Does IT standardization help to boost cost and profit efficiency? Empirical evidence from German savings banks

This paper investigates the impact of IT standardization on bank performance based on a panel of 457 German savings banks over the period from 1996 to 2006. We measure IT standardization as the fraction of IT expenses for centralized services over banks' total IT expenses. Bank efficiency, in turn, is measured by traditional accounting performance indicators as well as by cost and profit efficiencies that are estimated by a stochastic frontier approach. Our results suggest that IT standardization is conducive to cost efficiency. The relation is positive and robust for small and medium-sized banks but vanishes for very large banks. Furthermore, our study confirms the often cited computer paradox by showing that total IT expenditures negatively impact cost efficiency and have no influence on bank profits. To the best of our knowledge, this paper is first to empirically explore whether IT standardization enhances efficiency by employing genuine data of banks' IT expenditures.

Algoritmos para la detección de aceite de avellana en aceite de oliva

7 pages, 5 figures, 5 tables.[EN] The fraudulent addition of hazelnut oil to olive oil can be only detected in high proportions (20-25%) using the A-stigmastenol and the difference between triacylglycerols of equivalent carbon number 42, determined experimentally by HPLC and calculated theoretically from the fatty acid composition (AECN42). A new method lies on a sequential comparison of the values of several algorithms with a database built with data obtained from genuine virgin olive oils. The algorithms are: LLLexp en función de %L; (LLL/OLLn)exp - (LLL/OLLn)teor, vs AECN44 and (ECN441LLL), vs %L; being: LLLnexpO LLnexpa nd ECN44ew the percentage of triacylglycerols determined by HPLC, LLLth, OLLnthWr and EcN44th,, the percentage of those calculated theoretically from the fatty acid wmposition; AECN44 the difference between the experimental and theoretica~v alue of ECN44; and finally %L the percentage of linoleic acid. The database has been built considering the values obtained from olive oils of diierent fatty acid composition and from admixtures between them. The method allows the detection of low percentages of hazelnut oil in olive oii ( 5%).[ES] La adición fraudulenta de aceite de avellana en aceite de oliva puede ser detectada sólo en altas proporciones (20–25 %), usando el D7-estigmastenol y la diferencia entre los triglicéridos con número de carbono equivalente igual a 42, determinados experimentalmente por HPLC y teóricamente a partir de la composición de ácidos grasos (DECN42). Se propone un nuevo método que consiste en la comparación de los valores de varios algoritmos con una base de datos de valores experimentales obtenidos de aceites de oliva virgen genuinos. Estos algoritmos son: LLLexp en función de %L; (LLL/OLLn)exp - (LLL/OLLn)teor en función de DECN44 y (ECN44/LLL)exp en función de %L; siendo LLLexp, OLLnexp, y ECN44exp los porcentajes de los triglicéridos obtenidos por HPLC; LLLteor , OLLnteor, y ECN44teor los porcentajes de éstos calculados teóricamente a partir de la composición de ácidos grasos; DECN44 la diferencia entre el valor experimental y teórico del ECN44; y finalmente %L el porcentaje de ácido linoleico. La base de datos se ha recopilado considerando los valores obtenidos de aceites de oliva de diferentes composiciones de ácidos grasos y mezclas entre ellos. El método permite la detección de pequeños porcentajes (5 %) de aceites de avellana en aceites de oliva.We thank to Ministry of Agriculture for the financia1 support (INIA CA098-005).Peer reviewe

Primary stabilization of humeral shaft fractures: an experimental study of different osteosynthesis methods

OBJETIVO: Estudo experimental idealizado com o objetivo de se avaliar a estabilização primária das fraturas da diáfise umeral com três diferentes métodos de osteossíntese, representados por uma placa tipo DCP aplicada com técnica em ponte, uma síntese incomum, denominada SPS®, ainda sem similar na literatura, aplicada pela técnica em ponte, e um terceiro método constituído de uma haste intramedular com um método de bloqueio também incomum proporcionado por um parafuso cortical distalmente e por um fio do tipo Ender proximalmente. MATERIAL E MÉTODO: Vinte e um pares de úmeros humanos foram divididos em três grupos, utilizando-se um tipo de material para cada grupo, os quais foram submetidos a osteotomias, aos procedimentos de fixação e a ensaios não destrutivos de flexo-compressão e de torção, com limites de carga de 200N e de 100N, respectivamente e, num mecanismo de "crossing", foram submetidos secundariamente a novos ensaios de torção e de flexo-compressão, amparados por análise estatística. RESULTADOS: O grupo da placa DCP em ponte mostrou boa resistência às cargas aplicadas, o que também ocorreu no grupo do SPS®, que apesar de mostrar maiores índices de deflexão, apresentou grande capacidade elástica. O grupo da haste intramedular mostrou bons resultados nos ensaios de flexo-compressão, devido ao seu mecanismo de tutor, mas não demonstrou resistência às cargas de torção.OBJECTIVE: The purpose of this study was to assess primary stabilization of humeral shaft fractures using three different methods of fixation, represented by a DCP type plate, applied as a bridge plate, an uncommon synthesis material named SPS®, not previously described in literature and also used as a bridge plate, and a third type of material constituted by an intramedullary nail, with an uncommon locking provided by a distal cortical screw and a proximal Ender-type wire. MATERIAL AND METHOD: Twenty-one pairs of human humeri were divided into three groups, each using one type of material for fixation, the bones of which were osteotomized, stabilized and submitted to nondestructive flexion-compression and torsion assays up to 200 N and 100 N respectively, and, in a crossing mechanism, the groups were again submitted to other torsion and flexion-compression assays, supported by statistical analysis. RESULTS: The bridge-DCP group showed good resistance to the applied forces, similarly to the SPS® group, which, although presenting greater deflection, showed great elastic capacity. The intramedullary nail group showed good results in the flexion-compression assay due to the tutor mechanism of the intramedullary nails, but did not show resistance to the torsion forces

Influence of chronotype on the incidence and severity of perinatal depression in the “Life-ON” study

Background: Perinatal depression (PND) is a severe complication of pregnancy, but there are no established risk factors predicting the disease. Evening chronotype has been associated with unhealthy lifestyle habits and adverse outcomes during pregnancy. In this study, we aimed to clarify whether chronotype can predict symptoms and/or occurrence of PND. Methods: Two hundred ninety-nine women were followed-up from the first trimester of pregnancy until 6 months postpartum. Chronotype was assessed at baseline using the MEQ, while mood was repeatedly assessed by depression rating scales (EPDS, HDRS, MADRS). The influence of time and chronotype on EPDS, HDRS and MADRS, was estimated by constructing multilevel linear mixed regression models. A Cox proportional-hazard regression model was built to evaluate the association between chronotype and incidence of depression. Results: Chronotype modulated PND symptom severity depending on time of assessment, with evening chronotypes having a higher risk for developing PND symptoms, as assessed by EPDS, at postpartum visits V4 (5–12 days) and V5 (19–26 days). These also had less healthy lifestyle habits and were more likely to suffer from gestational diabetes mellitus and undergo cesarean delivery as compared to other chronotypes. Limitations: Only a minority of women were classified as evening chronotypes. The long follow-up phase of the study led to missing data. Conclusions: Pregnant evening chronotypes show unhealthy lifestyle habits and sociodemographic characteristics commonly associated with a higher risk for PND. They also have a higher risk of developing PND symptoms in the first month after delivery. Chronotype should therefore be routinely assessed during pregnancy to identify women potentially at risk for developing PND

Knowing is trusting? An experimental test of the role of information in advisory

The recent economic crisis still lingering in Europe has deeply affected the way individuals look at the investment market. Understanding the trust processes underlying the decision to invest with financial intermediaries is of particular importance both at managerial (product development and advertisement) and at normative level (how intermediaries are regulated). Using an online experiment, this paper investigates whether discrepancies in the financial literacy of investors and brokers can be used to explain the decision to trust – thus, to invest in the financial market. The results show that trust is affected by the information disclosure in somewhat unexpected ways

Laparoscopic Fertility-Sparing Surgery for Early Ovarian Malignancies

The demand for fertility-sparing surgery (FSS) has increased in the last decade due to increased maternal age, increased incidence of ovarian malignancies in younger patients, and technical advances in surgery. Data on oncological safety and fertility outcomes of patients with ovarian cancer after laparoscopic FSS are sparse, but some retrospective studies have shown that open FSS may be offered to selected patients. We assessed the role of minimally invasive FSS in comparison with radical surgery (RS) in terms of oncological safety and reproductive outcomes after FSS in this multicenter study. Eighty patients with FIGO stage I/II ovarian cancer treated with laparoscopic FSS or RS between 01/2000 and 10/2018 at the participating centers (comprehensive gynecological cancer centers with minimally invasive surgical expertise) were included in this retrospective analysis of prospectively kept data. Case–control (n = 40 each) matching according to the FIGO stage was performed. Progression-free survival [150 (3–150) and 150 (5–150) months; p = 0.61] and overall survival [36 (3–150) and 50 (1–275) months; p = 0.65] did not differ between the FSS and RS groups. Eight (25.8%) women became pregnant after FSS, resulting in seven (22.5%) deliveries; three (37.5%) patients conceived after in vitro fertilization, and five (62.5%) conceived spontaneously. Laparoscopic FSS seems to be applicable and oncologically safe for patients with early-stage ovarian cancer, with adequate fertility outcomes

Evaluation of compliance and outcomes of a management protocol for massive postpartum hemorrhage at a tertiary care hospital in Pakistan

<p>Abstract</p> <p>Background</p> <p>Massive postpartum hemorrhage is a life threatening obstetric emergency. In order to prevent the complications associated with this condition, an organized and step-wise management protocol should be immediately initiated.</p> <p>Methods</p> <p>An evidence based management protocol for massive postpartum hemorrhage was implemented at Aga Khan University Hospital, Karachi, Pakistan after an audit in 2005. We sought to evaluate the compliance and outcomes associated with this management protocol 3 years after its implementation. A review of all deliveries with massive primary postpartum hemorrhage (blood loss ≥ 1500 ml) between January, 2008 to December, 2008 was carried out. Information regarding mortality, mode of delivery, possible cause of postpartum hemorrhage and medical or surgical intervention was collected. The estimation of blood loss was made via subjective and objective assessment.</p> <p>Results</p> <p>During 2008, massive postpartum hemorrhage occurred in 0.64% cases (26/4,052). No deaths were reported. The mean blood loss was 2431 ± 1817 ml (range: 1500 - 9000 ml). Emergency cesarean section was the most common mode of delivery (13/26; 50%) while uterine atony was the most common cause of massive postpartum hemorrhage (14/26; 54%). B-lynch suture (24%) and balloon tamponade (60%) were used more commonly as compared to our previously reported experience. Cesarean hysterectomy was performed in 3 cases (12%) for control of massive postpartum hemorrhage. More than 80% compliance was observed in 8 out of 10 steps of the management protocol. Initiation of blood transfusion at 1500 ml blood loss (89%) and overall documentation of management (92%) were favorably observed in most cases.</p> <p>Conclusion</p> <p>This report details our experience with the practical implementation of a management protocol for massive postpartum hemorrhage at a tertiary care hospital in a developing country. With the exception of arterial embolization, relatively newer, simpler and potentially safer techniques are now being employed for the management of massive postpartum hemorrhage at our institution. Particular attention should be paid to the documentation of the management steps while ensuring a stricter adherence to the formulated protocols and guidelines in order to further ameliorate patient outcomes in emergency obstetrical practice. More audits like the one we performed are important to recognize and rectify any deficiencies in obstetrical practice in developing countries. Dissemination of the same is pivotal to enable an open discourse on the improvement of existing obstetrical strategies.</p

The German Banking System and the Global Financial Crisis: Causes, Developments and Policy Responses

Germany's banking sector has been severely hit by the global financial crisis. In a German context as of February, 2009, this paper reviews briefly the structure of the banking industry, quantifies effects of the crisis on banks and surveys responses of economic policy. It is argued that policy design needs to enhance transparency and enforce the liability principle. In addition, economic policy should not eclipse principles of competition policy.Der deutsche Bankensektor ist durch die internationale Finanzkrise schwer getroffen. Auf Deutschland und die im Februar 2009 verfügbaren Informationen bezogen, werden die Struktur des Bankensektors kurz umrissen, die Effekte auf die Banken quantifiziert und wirtschaftspolitische Reaktionen aufgezeigt. Ziel der Wirtschaftspolitik ist es, die Transparenz zu erhöhen und das Haftungsprinzip durchzusetzen. Darüber hinaus sollten Grundsätze der Wettbewerbspolitik nicht in den Hintergrund geraten