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A randomised study to evaluate two different skin closure techniques : subcuticular sutures vs. staples : an investigation into patient satisfactionKalim, Mahnaz 12 1900 (has links)
Thesis (MMed)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: OBJECTIVE
The purpose of the study is to establish the best method of wound closure with
regards to patient satisfaction that includes wound cosmesis and pain.
STUDY DESIGN
One hundred patients were randomised to two groups for the closure of
abdominal wounds; one group had subcuticular sutures and the other staples.
They were followed up at 6 weeks. The primary outcome was patient
satisfaction that includes wound cosmesis and pain. The secondary outcome
was wound complications.
RESULTS In women undergoing abdominal operations there was no difference as regards
the patient satisfaction in both the groups, subcuticular sutures n= 51 vs. staples
n=49 (P = 0.76).
CONCLUSION
Our study suggest that there is no statistically significant difference in the
methods of wound closure, subcuticular sutures vs. staples as regards the patient
satisfaction and the appearance of the scar leaving the decision in the hands of
the surgeon to choose any method according to their own personnel preference
and availability. / AFRIKAANSE OPSOMMING: NAVORSINGSDOEL
Die fokus van hierdie projek is om vas te stel wat die beste metode van vel
sluiting is ten opsigte van pasiënt bevrediging ten opsigte van wond voorkoms
en pyn.
METODES
Een honderd pasiënte is ewekansig verdeel tot velsluiting van abdominale
wonde met subkutane oplosbare steke of velhakies. Evaluasie is gedoen tydens
‘n opvolg besoek 6 weke na chirurgie. Die hoof uitkoms was pasiënt
tevredenheid. Evaluasie van wond komplikasies is as sekondêre uitkoms
beskryf.
RESULTATE Vroulike pasiënte wat ‘n Pfannenstiel velinsnyding ondergaan toon geen verskil
in pasiënt tevredenheid wanneer subkutane steke (n = 51) met velhakies (n =
49) vergelyk word nie (P = 0.76).
SAMEVATTING
Ons projek het geen statisties beduidende verskil getoon ten opsigte van pasiënt
tevredenheid of wond voorkoms met 6 weke opvolg nie. Dit laat dus die besluit by die chirurg om metode van velsluiting te kies afhangend van voorkeur en
toerusting beskikbaarheid.
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Lidar Remote Sensing Of Forest Canopy Structure: An Assessment Of The Accuracy Of Lidar And Its Relationship To Higher Trophic LevelsHansen, Christopher Felix 01 January 2015 (has links)
Light detection and ranging (LiDAR) data can provide detailed information about three-dimensional forest horizontal and vertical structure that is important to forest productivity and wildlife habitat. Indeed, LiDAR data have been shown to provide accurate estimates to forest structural parameters and measures of higher trophic levels (e.g., avian abundance and diversity). However, links between forest structure and tree function have not been evaluated using LiDAR. This study was designed and scaled to assess the relationship of LiDAR to multiple aspects of forest structure and higher trophic levels (arthropod and bird populations), which included the ground-based collection of percent crown and understory closure, as well as arthropod and avian abundance and diversity data. Additional plot-based measures were added to assess the relationship of LiDAR to forest health and productivity. High-resolution discrete-return LiDAR data (flown summer of 2009) were acquired for the Hubbard Brook Experimental Forest (HBEF) in New Hampshire, USA. LiDAR data were classified into four canopy structural categories: 1) high crown and high understory closure, 2) high crown and low understory closure, 3) low crown and high understory closure, and 4) low crown and low understory closure. Nearby plots from each of the four LiDAR categories were grouped into "blocks" to assess the spatial consistency of data. Ground-based measures of forest canopy structure, site, stand and individual tree measures were collected on nine 50 m-plots from each LiDAR category (36 plots total), during summer of 2012. Analysis of variance was used to assess the relationships between LiDAR and a suite of tree function measures. Our results show the novel ability of LiDAR to assess forest health and productivity at the stand and individual tree level. We found significant correspondence between LiDAR categories and our ground-based measures of tree function, including xylem increment growth, foliar nutrition, crown health, and stand mortality. Furthermore, we found consistent reductions in xylem increment growth, decreases in foliar nutrition and crown health, and increases in stand mortality related to high understory closure. This suggests that LiDAR measures can reflect competitive interactions, not just among overstory trees for light, but also interactions between overstory trees and understory vegetation for resources other than light (e.g., nutrients). High-resolution LiDAR data show promise in the assessment of forest health and productivity related to tree function.
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Project Knowledge Management : How to evaluate project knowledge, and Project Knowledge Management performanceJengard, Linus January 2010 (has links)
<p><em>Project Knowledge Management</em> and more specifically how organisations capture experiences gained in projects, is a critical topic in order to compete in the knowledge economy. Little attention has been given the catchphrase <em>lessons learned practices</em> as a research area. The purpose of the thesis is therefore to analyse the framework for the <em>project closure phase</em> through a <em>Knowledge Management</em> perspective. The purpose is also to evaluate how new knowledge, captured by <em>project closure documents</em>, can be identified and measured.</p><p>To fulfil the purpose, the <em>project closure phase</em> and <em>project closure documents</em> within the project model <em>Practical Project Steering</em> are studied. Through a document study, the framework that the project model gives, and the <em>project closure documents</em> is analysed. The <em>project closure documents</em> are also examined regarding the experiences they capture. This is done by developing an instrument for identifying and measuring new knowledge.</p><p>Through the study, it can be established that the <em>project closure phase</em> provides for a link between <em>Knowledge Management</em> and <em>Project Management</em>. It has an important contribution to <em>Knowledge Management</em> since it mitigates the risk of not transferring knowledge to the organisational memory. The use of predefined knowledge domains supports structure, and systemisation in the production of the documents, as well as in the compilation and dissemination of useful knowledge.</p><p>New knowledge within the <em>project closure phase</em> can be identified and measured by dividing the documents into isolated pieces of information and using developed criteria to identify, and thereby quantify new knowledge. The instrument is highly reliable since it is ensured that the division of information does not result in any decontextualisation, and since the criteria used are very stable, and still acknowledge the dynamics of knowledge as well as the knowledge context.</p><p>By using the measurements on empirical data, problems that are important to acknowledge are identified. There is an uneven distribution of knowledge types acquired by the <em>project closure documents</em>, regardless of their importance; resulting in loss of important knowledge. The difficulty to formalise important knowledge, results in failing to transfer knowledge to an external organisational memory. The difficulty to distribute knowledge sufficiently, results in re-invention of the wheel, and the same mistakes being made twice or more.</p>
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Project Knowledge Management : How to evaluate project knowledge, and Project Knowledge Management performanceJengard, Linus January 2010 (has links)
Project Knowledge Management and more specifically how organisations capture experiences gained in projects, is a critical topic in order to compete in the knowledge economy. Little attention has been given the catchphrase lessons learned practices as a research area. The purpose of the thesis is therefore to analyse the framework for the project closure phase through a Knowledge Management perspective. The purpose is also to evaluate how new knowledge, captured by project closure documents, can be identified and measured. To fulfil the purpose, the project closure phase and project closure documents within the project model Practical Project Steering are studied. Through a document study, the framework that the project model gives, and the project closure documents is analysed. The project closure documents are also examined regarding the experiences they capture. This is done by developing an instrument for identifying and measuring new knowledge. Through the study, it can be established that the project closure phase provides for a link between Knowledge Management and Project Management. It has an important contribution to Knowledge Management since it mitigates the risk of not transferring knowledge to the organisational memory. The use of predefined knowledge domains supports structure, and systemisation in the production of the documents, as well as in the compilation and dissemination of useful knowledge. New knowledge within the project closure phase can be identified and measured by dividing the documents into isolated pieces of information and using developed criteria to identify, and thereby quantify new knowledge. The instrument is highly reliable since it is ensured that the division of information does not result in any decontextualisation, and since the criteria used are very stable, and still acknowledge the dynamics of knowledge as well as the knowledge context. By using the measurements on empirical data, problems that are important to acknowledge are identified. There is an uneven distribution of knowledge types acquired by the project closure documents, regardless of their importance; resulting in loss of important knowledge. The difficulty to formalise important knowledge, results in failing to transfer knowledge to an external organisational memory. The difficulty to distribute knowledge sufficiently, results in re-invention of the wheel, and the same mistakes being made twice or more.
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Closure as reflected in Northern Sotho narrativesMakgopa, Mokgale Albert 11 1900 (has links)
The aim of the study is to survey the usage of closure as it is reflected
in Northern Sotho Narratives.
Chapter one
This chapter introduces the objectives of the research and definition of
the concepts narrative and closure. Reference is made to different
scholars to substantiate the argument.
Chapter two
Plot serves as the basis of the study of closure in a novel. The
interconnectedness of the elements of plot expressed by the presence
of different closural patterns supports this. Major mutual relationships
are distinguished, namely between author and reader as well as
between author, reader and text.
Chapter three
The principles of brevity and single effect which differentiate a short
story from other narratives play a major role in the study of closure. The
five signals of closure and the mode of approaching the end also
influence how closure is approached in this genre.
Chapter four
The study of folktales is divided into traditional and modern approaches.
Despite their difference, opening and closing are commonly based on
the syntactical position occupied by the opening and closing phrases. In
the traditional approach the position is fixed while in the modern
approach it is controlled by the presence of motifemes.
This chapter embarks on the usage of closure in narrative poetry. The
ending is doubly determined, based on structural elements and linguistic
principles. Repetition and cessation of the idea expressed in a verse
llne, are major poetic devises to illustrate closure.
Chapter six
This chapter summarizes the findings of the previous chapters and
proposals for future research. / African Languages / D.Litt. et Phil. (African Languages)
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Closure as reflected in Northern Sotho narrativesMakgopa, Mokgale Albert 11 1900 (has links)
The aim of the study is to survey the usage of closure as it is reflected
in Northern Sotho Narratives.
Chapter one
This chapter introduces the objectives of the research and definition of
the concepts narrative and closure. Reference is made to different
scholars to substantiate the argument.
Chapter two
Plot serves as the basis of the study of closure in a novel. The
interconnectedness of the elements of plot expressed by the presence
of different closural patterns supports this. Major mutual relationships
are distinguished, namely between author and reader as well as
between author, reader and text.
Chapter three
The principles of brevity and single effect which differentiate a short
story from other narratives play a major role in the study of closure. The
five signals of closure and the mode of approaching the end also
influence how closure is approached in this genre.
Chapter four
The study of folktales is divided into traditional and modern approaches.
Despite their difference, opening and closing are commonly based on
the syntactical position occupied by the opening and closing phrases. In
the traditional approach the position is fixed while in the modern
approach it is controlled by the presence of motifemes.
This chapter embarks on the usage of closure in narrative poetry. The
ending is doubly determined, based on structural elements and linguistic
principles. Repetition and cessation of the idea expressed in a verse
llne, are major poetic devises to illustrate closure.
Chapter six
This chapter summarizes the findings of the previous chapters and
proposals for future research. / African Languages / D.Litt. et Phil. (African Languages)
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National Patterns and Community Impacts of Major Domestic U.S. Military Base Closures, 1988-presentWebster, Sean T. 08 1900 (has links)
This thesis analyses major U.S. military bases closed by the Base Realignment and Closure (BRAC) Commission since 1988. The study focuses on geographic patterns of pre-existing versus BRAC bases, statistical attributes, environmental restoration, and reuse of bases. Comparative case studies supplement the analysis, highlighting rural versus urban location, success versus failure, politics, conflict, and local versus national goals. Thesis findings are that: 92 bases closed versus 97 commonly published; a fairly even national closure pattern occurred, indicating Commission efforts to achieve equity, except for three closure clusters indicating efforts to consolidate functions in some regions and leave others; base reuse, while commonly perceived negatively, has been positive in most cases; the BRAC process is becoming more efficient, such that allowed years between BRAC closure decisions and base closures should be reduced from six to three years to benefit both communities and the Defense Department.
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Direct quadrature conditional moment closure for turbulent non-premixed combustionAli, Shaukat January 2014 (has links)
The accurate description of the turbulence chemistry interactions that can determine chemical conversion rates and flame stability in turbulent combustion modelling is a challenging research area. This thesis presents the development and implementation of a model for the treatment of fluctuations around the conditional mean (i.e., the auto-ignition and extinction phenomenon) of realistic turbulence-chemistry interactions in computational fluid dynamics (CFD) software. The wider objective is to apply the model to advanced combustion modelling and extend the present analysis to larger hydrocarbon fuels and particularly focus on the ability of the model to capture the effects of particulate formation such as soot. A comprehensive approach for modelling of turbulent combustion is developed in this work. A direct quadrature conditional moment closure (DQCMC) method for the treatment of realistic turbulence-chemistry interactions in computational fluid dynamics (CFD) software is described. The method which is based on the direct quadrature method of moments (DQMOM) coupled with the Conditional Moment Closure (CMC) equations is in simplified form and easily implementable in existing CMC formulation for CFD code. The observed fluctuations of scalar dissipation around the conditional mean values are captured by the treatment of a set of mixing environments, each with its pre-defined weight. In the DQCMC method the resulting equations are similar to that of the first-order CMC, and the “diffusion in the mixture fraction space” term is strictly positive and no correction factors are used. Results have been presented for two mixing environments, where the resulting matrices of the DQCMC can be inverted analytically. Initially the DQCMC is tested for a simple hydrogen flame using a multi species chemical scheme containing nine species. The effects of the fluctuations around the conditional means are captured qualitatively and the predicted results are in very good agreement with observed trends from direct numerical simulations (DNS). To extend the analysis further and validate the model for larger hydrocarbon fuel, the simulations have been performed for n-heptane flame using detailed multi species chemical scheme containing 67 species. The hydrocarbon fuel showed improved results in comparison to the simple hydrogen flame. It suggests that higher hydrocarbons are more sensitive to local scalar dissipation rate and the fluctuations around the conditional means than the hydrogen. Finally, the DQCMC is coupled with a semi-empirical soot model to study the effects of particulate formation such as soot. The modelling results show to predict qualitatively the trends from DNS and are in very good agreement with available experimental data from a shock tube concerning ignition delays time. Furthermore, the findings suggest that the DQCMC approach is a promising framework for soot modelling.
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An investigation of mine closure : gold mine case studies on the East Rand in South Africa / J.H. NelNel, Johannes Hendrik January 2008 (has links)
This research is on mines that struggle to obtain closure from the state departments. The closure process at the footprints of five Tailings Storage Facilities (TSFs) of a South African gold mine was investigated. They are situated in the Germiston, Brakpan, Springs and Nigel suburbs of the East Rand region of Johannesburg.
Very limited scientific research has been done in South Africa on the management of mine closure. The most recent performed research was completed at Coal mines and only one was at an underground gold mine. The history of the case studies at a surface gold mine revealed similar problems, as confirmed in previous research, during the interviews with mine management and the review of operational documents.
There is a whole array of causes giving rise to the struggle to obtain closure by a mine, that will be subsequently discussed. Major causes are the lack of estimation of closure costs and the lack of a proper Project Life Cycle (PLC) process for closure by mine management. Previous investigations indicated a general shortfall in estimated closure costs, mining operations that are not planned with closure in mind, closure objectives that are not set at all management levels, final land use after mine closure that is not defined properly, residual and latent impacts that are not dealt with, the post-closure period when the final impact will occur that is not defined and a proper risk assessment based on detailed information that is not properly done and communicated. Another cause is that the integrated process of making closure part of the Environmental Management Programme Report (EMPR) process is not followed. The result of not following the correct process is that mines do not obtain closure. Another reason why mines do not obtain closure is because of an underdeveloped mine infrastructure, e.g. tailings facilities, waste rock dumps, shafts and plants that are not constructed in an environmentally friendly way during the operational phases to facilitate closure. Therefore, these structures need to be changed in terms of their topography and growth medium to ensure an improvement in environmental parameters. This will assist in obtaining sustainability and final closure. Significantly more trust fund money than initially estimated during operations needs to be spent to ensure the above change.
Specific issues defined from the case studies were the adaptation of the administration of the closure process, the management of risks, especially the differences in opinions, the management of the mine life cycle for closure and involvement of the land owners and Interested and Affected Parties (l&APs).
This research was necessary because companies are uncertain and lack the competency to estimate and to correctly spend trust fund money in order to be sure of obtaining closure. This situation threatens the long-term survival of mining-companies by holding assets and profits back until closure is attained. The state departments also have to address the risks and have to rehabilitate the polluted mine sites if companies do not obtain closure.
A proper PLC to facilitate closure was compiled from the above-mentioned data. An important fact to bear in mind is that the activities within the life cycle depend on one another. Therefore, when one activity is disregarded or not properly performed, it will influence the outcome of the remaining activities.
The methodology of the research was as follows: Categories to evaluate the closure process of the selected case studies were determined from the project life cycle and the management principles of the literature review. Thereafter a questionnaire was developed from these categories. The questionnaire was subsequently used to guide interviews. After the interviews these categories and findings from the questionnaire were combined and summarised into key findings.
The key findings of the research were:
• The driving force behind obtaining closure must shift from the State Departments to the mining companies. They must realise there is an opportunity during the closure process to make money and to minimise their long-term liability. The mining company must thus drive the closure process to obtain environmental sustainability.
• The gold mines do have problems in terms of cost estimation and trust fund expenditure at their TSF footprints during the closure process. The reasons were a mismanagement of the closure process and making use of a limited information system to make decisions.
• A proper closure process does exist, but it can be improved to ensure all interested and affected parties have the same expectations from closure.
• There are many activities in the closure process flow diagram which were not properly attended to according to the case studies.
• A conceptual closure plan and a draft rehabilitation plan with broad objectives, policies and strategies with detailed descriptions were not compiled during the operational phase, because limited scientific monitoring information was gathered to do a proper risk assessment and some l&APs consultation was done mainly with the material and land owners on a one on one basis.
From these key findings the following recommendations could be formulated:
• Any mining operation should conduct a closure audit at least every second year and before mining activities change.
• A searchable record keeping system must be established to keep track of the closure life cycle development.
• Detailed conceptual and final closure plans need to capture the data from the audits and record keeping system.
• A communication forum with company management and environmental specialists needs to be established. / Thesis (M. Environmental Management)--North-West University, Potchefstroom Campus, 2009.
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An investigation of mine closure : gold mine case studies on the East Rand in South Africa / J.H. NelNel, Johannes Hendrik January 2008 (has links)
This research is on mines that struggle to obtain closure from the state departments. The closure process at the footprints of five Tailings Storage Facilities (TSFs) of a South African gold mine was investigated. They are situated in the Germiston, Brakpan, Springs and Nigel suburbs of the East Rand region of Johannesburg.
Very limited scientific research has been done in South Africa on the management of mine closure. The most recent performed research was completed at Coal mines and only one was at an underground gold mine. The history of the case studies at a surface gold mine revealed similar problems, as confirmed in previous research, during the interviews with mine management and the review of operational documents.
There is a whole array of causes giving rise to the struggle to obtain closure by a mine, that will be subsequently discussed. Major causes are the lack of estimation of closure costs and the lack of a proper Project Life Cycle (PLC) process for closure by mine management. Previous investigations indicated a general shortfall in estimated closure costs, mining operations that are not planned with closure in mind, closure objectives that are not set at all management levels, final land use after mine closure that is not defined properly, residual and latent impacts that are not dealt with, the post-closure period when the final impact will occur that is not defined and a proper risk assessment based on detailed information that is not properly done and communicated. Another cause is that the integrated process of making closure part of the Environmental Management Programme Report (EMPR) process is not followed. The result of not following the correct process is that mines do not obtain closure. Another reason why mines do not obtain closure is because of an underdeveloped mine infrastructure, e.g. tailings facilities, waste rock dumps, shafts and plants that are not constructed in an environmentally friendly way during the operational phases to facilitate closure. Therefore, these structures need to be changed in terms of their topography and growth medium to ensure an improvement in environmental parameters. This will assist in obtaining sustainability and final closure. Significantly more trust fund money than initially estimated during operations needs to be spent to ensure the above change.
Specific issues defined from the case studies were the adaptation of the administration of the closure process, the management of risks, especially the differences in opinions, the management of the mine life cycle for closure and involvement of the land owners and Interested and Affected Parties (l&APs).
This research was necessary because companies are uncertain and lack the competency to estimate and to correctly spend trust fund money in order to be sure of obtaining closure. This situation threatens the long-term survival of mining-companies by holding assets and profits back until closure is attained. The state departments also have to address the risks and have to rehabilitate the polluted mine sites if companies do not obtain closure.
A proper PLC to facilitate closure was compiled from the above-mentioned data. An important fact to bear in mind is that the activities within the life cycle depend on one another. Therefore, when one activity is disregarded or not properly performed, it will influence the outcome of the remaining activities.
The methodology of the research was as follows: Categories to evaluate the closure process of the selected case studies were determined from the project life cycle and the management principles of the literature review. Thereafter a questionnaire was developed from these categories. The questionnaire was subsequently used to guide interviews. After the interviews these categories and findings from the questionnaire were combined and summarised into key findings.
The key findings of the research were:
• The driving force behind obtaining closure must shift from the State Departments to the mining companies. They must realise there is an opportunity during the closure process to make money and to minimise their long-term liability. The mining company must thus drive the closure process to obtain environmental sustainability.
• The gold mines do have problems in terms of cost estimation and trust fund expenditure at their TSF footprints during the closure process. The reasons were a mismanagement of the closure process and making use of a limited information system to make decisions.
• A proper closure process does exist, but it can be improved to ensure all interested and affected parties have the same expectations from closure.
• There are many activities in the closure process flow diagram which were not properly attended to according to the case studies.
• A conceptual closure plan and a draft rehabilitation plan with broad objectives, policies and strategies with detailed descriptions were not compiled during the operational phase, because limited scientific monitoring information was gathered to do a proper risk assessment and some l&APs consultation was done mainly with the material and land owners on a one on one basis.
From these key findings the following recommendations could be formulated:
• Any mining operation should conduct a closure audit at least every second year and before mining activities change.
• A searchable record keeping system must be established to keep track of the closure life cycle development.
• Detailed conceptual and final closure plans need to capture the data from the audits and record keeping system.
• A communication forum with company management and environmental specialists needs to be established. / Thesis (M. Environmental Management)--North-West University, Potchefstroom Campus, 2009.
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