In 2019, a number of food companies came together in a workshop to share experiences on the use and implementation of whole Genome Sequencing (WGS) in the food industry. Although the main benefits and high discriminat...
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In 2019, a number of food companies came together in a workshop to share experiences on the use and implementation of whole Genome Sequencing (WGS) in the food industry. Although the main benefits and high discriminatory power of WGS to differentiate isolates was well understood and acknowledged by participants, it was discussed that perhaps not all safety specialists in the food industry are familiar with terminologies, methodologies and interpretation of WGS technology. In order to address the knowledge gaps, a guidance document is provided here to help food safety and quality management professionals in the food industry in the understanding of WGS used for food safety. It also puts WGS in the context of other technologies used to characterize isolates and could be used as guidance to choose the appropriate technology for the intended purpose.
Objectives The COVID-19 pandemic has had an impact on emergency medical services (EMS) and its guidelines, which aid in patient care. This study characterizes state and territory EMS office recommendations to EMS stat...
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Objectives The COVID-19 pandemic has had an impact on emergency medical services (EMS) and its guidelines, which aid in patient care. This study characterizes state and territory EMS office recommendations to EMS statewide operational and clinical guidelines and describes the mechanisms of distribution and implementation during the COVID-19 pandemic. Methods A mixed-methods study was conducted in 2 phases. In phase 1, changes and development of COVID-19 guidance and protocols for EMS clinical management and operations were identified among 50 states, the District of Columbia, and 5 territories in publicly available online documents and information. In phase 2, structured interviews were conducted with state/territory EMS officials to confirm the protocol changes or guidance and assess dissemination and implementation strategies for COVID-19. Results In phase 1, publicly available online documents for 52 states/territories regarding EMS protocols and COVID-19 guidance were identified and reviewed. Of 52 (33/52) states/territories, 33 had either formal protocol changes or specific guidance for the pandemic. In phase 2, 2 state and territory EMS officials were interviewed regarding their protocols or guidance for COVID-19 and the dissemination and implementation practices they used to reach EMS agencies (response rate = 65%). Of the 34 state/territory officials interviewed, 22 had publicly available online COVID-19 protocols or guidance. Of the 22 officials with online COVID-19 protocols, all reported providing operational direction, and 19 of 22 officials reported providing clinical direction. Conclusions Most states provided guidance to EMS agencies and/or updated protocols in response to the COVID-19 pandemic.
Each year, agencies issue thousands of pages of regulations through the notice and comment process. Given the extensive involvement of the federal government, the health and human services field is particularly affect...
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Government agencies routinely make policies that affect the lives of citizens. I explore agency policymaking via guidance: sub-regulatory policies that can be issued quickly and quietly. Although guidance is not legal...
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Is meaning essentially normative, and what does claiming that amount to? One popular interpretation is that in virtue of their nature meanings are capable of guiding subjects in their applications of concepts, for mea...
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Is meaning essentially normative, and what does claiming that amount to? One popular interpretation is that in virtue of their nature meanings are capable of guiding subjects in their applications of concepts, for meaning is constituted by norms. However, the guidance view has been met with criticism to the effect that if semantic norms constitute facts about meaning, then they cannot simultaneously guide subjects in their applications. In response, some normativist authors have proposed that the key sense of 'normative' in the claim that meaning is essentially normative is not 'guidance' but 'assessment'. In this paper, I shall argue that switching from guidance to assessment offers no respite from the anti-normativist argument that normativity in the sense of prescriptivity emerges not from meaning as such but from the attitudes of subjects insofar as the normativist is unable to offer a plausible account of what makes assessment appropriate.
Objectives: To assess the impact of the 2015 National Institute of Health and Care Excellence (NICE) guidance for referral of non-visible haematuria (NVH) and to compare diagnostic findings in patients referred using ...
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Objectives: To assess the impact of the 2015 National Institute of Health and Care Excellence (NICE) guidance for referral of non-visible haematuria (NVH) and to compare diagnostic findings in patients referred using 2005 and 2015 guidance. Patients and method: Review of the referral details and diagnostic findings for urgent NVH referrals was assessed over a 27-month period. Referrals continued to be received under 2005 and 2015 NICE guidance during this period, and the diagnostic findings from each pathway were compared. Results: The number of urgent haematuria referrals reduced by 34% over the 27-month period. NVH referrals fell from 144 in the first quarter to 30 in the last quarter. The transitional cell carcinoma (TCC) diagnosis rate was low in patients referred using 2005 and 2015 criteria (1.7 and 1.9% respectively). No muscle-invasive bladder cancer (MIBC) was diagnosed. There was a high rate of benign urological findings. Non-adherence to referral criteria was high in the 2015 pathway (56%). Conclusion: The reduction in NVH referrals following introduction of 2015 NICE guidance could allow resource re-allocation. Low adherence to referral criteria should be investigated. The absence of MIBC and low rate of TCC diagnosis is reassuring and consideration should be given to investigating NVH patients semi-urgently.
Interceptor guidance strategies are crucial in efficiently achieving desired terminal objectives. In this paper, a guidance strategy is proposed for interception of targets at pre-specified impact angle within finite ...
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Interceptor guidance strategies are crucial in efficiently achieving desired terminal objectives. In this paper, a guidance strategy is proposed for interception of targets at pre-specified impact angle within finite time, by an interceptor in three dimensional space. The impact angle is defined as the azimuth and elevation of line-of-sight in the inertia reference frame, at interception. A suboptimal nonlinear guidance law is derived using the finite-time state dependent Riccati equation technique, for coupled engagement dynamics. The performance of the proposed guidance is tested for stationary and constant velocity targets using numerical simulations. (C) 2020, IFAC (International Federation of Automatic Control) Hosting by Elsevier Ltd. All rights reserved.
In the paper, we describe our studies to realize a control algorithm for distributed marine robots with rigid/elastic mechanical constraints between them. The work is carried out in the framework of the EUMR TNA proje...
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In the paper, we describe our studies to realize a control algorithm for distributed marine robots with rigid/elastic mechanical constraints between them. The work is carried out in the framework of the EUMR TNA project DINGOS. Our strategy follows the line to adapt conventional cooperative path-following algorithms from literature to the described problem in order to start to extend the concept of DP3, currently related to Dynamic Positioning, to the phase of motion along a path of a vessel. The usability of different concepts is evaluated following some well-defined quality criteria in a kinematic simulation.
Nowadays customers are expecting faster feedback and changes related to issues or feature requests but providing a solution to this need, therefore organizations such as IBM, Facebook and Firefox are implementing DevO...
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ISBN:
(纸本)9783030335472;9783030335465
Nowadays customers are expecting faster feedback and changes related to issues or feature requests but providing a solution to this need, therefore organizations such as IBM, Facebook and Firefox are implementing DevOps practices. However, even when information about DevOps, such as principles, practices, suggestions or even a maturity or capability model, could be find in many sources containing, there is not a guidance on how to adopt and implement it. This fact becomes very important to achieve a reinforcement or evolution of the software development process and its implementation, according to the specific needs of an organization. As result of this lack of guidance, many authors have different understanding about what means the implementation of DevOps practices, causing confusion and an overwhelming situation among team within an organization regarding to the technology, processes or adoption of such practices. To provide a solution of the actual situation, this paper presents a guideline that allows the establishment of a generic DevOps process proposed, which aims to achieve the implementation of a DevOps approach reinforced with the proven practices of the Basic profile of the ISO/IEC 29110. Besides, it enables the organization to achieve a definition or improvement of process, roles and work products involved in a DevOps environment in an easy way.
Coronavirus disease 2019 (COVID-19), which started in December 2019 in China, has resulted in a pandemic leading to significant morbidity and mortality across the globe. Although it mainly causes respiratory symptoms,...
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Coronavirus disease 2019 (COVID-19), which started in December 2019 in China, has resulted in a pandemic leading to significant morbidity and mortality across the globe. Although it mainly causes respiratory symptoms, respiratory failure and death due to multiorgan failure, there is evolving evidence to suggest gastrointestinal (GI) and liver involvement by this virus. Owing to this, health-care professionals taking care of GI and liver diseases are also at an increased risk of getting exposed. Hence, there is a need for protocols to be prepared to guide the handling of COVID-19 patients by the GI and liver specialists, as well as to manage the pre-existing GI and liver diseases during the ongoing pandemic. We present here the guidelines prepared jointly by the three Indian professional bodies in the field of GI diseases, namely the Society of Gastrointestinal Endoscopy of India, Indian Society of Gastroenterology, and Indian National Association for the Study of the Liver.
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