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Test Number : OG0-093
Test Name : OG0-093 TOGAF 9 Combined Part 1 and Part 2
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OG0-093 test Format | OG0-093 Course Contents | OG0-093 Course Outline | OG0-093 test Syllabus | OG0-093 test Objectives

Exam Summary
This is a combined TOGAF 9 Part 1 and Part 2 examination for candidates who want to achieve Level 2 certification directly.

Exam Name: TOGAF® 9 Combined Part 1 and Part 2
Exam Number:
OG0-093 - English
OG0-098 - Simplified Chinese
Qualification upon passing: TOGAF 9 Certified
Delivered at: Authorized Examination Provider Test Centers
Prerequisites: None
Supervised: Yes
Open Book: Dependent on section. This examination comprises two separate sections. The TOGAF 9 Part 1 section is CLOSED Book. The TOGAF 9 Part 2 section is OPEN book. An electronic copy of the specification is built into the test and becomes available in Part 2 only.
Exam type: The test comprises two sections. Section 1: 40 Simple Multiple Choice questions + Section 2: 8 Scenario Based, Complex Multiple Choice
Number of questions: 48
Pass score: The pass mark for Part 1 is 55%, which means 22 or more points out of maximum of 40 points. For Part 2, the pass mark is 60%, which means 24 or more points out of a maximum of 40 points. Note that you must pass both parts of the test to achieve an overall pass result. If you fail either part you fail the examination, however you only need retake the examination(s) corresponding to the failed section(s).
Time limit: 150 Minutes total. Each section has a maximum time limit as follows: 60 Minutes on TOGAF 9 Part 1. 90 Minutes on TOGAF 9 Part 2. Once you complete the TOGAF 9 Part 1 section you cannot return to it. There is no break between sections; Part 1 directly follows Part 2.

- The basic concepts of Enterprise Architecture and the TOGAF standard
- The core concepts of the TOGAF 9 standard
- The key terminology of the TOGAF 9 standard
- The ADM cycle and the objectives of each phase, and how to adapt and scope the ADM
- The concept of the Enterprise Continuum; its purpose and constituent parts
- How each of the ADM phases contributes to the success of Enterprise Architecture
- The ADM guidelines and techniques
- How Architecture Governance contributes to the Architecture Development Cycle
- The concepts of views and viewpoints and their role in communicating with stakeholders
- The concept of building blocks
- The key deliverables of the ADM cycle
- The TOGAF reference models
- The TOGAF certification program
- How to apply the ADM phases in development of an Enterprise Architecture
- How to apply Architecture Governance in development of an Enterprise Architecture
- How to apply the TOGAF Architecture Content Framework
- How to apply the concept of Building Blocks
- How to apply the Stakeholder Management Technique
- How to apply the TOGAF Content Metamodel
- How to apply the TOGAF standard recommended techniques when developing an Enterprise Architecture
- The TOGAF Technical Reference Model and how to customize it to meet an organizations needs
- The Integrated Information Infrastructure Reference Model
- The content of the key deliverables of the ADM cycle
- How an Enterprise Architecture can be partitioned to meet the specific needs of an organization
- The purpose of the Architecture Repository
- How to apply iteration and different levels of architecture with the ADM
- How to adapt the ADM for security
- The role of architecture maturity models in developing an Enterprise Architecture
- The purpose of the Architecture Skills Framework and how to apply it within an organization

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Laparoscopic Versus Open Left Lateral Segmentectomy | OG0-093 boot camp and test dumps


This examine echoes the growing body of facts demonstrating that a laparoscopic approach to liver surgical procedure offers tangible merits to each patient and medical institution. As surgical skill develops it's predicted that left lateral segmentectomy will shift from being a historically open system to a laparoscopic one. This in flip may also benefit an expanding variety of sufferers for whom open surgery can be considered excessive risk.

The findings of this examine are according to different published sequence showing laparoscopic liver surgical procedure to be feasible and secure.[2,3,4,5,12,20] A 20% post-operative morbidity price (< 30 days) became similar between the open and laparoscopic neighborhood. there were no liver related issues, chest or wound infections in both group.

inside the laparoscopic community, conversion to an open technique befell in one affected person (10%) to make certain narrowing of the oesophago-gastric junction did not turn up. The need to convert to an open process has commonly resulted from uncontrollable bleeding.[12,13,18,20] As surgical concepts Strengthen conversion prices have reduced, with early experiences reporting a 33% conversion rate[13] to Chang et al[20] reporting a 2.7% conversion cost because of bleeding. during this collection no operations have been converted to open as a result of bleeding.

right through design of this look at they excluded cases in each agencies which had passed through previous liver resections, synchronous operations (liver resections, biliary techniques, reversal of ileostomy, hernia repairs), polycystic liver disorder (inc. fenestration of liver cysts), liver cirrhosis and hand-port assisted strategies. The main targets of this analyze were to evaluate operative time, analgesic requirement and morbidity between the open and laparoscopic strategy. As such they felt it integral to handle for these variables despite its impact on pattern size. here is a retrospective cohort analyze and as such they recognize the slight disparity in heterogeneity of pathologies covered within the final evaluation.

Portal clamping changed into not required within the LG. within the OG 50% (n = 5) of patients underwent clamping for a median period of 35 minutes (11-60 mins). Early experiences in the literature utilised portal clamping to a more suitable extent with the laparoscopic versus the open approach,[18] with a resultant lower in blood loss. in this series, the open neighborhood maintained a low imperative venous pressure (CVP) and utilised intermittent portal clamping resulting in minimal need for blood transfusion (20% n = 2). while now not requiring portal clamping, the laparoscopic approach relied on the wonderful power of the pneumoperitoneum, which in flip minimised expertise blood loss, with just one affected person (10%) receiving a blood transfusion.

In laparoscopic liver surgical procedure there are lengthy standing considerations concerning gas emboli[14] with laparoscopic surgeons deciding on stomach wall lifting (gasless laparoscopy) or using low CO2 pressures to maintain pneumoperitoneum, to minimise any talents possibility. Animal reviews have shown an extended possibility of cardiac arrhythmias[15] and gas emboli in these with 16 mmHg in comparison to 8 mmHg (after the left hepatic vein became left open for 3 minutes).[16] even as this means increased pneumoperitoneal pressures may additionally exacerbate the possibility of fuel emboli, no human data exists. competencies advantages of accelerated pneumoperitoneal force consist of reduction in blood loss and stronger visualisation of the operative box. during this series pneumoperitoneal pressures were maintained at 15-20 mmHg with no clinical antagonistic incidents although, a prospective study in this box is past due.

No tremendous change become found in the operating time between both corporations (220 vs 179 minutes, p = 0.315), in keeping with both Mala et al[21] and Mamada et al.[22] different organizations have shown longer operating instances in the LG.[18,23] Of hobby, in the LG and the OG the shortest operating times have been comparable (116 vs 118 minutes). It have to be highlighted that the left lateral segmentectomy is regarded a working towards operation. As such, surgeons in practising (under the supervision of the advisor) operated on probably the most open neighborhood (n = four). These data also comprises the primary laparoscopic LLS performed via the laparoscopic surgeon therefore reflecting the getting to know curve; the median laparoscopic operating time in 2002 changed into 240 minutes and by 2006 it was 163 minutes. it is anticipated that laparoscopic operating time for this manner will proceed to cut back besides the fact that children, these components might also have an effect on assessment of operative time.

One affected person in the LG had an epidural (10%), while ninety% (n = 9) required an epidural within the OG (p = 0.003). It is not events for the laparoscopic liver patients to require epidural anaesthesia however is protocol for open liver resections to have an epidural inserted preoperatively. in the LG, port-website infiltration of native anaesthetic turned into used to optimise post-operative analgesia besides the fact that children, port-web site infiltration has been proven to don't have any impact on put up-operative ache after analgesia.[24] To account for these discrepancies, they assessed the entire number of days publish-operative opiate analgesia was required, together with all methods of opiate administration. This revealed tremendously much less opiate analgesia changed into required within the LG postoperatively (2 vs 5 days, p = 0.005). of their randomised clinical trial Veldkamp et al[25] discovered there was a need for fewer analgesics within the laparoscopic vs open community following surgery for colon melanoma. This decreased demand for post-operative analgesia changed into also found via Farges et al[26] with 50% much less morphine (15.5 mg vs 31.6 mg) administered in the laparoscopic versus open strategy following liver resection.

All sufferers in the OG and eighty% of the LG had been mechanically transferred to degree II care with a median stay of 1 evening. With improved confidence and experience this policy has because been modified. at the moment sufferers from each corporations now not robotically require level II care, and the extra stringent use of those supplies has favourable charge implications for future carrier building.

during this study the median publish-operative in-sanatorium stay became significantly less in the LG than OG (6 vs 9 days, p = 0.005). In different comparative reports, laparoscopic versus open liver resections for colorectal metastases the median post-operative dwell turned into 4 days vs 8.5 days (p < 0.001),[13] and for hepatic resections 7.8 days vs eleven.6 days (p < 0.05)[23] and 10.4 vs 18.0 days (p < 0.05).[21] This demonstrates decreased submit-operative in-affected person dwell is a reproducible, secure benefit of laparoscopic liver resection.

The weights of the resected specimens within the LG had been enormously decrease than the OG (p = 0.023). On histological examination of the standard liver within the specimens there become no difference with respect to clamping to account for the weight disparity. Mala et al[21] also stated enormously lighter specimens resected laparoscopically, along with no colossal difference in resection margin involvement. This may mirror a slight difference in operative techniques between both strategies. The left hepatic vein is approached and transection of the foremost vessels occurs intra-hepatically in the laparoscopic group. They speculate that this results in a rounded sophisticated resection, accounting for this difference.

Oncological integrity is often questioned in laparoscopic liver resections for malignancy. in this analyze resection margins were clear in all malignant instances (median laparoscopic 15 mm vs open 14.5 mm). however, early experiences of laparoscopic oncological surgical procedure resulted in an elevated fear of setting up belly wall metastases after laparoscopy for hepatic melanoma in comparison with open surgery. Hypotheses counseled the peritoneum can be damaged through the pneumoperitoneum, inducing intra-peritoneal tumour increase.[11] youngsters this suggestion is fitting old-fashioned. a short-term animal examine via Agnosti et al[27] confirmed no significant change when it comes to tumour boom, no matter fuel or pneumoperitoneum force used. Jacobi et al[28] suggest intra-peritoneal tumour boom raises for pressures < 10 mmHg and reduces at higher pressures. there's also further facts that suggested tumour growth in colonic cancer become greatly decreased after CO2 laparoscopy when compared to gasless laparoscopy.[29] A meta-evaluation of over 1 500 patients present process laparoscopic vs open colectomy for colon melanoma discovered no difference in the 3 12 months survival expense (eighty two.2% vs eighty three.three%),[30] concluding that a laparoscopic strategy is indeed oncologically safe.

Any knowledge risk of port-web site metastases can also be decreased by holding an intact surgical specimen and the usage of plastic retrieval devices,[20,31] accordingly minimising contact with the further-peritoneal buildings.

there is proof that the reduced stress response of laparoscopic surgical procedure may well be preferential in the malignant cases due to linked decrease costs of an infection and abilities reduction in tumour recurrence.[32,33] Animal data means that extended surgical stress augments cancer metastasis via surgical stress-caused expression of proteinases in the goal organ of metastasis.[34] there is additionally a diminished stress response to the laparoscopic strategy versus open liver resection, protecting immune characteristic.[32]

An extra benefit of the laparoscopic method is decreased adhesion formation[32] which may additionally facilitate further liver resections for metastases. With an expanding trend for non-anatomical and segmental resections with accelerated parenchymal protection,[35] repeat metastectomies (and re-resections) are becoming more typical. Petrowsky et al[36] record identical consequences for sufferers having both a primary or repeat laparoscopic resection following an preliminary resection performed laparoscopically. These findings have ended in an increased number of sufferers undergoing additional liver metastatectomy, providing a further interventional choice as distinctive staged liver resections become greater standard.

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