Rationale: Scholars in the field of performance measurement tend to use the term Business Performance Measurement (BPM) systems without explaining exactly what they mean by it. This lack of clarity creates confusion and comparability issues, and makes it difficult for researchers to build on each others' work. Purpose: The purpose of this paper is to identify the key characteristics of a BPM system. We do so by reviewing the different definitions of a BPM system that exist in the literature. Through this work, we aim to open a debate on what are the necessary and sufficient conditions of a BPM system. We also hope to encourage a greater level of clarity in the performance measurement research arena. Methodology: We review the performance measurement literature using a systematic approach. Findings: Based on our research, we have proposed a set of conditions of a BPM system from which researchers can choose those which are necessary and sufficient conditions for their studies. Research implications: The analysis in this paper provides a structure and set of characteristics that researchers could use as a reference framework to define a BPM system for their work, and as a way to define the specific focus of their investigations. More clarity and 2 precision around the use of the BPM systems phrase will improve the generalisability and comparability of research in this area.
The very title of this journal reflects a commonplace in scholarly discourse. We want to understand "Judaism" in the Persian and Graeco-Roman periods: the lives and religion of ancient Jews. Some scholars in recent years have asked whether Ioudaioi and its counterparts in other ancient languages are better rendered "Jews" or "Judaeans" in English. This essay puts that question in a larger frame, by considering first Ioudaismos and then the larger problem of ancient religion. It argues that there was no category of "Judaism" in the Graeco-Roman world, no "religion" too, and that the Ioudaioi were understood until late antiquity as an ethnic group comparable to other ethnic groups, with their distinctive laws, traditions, customs, and God. They were indeed Judaeans.
Auditory neuropathy, or dyssynchrony, is defined by an abnormal or absent auditory brainstem response but intact otoacoustic emissions or cochlear microphonics. It is associated with impaired hearing on behavioural pure‐tone audiometry, absent acoustic reflexes, and poor speech perception, particularly in noisy environments. These results suggest a disorder of inner hair‐cell and or eighth‐nerve function. We describe a case‐note survey of patients with and without auditory neuropathy, using data from the local newborn hearing screening programme collected prospectively from 2002 to 2007. During this period, 45 050 infants were screened with otoacoustic emissions, 30 patients were diagnosed with suspected severe to profound hearing loss (16 males, 14 females), and 12 of those 30 had auditory neuropathy (six males, six females). Mean gestational age was 33 weeks 1 day in the auditory neuropathy group and 35 weeks in the non‐auditory neuropathy group. The most significant risk factors for auditory neuropathy were hyperbilirubinaemia (p=0.018), sepsis (p=0.024), and gentamicin exposure (p=0.024). Children with auditory neuropathy comprise a subgroup of patients with hearing impairment involving different pathologies most commonly associated with the risk factors related to admission to neonatal intensive care units. Improvement is possible with maturity, at least in a minority.
Cortical ERA was conducted in a consecutive series of 118 medicolegal cases (467 threshold determination in 209 ears). In organic cases, the distribution of subjective (manual pure tone audiometry)/objective (CERA) discrepancies was normal and centred on 0 dB, with only 3.2% of the discrepancies exceeding + 15 dB. Averaged over 3 or more test frequencies in one ear, only 4.4% of the discrepancies exceeded + 7.5 dB, as compared to 95.1% exceeding + 7.5 dB in those suspected of having a non-organic overlay. The pattern of non-organic overlay superimposed on noise-induced hearing loss is expected and demonstrated to produce a flattening of the dip in the audiogram. It is argued that such flattening is very rarely the end product of noise exposure.
The results suggest that children with no prom-EABR performed at levels comparable with children who had clear promontory responses preoperatively. The prognostic value of prom-EABR is limited and absence of a prom-EABR is not, by itself, a contraindication for cochlear implantation. However, in selected cases (congenital malformations, cochlear nerve dysplasia or suspected aplasia, narrow internal auditory canal, etc.) the presence of a prom-EABR is a positive finding in the assessment of candidates for cochlear implantation as it confirms the existence of intact auditory neurones.
Between 1991 and 1993, 13 children (25 hearing ears) underwent recordings of the auditory brain stem response (ABR) under a general anaesthetic. The anaesthetic technique was similar for each child. Fourteen of these ears had fluid aspirated after myringotomy with insertion of grommets prior to the auditory brain stem response investigation. On subsequent hearing assessment six of these 14 ears (43 per cent) showed clear evidence of a threshold shift of 15 dB or greater. Eleven ears had either dry myringotomies or did not have a myringotomy prior to ABR and none of these showed evidence of a temporary threshold shift. Using Fisher's Exact probability test this difference is significant (p = 0.034). We feel it is important to report these observations so that unexpected high ABR thresholds following aspiration of glue are interpreted with caution.
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