27 research outputs found
The Construction of the Origami Level-n Menger Sponge Complement by the PJS Technique
No full textIn 2015, the author developed a new origami technique, called PJS technique (where PJS stands for “pleat and join strips”), by which we can construct polycubes, that are polyhedrons composed of elementary cubes, called units, connected face to face. Each strip, pleated in squares, has to cover four faces of a tower of stacked units, called a segment, having as length the number of units that form the tower. Each unit is composed by weaving together three paper strips in the three spatial directions and the length of each strip depends on the length of the segment in each respective direction. The PJS technique allowed the author to build, at the end of 2016, the first specimen of a level-4 origami Menger sponge and three yeas later, the first level-3 complement model. In this paper, we give a formula to compute the number of segments that make up a level-n Menger sponge complement in all directions and consequently, the number of modules needed for each length to build this polycube with the PJS technique
The Role of the Temporary Official (Pjs) of the Village Head in Carrying out the Main Duties and Functions in Sitoluama Village, Laguboti District, Toba Regency
No full text81 HalamanPenelitian dilatarbelakangi oleh Peranan Pejabat Sementara (PJS) Kepala Desa Dalam Menjalankan Tugas Pokok Dan Fungsi Di Desa Sitoluama Kecamatan Laguboti Kabupaten Toba, dalam peranan Pejabat Sementara (PJS) belum sepenuhnya terlaksana Perannya sebagai pengganti Kepala desa, hal ini dapat dilihat dari Peranan sebagai hubungan Antar pribadi, Peranan yang berhubungan dengan informasi, Peranan sebagai Pembuat Keputusan adapun yang menjadi faktor penghambat dari permasalahan diantaranya mengenai Rendahnya sumberdaya Manusia, Minimnya fasilitas Kantor Kepala Desa Sitoluama, Kurangnya Bimbingan Aperatur desa Sitoluama. Penelitian ini bertujuan untuk mengetahui Peranan Pejabat Sementara (PJS) dalam menggantikan Kepala Desa Sitoluama dalam menjalankan Tugas Pokok dan Fungsinya, dan adapun tujuan lainnya ialah mengetahui apa saja faktor Penghambat yang dihadapi Pejabat Sementara (PJS) dalam tugasnya menggantikan Kepala Desa Sitoluama. Penelitian menggunakan Metode penelitian kualitatif pendekatan deskriptif. Sumber Data dikumpulkan berdasarkan teknik pengumpulan data yaitu observasi, wawancara, dokumentasi dan triangulasi data. Penulis mengambil teori dari Henry Mintzberg. Berdasarkan hasil penelitian yang dilakukan oleh Penulis maka hasil Skripsi peneliti ialah, sudah cukup membantu dan mampu melaksanakan Tugas dan Fungsinya sebagaimana Tugas yang diberikan Kepada Kepala Desa telah dikerjakan dengan cukup baik, namun belum maksimal menjalankan tugas dan fungsinya sebagai Pejabat Sementar Kepala desa Kedispilinan pada saat jam kerja, kurangnya bersosialisasi kepada masyarakat desa Sitoluama, dan juga kurang maksimal menyelesaikan masalah-masalah yang ada di desa Sitoluama. The research was motivated by the role of the Temporary Official (PJS) of the
Village Head in Carrying out the Main Duties and Functions in Sitoluama
Village, Laguboti District, Toba Regency, in the role of the Temporary Official
(PJS) the role of the village head was not fully implemented, this can be seen from
the role of interpersonal relationships , Roles related to information, Roles as
Decision Makers as for the inhibiting factors of the problems including the low
human resources, the lack of facilities for the Sitoluama village head office, the
lack of guidance from the Sitoluama village officials This study aims to determine
the role of Temporary Officials (PJS) in replacing the Sitoluama Village Head in
carrying out their Main Duties and Functions, and another objective is to find out
what are the inhibiting factors faced by Temporary Officials (PJS) in their duties
to replace the Sitoluama Village Head. The study used a descriptive qualitative
research method. Sources The data were collected based on data collection
techniques, namely observation, interviews, documentation and data
triangulation. The author takes the theory from Henry Mintzberg. Based on the
results of research conducted by the author on the Role of Temporary Officials
(PJS) of the Sitoluama Village Head in carrying out their main duties and
functions, the Role of Temporary Officials (PJS) in Sitoluama Village has been
quite helpful and able to carry out their duties and functions as the tasks given to
the Village Head have been done. quite well, but not yet maximally carrying out
his duties and functions as a Temporary Official for the Village Head of
Discipline during working hours, lack of socializing to the people of Sitoluama
village, and also less than optimal in solving problems that exist in Sitoluama
village
Osther PJS. Upper Urinary Tract Stones. What do the urologist want from the radiologist? Danish Society of Radiology. The Maersk Tower, University of Copenhagen, Copenhagen, Denmark, 17th January 2019. (oral presentation)
No full textAn empirical test of accreditation patient journey surveys: Randomized trial
No full textObjective: To evaluate the effectiveness of utilizing the patient journey survey (PJS) method in healthcare accreditation processes. Design: Randomized trial of the PJS method in parallel with the current accreditation survey (CAS) method of the Australian Council on Healthcare Standards (ACHS). Setting: Acute healthcare organizations in Australia. Participants: Seventeen organizations, 28 organizational staff, nine surveyors and 38 patients. Main Outcome Measures: The results of each surveying method were compared. Participants provided feedback, via 18 interviews and 40 questionnaire surveys, about the benefits and disadvantages of a PJS compared to a CAS. Results: The PJS method is not as comprehensive as the CAS method for accreditation assessment. In matched assessments the majority of items were rated lower by the PJS method than by the CAS. PJSs were shown to be appropriate for assessing mandatory clinical criteria, but were less effective for assessing corporate and support criteria. The two methods diverged in their final assessments of which organizations met the accreditation threshold. Participants endorsed the use of PJSs within accreditation processes. Conclusions: The PJS methodology complements but is not a substitute for existing accreditation methods. There is significant stakeholder support for the inclusion of the PJS method within the current accreditation programme. © The Author 2012. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved
Effect of Linear Low-Intensity Extracorporeal Shockwave Therapy for Erectile Dysfunction—12-Month Follow-Up of a Randomized, Double-Blinded, Sham-Controlled Study
No full textIntroduction: Short-term data on the effect of low-intensity extracorporeal shockwave therapy (Li-ESWT) on erectile dysfunction (ED) have been inconsistent. The suggested mechanisms of action of Li-ESWT on ED include stimulation of cell proliferation, tissue regeneration, and angiogenesis, which can be processes with a long generation time. Therefore, long-term data on the effect of Li-ESWT on ED are strongly warranted.
Aim: To assess the outcome at 6 and 12 months of linear Li-ESWT on ED from a previously published randomized, double-blinded, sham-controlled trial.
Methods: Subjects with ED (N = 126) who scored lower than 25 points in the erectile function domain of the International Index of Erectile Function (IIEF-EF) were eligible for the study. They were allocated to 1 of 2 groups: 5 weekly sessions of sham treatment (group A) or linear Li-ESWT (group B). After a 4-week break, the 2 groups received active treatment once a week for 5 weeks. At baseline and 6 and 12 months, subjects were evaluated by the IIEF-EF, the Erectile Hardness Scale (EHS), and the Sexual Quality of Life in Men.
Main Outcome Measures: The primary outcome measure was an increase of at least 5 points in the IIEF-EF (ΔIIEF-EF score). The secondary outcome measure was an increase in the EHS score to at least 3 in men with a score no higher than 2 at baseline. Data were analyzed by linear and logistic regressions.
Results: Linear regression of the ΔIIEF-EF score from baseline to 12 months included 95 patients (dropout rate = 25%). Adjusted for the IIEF-EF score at baseline, the difference between groups B and A was −1.30 (95% CI = −4.37 to 1.77, P = .4). The success rate based on the main outcome parameter (ΔIIEF-EF score ≥ 5) was 54% in group A vs 47% in group B (odds ratio = 0.67, P = .28). Improvement based on changes in the EHS score in groups A and B was 34% and 24%, respectively (odds ratio = 0.47, P = .82).
Conclusion: Exposure to 2 cycles of linear Li-ESWT for ED is not superior to 1 cycle at 6- and 12-month follow-ups.
Fojecki GL, Tiessen S, Osther PJS. Effect of Linear Low-Intensity Extracorporeal Shockwave Therapy for Erectile Dysfunction—12-Month Follow-Up of a Randomized, Double-Blinded, Sham-Controlled Study. Sex Med 2018;6:1–7
Exploring the relationship between analgesic event rate and pain intensity in kidney stone surgery: A Repeated Time to Event Pilot Study
No full textIII-60 Rasmus Juul Exploring the relationship between analgesic event rate and pain intensity in kidney stone surgery: A Repeated Time to Event Pilot Study RV Juul(1), KV Pedersen(2, 4), LL Christrup(1), AE Olesen(1, 3), AM Drewes(3), PJS Osther(4), TM Lund(1) 1) Department of Drug Design and Pharmacology, University of Copenhagen, Denmark. 2) Department of Clinical Genetics, Vejle Hospital, Denmark. 3) Mech-Sense, Aalborg University Hospital, Denmark, 4) Urological Research Center, Lillebaelt Hospital, University of Southern Denmark, Fredericia, Denmark Objectives: Opioid consumption has often been reported as an indirect measure of pain in postoperative pain trials. The rate of consecutive analgesic events can be described by repeated time-to-event (RTTE) modelling in order to analyse the dynamical changes and concentration-effect-relationships with analgesic consumption. However a relationship with pain intensity has not yet been established. The aim of this pilot study was to discuss how best to investigate the relationship between RTTE hazard of analgesic events and pain intensity in postoperative pain. Methods: Data was available from 44 patients undergoing kidney stone surgery (percutaneous nephrolithotomy), who were randomized to morphine or oxycodone administered upon request (1). Pain intensity was recorded on Numerical Rating Scale (NRS) every 15 min until 4 hours after admission to recovery ward. RTTE modelling of analgesic events was performed in NONMEM 7.2 and PsN (2). Gompertz and exponential distribution models were evaluated. Post-hoc linear mixed effect modelling was performed between estimated RTTE hazard and observed NRS using the lme4 package in R (3). Results: A Gompertz distribution model adequately described data, with a baseline event rate of 0.64h-1 (RSE 25%) and a decline in event rate with a half-life of 1.2h-1 (RSE 22%). No significant differences were found between morphine and oxycodone. Post-hoc linear mixed effects modelling of the estimated RTTE hazard and NRS is demonstrated, but do not optimally describe the categorical nature of NRS. Conclusions: An RTTE model well described both morphine and oxycodone consumption data. RTTE modelling is a promising tool to investigate correlations between opioid consumption and pain intensity in time, but appropriate methods needs to be applied to study this relationship. References: 1) Pedersen KV, et al. Urolithiasis, 41.5 (2013): 423-430. 2) Karlsson KE. , et al. AAPS J, 13.1 (2011): 83-91. 3) Bates D. MM & Bolker B. lme4: (2012). http://CRAN.R-project.org/package=lme
International cooperation in endourology: Percutaneous and flexible ureteroscopic treatment of lower pole kidney stones
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