Office Evaluation Research Articles

성 분할 모집 폐지에 따른 여성경찰 체력시험의 문제점

성 분할 모집 폐지에 따른 여성경찰 체력시험의 문제점

MP74-11 FEASIBILITY AND RELIABILITY OF TELEPHONE FOLLOW-UP AFTER RADICAL PROSTATECTOMY FOR PROSTATE CANCER

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy IV (MP74)1 Apr 2020MP74-11 FEASIBILITY AND RELIABILITY OF TELEPHONE FOLLOW-UP AFTER RADICAL PROSTATECTOMY FOR PROSTATE CANCER Matteo Balzarro*, Emanuele Rubilotta, Marilena Gubbiotti, Alberto Diminutto, Simone Francavilla, Chiara Lonati, Antonio Benito Porcaro, Mariaangela Cerruto, Michele Di Nauta, Ester Illiano, Vito Mancini, Luigi Cormio, Elisabetta Costantini, Giuseppe Carrieri, and Alessandro Antonelli Matteo Balzarro*Matteo Balzarro* More articles by this author , Emanuele RubilottaEmanuele Rubilotta More articles by this author , Marilena GubbiottiMarilena Gubbiotti More articles by this author , Alberto DiminuttoAlberto Diminutto More articles by this author , Simone FrancavillaSimone Francavilla More articles by this author , Chiara LonatiChiara Lonati More articles by this author , Antonio Benito PorcaroAntonio Benito Porcaro More articles by this author , Mariaangela CerrutoMariaangela Cerruto More articles by this author , Michele Di NautaMichele Di Nauta More articles by this author , Ester IllianoEster Illiano More articles by this author , Vito ManciniVito Mancini More articles by this author , Luigi CormioLuigi Cormio More articles by this author , Elisabetta CostantiniElisabetta Costantini More articles by this author , Giuseppe CarrieriGiuseppe Carrieri More articles by this author , and Alessandro AntonelliAlessandro Antonelli More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000960.011AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To evaluate the feasibility and reliability of telephone follow-up after radical prostatectomy (RP) for prostate cancer (PC). METHODS: This is a multicenter prospective observational study (January 2017- ongoing). Patients received telephone call 7-10 days before the office evaluation. During the telephone call clinical history and last available PSA were assessed. During office evaluation a urologist performed digital rectal examination (DRE) and was blind to PSA level, a second urologist assessed the PSA and the reported DRE. Correlation between PSA and DRE was performed. Patients were stratified according to PSA levels as follow: Group 1 PSA < 0.2 ng/ml. Group 2 PSA > 0.2 ng/ml. Patients were stratified also according to surgical margin specimen and pT stages. Agreement evaluation was performed. Telephone follow-up satisfaction was assessed by VAS scale. RESULTS: All patients with PSA < 0.2 ng/ml had negative DRE with agreement of 100%. Pts with PSA > 0.2 ng/ml had a positive DRE in 3/34, all pts with PSA <4 ng/ml. The concordance between DRE and PSA in non-biochemical recurrence patients was 100% (461/461), while the concordance between DRE and PSA in biochemical recurrence patients was 8.8% (3/34). Surgical margin specimen and pT stages did not influenced DRE results (Table 1). The patient management between telephone follow-up and in clinic evaluation did not change in all cases with PSA <0.2, while in case of biochemical recurrence could change in 8.8%. Satisfaction rate was high (82%). Stratification of patients according with DRE and PSA levels is reported in table 2. CONCLUSIONS: Telephone follow-up was feasible and reliable in the management of males without biochemical recurrence after RP. While, in case of biochemical recurrence an office evaluation is advisable. Telephone follow-up had high patients’ satisfaction rate. Source of Funding: none © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1135-e1136 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Matteo Balzarro* More articles by this author Emanuele Rubilotta More articles by this author Marilena Gubbiotti More articles by this author Alberto Diminutto More articles by this author Simone Francavilla More articles by this author Chiara Lonati More articles by this author Antonio Benito Porcaro More articles by this author Mariaangela Cerruto More articles by this author Michele Di Nauta More articles by this author Ester Illiano More articles by this author Vito Mancini More articles by this author Luigi Cormio More articles by this author Elisabetta Costantini More articles by this author Giuseppe Carrieri More articles by this author Alessandro Antonelli More articles by this author Expand All Advertisement PDF downloadLoading ...

RESULTS OF STATISTICAL ANALYSIS OF SERVICE EVALUATION OF POLICE OFFICERS OF THE POLICE OF THE CZECH REPUBLIC

At present there are increasing demands for security. The Police of the Czech Republic are aware that without educated and motivated employees their activities will not be professionally developed at the required pace. Senior management has a number of tools to improve performance and one of the main features is to identify a quality staff appraisal system. The article presents the results of research concerning the issue of evaluation of police officers of the Police of the Czech republic, which was carried out at the beginning of 2019. The obtained results were processed by standard statistical methods.

How Criminal Offenders Perceive Police Officers’ Appearance: Effects of Uniforms and Tattoos on Inmates’ Attitudes

ABSTRACTBoth, the number of people wearing visible body modifications, e.g., tattoos, and their acceptance in society have been significantly increased. Thus, rules and regulations of German police officers’ appearance prohibiting to show tattoos during police services are challenged. Basically, such standards aim to minimize risk factors in police service and to maximize safety at work, thus fostering police operations and finally promoting a favorable image of the police organization. Within the scope of the “Police Officer Appearance”-project (2016–2018) of the Rhineland-Palatinate Police University, we aimed to answer the question how police officers in uniform with visible tattoos are evaluated by others. Within a sub-project, we focused on an important target group in police services: criminal offenders. While previous studies found evidence that wearing a uniform was associated with more favorable ratings of police officers as compared to people in civilian clothing (“uniform-effect”), showing a tattoo had a rather detrimental effect of attitudes toward police officers (“tattoo-effect”). In the present study, we investigate whether these effects transfer to the sub-population of criminal offenders. A total of N = 98 inmates of a correctional institution in Rhineland-Palatinate participated in the study. Inmates were presented pictures of police officers in police uniform or civilian clothing with or without visible tattoos. Results revealed the “uniform-effect” among inmates, i.e., a more positive evaluation of police officers wearing police uniform. However, the “tattoo-effect” was not present in this subgroup. Implications for theory, limitations and future research directions, as well as practical implications are discussed.

Beyond 2020: Office and Other Outpatient Evaluation and Management Coding

Code changes that will not be effective until January 1, 2021, are of such significance to those pediatricians providing office and other outpatient evaluation and management (E/M) services that this issue of AAP Pediatric Coding Newsletter™ includes articles introducing these changes.

室内環境の多様性に配慮した次世代ABW オフィスに関する研究 （その２）冬季の温熱環境評価

室内環境の多様性に配慮した次世代ABW オフィスに関する研究 （その２）冬季の温熱環境評価

室内環境の多様性に配慮した次世代ABWオフィスに関する研究 （その1）リニューアルの計画概要とCASBEE-WOの評価

室内環境の多様性に配慮した次世代ABWオフィスに関する研究 （その1）リニューアルの計画概要とCASBEE-WOの評価

室内環境の多様性に配慮した次世代ABWオフィスに関する研究 （その４）－改修前後の冬季アンケート評価－

室内環境の多様性に配慮した次世代ABWオフィスに関する研究 （その４）－改修前後の冬季アンケート評価－

室内環境の多様性に配慮した次世代ABWオフィスに関する研究 （その３）温熱環境調整デバイスの概要と評価

室内環境の多様性に配慮した次世代ABWオフィスに関する研究 （その３）温熱環境調整デバイスの概要と評価

Describing Success by Gender Through the U.S. Army Officer Evaluation System

The United States Army uses both subjective and objective evaluation methods when assessing the performance of duties and potential for future service in the Officer Evaluation Report (OER). Males and females proportionally receive the same objective ratings, but on the surface, it is difficult to determine whether subjective ratings are equal. This paper seeks to examine the different ways success is described in each gender and how the OER follows or deviates from these trends. Upon examination of narratives written on the evaluation reports, many of the same words are used to describe success of males and females in the narratives written by their raters. The similarities amongst the reports suggest that the narratives follow a standardized format which may devalue their purpose of providing individualized feedback to the officer and to promotion boards.

Foreword by Guest Editor LTC James H. Schreiner, PhD, PMP, CPEM

This special issue of the Industrial and Systems Engineering Review highlights top papers from the 2019 annual General Donald R. Keith memorial capstone conference held at the United States Military Academy in West Point, NY. Following careful review of 48 academic paper submissions, eight were selected for publication in this journal. Each paper incorporated features of systems or industrial engineering and presented detailed and reflective analysis in the topic. Three general bodies of knowledge in the papers include: systems engineering and decision analysis, modeling and simulation, and artificial intelligence Systems Engineering and Decision Analysis topics included three unique contributions. The work of Flanick et al. examined adaptability in Hyper-Enabled Operator systems and recommended how each technology might address capability gaps for special operations forces. Wilby et al. employed a scalable predictive statistical model for decision support to significant work package prioritization for U.S. Army Corps of Engineers nationally significant inland waterway infrastructure. Contributions by Shi et al. employed value focused thinking and a robust cost model to enable decision quality for PM Cargo CH-47 technologies. Modeling and Simulation works also included three unique contributions. Recognized as ‘best paper’ at the 2019 conference, work by Cooley et al. developed a senior leader engagement model using sparse K-means clustering techniques to greatly improve the planning and execution for AFRICOM leadership. Lovell et al. employed robust military simulation models to evaluate and propose solutions Soldier Search and Target Acquisition protocols. Work by Drake et al. employed vehicle Routing Problem simulation software to enhance United Health Services material handling challenges across NY State thus enabling quality optimization choices. Finally, two unique contributions in artificial intelligence examined key text mining technologies. Shi et al. employed text mining and Latent Dirichlet Allocation modeling to derive insights through trends and clustering narratives on U.S. Army Officer Evaluation Reports and describe success. Similarly, text mining techniques by Senft et al. helped to examine and show similarities in success narratives across genders thus providing valuable insights for promotion boards. Congratulation to the 2019 undergraduate scholars and all authors who provided valuable contributions through thoughtful and steadfast intellectual efforts to their fields of study! LTC James H. Schreiner, PhD, PMP, CPEM Director, Operations Research Center Department of Systems Engineering United States Military Academy Mahan Hall, Bldg 752, Room 305 West Point, NY 10996, USA james.schreiner@westpoint.edu

Analyzing U.S. Army Officer Evaluation Reports with Natural Language Processing: A Log-Odds and Latent Dirichlet Allocation Exploration

Each job field (branch) in the Army requires a unique set of skills and talents of the officers assigned. Officers who demonstrate the required skills are often more successful in their assigned branch. To better understand how success is described across branches, research was conducted using text mining and text analysis of a data set of Officer Evaluation Reports (OERs). This research looked for common trends and discrepancies across varying branches and like groups of branches by analyzing the narrative portion of OERs. Text analysis methods examined words and bigrams commonly used to describe varying degrees of performance by officers. Topic modeling using Latent Dirichlet Allocation (LDA) was also conducted on top rated narratives to investigate trends and discrepancies in clustering narratives. Findings show that qualitative narratives for the top two performance designations fail to differentiate between officers’ varying levels of performance regardless of branch.

1406 Same-Day Discharge Following Vaginal Hysterectomy with Pelvic Floor Reconstruction: A Pilot Study

Study Objective Determine safety and feasibility of same-day discharge in patients undergoing vaginal hysterectomy with pelvic floor reconstruction. Design Prospective cohort pilot study. Setting Single academic medical center. Patients or Participants Women undergoing vaginal hysterectomy with pelvic floor reconstruction were considered for inclusion in the study. Interventions Same-day discharge or overnight hospitalization following surgery. Measurements and Main Results A total cohort of 55 women undergoing vaginal hysterectomy and pelvic floor reconstruction for pelvic organ prolapse and/or urinary incontinence was identified. The control group consisted of 19 women that were planned for overnight hospitalization. The intervention group had 36 women that were planned for same-day discharge. In the intervention group, 63.9% of patients (n=23) were successfully discharged home and 36.1% (n=13) required an unplanned overnight admission. Reasons for unplanned admission included persistent anesthetic effects (dizziness/nausea/drowsiness) (n=9; 69%), uncontrolled pain (n=1, 7.7%), fever (n=1, 7.7%), anemia (n=2, 15.4%), with return to operating room for hematoma evacuation (n=1; 7.7%). Voiding trial was passed on first attempt in 30 patients (54.5%). The percentage of successful voiding trials on the first attempt was 30.8% for patients requiring unplanned admission and 78.9% for patients with planned overnight hospitalization (p = 0.011). There were no significant differences in the number of emergency department visits (p=0.677) or unplanned office visits (p=0.193) between the control and intervention groups. Conclusion Same-day discharge after vaginal hysterectomy with pelvic floor reconstruction appears to be safe and feasible. Patients who were discharged the same-day did not require a higher volume of emergency department or office evaluations.

SAT-091 NOCTURNAL HYPERTENSION ON LONGITUDINAL AMBULATORY BLOOD PRESSURE MONITORING AND LEFT VENTRICULAR HYPERTROPHY IN PEDIATRIC RENAL TRANSPLANT RECIPIENTS

Hypertension (HTN) after renal transplantation is known to be associated with cardiovascular morbidity. Indian children with chronic kidney disease (prior to transplantation) have a 3 times higher prevalence of LVH1 compared to western counterparts2. The aims of this observational study in pediatric kidney transplant recipients were to describe the prevalence of masked HTN and LVH, the association between ABPM measurements and left ventricular mass index (LVMI ) and to determine the longitudinal changes in ambulatory blood pressure monitoring (ABPM). ABPM and auscultatory clinic BP were performed in children (2015- 2018), ≥ 3 months post transplant with a stable functioning renal allograft at baseline and repeated in 6-12 months. Mean daytime and sleep ambulatory BPs were calculated. Nocturnal dip (mean sleep BP vs. mean daytime BP) <10% was defined as blunted. Clinic and ABPM mean BPs were indexed to the 95th percentile (HTN present if BP index ≥ 1). ECHO data from a single timepoint performed within 6 months of ABPM was used to calculate LVMI (LVH present if > 95th percentile for age/sex). Masked HTN was defined as clinic BP index <1 and ABPM SBP or DBP index ≥ 1. Isolated nocturnal hypertension was diagnosed if daytime BP indices were <1 but sleep BP indices were ≥ 1. Linear Regression determined the association between LVMI and ABPM indices. Baseline Data: 30 children were included (14 boys, 28 living donor allografts, age 13.2 ±3 yrs, eGFR = 75±32 ml/min/1.73m2, median 18mths post transplant). Masked HTN was present in 16/30 (53%), [Fig 1]; all with masked HTN were treated with increased dose and/or number of BP medications. Clinic BP failed to diagnose 65% of patients with HTN. Isolated nocturnal HTN occurred in 13/25 (52%) of patients with HTN. Sleep SBP and DBP indices were higher than daytime BPs (p < 0.001 for each). Blunted nocturnal dip was present in 80%. LVH and LVMI: 12/21 patients (57%) with echoes had LVH; all with LVH had HTN by ABPM. Elevated sleep SBP and DBP indices as well as sleep BP loads (p < 0.05 for each) were associated with elevated LVMI. Follow-up Data: 18 had follow-up ABPM [Table 1]. Overall, BPM indices (not clinic BPs) decreased on follow-up (all p < 0.05) but sleep BPs remained higher than daytime. Table 1: Ambulatory BP Values on Initial ABPM and Follow UP Prevalence of masked HTN, isolated nocturnal HTN and blunted nocturnal dip was high in this study of children with kidney transplants. Nocturnal BP predicted LVMI. Clinical treatment based on ABPM was associated with improvement in BP, but nocturnal hypertension was persistent. This data confirms the importance of proactive ABPM monitoring of children with kidney transplants as hypertension is not satisfactorily assessed by office evaluation.

Long-Term Results of Burch and Autologous Sling Procedures for Stress Urinary Incontinence in E-SISTEr Participants at 1 Site.

We report long-term outcomes in participants in the E-SISTEr (Extended Stress Incontinence Surgical Treatment Efficacy Trial) at 1 tertiary care center who underwent a Burch or a fascial sling procedure for stress urinary incontinence. After receiving institutional review board approval E-SISTEr participants at 1 center who underwent midterm office evaluation in 2010 were further reevaluated at longer term followup by office visits and structured telephone interviews. The telephone interviews were performed by a third party not involved in patient care for those not seen in the last 2 years. Each group received validated questionnaires, including the UDI-6 (Urogenital Distress Inventory-Short Form), the IIQ-7 (Incontinence Impact Questionnaire-Short Form) and the visual analogue quality of life score questionnaire. Failure was measured by Kaplan-Meier curves using time to reoperation for stress urinary incontinence. Of the 29 eligible patients, including 14 treated with a Burch procedure and 15 treated with a sling procedure, 21 had long-term information available, including 11 and 10, respectively. Median followup was 15.1 years (range 11.2 to 16.0). One of the 8 patients was lost to followup, 1 died and 7 were unreachable by telephone. The UDI-6 question 3 score was lower for the 13 patients followed by telephone, including 13 and 7 with a Burch and a sling procedure compared to the 8 seen in clinic, including 5 and 3 with a Burch and a sling procedure, respectively (mean ± SD score 0.3 ± 0.6 vs 1.3 ± 1.1, p=0.0208). The UDI-6 scores were similar for the 2 procedures. Stress urinary incontinence reoperation was performed in 3 cases, including placement of a fascial sling in 1 Burch case. The other 2 cases in the Burch and sling groups received an injectable agent at 11.6 and 13.5 years, respectively. The overall Kaplan-Meier 15-year reoperation-free survival rate was 85.2% (95% CI 60.8-95). In this well characterized cohort with a median followup of 15.1 years there was sustained improvement in continence scores and quality of life related to stress urinary incontinence in each group and the reoperation rate was low.

The application of AHP in the development of a taxonomy of merchant marine deck officers’ non-technical skills (NTS)

Abstract The importance of NTS has been realised in many safety critical industries. Recently the maritime domain has also embraced the idea and implemented an NTS training course for both merchant marine deck and engineering officers. NTS encompass both interpersonal and cognitive skills such as situational awareness, teamwork, decision making, leadership, managerial skills, communication and language skills. Well-developed NTS training allow ship’s officers to recognise quickly when a problem is developing and manage the situation safely and efficiently with the available team members. As a result, the evaluation and grading of deck officers’ NTS is necessary to assure safety at sea, reduce the effects of human error on-board ships, and allow ship board operations to be performed safely. This paper identifies the skills necessary for deck officers to effectively perform their duties on the bridge of a ship. To achieve this, initially, a taxonomy of deck officers’ NTS is developed through a review of relevant literature and the conducting of semi-structured interviews with experienced seafarers. Subsequently, NTS weighting data is collected from experienced seafarers to allow the weight of each element of the taxonomy to be established by the use of the Analytical Hierarchy Process (AHP).

Use of fertility preservation services in female reproductive-aged cancer patients

The objective of the study was to determine the rates and predictors of fertility preservation services among reproductive-aged women with common cancers in the United States. We used the MarketScan database to identify women 18-45 years of age with lung, breast, colorectal, or cervical cancer who underwent surgery and chemotherapy from 2009 through 2016. Services from 3 months before to 3 months after chemotherapy for evaluation for fertility preservation, laboratory testing for fertility evaluation, and fertility-preserving procedures were captured. Multivariable models were used to assess the factors associated with the use of fertility-preservation services. A total of 18,781 women, including 386 cervical, 1372 colorectal, 246 lung, and 16,777 with breast cancer, were identified. In women 18-35 years old, 11.7% underwent evaluation for fertility preservation, 13.7% underwent laboratory testing, and 6.3% pursued fertility-preserving procedures. The rates of office evaluation, laboratory testing, and performance of procedure were 3.3%, 7.5%, and 1.9 % in women aged 36-40 years and 0.5%, 7.2%, and 0.3% in those aged 41-45 years, respectively. The rate of fertility preservation evaluation rose from 1.0% in 2009 to 5.5% in 2016 (risk ratio, 4.66, 95% confidence interval, 2.38-9.11) while use of fertility-preserving procedures increased from 1.0% to 4.6% (risk ratio, 3.84, 95% confidence interval, 1.94-7.59) during the same time period. In a multivariable model, use of any fertility-preserving interventions were more common in patients with breast cancer (adjusted risk ratio, 2.30, 95% confidence interval, 1.30-4.06), those in the Northeast (adjusted risk ratio, 1.24, 95% confidence interval, 1.10-1.40), and in younger women (18-35 years) (adjusted risk ratio, 2.59, 95% confidence interval, 2.32-2.89). Although limited by lack of information regarding cancer stage and desire for future fertility, only a small fraction of reproductive-aged female cancer patients receiving chemotherapy are evaluated in a nationwide sample for fertility preservation or undergo fertility-preserving procedures.

Patient-Reported Outcomes of Achilles Tendon Repair Using the Modified Gift-Box Technique With Nonabsorbable Suture Loop: A Consecutive Case Series

We sought to determine the early range of motion, complication rates, and 1-year patient-reported outcomes following Achilles tendon repair, using a modified gift-box suture loop technique. Sixty consecutive patients (49 males, mean age 36.2 ± 9.9 years) who underwent Achilles tendon repair with a modified gift-box suture loop technique performed by a single surgeon were prospectively enrolled. The range of motion at the final follow-up visit (mean 6 months) and the Achilles tendon rupture score (ATRS) and the complication rates at 1 year were obtained with 83% follow-up. The predictors of complications and ATRS were assessed. The mean operative time was 63.1 ± 10.8 minutes, which decreased throughout the case series (r = 0.46, p < .001). The mean plantarflexion at the final office evaluation was 31.7° ± 6.2°, dorsiflexion was 11.7° ± 6.3°, and total ankle arc of motion was 43.6° ± 9.7°; longer length of follow-up was associated with greater dorsiflexion (p = .008) and the total arc of motion (p = .008) but not with plantarflexion (p = .16). The overall rerupture rate was 1.7% (1 patient), wound complication rate was 1.7% (1 patient), and the overall complication rate was 6.7% (4 patients). No predictors of complications were identified. Complication rates did not differ between the first 30 (6.7%) cases and second 30 (6.7%) cases. The mean ATRS at 1 year was 81.8 ± 16.8 points. The rerupture and overall complication rates by 1 year were low. The range of motion, particularly dorsiflexion, improved through at least 6 months. Diabetic patients had lower 1-year ATRS than nondiabetic patients using this technique.

Chronic Kidney Disease and Kidney Cancer Surgery: New Perspectives.

We sought to provide a contemporary understanding of chronic kidney disease and its relevance to kidney cancer surgery. Another purpose was to resolve points of discrepancy regarding the survival benefits of partial vs radical nephrectomy by critically evaluating the results of prospective and retrospective studies in the urological literature. We performed a comprehensive literature search for relevant articles listed in MEDLINE® from 2002 to 2018 using the key words radical nephrectomy, partial nephrectomy, glomerular filtration rate, kidney function and chronic kidney disease. We also assessed select review articles and society guidelines about chronic kidney disease pertinent to urology and nephrology. Complete evaluation of the potential consequences of chronic kidney disease involves assessment of the cause, the glomerular filtration rate level and the degree of albuminuria. Chronic kidney disease is commonly defined in the urological literature solely as a glomerular filtration rate less than 60 ml/minute/1.73 m2. This ignores the significance of the cause of chronic kidney disease, and the presence and degree of albuminuria. Although this glomerular filtration rate is relevant for preoperative assessment of patients who undergo surgery of kidney tumors, recent studies suggest that a glomerular filtration rate less than 45 ml/minute/1.73 m2 represents a more discerning postoperative prognostic threshold. Reported survival benefits of partial over radical nephrectomy in retrospective studies were likely influenced by selection bias. The lack of survival benefit in the partial nephrectomy cohort in the only randomized trial of partial vs radical nephrectomy was consistent with data demonstrating that patients in each study arm were at relatively low risk for mortality due to chronic kidney disease when accounting for the chronic kidney disease etiology and the postoperative glomerular filtration rate. The prognostic risk of chronic kidney disease in patients with kidney cancer is increased when the preoperative glomerular filtration rate is less than 60 ml/minute/1.73 m2 or the postoperative rate is less than 45 ml/minute/1.73 m2. Additional factors, including nonsurgical causes of chronic kidney disease and the degree of albuminuria, can also dramatically alter the consequences of chronic kidney disease after kidney cancer surgery. Urologists must have a comprehensive knowledge of chronic kidney disease to assess the risks and benefits of partial vs radical nephrectomy when managing tumors with increased complexity and/or oncologic aggressiveness.

SUSTAINABLE BUSINESS LOCATION CHARACTERISTICS OF PURPOSE-BUILT OFFICES IN MALAYSIA

The location evaluation of purpose-built office (PBO) has increase in complexity with the addition of sustainability dimension in the evaluation. There are many elements that need to be considered in the complex sustainability concept of PBO in terms of location. This paper aims to investigate stakeholders’ perceptions towards PBO in the context of sustainable business location in the Golden Triangle of Kuala Lumpur, Malaysia. Data was obtained through questionnaire survey utilising pairwise comparison technique. Analytic Network Process (ANP) analysis was then employed. The findings demonstrated the dependence of each sustainable business location characteristic of PBO based on the perceptions of selected stakeholders.