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Future Revision (future + revision)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

A decade of mandatory environmental reporting in Denmark

ENVIRONMENTAL POLICY AND GOVERNANCE, Issue 6 2005
Jette Egelund Holgaard
Abstract In Denmark, the first law on green accounts was passed in July 1995. The law instructed a selected sample of Danish companies to prepare a green account. In 2002 the government strengthened the law, as the official evaluation showed that expectations for the delivered green accounts concerning content, form and reach were not met. One of the new initiatives was that the companies should describe their environmental policy, goals and results , if any. In this paper the potentials of the revised law will be discussed in relation to experiences with the first law and best practice in accordance with the Global Reporting Initiative (GRI). This discussion is pursued in a broader European context to elaborate on the perspectives of mandatory environmental reporting and leads to some amendments for a future revision of the Danish law on green accounts. Copyright © 2005 John Wiley & Sons, Ltd and ERP Environment. [source]

Inter-rater and test,retest reliability of the Taiwanese rehabilitation functional scale

OCCUPATIONAL THERAPY INTERNATIONAL, Issue 3 2001
Ay-Woan Pan
Abstract The need of a standardized evaluation tool for clinical practice is acknowledged by occupational therapists worldwide. The purpose of this study was to examine the inter-rater and test,retest reliabilities of the Taiwanese Rehabilitation Functional Scale (TaRFS) developed in Taiwan. Seventy-five subjects with varying diagnoses were recruited to participate in the study. They came from an inpatient rehabilitation unit within a university-affiliated hospital. All participants were tested on a functional measure of their independence on activities of daily living and cognitive,social tasks, and of their sense of well-being. The Activity of Daily Living (ADL) and Cognitive-Social Skills (CSS) subscales of the TaRFS were found to be reliable across raters and times. But individual items on the Subjective Well Being subscale were not stable across time. The results indicated that the ADL subscale as well as most items in the CSS subscale of the TaRFS can be utilized reliably in clinical practice. The SWB subscale of the TaRFS may need further revision in order to be used stably across time. The development of the TaRFS and future revision of the scale can be beneficial for occupational therapists in Taiwan to provide evidence of their intervention efficacy. Copyright © 2001 Whurr Publishers Ltd. [source]

Guidelines for patient selection and performance of carotid artery stenting

ANZ JOURNAL OF SURGERY, Issue 6 2010
The Carotid Stenting Guidelines Committee
Abstract Background:, The endovascular treatment of carotid atherosclerosis with carotid artery stenting (CAS) remains controversial. Carotid endarterectomy remains the benchmark in terms of procedural mortality and morbidity. At present, there are no consensus Australasian guidelines for the safe performance of CAS. Methods:, We applied a modified Delphi consensus method of iterative consultation between the College representatives on the Carotid Stenting Guidelines Committee (CSGC). Results:, Selection of patients suitable for CAS needs careful consideration of clinical and patho-anatomical criteria and cannot be directly extrapolated from clinical indicators for carotid endarterectomy (CEA). Randomized controlled trials (including pooled analyses of results) comparing CAS with CEA for treatment of symptomatic stenosis have demonstrated that CAS is more hazardous than CEA. On current evidence, the CGSC therefore recommends that CAS should not be performed in the majority of patients requiring carotid revascularisation. The evidence for CAS in patients with symptomatic severe carotid stenosis who are considered medically high risk is weak, and there is currently no evidence to support CAS as a treatment for asymptomatic carotid stenosis. The use of distal protection devices during CAS remains controversial with increased risk of clinically silent stroke. The knowledge requirements for the safe performance of CAS include an understanding of the evidence base from randomized controlled trials, carotid and aortic arch anatomy and pathology, clinical stroke syndromes, the differing treatment options for stroke and carotid atherosclerosis, and recognition and management of periprocedural complications. It is critical that all patients being considered for a carotid intervention have adequate pre-procedural neuro-imaging and an independent, standardized neurological assessment before and after the procedure. Maintenance of proficiency in CAS requires active involvement in surgical/endovascular audit and continuing medical education programs. These standards should apply in the public and private health care settings. Conclusion:, These guidelines represent the consensus of an inter-collegiate committee in order to direct appropriate patient selection and the range of cognitive and technical requirements to perform CAS. Advances in endovascular technologies and the results of randomized controlled trials will guide future revisions of these guidelines. [source]

Baulicher Brandschutz für großflächige Dächer , Kommentar zur neuen Fassung von DIN 18234

BAUPHYSIK, Issue 2 2004
Dieter Brein Dipl.-Ing.
Dächer, die die in DIN 18234 Teile 1 bis 4 beschriebenen Anforderungen erfüllen, können das Brandschutzniveau von großflächigen Dächern bei Brandbeanspruchung von unten ohne klassifizierbare Feuerwiderstandsdauer erheblich verbessern. Ein Brand im Innenraum wird das Dach damit entweder nicht mehr oder nur noch so verzögert am Brandgeschehen beteiligen können, daß eine rechtzeitig alarmierte und eintreffende Feuerwehr realistische Chancen erhält, das Brandereignis noch auf eine kleinere Fläche beschränkt vorzufinden und bekämpfen zu können. Die Aufnahme von DIN 18234 als ein Regeldachaufbau in die MusterIndustriebau-Richtlinie (MIndBauRL) war ein erster wichtiger Schritt der baurechtlichen Anerkennung dieser Norm. Es bleibt zu wünschen, daß die positiven Möglichkeiten nun auch bei den künftig überarbeiteten bauordnungsrechtlichen Vorschriften anderer Sonderbauten berücksichtigt werden können. Fire safety of large roofs for buildings , commentary on the new version of DIN 18234 Compliance with the requirements of DIN 18234 can significantly improve the fire safety of large roofs without classifiable fire resistance. A fire inside the building is thus prevented from spreading to the roof, or spreading to the roof is delayed to such an extent that the fire brigade, provided it was notified immediately and arrives in good time, has a realistic chance of finding the fire contained within a smaller area, so that it can be dealt with successfully. Inclusion of DIN 18234 as a roof construction standard in the German model guidelines for industrial buildings (MIndBauRL) was a first, but important step for the acceptance of this standard as part of the building regulation framework. It is hoped that the opportunities offered by the standard can now also be taken up in future revisions of guidelines for other special-purpose buildings. [source]