Extra Step (extra + step)

Distribution by Scientific Domains


Selected Abstracts


Decoupling the past from the present attenuates inaction inertia

JOURNAL OF BEHAVIORAL DECISION MAKING, Issue 1 2007
Marijke van Putten
Abstract Inaction inertia is the phenomenon that one is not likely to act upon an attractive opportunity after having bypassed an even more attractive opportunity. We investigated the boundary conditions of this inaction inertia effect. Based on the mental accounting literature and the transaction decoupling literature we predicted and found in three experiments that tight coupling of the forgone to the current opportunity is a necessary condition for inaction inertia to occur. Inaction inertia decreased when information about the missed opportunity was ambiguous (Experiment 1), when the past opportunity required an extra step to obtain (Experiment 2) and when the past and present opportunity decreased in comparability (Experiment 3). The theoretical and practical implications of the results are discussed in view of the literature on inaction inertia and on judgment and decision-making. Copyright © 2006 John Wiley & Sons, Ltd. [source]


Success of Ultrasound-guided Peripheral Intravenous Access with Skin Marking

ACADEMIC EMERGENCY MEDICINE, Issue 8 2008
Jessica R. Resnick MD
Abstract Objectives:, The most effective technique for ultrasound-guided peripheral intravenous access (USGPIVA) is unknown. In the traditional short-axis technique (locate, align, puncture [LAP]), the target vessel is aligned in short axis with the center of the transducer. The needle is then directed toward the target under real-time ultrasound (US) guidance. Locate, align, mark, puncture (LAMP) requires the extra step of marking the skin at two points over the path of the vein and proceeding with direct visualization as in LAP. The difference in success between these two techniques was compared among variably experienced emergency physician and emergency nurse operators. Methods:, Subjects in an urban academic emergency department (ED) were randomized to obtain intravenous (IV) access using either LAP or LAMP after two failed blind attempts. Primary outcomes were success of the procedure and time to complete the procedure in variably experienced operators. Results:, A total of 101 patients were enrolled. There was no difference in success between LAP and LAMP, even among the least experienced operators. Of successful attempts, LAMP took longer than LAP (median 4 minutes, interquartile range [IQR] 4,10.5 vs. median 2.9 minutes, IQR 1.6,7; p = 0.004). Only the most experienced operators were associated with higher levels of success (first attempt odds ratio [OR] 6.64; 95% confidence interval [CI] = 2 to 22). Overall success with up to two attempts was 73%. Complications included a 2.8% arterial puncture rate and 12% infiltration rate. Conclusions:, LAMP did not improve success of USGPIVA in variably experienced operators. Experience was associated with higher rates of success for USGPIVA. [source]


Why capacity trumps costs

JOURNAL OF CORPORATE ACCOUNTING & FINANCE, Issue 3 2003
Reginald Tomas Yu-Lee
Understanding how to reduce costs is not hard. But savings accrue only from acting on improvement ideas, and only then will there be any financial benefit. Ultimately, companies have to execute effectual management practices to successfully manage their costs. To effectively utilize capacity, a company's managers must take extra steps to reduce the capacity or else pay less for it. © 2003 Wiley Periodicals, Inc. [source]


Encapsulation of nanoparticles by polymerization compounding in a gas/solid fluidized bed reactor

AICHE JOURNAL, Issue 9 2009
Babak Esmaeili
Abstract For the first time, a fluidized bed reactor was used for encapsulating nanoparticles by the polymerization compounding approach using Ziegler,Natta catalysts. The polymerization reaction was carried out using a solvent-free process in a gas-phase reactor. This direct gas,solid reaction greatly simplified collecting the particles of interest after polymerization because none of the extra steps often found in encapsulation processes, such as filtering and drying, were performed in this work. The grafting of the catalyst to the original surface of particles was confirmed by X-ray photoelectron spectroscopy. Micrographs obtained by transmission electron microscopy confirmed the presence of a thin layer of polymer, in the order of a few nanometers, around the particles. The thickness of this coating was affected by the operating conditions of the process. The characterization of the modified particles with electron microscopy also revealed that zirconia nanoparticles tend to be coated in an agglomerated state, whereas aluminum particles were mostly individually encapsulated by the polymer. In addition, the effects of temperature and pressure were studied on the encapsulation process and a kinetic analysis was presented based on the available models in the literature. © 2009 American Institute of Chemical Engineers AIChE J, 2009 [source]