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Lewis R. Rambo 한국기독교교육정보학회 2006 Journal of Christian education information tech Vol.0 No.9
During the last two centuries, the processes of Christian education and conversion have been considered polarized. This paper argues that for Christianity to flourish in the 21st century Christian Education and conversion should not only intersect, but can be mutually supportive. First, this paper explores the tragic split between "liberals" and "conservatives." Second, this paper will examine the emergence of a new form of Roman Catholic theology that considers conversion to be foundational to the theological enterprise of the contemporary church. Third, I will propose a theological agenda that brings conversion studies and Christian education together to meet the needs of the church in the 21st century by engaging post-modernism and inter-disciplinary studies in theological and religious studies. Fourth, a radical form of discipleship will be proposed that can unify or transcend the traditional "liberal" and "conservative" agendas. Through both Christian education and radical conversion we are called to be transformed into the image of Christ.
Lewis Kamande Njaramba,Antony Mutua Nzioka,Young-Ju Kim 국제문화기술진흥원 2020 International Journal of Advanced Culture Technolo Vol.8 No.2
This study investigated the purification process of groundwater contaminated with zinc and arsenic using a permeable reactive barrier with a zero-valent iron/pumice mixture. We determined the removal rates of the contaminants for 30 days. In this study, column reactor filled with the zero-valent iron/pumice reactive mixture was used. Experimental results showed that the mixture exhibited an almost complete removal of the zinc and arsenic ions. Arsenic was removed via co-precipitation and adsorption processes while zinc ions were asorbed in active sites.The purification process of water from the metal ionscontinued for 30 days with constant hydraulic conductivity because of the enhanced porosity of the pumice and interparticle distance between the zero-valent iron and pumice. Contaminants removal rates and the remediation mechanism for each reactive system are described in this paper.
Lewis Daniel,Marya Shivan,Carrasco Roberto,Sabou Silviu,Leach John 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.5
Study Design: Retrospective single-center study.Purpose: This study aims to evaluate perioperative and intermediate-term clinical outcomes of patients undergoing different lumbar fusion techniques.Overview of Literature: Various open and minimally invasive techniques for lumbar fusion are available, but previous studies comparing lumbar fusion techniques have heterogeneous data, making interpretation challenging.Methods: Between 2011 and 2018, data from 447 consecutive patients undergoing one/two-level lumbar fusion were analyzed. Posterior lumbar interbody fusion (PLIF) with bilateral muscle strip or Wiltse approach, open transforaminal lumbar interbody fusion (TLIF) and minimally invasive TLIF, and posterolateral fusion only were among the surgical techniques used. Core outcomes measure index (COMI) questionnaires were distributed before surgery and at 3 months, 1 year, and 2 years postoperatively to establish patient selfreported outcome measures. Demographic data (age, gender, and body mass index [BMI]) for each patient were also collected in addition to surgical indication, previous operative history, perioperative outcomes, and complications, and whether later revision surgery was required. Pearson’s chi-square test, Kruskal-Wallis test, repeated measure mixed-effects models, and ordinal logistic regression were used for statistical analysis.Results: Postoperative COMI scores improved across all procedures compared with pre-surgery (<i>p</i><0.001). There was no significant difference between different postoperative COMI scores. Significant predictors of higher postoperative COMI score included higher pretreatment COMI score (<i>p</i>≤0.001), previous surgery (<i>p</i>≤0.04), younger age (<i>p</i>≤0.05), higher BMI (<i>p</i>≤0.005), and the indications of lytic spondylolisthesis (<i>p</i>=0.02) and degenerative disc disease (<i>p</i><0.001). Patients undergoing minimally invasive TLIF had a significantly shorter post-surgery stay than patients undergoing open PLIF (Kruskal-Wallis test, <i>p</i>=0.03).Conclusions: At 2 years postoperatively, there was no significant difference in clinical outcomes between open and minimally invasive techniques. These findings suggest that the main determinant of surgical approach should be surgeon preference and training.
Measuring Top Management Commitment in SMEs: A Self-Assessment Scale
Lewis, Winston G.,Pun, Kit F.,Lalla, Terrence R.M. The Korean Society for Quality Management 2007 The Asian Journal on Quality Vol.8 No.3
This paper describes the development of a scale for measuring top management commitment towards continual quality performance improvement in small and medium-sized enterprises (SMEs). A set of self-assessment questions of the ISO 9004: 2000 Standard was used to assess the adoption status of quality management practices. This paper investigates the inter-item reliability and the content validity of the Quality Management Principles Scale (QMPS) in an integrated improvement process in SMEs. An empirical study was conducted to acquire senior management views on the use of the QMPS in manufacturing sectors in Trinidad and Tobago. Based on 328 responses from 110 SMEs, statistical software packages were used to analyse the empirical data and determine the reliability and validity of the QMPS. The paper contributes to develop a self-assessment scale that can be used to measure top management commitment. It is anticipated that the findings would provide practical insights for evaluating the levels of maturity on performance improvement in SMEs.