Emphasis on positivity in organizations in increasing, but the importance and credibility of a positive approach to change-exemplified by positive organizational scholarshipremains controversial. More empirical evidence is needed showing that positive practices in organizations produce desirable changes in organizational effectiveness. Two studies-one in financial services and one in the health care industry-are reported, which investigate the link between positive practices and indicators of organizational effectiveness. A positive practices instrument is developed, and evidence is found that positive practices do, in fact, predict organizational performance. More important, improvement in positive practices predicts improvements in certain indicators of effectiveness over time. The results are explained by the inherent amplifying, buffering, and heliotropic effects of positivity in human systems.
Even using precise methodology, the reproducibility of maximum diameter measurements of native AAA on CTA may exceed recommended thresholds. The semi-automatic method yielded the lower discordance rates and provided a more relevant anatomical approach for measuring the maximum diameter of an AAA.
ResumenLas nuevas tecnologías de la información van creando una nueva cultura que se denomina como cibercultura o ambiente digital, que incluye las tecnologías, las formas sociales de la producción tecnológica y las nuevas simbolizaciones y metáforas de la existencia de los hombres. Se presentan así algunos interrogantes fundamentales de inicio: ¿Cómo debe la iglesia responder a la nueva cultura virtual o cibercultura?, ¿Cómo se reflexiona teológi-camente sobre la cibercultura?, ¿Cómo puede la iglesia usar el ciberespacio para hacerlo?, ¿Qué se está haciendo en este campo de la ciberteología? Se analizan las posibilidades y límites de una reflexión llamada ciberteología, con base epistémica y comunidad acadé-mica todavía incipientes, pero que con una teología colaborativa puede aportar a la reflexión teológica del siglo XXI donde hay problemas graves para resolver desde la fe, como son la transmisión de la experiencia, la corporalidad y la presencia, el desafío a la autoridad y la solidaridad. Palabras clave: ciberteología, cibercultura, ciberevangelización, ambiente digital, ciberreligión.
Evangelize cyberculture: the challenges of cybertheology
Background:
Computed tomography angiography (CTA) is the reference technique for the measurement of native maximum abdominal aortic aneurysm (AAA) diameter when surgery is being considered. However, there is a wide choice available for the methodology of maximum AAA diameter measurement on CTA, and to date, no consensus has been reached on which method is best. We analyzed clinical decisions based on these various measures of native maximum AAA diameter with CTA, then analyzed their reproducibility and identified the method of measurement yielding the highest agreement in terms of patient management.
Materials and Methods:
Three sets of measures in 46 native AAA were obtained, double-blind by three radiologists (J, S, V) on orthogonal planes, curved multiplanar reconstructions, and semi-automated-software, based on the AAA-lumen centerline. From each set, the clinical decision was recorded as follows: "Follow-up" (if all diameters <50 mm), "ambiguous" (if at least one diameter <50 mm AND at least one ≥50 mm) or "Surgery " (if all diameters ≥50 mm). Intra- and interobserver agreements in clinical decisions were compared using the weighted Kappa coefficient.
Results:
Clinical decisions varied according to the measurement sets used by each observer, and according to intra and interobserver (lecture#1) reproducibility. Based on the first reading of each observer, the number of AAA proposed for surgery ranged from 11 to 24 for J, 5 to 20 for S, and 15 to 23 for V. The rate of AAAs classified as "ambiguous" varied from 11% (5/46) to 37% (17/46).The semi-automated method yielded very good intraand interobserver agreements in clinical decisions in all comparisons (Kappa range 0.83–1.00).
Conclusion:
The semi-automated method seems to be appropriate for native AAA maximum diameter measurement on CTA. In the absence of AAA outer-wallbased software more robust for complex AAA, clinical decisions might best be made with diameter values obtained using this technique.
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