Due to the variation of the growth rate of the spinal cord and the spinal column, the progression of neurological signs and symptoms is highly variable. Some individuals present with tethered cord syndrome at birth (so-called congenital), while others develop the symptomatology in infancy or early childhood.
Introduction to Performance Improvement. Performance Improvement (PI) is a method for analyzing performance problems and setting up systems to ensure good performance. PI is applied most effectively to groups of workers within the same organization or performing similar jobs.
The Six-Year Improvement Program (SYIP) is developed annually and. identifies the planned use of funds available for highway construction. and rail and public transportation. This SYIP is the first program to include projects funded through the new.