung der Controllingprinzipien: Entscheidungsfundierung, Koordinationsentlastung und Entscheidungsreflexion Da mit dem RFID-Beitrag zur Vorsteuerung die „Kernleistung“ eines modernen Controlling behandelt wurde, besitzt dieser Punkt eine besonders hohe Relevanz. Den Abschluss der Dissertationsschrift bildet eine empirische Untersuchung (Kapitel vier) zum Status Quo der Nutzung von RFID-Daten bzw. -Informationen im Controlling. Darüber hinaus wurden mögliche Problemfelder der RFID-Nutzung im Controlling respektive der Managementunterstützung offengelegt. Die Diskrepanz zwischen den im theoretischen Teil der Arbeit herausgearbeiteten vielfältigen Nutzenpotenzialen von RFID im Controlling und der tatsächlichen Nutzung von RFID-Daten im Controlling deutscher Unternehmen ist dabei ein wesentliches Ergebnis. Die Arbeit schließt mit einer Zusammenfassung der Ergebnisse und einem Ausblick auf den weiteren Forschungsbedarf (Kapitel fünf) ab.

Controlling the transport of an ion: classical and quantum mechanical solutions

The accurate transport of an ion over macroscopic distances represents a challenging control problem due to the different length and time scales that enter and the experimental limitations on the controls that need to be accounted for. Here, we investigate the performance of different control techniques for ion transport in state-of-the-art segmented miniaturized ion traps. We employ numerical optimization of classical trajectories and quantum wavepacket propagation as well as analytical solutions derived from invariant based inverse engineering and geometric optimal control. The applicability of each of the control methods depends on the length and time scales of the transport. Our comprehensive set of tools allows us make a number of observations. We find that accurate shuttling can be performed with operation times below the trap oscillation period. The maximum speed is limited by the maximum acceleration that can be exerted on the ion. When using controls obtained from classical dynamics for wavepacket propagation, wavepacket squeezing is the only quantum effect that comes into play for a large range of trapping parameters. We show that this can be corrected by a compensating force derived from invariant based inverse engineering, without a significant increase in the operation time.

Human and Raptor Interactions in the Context of a Nomadic Society

This research project focuses on contemporary eagle-taming falconry practice of the Altaic Kazakhs animal herding society in Bayan Ulgii Province in Western Mongolia. It aims to contributing both theoretical and empirical criteria for cultural preservation of Asian falconry. This cultural as well as environmental discourse is illustrated with concentrated field research framed by ecological anthropology and ethno-ornithology from the viewpoint of “Human-Animal Interaction (HAI)” and “Human-Animal Behavior (HAB)”. Part I (Chapter 2 & 3) explores ethno-archaeological and ethno-ornithological dimensions by interpretive research of archaeological artefacts which trace the historical depth of Asian falconry culture. Part II (Chapter 4 & 5) provides an extensive ethnographic narrative of Altaic Kazakh falconry, which is the central part of this research project. The “Traditional Art and Knowledge (TAK)” in human-raptor interactions, comprising the entire cycle of capture, perch, feeding, training, hunting, and release, is presented with specific emphasis on its relation to environmental and societal context. Traditional falconry as integral part of a nomadic lifestyle has to face some critical problems nowadays which necessitate preventing the complete disappearance of this outstanding indigenous cultural heritage. Part III (Chapter 6 & 7) thus focuses on the cultural sustainability of Altaic Kazakh falconry. Changing livelihoods, sedentarisation, and decontextualisation are identified as major threats. The role of Golden Eagle Festivals is critically analysed with regard to positive and negative impact. This part also intends to contribute to the academic definition of eagle falconry as an intangible cultural heritage, and to provide scientific criteria for a preservation master plan, as well as stipulate local resilience by pointing to successive actions needed for conservation. This research project concludes that cultural sustainability of Altaic Kazakh falconry needs to be supported from the angles of three theoretical frameworks; (1) Cultural affairs for protection based on the concept of nature-guardianship in its cultural domain, (2) Sustainable development and improvement of animal herding productivity and herder’s livelihood, (3) Natural resource management, especially supporting the population of Golden Eagles, their potential prey animals, and their nesting environment.