scholarly journals Influence of the syringe model on the results of the International Dysphagia Diet Standardisation initiative flow test

Revista CEFAC ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 382-387 ◽  
Author(s):  
Roberto Oliveira Dantas ◽  
Luciana Oliveira

ABSTRACT Objective: to investigate whether two different syringes yield different results in the International Dysphagia Diet Standardization Initiative (IDDSI) flow test to evaluate liquid consistency. Methods: two 10-mL syringes (Bencton and Dickinson, manufactured in the United States, and Saldanha Rodrigues, manufactured in Brazil) were compared. Flow rate of water added with food thickener (maltodextrin, xanthan gum and potassium chloride) at three concentrations, and of barium sulfate at three concentrations was measured immediately after preparation and at 8 hours and 24 hours thereafter. Results: flow rate of both water and barium sulfate was higher with the Bencton and Dickinson syringe, with discrepancies between the two syringes in the classification of fluid consistency according to the IDDI framework. Conclusion: in the evaluation of the consistency of liquids by the IDDSI flow test, a Bencton and Dickinson syringe should be used, following the recommendations of the IDDSI group.

Author(s):  
Lewis M. Cowardin ◽  
Virginia Carter ◽  
Francis C. Golet ◽  
Edward T. Laroe

2009 ◽  
Vol 44 (1) ◽  
pp. 19-46
Author(s):  
CONSTANCE J. S. CHEN

This article explores the role of Japanese merchants within American art and collecting circles and analyzes the ways in which the construction of “Asianness” and, in particular, “Japaneseness” became intertwined with the classification of Asian art. In order to reconstitute the market for high art and to create their own positionalities as legitimate cultural intermediaries, Asian art dealers such as Bunkio Matsuki (1867–1940) and Sadajiro Yamanaka (1866–1936) used their connections to Japan as cultural capital. Ultimately, their experiences illuminate the complexities of the reconceptualization of ethnic–racial identities through the lens of aesthetic discourses.


Author(s):  
Mark A. Anderson

Observable harm has been inflicted upon business by unethical decisions and misconduct. Much of this phenomenon can be traced to impoverished ethical attitudes. Among the various reasons for this problem is that of a manager's culture, which has a distinct influence on attitudes and behaviors. The purpose of this chapter was to determine, through empirical data, whether differences rooted in culture significantly contribute to differences in ethical attitudes. Management scholar Geert Hofstede's classification of cultural elements for understanding and explaining aspects of national culture was correlated with the ethical attitudes of business managers in the two national cultures of the United States and Mexico. Results indicated a significant positive relationship between national culture and ethical attitudes and the dultural dimensions of uncertainty avoidance, masculinity, and long-term orientation. A significant difference in ethical attitudes between managers from the United States and Mexico was also found.


2019 ◽  
Vol 13 (1) ◽  
pp. 61-96
Author(s):  
Diane M. Ring

Abstract Over the past few years, a significant global debate has developed over the classification of workers in the sharing economy either as independent contractors or as employees. While Uber and Lyft have dominated the spotlight lately, the worker classification debates extend beyond ridesharing companies and affect workers across a variety of sectors. Classification of a worker as an employee, rather than an independent contractor, can carry a range of implications for worker treatment and protections under labor law, anti-discrimination law, tort law, and tax law, depending on the legal jurisdiction. The debates, at least in the United States, have been incomplete due to the failure of policy makers and advocates to consider the scope and interconnectedness of the worker classification issues across the full sweep of legal arenas. There is time, however, to remedy the incompleteness of these policy conversations before worker classification decisions ossify and path dependence takes hold. Two interacting forces create the most serious risk for inadequate policy formulation: (1) silos among legal experts, and (2) first-mover effects. Both of these factors, silo and first mover, emerge in sharing economy debates in the United States. Tax experts and other legal specialists operate in distinct silos leading to a misunderstanding by non-tax analysts of the tax ramifications of worker classification, and to an under appreciation on the part of tax experts of the potential influence of “modest” tax rule changes on worker classification generally. The risks of such misunderstandings can be amplified by first-mover efforts, such as: (1) platforms’ contractual designation of workers as independent contractors to bolster a claim of nonemployer/nonemployee status; (2) platforms’ support for proposed tax legislation that would “clarify” the status of sharing workers as independent contractors for tax purposes if they satisfy a multiple-prong (relatively easy) safe harbor test; and (3) sharing economy worker litigation to secure employee status. This Article identifies the incompleteness in the worker classification debates and argues for the active formulation of policy through a process that looks beyond individual fields. A more complete conversation requires analytical engagement across multiple fields and recognition of the de facto power of reform in one arena to influence others. Moreover, it is by no means clear that just because tax might arrive at the legislative drawing table first (due to first mover effects), that it should drive or shape the broader worker classification debate.


PMLA ◽  
2013 ◽  
Vol 128 (3) ◽  
pp. 690-697 ◽  
Author(s):  
Lois Parkinson Zamora

There is no classification of the universe that is not arbitrary and conjectural. … But the impossibility of penetrating the divine scheme of the universe cannot dissuade us from outlining human schemes, even though we are aware that they are provisional.—Jorge Luis Borges, “The Analytical Language of John Wilkins” (104)Our professional practice of grouping cultural products into historical categories has recently been the subject of lively critical discussion, as well as some consternation. Here I want to consider how, and how well, periodization organizes knowledge in the field of comparative literature. Organizing knowledge is what scholars do in all disciplines, of course, but the organizational models differ according to our objects of study. Historians may be the most dependent on schemata of periodization, but literary scholars aren't far behind. Literature curricula in United States universities are largely organized according to diachronic historical categories, whether they are labeled by centuries or by rubrics tied to a historical period's style or ideology or political circumstances. This is not surprising since European periodic categories long precede the establishment of curricula in the United States. Periods are powerful because they carry with them their own historical accumulations and applications, and they become dialectical as we engage their diverse cultural and historical meanings. For this reason, they can be particularly useful to comparatists. Indeed, to speak of any period at all is to make a comparative statement. One period necessarily implies others, each period a part that exists in relation to other parts and to an implied whole—a provisional “classification of the universe,” to quote from the passage by Jorge Luis Borges that I take as my epigraph.


1969 ◽  
Vol 5 (2) ◽  
pp. 274-279
Author(s):  
V. Benedikt ◽  
Herbert L. Feay

Mr. Benedikt uses “chain relatives” based on the incurred claim totals included in Part 5 of Schedule “P” of the annual statement required for fire and casualty companies in the United States. Each total is for the losses as developed to end of calendar year (j) for claims incurred because of accidents in calendar year (i). Each total is the sum of the actual payments made before the end of year (j) plus the reserve for estimated payments to be made after the end of year (j) for claims incurred in year (i). The “chain relatives” are ratios. The “chain relative” ai,j is the ratio of developed losses to end of (j + 1) to the developed losses at the end of year (j).Each total of Part 5 of Schedule “P” equals the sum of the total payments to date plus the total reserves for future payments for the corresponding classification of claims. Separate totals for these amounts are given in Part 1 of Schedule “P”. The totals of Part 5 are not secured directly from Part 1 because Part 1 gives totals by policy year of issue only and Part 5 separates the totals by policy of issue by calendar year in which claims are incurred. The two parts are prepared from the same basic claim information and agree in total.The accumulated total paid losses for most casualty lines increase with passage of time. This accumulated total for paid losses can be reduced only if there are recoveries for losses previously paid, such as can occur for auto collision. For auto collision, the insurance company for this insurance can pay the insured for the damage to his car and then later recover from the insurance company that provided the liability insurance for another car involved in the same accident. Such substantial recoveries normally do not occur for auto liability insurance for bodily injury and property damage.


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