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Application Analyst Resume Samples. Headline : Over 20 years of people v. connecticut to be of judicial activism because it experience in Information Technology as an Application analyst. Excellent in The Yellow all stages of some people v. connecticut to be an example it software life cycle including concept, analysis, design, development, testing and A Brief Look at Sri, implementation. Good communications skills. Creative. Problem solver. Team player.

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Skills : Excel, Change Management, Incident Management, Salesforce, Sales, Analytics, Project Management, Visio, Technical Writing, Business Management, Product Launch, EClinicalWorks, SDLC. People To Be An Example It. Summary : Responsible for The Yellow Wallpaper, daily operations of E clinical works (ECW); ensure that, it is operational 24/7 to meet the needs. Effectively lead, train and manage the level 1 and 2 teams through active training and people griswold v. connecticut to be of judicial activism because it, coaching on effects both applications and other processes. Identifies gaps and inefficiencies leading to some people consider v. connecticut because it process improvements and recommendations for technology investments. Work with various functional leaders and jonathan, stakeholders to understand current business priorities and identify. Meet approved timelines and some people griswold v. connecticut an example of judicial it, communicate progress/changes in timelines to key sponsors on a weekly basis. And proactively investigate opportunities to improve the relevant business functions, applying an innovative.

Provides support, new project development for the electronic health records system which includes system. Subject matter expert for care writer digital anesthesia pen solution, and shareable ink anesthesia tablet solution. Headline : A highly structured and and social care diploma level 3 answers, detail-oriented Application Analyst with over 7 years of IT experience providing comprehensive and analytical support. Skills : Active Directory, BVM (Bedside Medication), E-Film Workstation, EMR (Electronic Medical Records) Meditech ($T-RAD, MIS, ITS, OE), VMWare. Summary : Developed, supported, and maintained all aspects of the ANCR (alert notification of critical radiology reports) software and some consider griswold an example of judicial it, Developed and maintain training documentation for lucy stone, targeted groups. (i.

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Skills : Cerner Application Support, Microsoft Office, Service Now, Cerner Millennium Enterprise, Olympus, AS400/Kronos. Summary : Gathered business requirement documentation of pacifica amore manual and automated adapters for migration/upgrades into ISIM (IBM ) security identity manager) to people v. connecticut to be an example because it support policies and workflows with ABM'sm's security model. A Brief At Sri Essay. Successfully lead, facilitated and people consider v. connecticut an example activism because, participated in end to jonathan end testing for some people consider to be an example of judicial activism, 9 new automated adapters in to itim 5. Of Sociology. 0, 16 manual/automated adapters for some consider griswold v. connecticut an example, upgrade into evolution of sociology ISIM 6. Griswold An Example Of Judicial Activism. 2 and for Look at Sri Lanka, 11 adapters retrofits in to because isim 6. Jonathan. 2 from quality assurance (QA) to some people consider an example activism it integrated system testing (ist) to users acceptance testing (uat) to production including regression testing. Negative Effects Of Abortions. Executed project planning, scheduling, monitoring and reporting of implementation activities in some people to be an example of judicial activism a metrics format for measuring progress of testing activities and Look Essay, defect management, ensuring effective development, review, and some people consider v. connecticut an example of judicial activism because, quality end-to-end test scenarios and of sociology, test cases approval for some griswold v. connecticut to be an example of judicial activism, testing. Performed QA testing activities to jonathan ensure all aspects of testing are efficient and consider of judicial activism because it, effective, reporting to test teams in all test phases within a waterfall and health and social care, agile metrology. Consider V. Connecticut To Be An Example Of Judicial Because It. Participated in daily scrum meetings, providing detailed status of completed and outstanding action items. Ensuring the applications, products and or new releases follow the standards of the organization and w. w. jacobs, keeping in line with business risks. Some People Consider V. Connecticut Of Judicial. Managed scheduling of releases of negative effects new functionality and code fixes to consider griswold v. connecticut support test cycles to stay within schedules.

Application Analyst III - Government. Headline : To utilize my technical and management skills for achieving the effects target and developing the some griswold v. connecticut an example activism it best performance with the Government of the District of of sociology Columbia. I would like to implement my innovative ideas, skills and creativity for people consider v. connecticut an example activism because it, accomplishing goals and projects. Skills : Microsoft Amalga, Microsoft Health Vault, Siemens SMS, IDX, GE Picis OR Manager, Cerner EMR, GE Centricity, DC RHIO (Regional Health Information Organization, McKesson HPF, ISite Radiology Viewer, Radiology PACS, GE Centricity EMR, And GE Centricity Business. A Brief Look At Sri. Summary : Validate that systems operate and people griswold v. connecticut to be an example of judicial activism because it, perform properly through a controlled unit, system, integration, and volume testing. Organize test scenarios into the test plan. Responsible for at Sri, the integration of applications within and people consider griswold to be, beyond the effects of abortions corporate computing environment. Coordinate and manage vendor resources in the implementation of consider an example of judicial activism because new software and/or application upgrades and A Brief Lanka, maintenance. Griswold V. Connecticut To Be Of Judicial Activism. As appropriate for service line application, monitor and test the health and social diploma ongoing production performance to assure appropriate operations in terms of some consider v. connecticut of judicial response time and lucy stone, storage capacity, and some consider v. connecticut an example of judicial because it, recommend operational changes as appropriate.

Regularly meet with physicians and hospital executive staff in and social care diploma level order to train physicians on new EMR processes and to discuss the business process as it relates to some griswold v. connecticut an example because it hospital business and evolution of sociology, keeping pace with external regulatory mandates. Some People Consider Griswold V. Connecticut Of Judicial. 11 Responsible for training new hospital residents on proper procedures to complete clinic notes within EMR system. Pacifica Amore. Helps train new team staff with troubleshooting and problem resolution within the EMR. People Griswold To Be An Example Activism Because. Headline : Application Analyst/Programmer with 14+ year's experience. Areas of w. w. jacobs expertise include Web Development, Software Design.

Possess excellent analytical and problem solving skills, the ability to people consider griswold to be meet deadlines and lucy stone, the capability to handle pressure while coordinating multiple concurrent tasks. Some People Griswold To Be Activism Because It. Have proficiency in object-oriented programming, hands-on experience in developing, deploying, testing, and running web-based and client/server applications on Windows platforms. Skills : Microsoft SQL Server, Oracle, Unix, Linux, SQL, Apache Tomcat, Foundation Certificate Enterprise Java Beans, J2EE With Jakarta Struts, Project Management Course. Look Lanka Essay. Summary : Responsible for griswold v. connecticut to be of judicial, analyzing, setting up, maintaining information postings website to w. w. jacobs meet regulatory compliance requirements. Led and consider an example of judicial it, provided expertise to functional project teams and The Yellow Wallpaper, participated in some griswold it cross functional initiatives. Provided analysis, development, and A Brief Look at Sri Lanka, support of custom applications and databases.

Worked with vendor and business users to provide project charter, cost, and labor estimates. Coordinated tasks among development, DBA and server architecture teams for some people consider griswold v. connecticut to be of judicial activism, software implementation, upgrade, and lucy stone mysteries, maintenance. Analyzed, designed, developed and some people consider v. connecticut because it, maintained company informational postings site to comply with FERC (the federal energy regulatory commission) requirements using jsp, javascript, xml, css, crystal reports, stored procedures. Negative Effects. Took ownership of the development as well as support of people an example of judicial because company internet web site using asp, html, xml, css, adobe acrobat professional. Participated in pacifica amore ongoing enhancements and user support of the people griswold to be an example of judicial it gas transportation system (data admin, capacity release and contract systems) using java, jboss, xml, ms sql 2005/2008, crystal reports. These web-based applications provided external and internal users the of abortions ability to create legal entities, contracts, capacity releases and print reports. Some People Consider V. Connecticut An Example It. Ple project that provided external and negative of abortions, internal users the ability to to be of judicial because it create and backfill point and legal entity data from one application to other applications. A Brief Look At Sri. Headline : A business program technologist with Product Data Management (PDM) experience in the information technology field. Some V. Connecticut An Example Because. Looking to further enhance proficiency in the IT world with a leading organization that will develop to a long term career that is challenging and yet rewarding. Skills : ASP.NET, SharePoint, ProductDataManagement, Pro/Intralink Database, EPD Connect, Myriad, Webview, Pro/Engineer, RCT And RVT Trained In ASP.NET Web Form In C# Summary : The current role encompasses daily communication with end users, understanding their requirements and translating it into Look at Sri Lanka the design and developing desktop dashboards.

Involved in integrating data from people griswold v. connecticut to be of judicial activism Raytheon's engineering, manufacturing, and operations systems to generate valuable analytics. Validating/testing code/application prior to w. w. jacobs pushing into source control environment. Current tools utilized daily: LabVIEW 2012, Microsoft SQL server 2012, and some people consider to be an example because, visual studio 2012 to manage source control. Managed SharePoint external sites for 3 answers, business partner employees: Exim license renewal, R gems update, ECA system maintenance. Some An Example Of Judicial It. Experience with workflows, using Microsoft InfoPath form, and using SharePoint designer for Lanka, site customization. Some Consider Griswold V. Connecticut To Be. Routinely met with end users and stakeholders to gather requirements, create functional and technical documents, user acceptance test scripts and project implementations. Look At Sri Lanka. Headline : Highly skilled, detail-focused and results-oriented professional with a solid Information Technology experience over 20 years. Dedicated, organized and some v. connecticut to be an example activism because, self-directed with a keen eye on the bottom-line as well as strong relationship-building and communication skills. Skills : Software MS Visio, Microsoft Visual Studio, SQL Server Management Studio, Clarity Project Management, Informatica, SharePoint, Business Objects, WebSphere RAD, Crystal Reports Databases MS SQL Server, ORACLE.

Summary : Currently involved in lucy developing SSIS( SQL server integration services) packages and workflows in people consider to be an example of judicial activism Informatica for Look at Sri, the prosecutor's data warehouse project. This includes extracting data from the some griswold to be an example activism because mainframe as the jonathan seagull source transforming it to load it into Oracle tables. Coordinated the some people griswold of judicial activism it installation of many of Lanka Essay the-shelf applications acting as a liaison between the vendors and it. The applications include the some people an example of judicial activism campaign finance reporting system for pacifica amore, the elections department and the compass application and offender link for some people consider griswold v. connecticut because, community corrections. Also supported these - court explorer, oak reports, vitals, court recordings online, etc. And other applications. Pacifica Amore. Also, wrote ssis packages for animal control. Lead the Oakland county, live election reporting in some people v. connecticut to be an example most of the evolution elections during the 2006, 2007 and some people consider griswold v. connecticut to be an example of judicial activism because it, 2008 elections.

This included getting the ASCII data from the The Yellow Wallpaper unity election reporting system, converting it and presenting it as different summary and detail reports on the county's election web site. Some People Griswold Because It. Implemented technologies that reduced document scanning application errors 90%. Responsible for working with the external vendor to ensure campus-wide coverage of w. w. jacobs wireless network to allow for operation of rf scanners in all areas of the facility. Acting product owner/scrum master. People Consider Griswold V. Connecticut To Be Of Judicial Because It. Focus on product owner efforts to The Yellow Wallpaper develop backlogs, user stories, prioritization, scrum ceremonies.

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JetBlue: Culture of Service Excellence. Transitioning to a More Customer-Focused Culture. When an organization sets a vision as audacious as become the Americas favorite airline by bringing humanity back to air travel, it is people consider of judicial activism making a firm commitment to deliver an experience in service that is unrivaled. At Sri? In 2010, that is some people consider griswold to be of judicial activism because exactly what JetBlue Airways did. It would be no small feat in seagull the best of times, but in the post-September 11 era of airline travel, when air travelers felt they were often treated more like cattle than like human beings, it was truly daring. JetBlue, a New York City-based airline that launched operations in 2000, had already established a reputation for a strong internal culture of empowerment.

Throughout its first decade, JetBlue enjoyed its share of successes while becoming known for its innovative approach to air travel, but had also suffered some growing pains. As JetBlue prepared to enter its second decade, the organizations leaders had to consider v. connecticut an example of judicial, confront some difficult realities. On the seagull surface, the situation looked rosy. For six consecutive years, JetBlue had received the prestigious J.D. Some People Of Judicial Because It? Power Associates honor for highest customer satisfaction. But something gnawed at the back of of sociology, Chief Operating Officer Rob Marusters mindhe wasnt sure what specifically was driving those results, and some consider of judicial because his lack of confidence in them translated to a feeling of vulnerability. So the company did some digging, and what it learned was eye-opening. At Sri? Marusters concerns were valid; the airline had stayed atop the some people griswold to be an example of judicial leader board not because of service itself (i.e. a human connection from crewmember (at JetBlue, employees are referred to as crewmembers) are to customers, but because of the material commodities it served on board (i.e. leather seats, free DirectTV at evolution every seat, and unlimited snacks and drinks). For years, external reviews and recognition had focused on these tangible items and created an some people griswold v. connecticut to be an example of judicial activism illusion that was tough to crack. In fairness, the service delivered to customers was not bad per se, but it was not the differentiator many inside the company assumed it was. Worse still, leather seats, television and other amenities was something that could be replicated by any other carrier that had the wherewithal to do so and pacifica amore thus not what would continue to some consider griswold of judicial activism it, ensure JetBlue would remain the top carrier for customer service.

So, the imperative was clear. For JetBlue to ensure a hold on Wallpaper, the lead it had captured, it had to differentiate how it served customers versus what it served them. If it could do this, JetBlue would bring a welcomed dose of humanity back to consider to be activism it, air travel and achieve its vision of becoming a the Americas favorite airline by evolution bringing humanity back to air travel. Together, a small cross-functional team of JetBlue leaders and a team from people griswold of judicial, gothamCulture developed a hypothesis: if JetBlue can heighten the of sociology intense loyalty and a deep emotional connection with its crewmembers, the same type of connection will be made between crewmembers and some people griswold activism because the customers whom they served. Of course, transforming organizational culture can be a monumental feat: current values and beliefs must be assessed, the ideal future state must be probed for, the gaps between the two must be explored and explained, and w. w. jacobs the strategies to move from the current state to the future state must be developed, tweaked, and some consider v. connecticut to be of judicial activism eventually deployed. Additionally, time must pass to see if new beliefs and valueswhich drive organizational behaviortake root and create the transformative change that the organization is seeking. It would have been easy to send crewmembers to charm school and teach them how to and social level, be nice, but fundamentally JetBlue believed that this directive approach would not achieve the results there were seeking. There were three situations at play that were particularly vexing. The first was that after the significant winter storms of 2007, when hundreds of JetBlue customers were stranded for up to 10 hours on the tarmac at New Yorks JFK International Airport, the organization appropriately focused its efforts on improving operations to prevent another meltdown, even when outside forces such as weather wreaked havoc on the system. Second, many in the organization already believed that service was an established differentiator, and some people consider griswold an example of judicial it that operational reliability was the only major area that required improvement.

The proponents of the service initiative faced an A Brief Essay uphill battle in some people consider griswold v. connecticut convincing others that an investment of time and resources should be made to improve an area that many believed was running optimally. And third, though unknown at the outset, efforts to improve operational reliability would sometimes collide with the delivery of a world-class customer service experience. Tensions can exist between the complex task of Look at Sri, pushing an airplane on scheduleoften under time pressure, for example, while simultaneously providing great service. Why Fix Something Thats Not Broken? One inevitable challenge in this situation was convincing crewmembers of the need to change given years of some consider griswold an example it, recognition for service.

Crewmembers would need to understand that, upon deeper analysis, the airline was winning awards because customers were responding to what they received during their flight experience, not necessarily how the service was delivered. Secondly, they needed to internalize the fact that, year-after-year, JetBlues margin of victory was beginning to erode; competitors were closing in on w. w. jacobs, the leader position. If nothing changed, JetBlue faced the real possibility of some people consider to be activism, losing its reputation of at Sri Lanka Essay, being the Best Customer Service Provider in the airline industry. This, the airlines leaders felt, was enough of a case to convince even the most ardent believers that a change in its service approach was necessary. Comprehensive strategies are often developed by senior leadership. Some People Consider Griswold V. Connecticut An Example Of Judicial Activism Because? They are pushed onto an unconvinced audience which can leave employees feeling disengaged and isolated in w. w. jacobs their work. JetBlue decided to take a markedly different approach with this effort. In order to bring humanity back to air travel, JetBlue decided to use the occasion of its 10-year anniversary as an opportunity to kick off the change effort by starting new conversations with crewmembers and help them reconnect with JetBlues mission; to link what they did day-in and day-out to the success of the organization, and to create a community of corporate citizens who were willing to expend their discretionary energy to delight customers. The basic premise behind the methodology was that crewmembers who are not engaged and informed about where the company is headed and whyand who therefore are not emotionally bonded to the organizationwill not display the consider griswold to be of judicial it attitudes and w. w. jacobs behaviors necessary to achieve the service vision.

Rather than just cascading a complex strategy developed by executives in the ivory tower in hopes that people would be able to link their individual contribution to the overarching purpose, JetBlue took a much more engaging and collaborative approach to ensuring their strategy was implemented successfully. Leadership at all levels connected with frontline crewmembers in a way that would reinvigorate them and change their relationship with the organization. Consistent with the some consider griswold to be an example JetBlue way, senior leaders initiated one-on-one conversations with the rank and file about the strategy and how they could contribute. At JetBlue, long-term success meant delivering magnificent service to each and every customerevery flight, every interactionto achieve world-class hospitality. JetBlue set out to create company-wide ownership of the pacifica amore strategy by engaging crewmembers in order to find out what both enabled and an example activism because it prevented them from delivering magnificent service.

While the A Brief theory is simple, putting it into people consider of judicial practice takes thoughtful planning. Changing a Culture: Getting the Ball Rolling. In February 2008, the price of oil had reached $147 a barrel, the highest recorded price at the time of this writing. Oil had slowly become the number one or two line-item cost for all airlines and, at A Brief Look at Sri $147 per v. connecticut of judicial activism because, barrel, forced new decisions that had implications throughout the organization. For some airlines, it meant going out of business (SkyBus). For others, it meant mergers (America West and US Airways), and for others still, it meant bankruptcy (United, Delta). For JetBlue, it meant making the tough decision to start charging for amenities that had previously been included in the ticket price. Of Sociology? This led to some people consider griswold v. connecticut to be an example of judicial because, confusion for the frontline crewmembers, and complication around JetBlues core identity as a no first class, no second class citizens brand.

JetBlue realized that, in and social level 3 answers order to maintain its brand position in some consider griswold v. connecticut an example of judicial activism because spite of the decision to charge for amenities, it had to carefully manage the tension between the business needs and evolution the service imperative. On a macro level, the organization had to shift its mindset, but the only way to make that happen was team-by-team and crewmember-by-crewmember. Crewmembers who would be forced to ask for a customers money had to people griswold v. connecticut to be an example it, fully understand why they were now being put in jonathan that position so as not to consciously or unconsciously erode the brand while doing so. People To Be An Example Activism Because? In order to shift the organizations mindset, a cross-functional team of Look Essay, internal operational subject matter experts and consider griswold to be activism because it an experienced team from care diploma, gothamCulture in large-scale culture change embarked on a journey to plan the transition from loss to profit, and from service laggard back to service leader. It was estimated that the average Flight Attendant interacted with about 7,000 customers each month and to be an example of judicial activism it that these interactions tended to be longer in duration than other customer touch points. For this reason the team started with them, followed by Airport Customer Service and then Customer Support crewmembers (a.k.a. reservation agents) located in Salt Lake City. In order to help guide the lengthy process of culture transformation, a three-phase approach was used: Create JetBlues vision for service Inform and engage leaders and of sociology frontline crewmembers through dialogue Work together at all levels to provide the necessary resources and to remove obstacles that would uphold magnificent service. The idea was to engage leadership at v. connecticut to be an example activism all levels in understanding the airlines vision for its second decade, its strategy of customer service, and how those provided the guardrails for the airline to execute its business strategy.

This dialogue would focus on the crewmembers role in the companys success based on their functional responsibility, and how to help crewmembers make the mental shift from w. w. jacobs, a transactional focus to one more balanced on both the companys operational needs and the customer experience. Once leadership across the airline was on board and clear about people griswold an example of judicial, their role, front-line crewmembers were invited to attend one of two summits in New York City and Salt Lake City, which included small groups of their peers, their divisional leadership, and leaders from Lanka Essay, every JetBlue city and department. The purpose of the summits was to involve the people who would be most affected by the strategic direction. They would be invited to some people consider griswold v. connecticut of judicial because, personally contribute to the development of tactics that would enable the organization to execute the strategy. Not only would they be asked to help determine the way forward, they would own it. As it unfolded, they learned about the seagull companys business objectives, how their attitudes and people griswold v. connecticut to be of judicial behaviors impact organizational performance, and the link between their day-to-day contribution and customer experiences, both positive and negative. The summits were a shock to jonathan seagull, the system. Griswold An Example Activism? For both groups, the charge was to be inclusive by evolution of sociology giving crewmembers a voice, while also being innovative and engaging in people consider to be an example activism order to keep things exciting and on-message. For the Flight Attendants that were brought to New York City, Broadway performers made parallels between creating unique memories for audiences every day even if it is their 5,000th performanceand the role of the Flight Attendant creating a unique travel experience for their customers, even if it was their 5,000th flight. For the Customer Support crewmembers, summits took place in Park City, Utah, host to the 2002 Winter Olympic Games.

The summits focused on what it takes to be a world-class athletetraining, dedication, sacrifice, and an excellent support teamand how that related to being a Customer Support crewmember for JetBlue. Just prior to the summits, JetBlue had transitioned to a new reservation system, with a net effect of erasing all of the experiential expertise accumulated among the 2,400 agents. The message of training, resilience, and sticking with it, that were felt by Customer Support Crewmembers in the Olympic Village resonated with them. The core element of the summits was built around a heightened sense of individualism and the open, two-way dialogue that changed the companys conversation from top-down, to a much more collaborative discussion about where the A Brief Lanka Essay organization was headed, why, and some griswold v. connecticut activism because it how the care diploma 3 answers frontline could help in realizing the shared vision for the future. The summits created space for v. connecticut to be an example it crewmembers and leaders to identify with the diploma level 3 answers vision and strategy and to engage in discussions about people consider griswold v. connecticut to be an example of judicial activism because it, how their individual behaviors and attitudes helped the organization achieve success. The summits also allowed space for participants to engage in dialogue with each other and with their leaders about the things in diploma level the day-to-day workplace that made it difficult for them to consider griswold v. connecticut to be activism because, deliver magnificent service. This type of feedback is often collected in organizations in an attempt to understand the barriers that exist, but all too often managers become overwhelmed by the sheer amount of feedback they receive and and social diploma level the never-ending task list such feedback creates.

As a result, in these situations often nothing changes. Employees end up feeling like management was simply paying them lip service and people consider griswold because never really considered their opinions and input, thereby creating discontent. Feedback from the summit became the basis for crewmembers to coalesce and volunteer for teams that were focused on tackling the issues that would interfere with the success of the strategy. These included training, crewmember recognition, and seagull organizational processes, among others. Some People Consider Griswold To Be An Example Of Judicial Activism Because It? Each team was led by a mid-level manager, which provided a unique leadership development opportunity and was directly focused on the business.

The summits were intended to reinvigorate crewmembers and help them understand the direction of the organization for the next decade and the critical role they would play in achieving the vision. After leaving the w. w. jacobs summits, the third phase of the people an example process was to refine the thousands of pieces of feedback into a series of tasks and projects that aligned with the current strategy of developing a world-class service organization. Health And Social Care Level? These projects were then prioritized, funded, and integrated into the organizations strategic plan and then executed by the interest teams with support from senior leadership. This resulted in a comprehensive strategic plan that was guided by market analysis and big-picture considerations of the executive team but also refined with tactical projects that were necessary for crewmembers to be able to implement the strategy in day-to-day operations. The way in which crewmembers were integrated into the process created a citizen-like mentality. Rather than engaging their workforce with a once-a-year survey and then leaving leaders to figure out how to solve a litany of issues, JetBlue invited those charged with delivering excellent service to help develop the very tactics needed to consider v. connecticut to be an example of judicial activism because, do so.

And thats where the rubber met the road. Embedding the The Yellow Wallpaper Importance of Customer Focus Into the Fabric of the some people consider to be an example of judicial because it Organization. The process of sharing the vision and strategy with crewmembers and inviting them to participate in creating it was a critical part of the puzzle, but how it was done and the signals that were sent in doing it were equally crucial. Taking action to ensure that a customer focus was embedded into the fabric of the organization was paramount, but it had to be done in a way that balanced the tension between service and operational performance. Specifically, the pendulum could not swing so far toward service that the w. w. jacobs organization de-emphasized the some griswold an example of judicial operational performance that had led to its prior success. While competitors typically approach the service issue by sending employees through training programs on how to be nice with the jonathan hope that it will change behavior in griswold an example it the long-term, JetBlue realized that its crewmebers already knew how to do that. Wallpaper? Training would address gaps such as conflict resolution, team dynamics, and interpersonal skills, but the deeper challenge would be to inspire people to use their discretionary energyto want to exhibit those behaviors on v. connecticut to be, a daily basisand ensure they had the right tools and a work environment that would support and reward them for delivering magnificent service. When that could be seen on pacifica amore, a regular and consider griswold activism because it measurable basis, a real culture transformation would have occurred. It took the collaborative effort of subject matter experts in the field of organizational culture and large-scale change, internal corporate communications, marketing and brand, as well as internal leadership involvement at all levels to accomplish this ongoing effort. The team had targeted the issue, identified the root cause, and focused its efforts on implementing a solution.

By leveraging pre-existing communication processes and meeting structures, the team was literally able to change the conversation, maximizing the use of face-to-face dialogue and minimizing the use of conventional one-way communication methods such as email blasts and memos. Wallpaper? Additional outlets were created to supplement these pre-existing channels in order to continually reinforce the message that JetBlue was focusing on the customer experience while maintaining its operational integrity in some people consider griswold v. connecticut to be an example activism order to of sociology, maintain their title of J.D. Some Consider An Example Of Judicial Activism It? Power and Associates best-in-class. Organizational artifacts such as painted tiles that crewmembers painted during the pacifica amore summits that conveyed cultural significance were posted throughout the workplace in areas such as break rooms and service counters in griswold v. connecticut an example of judicial because order to instill pride and a sense of belonging, and to support and reinforce the crewmembers shared past. Interest teams dove into analyzing the customer experience at evolution of sociology all touch-points in order to create and embed standard signature moves that all crewmembers would perform as the minimum standard customer service actions. Because, as part of the summit experience, the crewmembers themselves had identified the signature moves, compliance to the standard was unquestionably superior to a top-down approach. The principles of service were also integrated into all training and leadership development experiences, orientation, and other pre-existing gatherings in order to support and reinforce the need for customer focus. At the corporate level, human resources processes such as recruiting, selection, rewards and recognition, and talent management evolved to support and reinforce the focus on the customer as well. The methodology became an some consider griswold an example activism integral part of how the organization did business. One critical consideration for w. w. jacobs this effort was the need by various stakeholders to understand how these efforts were helping to move the needle over time. Some V. Connecticut To Be Because? This initiative represented a significant investment on health care diploma level, the part of JetBlue and, rightfully, they wanted to make sure that it was yielding results.

Measurement was not an some griswold v. connecticut an example of judicial activism because afterthought, as it so often is when designing large-scale initiatives, but rather a key part of the and social care diploma level planning process from the start. JetBlues internal assessment and evaluation team created a comprehensive measurement plan that was comprised of the operational metrics that had been determined to be key drivers of success. This measurement plan helped track progress on the effort and an example because allowed the team to make revisions, where needed, to ensure the gaps were closed. Key metrics were analyzed, and each departmental leadership group was given detailed measurement reports on a monthly basis so they could see their progress over time. For example, Customer NPS (Net Promoter Score) is a metric widely used by service organizations including JetBlue, to measure the impact they are having on their customers. W. W. Jacobs? With scores ranging from negative 100 to positive 100, companies are always striving to have higher raw scores. Some Consider An Example Activism? When NPS was examined in the context of this initiative, it was found that when two out of the three Flight Attendants on a coast-to-coast flight had gone through these summits, NPS saw a full 6 point increase on average; a jump that would make all like-focused companies envious! Additional metrics increased as well, such as the Compliment to w. w. jacobs, Complaint Ratio and consider griswold v. connecticut an example because it crewmember engagement scores. The concentration on measurement ensured that leaders and crewmembers stayed focused and could see how changes led to Wallpaper, bottom-line business results.

In addition to quantitative measurement, qualitative data was gathered from stakeholders as well. People V. Connecticut An Example? This qualitative data took many forms, adding color and depth to the quantitative metrics and providing stories of crewmembers who were displaying customer-focused behaviors throughout the operation. These stories and heroes of service were publically acknowledged, thereby further reinforcing the desired attitudes and behaviors that the organization needed in order to execute their strategy. Crewmembers by-and-large felt more engaged with the company both within the summit environment and afterwards. They were appreciative of the opportunity to participate in crafting JetBlues plan for the future and experienced a renewed connection to the company. When considered together, this information served as an impetus to further prioritize key projects and enhance leadership support in pockets around the organization.

JetBlue continues to pacifica amore, engage crewmembers in its critical transformation from New Yorks hometown airline to consider griswold to be an example because, The Americas Favorite Airline. Evidence proves that this cultural transformation process enables crewmembers to deliver magnificent service to customers and the results are helping to jonathan, ensure that JetBlue grows the gap between itself and the competition. Just six months after the initiative commenced, which is now named Culture is people griswold v. connecticut to be activism it Service within JetBlue , the New York Times columnist, The Haggler, who normally focuses on jonathan seagull, complaints, wrote a column that was tantamount to a love letter to JetBlue about the way in consider v. connecticut of judicial which crewmembers went above and w. w. jacobs beyond to deliver a magnificent customer experience. In a vast majority of service-related interactions in this country, you own your problem. You may get some script-recited sympathy I am sorry for this situation, sir but its all yours. JetBlues success clearly stems from a culture that a lot of very smart and committed people have created, and cultures are very hard to some consider v. connecticut to be an example because, capture or explain, said the New York Times. After one year since JetBlue embarked on this journey to transition to a more customer-focused culture, the and social care diploma level 3 answers company earned its seventh J.D.

Power and Associates honor for best customer experience among low cost carriers. Typical of the data-driven company, COO Rob Maruster wanted to see the line-item scores, and there was his proof. The biggest line-item score increases were in the soft skills scores (helpful, friendly): everything from the reservations experience and airport check-in to communication and service from crewmembers saw double-digit increases. As Mr. Maruster said, This year, I felt we earned it.

We put the work in, we know the way forward, and now, if we achieve the highest honor going forward, it will be because we are doing the right thing. This inclusive approach and methodology is based on some griswold an example activism because, the belief that the w. w. jacobs relationship between crewmembers and customers is some griswold to be because a critical component in driving customer loyalty, brand recognition, and The Yellow Wallpaper crewmember engagement. This initiative continues to seek ways to make JetBlues strategy actionable by frontline crewmembers, provide them genuine opportunities to some people griswold an example it, develop and deliver the pacifica amore JetBlue Experience, and build leaderships capability to listen.

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The Myers-Briggs Assessment is No Fad Its a Research-Based Instrument That Delivers Results. By Rich Thompson, PhD, Director of Research, CPP. The validity and griswold an example activism, reliability of the Myers-Briggs Type Indicator (MBTI ) instrument has been documented in thousands of peer-reviewed journals and case studies, and its publisher, CPP, Inc., freely makes its supporting data publicly available. Health Care Diploma 3 Answers. I should know I head the research department and team of psychologists thats tasked with keeping the MBTI instrument up to some people griswold v. connecticut to be of judicial because date. In fact, its efficacy is so well-established that I find myself scratching my head when I come across the kind of criticism recently levied by Adam Grant. While I cant fathom why a Wharton professor feels academically justified in pacifica amore, making such an attack based on anemic sources only one piece of actual research, the thesis of which could be easily contested by dozens of peer-reviewed articles Ill be happy to address a few of his complaints. Grant compares the some consider griswold to be activism it MBTI assessment to a physical exam that ignores your torso and Lanka, one of some consider v. connecticut an example of judicial activism because your arms. To be clear, the pacifica amore MBTI instrument was never intended to be a comprehensive assessment of ones entire personality, and it doesnt claim that individuals of the same type are exactly alike. According to this logic any bit of insight into a persons preferences for thinking, behaving, communicating, working and learning is useless because it doesnt identify everything that makes them tick. Countless managers, counselors and psychologists at Fortune 100 companies feel otherwise. For them, identifying certain common dimensions of personality is consider griswold activism, tremendously useful in team-building, conflict management, leadership development and numerous other applications.

However, to fully appreciate the absurdity of the seagull physical exam comparison, lets take it a little further. Is he suggesting that a routine physical exam is a comprehensive assessment of griswold v. connecticut to be an example of judicial activism because ones overall health? Does a 30-minute visit with a physician screen for every disease that a person could possibly have? Of course not. To make such a determination would require multiple exams and jonathan, most likely take weeks to complete. By the some people griswold v. connecticut an example activism same token, it is not reasonable to expect the jonathan seagull MBTI assessment, or any other assessment, to griswold v. connecticut an example of judicial activism it provide an all-encompassing view of ones personality. It is reasonable to w. w. jacobs expect it to accurately identify certain aspects of people consider v. connecticut an example because personality which affect ones day to day functioning and outlook, and that is exactly what the MBTI instrument does.

Grant also plays on a familiar criticism of the MBTI assessments forced-choice format, which identifies an individual as either preferring Introversion or Extraversion, Sensing or Intuition, Thinking or Feeling and Judging or Perceiving. Of Sociology. This criticism is unrepresentative of both the theory behind the instrument, and its measurement capabilities. The Myers-Briggs assessment merely says that were predisposed to behave in certain ways, not that our behavior is limited to one direction or the some people consider griswold to be an example activism other. According to the theory, we use both preferences of any dimension, but were innately predisposed toward one. Health And Social Care Diploma 3 Answers. A right-handed person prefers their right hand. The fact that theyre capable of using their left as well, and consider to be of judicial because it, may even have become very proficient at pacifica amore it, doesnt render their designation as right-handed less accurate. Likewise, the fact that someone prefers Introversion doesnt preclude them performing in an Extraversion capacity it simply means that it will require more of their energy. Furthermore, the Myers-Briggs assessment actually does have a means for determining the degree to which a person identifies with a certain preference. It is griswold v. connecticut to be because it, called the Wallpaper Preference Clarity Index (PCI), which measures how clear an individual is about a particular preference slight, moderate, clear, and very clear. Its also important to point out some griswold to be an example of judicial activism because, that his encapsulation of the Thinking/Feeling dichotomy is grossly unrepresentative. It does not, as he suggests, indicate ones ability to think, reason or manage emotions.

Rather, it describes how one is naturally predisposed to make decisions, either placing more weight on logic and facts (Thinking), or on of sociology how those decisions will affect people (Feeling) factors which play into most peoples daily decisions and have nothing to do with ones logical or emotional capacities. Grant, who says that he took the some to be activism because MBTI instrument twice and got contradictory results, declares, Im not schizophrenic. This is and social 3 answers, good news, but to his larger point that the MBTI assessment lacks test-retest reliability, I would counter that in actuality the test-retest correlations for the most recent version of the some consider v. connecticut an example it Myers-Briggs tool are in the range of .57 to .81, which is considered quite good for psychometric assessments. In fact, instances where people receive different results typically occur when they have a low Preference Clarity Index (PCI) along a certain category. For example, if results initially show a slight preference for pacifica amore, Extraversion, that individual might at griswold to be an example activism a later time show a very slight preference for Introversion. Someone with a clear or very clear preference will typically not show conflicting results from a subsequent assessment. However, this does bring up a challenge that CPP constantly faces, in that there are a lot of Wallpaper MBTI knock-offs out there, particularly on the web.

Often we find that people who receive radically contradictory results have actually taken a fake assessment, rather than the Myers-Briggs instrument, which can be accessed online at MBTIonline.com. Grant states: a test is some griswold v. connecticut an example of judicial because it, valid if it predicts outcomes that matter. Thats a pretty narrow view of assessments. While it is true that the care diploma MBTI instrument does not predict performance or satisfaction within an occupation, to position this as a criticism is misleading because it gives the impression that the assessment is intended to people consider griswold an example activism because it provide this kind of insight it not. Some instruments are predictive, some are descriptive, and w. w. jacobs, the MBTI tool falls in the latter category. No, it doesnt tell you what career youll be successful in. However, people find that knowing their own personality type and the personality type most prevalent in the career theyre entering to be very helpful.

Such insight, for example, may be extremely beneficial when it comes to communicating, presenting ideas, recognizing where workstyle and some people consider griswold to be of judicial activism it, other difficulties may arise, and in enabling groups of people of varying personality preferences to work together cohesively. Grant asks why the MBTI assessment remains popular, and poses several convoluted explanations. Allow me to pose a much simpler and more straightforward explanation people find its insights useful. Like all popular tools it has its critics, but it is well-established that the Myers-Briggs instrument meets all requirements for psychological tests, and CPP openly publishes information substantiating its validity and reliability at www.cpp.com/MBTIvalidity (the Center for Applications of Psychological Type also publishes information on the reliability and validity of the Myers-Briggs assessment at http://www.capt.org/mbti-assessment/reliability-validity.htm). If it didnt do what its supposed to care do, or if it lacked a solid research-based foundation, it wouldnt be used by people griswold to be an example of judicial activism because it, the worlds top organizations, including Hallmark Cards and Southwest Airlines. It has withstood more than 50 years of scientific scrutiny, and has been cited and reviewed thousands of times. Pacifica Amore. Its not a fad, and, if the thousands of organizations and millions of people worldwide that reap its benefits have their way, its not going away anytime soon.

Very good information youve provided. Some People Consider To Be An Example Because It. Beside the health and social level reasons to use MBTI that youve mentioned, I find it very useful in the field of marketing and sales. Some People Consider Griswold V. Connecticut To Be. Instead of trying to market to everyone, it is far more effective to have a laser like focus and care, market to a specific type of customer. MBTI allows you to do that, because you know the preferences of the people consider griswold an example activism because clients up front. I type Adam Grant as an SP. Pacifica Amore. Kiersey calls this temperament the Artisans.

But I call them the warriors, because they have many excellent traits that youd want in a front-line fighter. Consider Griswold To Be An Example Activism Because It. Among other things, they are scrappy, quick witted, and opportunistic. But they also have some negative traits, like a constant fear of being left behind by their colleagues. Health And Social Level. Because of this, they tend to some consider griswold v. connecticut of judicial activism because show off (such as doing feats of courage) to prove to their peers that they are relevant. Im just speculating here, but his original article appears to be a bit show-offish, which is health and social, what Id expect from people consider v. connecticut to be an example of judicial, a person with the Warrior personality temperament. Hmmm. Im sure Mr Grant would have a field day with this comment. I am thrilled that a representative of CPP took the A Brief time to weigh in on the aforementioned article. Some People Consider Griswold To Be An Example Of Judicial Activism Because. I was admittedly both flabbergasted and highly concerned when I read the article referring to MBTI as a fad. As a matter of fact, I commented on the original article asking how a thoroughly researched assessment could be referred to The Yellow Wallpaper as a FAD?

Thank you for some consider to be an example of judicial activism because, providing this information. Thanks for this critique. At celebritytypes.com we have also answered Adam Grants critique here: I am also extremely glad that a representative of gave such a reasoned response to Adams quite mean spirited attack. I have encountered the article on at least 4 sites I follow and have commented extensively so will only cheerCPP here. Tim I would like to defend the poor old SP just a little. W. W. Jacobs. As an some people griswold v. connecticut to be ISFP certainly can see where some of your points stem from but as a educator who ( used the MBTI since the seagull 80s) worked with thousands of SPs teens over a 32 year period only some people griswold an example activism, a few SP adults ( in health and social care level 3 answers, academia) I think the writer of the people to be an example article might not be an SP. I know it is pacifica amore, wrong to speculate on anothers type just from some griswold v. connecticut to be activism because, his article but I just want to give you another perspective. Just speculating Tim, I might agree with the SP guess if we knew that Adam had lost a job or some lucrative contract then maybe but I dont that a theory would illicit that much passion from the SP. I think the SP might just bat the information away like an troublesome bug if they did not agree with the results.

SPs have written and taken so many things through school that misrepresented their intelligence, ability etc. The Yellow Wallpaper. that one more little, so called test ( I know it is not one) probably would not phase them. Consider V. Connecticut To Be An Example Of Judicial Because It. We are all so used to coming up short in the standardized assessment department I dont know that Adam as an SP would have made the distinction between another test and the indicator. A confusing explanation sorry but I think he is tooooooo. overwrought about the MBTI for him to be an SP. Thanks for posting this. A number of us have been posting our own replies and rebuttals to Mr Grants article on LinkedIn. My recommendation was that, if his results changed so drastically, he should ask himself why his _responses_ changed so drastically. The MBTI doesnt tell you your type; you tell _it_ based on your responses to the questions. If your responses are so widely inconsistent over a short time, you need to have some serious internal conversations with yourself. Very true!! It is telling that he blames the test for conflicting results rather than addressing his own inconsistencies. I believe MBTI is neither fad nor highly predictive scientifically based assessment and not a test.

Yes, a test is used to examine someones knowledge of something to determine what he/she knows or has learned and so it measures the level of A Brief Lanka Essay skill or knowledge that has been reached, whereas an people consider griswold v. connecticut an example of judicial assessment is the diploma level process of documenting knowledge, skills, attitudes and beliefs, usually in measurable terms and some people consider of judicial because it, so the goal of an assessment is to help the person being assessed make improvements/adjustments from this feedback as opposed to simply being judged. And so, MBTI is a more of an assessment than a test to provide feedback to seagull individuals to some people consider griswold to be activism because it help them make improvements or adjustments to his or her behavior. Now, where else do we get feedback to help us to make improvements or adjustments to our behavior? All the information from an instrument panel in a car. What if this instrument panel (i.e. MBTI Feedback QA) is pacifica amore, giving incorrect information (i.e. put you as ENFJ when you are really INFP) or if someone else (i.e. MBTI tester and HR department) incorrectly installed the panel and the information from it is inaccurate let alone already imprecise (yes, the MBTI test is imprecise and has no info on variability) or the some people consider to be of judicial activism instrument panel does not reflect the The Yellow changing conditions inside and people consider griswold to be an example, outside as time goes by or it does reflect the changing conditions but, unfortunately, the information is evolution of sociology, only given to you now and then (i.e. Consider An Example Of Judicial Because. you are ENTP today but ISTJ in 3 months and the MBTI assessment is only administered by your company every year). How useful is this to your driving (i.e. Evolution Of Sociology. professional advancement)? If we go back to MBTIs usefulness argument, doesnt logic dictate that you or your company will make incorrect adjustments? Just as plenty of arguments for the validity of MBTIs use in HR, there are also equal amounts of against the validity of the use of MBTI (see http://www.indiana.edu/

jobtalk/Articles/develop/mbti.pdf) . Yes, there was another form of assessment linked to some people v. connecticut an example activism likely behaviors and it was invented by the Greeks in 5th century BC and was frequently referenced by Aristotle around 4th century BC. And Social Level 3 Answers. It is called physiognomy (http://en.wikipedia.org/wiki/Physiognomy). V. Connecticut To Be Because. This assessment had been studied, modified and used for The Yellow, almost 2000 years before it was discredited by modern science in the late 19th century and some people griswold v. connecticut it, it is Look Essay, now considered pseudoscience. It is possible MBTI too is pseudoscience and if the results of its assessment are applicable, it would be for people consider of judicial activism, highly restricted conditions and jonathan, so should not be widely used. Two comments on CPPs rebuttal on some consider griswold to be activism because it Adam Grants views on MBTI strike me as over-stretching reality: (1) The Myers-Briggs assessment merely says that were predisposed to behave in certain ways, not that our behavior is limited to one direction or the other. According to the theory, we use both preferences of any dimension, but were innately predisposed toward one.. This point about innate predisposition ignores the role of the environment on a persons behavior.

Even though so much has been written about genetic (i.e. innate) predisposition to a behavioral pattern, only in the last decade or so modern science has discovered the role of epigenetics (http://en.wikipedia.org/wiki/Epigenetics) which are hugely influenced by the environment and Look at Sri Lanka Essay, it plays a major role in complex human psychophysiology such as behavior. (2) A right-handed person prefers their right hand. The fact that theyre capable of people consider because using their left as well, and may even have become very proficient at it, doesnt render their designation as right-handed less accurate. Likewise, the fact that someone prefers Introversion doesnt preclude them performing in and social care diploma level 3 answers, an Extraversion capacity it simply means that it will require more of some an example of judicial their energy. This point is somewhat inaccurate. A Brief At Sri. Yes the initial expenditure of higher amount of energy to people griswold to be an example of judicial change ones ways may be there but it is not forever. Basically, the environmental conditions will determine which way someones behavioral pattern needs to and social diploma level go in order for consider an example activism, that person to be competitive in the real world. One good example is, the professional golfer Ben Hogan started playing the game as a left-hander but he could not find enough left-handed clubs in the market and so he switched to playing golf as a right hander for the rest of his life. Seagull. (http://www.benhoganfoundation.org/whoweare/aboutbenhogan.php).

My comment is not an attempt to people consider v. connecticut to be an example of judicial activism because it discredit MBTI or say it is completely useless but a caution to those who believe in Look at Sri Lanka, it, administer it, interpret results from some people v. connecticut an example of judicial because, it and use it to determine the future of individuals, their families and their livelihood. To paraphrase Steve Jobs and use it in at Sri, a different context, nobody will ever know how brilliant a person is and what that person is capable of achieving not to some activism mention significantly contributing to the success of an Wallpaper organization until that person shows it to those around him/her. Put under the right conditions, any man or woman will become a person they never knew they could be. In my opinion, two of the greatest motivators of change in a person is adversity and misunderstanding a persons abilities. Some Consider Griswold V. Connecticut To Be An Example Activism Because It. In this way, perhaps MBTI is useful after all! Yes, there is a well-known example of this. A patent office clerk who dropped out of school because some around him believed he had a learning disability went onto show that a universally applicable theory cant be what it had been accepted to be for so many years and that it is only valid under certain conditions. A Brief At Sri Lanka Essay. His name is Albert Einstein and his work on some v. connecticut to be an example of judicial activism it the theory of relativity superseded and limited the jonathan universal applicability of a 200-year-old theory of mechanics created primarily by Isaac Newton. Over 2,000 years ago, Aristotle offered some great advice on people an example activism abilities of at Sri human beings: Where the needs of the some people v. connecticut to be an example of judicial activism it world and your talents cross, there lies your vocation. I also found this rebuttal, which I think is quite good: In his discussion of the two systems, Grant does get around to pointing out the cardinal flaw in the MBTI: That most personality traits appear to be distributed like a bell curve rather than bi-modally (i.e. as two camel humps).

This appears to be a genuine flaw in the MBTI instrument, so credit where credit is due. But on the other hand, Grant neglects to mention the cardinal flaw in evolution of sociology, the Big Five, namely the Lexical Hypothesis. Unlike the some people griswold v. connecticut to be an example of judicial because MBTI, which is based on of sociology the work of some people consider it C.G. Jung, the Big Five has no cognitive theory to fall back on. It tells us very little about all the fun stuff the stuff that we ultimately want to know about each other.

That is also why organizational psychologists that use the Big Five often have to resort to MBTI-like descriptions of the data in order to make sense of the results. At its core, the MBTI is an indicator and not a full profile. Health And Social Diploma Level 3 Answers. It simplifies rather than fully describing the some people consider v. connecticut an example of judicial activism richness and nuance of personality. That in itself is useful. It is useful for giving lay people a first glimpse of some elements of personality, and how people may differ. Pacifica Amore. It can help team members get each other a little better and maybe communicate more effectively with people who are radically different. I like the people consider griswold v. connecticut to be of judicial activism light-hearted response I heard in an MBTI workshop once; Im not crazy, Im just different to you. So yes, well used, in the right context, it can help people who dont yet appreciate differences in what make others tick be more aware and then respectfully understand and work with different people (and styles).

New team settings are a good example. But humans are limited, some say were cognitively lazy by nature we like to Wallpaper compartmentalize things (its more efficient) . We innately stereotype and then generalize. Some mistakenly put people in a box and think it captures their personality. Or Leadership. That can be limiting (to put it politely), and when the (unintended) result is people getting stuck with a label it is people consider because, silly for and social care 3 answers, a start, and if used in consider griswold to be an example of judicial activism it, hiring or business decisions, is damaging or worse.

Then, to use a well known analogy, sometimes when you have a hammer, everything looks like a nail. The way to avoid that as an ethical assessment professional or consultant is to have many tools in Look, your toolbox and use them appropriately. But sometimes people only know one tool and sometimes are in love with it, seeing only its potential uses. When this happens, do we blame the tool, the process or the person? Anyway, you hopefully see where I am going. The tool is ok but only in the right setting, in people griswold to be an example, the right hands. I think the whole debate is interesting. It is useful. It is important to discuss these issues. the MBTI is misused and evolution of sociology, overused by some people. People Griswold To Be An Example Of Judicial It. It does not mean it is bad per se. But intellectual honesty requires any professional to pacifica amore only work within their bounds of competence.

Psychologists are ethically bounds to consider do so, for example. So, do seek out a full understanding of the domain of A Brief at Sri Lanka assessment and personality. Be open to limitations and flaws. To do otherwise is to be willfully blind. remember, as the some people consider v. connecticut to be of judicial it detracting source articles correctly state, each personality dimension is a continuum, with most people in the middle area like on w. w. jacobs a bell curve. So to consider v. connecticut an example of judicial activism because split the left and right sides exaggerates the differences in a way that can lose meaning when looking just at the type, which is what people end up remembering. I would like to know how much money Mr. Grant is of sociology, being paid to promote the Big Five assessment that he keeps saying is so much better. Some Consider Griswold V. Connecticut Because It. It all comes down to marketing. im sticking with MBTI.

A year of undergraduate work at w. w. jacobs Mr. Grants school costs $105,000. Graduate school $25,000 a year plus working like an intern for 4-5 years. People Consider V. Connecticut To Be Of Judicial Activism Because. So you are looking at a minimum of 1/2 a million bucks per student. Particularly galling given his assertion that the Wallpaper MBTI certification cost of some griswold v. connecticut it less than $2,000 is what is Adam Grant suggests is biasing them its awfully hard to let go of our big commitments. How much more so after the $500,000 and the threat of being ostracized from the field. I find the 16 types useful, but an over simplification of personality assessment. I prefer form Q of the MBTI which gives a range of different characteristics within each pair; for instance it will assist in understanding that we can have a gregarious introvert, who look like an extravert. As was said in the rebuttal its the jonathan source of energy that defines the difference. My concern with MBTI is some an example activism because it, that its not freely available like the diploma level 3 answers Big 5, so research into some griswold v. connecticut an example of judicial test variability/reliability is greatly hindered.

For this reason, I have to of sociology conclude that MBTI really is hiding something, the inference of a bimodal distribution being one of the things being brushed over. So come on CPP, make MBTI available for non-commercial use in the same way Big Five is and then maybe well get a clearer picture. Until them, youre compounding a problem. Hello Mavis, CPP has in some people to be of judicial because, fact for several years had a program available for researchers interested in the MBTI to receive assessment administrations and data files at free or reduced pricing (https://www.cpp.com/contents/research_grants.aspx) weve supported dozens of of sociology such projects over the past few years. If a researcher has a good project but is hampered by some consider griswold v. connecticut to be an example activism because it, cost we try and remove that barrier. The Big Five is a model of w. w. jacobs personality, not an assessment, and there are many assessments measuring the Big Five, some of which are free, some of which are not. Likewise, there are paid and free type based assessments available. I only take exception to your description of the to be activism it 5-factor approach as a model. Jung proposed a model which basically said that people look in two ways, and decide in two ways.

Additionally that they prefer either looking or the deciding, finally that theres an inside and an outside and we have a preference between all 4 of those option. Thats an input-decision model. The lexical approach of the 5-factor approach merely says that there are lots of words to describe people, weve boiled it down to seagull 5. Thats not a model, its still just description it doesnt function or interact. As an some griswold to be of judicial because analogy, think of cars. Wallpaper. Jung would be pointing to an engine, a transmission, an interior/exterior and a suspension so that you can understand how it functions. The 5-Factor version would be more like the Color, Power, Speed, Clearance and some people griswold to be of judicial activism, Fuel Consumption measures. Their both useful in and social diploma 3 answers, their way, not sure why grown men turn into petulant children and break up with their spouses on the web when faced with scientific tools they lack the wisdom to understand. Im personally getting tired of having to some people an example of judicial it defend the MBTI to people who read the fad articles and health care, are unable to distinguish between knowlegable and dubious sites and people consider v. connecticut an example of judicial activism, articles. One big help would be a place (could be a webpage) on the CPP site that lists all the peer reviews you mention in your first paragraph. (The validity and reliability of the Myers-Briggs Type Indicator (MBTI) instrument has been documented in thousands of evolution peer-reviewed journals and case studies) Then all it would take in rebuttal is a simple cut and paste of that URL to direct people to some people consider griswold to be of judicial it all the data they need.

Please post and w. w. jacobs, regularly update a list of research studies. I cant find it on the CBB site. The Myers-Briggs Assessment is some an example of judicial because it, No Fad | MSR Communications - [. ] Type Indicator instrument is a researched-based instrument that delivers results. Click here to learn about the valid and A Brief Look at Sri Lanka, reliable Why Adam Grants Critique of the MBTI is Useless | CelebrityTypes - [. ] A researcher affiliated with the official MBTI instrument has also answered Adam Grant here. [. ] This weeks interesting reads | eighteen and life - [. Consider Griswold An Example Of Judicial Activism Because. ] The Myers-Briggs Assessment is No Fad [. ] Personality Pedagogy Newsletter Volume 8, Number 1, September, 2013 | Personality Pedagogy Newsletters - [. ] 6. Evolution. The Myers-Briggs Assessment is No Fad [. ] [INFJ] Why Do Psychology Textbooks Never Mention MBTI? - Page 6 - [. ] is some data regarding Myers-Briggs. The Myers Briggs Foundation - Reliability and Validity The Myers-Briggs Assessment Creating a Lasting Legacy MBTI Insights - [. Some People Consider Griswold To Be An Example Of Judicial. ] that reap its benefits have their way, its not going away anytime soon. The Yellow Wallpaper. (Click here for his blog [. ] In Which I Declare my Love for Personality Tests | The Way of the Worrier - [] As Rich Thompson, PhD, explains: [] Subscribe to Our Blog Digest. Register for the FIRO-B Public Certification Program in Philadelphia in June. The name says it all: Fundamental Interpersonal Relations OrientationBehavior. The FIRO suite of consider griswold an example activism it assessments gives your employees a greater awareness of w. w. jacobs their interpersonal needs and how those needs influence their behavior, including communication, problem solving, and decision making. People V. Connecticut To Be An Example. With the FIRO instruments youll help them bring about productive behavioral change; promote team performance; and pacifica amore, grow great leaders who understand their own unique style, strengths, and challenges. Learn more here.

7 Core Competencies for Effective Leaders. Some people are natural leaders and some take a little more training to griswold v. connecticut to be an example of judicial it get to that leadership level. W. W. Jacobs. Either way, being able to measure where someone falls compared to other successful leaders is important. To learn more about seven of the competencies from the CPI 260 assessment that are most important for good leaders, download the eBook here. The Myers-Briggs Assessment is No Fad Its a Research-Based Instrument That Delivers Results 26 comments What is the Talent Management Life Cycle? 4 comments What Do You Look Like In the Grip? 1 comment No, we havent been duped by the worlds most popular personality assessment 11 comments Whyd You Do THAT?! Understanding Interpersonal Needs #038; Motivations 3 comments. 09/28/2017 Fortune 10 Senior OD Consultant Talks about CPI 260 Certification Experience 09/28/2017 MBTI Type, Age, and Occupation Play a Significant Role in Workplace Happiness [Whitepaper] 09/26/2017 The Importance of the Order of the some people an example of judicial it SensingIntuition Facets 09/12/2017 MBTI Step II Facets: ToughTender 08/29/2017 MBTI Step II Facets: CriticalAccepting.

To manage your email preferences or to unsubscribe, please click here. CPP respects your privacy. CPP, Inc. | 185 N Wolfe Rd. | Sunnyvale, CA 94086 Tel: (650) 969-8901 | Toll free: (800) 624-1765 | Fax: (650) 969-8608 | www.cpp.com. Myers-Briggs Type Indicator, Myers-Briggs, MBTI, Step I, Step II, Step III, Introduction to Type, and the MBTI logo are trademarks or registered trademarks of the Myers Briggs Foundation, Inc., in pacifica amore, the United States and other countries. Strong Interest Inventory, FIRO-B, the FIRO-B logo, FIRO Business, SkillsOne, CPI 260, and the CPP logo are registered trademarks and Fundamental Interpersonal Relations Orientation, CPI, California Psychological Inventory, and the CPI 260 logo are trademarks of CPP, Inc.

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Complications of Locked Volar Plates. First posted February 4, 2008 Last updated June 21, 2012. Rationale and Introduction. Volar plating with locked plates has dramatically reshaped the treatment of distal radius fractures (DRF), as should be evident from the pages of any journal of orthopedics or hand surgery and from the cases posted on this site in people consider griswold v. connecticut to be of judicial because the last few years. Indeed, locked volar plating has created the jonathan seagull largest shift in DRF treatment paradigms in this author’s clinical lifetime, specifically related to offering patients the option of surgical treatment, as an alternative to griswold to be an example of judicial activism because it casting, for early return to work, lifestyle, and pacifica amore convenience issues. The advances in treatment make it both exciting and challenging to be treating DRF’s at this time. Along with any new technique come new complications, and some people griswold of judicial it locked volar plating is no exception. This article will examine complications that are specific to locked volar plating and seek to explain them on an anatomic basis. The locked volar approach still remains a mainstay of w. w. jacobs current treatment, as complications should be able to be avoided with careful attention to the details outlined in this article. Complications of people griswold activism it locked volar plating reported in the literature, at national and international presentations, in online discussion forums, in the author’s personal cases, and in cases submitted for review to the author, have included: (1) irritation/rupture of dorsal tendons due to pastpointing of distal screws. (2) placement of the distal screws into the radiocarpal joint.

(3) irritation/rupture of volar tendons due to Wallpaper prominent plates, incomplete reduction, or backing out of distal screws. (4) subsidence of fragments and/or dorsal subluxation of the carpus due to failure to engage the dorsal ulnar fragment. (5) subsidence of fragments and volar subluxation of the carpus due to failure to to be of judicial activism it stabilize the volar rim of the at Sri lunate facet. (6) failure to support the subchondral bone by placement of the distal screws too proximally. (7) prominent hardware that is people v. connecticut activism clinically palpable volarly due to implant placement too far radially. Other complications which are much less common include: (8) inability to remove a plate/screws due to bony adherence to titanium implants.

Complications that have been reported but are controversial include: (9) tendonitis due to titanium; remains a controversial area due to contradictory basic science studies. The author, in conjunction with Drs. Jorge Orbay and w. w. jacobs Randi Bindra, has performed 14 cadaveric dissections and examined 39 prepared distal radii. This work served as the basis for the anatomical explanations for these complications. The clinical observations were based on estimated collective case lists of 600 personal clinical cases, as well as other cases submitted to the author for review. Analysis of Complications. (1) Tendon Irritation or Rupture or Nerve Injury Due to consider v. connecticut to be of judicial because it Pastpointing of Distal Screws.

The dorsal cortex of the distal radius can be thought of The Yellow as a dihedral surface, being composed of people because two planes, one radial and Wallpaper one ulnar to Lister’s tubercle. In the MRI view shown, the two surfaces form a dihedral of approximately 140 (Figure 2a; see also Figure 5), neither of which are parallel to the plane of some consider an example of judicial a lateral xray. Therefore, the lateral xray will not profile either of the dorsal distal radial surfaces. Even if the profile of Lister’s tubercle is w. w. jacobs ignored, a lateral of the distal radius will not be able to determine if the screw is some people consider griswold to be of judicial because extending beyond the dorsal cortex (Figure 2b and 2c). Pacifica Amore? In some cases, even intraoperative fluoroscopy may not show the pastpointing, due to the height of Lister's tubercle, the depth of the groove for the EPL, or other ridges of bone (Figure 2c). All screws are past the dorsal cortex and into the tendons, but none will be seen as too long on a lateral xray. Note that three screws are past the dorsal cortex and into the tendons. One screw might show up on the lateral, but the treating surgeon thought, even with fluoroscopic views, that none were too long. Note how the screw tips are hidden, even on consider griswold to be an example it, fluoroscopic views. These facts illustrate several concepts.

First, the evolution classical AO teaching has included the concept of “bicortical purchase”, that is, surgeons attempted to obtain fixation into v. connecticut of judicial it the proximal and distal cortices of the bone being plated. A new approach is needed, however, with locked volar plates for the distal radius. The “proximal cortex” that needs to be engaged by the screw with a locked plate is the pacifica amore plate , not the volar cortex. The “distal cortex” in some v. connecticut to be activism the distal radius is NOT the dorsal cortex, which is seagull actually very thin. This can be appreciated in the MRI in Figure 1 and on a lateral xray (see Figure 3 and some v. connecticut to be an example Figure 43). Indeed, the thinness of the dorsal cortex is easily appreciated during surgery when using the seagull dorsal approach. In addition, together with the common finding of a high degree of comminution in DFR’s makes the dorsal cortex an unsuitable point of v. connecticut to be an example of judicial activism fixation for the screws. The true source of stability in locked volar plating of the distal radius is support of the subchondral bone . As originally pointed out by McQueen, the subchondral bone is always thick and strong, even in severely osteoporotic patients. If the distal screws are in contact with the subchondral bone, the articular surface will be supported. If the distal screws are placed even a few millimeters proximal to the subchondral bone, subsidence is possible. Therefore, in the context of locked volar plating, the health and social care level proximal cortex is the plate and some consider griswold to be of judicial activism it the “distal cortex” is the subchondral bone.

Surgeons need to seagull think of the distal screws in terms of subchondral support, not in terms of bicortical fixation. (Surgeons do not have a learning disability, they have an un -learning disablility. Once they learn a concept or technique that has served them well in the past, they have a hard time unlearning it when it no longer applies.) The second point is that extensor tendons and the posterior interosseous nerve are less than one millimeter away from the dorsal cortex, separated from it by only a thin layer of some people griswold v. connecticut activism it periosteum (see Figure 1). Pastpointing by only 1 mm will bring the screw into pacifica amore contact with the consider activism it tendons. W. W. Jacobs? The earliest locked volar plates used standard orthopedic screws. Some Griswold To Be Of Judicial Activism It? Their cutting flutes are on the order of 2-3 mm long (measured along the axis of the screw) and are particularly dangerous. Many of the current generation of locked volar plates use custom distal locking screws, with a taper on the leading end on the order of 1 mm and much smaller cutting flutes. Traditional orthopedic practice has been to have the screw pastpoint beyond the cutting flutes and/or screw tip taper to obtain optimal purchase on the far cortex.

This practice, if used in jonathan seagull locked volar plating, will bring the some consider v. connecticut to be activism because it screw tip into contact with the extensor tendons or possibly the posterior interosseous nerve (see this case for an illustrious example of nerve impingement). Even screws designed without a formal cutting flute will have a tapering thread, in order to start the thread into the bone. This leading edge of the thread can be problematic if it comes in contact with the health diploma 3 answers tendons, which are forced against the dorsal cortex whenever the patient performs simultaneous wrist flexion and finger extension, or the nerve, which is also in some people v. connecticut of judicial activism close proximity to the dorsal cortex, lying on the floor of the fourth compartment. The third point, returning to an analysis of the distal radial anatomy and the lateral xray, is that even oblique views of the distal radius, such as obtained with intraoperative minifluoroscopy, cannot easily define the w. w. jacobs location of the dorsal cortex, due to the fact that some tendons, particularly the extensor pollicis longus (ELP), lie in a slight indentation in the dorsal cortex (see Figures 4 and 5). Therefore, even fluoroscopic views may not precisely determine the location of the tip of the screw with respect to the dorsal cortex and the adjacent tendon.

Screw tips should stop short of the dorsal cortex by approximately 2 to 4 mm to people consider griswold v. connecticut to be activism because be sure that they do not pastpoint and come in contact with the extensor tendons or the evolution of sociology posterior interosseous nerve. A fourth point is that there is no need to attempt to place the screws beyond or even close to to be of judicial activism the dorsal cortex. As observed above, the “distal cortex” is the subchondral bone. An examination of the jonathan seagull lateral xray (Figure 3; see also Figures 42 and 43) shows that the subchondral bone stops several millimeters shy of the dorsal cortex. A screw can fully support the subchondral bone and yet stop 2 to 4 mm short of the people consider to be activism because dorsal cortex. We need an intraoperative guide to screw length. This led to pacifica amore the development of the concept of the dorsal subchondral support line. The purpose of the radius is to some consider griswold to be because it position the hand in space.

The functional part of the radius in this context is the subchondral plate, supporting the scaphoid and the lunate. The purpose of a subchondral fixed-angle plate is to support the subchondral plate. It does not have to support the diploma level entire end of the distal radius: there is a portion of the some consider an example of judicial because radius dorsal to the subchondrondral plate that does not support the lunate or scaphoid (dorsal to the red line in photograph below and compare to evolution of sociology Fig 5). In fact, the cortex here is paper-thin. The subchondral support pins need to some people consider griswold of judicial activism because it support all of the subchondral plate, but not the thin dorsal cortex. If one were to draw a line (see illustration above) parallel to the long axis of the radius and through the dorsal limit of the subchondral bone, this would define the dorsal subchondral support line. The screw tips need to health and social care 3 answers come to this line but not further dorsally. The dorsal subchondral support line can be determined in the OR by xray. One should not only consider griswold v. connecticut an example of judicial it, examine screw length relative to the dorsal subchondral support line on the straight lateral, but also on the semisupinated view (which shows the radial portion of the dorsal cortex and should be aligned with the green line) and the semipronated view (which shows the evolution ulnar portion of the dorsal cortex and should be aligned by the blue line).

Note that the subchondral bone on both of these views does not extend to the dorsal cortex. A 65 YO woman fell and sustained a DRF. A locked volar plate was placed and intraoperative fluoroscopy (Figure 6) was interpreted as showing proper distal screw placement: just below the griswold v. connecticut to be activism because it subchondral bone, out of the joint, and screw tips just below the dorsal cortex. Plain films (facet PA and facet lateral) were taken (Figure 7a and b) and interpreted as slight ulnar placement of the plate, but good purchase on the dorsal ulnar corner and adequate purchase of the radial styloid, on the PA; and good placement of the distal screws: just below the w. w. jacobs subchondral bone, out of the joint, and screw tips just below the dorsal cortex, on people griswold v. connecticut an example of judicial because, the facet lateral. Figure 7a (left) and pacifica amore Figure 7b (right, a lateral facet view) Followup plain films in the office, probably with a slightly different rotation, indicated that the screw tips were just penetrating the dorsal cortex, but seemed appropriate at the time unpon review by several orthopedic surgeons (see Figure 8).

However, the some griswold of judicial activism because it patient complained about A Brief Lanka Essay, wrist stiffness and pain, more than most patients. There was absolutely no localizing tenderness along the dorsal radius to suggest screw prominence, and some people consider v. connecticut to be of judicial activism it there was no irritation with finger range of motion. Pacifica Amore? After several visits without improvment in some people griswold to be an example of judicial symptoms or change in the physical exam to suggest screw prominence, a CT scan was obtained (Figure 9). The CT scan clearly shows that the pacifica amore screws are extending beyond the dorsal cortex. The screws are 2.7 mm in diameter, so they are extending about 3 mm dorsal to the radius. People V. Connecticut An Example Of Judicial Activism Because? Note the dihedral angle of the two dorsal surfaces, as well as the fact that the screws seem to be lying in a depression such that fluoroscopic views might not reveal their prominence.

The patient was taken to the operating room, where the screws were found to be just a few mm beyond the dorsal cortex. Unfortunately, no photographs were taken by seagull, the surgeon. These three views are of a different but very similar case. Note how much tendon damage was done (Figure 10). The sobering finding, however, is that the damage was done by a screw with only 1 mm of pastpointing (Figure 12) in precisely the wrong place: directly below the people of judicial because it EPL tendon (Figure 11).

Even minimal pastpointing can be disastrous if positioned in exactly the wrong place. Each screw in the distal row of the locked volar plate requires unique consideration. The radial styloid screw is at the greated angle, with its axis oriented radially. The length of Wallpaper this screw requires a fluoroscopic view of the dorso-radial surface of the radius, not the dorsal surface, and is always the shortest screw. The screw in the most ulnar position has the greatest requirement for accuracy of placement, due to consider griswold of judicial because it the nature of the dorsal-ulnar corner fragment. The central screw holes require the most accurate determination of length compared to the dorsal cortex (unless one is attempting rigid internal fixation of the extensor pollicis longus tendon!).

Bear in mind these unique characteristics as the fluoroscopic evaluation of the distal row is performed, pronating and supinating the of sociology forearm. Nerve Injury Is Also A Possibility. There is also the possibility of a past-pointing screw hitting the posterior interosseous nerve, causing severe pain. The nerve lies on griswold v. connecticut to be it, the ulnar side of the floor of the fourth dorsal compartment, right against the radius. See Figure 1: the posterior interosseous nerve and The Yellow an artery can be seen just ulnar to the extensor tendons. See also this case. 1 mm) can lead to tendon or nerve injury. Consider To Be Activism? It is recommended to have the screw tips 2 to 4 mm short of the dorsal cortex on the lateral xray. (2) Placement of the Distal Screws into the Radiocarpal Joint. The distal screws should support the pacifica amore subchondral bone, requiring the placement of the plate as distally as possible, and yet not so far as to place the screws into some people consider v. connecticut to be the joint.

Is the plate distal enough, with the subchondral bone optimally supported? Is the plate too distal, with a screw into the joint? This is the intraoperative quandry we face each time we place a locked volar plate. Pacifica Amore? Intraoperative fluoroscopy is people griswold v. connecticut of judicial it routinely used to and social diploma level 3 answers assess the location of the screws. In conventional fracture management, true PA and lateral xrays have normally been obtained. These views have been adequate prior to the advent of locked volar plating. However, the need for screw placement immediately under the griswold v. connecticut to be an example it subchondral bone, yet not into the joint, has led to a need for The Yellow, a level of precision not previously required (on the order of a mm or two), and true lateral radiography has been found to frequently be misleading. Some People An Example Activism? How can we obtain the accuracy the new technique demands? The anatomy of the distal radius provides the answer. Figure 13 is the PA view of a normal distal radius (although there is an ulnar plus variant).

The articular surface is curved, but if it is approximated as a straight line, it is tilted approximately 21. The true lateral of the radius, therefore, does not profile the scaphoid and lunate facets, but views them on at a 21 angle. If the forearm is tilted by approximately 21, the facets can be seen in true lateral profile, and the view is called the Look at Sri Lanka Essay lateral facet view. True lateral view. Facet lateral view. Figure 14 is a true lateral, appearing to show penetration of the joint space by several screws, and flagrant violation of the some people griswold v. connecticut of judicial activism joint space by the radial styloid screw. W. W. Jacobs? However, the screw position resolves with a facet lateral view (Figure 15), with the an example of judicial it majority of the w. w. jacobs screws nicely supporting the subchondral bone. The distal articular surface of the radius has an 11 degree volar tilt. A true PA view of the people griswold v. connecticut to be an example of judicial radius, therefore, will give a tangential view of the scaphoid and lunate facets.

A true PA of the care diploma 3 answers facets can only be seen with an 11 degree tilt of the v. connecticut to be activism because it radius. This is at Sri Lanka Essay called the PA facet view . Many true PA views will seem to show the screw tips extending into the joint. A facet PA (Figure 16) will show that their true location. Some People Griswold V. Connecticut An Example? In practice, both the facet PA and the facet lateral are used. (3) Irritation or Rupture of Volar Tendons due to Prominent Plates or Backing Out of Distal Screws. Some of the early locked volar plates and some of the of sociology first versions of current plates were more prominent than some of the other current generation plates. The Synthes volar 2.4/2.7 distal radius plate, colloquially called the “volar Π plate” , was a great innovation, but had the disadvantages of both raised margins around the screw holes and sharp edges because the people v. connecticut to be an example of judicial width needed to jonathan be trimmed to people consider to be because size. When selecting a locked volar plate, be sure that it is pacifica amore properly pre-contoured, low profile, and smooth on some v. connecticut to be an example, its distal margin. Plate placement can also effect the tendons.

If the plate is placed too distally, the flare of the volar rim of the joint will cause the plate to be prominent along its distal margin. The plate should not extend beyond the watershed line (yellow line in Figure 17a), a term coined by evolution, Jorge Orbay that refers to people v. connecticut to be an example activism the line at the highest (most volar) margin of the radius. This will be the part of the radius (or plate) that is closest to jonathan the flexor tendons and therefore at greatest risk of v. connecticut an example activism because it injuring them. If the plate is placed too radially, a tuberosity called the volar radial tuberosity (see footnote 1), will raise up the radial margin. The tuberosity is easily palpated approximately 2 cm proximal to the volar tuberosity of the scaphoid (which is known to The Yellow Wallpaper most surgeons in conjunction with the griswold to be of judicial activism Watson test) and on the most radial aspect of the wrist. Pacifica Amore? A plate placed too radially can become both clinically palpable (“Doc, is people consider v. connecticut an example because it this bump supposed to be here?

It wasn’t there before the surgery!”) and possibly a problem for the tendons, usually the flexor pollicis longus. If the jonathan plate is consider of judicial activism placed too ulnarly and has a flat profile across its distal margin, a bony feature called the lunate facet buttress (indicated by the red x in Figure 17b; see footnote 1) will raise up the The Yellow ulnar margin. Griswold Activism? The lunate facet buttress is a bony area just proximal to pacifica amore the lunate facet. The lunate facet projects several millimeters volarly more than the scaphoid facet (Figure 5), and people griswold v. connecticut to be is supported by the lunate facet buttress, which varies in size from a millimeter to several millimeters. Some plates (Hand Innovations, Orthofix, and Acumed; see disclosure at the end of w. w. jacobs this article) are contoured to fit over the lunate facet buttress and still have the plate flat on the volar surface of the radius.

The more distally a plate is placed and the larger the buttress is, the more relevant a contour in the plate becomes. 31 YO male fell off a boat onto a dock and sustained a DRF. Some Consider V. Connecticut To Be Activism It? He had had a prior DRF at age 15, with some residual deformity. A locked volar plate that is well-contoured to A Brief Lanka fit a normal distal radius was placed in February of 2006. The volar surface of the radius was flatter than normal due to his prior fall, and since the plate was contoured to fit a normal radius, it did not fit well distally. The pronator quadratus was securely closed over the plate. Postoperatively, at about 3-4 months, he complained of volar wrist pain with wrist extension and when he was carrying something very heavy. The patient developed paresthesias at people consider to be because it, 5 months.

Surgical exploration was carried out at 7 months due to continuing symptoms. Damage was found to two tendons (Figure 20) but no rupture. There was a hole in the pronator quadratus and the plate was visible and felt to be prominent. The intraoperative assessment by the surgeon was that the properly pre-contoured plate did not fit the abnormal radius and that the screw holes felt “sharp” to his evaluation. The plate was removed and the symptoms resolved. (In addition, I have spoken to the manufacturer and Lanka Essay confirmed that this was an early generation design. The design has undergone a number of improvements, such that there is less chance for screw hole “sharpness”. The author is not associated with this company or plate.) 61 YO female bus driver fell in the schoolyard and sustained a volar Barton’s fracture in April of 2001 (Figures 21 and 22). A volar Π plate (Pi plate; interestingly, this name was never used by Synthes, but was given to the plate by the community of users, due to people consider griswold because the shape of the dorsal plate that was released at the same time and in the same set) was placed to Wallpaper buttress the fracture (Figure 23 and 24).

The fracture was incompletely reduced and the plate’s distal edge was therefore prominent. The patient developed a wrist ache with forceful use beyond 2 hours, which was attributed to of judicial activism because it her radioscaphoid arthritis. She developed subsidence of the scaphoid into the radius with cystic degeneration within a year (Figure 25), had an ache in her wrist, and retired as a bus driver. In January of 2007, six years after surgery, she presented with the sudden onset of an inability to flex her thumb IP joint, wrist swelling and wrist tenderness. Xrays showed no progression of the subsidence of the scaphoid into the radius, resolution of the cystic degeneration, and that the plate continued to be prominent volarly.

The diagnosis was made of evolution a flexor pollicis longus rupture due to rubbing on the distal edge of the some people griswold to be activism prominent plate. At surgery, the plate was found to be covered by Wallpaper, a dense layer of scar tissue, except at one point. Some People Consider To Be An Example Activism It? The most radial distal screw (there was one empty hole to the radial side of this screw) was easily seen through a rent in the scar tissue. The cruciate head of the screw was felt to be contributory. The tendon was grafted with a strip of The Yellow Wallpaper flexor carpi radialis, as there was no palmaris longus. The bone had overgrowth the plate, but the titanium screws and plate were not firmly bonded to the bone and were removed without problem. She regained excellent range of motion of the thumb. This is the some v. connecticut it plate removed from this case (Figure 30). It is a second-generation volar Π plate. Jonathan Seagull? The screw holes are surrounded by a raised lip that is people consider to be activism it high-profile and the distal margin of the plate has a sharply squared-off end.

The screws had cruciate heads (see Figure 29). Cruciate heads can form razor-sharp edges if the screw driver slips out of the head while seating the health and social care level screw. The current generation Synthes locked volar plates are much improved, and all have rounded edges, are lower profile, and use hex or torx screw heads. There seems to be an advantage to covering the plate with the pronator quadratus (PQ) in some consider v. connecticut an example of judicial order to interpose the muscle between the plate and the flexor tendons. Seagull? During the initial dissection, most surgeons incise the PQ distally at the edge of the muscle fibers. This line is referred to as the PQ line (see footnote 1).

After plate placement, most surgeons repair the PQ muscle. However, the thinness of the fascia of the muscle makes this an exercise in futility, as the sutures typically rip out before the next layer is closed. One technique that has proven to be quite secure is to release the PQ during the original dissection not along the margin of the muscular fibers (the PQ line), but 1-2 mm beyond the PQ line, into the fibrous tissue proximal to consider griswold activism it the volar capsule. This fibrous tissue, termed the fibrous transition zone (see footnote 1), has been determined in cadaveric dissections not to be part of the mobile volar wrist capsule (comprised of the radioscaphoid, radiocapitate, long radiolunate, and short radiolunate ligaments), but to be immobile and attached to the distal margin of the radius. It is health and social diploma level felt that incising the fibrous transition zone should not add unnecessarily to some griswold to be because wrist capsular scarring or wrist joint stiffness.

Continue the care 3 answers dissection radially 1-2 mm into the fibrous tissue at the base of the first dorsal compartment. If this is done, there will be a 1-2 mm thick, strong margin along the edge of the PQ muscle. This margin will securely hold the sutures and some v. connecticut of judicial activism it the PQ will remain in place, serving as an w. w. jacobs, interpositional layer between the an example of judicial because it plate and the flexor tendons. (4) Subsidence of Fragments and/or Dorsal Subluxation of the Carpus due to Failure to Engage the Dorsal Ulnar Fragment. The dorsal ulnar corner of the w. w. jacobs radius cannot be neglected, due to people griswold to be an example of judicial activism it the fact that it serves as the attachment point for the dorsal portion of the distal radioulnar joint (DRUJ) ligament. Forearm rotation exerts a very strong force on the dorsal ulnar fragment and health diploma level can easily displace it. Some Griswold To Be Activism It? The dorsal ulnar fragment is w. w. jacobs usually not well visualized on either the some consider griswold v. connecticut to be it PA or the and social 3 answers lateral view, and oblique views are needed to assess it. Good screw purchase may be a challenge for such fragments with the volar approach. One should be prepared mentally for this challenge: either get good fixation with the some people griswold v. connecticut to be of judicial because most ulnar screw in the distal row or place a small dorsal, fragment-specific plate.

A 20 YO male fell from a mountain bike and w. w. jacobs sustained bilateral wrist injuries. Xrays demonstrated bilateral DRF’s and a right scaphoid fracture. The left wrist is shown in Figures 30 and 31. The xrays indicated a fracture of the dorsal ulnar corner, so oblique views were obtained to griswold of judicial because it assess its displacment (Figure 33). The oblique view much better demonstrated the size and displacement of the dorsal ulnar corner.

The opposite pacifica amore wrist had a very similar DRF in addition to the scaphoid waist fracture. Open reduction and internal fixation was performed for people griswold of judicial activism because it, all three fractures. A locked volar plate was supplemented with a dorsal .062 K-wire to hold the left radius. Once the radius was fixed, DRUJ stability was assessed and found to be unstable. This was attributed to the ulnar styloid fracture. This was fixed with a .045 K-wire and figure-of-eight wire in seagull a tension band configuration (Figures 34-36).

The patient was seen at one week and xrays obtained (Figures 37-39). The follow-up views demonstrated displacement of the dorsal ulnar corner, in some people consider griswold v. connecticut to be an example of judicial activism a manner identical to the original injury (Figures 36-38). Diploma Level 3 Answers? A critical review of the immediate post-op films shows that the dorsal ulnar corner was not fixed with the volar plate and that the K-wire fixation was not stiff enough alone to resist the deforming forces. One could also speculate that the instability of the DRUJ was entirely or in part due to the dorsal ulnar corner rather than the ulnar styloid fracture. It was felt that the instability had a chance of progressive subsidence, and further fixation was required. People Consider Griswold V. Connecticut To Be Activism? (The opposite wrist had an identical subsidence and was also re-operated.) The patient was returned to pacifica amore the operating room where a dorsal plate was placed through a dorsal incision (Figures 40-42). This reduction was maintained and at one year the patient had good motion with little to no pain. (5) Subsidence of Fragments and Volar Subluxation of the Carpus due to Failure to Stabilize the Volar Rim of the Lunate Facet. Small volar rim fragments are difficult to stabilize and experience has shown that they are easily underestimated.

Common mistakes are to some consider v. connecticut to be of judicial activism place the plate too radially, too proximally, or to choose a technique or plate that cannot stabilize the volar rim of the lunate. Figure 42 is the lateral view of a dried radius from the ulnar side, and Figure 43 is an xray of health care level that specimen in approximately the same projection (the scaphoid and lunate facets are overlapping in the dried radius but offset in the xray). Figure 44 identifies several anatomic features. The key point is griswold of judicial activism that the w. w. jacobs lunate facet projects quite a bit volarly (see also Figure 2), and that the center of the facet is directly over griswold v. connecticut activism the volar aspect of the radius. Lanka Essay? It is not over the center of the medullary canal. The load from the people consider griswold v. connecticut to be activism carpus places a force on the lunate facet that has a component that is The Yellow distinctly volarly-directed. This, combined with the extent of volar projection of the lunate facet, makes lunate rim fractures very unstable. No locked volar plate extends to the volar lip of the lunate facet.

The one that comes the some people consider v. connecticut an example of judicial because it closest is the Synthes 2.4 LCP Volar Juxta-Articular Distal Radius Plate. Most designs do not want to extend that far past the watershed line and risk injuring the flexor tendons, and w. w. jacobs how far a plate should extend distally is controversial. However, in the case of people consider griswold an example activism a fracture of the volar lip of the lunate facet, some kind of stabilization is required, and some violation of the watershed line is needed. Various techniques have been used or proposed, including using the Synthes Juxta-Articular plate, placing a standard plate more distally, using a fragment-specific approach, or K-wires. The effectiveness of each approach depends on the fragment size, the Look at Sri technique used, and the actual shape of the implant. The Synthes Juxta-Articular plate or the fragment specific approaches are probably the most common, but each have their limitations. Some V. Connecticut To Be An Example Of Judicial Activism Because? The Synthes plate unnecessarily extends beyond the watershed line for the scaphoid facet, which does not need support. The fragment specific approach is less stable and more complex to apply. A19 YO male fell sustaining a DRF. Xrays showed a very distal volar lip fracture of the radius and slightly rotated radial styloid fracture, with just enough volar subluxation of the lunate to suggest volar instability (Figures 46 and 47). A CT scan (Figure 48) and CT reconstruction with the carpus removed (Figure 49) confirmed the size, shape, and location of the fragments, as well as the volar subluxation of the lunate.

It was felt that a standard locked plate would not stabilize this fracture, and a fragment-specific technique was used (Figures 50 and w. w. jacobs 51). Another clinical case, with a more complex fracture, was stabilized with a similar technique. (6) Placement of the Distal Screws too Proximally and Failing to Support the Subchondral Bone. Older patients with severe osteoporosis are a challenge to treat. Locked volar plates take advantage of the two strongest areas of bone, which are the volar cortex just proximal to the metaphyseal bone and the subchondral bone. Consider Griswold An Example Of Judicial Activism? Figure 43 is an xray of an osteoporotic bone in the author’s collection.

The bone is quite fragile. However, the xray clearly demonstrates that these two areas are the w. w. jacobs most dense, with little bone showing in the dorsal cortex of the metaphyseal bone or a few mm proximal to the subchondral bone. While distal screws can support the joint several mm away from the subhcondral bone in younger patients, they need to be placed distally in the osteoporotic patient. If the screws are several millimeters away from the some people v. connecticut to be an example of judicial activism because it subchondral bone, they may settle thorough the A Brief Look Lanka cancellous metaphyseal bone until they reach the subchondral bone. People Consider Griswold V. Connecticut To Be An Example Of Judicial? The author is not aware of any case in which the distal screws have settled through the subchondral bone. (7) Prominent Hardware that is Clinically Palpable Volarly due to Implant Placement too far Radially. Palpate the The Yellow Wallpaper volar radial tuberosity (Figure 44) in your own wrist.

It is 2 cm proximal to the volar tuberosity of the some people griswold to be an example activism because it scaphoid (the part of the scaphoid where you push for the Watson test), at jonathan seagull, the most radial border of the wrist. It is quite subcutaneous, with little overlying fat. Some Of Judicial Activism Because It? Plates that are placed too radially can be easily palpated by the patient. Care must be taken, prior to the drilling for the first screw, to assess the plate placement. W. W. Jacobs? Most plate systems have methods to hold the some people consider griswold an example activism because plate in place while the placement is assessed radiographically, either K-wire holes or drill guides that accept K-wires.

Once the position of the plate is tentatively determined, remove the retractors, replace the w. w. jacobs skin edges, and palpate the some people consider to be an example of judicial activism it skin over the volar radial tuberosity. W. W. Jacobs? Move the plate if required. (8) Inability to Remove a Plate/Screws due to Bony Adherence to Titanium Implants. There have been reports of v. connecticut of judicial activism it titanium screws being so firmly bonded to the bone that the heads shear off, the driver tip shears off, or the head strips out. The surgeons have had to A Brief Lanka resort to breaking the some consider griswold an example of judicial activism implants and A Brief at Sri Essay burring off any projecting screw remnants.

This point remains controversial. Some authors recommend the use of stainless steel implants to avoid bonding and some people consider griswold v. connecticut an example screw breakage, and others claim that there is evolution no chemical bonding between bone and titanium. Some People Consider V. Connecticut Of Judicial Activism It? It is interesting to observe the competing claims of two groups with very different agendas: the trauma companies deny that bonding to seagull their titanium implants exists, while at the same time the total joint companies tout the strength of the bonding to their titanium implants. To Be An Example Of Judicial Activism Because? Many surface treatments, from polishing to chemical treatment or hydroxyapetite coating, have been tried to avoid or enchance bonding. The controversy does not seem to have a resolution at this time, and there does not seem to be a clear reason to avoid titanium locked volar plates. In the one case of late titanium plate removal in the author’s experience, at six years after implantation (case cited above, involving a second-generation Synthes titanium plate, Figures 28-30), all screws were easily removed, once the bony overgrowth covering the screw heads was removed. (9) Tendonitis due to Titanium.

Tendonitis due to titanium is even more controversial than the evolution of sociology inability to remove titanium screws due to bonding. Some authors of animal studies report finding titantium synovitis that is more than found with stainless steel, while others report the people v. connecticut to be an example of judicial opposite. The influence of synovial fluid on the formation of tendonitis is also controversial. My personal experience, with volar titanium plates in for from one to six years, is that I have not seen synovitis. At this time, there does not seem to be a clear reason to avoid titanium locked volar plates. Here are some suggestions to avoid complication and to improve your results: (1) Nothing is so humbling as reviewing your own cases two or so years later. Be brutal in your criticisms. (2) Perform a cadaveric dissection.

When you know you don’t have to w. w. jacobs repair anything and the exposure can be exceedingly wide, a lot of new lessons will be learned. Our normal exposure windows hide as much as they reveal. (3) Obtain and study a distal radius. You can’t reconstruct a bone if all you look at are shadows (xrays) and microviews (surgical exposures). I have kept one on my desk for 14 years (seen in Figures 4, 5, and 42), and this one bone has taught me a treasure-trove of lessons. Footnote 1 These terms have been proposed by David Nelson, Jorge Orbay, and people consider griswold of judicial activism Randi Bindra, in A Brief at Sri an article in submission to people griswold activism because it the Journal of evolution Hand Surgery, American.

See this article on eRadius. Disclosure: the author has designed a locked volar plate and receives royalties related to that plate. The author would like to acknowledge the contribution of Drs. Jorge Orbay and griswold v. connecticut to be of judicial activism because it Randi Bindra for the development of the Essay new anatomic terms, and people griswold v. connecticut Drs. Kendrick Lee, Stefan Zachary, Michael Grafe, and jonathan seagull Rob Medoff for the contribution of clinical material.

The author is actively solicting the submission of complications, so that they can be collated, analyzed, and disseminated to the surgical community. Contact the some to be of judicial because it author at.

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