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Sample records for 2-year retrospective chart

  1. Dermatologic manifestation of hyperandrogenism: a retrospective chart review.

    Clark, Charlotte M; Rudolph, Jennifer; Gerber, Donald A; Glick, Sharon; Shalita, Alan R; Lowenstein, Eve J

    2014-01-01

    Several studies have described a wide spectrum of hyperandrogenism diseases, many of which are difficult to distinguish from each other. In order to better understand diseases of hyperandrogenism, the authors performed a retrospective study of the cutaneous features and metabolic findings in women with hyperandrogenism. A retrospective chart analysis compiled by three dermatologists in both academic and private settings was performed, including patients presenting with > or = 2 manifestations of hyperandrogenism. Relevant dermatologic and associated manifestations and laboratory and imaging study findings were reviewed. Moderate to severe acne was the most common manifestation. Other common manifestations that patients first presented with include hirsutism, acanthosis nigricans, androgenic alopecia, and skin tags. Oligomenorrhea was the most common systemic presenting sign. Statistical analysis of various clinical markers revealed correlations with hyperandrogenemia. Acanthosis nigricans and hirsutism were found to be useful clinical markers for hyperandrogenism, whereas androgenic alopecia was not. This study provides some insights into the presentation and diverse manifestations seen in hyperandrogenism. PMID:24933845

  2. Hypnosis for treatment of insomnia in school-age children: a retrospective chart review

    Slothower Molly P; Anbar Ran D

    2006-01-01

    Abstract Background The purposes of this study are to document psychosocial stressors and medical conditions associated with development of insomnia in school-age children and to report use of hypnosis for this condition. Methods A retrospective chart review was performed for 84 children and adolescents with insomnia, excluding those with central or obstructive sleep apnea. All patients were offered and accepted instruction in self-hypnosis for treatment of insomnia, and for other symptoms if...

  3. The Effect of Rapid Response Teams on End-of-Life Care: A Retrospective Chart Review

    Benjamin Tam; Mary Salib; Alison Fox-Robichaud

    2014-01-01

    BACKGROUND: A subset of critically ill patients have end-of-life (EOL) goals that are unclear. Rapid response teams (RRTs) may aid in the identification of these patients and the delivery of their EOL care.OBJECTIVES: To characterize the impact of RRT discussion on EOL care, and to examine how a preprinted order (PPO) set for EOL care influenced EOL discussions and outcomes.METHODS: A single-centre retrospective chart review of all RRT calls (January 2009 to December 2010) was performed. The ...

  4. Pelvic floor physical therapy for lifelong vaginismus: a retrospective chart review and interview study.

    Reissing, Elke D; Armstrong, Heather L; Allen, Caroline

    2013-01-01

    Pelvic floor physical therapy is used in the treatment of sexual pain disorders; however, women with lifelong vaginismus have not yet been included in treatment studies or have not been differentiated from women with acquired vaginismus and/or dyspareunia. This retrospective chart review and interview study was intended to obtain initial information on physical therapy interventions, course, and outcome in women who have never been able to experience vaginal intercourse. The files of 53 women, consecutively treated at one physical therapy clinic, were included in the chart review; 13 of these women volunteered to be interviewed. The chart review revealed significant pelvic floor pathology and an average treatment course of 29 sessions. Internal manual techniques were found to be most effective, followed by patient education, dilatation exercises, and home exercises. Although participants were very satisfied with the physical therapy, some symptoms, such as pain, anxiety/fear, and pelvic floor tension remained and scores on the Female Sexual Distress Scale and Female Sexual Function Index indicated clinical levels of sexual distress and impaired sexual function after treatment. Although there appears to be no linear relation between symptom reduction and healthy sexual function, this initial information suggests that physical therapy may be a promising treatment option for some women with lifelong vaginismus and merits further evaluation. PMID:23470141

  5. Risk factors, microbiological findings and outcomes of necrotizing fasciitis in New Zealand: a retrospective chart review

    Das Dilip Kumar

    2012-12-01

    Full Text Available Abstract Background The incidence and mortality from necrotizing fasciitis (NF are increasing in New Zealand (NZ. Triggered by a media report that traditional Samoan tattooing was causing NF, we conducted a chart review to investigate the role of this and other predisposing and precipitating factors and to document NF microbiology, complications and interventions in NZ. Methods We conducted a retrospective review of 299 hospital charts of patients discharged with NF diagnosis codes in eight hospitals in NZ between 2000 and 2006. We documented and compared by ethnicity the prevalence of predisposing and precipitating conditions, bacteria isolated, complications and interventions used. Results Out of 299 charts, 247 fulfilled the case definition. NF was most common in elderly males. Diabetes was the most frequent co-morbid condition, followed by obesity. Nearly a quarter of patients were taking non-steroidal anti-inflammatory drugs (NSAID. Traditional Samoan tattooing was an uncommon cause. Streptococcus pyogenes and Staphylococcus aureus were the two commonly isolated bacteria. Methicillin-resistant Staphylococcus aureus was implicated in a relatively small number of cases. Shock, renal failure, coagulation abnormality and multi-organ dysfunction were common complications. More than 90% of patients underwent surgical debridement, 56% were admitted to an intensive care unit (ICU and slightly less than half of all patients had blood product transfusion. One in six NF cases had amputations and 23.5% died. Conclusion This chart review found that the highest proportion of NF cases was elderly males with co-morbidities, particularly diabetes and obesity. Tattooing was an uncommon precipitating event. The role of NSAID needs further exploration. NF is a serious disease with severe complications, high case fatality and considerable use of health care resources.

  6. Supracricoid hemilaryngopharyngectomy for selected pyriform sinus carcinoma patients – a retrospective chart review

    Yiotakis Ioannis E

    2009-08-01

    Full Text Available Abstract Background The aim of this study is to assess the functional and oncologic results of supracricoid hemilaryngopharyngectomy and report our experience in the technique, local control and overall survival rates. Materials and methods 18 selected patients with pyriform sinus cancer treated by supracricoid hemilaryngopharyngectomy in a University Hospital setting. Retrospective chart review was used to assess functional and oncologic results of the procedure. Results The actuarial 5 year survival rate in our study was 55.56% and the actuarial neck recurrence rate was 16.67%. All patients were successfully decannulated. Aspiration pneumonia was the most common postoperative complication (22.23% and was treated mostly conservatively. One patient required a temporary gastrostomy but no patient needed total laryngectomy in the postoperative period. Conclusion Supracricoid hemilaryngopharyngectomy in experienced hands is a reliable technique for selected patients with pyriform sinus cancer.

  7. Documentation of preventive screening interventions by general practitioners: a retrospective chart audit

    Hemmelgarn Brenda

    2010-03-01

    Full Text Available Abstract Background Screening and early diagnosis has been shown to reduce the morbidity and mortality associated with certain conditions such as cervical cancer. The role of general practitioners in promoting primary prevention of diseases is particularly important given that they have frequent contact with a large proportion of the population. This study assessed the extent to which general practitioners documented recommended preventive screening interventions among eligible patients. Methods We used a retrospective chart audit to assess patient visits to primary care clinics in Calgary, Canada from 2002-2004. We included fee for service physicians who practiced ≥ 2 days per week at their current location and excluded those whose primary practice was at walk-in clinics, community health centers, hospitals or emergency rooms. We included charts of patients who during the study period were age 35 years or older and had at least 2 visits to a clinic. We randomly selected and reviewed charts (N = 600 from 12 primary care clinics and abstracted information on 6 conditions recommended for preventive screening. Opportunities for preventive screening were determined based on recommendations of the Canadian Task Force on Preventive Health Care, the American College of Physicians, and the Canadian Cancer Society. Our main outcome measures included cancer screening (mammography and pap smears, immunization (influenza and pneumococcal, and risk factor assessment (cholesterol measurement and smoking cessation consultation. Results Patient visits to GP clinics present opportunities for preventive screening. However, we found that documentation of interventions was low, ranging from 40.3% (cholesterol measurement to 0.9% (pneumococcal vaccination within 1 year, and from 67.4% to 1.8% within the prior 3 years. Conclusions Documentation of preventive screening interventions by general practitioners was relatively low compared to the number of patients

  8. Factors associated with car seat test failure in late preterm infants: A retrospective chart review

    Smith, Ryan W; Mohamed, Adel; Young, Jennifer; Jefferies, Ann; Shah, Vibhuti

    2016-01-01

    BACKGROUND: Professional organizations recommend car seat testing of preterm infants before discharge from hospital. Late preterm infants (LPIs, 340/7 to 366/7 weeks’ gestational age) are at the greatest risk for failure, despite often being well. OBJECTIVE: To determine the incidence of car seat testing failure in LPIs and associative factors. METHODS: A retrospective chart review was performed of inborn LPIs admitted to all levels of newborn care between July 1, 2012 and June 30, 2013. Data collected included maternal demographics, labour and delivery history, and neonatal course. Data were analyzed using backward logistic regression. RESULTS: A total of 511 charts were reviewed and 367 LPIs were eligible for inclusion. Of the 313 LPIs tested (mean [± SD] gestational age 36 weeks ±6 days and birth weight 2614±405 g), 80 (26%) failed (95% CI 21% to 31%). Most failed due to desaturations (≥2) of <88% for ≥10 s (n=33 [41%]). Multiple gestation was associated with failure (adjusted OR 2.45 [95% CI 1.44 to 4.18]; P=0.001), and there was a trend toward statistical significance for the variable postnatal age (0.996 [95% CI 0.99 to 1.00]; P=0.05). Infants who passed their car seat test had higher postnatal ages than those who failed (mean difference 39.4 h [95% CI 12.7 h to 66.0 h]; P=0.004). CONCLUSION: Twenty-six percent of LPIs failed car seat testing. Ideally, infants should be tested after an appropriate transitional period. The authors identified factors that may be important in designing future, prospective studies in this area. Future research should evaluate the clinical significance of car seat testing and resource utilization. PMID:26941555

  9. Patterns of skin disease in a sample of the federal prison population: a retrospective chart review

    Gavigan, Geneviève; McEvoy, Alana; Walker, James

    2016-01-01

    Background: Dermatology in vulnerable populations is under-researched. Our objective was to analyze the most commonly referred skin diseases affecting the Correctional Service Canada inmates in Ontario. Methods: An observational, cross-sectional, retrospective chart review of inmate patients seen from 2008 until 2013 was performed. Two groups of patients were included in the analysis: those assessed in-person, and those evaluated by e-consult. Results: In the in-person patient group, the 3 most common diagnoses were acne, psoriasis and other superficial mycoses. For the e-consult group, the 3 most frequent diagnoses were acne, psoriasis and rosacea. There was a clear bias toward more inmates being seen in-person where the service was provided (Collins Bay Institution) than from other correctional institutions in Eastern Ontario. Interpretation: Most of the skin diseases that affected the incarcerated population studied were common afflictions, similar to those affecting the general population, which is in agreement with other studies. Future studies investigating skin diseases in male and female inmates across Canada would bestow more generalizable data. PMID:27398381

  10. Comparing Melanoma Invasiveness in Dermatologist- versus Patient-Detected Lesions: A Retrospective Chart Review

    Cindy L. Lamerson

    2012-01-01

    Full Text Available This study examined whether patient-identified melanomas were more advanced than dermatologist-identified tumors at routine clinic visits, and whether a personal or family history of skin cancer was associated with patterns of detection. A retrospective chart review was performed on melanoma patients (N=201 in a private dermatology clinic. Variables included age, gender, pattern of detection (i.e., patient or a board certified dermatologist, personal or family history of skin cancer, skin type, and previous sun exposure, as well as tumor location and severity. Dermatologist-diagnosed melanomas were less invasive (P<0.0005, and more likely present on the chest, back, and legs (P<0.01. Conversely, patient-identified lesions were more likely to occur on the face, neck and scalp, be associated with younger patients, and a family history of melanoma, but not other types of skin cancer (P<0.01. In a post-hoc analysis examining these factors as predictors of tumor invasiveness, only diagnostic source was significant. Specifically, dermatologist-identified tumors were significantly less invasive than patient-identified tumors. Although age, family history, and tumor location played roles in the early detection of melanomas, the most important factor was diagnostic source. Thus, board-certified dermatologists play a key role in the early detection of malignant melanoma.

  11. Resource utilization in children with tuberous sclerosis complex and associated seizures: a retrospective chart review study.

    Lennert, Barb; Farrelly, Eileen; Sacco, Patricia; Pira, Geraldine; Frost, Michael

    2013-04-01

    Seizures are a hallmark manifestation of tuberous sclerosis complex, yet data characterizing resource utilization are lacking. This retrospective chart review was performed to assess the economic burden of tuberous sclerosis complex with neurologic manifestations. Demographic and resource utilization data were collected for 95 patients for up to 5 years after tuberous sclerosis complex diagnosis. Mean age at diagnosis was 3.1 years, with complex partial and infantile spasms as the most common seizure types. In the first 5 years post-diagnosis, 83.2% required hospitalization, 30.5% underwent surgery, and the majority of patients (90.5%) underwent ≥3 testing procedures. In 79 patients with a full 5 years of data, hospitalizations, intensive care unit stays, diagnostic testing, and rehabilitation services decreased over the 5-year period. Resource utilization is cost-intensive in children with tuberous sclerosis complex and associated seizures during the first few years following diagnosis. Improving seizure control and reducing health care costs in this population remain unmet needs. PMID:22772159

  12. Simple Acupoints Prescription Flow Chart Based on Meridian Theory: A Retrospective Study in 102 Dogs

    Jong-Ho Jeong; Joo-Young Song; Hyo-Gwon Jo; Ji-Min Kim; Samuel-S. Yoon; Chul Park; Seunghyun Kim; Seong-Soo Roh; Bong Hyo Lee; Chae Ha Yang; Hee Young Kim

    2013-01-01

    To help the clinicians prescribe acupoints easily and effectively, we developed one simple flow chart to select acupoints. This study aimed to evaluate the usefulness of flow chart to select acupoints in dogs. Total 102 dogs showing intervertebral disc disease (IVDD) (n = 12), vomiting (n = 11), diarrhea (n = 2), abdominal pain (n = 5), cough (n = 66), or epilepsy (n = 6) received acupuncture treatment according to the chart, and its outcomes were evaluated as regards clinical symptoms, durat...

  13. Hypnosis for treatment of insomnia in school-age children: a retrospective chart review

    Slothower Molly P

    2006-08-01

    Full Text Available Abstract Background The purposes of this study are to document psychosocial stressors and medical conditions associated with development of insomnia in school-age children and to report use of hypnosis for this condition. Methods A retrospective chart review was performed for 84 children and adolescents with insomnia, excluding those with central or obstructive sleep apnea. All patients were offered and accepted instruction in self-hypnosis for treatment of insomnia, and for other symptoms if it was felt that these were amenable to therapy with hypnosis. Seventy-five patients returned for follow-up after the first hypnosis session. Their mean age was 12 years (range, 7–17. When insomnia did not resolve after the first instruction session, patients were offered the opportunity to use hypnosis to gain insight into the cause. Results Younger children were more likely to report that the insomnia was related to fears. Two or fewer hypnosis sessions were provided to 68% of the patients. Of the 70 patients reporting a delay in sleep onset of more than 30 minutes, 90% reported a reduction in sleep onset time following hypnosis. Of the 21 patients reporting nighttime awakenings more than once a week, 52% reported resolution of the awakenings and 38% reported improvement. Somatic complaints amenable to hypnosis were reported by 41%, including chest pain, dyspnea, functional abdominal pain, habit cough, headaches, and vocal cord dysfunction. Among these patients, 87% reported improvement or resolution of the somatic complaints following hypnosis. Conclusion Use of hypnosis appears to facilitate efficient therapy for insomnia in school-age children.

  14. Simple Acupoints Prescription Flow Chart Based on Meridian Theory: A Retrospective Study in 102 Dogs

    Jong-Ho Jeong

    2013-01-01

    Full Text Available To help the clinicians prescribe acupoints easily and effectively, we developed one simple flow chart to select acupoints. This study aimed to evaluate the usefulness of flow chart to select acupoints in dogs. Total 102 dogs showing intervertebral disc disease (IVDD (n=12, vomiting (n=11, diarrhea (n=2, abdominal pain (n=5, cough (n=66, or epilepsy (n=6 received acupuncture treatment according to the chart, and its outcomes were evaluated as regards clinical symptoms, duration, treatment numbers, and recovery time. Dogs (8/8 with IVDD from grades I to III recovered over periods of 5 days to 6 weeks after 1–12 treatments, while 1/4 dogs with grade IV recovered over 7 weeks after 15 treatments. Vomiting dogs with acute/subacute (n=8 and chronic symptoms (n=3 required about 1 and 7 treatments to recover fully, respectively. All dogs (n=5 with abdominal pain showed fast relief within 24 hours after acupuncture. Two diarrhea cases recovered over 2–9 days after 1-2 treatments. Fifty-four of 66 coughing dogs were recovered by 1-2 treatments. And 5 of 6 epilepsy dogs under a regular acupuncture treatment had no epileptic episode during followup of 12 months. These results suggest that this flow chart can help the clinicians prescribe acupoints effectively.

  15. Safety of besifloxacin ophthalmic suspension 0.6% in refractive surgery: a retrospective chart review of post-LASIK patients

    Nielsen SA

    2013-04-01

    Full Text Available CorrigendumNielsen SA, McDonald MB, Majmudar PA. Safety of besifloxacin ophthalmic suspension 0.6% in refractive surgery: a retrospective chart review of post-LASIK patients. Clinical Ophthalmology. 2013;7:149–156. The paper titled "Safety of besifloxacin ophthalmic suspension 0.6% in refractive surgery: a retrospective chart review of post-LASIK patients," contains an inaccurate description of the intraoperative use of medications.In the Results section it is reported that 31.8% (170/534 of besifloxacin cases and 97.0% (259/267 of moxifloxacin cases had drops applied directly to the flap interface. We have determined that ambiguity in the design of the electronic case report form resulted in all day-of-surgery drops provided to patients in the LASER suite being reported in the flap interface field. The authors have since clarified with each surgeon who reported intraoperative drug use that the drops were delivered either prior to the flap creation, or following replacement of the flap.The sentence at the top of page 152 stating: "Of note, 31.8% (170/534 of besifloxacin cases and 97.0% (259/267 of moxifloxacin cases had drops applied directly to the flap interface" should say: "Of note, 31.8% (170/534 of besifloxacin cases and 97.0% (259/267 of moxifloxacin cases had intraoperative drops applied."Read the original article

  16. Incidence and Cause of Delirium in Hospitalized Patients between the Ages of 18 and 56: A Retrospective Chart Review

    Michelle T. Weckmann

    2014-01-01

    Full Text Available Background. Delirium is a common and devastating condition which has been well characterized in elderly cancer patients, but little is known about delirium in cancer patients under the age of 65. Aim. A pilot study to explore the incidence and potential causes of delirium in hospitalized advanced cancer patients at the age of 18–56 years. Design. A retrospective chart review using validated instruments was used to examine the charts of hematology-oncology admissions in a large academic institution. Data was collected as to the likelihood of delirium and potential precipitants. Results. Delirium incidence was 29% among advanced cancer patients. The associated precipitants of delirium were multifactorial, the most common being medications and infection. Delirium was more common in patients admitted for either acute symptom management or the presence of a lung malignancy. Patients with delirium demonstrated significantly increased total hospital cost and a borderline significant result for increased mortality compared to those without delirium. Conclusions. Delirium is common in hospitalized advanced cancer patients (age 18–56 years and the cause is typically multifactorial. Delirium results in a more complicated hospital course and likely increased mortality. Further research is needed to define strategies to prevent and treat this common and distressing condition.

  17. Sertraline May Improve Language Developmental Trajectory in Young Children with Fragile X Syndrome: A Retrospective Chart Review

    Tri Indah Winarni

    2012-01-01

    Full Text Available Young children with fragile X syndrome (FXS often experience anxiety, irritability, and hyperactivity related to sensory hyperarousal. However, there are no medication recommendations with documented efficacy for children under 5 years old of age with FXS. We examined data through a chart review for 45 children with FXS, 12–50 months old, using the Mullen Scales of Early Learning (MSEL for baseline and longitudinal assessments. All children had clinical level of anxiety, language delays based on MSEL scores, and similar early learning composite (ELC scores at their first visit to our clinic. Incidence of autism spectrum disorder (ASD was similar in both groups. There were 11 children who were treated with sertraline, and these patients were retrospectively compared to 34 children who were not treated with sertraline by chart review. The baseline assessments were done at ages ranging from 18 to 44 months (mean 26.9, SD 7.99 and from 12 to 50 months (mean 29.94, SD 8.64 for treated and not treated groups, respectively. Mean rate of improvement in both expressive and receptive language development was significantly higher in the group who was treated with sertraline (<0.0001 and =0.0071, resp.. This data supports the need for a controlled trial of sertraline treatment in young children with FXS.

  18. A retrospective chart review to identify perinatal factors associated with food allergies

    Karpa Kelly

    2012-10-01

    Full Text Available Abstract Background Gut flora are important immunomodulators that may be disrupted in individuals with atopic conditions. Probiotic bacteria have been suggested as therapeutic modalities to mitigate or prevent food allergic manifestations. We wished to investigate whether perinatal factors known to disrupt gut flora increase the risk of IgE-mediated food allergies. Methods Birth records obtained from 192 healthy children and 99 children diagnosed with food allergies were reviewed retrospectively. Data pertaining to delivery method, perinatal antibiotic exposure, neonatal nursery environment, and maternal variables were recorded. Logistic regression analysis was used to assess the association between variables of interest and subsequent food allergy diagnosis. Results Retrospective investigation did not find perinatal antibiotics, NICU admission, or cesarean section to be associated with increased risk of food allergy diagnosis. However, associations between food allergy diagnosis and male gender (66 vs. 33; p=0.02 were apparent in this cohort. Additionally, increasing maternal age at delivery was significantly associated with food allergy diagnosis during childhood (OR, 1.05; 95% CI, 1.017 to 1.105; p=0.005. Conclusions Gut flora are potent immunomodulators, but their overall contribution to immune maturation remains to be elucidated. Additional understanding of the interplay between immunologic, genetic, and environmental factors underlying food allergy development need to be clarified before probiotic therapeutic interventions can routinely be recommended for prevention or mitigation of food allergies. Such interventions may be well-suited in male infants and in infants born to older mothers.

  19. End-of-life hospital referrals by out-of-hours general practitioners: a retrospective chart study

    De Korte-Verhoef Maria C

    2012-08-01

    Full Text Available Abstract Background Many patients are transferred from home to hospital during the final phase of life and the majority die in hospital. The aim of the study is to explore hospital referrals of palliative care patients for whom an out-of-hours general practitioner was called. Methods A retrospective descriptive chart study was conducted covering a one-year period (1/Nov/2005 to 1/Nov/2006 in all eight out-of-hours GP co-operatives in the Amsterdam region (Netherlands. All symptoms, sociodemographic and medical characteristics were recorded in 529 charts for palliative care patients. Multivariate logistic regression analysis was performed to identify the variables associated with hospital referrals at the end of life. Results In all, 13% of all palliative care patients for whom an out-of-hours general practitioner was called were referred to hospital. Palliative care patients with cancer (OR 5,1, cardiovascular problems (OR 8,3, digestive problems (OR 2,5 and endocrine, metabolic and nutritional (EMN problems (OR 2,5 had a significantly higher chance of being referred. Patients receiving professional nursing care (OR 0,2 and patients for whom their own general practitioner had transferred information to the out-of-hours cooperative (OR 0,4 had a significantly lower chance of hospital referral. The most frequent reasons for hospital referral, as noted by the out-of-hours general practitioner, were digestive (30%, EMN (19% and respiratory (17% problems. Conclusion Whilst acknowledging that an out-of-hours hospital referral can be the most desirable option in some situations, this study provides suggestions for avoiding undesirable hospital referrals by out-of-hours general practitioners at the end of life. These include anticipating digestive, EMN, respiratory and cardiovascular symptoms in palliative care patients.

  20. Measuring severe adverse events and medication selection using a “PEER Report” for nonpsychotic patients: a retrospective chart review

    Hoffman DA

    2012-06-01

    Full Text Available Daniel A Hoffman,1 Charles DeBattista,2 Rob J Valuck,3 Dan V Iosifescu41Neuro-Therapy Clinic, Inc, Denver, CO, USA; 2Stanford University School of Medicine, Palo Alto, CA, USA; 3University of Colorado, SKAGES School of Pharmacy and Pharmaceutical Sciences, Aurora, CO, USA; 4Mood and Anxiety Disorders Program, Mount Sinai School of Medicine, New York, NY, USAAbstract: We previously reported on an objective new tool that uses quantitative electroencephalography (QEEG normative- and referenced-electroencephalography sampling databases (currently called Psychiatric EEG Evaluation Registry [PEER], which may assist physicians in determining medication selection for optimal efficacy to overcome trial-and-error prescribing. The PEER test compares drug-free QEEG features for individual patients to a database of patients with similar EEG patterns and known outcomes after pharmacological interventions. Based on specific EEG data elements and historical outcomes, the PEER Report may also serve as a marker of future severe adverse events (eg, agitation, hostility, aggressiveness, suicidality, homicidality, mania, hypomania with specific medications. We used a retrospective chart review to investigate the clinical utility of such a registry in a naturalistic environment.Results: This chart review demonstrated significant improvement on the global assessment scales Clinical Global Impression – Improvement and Quality of Life Enjoyment and Satisfaction – Short Form as well as time to maximum medical improvement and decreased suicidality occurrences. The review also showed that 54.5% of previous medications causing a severe adverse event would have been raised as a caution had the PEER Report been available at the time the drug was prescribed. Finally, due to the significant amount of off-label prescribing of psychotropic medications, additional, objective, evidence-based data aided the prescriber toward better choices.Conclusion: The PEER Report may be

  1. Retrospective chart review of a referenced EEG database in assisting medication selection for treatment of depression in patients with eating disorders

    Greenblatt JM; Sussman C; Jameson M; Yuan L; Hoffman DA; Iosifescu DV

    2011-01-01

    James M Greenblatt1, Craig Sussman1, Mariko Jameson1, Lee Yuan1, Daniel A Hoffman2, Dan V Iosifescu31Comprehensive Psychiatric Resources, Waltham, MA, USA; 2Neuro-Therapy Clinic Inc, Denver, CO, USA; 3Mood and Anxiety Disorders Program, Mount Sinai School of Medicine, New York, NY, USABackground: A retrospective chart review was undertaken in a private clinic to examine the clinical outcomes for patients with an eating disorder comorbid with depression or bipolar illness who underwent a refer...

  2. Seriousness, preventability, and burden impact of reported adverse drug reactions in Lombardy emergency departments: a retrospective 2-year characterization

    Perrone, Valentina; Conti, Valentino; Venegoni, Mauro; Scotto, Stefania; Degli Esposti, Luca; Sangiorgi, Diego; Prestini, Lucia; Radice, Sonia; Clementi, Emilio; Vighi, Giuseppe

    2014-01-01

    Objective The purpose of this study was to determine the prevalence of adverse drug reactions (ADRs) reported in emergency departments (EDs) and carry out a thorough characterization of these to assess preventability, seriousness that required hospitalization, subsequent 30-day mortality, and economic burden. Methods This was a retrospective cohort study of data from an active pharmacovigilance project at 32 EDs in the Lombardy region collected between January 1, 2010 and December 31, 2011. Demographic, clinical, and pharmacological data on patients admitted to EDs were collected by trained and qualified monitors, and deterministic record linkage was performed to estimate hospitalizations. Pharmacoeconomic analyses were based on Diagnosis-Related Group reimbursement. Results 8,862 ADRs collected with an overall prevalence rate of 3.5 per 1,000 visits. Of all ADRs, 42% were probably/definitely preventable and 46.4% were serious, 15% required hospitalization, and 1.5% resulted in death. The System Organ Classes most frequently associated with ADRs were: skin and subcutaneous tissue, gastrointestinal, respiratory thoracic and mediastinal, and nervous system disorders. The most common Anatomical Therapeutic Chemical classes involved in admissions were J (anti-infectives and immunomodulating agents), B (blood and blood-forming organs), and N (nervous system). Older age, yellow and red triage, higher number of concomitantly taken drugs, and previous attendance in ED for the same ADR were significantly associated with an increased risk of hospitalization. The total cost associated with ADR management was €5,184,270, with a mean cost per patient of €585. Fifty-eight percent of the economic burden was defined as probably/definitely preventable. Conclusion ADRs are a serious health/economic issue in EDs. This assessment provides a thorough estimation of their seriousness, preventability, and burden impact in a large population from a representative European region. PMID

  3. Seriousness, preventability, and burden impact of reported adverse drug reactions in Lombardy emergency departments: a retrospective 2-year characterization

    Perrone V

    2014-12-01

    Full Text Available Valentina Perrone,1,* Valentino Conti,2,* Mauro Venegoni,2 Stefania Scotto,2 Luca Degli Esposti,3 Diego Sangiorgi,3 Lucia Prestini,4 Sonia Radice,1 Emilio Clementi,5,6 Giuseppe Vighi,2,4 1Unit of Clinical Pharmacology, Department of Biomedical and Clinical Sciences, University Hospital Luigi Sacco, Università di Milano, Milan, Italy; 2Regional Centre for Pharmacovigilance, Lombardy, Milan, Italy; 3CliCon Srl, Health, Economics and Outcomes Research, Ravenna, Italy; 4Unit of Clinical Pharmacology and Pharmacovigilance, Niguarda Ca’Granda Hospital, Milan, Italy; 5Unit of Clinical Pharmacology, CNR Institute of Neuroscience, Department of Biomedical and Clinical Sciences, University Hospital Luigi Sacco, Università di Milano, Milan, Italy; 6Scientific Institute, IRCCS Eugenio Medea, Lecco, Italy *These authors contributed equally to the work Objective: The purpose of this study was to determine the prevalence of adverse drug reactions (ADRs reported in emergency departments (EDs and carry out a thorough characterization of these to assess preventability, seriousness that required hospitalization, subsequent 30-day mortality, and economic burden. Methods: This was a retrospective cohort study of data from an active pharmacovigilance project at 32 EDs in the Lombardy region collected between January 1, 2010 and December 31, 2011. Demographic, clinical, and pharmacological data on patients admitted to EDs were collected by trained and qualified monitors, and deterministic record linkage was performed to estimate hospitalizations. Pharmacoeconomic analyses were based on Diagnosis-Related Group reimbursement. Results: 8,862 ADRs collected with an overall prevalence rate of 3.5 per 1,000 visits. Of all ADRs, 42% were probably/definitely preventable and 46.4% were serious, 15% required hospitalization, and 1.5% resulted in death. The System Organ Classes most frequently associated with ADRs were: skin and subcutaneous tissue, gastrointestinal

  4. Retrospective chart review of a referenced EEG database in assisting medication selection for treatment of depression in patients with eating disorders

    Greenblatt JM

    2011-09-01

    Full Text Available James M Greenblatt1, Craig Sussman1, Mariko Jameson1, Lee Yuan1, Daniel A Hoffman2, Dan V Iosifescu31Comprehensive Psychiatric Resources, Waltham, MA, USA; 2Neuro-Therapy Clinic Inc, Denver, CO, USA; 3Mood and Anxiety Disorders Program, Mount Sinai School of Medicine, New York, NY, USABackground: A retrospective chart review was undertaken in a private clinic to examine the clinical outcomes for patients with an eating disorder comorbid with depression or bipolar illness who underwent a referenced electroencephalographic (EEG database analysis to help guide medication selection.Method: We examined 33 charts for patients with the primary psychiatric diagnosis of an eating disorder and comorbid major depressive disorder or bipolar disorder who underwent a quantitative EEG database assessment to provide additional information for choices of medication. The current analysis includes data from 22 subjects who accepted treatments based on information from the referenced-EEG medication database. Hamilton Depression Rating Scale, Clinical Global Impression-Severity, Clinical Global Impression-Improvement, and hospitalization data were examined for these patients.Results: Patients whose EEG data was used for clinical treatment reported significant decreases in associated depressive symptoms (HDRS scores, overall severity of illness (Clinical Global Impression-Severity, and overall clinical global improvement (Clinical Global Impression-Improvement. This cohort also reported fewer inpatient, residential, and partial hospitalization program days following referenced-EEG compared with the two-year period prior to treatment.Conclusion: These findings are consistent with previously reported data for patients with eating disorders and suggest the need for future studies using EEG data correlated with those from other patients with similar quantitative EEG features.Keywords: eating disorders, anorexia, bulimia, depression, referenced-EEG, chart review

  5. Comparative effectiveness of everolimus and axitinib as second targeted therapies for metastatic renal cell carcinoma in the US: a retrospective chart review.

    Vogelzang, Nicholas J; Pal, Sumanta K; Signorovitch, James E; Reichmann, William M; Li, Nanxin; Yang, Chelsey; Liu, Zhimei; Perez, Jose Ricardo; Jonasch, Eric

    2016-04-01

    Background Second targeted therapies for metastatic renal cell carcinoma (mRCC) include mammalian target of rapamycin inhibitors (mTORis) and tyrosine kinase inhibitors (TKIs). This observational study compares overall survival (OS) and progression-free survival (PFS) of patients treated with everolimus (an mTORi) and axitinib (a TKI) following first TKI, and assesses the impact of type and duration of first TKI on the relative effectiveness of these second targeted therapies. Methods Retrospective reviews of medical records were conducted by medical oncologists or hematologists/oncologists recruited from a nationwide panel. Included patients with mRCC were required to have discontinued a first TKI (sunitinib, sorafenib, or pazopanib) for medical reasons, and to have initiated everolimus or axitinib as second targeted therapy between February 2012 and January 2013. OS and PFS were compared between patients treated with everolimus vs. axitinib using multivariable Cox proportional hazards regression models. Comparative results were also stratified by type and duration of first TKI. Results Included patients (n = 325 for everolimus and n = 127 for axitinib) had a mean age of 61 years and 31% were female. Sunitinib was the most commonly used first TKI (73%). After adjusting for patient characteristics, no statistically significant differences were observed in OS or PFS between everolimus and axitinib. When stratifying by type and duration of first TKI, there was no statistically significant difference in OS between everolimus and axitinib in all subgroups except for patients with sorafenib as first TKI. No significant difference in PFS was observed in any subgroup. Limitations Important limitations include potential missing or inaccurate data in medical charts, and confounding due to unobserved factors. Conclusions In this retrospective chart review, no significant differences were detected in OS or PFS between axitinib and everolimus as second targeted

  6. Postoperative survival for patients with thymoma complicating myasthenia gravis—preliminary retrospective results of the ChART database

    Wang, Fangrui; Fu, Jianhua; Shen, Yi; Wei, Yucheng; Tan, Lijie; Zhang, Peng; Han, Yongtao; Chen, Chun; Zhang, Renquan; Li, Yin; Chen, Keneng; Chen, Hezhong; Liu, Yongyu; Cui, Youbing; Wang, Yun; Yu, Zhentao; Zhou, Xinming; Liu, Yangchun; Liu, Yuan; Gu, Zhitao

    2016-01-01

    Background It is so far not clear that how myasthenia gravis (MG) affected the prognosis of thymoma patients. The aim of this assay is to compare the postoperative survival between patients with thymoma only and those with both thymoma and MG. Methods The Chinese Alliance for Research in Thymomas (ChART) registry recruited patients with thymoma from 18 centers over the country on an intention to treat basis from 1992 to 2012. Two groups were formed according to whether the patient complicated MG. Demographic and clinical data were reviewed, patients were followed and their survival status were analyzed. Results There were 1,850 patients included in this study, including 421 with and 1,429 without MG. Complete thymectomy were done in 91.2% patients in MG group and 71.0% in non-MG group (P<0.05). There were more percentage of patients with the histology of thymoma AB, B1, or B2 (P<0.05) in MG group, and more percentage of patients with MG were in Masaoka stage I and II. The 5- and 10-year overall survival (OS) rates were both higher in MG group (93% vs. 88%; 83% vs. 81%, P=0.034) respectively. The survival rate was significantly higher in patients with MG when the Masaoka staging was 3/4 (P=0.003). Among patients with advanced stage thymoma (stage 3, 4a, 4b), the constituent ratios of 3, 4a, 4b were similar between MG and non-MG group. Histologically, however, there were significantly more proportion of AB/B1/B2/B3 in the MG group while there were more C in the non-MG group (P=0.000). Univariate analyses for all patients showed that MG, WHO classification, Masaoka stage, surgical approach, chemotherapy and radiotherapy and resectability were significant factors, and multivariate analysis showed WHO classification, Masaoka stage, and resectability were strong independent prognostic indicators. Conclusions Although MG is not an independent prognostic factor, the survival of patients with thymoma was superior when MG was present, especially in late Masaoka stage

  7. Postoperative Survival for Patients with Thymoma Complicating Myasthenia Gravis
- Preliminary Retrospective Results of the ChART Database

    Fangrui WANG

    2016-07-01

    Full Text Available Background and objective It is so far not clear that how myasthenia gravis (MG affected the prognosis of thymoma patients. The aim of this assay is to compare the postoperative survival between patients with thymoma only and those with both thymoma and MG. Methods The Chinese Alliance for Research in Thymomas (ChART registry recruited patients with thymoma from 18 centers over the country on an intention to treat basis from 1992 to 2012. Two groups were formed according to whether the patient complicated MG. Demographic and clinical data were reviewed, Patients were followed and their survival status were analyzed. Results There were 1,850 patients included in this study, including 421 with and 1,429 without MG. Complete thymectomy were done in 91.2% patients in MG group and 71.0% in non-MG group (P<0.05. There were more percentage of patients with the histology of thymoma AB, B1, or B2 (P<0.05 in MG group, and more percentage of patients with MG were in Masaoka stage I and II. The 5 year and 10 year OS rates were both higher in MG group (93% vs 88%; 83% vs 81%, P=0.034 respectively. The survival rate was significantly higher in patients with MG when the Masaoka staging was III/IV (P=0.003. Among patients with advanced stage thymoma (stage III, IVa, IVb, the constituent ratios of III, IVa, IVb were similar between MG and Non-MG group. Histologically, however, there were significantly more proportion of AB/B1/B2/B3 in the MG group while there were more C in the non-MG group (P=0.000. Univariate analyses for all patients showed that MG, WHO classification, Masaoka stage, surgical approach, chemotherapy and radiotherapy and resectability were significant factors, and multivariate analysis showed WHO Classification, Masaoka stage, and resectability were strong independent prognostic indicators. Conclusion Although MG is not an independent prognostic factor, the survival of patients with thymoma was superior when MG was present, especially in late

  8. Retrospective chart review of obesity and episodic and chronic illness among rural Mexican-American adolescents accessing rural health clinic services.

    Champion, Jane Dimmitt; Pierce, Sherrie; Collins, Jennifer L

    2015-06-01

    Obesity impacts the physical and psychological health of children and adolescents, and is a risk factor for development of episodic and chronic illness. Rural Mexican-American adolescents are at risk for obesity and associated chronic illnesses.The study used a retrospective chart review of data collected routinely in a rural health clinic setting from 1 January 2005 to 31 December 2010 to assess incidence of overweight/obesity status and episodic or chronic illness among Mexican-American adolescents aged 12-18 years. Analyses included body mass index, age, gender, and episodic or chronic illness diagnoses. Two hundred twelve charts were audited; women (n = 114, 53.8%), men (n = 98 46.2%); normal (n = 105, 49.5%), overweight/obese (n = 107, 50.5%). There were more female normal (n = 61, 53.5%) vs. overweight/obese (n = 53, 46.5%). More male overweight/obese (n = 54, 55.1%) than normal weight (n = 44, 44.9%). Age at first documented overweight/obesity status occurred in early adolescence (median = 13 years, mode = 12 years). Chronic illness incidence was higher among men than women, and overweight/obese vs. normal weight adolescents and in sub-categorizations by weight and specific illness. Incidence of episodic illness was higher among women than men, with variation by weight and specific illness. Disproportionately high incidence of episodic or chronic illness and overweight/obesity identified among rural Mexican-American adolescents compels intervention modification to improve effectiveness. PMID:24674302

  9. Investigating concordance in diabetes diagnosis between primary care charts (electronic medical records and health administrative data: a retrospective cohort study

    Chevendra Vijaya

    2010-12-01

    Full Text Available Abstract Background Electronic medical records contain valuable clinical information not readily available elsewhere. Accordingly, they hold important potential for contributing to and enhancing chronic disease registries with the goal of improving chronic disease management; however a standard for diagnoses of conditions such as diabetes remains to be developed. The purpose of this study was to establish a validated electronic medical record definition for diabetes. Methods We constructed a retrospective cohort using health administrative data from the Institute for Clinical Evaluative Sciences Ontario Diabetes Database linked with electronic medical records from the Deliver Primary Healthcare Information Project using data from 1 April 2006 - 31 March 2008 (N = 19,443. We systematically examined eight definitions for diabetes diagnosis, both established and proposed. Results The definition that identified the highest number of patients with diabetes (N = 2,180 while limiting to those with the highest probability of having diabetes was: individuals with ≥2 abnormal plasma glucose tests, or diabetes on the problem list, or insulin prescription, or ≥2 oral anti-diabetic agents, or HbA1c ≥6.5%. Compared to the Ontario Diabetes Database, this definition identified 13% more patients while maintaining good sensitivity (75% and specificity (98%. Conclusions This study establishes the feasibility of developing an electronic medical record standard definition of diabetes and validates an algorithm for use in this context. While the algorithm may need to be tailored to fit available data in different electronic medical records, it contributes to the establishment of validated disease registries with the goal of enhancing research, and enabling quality improvement in clinical care and patient self-management.

  10. A 2-year retrospective analysis of facial injuries in patients treated at department of oral and maxillofacial surgery, IGGDC, Jammu, India

    Lone, Parveen; Singh, Amrit Pal; Kour, Indumeet; Kumar, Misha

    2014-01-01

    Introduction: The incidence of maxillofacial injuries is on the rise due to motor vehicle accidents and increased incidence of violence in recent times. The aim of this retrospective study was to determine the incidence, etiology, and the pattern of fractures in the maxillofacial region. Materials and Methods: After obtaining permission from the concerned authorities, a predesigned questionnaire was used to collect the necessary data from the department. A retrospective analysis of 787 patien...

  11. Growth chart

    ... standard (normal) range for children of the same gender and age. The same chart will be used as your child grows older. HOW TO UNDERSTAND A GROWTH CHART Many parents worry if they learn that their child's height, ...

  12. Changes in Intra-pelvic Obliquity Angle 0-2 Years After Total Hip Arthroplasty and Its Effects on Leg Length Discrepancy:A Retrospective Study

    Yin Zhang; Tao Cheng; Xian-Long Zhang

    2015-01-01

    Background:Total hip arthroplasty (THA) is one of the most effective treatments for phase Ⅲ and Ⅳ hip arthrosis.Lower limb length balancing is one of the determining factors of a successful surgery,particularly in patients with developmental dysplasia of the hip (DDH).The purpose of this study was to evaluate the postoperative change in intra-pelvic obliquity (intra-PO) angle in the coronal plane and its effects on leg length discrepancy (LLD) within 2 years.Methods:A total of 78 patients (70 females,8 males) were enrolled in this study.All patients were suffering from DDH with varying degrees of LLD.Pelvic plain radiographs were collected before and after the operation.The intra-PO angles were measured 0,0.5,1 and 2 years after THA.At the same time,postoperative LLD was measured with blocking test.Results:PO changed significantly in the first year after THA surgery (0 year vs.0.5 year,P < 0.01;0.5 year vs.1 year,P < 0.01),and the changing value of intra-PO angle (△PO) slowed down substantially during the first 2 years after THA (0.5 year vs.0.5-1 year,P < 0.01;0.5-1 year vs.1-2 years,P < 0.01).With the change in intra-PO angle,LLD also got narrow within the 1st year (0 year vs.0.5 year,P < 0.01;0.5 year vs.1 year,P < 0.01).Elderly patients had a smaller intra-PO angle reduction (Group A vs.Group B,P =0.01;Group B vs.Group C,P< 0.01).Conclusions:Intra-PO angle and LLD gap narrowed with time after THA surgery.In particular,elderly patients had smaller change in intra-PO angle.

  13. Clinical significance of coryneform Gram-positive rods from blood identified by MALDI-TOF mass spectrometry and their susceptibility profiles - a retrospective chart review.

    Mushtaq, Ammara; Chen, Derrick J; Strand, Gregory J; Dylla, Brenda L; Cole, Nicolynn C; Mandrekar, Jayawant; Patel, Robin

    2016-07-01

    With the advent of matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS), most Gram-positive rods (GPRs) are readily identified; however, their clinical relevance in blood cultures remains unclear. Herein, we assessed the clinical significance of GPRs isolated from blood and identified in the era of MALDI-TOF MS. A retrospective chart review of patients presenting to the Mayo Clinic, Rochester, MN, from January 1, 2013, to October 13, 2015, was performed. Any episode of a positive blood culture for a GPR was included. We assessed the number of bottles positive for a given isolate, time to positivity of blood cultures, patient age, medical history, interpretation of culture results by the healthcare team and whether infectious diseases consultation was obtained. We also evaluated the susceptibility profiles of a larger collection of GPRs tested in the clinical microbiology laboratory of the Mayo Clinic, Rochester, MN from January 1, 2013, to October 31, 2015. There were a total of 246 GPRs isolated from the blood of 181 patients during the study period. 56% (n = 101) were deemed contaminants by the healthcare team and were not treated; 33% (n = 59) were clinically determined to represent true bacteremia and were treated; and 8% (n = 14) were considered of uncertain significance, with patients prescribed treatment regardless. Patient characteristics associated with an isolate being treated on univariate analysis included younger age (P = 0.02), identification to the species level (P = 0.02), higher number of positive blood culture sets (P < 0.0001), lower time to positivity (P < 0.0001), immunosuppression (P = 0.03), and recommendation made by an infectious disease consultant (P = 0.0005). On multivariable analysis, infectious diseases consultation (P = 0.03), higher number of positive blood culture sets (P = 0.0005) and lower time to positivity (P = 0.03) were associated with an isolate being treated. 100, 83, 48 and 34% of GPRs

  14. Burden of illness associated with painful diabetic peripheral neuropathy among adults seeking treatment in the US: results from a retrospective chart review and cross-sectional survey

    Sadosky A

    2013-02-01

    Full Text Available Alesia Sadosky,1 Caroline Schaefer,2 Rachael Mann,3 Felicia Bergstrom,2 Rebecca Baik,2 Bruce Parsons,1 Srinivas Nalamachu,4 Edward Nieshoff,5 Brett R Stacey,6 Alan Anschel,7 Michael Tuchman81Pfizer Inc, New York, NY, 2Covance Market Access Services Inc, Gaithersburg, MD, 3Covance Market Access Services Inc, San Diego, CA, 4International Clinical Research Institute, Overland Park, KS, 5Rehabilitation Institute of Michigan/Wayne State University, Detroit, MI, 6Oregon Health and Science University, Portland, OR, 7Rehabilitation Institute of Chicago, Chicago, IL, 8Palm Beach Neurological Center, Palm Beach Gardens, FL, USABackground: The purpose of this study was to characterize the burden of illness among adult subjects with painful diabetic peripheral neuropathy (pDPN seeking treatment in the US.Methods: This observational study recruited 112 subjects with pDPN during routine visits from general practitioner and specialist sites. Subjects completed a one-time questionnaire, which included demographics, symptom duration, health care resource use, out-of-pocket costs, employment status, and validated measures that assessed pain, functioning, sleep, anxiety and depression, health status, and productivity. Investigators completed a case report form based on a 6-month retrospective chart review to capture clinical information, pDPN-related treatments, and other pDPN-related health care resource use over the past 6 months. Annualized costs were extrapolated based on reported 6-month health care resource use.Results: The mean age of the subjects was 61.1 years, 52.7% were female, and 17.9% were in paid employment. The most common comorbid conditions were sleep disturbance/insomnia (43.8%, depressive symptoms (41.1%, and anxiety (35.7%. The mean pain severity score was 5.2 (0–10 scale, and 79.5% reported moderate or severe pain. The mean pain interference with function score was 5.0 (0–10 scale overall, with 2.0 among mild, 5.1 among moderate, and 7

  15. Radar Chart

    National Oceanic and Atmospheric Administration, Department of Commerce — The Radar Chart collection is an archived product of summarized radar data. The geographic coverage is the 48 contiguous states of the United States. These hourly...

  16. Chart Series

    U.S. Department of Health & Human Services — The Centers for Medicare and Medicaid Services (CMS) offers several different Chart Series with data on beneficiary health status, spending, operations, and quality...

  17. Isomers chart

    The nuclear isomers are nuclides offering the same mass number and the same atomic number, but different energy levels. In the following chart the zero energy ground states are omitted and the metastable isomers, i.e. of non-zero energy, known and of measurable lifetime, are listed. The lower limit of this lifetime was set here to 0.1 x 10-6 s. The various isomers were classified in increasing lifetimes. (authors)

  18. Development and Measurement of Guidelines-Based Quality Indicators of Caesarean Section Care in the Netherlands: A RAND-Modified Delphi Procedure and Retrospective Medical Chart Review.

    Sonja Melman

    Full Text Available There is an ongoing discussion on the rising CS rate worldwide. Suboptimal guideline adherence may be an important contributor to this rise. Before improvement of care can be established, optimal CS care in different settings has to be defined. This study aimed to develop and measure quality indicators to determine guideline adherence and identify target groups for improvement of care with direct effect on caesarean section (CS rates.Eighteen obstetricians and midwives participated in an expert panel for systematic CS quality indicator development according to the RAND-modified Delphi method. A multi-center study was performed and medical charts of 1024 women with a CS and a stratified and weighted randomly selected group of 1036 women with a vaginal delivery were analysed. Quality indicator frequency and adherence were scored in 2060 women with a CS or vaginal delivery.The expert panel developed 16 indicators on planned CS and 11 indicators on unplanned CS. Indicator adherence was calculated, defined as the number of women in a specific obstetrical situation in which care was performed as recommended in both planned and unplanned CS settings. The most frequently occurring obstetrical situations with low indicator adherence were: 1 suspected fetal distress (frequency 17%, adherence 46%, 2 non-progressive labour (frequency 12%, CS performed too early in over 75%, 3 continuous support during labour (frequency 88%, adherence 37% and 4 previous CS (frequency 12%, with adequate counselling in 15%.We identified four concrete target groups for improvement of obstetrical care, which can be used as a starting point to reduce CS rates worldwide.

  19. Evaluation of costs accrued through inadvertent continuation of hospital-initiated proton pump inhibitor therapy for stress ulcer prophylaxis beyond hospital discharge: a retrospective chart review

    Shin S

    2015-04-01

    Full Text Available Sooyoung Shin Ajou University College of Pharmacy, Yeongtong-gu, Suwon-si, Gyeonggi-do, South Korea Background: Stress ulcers and related upper gastrointestinal bleeding are well-known complications in intensive care unit (ICU patients. Proton pump inhibitor (PPI-based stress ulcer prophylaxis (SUP has been widely prescribed in noncritically ill patients who are at low risk for clinically significant bleeding, which is then injudiciously continued after hospital discharge. This study aimed to evaluate the incidence of inappropriate prescribing of PPI-based preventative therapy in ICU versus non-ICU patients that subsequently continued postdischarge, and to estimate the costs incurred by the unwarranted outpatient continuation of PPI therapy.Methods: A retrospective review of patient data at a major teaching hospital in Korea was performed. During the 4-year study period, adult patients who were newly initiated on PPI-based SUP during hospital admission and subsequently discharged on a PPI without a medical indication for such therapy were captured for data analysis. The incidence rates of inappropriate prescribing of PPIs were compared between ICU and non-ICU patients, and the costs associated with such therapy were also examined.Results: A total of 4,410 patients, more than half of the inpatient-initiated PPI users, were deemed to have been inadvertently prescribed a PPI at discharge in the absence of a medical need for acid suppression. The incidence of inappropriate outpatient continuation of the prophylaxis was higher among ICU patients compared with non-ICU patients (57.7% versus 52.2%, respectively; P=0.001. The total expenditure accrued through the continuation of nonindicated PPI therapy was approximately US$40,175.Conclusion: This study confirmed that excess usage of PPIs for SUP has spread to low-risk, non-ICU patients. The overuse of unwarranted PPI therapy can incur large health care expenditure, as well as clinical complications

  20. SS-CUSUM Chart

    Thaga Keoagile

    2009-01-01

    A cumulative sum (CUSUM) control chart referred to as the SS-CUSUM chart is proposed that is capable of simultaneously detecting changes in both mean and standard deviation. The construction of this chart is based on the sum of squares of the maximum standard CUSUM statistics. The average run sengths (ARLs) are computed for comparison with other charts particularly with some recently developed single charts. The SS-CUSUM chart has an advantage over its competitors since it quickly detects bot...

  1. Excel 2007 Charts

    Walkenbach, John

    2008-01-01

    Excel, the top number-crunching tool, now offers a vastly improved charting function to help you give those numbers dimension and relativity. John Walkenbach, a.k.a. Mr. Spreadsheet, clearly explains all these charting features and shows you how to choose the right chart for your needs. You'll learn to modify data within the chart, deal with missing data, format your chart, use trend lines, construct "impossible" charts, create charts from pivot tables, dress them up with graphics, and more. Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.

  2. On regional geomagnetic charts

    Alldredge, L.R.

    1987-01-01

    When regional geomagnetic charts for areas roughly the size of the US were compiled by hand, some large local anomalies were displayed in the isomagnetic lines. Since the late 1960s, when the compilation of charts using computers and mathematical models was started, most of the details available in the hand drawn regional charts have been lost. One exception to this is the Canadian magnetic declination chart for 1980. This chart was constructed using a 180 degrees spherical harmonic model. -from Author

  3. The effect of smoking on survival and bone loss of implants with a fluoride-modified surface: a 2-year retrospective analysis of 1106 implants placed in daily practice

    D'Haese, Jan; Bruyn, Hugo De

    2012-01-01

    Aim: To compare survival and peri-implant bone loss of implants with a fluoride-modified surface in smokers and nonsmokers. Materials and Methods: Patient files of all patients referred for implant treatment from November 2004 to 2007 were scrutinized. All implants were placed by the same experienced surgeon (BC). The only inclusion criterion was a follow-up time of at least 2 years. Implant survival and bone loss were assessed by an external calibrated examiner (SV) comparing digital pe...

  4. Robust CUSUM control charting

    H.Z. Nazir; M. Riaz; R.J.M.M. Does; N. Abbas

    2013-01-01

    Cumulative sum (CUSUM) control charts are very effective in detecting special causes. In general, the underlying distribution is supposed to be normal. In designing a CUSUM chart, it is important to know how the chart will respond to disturbances of normality. The focus of this article is to control

  5. Fractional smith chart theory

    Shamim, Atif

    2011-03-01

    For the first time, a generalized Smith chart is introduced here to represent fractional order circuit elements. It is shown that the standard Smith chart is a special case of the generalized fractional order Smith chart. With illustrations drawn for both the conventional integer based lumped elements and the fractional elements, a graphical technique supported by the analytical method is presented to plot impedances on the fractional Smith chart. The concept is then applied towards impedance matching networks, where the fractional approach proves to be much more versatile and results in a single element matching network for a complex load as compared to the two elements in the conventional approach. © 2010 IEEE.

  6. Improved data driven control charts

    Albers, W.; Kallenberg, W.C.M.

    2007-01-01

    Classical control charts for monitoring the mean are based on the assumption of normality. When normality fails, these control charts are no longer valid and serious errors often arise. Data driven control charts, which choose between the normal chart, a parametric one and a nonparametric chart, hav

  7. Great Lakes Ice Charts

    National Oceanic and Atmospheric Administration, Department of Commerce — Charts show ice extent and concentration three times weekly during the ice season, for all lakes except Ontario, from the 1973/74 ice season through the 2001/2002...

  8. Barograms / Barograph Charts

    National Oceanic and Atmospheric Administration, Department of Commerce — Barograms are weekly rectangular charts recording barometric pressure at a given station. The barograph is an instrument that makes a continuous pen and ink trace...

  9. CDC Child Growth Charts

    U.S. Department of Health & Human Services — CDC child growth charts consist of a series of percentile curves that illustrate the distribution of selected body measurements in U.S. children. Pediatric growth...

  10. State-Chart Autocoder

    Clark, Kenneth; Watney, Garth; Murray, Alexander; Benowitz, Edward

    2007-01-01

    A computer program translates Unified Modeling Language (UML) representations of state charts into source code in the C, C++, and Python computing languages. ( State charts signifies graphical descriptions of states and state transitions of a spacecraft or other complex system.) The UML representations constituting the input to this program are generated by using a UML-compliant graphical design program to draw the state charts. The generated source code is consistent with the "quantum programming" approach, which is so named because it involves discrete states and state transitions that have features in common with states and state transitions in quantum mechanics. Quantum programming enables efficient implementation of state charts, suitable for real-time embedded flight software. In addition to source code, the autocoder program generates a graphical-user-interface (GUI) program that, in turn, generates a display of state transitions in response to events triggered by the user. The GUI program is wrapped around, and can be used to exercise the state-chart behavior of, the generated source code. Once the expected state-chart behavior is confirmed, the generated source code can be augmented with a software interface to the rest of the software with which the source code is required to interact.

  11. Language Development: 2 Year Olds

    ... Stages Listen Español Text Size Email Print Share Language Development: 2 Year Olds Page Content Article Body ... Pay attention to how he also is using language to describe ideas and information and to express ...

  12. Social Development:: 2 Year Olds

    ... in Action Medical Editor & Editorial Advisory Board Sponsors Sponsorship Opporunities Spread the Word Shop AAP Find a Pediatrician ... Ages & Stages > Toddler > Social Development: 2 Year Olds Ages & Stages Listen Español Text ...

  13. Emotional Development: 2 Year Olds

    ... in Action Medical Editor & Editorial Advisory Board Sponsors Sponsorship Opporunities Spread the Word Shop AAP Find a Pediatrician ... & Stages > Toddler > Emotional Development: 2 Year Olds Ages & Stages Listen Español Text ...

  14. INIS: Terminology charts

    This document is one in a series of publications known as the INIS Reference Series. It is to be used in conjunction with the INIS indexing manual and the INIS thesaurus for the preparation of input to the INIS database. The thesaurus and terminology charts in their first edition (Rev.0) were produced as the result of an agreement between the International Atomic Energy Agency (IAEA) and the European Atomic Energy Community (Euratom). Except for minor changes the terminology and the interrelationships between terms are those of the December 1969 edition of the Euratom Thesaurus. The purpose of the terminology harts is to display the descriptors of the thesaurus in the context of their hierarchical and other semantic relationships. Hierarchically related terms are grouped in clusters, each representing one of the principal concepts of a subject field. The descriptors are grouped around or under the broadest term of the clusters which is printed in upper case. The hierarchical relationships within the clusters are shown by the arrangement of the terms in smaller boxes within the larger boxes circumscribing the clusters. The clusters are connected by lines of various thickness, representing the other (mostly non-hierarchical) relationships. These connections are the equivalent to 'see also' and 'related term' cross-references. The thickness of the lines represents the strength of the semantic relations, or, in the practice of a retrieval system the probability that one term replacing a connected term in a query, will still yield pertinent references. The figures accompanying the descriptors represent their frequency of assignment to the first 987,000 documents stored in the Euratom system (May 1970). They are presented in order to show the relative importance of the descriptors within the subject field. The asterisks (*) accompanying descriptors in the charts refer to descriptors, for which a scope note can be found in the INIS: Thesaurus at the time the charts went

  15. NUCLEUS-CHART. Chart of the Nuclides

    Atomic Mass Data Center [Orsy (France)

    1998-05-05

    Nucleus is an interactive PC-based graphical viewer of NUBASE nuclear property data. NUBASE contains experimentally known nuclear properties, together with some values that have been estimated from extrapolation of experimental data for 3010 nuclides. NUBASE also contains data on those isomeric states that have half-lives greater than 1 millisecond; there are 669 such nuclides of which 58 have more than one isomeric state. The latest version of NUCLEUS-CHART has been corrected to include the names and the chemical symbols of the elements 104 to 109 that have been finally adopted by the Commission on Nomenclature of Inorganic Chemistry (CNIC) of the International Union of Pure and Applied Chemistry (IUPAC). They differ from those recommended by the same commission a few years before and that were widely used in the evaluations AME`95 and NUBASE`97. It results in some shuffling of the names and symbols, that may cause confusion in the near future. At AMDC we`ll be as careful as possible to try to avoid such confusion. In advance we apologize if any will occur in the future and recommend the user to always double check these few names.

  16. Weighing Rain Gauge Recording Charts

    National Oceanic and Atmospheric Administration, Department of Commerce — Weighing rain gauge charts record the amount of precipitation that falls at a given location. The vast majority of the Weighing Rain Gauge Recording Charts...

  17. NOAA Raster Navigational Charts (RNC)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA, National Ocean Service, Office of Coast Survey, Marine Chart Division is responsible to build and maintain a suite of more than 1000 nautical charts that are...

  18. WWW chart of the nuclides

    WWW chart of the nuclides was established on the basis of the latest evaluations of nuclear structure and decay data. By viewing WWW chart of the nuclides, one can retrieve the fundamental data of nuclide such as atomic mass, abundance, spin and parity; the decay mode, branching ratio, half-life and Q-value of radioactive nuclide, energy and intensity of strong γ-ray, etc. The URL (Uniform Resource Locator) of WWW chart of the nuclides is: http://myhome.py.gd.cn/chart/index,asp

  19. Flash Builder charting and multimedia

    Rocchi, Cesare

    2010-01-01

    Charting and multimedia are two vital tools for data-driven applications. Learn about the main components of the chart library included in Flash Builder, and see how to build and customize widely used charts. Turning your attention to the multimedia capabilities of the Flex framework, you will review the multimedia components built into the Flex library, and learn how to use ActionScript to manipulate video and audio files. Charting and Multimedia is the third of five articles that will be compiled in the book, Data Visualization with Flash Builder: Designing RIA and AIR Applications with Rem

  20. The hypernuclear chart

    Khan, E; Gulminelli, F; Raduta, Ad R

    2015-01-01

    We calculate the comprehensive hypernuclear chart for even-even hypernuclei with magic numbers of $\\Lambda$'s (for Z $\\leq$ 120 and $\\Lambda \\leq$70) and estimate the number of bound systems, considering the present uncertainties in the $\\Lambda-$nucleon and $\\Lambda-\\Lambda$ interactions. We consider a density functional approach adjusted to microscopic Bruckner-Hartree-Fock calculations, where the $\\Lambda\\Lambda$ term is corrected in a phenomenological way, to reproduce present experimental constraints. Different models which strongly deviate at large densities, but giving the same bond energy, are generated in order to take into account the uncertainties related to the high density equation of state. The number of bound even-even-even hypernuclei is estimated to 491680 $\\pm$ 34400. This relatively low uncertainty is due to the fact that the well constrained low density and highly unconstrained high density behavior of the energy functional turn out to be largely decoupled. Results in hypernuclei appear to...

  1. Growth charts of human development

    Van Buuren, Stef

    2014-01-01

    This article reviews and compares two types of growth charts for tracking human development over age. Both charts assume the existence of a continuous latent variable, but relate to the observed data in different ways. The D-score diagram summarizes developmental indicators into a single aggregate s

  2. Bivariate control chart with copula

    Lestari, Tika; Syuhada, Khreshna; Mukhaiyar, Utriweni

    2015-12-01

    Control chart is the main and powerful tool in statistical process control in order to detect and classify data, either in control or out of control. Its concept, basically, refers to the theory of prediction interval. Accordingly, in this paper, we aim at constructing of what so called predictive bivariate control charts, both classical and Copula-based ones. We argue that appropriate joint distribution function may be well estimated by employing Copula. A numerical analysis is carried out to illustrate that a Copula-based control chart outperforms than other.

  3. Hippocampal sclerosis in children younger than 2 years

    Kadom, Nadja [Children' s National Medical Center, Department of Diagnostic Imaging and Radiology, Washington, DC (United States); Tsuchida, Tammy; Gaillard, William D. [Children' s National Medical Center, Department of Neurology, Washington, DC (United States)

    2011-10-15

    Hippocampal sclerosis (HS) is rarely considered as a diagnosis in children younger than 2 years. To describe imaging features in conjunction with clinical information in patients with hippocampal sclerosis who are younger than 2 years. We retrospectively reviewed MR brain imaging and clinical information in five children in whom the diagnosis of HS was made both clinically and by MRI prior to 2 years of age. Imaging features establishing the diagnosis of hippocampal sclerosis were bright T2 signal and volume loss, while the internal architecture of the hippocampal formation was preserved in almost all children. Clinically, all children had an infectious trigger. It is necessary for radiologists to consider HS in children with certain clinical features to plan an MRI protocol that is appropriate for detection of hippocampal pathology. (orig.)

  4. Multivariate Statistical Process Control Charts: An Overview

    Bersimis, Sotiris; Psarakis, Stelios; Panaretos, John

    2006-01-01

    In this paper we discuss the basic procedures for the implementation of multivariate statistical process control via control charting. Furthermore, we review multivariate extensions for all kinds of univariate control charts, such as multivariate Shewhart-type control charts, multivariate CUSUM control charts and multivariate EWMA control charts. In addition, we review unique procedures for the construction of multivariate control charts, based on multivariate statistical techniques such as p...

  5. Inland Electronic Navigational Charts (IENC)

    Army Corps of Engineers, Department of the Army, Department of Defense — These Inland Electronic Navigational Charts (IENCs) were developed from available data used in maintenance of Navigation channels. Users of these IENCs should be...

  6. Charting Transnational Native American Studies

    Hsinya Huang

    2012-06-01

    Full Text Available Introduction to the Special Forum entitled "Charting Transnational Native American Studies: Aesthetics, Politics, Identity," edited by Hsinya Huang, Philip J. Deloria, Laura M. Furlan, and John Gamber

  7. Safe Minimum Internal Temperature Chart

    ... JSR 286) Actions ${title} Loading... Safe Minimum Internal Temperature Chart Safe steps in food handling, cooking, and ... from other foods. Cook —Cook to the right temperature. Chill —Refrigerate food promptly. Cook all food to ...

  8. NOAA Electronic Navigational Charts (ENC)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Office of Coast Survey (OCS) has been involved in the development of a NOAA Electronic Navigational Chart (NOAA ENC) suite to support the marine transportation...

  9. Fuzzy multinomial control chart and its application

    Wibawati, Mashuri, Muhammad; Purhadi, Irhamah

    2016-03-01

    Control chart is a technique that has been used widely in industry and services. P chart is the simplest control chart. In this chart, item is classified into two categories as either conforming and non conforming. This chart based on binomial distribution. In practice, each item can classify in more than two categories such as very bad, bad, good and very good. Then to monitor the process we used multinomial p control chart. However, if the classification is an element of vagueness, the fuzzy multinomial control chart (FM) is more appropriately used. Control limit of FM chart obtained multinomial distribution and the degree of membership using fuzzy trianguler are 0, 0.25. 0.5 and 1. This chart will be applied to the data glass and will compare with multinomial p control chart.

  10. EWMA Chart and Measurement Error

    Maravelakis, Petros; Panaretos, John; Psarakis, Stelios

    2004-01-01

    Measurement error is a usually met distortion factor in real-world applications that influences the outcome of a process. In this paper, we examine the effect of measurement error on the ability of the EWMA control chart to detect out-of-control situations. The model used is the one involving linear covariates. We investigate the ability of the EWMA chart in the case of a shift in mean. The effect of taking multiple measurements on each sampled unit and the case of linearly increasing varianc...

  11. AMDIS and CHART update. 1

    Murakami, I.; Kato, T. [National Inst. for Fusion Science, Toki, Gifu (Japan); Igarashi, A. [Miyazaki Univ., Miyazaki (JP)] [and others

    2002-10-01

    A working group for updating atomic and molecular collision data in the NIFS database AMDIS (electron scattering) and CHART (ion scattering) has been organized. This group has searched and reviewed literatures for collecting relevant atomic data with are to be included into the database. This is a summary report of the activities of this working group. (author)

  12. AMDIS and CHART update. 1

    A working group for updating atomic and molecular collision data in the NIFS database AMDIS (electron scattering) and CHART (ion scattering) has been organized. This group has searched and reviewed literatures for collecting relevant atomic data with are to be included into the database. This is a summary report of the activities of this working group. (author)

  13. Growth charts for individuals with Rubinstein-Taybi syndrome.

    Beets, Lex; Rodríguez-Fonseca, Cristina; Hennekam, Raoul C

    2014-09-01

    Rubinstein-Taybi syndrome (RSTS) is an autosomal dominant disorder characterized by variable degrees of intellectual disability, an unusual face, distal limb anomalies including broad thumbs and broad halluces, a large group of variable other major and minor anomalies, and decreased somatic growth. The aim of the present study was to construct up-to-date growth charts specific for infants and children with RSTS. We collected retrospective growth data of 92 RSTS individuals of different ancestries. Data were corrected for secular trends and population of origin to the Dutch growth charts of 2009. On average, 17.9 measurements were available per individual. Height, weight and body mass index (BMI) references for males and females were constructed using the lambda, mu, sigma method. RSTS individuals had normal birth weight and length. Mean final heights were 162.6 cm [-2.99 standard deviation score (SDS)] for males and 151.0 cm [-3.01 SDS] for females. BMI SDS compared to the general Dutch population were -0.06 and 1.40 SDS for males and females, respectively. Head circumference SDS compared to the general Dutch population was -1.89 SDS for males and -2.71 SDS for females. This is the first study to publish growth charts using only molecularly proven RSTS individuals. These syndrome-specific growth charts can be used in managing problems related to growth in RSTS individuals. PMID:24989455

  14. Progress in the technology of nautical charting

    Joseph, A.

    surveying; chart projection schemes; the role of radio and satellite-based position-fixing systems; the technology of the modern electronic nautical charts; and applications of computers in modern navigation. The article also peeps into possible future...

  15. NOAA Seamless Raster Navigational Charts (RNC)

    National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Seamless Raster Chart Server provides a seamless collarless mosaic of the NOAA Raster Navigational Charts (RNC). The RNC are a collection of approximately...

  16. Are estimated control charts in control?

    Albers, W.; Kallenberg, W.C.M.

    2001-01-01

    Standard control chart practice assumes normality and uses estimated parameters. Because of the extreme quantiles involved, large relative errors result. Here simple corrections are derived to bring such estimated charts under control. As a criterion, suitable exceedance probabilities are used.

  17. [Ganglia of the hand and wrist--a retrospective study on the origination of recurrences].

    Schicke, S; Hoigne, D; Zwipp, H; Grünert, J

    2011-10-01

    This study examines retrospectively the impact of operative and perioperative factors on the recurrence rate of finger and wrist cysts.Out of a total of 237 recorded cyst operations in 201 patients, 46% were carried out for dorsal wrist ganglia, 38% for finger ganglia, and 16% for palmar wrist cysts. 133 (56%) patients answered on a mailed questionnaire. At an average of 2 years 79 of these 133 patients could be re-examined. Data concerning history, size of the cyst, location of the cyst, the hand surgical experience of the performing surgeon were taken from the charts. Statistical analysis were performed.There were 48 (36.1%; n=133) recurrences. Most (79.2%) occurred within the first year. A higher recurrence rate was observed in patients with a longer history, larger ganglia, and when patients were operated by less experienced surgeons. Recurrence rates did neither correlate with the ganglion location, the patient's age, and gender. PMID:21935849

  18. Viral Hepatitis: Retrospective Review in a Canadian Pediatric Hospital

    Carolina Jimenez-Rivera; Paulina Cybulska; Andy Ni

    2010-01-01

    Introduction. Clinical presentation of viral hepatitis ranges from mild symptoms to fulminant hepatitis. Our aim is to describe clinical presentation and outcomes of children with viral hepatitis from the Eastern Ontario/Western Quebec regions of Canada. Methods. Retrospective chart review of children diagnosed with viral hepatitis at our institution from January 1, 1998, to December 31, 2007. Results. There were 261 charts reviewed, only 64 had a confirmed viral etiology: 34 (53%) hepatitis ...

  19. Continuity Adjustment for Control Charts for Attributes

    L.K. Chan; T.K. Mak; B. Tao

    2003-01-01

    A unified approach is proposed for making a continuity adjustment on some control charts for attributes, e.g., np-chart and c-chart, through adding a uniform (0, 1) random observation to the conventional sample statistic (e.g., npi and ci). The adjusted sample statistic then has a continuous distribution. Consequently, given any Type I risk α (the probability that the sample statistic is on or beyond the control limits),control charts achieving the exact value of α can be readily constructed. Guidelines are given for when to use the continuity adjustment control chart, the conventional Shewhart control chart (with ±3 standard deviations control limits), and the control chart based on the exact distribution of the sample statistic before adjustment.

  20. Incorporating Judgement in Fan Charts

    Österholm, Pär

    2006-01-01

    Within a decision-making group, such as the monetary-policy committee of a central bank,group members often hold differing views about the future of key economic variables. Such differences of opinion can be thought of as reflecting differing sets of judgement. This paper suggests modelling each agent’s judgement as one scenario in a macroeconomic model. Each judgement set has a specific dynamic impact on the system, and accordingly, a particular predictive density – or fan chart – associated...

  1. A Retrospective Study of Amitriptyline in Youth with Autism Spectrum Disorders

    Bhatti, Irfan; Thome, Andrew; Smith, Patricia Oxler; Cook-Wiens, Galen; Yeh, Hung Wen; Gaffney, Gary R.; Hellings, Jessica A.

    2013-01-01

    We performed a retrospective chart review of 50 youths with Autism Spectrum Disorder (ASD), prescribed amitriptyline (AMI) for hyperactivity and impulsivity. Data was systematically extracted from 50 outpatient clinic charts, including AMI treatment duration, dose, trough levels and adverse events. Mean age was 9.4 years (4.6-17.9); 40 were males…

  2. Pearl A Probabilistic Chart Parser

    Magerman, D M; Magerman, David M.; Marcus, Mitchell P.

    1994-01-01

    This paper describes a natural language parsing algorithm for unrestricted text which uses a probability-based scoring function to select the "best" parse of a sentence. The parser, Pearl, is a time-asynchronous bottom-up chart parser with Earley-type top-down prediction which pursues the highest-scoring theory in the chart, where the score of a theory represents the extent to which the context of the sentence predicts that interpretation. This parser differs from previous attempts at stochastic parsers in that it uses a richer form of conditional probabilities based on context to predict likelihood. Pearl also provides a framework for incorporating the results of previous work in part-of-speech assignment, unknown word models, and other probabilistic models of linguistic features into one parsing tool, interleaving these techniques instead of using the traditional pipeline architecture. In preliminary tests, Pearl has been successful at resolving part-of-speech and word (in speech processing) ambiguity, dete...

  3. Robust control charts in statistical process control

    Nazir, H.Z.

    2014-01-01

    The presence of outliers and contaminations in the output of the process highly affects the performance of the design structures of commonly used control charts and hence makes them of less practical use. One of the solutions to deal with this problem is to use control charts which are robust against violations of the basic assumptions, like normality. The effect of using robust or other alternative estimators has not been investigated thoroughly in perspective of control charting literature....

  4. Implementing control charts to corporate financial management

    Kovářík, Martin; Sarga, Libor

    2014-01-01

    In the paper, corporate financial management using statistical process control (SPC), especially Shewhart's control charts operating with the constant mean, control charts with non-constant mean, and process capability indices will be introduced. The center line, UCL and LCL for the control charts will be defined with the regulated process not allowed to cross the UCL and LCL boundaries. Altman's model (the so called Z-score), the most popular corporate financial stability index, will be used...

  5. Growth charts: A diagnostic tool

    Vaman Khadilkar

    2011-01-01

    Full Text Available Context: Assessment of growth by objective anthropometric methods is crucial in child care. India is in a phase of nutrition transition and thus it is vital to update growth references regularly. Objective: To review growth standards and references for assessment of physical growth of Indian children for clinical use and research purposes. Materials and Methods: Basics of growth charts and importance of anthropometric measurements are described. A comparison between growth standards and references is provided. Further, Indian growth reference curves based on the data collected by Agarwal et al. and adopted by the Indian Academy of Pediatrics, World Health Organization growth standards for children under the age of 5 years (2006 and contemporary Indian growth references published on apparently healthy affluent Indian children (data collected in 2007-08 are discussed. The article also discusses the use of adult equivalent body mass index (BMI cut-offs for screening for overweight and obesity in Indian children. Results and Conclusions: For the assessment of height, weight and BMI, WHO growth standards (for children < 5 years and contemporary cross sectional reference percentile curves (for children from 5-18 years are available for clinical use and for research purposes. BMI percentiles (adjusted for the Asian adult BMI equivalent cut-offs for the assessment of physical growth of present day Indian children are also available. LMS values and Microsoft excel macro for calculating SD scores can be obtained from the author (email: vamankhadilkar@gmail.com. Contemporary growth charts can be obtained by sending a message to 08861201183 or email: gntd@novonordisk.com.

  6. Clinical outcomes of pars plicata anterior vitrectomy: 2-year results

    Priya Narang

    2015-01-01

    Full Text Available Purpose: To demonstrate the safety and outcome of a surgical approach that uses pars plicata site for anterior vitrectomy during phacoemulsification procedure complicated by posterior capsule rupture and residual cortical matter. Design: Single center, retrospective, interventional, noncomparative study. Materials and Methods: Medical records of a consecutive series of 35 eyes of 35 patients who underwent pars plicata anterior vitrectomy (PPAV were reviewed. The main outcome measures were corrected and uncorrected distance visual acuity (CDVA, UDVA, early and late postoperative complications and intraocular pressure (IOP. Ultrasound biomicroscopic (UBM evaluation of sclerotomy site and spectral domain optical coherence tomography analysis for central macular thickness (CMT was performed. The final visual outcome at 2 years was evaluated. Results: At 2 years follow-up, the mean postoperative UDVA (logarithm of the minimum angle of resolution [logMAR] and CDVA (logMAR was 0.49 ± 0.26 and 0.19 ± 0.14, respectively. There was no significant change in the IOP (P = 0.061 and the mean CMT at 2 years was 192.5 ± 5.54 mm. The postoperative UBM image of the sclerotomy site at 8 weeks demonstrated a clear wound without any vitreous adhesion or incarceration. Intraoperative hyphema was seen in 1 (2.8% case and postoperative uveitis was seen in 2 (5.7% cases, which resolved with medications. No case of an iatrogenic retinal break or retinal detachment was reported. Conclusions: PPAV enables a closed chamber approach, allows thorough cleanup of vitreous in the pupillary plane and anterior chamber and affords better access to the subincisional and retropupillary cortical remnant with a significant visual outcome and an acceptable complication rate.

  7. Scorpion Sting: A 2-Year Study

    B Chomeili

    1998-01-01

    Scorpion sting and its complications are a serious pediatric problem in district Khuzestan, especially in the warm months of the year (May through November in this area). During 2 years (March 1991-march 1993) totally 10559 cases of scorpion sting have been referred to the scorpion envonimation unit in Aboozar children's hospital, which being the only scorpion sting center in the district is active 1981. 154 cases had to be admitted because of severe complications such as extensive ecchymosis...

  8. Smart Aeronautical Chart Management System Design

    Pakdil, M. E.; Celik, R. N.; Kaya, Ö.; Konak, Y. C.; Guney, C.

    2015-10-01

    Civil aviation is developing rapidly, and the number of domestic and international operations is increasing exponentially every year than the previous one. Airline companies with increased air traffic and the number of passengers increase the demand of new aircrafts. An aircraft needs not only fuel but also pilot and aeronautical information (charts, digital navigation information, flight plan, and etc.) to perform flight operation. One of the most important components in aeronautical information is the terminal chart. Authorized institution in every state is responsible to publish their terminal charts for certain periods. Although these charts are produced in accordance with ICAO's Annex 4 and Annex 15, cartographic representation and page layout differs in each state's publication. This situation makes difficult to read them by pilots. In this paper, standard instrument departure (SID) charts are analysed to produce by use of cutting-edge and competitive technologies instead of classical computer-aided drawing and vector based graphic applications that are currently used by main chart producers. The goal is to design efficient and commercial chart management system that is able to produce aeronautical charts with same cartographic representation for all states.

  9. Color Charts, Esthetics, and Subjective Randomness

    Sanderson, Yasmine B.

    2012-01-01

    Color charts, or grids of evenly spaced multicolored dots or squares, appear in the work of modern artists and designers. Often the artist/designer distributes the many colors in a way that could be described as "random," that is, without an obvious pattern. We conduct a statistical analysis of 125 "random-looking" art and design color charts and…

  10. 49 CFR 236.718 - Chart, dog.

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Chart, dog. 236.718 Section 236.718 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF... OF SIGNAL AND TRAIN CONTROL SYSTEMS, DEVICES, AND APPLIANCES Definitions § 236.718 Chart, dog....

  11. Teaching Pronunciation with the Vowel Colour Chart.

    Finger, Julianne

    1985-01-01

    Explains the composition of the Vowel Colour Chart, a system for teaching Canadian English vowels in which each sound is represented by a color, the color word being the key word for that vowel sound. Suggests practical ways to use the chart with learners of English as a second language. (SED)

  12. SMART AERONAUTICAL CHART MANAGEMENT SYSTEM DESIGN

    M. E. Pakdil

    2015-10-01

    Full Text Available Civil aviation is developing rapidly, and the number of domestic and international operations is increasing exponentially every year than the previous one. Airline companies with increased air traffic and the number of passengers increase the demand of new aircrafts. An aircraft needs not only fuel but also pilot and aeronautical information (charts, digital navigation information, flight plan, and etc. to perform flight operation. One of the most important components in aeronautical information is the terminal chart. Authorized institution in every state is responsible to publish their terminal charts for certain periods. Although these charts are produced in accordance with ICAO’s Annex 4 and Annex 15, cartographic representation and page layout differs in each state’s publication. This situation makes difficult to read them by pilots. In this paper, standard instrument departure (SID charts are analysed to produce by use of cutting-edge and competitive technologies instead of classical computer-aided drawing and vector based graphic applications that are currently used by main chart producers. The goal is to design efficient and commercial chart management system that is able to produce aeronautical charts with same cartographic representation for all states.

  13. Body Mass Index (BMI) Charts (For Parents)

    ... 5 Things to Know About Zika & Pregnancy Body Mass Index (BMI) Charts KidsHealth > For Parents > Body Mass Index (BMI) Charts Print A A A Text ... same age. Now they have another tool: body mass index (BMI). BMI is a calculation that uses ...

  14. 47 CFR 73.333 - Engineering charts.

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Engineering charts. 73.333 Section 73.333 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES FM Broadcast Stations § 73.333 Engineering charts. This section consists of the following Figures 1, 1a, 2,...

  15. Chronic nonbacterial osteomyelitis in children: a retrospective multicenter study

    Kaiser, Daniela; Bolt, Isabel; Hofer, Michael; Relly, Christa; Berthet, Gerald; Bolz, Dieter; Saurenmann, Traudel

    2015-01-01

    Background To determine the clinical presentation, current treatment and outcome of children with nonbacterial inflammatory bone disease. Methods Retrospective multicenter study of patients entered into the Swiss Pediatric Rheumatology Working Group registry with a diagnosis of chronic nonbacterial osteomyelitis (CNO) and synovitis acne pustulosis hyperostosis osteitis (SAPHO) syndrome. The charts were reviewed for informations about disease presentation, treatment, course and outcome. Result...

  16. Chronic nonbacterial osteomyelitis in children: a retrospective multicenter study

    Kaiser, Daniela; Bolt, Isabel; Hofer, Michael; Relly, Christa; Berthet, Gerald; Bolz, Dieter; Saurenmann, Traudel

    2015-01-01

    BACKGROUND: To determine the clinical presentation, current treatment and outcome of children with nonbacterial inflammatory bone disease. METHODS: Retrospective multicenter study of patients entered into the Swiss Pediatric Rheumatology Working Group registry with a diagnosis of chronic nonbacterial osteomyelitis (CNO) and synovitis acne pustulosis hyperostosis osteitis (SAPHO) syndrome. The charts were reviewed for informations about disease presentation, treatment, course and outcome. ...

  17. Indications for Vitamin B12 Therapy: A retrospective study

    Delva, M. Dianne; Anderson, J E

    1992-01-01

    A retrospective chart audit was undertaken to determine the clinical reasons for vitamin B12 therapy in family practice. Abnormal laboratory tests and symptoms were the most common reasons for initiating therapy. The high proportion of cases with little supporting evidence of B12 deficiency suggests that other factors influence treatment decisions.

  18. FusionCharts Beginner's Guide The Official Guide for FusionCharts Suite

    Nadhani, Sanket; Bhattacharya, Shamasis

    2012-01-01

    The book is written as a practical, step-by-step guide to using FusionCharts Suite. The book not only teaches you the fundamentals and implementation of FusionCharts Suite, but also makes you the data visualization guru among your friends and colleagues by teaching how to select the right chart type and usability tips. Filled with examples, code samples and practical tips in a no-nonsense way, the book is a breeze to read.This book is both for beginners and advanced web developers who need to create interactive charts for their web applications. No previous knowledge of FusionCharts Suite is a

  19. A video strip chart program

    A strip chart recorder has been utilized for trend analysis of the Oak Ridge National Laboratory EN tandem since 1987. At the EN, the author could not afford the nice eight channel thermal pen recorder that was used at the 25 URC. He had to suffice with two channel fiber tip or capillary pen type recorders retrieved from salvage and maintained with parts from other salvaged recorders. After cycling through several machines that eventually became completely unserviceable, a search for a new thermal recorder was begun. As much as he hates to write computer code, he decided to try his hand at getting an old data acquisition unit, that had been retrieved several years ago from salvage, to meet his needs. A BASIC language compiler was used because time was not available to learn a more advanced language. While attempting to increase acquisition and scroll speed on the 6 MHz 80286 that the code was first developed on, it became apparent that scrolling only the first small portion of the screen at high speed and then averaging that region and histogramming the average provided both the speed necessary for capturing fairly short duration events, and a trend record without use of back scrolling and disk storage routines. This turned out to be quite sufficient

  20. Interactive Financial Charts- Agency Financial Reports

    General Services Administration — For a visual depiction of GSA's Balance Sheet and Statement of Net Cost, please use the interactive charts to view the financial results for fiscal years 2007-2013.

  1. Scorpion Sting: A 2-Year Study

    B Chomeili

    1998-05-01

    Full Text Available Scorpion sting and its complications are a serious pediatric problem in district Khuzestan, especially in the warm months of the year (May through November in this area. During 2 years (March 1991-march 1993 totally 10559 cases of scorpion sting have been referred to the scorpion envonimation unit in Aboozar children's hospital, which being the only scorpion sting center in the district is active 1981. 154 cases had to be admitted because of severe complications such as extensive ecchymosis and necrosis of the sting site, severe hemolysis and dark urine, toxic appearance, convulsions, hematemesis, hypotension, pulmonary edema, cardiac heart failure and death. 90% of the admitted cases had been stung by hemiscorpius lepturus, a dangerous scorpion called "Gadim" in Khuzestan. 19 out of 20 fatalities were caused by this scorpion. Unfortunately, the available antivenoms have no effect on this kind of scorpion venom. To reduce casualties, good scorpion control and eradication, intensive protective care, and preparation of specific antivenom must be taken into consideration.

  2. Chart of nuclides relating to neutron activation

    This chart is for frequent use in the prediction of the product species of neutron activation. The first edition of the chart has been made in 1976 after the repeated trial preparation. It has the following good points. (1) Any letter in chart is as large as one can read easily. [This condition has been obtained by the selection of items to be shown in chart. They are the name (the symbol of element, mass number, and half-life) of nuclide or of isomer, and the type of decay.]. (2) Decay product has been shown indirectly for branchings with two-step decay via short-lived daughter in an excited state. [This matter has been realized by use of the new mode of indication.] (3) Nuclides shown in chart are (a) naturally occurring nuclides and (b) nuclides formed from naturally occurring nuclides through one of the following reactions: (n, γ), (n, n'), (n, p), (n, α), (n, 2n), (n, pn), (n, 3n), (n, αn), (n, t), (n, 3He), (n, 2p), and (n, γ)(n, γ). In the revision of the first edition, some modes of indication have become a little simpler, and the isomers of shorter half-lives (0.1 - 1 μs) have been added. (author)

  3. A PIP chart for nuclear plant safety

    While it is known that social and political aspects of nuclear safety issues are important, little study has been done on identifying the breadth of stakeholders whose policies have important influences over nuclear plant safety in a comprehensive way. The objectives of this study are to develop a chart that visually identifies important stakeholders and their policies and illustrates these influences in a hierarchical representation so that the relationship between stakeholders and nuclear safety will be better understood. This study is based on a series of extensive interviews with major stakeholders, such as nuclear plant managers, corporate planning vice presidents, state regulators, news media, and public interest groups, and focuses on one US nuclear power plant. Based on the interview results, the authors developed a conceptual policy influence paths (PIP) chart. The PIP chart illustrates the hierarchy of influence among stakeholders. The PIP chart is also useful in identifying possible stakeholders who can be easily overlooked without the PIP chart. In addition, it shows that influence flow is circular rather than linear in one direction

  4. Italian cardiovascular mortality charts of the CUORE project: are they comparable with the SCORE charts?

    Donfrancesco, Chiara

    2010-08-01

    The aim of this study was to build risk charts for the assessment of cardiovascular mortality of the CUORE project, an Italian longitudinal study, and to compare them with the systematic coronary risk evaluation (SCORE) project charts for low risk European countries.

  5. Exploring patterns in European singles charts

    Buda, Andrzej

    2015-01-01

    European singles charts are important part of the music industry responsible for creating popularity of songs. After modeling and exploring dynamics of global album sales in previous papers, we investigate patterns of hit singles popularity according to all data (1966-2015) from weekly charts (polls) in 12 Western European countries. The dynamics of building popularity in various national charts is more than the economy because it depends on spread of information. In our research we have shown how countries may be affected by their neighbourhood and influenced by technological era. We have also computed correlations with geographical and cultural distances between countries in analog, digital and Internet era. We have shown that time delay between the single premiere and the peak of popularity has become shorter under the influence of technology and the popularity of songs depends on geographical distances in analog (1966-1987) and Internet (2004-2015) era. On the other hand, cultural distances between nation...

  6. Charting environmental pollution. [by noise measurements

    Halpert, E.; Bizo, F.; Karacsonyi, Z.

    1974-01-01

    It is found that areas affected by different noxious agents are within the limits traced for high noise level areas; consequently, it is suggested that high noise pressure levels should be used as the primary indication of environmental pollution. A complex methodology is reported for charting environmental pollution due to physical, chemical and biological noxious agents on the scale of an industrial district.

  7. Progress in the technology of nautical charting

    Joseph, A.

    ". The article skims through the various aspects of safety of navigation such as nautical charts created by the Arabs in the medieval days of stellar navigation in the Indian Ocean; the contributions by the Chinese, the British, and the Portuguese; hydrographic...

  8. Chart Notes from a Sports Nutritionist.

    Clark, Nancy

    1986-01-01

    A sports nutritionist/registered dietician on the sports medicine team can provide clients with reliable nutrition information and respond to their interest in healthful, high-energy eating. Three case reports illustrate the usefulness of a nutritionist to practitioners of sports medicine. A chart of healthful foods is provided. (MT)

  9. Mobile Phone Mood Charting for Adolescents

    Matthews, Mark; Doherty, Gavin; Sharry, John; Fitzpatrick, Carol

    2008-01-01

    Mobile phones may provide a useful and engaging platform for supporting therapeutic services working with adolescents. This paper examines the potential benefits of the mobile phone for self-charting moods in comparison to existing methods in current practice. The paper describes a mobile phone application designed by the authors which allows…

  10. Pediatric Rotavirus Gastroenteritis: A 2 year Analysis to Understand Current Prevalence in Mumbai

    Vidya Nerurkar

    2011-04-01

    Full Text Available Many studies have established the high prevalence of paediatric Rotavirus gastroenteritis in India. The importance of rapid diagnosis of rotavirus infection has also been stressed upon, to initiate prompt rehydration therapy and prevent unnecessary use of antibiotics .We undertook a retrospective analysis of 327 paediatric stool specimens to understand the current prevalence and seasonal distribution of cases in Mumbai and its surrounding areas. Overall Rotavirus positivity rate was 37.9 %, with peak positivity in winter seasons. Infections were more common upto 2 years of age. Incidence of bacterial and parasitic coinfections was low.

  11. A Chart Display and Reporting App for Windows

    Poxon, M.

    2016-06-01

    (Abstract only) Details are presented for a windows application which allows simultaneous display of AAVSO charts and report-formatting software in the hope that other members will offer suggestions from their own experiences with charts and reporting.

  12. Arctic Sea Ice Charts from Danish Meteorological Institute, 1893 - 1956

    National Oceanic and Atmospheric Administration, Department of Commerce — From 1893 to 1956, the Danish Meteorological Institute (DMI) created charts of observed and inferred sea ice extent for each summer month. These charts are based on...

  13. Analogue photonic link design charts for microwave engineering applications

    Vincent J. Urick

    2015-01-01

    A set of unique design charts for intensity-modulation direct-detection microwave photonics links is presented. The charts facilitate link design and analysis, clearly demonstrating performance trade-offs in terms of standard microwave performance metrics.

  14. JDATAVIEWER – JAVA-Based Charting Library

    Kruk, G

    2009-01-01

    The JDataViewer is a Java-based charting library developed at CERN, with powerful, extensible and easy to use function editing capabilities. Function edition is heavily used in Control System applications, but poorly supported in products available on the market. The JDataViewer enables adding, removing and modifying function points graphically (using a mouse) or by editing a table of values. Custom edition strategies are supported: developer can specify an algorithm that reacts to the modification of a given point in the function by automatically adapting all other points. The library provides all typical 2D plotting types (scatter, polyline, area, bar, HiLo, contour), as well as data point annotations and data indicators. It also supports common interactors to zoom and move the visible view, or to select and highlight function segments. A clear API is provided to configure and customize all chart elements (colors, fonts, data ranges ...) programmatically, and to integrate non-standard rendering types, inter...

  15. Charting Secrets Stop Reading Start Practicing

    Bedford, Louise

    2012-01-01

    It is a common myth that the sharemarket is a fast ticket to the easy life. Buy a few shares and watch them go up. Call your broker for up-to-the-minute price information as you drive the Porsche to the golf club. Yell 'Sell! Sell! Sell' into your mobile as you ski through the Swiss Alps. Nothing could be further from the truth. Louise Bedford believes that the only way to be successful in the market is to spend time studying and putting in the hard work, just like any other job. With this in mind, she has written Charting Secrets. Not just another trading book, Charting Secrets is a workbook

  16. A new Snellen's visual acuity chart with 'Indian' numerals.

    Al-Salem, M

    1987-01-01

    'Indian' numerals, which are popular among the Arab population, were used to devise a new Snellen's visual acuity chart. The new chart has the advantages of a reading chart. It keeps the patient's interest, does not miss alexic patients, and is quicker to perform. It is also devoid of the many disadvantages of a kinetic response chart (the capital E letter or Landolt's broken rings), especially that of the limited option of test objects.

  17. A robust standard deviation control chart

    Schoonhoven, M.; Does, R.J.M.M.

    2012-01-01

    This article studies the robustness of Phase I estimators for the standard deviation control chart. A Phase I estimator should be efficient in the absence of contaminations and resistant to disturbances. Most of the robust estimators proposed in the literature are robust against either diffuse disturbances, that is, outliers spread over the subgroups, or localized disturbances, which affect an entire subgroup. In this article, we compare various robust standard deviation estimators and propos...

  18. Paperless chart recording helps cut costs

    Turbine generator data acquisition systems using personal computers have been installed at the Limerick BWR power plant to replace paper-based chart recorders. This plant is already one of the lowest cost nuclear power plants in the US and this innovation will boost operating efficiency still further. The Limerick control room now has wall-mounted touch screen video displays which provide operators with real-time, electronically achieved information and improving information flow, with a consolidated, consistent user interface. (UK)

  19. Chart Review Skills: A Dimension of Clinical Competence.

    Goetz, Axel A.; And Others

    1979-01-01

    A study of undergraduate medical students' abilities to identify salient information in reviewing patient charts was conducted at Southern Illinois University. Specific goals were to develop and test a method for assessing chart skills and to test several hypotheses that examine the effect of certain factors on chart review performance.…

  20. 15 CFR 738.3 - Commerce Country Chart structure.

    2010-01-01

    ... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Commerce Country Chart structure. 738... COMMERCE CONTROL LIST OVERVIEW AND THE COUNTRY CHART § 738.3 Commerce Country Chart structure. (a) Scope... 5D980, License Exception GOV may apply if your item is consigned to and for the official use of...

  1. Slide rule-type color chart predicts reproduced photo tones

    Griffin, J. D.

    1966-01-01

    Slide rule-type color chart determines the final reproduced gray tones in the production of briefing charts that are photographed in black and white. The chart shows both the color by drafting paint manufacturers name and mixture number, and the gray tone resulting from black and white photographic reproduction.

  2. Results of whole brain radiotherapy in patients with brain metastases from breast cancer: a retrospective study

    Purpose: To analyze the factors that affect survival in patients with brain metastases (BM) from breast cancer who were treated with whole brain radiotherapy (WBRT). Methods and Materials: We identified 116 women with breast cancer who were treated with WBRT alone between February 1984 and September 2000. All patients had treatment and follow-up data available in their medical charts, which we extracted for this retrospective study. We evaluated a number of potential predictors of survival after WBRT: age, primary tumor stage, control of primary tumor, presence of other systemic metastases, site of systemic metastases, Karnofsky performance status, Radiation Therapy Oncology Group (RTOG) recursive partitioning analysis class, total dose of WBRT, and number of BM. Eighteen patients received a total dose >3000 cGy and 7 received a partial brain boost. Results: For the entire cohort, the median survival from the start of WBRT was 4.2 months. The 1-year survival rate was 17%, and the 2-year survival rate was 2%. Using univariate analysis, only Karnofsky performance status (p=0. 0084), recursive partitioning analysis class (p=0. 0147), and total WBRT dose (p=0.0001) were predictive of longer survival. In multivariate analysis, Karnofsky performance status was the only significant predictor. Conclusion: Overall survival in breast cancer patients with BM treated with WBRT is poor. We recommend breast cancer patients with BM be enrolled in prospective trials to improve results

  3. Quality of care assessment in geriatric evaluation and management units: construction of a chart review tool for a tracer condition

    Latour Judith; Leduc Nicole; Leclerc Bernard-Simon; Kergoat Marie-Jeanne; Berg Katherine; Bolduc Aline

    2009-01-01

    Abstract Background The number of elderly people requiring hospital care is growing, so, quality and assessment of care for elders are emerging and complex areas of research. Very few validated and reliable instruments exist for the assessment of quality of acute care in this field. This study's objective was to create such a tool for Geriatric Evaluation and Management Units (GEMUs). Methods The methodology involved a reliability and feasibility study of a retrospective chart review on 934 o...

  4. Improving dosing of gentamicin in the obese patient: a 3-cycle drug chart and case note audit

    Manjaly, Joseph G.; Alexander M. Reece-Smith; Sivaloganathan, Sivan S; Thuraisamy, Christina; Smallwood, Katie LM; Jonas, Elizabeth; Longman, Robert J.

    2012-01-01

    Objectives To assess the use of an electronic dose calculator to improve accuracy in the use of a complex Gentamicin prescription policy and assess turnaround time of blood sampling to dose delivery in an NHS hospital. Design Retrospective review of drug chart, case notes and hospital antibiotic database. Setting University Hospitals Bristol, UK Participants Patients receiving once daily intravenous gentamicin using the trust protocol, during the same time window for 3 consecutive years. Main...

  5. Prevalence, Causes, and Treatment of Neuropathic Pain in Dutch Nursing Home Residents : A Retrospective Chart Review

    van Kollenburg, Esther G. P.; Lavrijsen, Jan C. M.; Verhagen, Stans C.; Zuidema, Sytse U.; Schalkwijk, Annelies; Vissers, Kris C. P.

    2012-01-01

    Objectives To identify the prevalence and causes of neuropathic pain in Dutch nursing home residents; to establish the prevalence of painful and nonpainful diabetic polyneuropathy in a subsample of individuals with diabetes mellitus and central poststroke pain (CPSP) in a subsample of individuals wh

  6. Both typical and atypical long-acting injectable antipsychotics in bipolar disorder: a retrospective chart review

    Alpak, Gokay; Demir, Bahadir; Aksoy, Ihsan; Kaya, Hilal; Unal, Ahmet; Bulbul, Feridun; Savas, Haluk A.

    2014-01-01

    Objective: Bipolar disorder (BD) is a chronic psychiatric disorder which shows difficulties in the process of diagnosis and treatment. One of the biggest problems in BD maintenance therapy is to ensure medication compliance. Long-acting injectable (LAI) antipsychotic medications have important advantages in such cases. In this study we aimed to include both LAI atypical and typical antipsychotics and to compare the clinical status, number of hospitalization, and side effects of pre and post-t...

  7. Characteristics of suicide attempters with family history of suicide attempt: a retrospective chart review

    Nakagawa Makiko; Kawanishi Chiaki; Yamada Tomoki; Iwamoto Yoko; Sato Ryoko; Hasegawa Hana; Morita Satoshi; Odawara Toshinari; Hirayasu Yoshio

    2009-01-01

    Abstract Background Family history of suicide attempt is one of the risks of suicide. We aimed at exploring the characteristics of Japanese suicide attempters with and without a family history of suicide attempt. Methods Suicide attempters admitted to an urban emergency department from 2003 to 2008 were interviewed by two attending psychiatrists on items concerning family history of suicide attempt and other sociodemographic and clinical information. Subjects were divided into two groups base...

  8. Treatment of head and neck cancer with CHART and nimorazole: phase II study

    Background and purpose: Causes of failure of radiotherapy in squamous cell carcinoma of the head and neck probably include repopulation and hypoxia. Very accelerated schedules such as continuous hyperfractionated accelerated radiation therapy (CHART) overcome the repopulation problem but allow limited time for reoxygenation, so a hypoxic-cell sensitizer may be especially beneficial. Nimorazole is the only such agent to have shown a significant effect in a randomized controlled trial in head and neck cancer. Accordingly we studied the combination of CHART and nimorazole. Methods: Sixty-one patients with advanced stage III (21) or IV (40) squamous cell carcinoma of the head and neck unsuitable for surgery were treated in a phase II study of the combination. The radiation dose was 56.75 Gy in 36 fractions in 12 consecutive days. Nimorazole was administered orally or enterally 90 min before radiotherapy at a dose of 1.2, 0.9, and 0.6 g/m2 with the first, second and third daily fractions, respectively. This dosage consistently yielded plasma concentrations above 30 μg/ml. Results: All the patients have been followed for a minimum of 2 years since treatment. Loco-regional control at 2 years is 55%, stage III 62% and stage IV 50%. Normal tissue effects were the same as those previously seen with CHART, except for a possible slight increase in acute skin reaction. Nimorazole toxicity was somewhat greater than with once daily administration in previous studies. Grade 3 nausea or vomiting occurred in 22% of patients. Two patients developed grade 1 peripheral neuropathy, and one patient died during treatment of encephalopathy, which was probably an idiosyncratic reaction to the drug. Conclusions: Local control rates are higher than those previously seen with CHART, suggesting a positive effect of nimorazole. Further studies of hypoxia-modifying agents with accelerated radiotherapy are warranted, and nimorazole is the simplest of these

  9. The Hill Chart Calculation for Pelton Runner Models using the HydroHillChart - Pelton Module Software

    Adelina Bostan

    2015-07-01

    Full Text Available The Pelton turbines industrial design is based on the hill chart characteristics obtained by measuring the models. Primary data measurements used to obtain the hill chart can be processed graphically, by hand or by using graphic programs respectively CAD programs; the HydroHillChart - Pelton module software is a specialized tool in achieving the hill chart, using interpolation cubic spline functions. Thereby, based on measurements of several models of Pelton turbines, a computerized library, used to design industrial Pelton turbines can be created. The paper presents the universal characteristics calculated by using the HydroHillChart - Pelton module software for a series of Pelton runners.

  10. Reliability assessment of tunneling flow charts

    When driving horizontal workings of different kinds it is typical to reserve excessive redundant equipment. However, the lack of resources (facilities, people) and poor management don't ensure goal achievement [3]. The paper presents reliability assessment method of tunneling with the help of mathematical modeling. The mathematical model is developed on the basis of factual data of tunneling conditions and no-failure operation probabilities of the flow chart elements are estimated. The method of reliability assessment allows identifying organizational, technological and technical elements of the reserves to increases drive efficiency and improve feasibility characteristics

  11. Reliability assessment of tunneling flow charts

    Antropova, N. A.; Krets, V. G.; Luk'yanov, V. G.; Baranova, A. V.

    2015-02-01

    When driving horizontal workings of different kinds it is typical to reserve excessive redundant equipment. However, the lack of resources (facilities, people) and poor management don't ensure goal achievement [3]. The paper presents reliability assessment method of tunneling with the help of mathematical modeling. The mathematical model is developed on the basis of factual data of tunneling conditions and no-failure operation probabilities of the flow chart elements are estimated. The method of reliability assessment allows identifying organizational, technological and technical elements of the reserves to increases drive efficiency and improve feasibility characteristics.

  12. Intraspinal synovial cysts: A retrospective study

    Acharya R

    2006-01-01

    Full Text Available Background: We report the clinical presentation, radiographic studies, intraoperative findings, histopathological analysis, and post-treatment outcome in 26 patients diagnosed with spinal synovial cysts (SSCs. Aims: To describe the clinical presentation, radiographic studies, operative findings, and postoperative follow-up in 26 patients with SSCs. Settings and Design: The study was retrospective in design, involving chart review. Individual patient data was tabulated and patterns were recognized. Materials and Methods: The charts for 26 patients who underwent surgical extirpation of SSC between April 1993 and October 2002 were retrospectively reviewed. Specifically, initial clinical presentation, pertinent radiographs (X-rays, magnetic resonance imaging, computed tomography, intraoperative findings, histopathology, and postoperative follow-up were noted. Statistical Analysis Used: Patient data was tabulated and analyzed for patterns in demographics, symptoms and histopathology. Results: SSCs were more common in females than males (17:9 ratio. Presenting symptoms were back pain with radiculopathy in 13 (50%, radicular pain in the absence of back pain in 10 (38%, and back pain without radicular pain in three (11%. In addition, 17 patients (65% had sensory deficit, and 9 (35% had motor deficit. Most SSCs occurred at the lumbar (19/26 or lumbosacral (5/26 regions, with only 2 (2/26 in the thoracic region. One patient had bilateral SSC at the L4-5 level. Intraoperatively, each cyst was located adjacent to a degenerated facet joint. These lesions could grossly be identified intraoperatively and histopathological confirmation was achieved in all the cases. Conclusions: SSCs are important lesions to consider in the differential diagnosis of lumbar epidural masses and surgical resection leads to significant improvement in the majority of cases.

  13. A paediatric X-ray exposure chart

    The aim of this review was to develop a radiographic optimisation strategy to make use of digital radiography (DR) and needle phosphor computerised radiography (CR) detectors, in order to lower radiation dose and improve image quality for paediatrics. This review was based on evidence-based practice, of which a component was a review of the relevant literature. The resulting exposure chart was developed with two distinct groups of exposure optimisation strategies – body exposures (for head, trunk, humerus, femur) and distal extremity exposures (elbow to finger, knee to toe). Exposure variables manipulated included kilovoltage peak (kVp), target detector exposure and milli-ampere-seconds (mAs), automatic exposure control (AEC), additional beam filtration, and use of antiscatter grid. Mean dose area product (DAP) reductions of up to 83% for anterior–posterior (AP)/posterior–anterior (PA) abdomen projections were recorded postoptimisation due to manipulation of multiple-exposure variables. For body exposures, the target EI and detector exposure, and thus the required mAs were typically 20% less postoptimisation. Image quality for some distal extremity exposures was improved by lowering kVp and increasing mAs around constant entrance skin dose. It is recommended that purchasing digital X-ray equipment with high detective quantum efficiency detectors, and then optimising the exposure chart for use with these detectors is of high importance for sites performing paediatric imaging. Multiple-exposure variables may need to be manipulated to achieve optimal outcomes

  14. Monitoring operating room turnaround time: a retrospective analysis.

    Scagliarini, Michele; Apreda, Mariarosaria; Wienand, Ulrich; Valpiani, Giorgia

    2016-04-18

    Purpose - Operating room (OR) turnaround time is a key process indicator for hospital business management: delays lead to a reduced surgical interventions per day with a consequent increase in costs and decrease in efficiency. The purpose of this paper is to increase understanding by assessing the process' steady-state behaviour and identifying changes that indicate either improvement or deterioration in quality. Design/methodology/approach - With this purpose, the authors retrospectively applied Shewhart control charts and exponentially weighted moving average control charts to data extracted from an hospital information system. Findings - The results showed that statistical process control is able to identify steady-state behaviour process and to detect positive or negative changes in process performance. In particular the authors detected a deterioration in the process performance coinciding with the change in the operating room patient transfer staff. Practical implications - This study showed that statistical quality control is a valuable tool for monitoring performance indicators. Currently, hospital managers are designing an OR dashboard which also includes the control charts. Originality/value - The paper highlights the control chart application to organizational indicators allowing an objective OR system performance assessment. PMID:27120511

  15. Environmental NO2 level is associated with 2-year mortality in patients undergoing peritoneal dialysis.

    Lin, Jui-Hsiang; Yen, Tzung-Hai; Weng, Cheng-Hao; Huang, Wen-Hung

    2015-01-01

    An ongoing issue related to global urbanization is the association of air pollution with increased incidences of morbidity and mortality. However, no in-depth study has investigated this issue focusing on peritoneal dialysis (PD) patients. Therefore, this study assessed the effects of traffic-related air pollutants and other important mortality-associated factors on 2-year mortality in PD patients.A total of 160 PD patients were recruited in this 2-year retrospective observational study. Differences in air quality were analyzed with respect to the patients' living areas. The PD patients were categorized into 2 groups according to high (n = 65) and low (n = 95) nitrogen dioxide (NO2) exposure. Demographic, hematological, nutritional, inflammatory, biochemical, air pollutants, and dialysis-related data were analyzed. Univariate and multivariate Cox regression analyses were used for 2-year mortality analysis.A total of 160 PD patients (38 men and 122 women) were enrolled. Fourteen patients (8.8%) died within 2 years; among them, the causes of death were infection (n = 10), malignancy (n = 1), and cardiovascular events (n = 3). Among the 10 patients who died from infection, 5, 4, and 1 died from pneumonia, PD-related peritonitis, and sepsis of unknown origin, respectively. All patients who died from pneumonia were living in high environmental NO2 exposure areas. Multivariate Cox regression analysis showed that age (hazard ratio [HR] 1.073, 95% confidence interval [CI] [1.013-1.137]; P = 0.017), white blood cell count (HR 1.41, 95% CI [1.116-1.781]; P = 0.004), log normalized protein nitrogen appearance (HR 0.0001, 95% CI [0-0.073]; P = 0.005), high cardiothoracic ratio (HR 14.28, 95% CI [1.778-114.706]; P = 0.012), and high environmental NO2 exposure (HR 3.776, 95% CI [1.143-12.47]; P = 0.029) were significantly associated with 2-year mortality.PD patients with high environmental NO2 exposure had a higher 2-year mortality rate

  16. A Security Focused Integration Architecture for an Electronic Observation Chart

    Divic, Mirela; Huse, Ida Hveding

    2005-01-01

    An observation chart contains a collection of information from several different health information systems used at a hospital. Today, health personnel often has to access these health information systems during patient care and manually register information from them into the observation chart. Integration of the health information systems which constitute an observation chart is therefore needed. Integration means that systems used by a large amount of users are put together in such a way t...

  17. Facing Up to Uncertain Life Expectancy: The Longevity Fan Charts

    Dowd, Kevin; BLAKE, DAVID; CAIRNS, ANDREW J.G.

    2010-01-01

    This article uses longevity fan charts to represent the uncertainty in projections of future life expectancy. These fan charts are based on a mortality model calibrated on mortality data for English and Welsh males. The fan charts indicate strong upward sloping trends in future life expectancy. Their widths indicate the extent of uncertainty in these projections, and this uncertainty increases as the forecast horizon lengthens. Allowing for uncertainty in the parameter values of the model add...

  18. New features and revised input instructions for CHART D

    Recent improvements in the one-dimensional, Lagrangian, radiation-hydrodynamics code, CHART D, are described. They include transmitting boundaries, a generalized failure surface and improved editing capabilities

  19. THE CHART ROMANIA-NATO-UE

    Duduială Popescu Lorena

    2009-05-01

    Full Text Available viewed in the context of geopolitical and geostrategic current and through the elements of distinction in terms of identity and cultural institutions, chart Romania - NATO / Israel - EU stands under the sign of the common interest channel, firstly, on common values and hence the collective interests of the partners involved in the two organizational structures. Noteworthy in this context is the extent of bilateral involvement of Romania in the bodies and the politico-military, represented by NATO (the North Atlantic Treaty Organization, which is primarily military values and the construction superstate permanent expansion and development - European Union , both generating as much for our country as obligations of a politico-military security, and economic, social, institutional, cultural.

  20. Live sequence charts to model medical information

    Aslakson Eric

    2012-06-01

    Full Text Available Abstract Background Medical records accumulate data concerning patient health and the natural history of disease progression. However, methods to mine information systematically in a form other than an electronic health record are not yet available. The purpose of this study was to develop an object modeling technique as a first step towards a formal database of medical records. Method Live Sequence Charts (LSC were used to formalize the narrative text obtained during a patient interview. LSCs utilize a visual scenario-based programming language to build object models. LSC extends the classical language of UML message sequence charts (MSC, predominantly through addition of modalities and providing executable semantics. Inter-object scenarios were defined to specify natural history event interactions and different scenarios in the narrative text. Result A simulated medical record was specified into LSC formalism by translating the text into an object model that comprised a set of entities and events. The entities described the participating components (i.e., doctor, patient and record and the events described the interactions between elements. A conceptual model is presented to illustrate the approach. An object model was generated from data extracted from an actual new patient interview, where the individual was eventually diagnosed as suffering from Chronic Fatigue Syndrome (CFS. This yielded a preliminary formal designated vocabulary for CFS development that provided a basis for future formalism of these records. Conclusions Translation of medical records into object models created the basis for a formal database of the patient narrative that temporally depicts the events preceding disease, the diagnosis and treatment approach. The LSCs object model of the medical narrative provided an intuitive, visual representation of the natural history of the patient’s disease.

  1. CONTROL CHARTS FOR STATIONARY VECTOR ARMA PROCESSES

    J. Yadavalli

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: In practice, there are many quality control situations where a product under consideration may have two or more interrelated quality characteristics and observations of each characteristic are serially correlated. One of the objectives of management is to investigate whether or not all these characteristics of the product simultaneously satisfy the required specifications. To the author's best knowledge, no concrete attempts have been made so far to construct the control charts for such situations, particularly when the data arise from vector autoregressive-moving average (VARMA processes. It is this problem that has been addressed in this paper. A few methods are suggested for constructing the control charts. When assumptions about independence and normality break down, a bootstrap method, perhaps for the first time, is suggested to attack the problem. Some illustrative examples are discussed.

    AFRIKAANSE OPSOMMING: In die praktyk is daar vele kwaliteitbeheersituasies waar 'n betrokke produk een of twee onderling verbonde kenmerke kan hê en waarnemings van elke kenmerk serie gekorreleer is. Een van die doelwitte van bestuur is om te ondersoek of hierdie kenmerke van die produk gelyktydig aan die vereiste spesifikasies voldoen al dan nie. Na die outeur se beste wete, is daar tot dusver geen daadwerklike pogings aangewend om die beheergrafieke vir sodanige situasies op te stel nie, veral waar die data ontstaan uit vektor outoregressief bewegende gemiddelde (VARMA prosesse. Hierdie probleem geniet in hierdie artikel aandag. 'n Aantal metodes vir die opstel van die beheergrafieke word voorgestel. Wanneer aannames oor selfstandigheid en normaliteit faal, word 'n skoenlusmetode voorgestel om die probleem die hoof te bied. 'n Aantal voorbeelde ter toeligting word bespreek.

  2. HydroHillChart – Francis module. Software used to Calculate the Hill Chart of the Francis Hydraulic Turbines

    Dorian Nedelcu; Adelina Bostan; Florin Peris-Bendu

    2015-01-01

    The paper presents the Hydro Hill Chart - Francis module application, used to calculate the hill chart of the Pelton, Francis and Kaplan hydraulic turbine models, by processing the data measured on the stand. After describing the interface and menu, the input data is graphically presented and the universal characteristic for measuring scenarios ao=const. and n11=const is calculated. Finally, the two calculated hill charts are compared through a graphical superimposition of t...

  3. HydroHillChart – Francis module. Software used to Calculate the Hill Chart of the Francis Hydraulic Turbines

    Dorian Nedelcu

    2015-07-01

    Full Text Available The paper presents the Hydro Hill Chart - Francis module application, used to calculate the hill chart of the Pelton, Francis and Kaplan hydraulic turbine models, by processing the data measured on the stand. After describing the interface and menu, the input data is graphically presented and the universal characteristic for measuring scenarios ao=const. and n11=const is calculated. Finally, the two calculated hill charts are compared through a graphical superimposition of the isolines.

  4. MEAD retrospective analysis report

    Hasager, Charlotte Bay; Carstensen, J.; Frohn, L.M.;

    2003-01-01

    The retrospective analysis investigates links between atmospheric nitrogen deposition and algal bloom development in the Kattegat Sea from April to September 1989-1999. The analysis is based on atmospheric deposition model results from the ACDEP model,hydrodynamic deep-water flux results, phytopl...

  5. Henry's Law: A Retrospective

    Rosenberg, Robert M.; Peticolas, Warner L.

    2004-01-01

    A retrospective view of Henry's law and its applicability in any specific system at a finite concentration is tested. It can be concluded that Henry's law is only a limiting law and is adequate at low mole fractions but is useful for practical purposes where high precision is not required.

  6. Craniocerebral trauma--congruence between post-mortem computed tomography diagnoses and autopsy results: a 2-year retrospective study

    Jacobsen, Christina; Lynnerup, Niels

    anterior, medial and posterior cranial fossae was 20%, 52% and 60%, respectively. Fractures involving bilateral bones were diagnosed correctly more frequently. The diagnostic agreement regarding brain injuries varied from 0% to 79%. Both the autopsy-reports and CT-scan descriptions need to be standardized......-scans were performed by a forensic pathologist. They were obtained by using two different CT-scan protocols. The results showed correct skull fracture diagnoses in 34/56 cases. Fractures were diagnosed partially (9) or missed totally (13) on CT-images in 22 cases. The agreement for fracture diagnoses of the...

  7. Seriousness, preventability, and burden impact of reported adverse drug reactions in Lombardy emergency departments: a retrospective 2-year characterization

    Clementi, Emilio

    2014-01-01

    Valentina Perrone,1,* Valentino Conti,2,* Mauro Venegoni,2 Stefania Scotto,2 Luca Degli Esposti,3 Diego Sangiorgi,3 Lucia Prestini,4 Sonia Radice,1 Emilio Clementi,5,6 Giuseppe Vighi,2,4 1Unit of Clinical Pharmacology, Department of Biomedical and Clinical Sciences, University Hospital Luigi Sacco, Università di Milano, Milan, Italy; 2Regional Centre for Pharmacovigilance, Lombardy, Milan, Italy; 3CliCon Srl, Health, Economics and Outcomes Research, Ravenna, Italy; 4Unit of Clinica...

  8. Seriousness, preventability, and burden impact of reported adverse drug reactions in Lombardy emergency departments: a retrospective 2-year characterization

    Perrone V; Conti V; Venegoni M; Scotto S; Degli Esposti L; Sangiorgi D.; Prestini L; Radice S; Clementi E; Vighi G

    2014-01-01

    Valentina Perrone,1,* Valentino Conti,2,* Mauro Venegoni,2 Stefania Scotto,2 Luca Degli Esposti,3 Diego Sangiorgi,3 Lucia Prestini,4 Sonia Radice,1 Emilio Clementi,5,6 Giuseppe Vighi,2,4 1Unit of Clinical Pharmacology, Department of Biomedical and Clinical Sciences, University Hospital Luigi Sacco, Università di Milano, Milan, Italy; 2Regional Centre for Pharmacovigilance, Lombardy, Milan, Italy; 3CliCon Srl, Health, Economics and Outcomes Research, Ravenna, Italy; 4Unit of Clinical Ph...

  9. Peer chart audits: A tool to meet Accreditation Council on Graduate Medical Education (ACGME competency in practice-based learning and improvement

    Patel Sangnya

    2007-07-01

    Full Text Available Abstract Background The Accreditation Council on Graduate Medical Education (ACGME supports chart audit as a method to track competency in Practice-Based Learning and Improvement. We examined whether peer chart audits performed by internal medicine residents were associated with improved documentation of foot care in patients with diabetes mellitus. Methods A retrospective electronic chart review was performed on 347 patients with diabetes mellitus cared for by internal medicine residents in a university-based continuity clinic from May 2003 to September 2004. Residents abstracted information pertaining to documentation of foot examinations (neurological, vascular, and skin from the charts of patients followed by their physician peers. No formal feedback or education was provided. Results Significant improvement in the documentation of foot exams was observed over the course of the study. The percentage of patients receiving neurological, vascular, and skin exams increased by 20% (from 13% to 33% (p = 0.001, 26% (from 45% to 71% (p Conclusion Peer chart audits performed by residents in the absence of formal feedback were associated with improved documentation of the foot exam in patients with diabetes mellitus. Although this study suggests that peer chart audits may be an effective tool to improve practice-based learning and documentation of foot care in diabetic patients, evaluating the actual performance of clinical care was beyond the scope of this study and would be better addressed by a randomized controlled trial.

  10. Quality Control Charts in Large-Scale Assessment Programs

    Schafer, William D.; Coverdale, Bradley J.; Luxenberg, Harlan; Jin, Ying

    2011-01-01

    There are relatively few examples of quantitative approaches to quality control in educational assessment and accountability contexts. Among the several techniques that are used in other fields, Shewart charts have been found in a few instances to be applicable in educational settings. This paper describes Shewart charts and gives examples of how…

  11. US Nuclear Regulatory Commission organization charts and functional statements

    This document is the US NRC organizational structure and chart as of July 1, 1996. It contains the org charts for the Commission, ACRS, ASLAB, Commission staff offices, Executive Director for Operations, Office of the Inspector General, Program offices, and regional offices

  12. A comparative study of ICU patient diaries vs. hospital charts

    Egerod, Ingrid; Christensen, Doris

    2010-01-01

    discharge. The central question we posed in this study was: Why do nurses write diaries in addition to conventional charting in the medical record? To answer this question, we compared intensive care diaries and hospital charts using textual analysis and narrative theory. The aims of our study were to...

  13. Model based control charts in stage 1 quality control

    Koning, Alex

    1999-01-01

    textabstractIn this paper a general method of constructing control charts for preliminary analysis of individual observations is presented, which is based on recursive score residuals. A simulation study shows that certain implementations of these charts are highly effective in detecting assignable causes.

  14. Analogue photonic link design charts for microwave engineering applications

    Vincent J. Urick

    2015-02-01

    Full Text Available A set of unique design charts for intensity-modulation direct-detection microwave photonics links is presented. The charts facilitate link design and analysis, clearly demonstrating performance trade-offs in terms of standard microwave performance metrics.

  15. 47 CFR 73.699 - TV engineering charts.

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false TV engineering charts. 73.699 Section 73.699 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Television Broadcast Stations § 73.699 TV engineering charts. This section consists of the following...

  16. Predictable Charts: An Effective Strategy to Engage and Impact Learners

    McClure, Erin

    2016-01-01

    This article explores how to integrate reading, writing, speaking, and listening instruction by engaging students in Predictable Charts. Discover how Predictable Charts can support students with reading, writing, speaking, and listening in Kindergarten, First Grade, or Special Education classrooms. Through this article, learn the steps to…

  17. 46 CFR Figure 1 to Part 150 - Compatibility Chart

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Compatibility Chart 1 Figure 1 to Part 150 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES COMPATIBILITY OF CARGOES Pt. 150, Fig. 1 Figure 1 to Part 150—Compatibility Chart EC02FE91.079...

  18. US Nuclear Regulatory Commission organization charts and functional statements

    NONE

    1996-07-01

    This document is the US NRC organizational structure and chart as of July 1, 1996. It contains the org charts for the Commission, ACRS, ASLAB, Commission staff offices, Executive Director for Operations, Office of the Inspector General, Program offices, and regional offices.

  19. 75 FR 77958 - Gravesite Reservation Survey (2 Year); Correction

    2010-12-14

    ...-461-7485. Correction In FR Doc. 2010-30554, published on December 7, 2010, at 75 FR 76082, make the... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Gravesite Reservation Survey (2 Year); Correction AGENCY: National Cemetery...

  20. Results of 2-year vitamin B treatment on cognitive performance

    Zwaluw, van der N.L.; Dhonukshe-Rutten, R.A.M.; Wijngaarden, van J.P.; Brouwer, E.M.; Nieuwerth-van de Rest, O.; Veld, in 't P.H.; Enneman, A.W.; Dijk, van S.C.; Ham, A.C.; Swart, K.M.A.; Velde, van der N.; Schoor, van N.M.; Cammen, van der T.J.M.; Uitterlinden, A.G.; Lips, P.; Kessels, R.P.C.; Groot, de C.P.G.M.

    2014-01-01

    Objective: We investigated the effects of 2-year folic acid and vitamin B12 supplementation on cognitive performance in elderly people with elevated homocysteine (Hcy) levels. Methods: This multicenter, double-blind, randomized, placebo-controlled trial included 2,919 elderly participants (65 years

  1. Methodological Aspects of Formation of Chart of Accounts

    Liliya Aleksandrovna Zimakova

    2015-03-01

    Full Text Available The article raises questions about the methodological aspects of the formation of the chart of accounts, which depend on the singularities of national accounting systems, the users' information needs, and the problems solved by the system. The study identified three types of charts of accounts: the chart of accounts oriented to financial accounting, which is based on the matrix method of building, classification of accounts is based on the principles of the balance sheet and the traditional definition of financial results; the chart of accounts, which assumes detailing the cost accounting and allocating additional classes of accounts to determine the financial results of the production; the chart of accounts of the integrated accounting, allowing the formation of multi-sector information and the data exchange between the accounted subsystems.

  2. Results and complications of vertebrectomy with posterior approach after 2-year follow-up

    Juliano Almeida e Silva

    2015-06-01

    Full Text Available OBJECTIVE: To describe the surgical technique for vertebrectomy by posterior single approach in the thoracic and thoracolumbar spine with circumferential reconstruction and arthrodesis, and evaluate retrospectively the results and complications after 2 years of follow-up in patients undergoing this technique.METHODS: Retrospective analysis of medical records and imaging studies of 12 patients with vertebrectomy indication for various pathologies, undergoing this surgical technique.RESULTS: Eight (66.67% patients were male and four patients (33.33% were females aged 13-66 years (mean 40 years. There were nine patients with involvement of the thoracic spine and three of the lumbar, and one patient with two consecutive vertebrae affected. All patients had improved or remained with the neurological condition. Surgical complications were two cases of hemothorax, two cases of loosening of the screws, one of them requiring surgical revision, and a case of material failure and pseudarthrosis.CONCLUSION: Vertebrectomy by posterior approach in thoracolumbar spine with circumferential reconstruction and fusion can be performed safely for a variety of indications.

  3. MEAD retrospective analysis report

    Hasager, Charlotte Bay; CARSTENSEN J.; Frohn, L. M.; Gustafson, B.; Brandt, J.; Conley, D.; Geernaert, G.; Henriksen, P.; C. A. Skjøth; Johnsson, M.

    2003-01-01

    The retrospective analysis investigates links between atmospheric nitrogen deposition and algal bloom development in the Kattegat Sea from April to September 1989-1999. The analysis is based on atmospheric deposition model results from the ACDEP model,hydrodynamic deep-water flux results, phytoplankton abundance observations from Danish and Swedish marine monitoring stations and optical satellite data. Approximately 70 % of the atmospheric deposition consists of wet depostion of highly episod...

  4. Coalbed methane/natural gas coal chart

    Anon.

    2005-10-01

    This map of coal and coalbed gas in Alberta also listed Canadian coal and coalbed gas resources by region, basin or coalfield; major coal-bearing formations or groups; coal rank; estimated in-place coal resources per billion tons; and estimated coalbed gas in-place resources. The major coalfields of British Columbia were shown to be grouped into Rocky Mountains, Insular and Intermontane coalfields. The insular belt includes the coalfields and deposits on Vancouver Island and small deposits on the Queen Charlotte Islands. Saskatchewan resources were also presented, along with resource potential in the east coast of Canada, the Alberta plains, the Upper and Lower Cretaceous regions and the Alberta foothills. A stratigraphic chart of coal bearing formations in the Western Canada Sedimentary Basin was presented, as well as a schematic cross-section showing major coal zones in Alberta. An inset map of North American coal basins was also provided. The following advertisers listed their services: Schlumberger, Weatherford, Kudu Industries Inc., Calfrac Well Services, Ferus Gas Industries Trust, Baker Hughes, MGV Energy Inc., Pembina Controls Inc., R and M Energy Systems Inc., Trident Exploration Corp., Enviro Noise Control, Toromont Energy Systems, Canyon Technical Services, Sproule, Enerflex, Computer Modelling Group Ltd., Norwest Corp., Fekete, Wellco Energy Services, Sanjel, Smithbits, Colt Engineering, Perspective Consultants Inc. and Concept Compression Corp.

  5. Charting a Course for the Infrasound Renaissance

    Garces, M.; Bass, H.; Hedlin, M.; Hayward, C.; Bowman, R.; Brown, D.; Businger, S.; Butler, R.; Chouet, B.; Drob, D.; Hetzer, C.; Koyanagi, S.; Mattioli, G.; McCormack, D.; Merrifield, M.; Pack, D.; Swanson, D.; Veith, K.; Voight, B.; Willis, M.

    2003-12-01

    The turn of the 21st century marks the onset of a renaissance in the field of infrasound, which had been dormant for ~30 years. The ongoing deployment of a global infrasound network has reawakened the field to a world of high-resolution digital array data, rapid communication, and seemingly unlimited growth in computing power. Complex phenomena that could only be addressed in general terms three decades ago can now be measured, analyzed, and modeled with unprecedented fidelity. Many fundamental problems in infrasound are now being revisited, and infrasonic observations are being integrated with other technologies (such as seismic, strainmeter and infrared) for the discovery of new phenomena or the refinement of geophysical studies. On July 24-25, 2003, the National Science Foundation sponsored a group of infrasound experts and interdisciplinary researchers to convene in Waikoloa, Hawaii, and chart a course for basic US infrasound research. The conveners selected key projects that would lead to significant advances in our understanding of infrasound generated by effusive and explosive volcanoes, ocean swells, bolides, fauna, severe weather, and long-period atmospheric instabilities. Projects were also proposed to refine our knowledge of atmospheric dynamics and transport mechanisms. A sampling of these projects is discussed in light of their contributions to our fundamental scientific understanding and their impact on the geophysical community.

  6. An Assessment of Statistical Process Control-Based Approaches for Charting Student Evaluation Scores

    Ding, Xin; Wardell, Don; Verma, Rohit

    2006-01-01

    We compare three control charts for monitoring data from student evaluations of teaching (SET) with the goal of improving student satisfaction with teaching performance. The two charts that we propose are a modified "p" chart and a z-score chart. We show that these charts overcome some of the shortcomings of the more traditional charts…

  7. Early concepts and charts of ocean circulation

    Peterson, R. G.; Stramma, L.; Kortum, G.

    Charts of ocean currents from the late nineteenth century show that already by then the patterns of surface circulation in regions away from polar latitudes were well understood. This fundamental knowledge accumulated gradually through centuries of sea travel and had reached a state of near correctness by the time dedicated research cruises, full-depth measurements and the practical application of the dynamical method were being instituted. Perhaps because of the foregoing, many of the pioneering works, critical to establishing what the upper-level circulation is like, the majority of the charts accompanying them, and several of the groundbreaking theoretical treatments on the physics of currents, are only poorly known to present-day oceanographers. In this paper we trace Western developments in knowledge and understanding of ocean circulation from the earliest times to the late-1800s transition into the modern era. We also discuss certain peripheral advances that proved critical to the subject. The earliest known ideas, dating from the Bronze Age and described by Homer, necessarily reflect severe limitations to geographical knowledge, as well as basic human predilections toward conjecture and exaggeration in the face of inadequate information. People considered the earth to be flat and circular, with the ocean flowing like a river around it. They also believed in horrific whirlpools, a concept that persisted into the Renaissance and which would later provide subject material for modern literature. From the Greek Classical Age, we find hydrologic theories of Earth's interior being laced with subterranean channels (Socrates) and all motion deriving from a divine force forever propelling the heavens toward the west, the primum mobile (Aristotle). These ideas, particularly the latter, dominated opinions about ocean circulation into the late Renaissance. By late Antiquity mariners had very likely acquired intimate knowledge of coastal currents in the Mediterranean, but

  8. Design and Application of Economical Process Control Charts

    S.S.N. Murthy

    1997-01-01

    Full Text Available Statistical quality control techniques are useful in monitoring the process behaviour. Attribute control charts are widely used in process control. The selection of sample size, sampling interval and control width of the control chart is important in minimising the quality costs. Control chart parameters, like 3delta controlimits and fixed fraction sampling at conveniently selected sampling intervals result in deplovable cost penalties in quality control. The best selection of these parameters depends on several process parameters,like frequency of occupancy of a shift in the process, cost of sampling, cost of investigation for finding assignable cause, probability of false alarms, penalty cost of defectives and process correction cost. A general model has been developed to determine the total quality cost as a function of these parameters. Probability of not identifying a process shift (Beeta-risk and probability of wrongly. concluding the process got shifted (alpha-risk are considered in developing the model. This cost equation is optimised to determine optimum values control chart parameters. Fibonacci search is used to quicken the analytical method or determining optimum sampling size and control width. The proposals made by Duncan, Montgomery, Gibra and Chiu for determining the optimum control chart parameters are critically examined and compared with the present model. Case studies were conducted in two foundries. Optimum control chart parameters in casting of cylinder liners and cast plates are determined. It has been found that quality costs are considerably reduced by using optimally designed control chart parameters with proposed method.

  9. Risk-Adjusted Control Charts for Health Care Monitoring

    Willem Albers

    2011-01-01

    the distribution involved is negative binomial. However, in health care monitoring, (groups of patients will often belong to different risk categories. In the present paper, we will show how information about category membership can be used to adjust the basic negative binomial charts to the actual risk incurred. Attention is also devoted to comparing such conditional charts to their unconditional counterparts. The latter do take possible heterogeneity into account but refrain from risk-adjustment. Note that in the risk adjusted case several parameters are involved, which will all be typically unknown. Hence, the potentially considerable estimation effects of the new charts will be investigated as well.

  10. Implementation of Calendar Chart in CICS Mainframes for Business Analysis

    Jayanthi Adilakshmi Visali

    2015-02-01

    Full Text Available This paper provides a business solution to implement Calendar Chart in Mainframes for analysing the progress of a Bank by giving detailed report of number of new accounts created for the bank. A calendar chart is a visualization used to show activity over the course of a long span of time, such as months or years. They're best used when you want to illustrate how some quantity varies depending on the day of the week. This chart gives us the numerals so as to easily analyse the trends over time.

  11. Create dynamic charts in Microsoft Office Excel 2007 and beyond

    Scheck, Reinhold

    2009-01-01

    Extend your Excel 2007 skills-and create more-powerful and compelling charts in less time. Guided by an Excel expert, you'll learn how to turn flat, static charts into dynamic solutions-where you can visualize and manipulate data countless ways with a simple mouse click. Get the hands-on practice and examples you need to produce your own, professional-quality results. No programming required! Maximize the impact of your ideas and data! Learn how your design decisions affect perception and comprehensionMatch the right chart type to your communication objectiveVisualize-then build-your solut

  12. 49 CFR 236.338 - Mechanical locking required in accordance with locking sheet and dog chart.

    2010-10-01

    ... locking sheet and dog chart. 236.338 Section 236.338 Transportation Other Regulations Relating to... in accordance with locking sheet and dog chart. Mechanical locking shall be in accordance with locking sheet and dog chart currently in effect....

  13. Gulf of Mexico IFR Aeronautical Chart Index - Aeronautical Information Services Digital Products

    Department of Transportation — The IFR Enroute Aeronautical Chart series is designed to meet the needs of users who require a digital version chart. This is the visual index to the charts for the...

  14. Evaluating the performances of statistical and neural network based control charts

    Teoh, Kok Ban; Ong, Hong Choon

    2015-10-01

    Control chart is used widely in many fields and traditional control chart is no longer adequate in detecting a sudden change in a particular process. So, run rules which are built in into Shewhart X ¯ control chart while Exponential Weighted Moving Average control chart (EWMA), Cumulative Sum control chart (CUSUM) and neural network based control chart are introduced to overcome the limitation regarding to the sensitivity of traditional control chart. In this study, the average run length (ARL) and median run length (MRL) in the shifts in the process mean of control charts mentioned will be computed. We will show that interpretations based only on the ARL can be misleading. Thus, MRL is also used to evaluate the performances of the control charts. From this study, neural network based control chart is found to possess a better performance than run rules of Shewhart X ¯ control chart, EWMA and CUSUM control chart.

  15. Hipparcos: a Retrospective

    Perryman, Michael

    2011-01-01

    The Hipparcos satellite was launched in 1989. It was the first, and remains to date the only, attempt at performing large-scale astrometric measurements from space. Hipparcos marked a fundamentally new approach to the field of astrometry, revolutionising our knowledge of the positions, distances, and space motions of the stars in the solar neighbourhood. In this retrospective, I look back at the processes which led to the mission's acceptance, provide a short summary of the underlying measurement principles and the experiment's scientific achievements, and a conclude with a brief summary of its principal legacy - the Gaia mission.

  16. Webcharts – A Web-based Charting Library for Custom Interactive Data Visualization

    Nathan Bryant; Jeremy Wildfire

    2016-01-01

    Webcharts is a JavaScript library built on top of D3.js that creates reusable, flexible, interactive charts that are highly customizable. Webcharts provides a method for creating commonly-used charts, including bar charts, scatterplots, and timelines, through a simple configuration scheme. Charts created with Webcharts allow users to dynamically manipulate chart data, appearance, and behavior both through callback functions and input elements that are tied to chart objects. This approach allo...

  17. A Combined Control Chart for Identifying Out–Of–Control Points in Multivariate Processes

    Marroquín–Prado E.; Cantú–Sifuentes M.

    2010-01-01

    The Hotelling's T2 control chart is widely used to identify out–of–control signals in multivariate processes. However, this chart is not sensitive to small shifts in the process mean vec tor. In this work we propose a control chart to identify out–of–control signals. The proposed chart is a combination of Hotelling's T2 chart, M chart proposed by Hayter et al. (1994) and a new chart based on Principal Components. The combination of these charts identifies any type and size of change in the pr...

  18. System Behaviour Charts Inform an Understanding of Biodiversity Recovery

    Simon A. Black

    2015-01-01

    Full Text Available Practitioners working with species and ecosystem recovery typically deal with the complexity of, on one hand, lack of data or data uncertainties and, on the other hand, demand for critical decision-making and intervention. The control chart methods of commercial and industrial and environmental monitoring can complement an ecological understanding of wildlife systems including those situations which incorporate human activities and land use. Systems Behaviour Charts are based upon well-established control chart methods to provide conservation managers with an approach to using existing data and enable insight to aid timely planning of conservation interventions and also complement and stimulate research into wider scientific and ecological questions. When the approach is applied to existing data sets in well-known wildlife conservation cases, the subsequent Systems Behaviour Charts and associated analytical criteria demonstrate insights which would be helpful in averting problems associated with each case example.

  19. Development of mild steel exposure chart for neutron radiography application

    A neutron radiography exposure chart for mild steel was developed to facilitate the determination of exposure time when producing neutron radiographs for any given mild steel thickness. A mild steel sample in the form of step wedge (1-10 mm thick) was exposed to thermal neutron using Direct technique. This technique involves exposing x-ray film-Gadolinium converter housed in one film cassette simultaneously to thermal neutron beam. Gadolinium converters with thickness of 0.025 mm and 0.5 mm were used to observe the effect of converter thickness on radiographic density and exposure time. Collected radiographic density data is then calculated based on manufacturer's film characteristic chart and finally exposure chart for mild steel was plotted. This chart could later be used as a guide for estimating exposure time for any given sample thickness providing other conditions are similar (material, film processing, neutron flux, film density and converter thickness). (Author)

  20. Visual mining geo-related data using pixel bar charts

    Hao, Ming C.; Keim, Daniel A.; Dayal, Umeshwar; Wright, Peter; Schneidewind, Joern

    2005-03-01

    A common approach to analyze geo-related data is using bar charts or x-y plots. They are intuitive and easy to use. But important information often gets lost. In this paper, we introduce a new interactive visualization technique called Geo Pixel Bar Charts, which combines the advantages of Pixel Bar Charts and interactive maps. This technique allows analysts to visualize large amounts of spatial data without aggregation and shows the geographical regions corresponding to the spatial data attribute at the same time. In this paper, we apply Geo Pixel Bar Charts to visually mining sales transactions and Internet usage from different locations. Our experimental results show the effectiveness of this technique for providing data distribution and exceptions from the map.

  1. Grand Canyon VFR Chart - Aeronautical Information Services Digital Products

    Department of Transportation — The Federal Aviation Administration (FAA) digital-Visual Chart series is designed to meet the needs of users who require georeferenced raster images of a FAA Visual...

  2. Another Look at the EWMA Control Chart with Estimated Parameters

    N.A. Saleh; M.A. Mahmoud; L.A. Jones-Farmer; I. Zwetsloot; W.H. Woodall

    2015-01-01

    The authors assess the in-control performance of the exponentially weighted moving average (EWMA) control chart in terms of the SDARL and percentiles of the ARL distribution when the process parameters are estimated.

  3. Multidrug-resistant tuberculosis that required 2 years for diagnosis.

    Yano, Shuichi; Kobayashi, Kanako; Ikeda, Toshikazu

    2012-01-01

    Isoniazid (H) or rifampicin (R) mono-resistant disease can be treated easily and effectively with first-line drugs, while combined H and R resistance (ie, multidrug-resistant tuberculosis (MDRTB)) requires treatment with at least four agents, including a quinolone and an injectable agent. Drug-resistant Mycobacterium tuberculosis strains are reported to be extremely difficult to cultivate invitro. The authors report a case of MDRTB that required 2 years for diagnosis, and was detected only in sputum culture on solid medium. Physicians should consider MDRTB if TB is suspected but pathogens are not detected. PMID:22605803

  4. Control chart : A statistical process control tool in pharmacy

    Shah Samip; Shridhar Pandya; Gohil Dipti

    2010-01-01

    Control chart is the most successful statistical process control (SPC) tool, originally developed by Walter Shewhart in the early 1920s. A control chart can easily collect, organize and store information, calculate answers and present results in easy to understand graphs. It helps to record data and allows to see when an unusual event, e.g., a very high or low observation compared with "typical" process performance, occurs. Computers accept information typed in manually, read from scanners or...

  5. A control chart using copula-based Markov chain models

    Long, Ting-Hsuan; Emura, Takeshi

    2014-01-01

    Statistical process control is an important and convenient tool to stabilize the quality of manufactured goods and service operations. The traditional Shewhart control chart has been used extensively for process control, which is valid under the independence assumption of consecutive observations. In real world applications, there are many types of dependent observations in which the traditional control chart cannot be used. In this paper, we propose to apply a copula-based Markov chain to pe...

  6. An Excel Add-In for Statistical Process Control Charts

    Samuel E. Buttrey

    2009-01-01

    Statistical process control (SPC) descibes a widely-used set of approaches used to de- tect shifts in processes in, for example, manufacturing. Among these are \\control charts". Control charts and other SPC techniques have been in use since at least the 1950s, and, because they are comparatively unsophisticated, are often used by management or op- erations personnel without formal statistical training. These personnel will often have experience with the popular spreadsheet prog...

  7. Efficiency, Robustness, and Accuracy in Picky Chart Parsing

    Magerman, David M.; Weir, Carl

    1994-01-01

    This paper describes Picky, a probabilistic agenda-based chart parsing algorithm which uses a technique called {\\em probabilistic prediction} to predict which grammar rules are likely to lead to an acceptable parse of the input. Using a suboptimal search method, Picky significantly reduces the number of edges produced by CKY-like chart parsing algorithms, while maintaining the robustness of pure bottom-up parsers and the accuracy of existing probabilistic parsers. Experiments using Picky demo...

  8. Evaluation of Live Sequence Charts Using Play Engine Tool

    Gopidi, Vijay Kumar

    2005-01-01

    Capturing a requirement is a great challenge in the initial stages of the software development, be it a system requirement or a customer requirement to the software engineers. Understanding the requirement and predicting or differentiating what may happen and what must happen is difficult especially in the complex real time systems. Live sequence charts are extensions of the message sequence charts which can specify the live ness of the requirements. And the play engine tool is used to specif...

  9. Study on Chart Based on Short Production Run

    2001-01-01

    High intellectual, high flexible automatic manufacturing system based on low volume production is the trend in the future, but the traditional control charts whose control limits are based on at least 20~25 subgroups of five observations each are not suitable in this environment. The paper presents variance control chart used in small batch production in which there are not sufficient observations. The control limits are set reliably without restriction of the number of samples.

  10. Visual mining business service using pixel bar charts

    Hao, Ming C.; Dayal, Umeshwar; Casati, Fabio

    2004-06-01

    Basic bar charts have been commonly available, but they only show highly aggregated data. Finding the valuable information hidden in the data is essential to the success of business. We describe a new visualization technique called pixel bar charts, which are derived from regular bar charts. The basic idea of a pixel bar chart is to present all data values directly instead of aggregating them into a few data values. Pixel bar charts provide data distribution and exceptions besides aggregated data. The approach is to represent each data item (e.g. a business transaction) by a single pixel in the bar chart. The attribute of each data item is encoded into the pixel color and can be accessed and drilled down to the detail information as needed. Different color mappings are used to represent multiple attributes. This technique has been prototyped in three business service applications-Business Operation Analysis, Sales Analysis, and Service Level Agreement Analysis at Hewlett Packard Laboratories. Our applications show the wide applicability and usefulness of this new idea.

  11. Intracranial tumors in children less than 2 years of age

    We analyzed the characteristic CT findings in twelve cases of intracranial tumors in children under 2 years of age. The histological classification of them was as follows: 2 were teratomas, 3 ependymoma and ependymoblastomas, 2 medulloblastomas, 2 craniopharyngiomas, and 3 were other gliomas, including a pontine glioma. 1. Ten cases were located along the central neural axis. The supratentorial/infratentorial ratio became nearly equal at each age before and after the first year. 2. With regard to tumor size, approximately 70 % out of the brain tumors were more than 5 cm in diameter; especially, four cases had diameters of more than 7 cm. In the case of the teratomas, the cranial cavity was filled with several nodular tumors of varying densities. On admission, an ependymoblastoma in the posterior fossa had already invaded the pineal region. 3. Hydrocephalus was a frequent finding except for the two craniopharyngiomas and the pontine glioma. Some demonstrated an eminent ventricular collapse and a displacement of the midline structures because of the large size of the tumor masses. 4. The malignant gliomas had less peritumoral edemas in proportion to the large sizes of the tumor masses. The prognosis of some brain tumors in our cases less than 2 years of age was extremely poor, but an aggressive approach to them with surgical treatment, irradiation, and adjuvant chemotherapy may improve their chances of survival. (author)

  12. Proximal major limb amputations – a retrospective analysis of 45 oncological cases

    Goertz Ole; Langer Stefan; Steinstraesser Lars; Hauser Joerg; Khadra Ammar; Lehnhardt Marcus; Daigeler Adrien; Steinau Hans-Ulrich

    2009-01-01

    Abstract Background Proximal major limb amputations due to malignant tumors have become rare but are still a valuable treatment option in palliation and in some cases can even cure. The aim of this retrospective study was to analyse outcome in those patients, including the postoperative course, survival, pain, quality of life, and prosthesis usage. Methods Data of 45 consecutive patients was acquired from patient's charts and contact to patients, and general practitioners. Patients with inter...

  13. Mortality and morbidity in children caused by falling televisions: a retrospective analysis of 71 cases

    Gokhan, Servan; Kose, Ozkan; Ozhasenekler, Ayhan; Orak, Murat; USTUNDAG, Mehmet; Guloglu, Cahfer

    2011-01-01

    Objectives To quantify injuries in children that result from toppled televisions. Methods Children presenting directly to emergency department due to injuries caused by falling televisions were identified from our digital patient database, and a retrospective chart review of 71 children was performed. Descriptive statistics were applied. Results 71(1.8%) out of 3856 admissions due to injuries sustained at home were TV-related injuries. There were 50 (70.4%) boys and 21(29.6%) girls. Mean age ...

  14. A retrospective study of cochlear implant outcomes in children with residual hearing

    McCrae Rosemary; Fitzpatrick Elizabeth; Schramm David

    2006-01-01

    Abstract Background There has been increasing demand for the cochlear implantation of children who demonstrate some auditory capacity with conventional hearing aids. The purpose of this study was to examine speech recognition outcomes in a group of children who were regarded as borderline candidates for cochlear implantation as their residual hearing and/or auditory functioning levels exceeded typical audiologic candidacy criteria. Methods A retrospective chart review was undertaken at one Ca...

  15. A Combined Control Chart for Identifying Out–Of–Control Points in Multivariate Processes

    Marroquín–Prado E.

    2010-10-01

    Full Text Available The Hotelling's T2 control chart is widely used to identify out–of–control signals in multivariate processes. However, this chart is not sensitive to small shifts in the process mean vec tor. In this work we propose a control chart to identify out–of–control signals. The proposed chart is a combination of Hotelling's T2 chart, M chart proposed by Hayter et al. (1994 and a new chart based on Principal Components. The combination of these charts identifies any type and size of change in the process mean vector. Us ing simulation and the Average Run Length (ARL, the performance of the proposed control chart is evaluated. The ARL means the average points within control before an out–of–control point is detected, The results of the simulation show that the proposed chart is more sensitive that each one of the three charts individually

  16. The retrospective gambler's fallacy

    Daniel M. Oppenheimer

    2009-08-01

    Full Text Available The gambler's fallacy (Tune, 1964 refers to the belief that a streak is more likely to end than chance would dictate. In three studies, participants exhibited a extit{retrospective gambler's fallacy} (RGF in which an event that seems rare appears to come from a longer sequence than an event that seems more common. Study 1 demonstrates this bias for streaks, while Study 2 does so with single rare events and shows that the appearance of rarity is more important than actual rarity. Study 3 extends these findings from abstract gambling domains into real world domains to demonstrate the generalizability of the effects. The RGF follows from the law of small numbers (Tversky and Kahneman, 1971 and has many applications, from perceptions of the social world to philosophical debates about the existence of multiple universes.

  17. Role Modeling in the First 2 Years of Medical School.

    Obadia, Sharon J

    2015-08-01

    Role modeling opportunities for osteopathic physician teachers during a student's first 2 years of medical school are emerging as more colleges of osteopathic medicine strive to connect basic science didactics with clinically based learning activities. Examples of positive modeling by physician teachers during the first years of medical school are illustrated by 10 vignettes that can be incorporated into faculty development programs to increase awareness of such opportunities. The physician teacher in each vignette interacts with the student demonstrating desired professional behaviors. These vignettes also illustrate the effect of a positive "hidden curriculum" on a student's professional development. By recognizing these valuable teachable moments, teachers can incorporate role modeling into their daily practice. PMID:26214824

  18. Tetanus trismus in a 2 year old child: Case report

    Menon Narayanankutty Sunilkumar, Vadakut Krishnan Parvathy

    2014-07-01

    Full Text Available Tetanus is still a major cause of mortality and morbidity in developing countries. It occurs in children mainly in the unimmunized, due to parental ignorance and objection to vaccination. This potentially fatal disease caused by a neurotoxin, tetanospasmin released from wounds infected with Clostridium tetani, an anaerobic gram–positive bacillus. As tetanus becomes less common, cases are likely to be misdiagnosed or go unrecognized. In this case report, we present a case of tetanus in a partially immunized 2 year old girl who presented with trismus. She was treated with the recent recommendations and adequate supportive care. Detection of tetanus at a very early stage can favor lifesaving interventions. Trismus, infected wound and partially immunized/unimmunized status of a child were the key features leading to the prompt diagnosis and early treatment.

  19. 2-year patient-related versus stent-related outcomes

    Jensen, Lisette Okkels; Thayssen, Per; Christiansen, Evald Høj;

    2012-01-01

    , comparing the EES with the SES in patients with coronary artery disease, the EES was noninferior to the SES at 9 months. METHODS: The primary endpoint was a composite: cardiac death, myocardial infarction (MI), definite stent thrombosis, or target vessel revascularization. Safety and efficacy outcomes at 2......, and 1,384 patients were assigned to receive the SES. RESULTS: At 2 years, the composite primary endpoint occurred in 8.3% in the EES group and in 8.7% in the SES group (hazard ratio [HR]: 0.94, 95% confidence interval [CI]: 0.73 to 1.22). The patient-related outcome: 15.0% in the EES group versus 15......OBJECTIVES: There are limited head-to-head randomized data on patient-related versus stent-related outcomes for everolimus-eluting stents (EES) and sirolimus-eluting stents (SES). BACKGROUND: In the SORT OUT IV (Scandinavian Organization for Randomized Trials With Clinical Outcome IV) trial...

  20. Should the WHO Growth Charts Be Used in France?

    Scherdel, Pauline; Botton, Jérémie; Rolland-Cachera, Marie-Françoise; Léger, Juliane; Pelé, Fabienne; Ancel, Pierre Yves; Simon, Chantal; Castetbon, Katia; Salanave, Benoit; Thibault, Hélène; Lioret, Sandrine; Péneau, Sandrine; Gusto, Gaelle; Charles, Marie-Aline; Heude, Barbara

    2015-01-01

    Background Growth charts are an essential clinical tool for evaluating a child's health and development. The current French reference curves, published in 1979, have recently been challenged by the 2006 World Health Organization (WHO) growth charts. Objective To evaluate and compare the growth of French children who were born between 1981 and 2007, with the WHO growth charts and the French reference curves currently used. Design Anthropometric measurements from French children, who participated in 12 studies, were analyzed: 82,151 measurements were available for 27,257 children in different age groups, from birth to 18 years. We calculated and graphically compared mean z-scores based on the WHO and French curves, for height, weight and Body Mass Index (BMI) according to age and sex. The prevalence of overweight using the WHO, the French and International Obesity Task Force definitions were compared. Results Our population of children was on average 0.5 standard deviations taller than the French reference population, from the first month of life until puberty age. Mean z-scores for height, weight and BMI were closer to zero based on the WHO growth charts than on the French references from infancy until late adolescence, except during the first six months. These differences not related to breastfeeding rates. As expected, the prevalence of overweight depended on the reference used, and differences varied according to age. Conclusion The WHO growth charts may be appropriate for monitoring growth of French children, as the growth patterns in our large population of French children were closer to the WHO growth charts than to the French reference curves, from 6 months onwards. However, there were some limitations in the use of these WHO growth charts, and further investigation is needed. PMID:25761138

  1. 48 CFR 252.245-7000 - Government-furnished mapping, charting, and geodesy property.

    2010-10-01

    ... mapping, charting, and geodesy property. 252.245-7000 Section 252.245-7000 Federal Acquisition Regulations..., charting, and geodesy property. As prescribed in 245.107-70, use the following clause: Government-Furnished Mapping, Charting, and Geodesy Property (DEC 1991) (a) Definition—Mapping, charting, and geodesy...

  2. Historical Map & Chart Collection of NOAA's Nautical Charts, Hydrographic Surveys, Topographic Surveys, Geodetic Surveys, City Plans, and Civil War Battle Maps Starting from the mid 1700's

    National Oceanic and Atmospheric Administration, Department of Commerce — The Historical Map and Chart Collection of the Office of Coast Survey contains over 20000 historical maps and charts from the mid 1700s through the late 1900s....

  3. MONITORING THE PROCESS MEAN BASED ON QUALITY CONTROL CHARTS USING ON FOLDED RANKED SET SAMPLING

    Amjad Al-Nasser

    2013-02-01

    Full Text Available In this paper, we propose a new quality control chart for the sample mean based on the folded ranked set sampling (FRSS method. The new charts are compared with the classical control charts using simple random sampling (SRS and ranked set sampling (RSS. A simulation study shows that the FRSS control charts have smaller average run length (ARL compared with their counterpart charts using SRS and RSS.

  4. An Excel Add-In for Statistical Process Control Charts

    Samuel E. Buttrey

    2009-06-01

    Full Text Available t shifts in processes in, for example, manufacturing. Among these are control charts".Control charts and other SPC techniques have been in use since at least the 1950s, and,because they are comparatively unsophisticated, are often used by management or op-erations personnel without formal statistical training. These personnel will often haveexperience with the popular spreadsheet program Excel, but may have less training on amainstream statistical package. Base Excel does not provide the ability to draw controlcharts directly, although add-ins for that purpose are available for purchase.We present a free add-in for Excel that draws the most common sorts of control charts.It follows the development of the textbook of Montgomery (2005, so it may be well-suited for instructional purposes.

  5. Control chart pattern recognition using a back propagation neural network

    Spoerre, Julie K.; Perry, Marcus B.

    2000-10-01

    In this paper, control chart pattern recognition using artificial neural networks is presented. An important motivation of this research is the growing interest in intelligent manufacturing systems, specifically in the area of Statistical Process Control (SPC). On-line automated process analysis is an important area of research since it allows the interfacing of process control with Computer Integrated Manufacturing (CIM) techniques. A back propagation artificial neural network is used to model X-bar quality control charts and identify process instability situations as specified by the Western Electric Statistical Quality Control handbook. Results indicate that the performance of the back propagation neural network is very accurate in identifying these control chart patterns. This work is significant in that the neural network output can serve as a link to process parameters in a closed-loop control system. In this way, adjustments to the process can be made on-line and quality problems averted.

  6. Fault detection in electric power systems based on control charts

    Kisić Emilija

    2013-01-01

    Full Text Available This paper analyzes the control system of the combustion process and protection from explosions in the boiler furnace of thermal power plant using the techniques of control charts. The data from old and newly introduced system for measuring under-pressure differences in boiler furnace at unit B2, TE Nikola Tesla (TENT Obrenovac, were analyzed. The signal of undepressure difference is used for boiler protection function in thermal power plant TENT B. The results that confirm the advantages of the newly introduced system of measurements are presented. A detailed discussion about the benefits and the shortcomings of the control charts application in industrial processes are given in the paper.

  7. Memory-type control charts in statistical process control

    Does, R.J.M.M.; Riaz, M.; Abbas, N.

    2012-01-01

    Control chart is the most important statistical tool to manage the business processes. It is a graph of measurements on a quality characteristic of the process on the vertical axis plotted against time on the horizontal axis. The graph is completed with control limits that cause variation mark. Once a measurement is outside the control limits, the process is declared out-of-control. Control Charts are widely used in the IC industry, for example in the monitoring of the thickness of silicon sl...

  8. DASHBOARDS & CONTROL CHARTS EXPERIENCES IN IMPROVING SAFETY AT HANFORD WASHINGTON

    PREVETTE, S.S.

    2006-02-27

    The aim of this paper is to demonstrate the integration of safety methodology, quality tools, leadership, and teamwork at Hanford and their significant positive impact on safe performance of work. Dashboards, Leading Indicators, Control charts, Pareto Charts, Dr. W. Edward Deming's Red Bead Experiment, and Dr. Deming's System of Profound Knowledge have been the principal tools and theory of an integrated management system. Coupled with involved leadership and teamwork, they have led to significant improvements in worker safety and protection, and environmental restoration at one of the nation's largest nuclear cleanup sites.

  9. An Exponentially Weighted Moving Average Control Chart for Bernoulli Data

    Spliid, Henrik

    2010-01-01

    We consider a production process in which units are produced in a sequential manner. The units can, for example, be manufactured items or services, provided to clients. Each unit produced can be a failure with probability p or a success (non-failure) with probability (1-p). A novel exponentially...... weighted moving average (EWMA) control chart intended for surveillance of the probability of failure, p, is described. The chart is based on counting the number of non-failures produced between failures in combination with a variance-stabilizing transformation. The distribution function of the...

  10. The designer's guide to presenting numbers, figures, and charts

    Bigwood, Sally

    2013-01-01

    Numbers can tell an exciting story. The trick is to know what story to tell and make it understandable. This compact, practical guide will show everyone who must design numeric data how to transform raw data into readable, relevant information.The Designer's Guide to Presenting Numbers, Figures, and Charts brings together the guidelines established over the last forty years for making effective presentations of figures, tables, and graphs. Included are the straightforward steps designers and other professionals can take to make their tables and charts the most meaningful. The authors define an

  11. jsGraph and jsNMR—Advanced Scientific Charting

    Norman Pellet

    2014-09-01

    Full Text Available The jsGraph library is a versatile javascript library that allows advanced charting to be rendered interactively in web browsers without relying on server-side image processing. jsGraph is released under the MIT license and is free of charge. While being highly customizable through an intuitive javascript API, jsGraph is optimized to render a large quantity of data in a short amount of time. jsGraphs can display line, scatter, contour or zone series. Examples can be consulted on the project home page [1]. Customization of the chart, its axis and its series is achieved through simple but comprehensive JSON configurations.

  12. International negotiations on the Electronic Navigational Chart (ENC)

    A full report is given (in English) on the topics discussed and measures adopted at the April and September 1988 meetings of the IMO/IHO Working Group on ENC Updating, a subcommittee of the Commitee on ECDIS (Electronic Chart Display and Information System). Consideration is given to provisional performance standards for ECDIS (minimum displays, supplementary information, scale, route planning and monitoring, documentation, symbols and colors, accuracy, provision and correction of data, etc.), ENC update procedures, radio navigation warnings, the Global Maritime Distress and Safety System, information transfer protocols, automatic and semiautomatic updating, and organizational problems. Diagrams, sample charts, and a glossary of acronyms are provided.

  13. Clinical Features and Treatment Outcomes of Primary Immune Thrombocytopenic Purpura in Hospitalized Children Under 2-Years Old

    Farhangi, H; Ghasemi, A; Banihashem, A; Badiei, Z; Jarahi, L; Eslami, G; Langaee, T

    2016-01-01

    Background Immune thrombocytopenic purpura (ITP) is the most prevalent cause of thrombocytopenia in children. Despite the importance of ITP in children under 2-years old, only a few publications are available in the literature.ITP usually presents itself as isolated thrombocytopenia and mucocutaneous bleeding. Materials and Methods This study was conducted on 187 under 2-year-old children diagnosed with ITP and treated at Dr. Sheikh Hospital from 2004 to 2011.In this retrospective study, clinical symptoms, laboratory findings, history of viral infections, vaccination history, and treatment efficacy in children under 2-years old with ITP were investigated.Patients were followed for one year after being discharged from the hospital. Results The risk of the disease developing into chronic form was higher in older children (0.001). ITP in children under 3-months old was significantly associated with vaccination (p=0.007). There was no significant differences between male and female patients in regards to newly diagnosed ITP, persistent, and chronic disease status (p = 0.21). No significant difference in bleeding symptoms was observed between patients under 3-months old and 3 to 24-months old (p=0.18). Conclusion Infantile ITP respond favorably to treatment. The risk of the disease developing into chronic form is higher in 3-to-24-month-old children compared to under-three-month olds.

  14. SECKEL SYNDROME IN A - 2 YEAR OLD GIRL

    Imanuel Yulius Malino

    2013-10-01

    Full Text Available Seckel syndrome is a frequent autosomal recessive that cause microcephalic osteodysplastic dwarfisms. It characterized with proportionate dwarfism of prenatal onset, dysmorphic features including severe microcephaly and “bird-headed” like appearance, mental retardation and autosomal recessive inheritance, becausedefect on chromosome 3q22.1-q24 (SCKL1, chromosome 18p11.31-q11.2 (SCKL2 and chromosome 14q23 (SCKL3. We reported, 2 years, 8 months female with intrauterine growth restriction, severe proportionately short stature, a “bird-headed” profile with receding forehead, large eyes, breaks like protrusion of the nose, narrow face, receding lower jaw and micrognathia and from bone survey we found a retarded bone age on which was appropriate for 6 months of age.There was no other systems dissorder have been found and no specific medication has been given. Patient was hospitalized to establish diagnosis and was dischargedafter ten days of hospitalization Normal 0 false false false IN X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}

  15. A customised portable LogMAR chart with adjustable chart illumination for use as a mass screening device in the rural population

    Gouthaman M

    2005-01-01

    Full Text Available Aim: To develop a customised, portable, cost-effective (logarithmic minimal angle resolution LogMAR chart with adjustable illumination for use as a mass vision-screening device in the rural population. Materials and Methods : Visual acuity of 100 individuals was evaluated with a customised chart and compared with the standard Early Treatment Diabetic Retinopathy Study (ETDRS chart and Snellen′s Chart. Bland and Altman analytical techniques were used for analysis. Results: Test-retest variability of the customised chart was just a one-line difference (95% CI for agreement, and so were the results with the standard ETDRS charts; a variability of 3-line was noted with Snellen′s chart. Two-line differences were observed when comparison was made with Standard ETDRS chart and 2 to 3-line differences with Snellen′s chart. Conclusion: The customised portable LogMAR chart with adjustable illumination shows less test-retest variability and better agreement with standard ETDRS chart; therefore, it can be used as a mass vision-screening device in rural settings.

  16. Information Technology and the Organization Chart of Public Administration

    Zouridis, S.; Snellen, I.Th.M.; van de Donk, W.B.H.J.

    1998-01-01

    To a certain extent the organization chart of public administration is inspired by the doctrines which are offered by public administration science. Some of these doctrines relate to policy implementation and the design of implementing agencies. In this chapter three of these main doctrines are disc

  17. The 'History and Fate of the Universe' chart debuts

    Yarris, L

    2003-01-01

    A chart that illustrates and summarizes what is now known about the history and fate of the universe has been developed by scientists at the Lawrence Berkeley National Laboratory in collaboration with the Contemporary Physics Education Project (CPEP). More than 11,000 copies will be distributed to high school science teachers across the nation for field-testing with their students (1 page).

  18. 40 CFR 86.343-79 - Chart reading.

    2010-07-01

    ... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Chart reading. 86.343-79 Section 86.343-79 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... reading. (a) A computer or any other automatic data processing device(s) may be used as long as the...

  19. US Nuclear Regulatory Commission organization charts and functional statements

    NONE

    1996-08-19

    This document is the organizational chart for the US NRC. It contains organizational structure and functional statements for the following: (1) the Commission, (2) committees and boards, (3) staff offices, (4) office of the Inspector General, (5) executive director for operations, (6) program offices, and (7) regional offices.

  20. Single-field isodose charts for high-energy radiation

    The main part of this guide comprises isodose chart specifications divided into four sections: cesium-137 gamma rays, cobalt-60 gamma rays, high-energy x-rays and electron beams. In each section the information is further classified according to the equipment model and the institution of origin. 1 fig

  1. Maintenance with the use of statistical control charts

    Gromakov, E. I.; Aleksandrova, T. V.; Ivanenko, B. P.

    2016-04-01

    The possibility of using statistical process control methods for detection of an abnormal condition of the process equipment at early stages of an emergency is shown in the paper. The authors of the paper has concluded that with the use of Shewhart charts it is possible to monitor the real dynamics of the process equipment condition and make decisions on its maintenance and repair

  2. ICoN, the Interactive Chart of Nuclides

    Lee, Kevin; Mumpower, Matthew; Aprahamian, Ani

    2015-10-01

    Nuclear data is critical to research fields from medicine to astrophysics. The chart of nuclides is a more descriptive version of the periodic table that can be used to visualize nuclear properties such as half-lives and mass. We have created ICoN (simply short for Interactive Chart of Nuclides), an API which can be used to visualize theoretical and experimental datasets. This visualization is achieved by using D3 (Data Driven Documents), HTML, and CSS3 to plot the elements and color them accordingly. ICoN features many customization options that users can access that are dynamically applied to the chart without reloading the page. Users can save the customized chart they create to various formats. We have constructed these features in order to provide a unique approach for researchers to interface with nuclear data. ICoN can also be used on all electronic devices without loss of support. We report on the current progress of this project and will present a working demo that highlights each aspect of the aforementioned features. This is the first time that all available technologies are put to use to make nuclear data more accessible than ever before. This is a first and we will make it available as open source ware.

  3. Cover Crop Chart: An Intuitive Educational Resource for Extension Professionals

    Liebig, Mark A.; Johnson, Holly; Archer, David; Hendrickson, John; Nichols, Kristine; Schmer, Marty; Tanaka, Don

    2013-01-01

    Interest in cover crops by agricultural producers has increased the need for information regarding the suitability of crops for addressing different production and natural resource goals. To help address this need, staff at the USDA-ARS Northern Great Plains Research Laboratory developed a decision aid called the Cover Crop Chart (CCC). Visually…

  4. US Nuclear Regulatory Commission organization charts and functional statements

    This document is the organizational chart for the US NRC. It contains organizational structure and functional statements for the following: (1) the Commission, (2) committees and boards, (3) staff offices, (4) office of the Inspector General, (5) executive director for operations, (6) program offices, and (7) regional offices

  5. Mexico magnetic Chart Epoch 2010.0, first measurements

    Complete text of publication follows. In this paper we introduced a methodology, measurements, and results obtained from two campaigns conducted on December 2008 and February 2009, making a total of 16 of the 52 repeat magnetic network stations existing in Mexico, for Mexico Magnetic Chart Epoch 2010.0. The last magnetic chart in Mexico was issued in the 90's by Magnetic Survey of Geophysics Institute-UNAM. We took over the recuperation of lost measurements that had been left over at lack of money and human resources. In 2009 the Magnetic Survey was included inside SIBA (Environmental and Biodiversity Informatics System) project. Founds were approved and then we could start getting to work for magnetic chart survey with at least two complete magnetic network reoccupations. At the fist 16 stations (that had been all ready made up till now) we got a lot of problems. But the main one was the lost or destroyed over of original marks measured in 90's and it was hard too finding a new good place for replacing these sites. Observed measurements in these sites shown satisfactory records inside the expected rate. In 2009 we will be able to carry out three more campaigns to measure 24 more stations having a total of 40 by the end year. During 2010 and 2011 we will complete the survey to finish the whole magnetic chart for epoch 2010.0.

  6. US Nuclear Regulatory Commission organization charts and functional statements

    This document contains organization charts for the U.S. Nuclear Regulatory Commission (NRC) and for the five offices of the NRC. Function statements are provided delineating the major responsibilities and operations of each office. Organization and function are provided to the branch level. The head of each office, division, and branch is also listed

  7. A Chart Review of Schizotypal Personality Disorders in Children.

    Nagy, Joan; Szatmari, Peter

    1986-01-01

    The literature on the diagnostic validity of schizotypal personality disorders (SPD) in childhood is reviewed, and the results of a chart review of 20 SPD children meeting Diagnostic and Statistical Manual III criteria are presented suggesting that SPD in childhood exists and warrants study. (Author/CB)

  8. 46 CFR 184.420 - Charts and nautical publications.

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Charts and nautical publications. 184.420 Section 184.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER... Pilot or similar publication; (3) Coast Guard Light List; (4) Tide tables; and (5) Current tables, or...

  9. 46 CFR 121.420 - Charts and nautical publications.

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Charts and nautical publications. 121.420 Section 121.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS CARRYING... publication; (3) Coast Guard Light List; (4) Tide tables; and (5) Current tables, or a river...

  10. Keyword-Driven Testing with Message Sequence Charts

    Boris, Tyutin; Alexey, Veselov; Vsevolod, Kotlyarov

    2014-01-01

    This paper overviews an approach to keyword-driven testing based on test cases created in Message Sequence Charts format. Main features and advantages of this idea are discussed. Last two chapters provide brief overview of current implementation of testing automation framework based on the presented approach.

  11. US Nuclear Regulatory Commission organization charts and functional statements

    NONE

    1997-11-01

    This document contains organization charts for the U.S. Nuclear Regulatory Commission (NRC) and for the five offices of the NRC. Function statements are provided delineating the major responsibilities and operations of each office. Organization and function are provided to the branch level. The head of each office, division, and branch is also listed.

  12. Intercomparison of retrospective radon detectors.

    Field, R. W.; Steck, D J; Parkhurst, M A; Mahaffey, J A; Alavanja, M C

    1999-01-01

    We performed both a laboratory and a field intercomparison of two novel glass-based retrospective radon detectors previously used in major radon case-control studies performed in Missouri and Iowa. The new detectors estimate retrospective residential radon exposure from the accumulation of a long-lived radon decay product, (210)Pb, in glass. The detectors use track registration material in direct contact with glass surfaces to measure the alpha-emission of a (210)Pb-decay product, (210)Po. Th...

  13. TerCharts: a VBA-MS Excel multiternary and multipurpose charting utility for data analysis, presentation, and modeling in environmental and earth sciences

    Esawi, E. K.

    2009-03-01

    TerCharts is a comprehensive, fast, flexible, and versatile ternary charting utility that can be used for ternary data presentation analysis and modeling across many scientific disciplines. TerCharts is developed using Microsoft (MS) Excel 2003 and Visual Basic for Applications (VBA) which is an object oriented programming language developed by MS as a tool to enhance the capabilities of MS products. The Excel-VBA interface is important because normally chemical, geochemical, and mineralogical data used in teaching and basic research are processed using Excel spreadsheets, making TerCharts a more convenient tool for generating ternary charts which in turn can be used for data presentation and analysis. Ternary charts generated by this utility can be improved, edited, and modified utilizing MS Excel’s powerful charting and editing techniques.

  14. Children's vomiting following posterior fossa surgery: A retrospective study

    Dundon Belinda

    2009-07-01

    Full Text Available Abstract Background Nausea and vomiting is a problem for children after neurosurgery and those requiring posterior fossa procedures appear to have a high incidence. This clinical observation has not been quantified nor have risk factors unique to this group of children been elucidated. Methods A six year retrospective chart audit at two Canadian children's hospitals was conducted. The incidence of nausea and vomiting was extracted. Hierarchical multivariable logistic regression was used to quantify risk and protective factors at 120 hours after surgery and early vs. late vomiting. Results The incidence of vomiting over a ten day postoperative period was 76.7%. Documented vomiting ranged from single events to greater than 20 over the same period. In the final multivariable model: adolescents (age 12 to Conclusion The incidence of vomiting in children after posterior fossa surgery is sufficient to consider all children requiring these procedures to be at high risk for POV. Nausea requires better assessment and documentation.

  15. MINIMIZING GLOVEBOX GLOVE BREACHES, PART IV: CONTROL CHARTS

    At the Los Alamos National Laboratory (LANL) Plutonium Facility, plutonium. isotopes and other actinides are handled in a glovebox environment. The spread of radiological contamination, and excursions of contaminants into the worker's breathing zone, are minimized and/or prevented through the use of glovebox technology. Evaluating the glovebox configuration, the glovebo gloves are the most vulnerable part of this engineering control. Recognizing this vulnerability, the Glovebox Glove Integrity Program (GGIP) was developed to minimize and/or prevent unplanned openings in the glovebox environment, i.e., glove failures and breaches. In addition, LANL implement the 'Lean Six Sigma (LSS)' program that incorporates the practices of Lean Manufacturing and Six Sigma technologies and tools to effectively improve administrative and engineering controls and work processes. One tool used in LSS is the use of control charts, which is an effective way to characterize data collected from unplanned openings in the glovebox environment. The benefit management receives from using this tool is two-fold. First, control charts signal the absence or presence of systematic variations that result in process instability, in relation to glovebox glove breaches and failures. Second, these graphical representations of process variation detennine whether an improved process is under control. Further, control charts are used to identify statistically significant variations (trends) that can be used in decision making to improve processes. This paper discusses performance indicators assessed by the use control charts, provides examples of control charts, and shows how managers use the results to make decisions. This effort contributes to LANL Continuous Improvement Program by improving the efficiency, cost effectiveness, and formality of glovebox operations.

  16. Minimizing glovebox glove breaches, Part 4: control charts

    At the Los Alamos National Laboratory (LANL) Plutonium Facility, plutonium isotopes and other actinides are handled in a glovebox environment. The spread of radiological contamination, and excursions of contaminants into the worker's breathing zone, are minimized and/or prevented through the use of glovebox technology. Evaluating the glovebox configuration, the glovebox gloves are the most vulnerable part of this engineering control. Recognizing this vulnerability, the Glovebox Glove Integrity Program was developed to minimize and/or prevent unplanned openings in the glovebox environment, e.g., glove failures and breaches. In addition, LANL implement the 'Lean Six Sigma (LSS)' program that incorporates the practices of Lean Manufacturing and Six Sigma technologies and tools to effectively improve administrative and engineering controls and work processes. One tool used in LSS is the use of control charts, which is an effective way to characterize data collected from unplanned openings in the glovebox environment. The benefit management receives from using this tool is two-fold. First, control charts signal the absence or presence of systematic variations that result in process instability, in relation to glovebox glove breaches and failures. Second, these graphical representations of process variation determine whether an improved process is under control. Further, control charts are used to identify statistically significant variations (trends) that can be used in decision making to improve processes. This paper discusses performance indicators assessed by the use control charts, provides examples of control charts, and shows how managers use the results to make decisions. This effort contributes to LANL Continuous Improvement Program by improving the efficiency, cost effectiveness, and formality of glovebox operations. (authors)

  17. Accuracy of Intraocular Lens Power Formulas Involving 148 Eyes with Long Axial Lengths: A Retrospective Chart-Review Study.

    Chen, Chong; Xu, Xian; Miao, Yuyu; Zheng, Gaoxin; Sun, Yong; Xu, Xun

    2015-01-01

    Purpose. This study aims to compare the accuracy of intraocular lens power calculation formulas in eyes with long axial lengths from Chinese patients subjected to cataract surgery. Methods. A total of 148 eyes with an axial length of >26 mm from 148 patients who underwent phacoemulsification with intraocular lens implantation were included. The Haigis, Hoffer Q, Holladay 1, and SRK/T formulas were used to calculate the refractive power of the intraocular lenses and the postoperative estimated power. Results. Overall, the Haigis formula achieved the lowest level of median absolute error 1.025 D (P 33 mm, and median absolute errors were significantly higher for those eyes than eyes with axial length = 26.01-30.00 mm. Absolute error was correlated with axial length for the SRK/T (r = 0.212, P = 0.010) and Hoffer Q (r = 0.223, P = 0.007) formulas. For axial lengths > 33 mm, eyes exhibited a postoperative hyperopic refractive error. Conclusions. The Haigis and SRK/T formulas may be more suitable for calculating intraocular lens power for eyes with axial lengths ranging from 26 to 33 mm. And for axial length over 33 mm, the Haigis formula could be more accurate. PMID:26793392

  18. Accuracy of Intraocular Lens Power Formulas Involving 148 Eyes with Long Axial Lengths: A Retrospective Chart-Review Study

    Chong Chen; Xian Xu; Yuyu Miao; Gaoxin Zheng; Yong Sun; Xun Xu

    2015-01-01

    Purpose. This study aims to compare the accuracy of intraocular lens power calculation formulas in eyes with long axial lengths from Chinese patients subjected to cataract surgery. Methods. A total of 148 eyes with an axial length of >26 mm from 148 patients who underwent phacoemulsification with intraocular lens implantation were included. The Haigis, Hoffer Q, Holladay 1, and SRK/T formulas were used to calculate the refractive power of the intraocular lenses and the postoperative estimated...

  19. Atomoxetine response in the inattentive and combined subtypes of attention deficit hyperactivity disorder: a retrospective chart review.

    Ercan, Eyup Sabri; Akyol Ardic, Ulku; Kabukcu Basay, Burge; Ercan, Elif; Basay, Omer

    2013-12-01

    The DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, 1994, American Psychiatric Association) describes attention deficit hyperactivity disorder (ADHD) as a heterogeneous disorder; providing diagnostic criteria for three subtypes: hyperactive/impulsive (ADHD/HI), inattentive (ADHD/I), and combined type (ADHD/C). Differences among the subtypes are well defined, but there may be also differences in terms of treatment responses. The aim of this study is to assess the responses of ADHD/I and ADHD/C to atomoxetine treatment. The medical records of the January-June 2012 term, first time referrals to outpatient clinic, were reviewed, and 37 ADHD diagnosed primary school age children (18 ADHD/I, 19 ADHD/C) that were treated with atomoxetine were determined. Thirty-five of them who completed 8 weeks of treatment duration were recruited for the study. The children with an ADHD medication use history in 2 months time prior to onset of treatment and/or the children receiving additional psychopharmacologic treatment to atomoxetine were excluded. Baseline and eighth week assessment, records were evaluated. Efficacy assessments included Turgay DSM-IV ADHD Screening and Rating Scale parent and teacher forms (T-DSM-IV) and Clinical Global Impression Scale-Severity and Improvement subscales. Safety assessments included laboratory and body weight assessments, ECG, heart rate, and blood pressure evaluations (baseline and eighth week) along a scale filled by the parents at the eighth week to review side effects. Atomoxetine was found to be effective in both ADHD/I and ADHD/C groups. Atomoxetine also decreased the opposition defiance subscale scores of T-DSM-IV (both parent and teacher forms), whereas it was not found to make statistically significant difference in the conduct disorder subscale scores. Mean difference in 8-week time in T-DSM-IV hyperactivity subscale and total scores of parent and teacher forms; inattention subscale scores of only parent forms and the CGI- severity subscale scores; differed significantly among the ADHD/I and ADHD/C groups; that ADHD/C types responded better to medication. Results of this study revealed that atomoxetine is effective both in ADHD/I and ADHD/C subtypes. ADHD/C types may be responding better to atomoxetine treatment than the ADHD/I subtypes. PMID:23737214

  20. Results of a unicentric series of 15 wrist prosthesis implantations at a 5.2 year follow-up.

    Chevrollier, Jérémie; Strugarek-Lecoanet, Clotilde; Dap, François; Dautel, Gilles

    2016-03-01

    Our retrospective study aimed to evaluate functional and radiological results of a unicentric series of 17 total wrist prostheses implanted between 2001 and 2011. Nine women and seven men, mean age 59, underwent wrist joint arthroplasty, bilateral in one case. Universal Total Wrist and Remotion prostheses were used and followed-up at a mean of 5.2 years (1.1-10). Fifteen patients were reviewed. Four patients had postoperative complications, three of whom required arthrodesis. The rest obtained satisfactory pain relief. Grip strength nevertheless decreased compared to the contralateral side and mobility was reduced: flexion/extension=33°, ulnar/radial deviation=20°. The Quick DASH score was 29% and PRWE, 26%. Radiological assessment revealed carpal implant loosening in eight patients. Our series confirms the discordance generally observed between patients' subjective satisfaction and mediocre clinical and radiological results over the medium term. PMID:26984652

  1. Quality of care assessment in geriatric evaluation and management units: construction of a chart review tool for a tracer condition

    Latour Judith

    2009-07-01

    Full Text Available Abstract Background The number of elderly people requiring hospital care is growing, so, quality and assessment of care for elders are emerging and complex areas of research. Very few validated and reliable instruments exist for the assessment of quality of acute care in this field. This study's objective was to create such a tool for Geriatric Evaluation and Management Units (GEMUs. Methods The methodology involved a reliability and feasibility study of a retrospective chart review on 934 older inpatients admitted in 49 GEMUs during the year 2002–2003 for fall-related trauma as a tracer condition. Pertinent indicators for a chart abstraction tool, the Geriatric Care Tool (GCT, were developed and validated according to five dimensions: access to care, comprehensiveness, continuity of care, patient-centred care and appropriateness. Consensus methods were used to develop the content. Participants were experts representing eight main health care professions involved in GEMUs from 19 different sites. Items associated with high quality of care at each step of the multidisciplinary management of patients admitted due to falls were identified. The GCT was tested for intra- and inter-rater reliability using 30 medical charts reviewed by each of three independent and blinded trained nurses. Kappa and agreement measures between pairs of chart reviewers were computed on an item-by-item basis. Results Three quarters of 169 items identifying the process of care, from the case history to discharge planning, demonstrated good agreement (kappa greater than 0.40 and agreement over 70%. Indicators for the appropriateness of care showed less reliability. Conclusion Content validity and reliability results, as well as the feasibility of the process, suggest that the chart abstraction tool can gather standardized and pertinent clinical information for further evaluating quality of care in GEMU using admission due to falls as a tracer condition. However, the GCT

  2. Adaptation of the Dartmouth COOP Charts for Use Among American Indian People With Diabetes

    Gilliland, Susan S.; Willmer, Adisa J.; McCalman, Raylene; Davis, Sally M.; Hickey, Martin E.; Perez, Georgia E.; Owen, Charles L.; Carter, Janette S.

    2016-01-01

    Objective To adapt the Dartmouth COOP Charts for use among American Indians with diabetes and to evaluate the operating characteristics of the adapted charts because measures of health status have not been evaluated for use among American Indians with diabetes. Research Design and Methods American Indian adults participated in focus group conferences to adapt and review the Dartmouth COOP Charts for use in American Indian communities. American Indian participants with diabetes were interviewed and administered the adapted charts. The operating characteristics of the charts were evaluated by measuring internal and external consistency, reliability, and acceptability. Results Some of the wording and pictures were considered to be offensive and culturally inappropriate in American Indian communities. The adapted charts showed internal consistency in a comparison of interchart variables. Conclusions The adapted Dartmouth COOP Charts are more culturally acceptable than the original charts and appear to measure constructs adequately. PMID:9589238

  3. 56-Day Complete Set of all of the Digital Enroute Charts

    Department of Transportation — The following ZIP files contain all of the Digital Enroute charts, except for Caribbean charts, for a given effective date range. Due to the large file sizes, it is...

  4. Control of routine radioimmunoassays: a computer program for calculation of control charts for precision and accuracy

    A computer program is proposed allowing the automatic calculation of control charts for accuracy and precision. The calculated charts enable the analyst to control easily the daily results for a determined radioimmunoassay. (Auth.)

  5. [A treatment chart adapted to the arch form].

    Bocquet-Moreau, E; Danguy, Ch; Bertrand, J; Danguy, M

    2005-12-01

    Arch wires used in orthodontic treatment must conform to the shape of the dental arches so that in their final positions teeth will be set in a pathway of neuromuscular equilibrium. However, sometimes distortions of the alveoli deform the shape of the arch. In such cases the treatment charts constructed on the actual alveolo-dental relationship will not reflect desired objectives. We believe that the transverse muco-gingival dimension Andrews called the Wala line responds better to therapeutic requirements. Moreover, molar attachments, key elements of a full-banded appliance, are in harmony with it. So the type of chart that the authors propose for use with the Straight Wire technique, one based on the Wala line, will help orthodontists place teeth at the conclusion of orthodontic treatment in the best possible relationships to patients' specific anatomic configurations. PMID:16471375

  6. Visualizing Library Statistics using Open Flash Chart 2 and Drupal

    Laura K. Wiegand

    2013-01-01

    Full Text Available Libraries continue to need to demonstrate their value to stakeholders, and while statistics alone do not represent value, they are an important element. We found ourselves, and our stakeholders, uninspired by our infrequently updated bulleted list of statistics on our website and so set out to create a more dynamic and visually appealing look at our statistics. This article outlines how we used our content management system, Drupal, Open Flash Chart and custom programming to convert library statistics into Flash charts, including how to populate the graphs with dynamic data from external sources. The end result is our Library Statistics Dashboard (http://library.uncw.edu/facts_planning/dashboard that visually demonstrates the use, activity and resources in the library via interactive and visually interesting graphs.

  7. Evolving Chart Pattern Sensitive Neural Network Based Forex Trading Agents

    Sher, Gene I

    2011-01-01

    Though machine learning has been applied to the foreign exchange market for quiet some time now, and neural networks have been shown to yield good results, in modern approaches neural network systems are optimized through the traditional methods, and their input signals are vectors containing prices and other indicator elements. The aim of this paper is twofold, the presentation and testing of the application of topology and weight evolving artificial neural network (TWEANN) systems to automated currency trading, and the use of chart images as input to a geometrical regularity aware indirectly encoded neural network systems. This paper presents the benchmark results of neural network based automated currency trading systems evolved using TWEANNs, and compares the generalization capabilities of these direct encoded neural networks which use the standard price vector inputs, and the indirect (substrate) encoded neural networks which use chart images as input. The TWEANN algorithm used to evolve these currency t...

  8. A suite of RS/1 procedures for chemical laboratory statistical quality control and Shewhart control charting

    Shanahan, K.L.

    1990-09-01

    A suite of RS/1 procedures for Shewhart control charting in chemical laboratories is described. The suite uses the RS series product QCA (Quality Control Analysis) for chart construction and analysis. The suite prompts users for data in a user friendly fashion and adds the data to or creates the control charts. All activities are time stamped. Facilities for generating monthly or contiguous time segment summary charts are included. The suite is currently in use at Westinghouse Savannah River Company.

  9. Fault detection in electric power systems based on control charts

    Kisić Emilija; Petrović Vera; Jakovljević Miroslav; Đurović Željko

    2013-01-01

    This paper analyzes the control system of the combustion process and protection from explosions in the boiler furnace of thermal power plant using the techniques of control charts. The data from old and newly introduced system for measuring under-pressure differences in boiler furnace at unit B2, TE Nikola Tesla (TENT) Obrenovac, were analyzed. The signal of undepressure difference is used for boiler protection function in thermal power plant TENT B. The results that confirm the advanta...

  10. APPROACHES FOR PROBLEM DIAGNOSIS VIA STATISTICAL PROCESS CONTROL CHARTS

    KOÇER, Bülent; BİRGÖREN, Burak

    2010-01-01

    ABSTRACT Statistical process control charts aim  to detect out-of-control signals which indicate existence of special causes effecting the process. Once such a signal is detected, the interpretation of the signal, that is, discovering the actual causes behind the signal, rests upon the shoulders  of operators or engineers. Recently, some techniques have been developed  for making this interpretation process easier. This study presents an overview of such techniques in three cat...

  11. Range Chart-Guided Iterative Data-Flow-Graph Scheduling

    Heemstra de Groot, Sonia M.; Gerez, Sabih H.; Herrmann, Otto E.

    1992-01-01

    An alternative method for the scheduling of iterative data-flow graphs is described. The method is based on the scheduling-range chart, which contains the information on the range within which each operation in the graph can be scheduled. The scheduling range is determined by considering the intraiteration and interiteration precedence relations. The goal is to find an optimal position within the scheduling range of each operation in such a way that some quality criteria (number of hardware r...

  12. Charting the Course for Sustainable Small Island Tourist Development

    Teresa L. McKee

    2013-01-01

    This article, Charting the Course for Sustainable Small Island Tourist Development, addresses sustainability criteria for small island tourist development drawing on the history of development in the last decade in the Bocas del Toro archipelago of the Republic of Panama in the Caribbean Sea near the border of Costa Rica. Tax deferments for the development of vacation and resort properties spurred a boom in this island locale since the late 1980’s. Tourist Law 8 of the Panamanian constitutio...

  13. Balanced Scorecard v Chart Ferox, a.s.

    Novák, Jiří

    2007-01-01

    Diploma thesis aplikates Balanced Scorecard method in Chart Ferox, a.s. Balanced Scorecard brings advantages like global analysis of a company and is an instrument that enables to create and implement business strategy. Thesis contains analysis of current situation of the company from Balanced Scorecard point of view, financial benchmarking and strategic analysis of the company. Hereafter thesis comprehends project of Balanced Scorecard system which covers strategic objectives and performance...

  14. The construction of control chart for PM10 functional data

    Shaadan, Norshahida; Jemain, Abdul Aziz; Deni, Sayang Mohd

    2014-06-01

    In this paper, a statistical procedure to construct a control chart for monitoring air quality (PM10) using functional data is proposed. A set of daily indices that represent the daily PM10 curves were obtained using Functional Principal Component Analysis (FPCA). By means of an iterative charting procedure, a reference data set that represented a stable PM10 process was obtained. The data were then used as a reference for monitoring future data. The application of the procedure was conducted using seven-year (2004-2010) period of recorded data from the Klang air quality monitoring station located in the Klang Valley region of Peninsular Malaysia. The study showed that the control chart provided a useful visualization tool for monitoring air quality and was capable in detecting abnormality in the process system. As in the case of Klang station, the results showed that with reference to 2004-2008, the air quality (PM10) in 2010 was better than that in 2009.

  15. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths.

    Jeantine M de Feijter

    Full Text Available BACKGROUND: Incident reporting systems (IRS are used to identify medical errors in order to learn from mistakes and improve patient safety in hospitals. However, IRS contain only a small fraction of occurring incidents. A more comprehensive overview of medical error in hospitals may be obtained by combining information from multiple sources. The WHO has developed the International Classification for Patient Safety (ICPS in order to enable comparison of incident reports from different sources and institutions. METHODS: The aim of this paper was to provide a more comprehensive overview of medical error in hospitals using a combination of different information sources. Incident reports collected from IRS, patient complaints and retrospective chart review in an academic acute care hospital were classified using the ICPS. The main outcome measures were distribution of incidents over the thirteen categories of the ICPS classifier "Incident type", described as odds ratios (OR and proportional similarity indices (PSI. RESULTS: A total of 1012 incidents resulted in 1282 classified items. Large differences between data from IRS and patient complaints (PSI = 0.32 and from IRS and retrospective chart review (PSI = 0.31 were mainly attributable to behaviour (OR = 6.08, clinical administration (OR = 5.14, clinical process (OR = 6.73 and resources (OR = 2.06. CONCLUSIONS: IRS do not capture all incidents in hospitals and should be combined with complementary information about diagnostic error and delayed treatment from patient complaints and retrospective chart review. Since incidents that are not recorded in IRS do not lead to remedial and preventive action in response to IRS reports, healthcare centres that have access to different incident detection methods should harness information from all sources to improve patient safety.

  16. Three-Dimensional Nuclear Chart--Understanding Nuclear Physics and Nucleosynthesis in Stars

    Koura, Hiroyuki

    2014-01-01

    Three-dimensional (3D) nuclear charts were created using toy blocks, which represent the atomic masses per nucleon number and the total half-lives for each nucleus in the entire region of the nuclear mass. The bulk properties of the nuclei can be easily understood by using these charts. Subsequently, these charts were used in outreach activities…

  17. Filled Radar Charts Should Not Be Used to Compare Social Indicators

    Feldman, Roger

    2013-01-01

    The use of "radar charts" is an increasingly popular way to present spatial data in a visually interesting format. Some authors recommend using "filled radar charts" to compare the performance of observational units. Filled radar charts are not appropriate for such comparisons because the size of the area within the polygon is not invariant to the…

  18. 75 FR 76082 - Agency Information Collection; Gravesite Reservation Survey (2-Year) Activity Under OMB Review

    2010-12-07

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection; Gravesite Reservation Survey (2- Year) Activity Under OMB Review... correspondence. SUPPLEMENTAL INFORMATION: Title: Gravesite Reservation Survey (2-Year), VA Form 40-40....

  19. Retrospective Study of Japanese Patients with Schizophrenia Treated with Aripiprazole

    Tanioka, Tetsuya; Fuji, Syoko; Kataoka, Mika; King, Beth; Tomotake, Masahito; Yasuhara, Yuko; Locsin, Rozzano; Sekido, Keiko; Mifune, Kazushi

    2012-01-01

    Aim. The purpose of this retrospective study was to evaluate changes in clinical indicators which influence the quality of life (QOL) of patients with schizophrenia treated by antipsychotic therapy before and after switching to aripiprazole. Methods. A retrospective chart review of 27 patients diagnosed with schizophrenia and who were switched from one antipsychotic to aripiprazole was performed. Clinical indicators about the daily dosage of antipsychotics and antiparkinsonian drugs, psychiatric condition, and glucose/lipid metabolism, clinical evaluation by nursing observation were used to measure the responsiveness of subjects to aripiprazole. Results. Of the 27 subjects, 14 responded to the switch to aripiprazole with significant improvement of the Brief Psychiatric Rating Scale (BPRS) score (P = 0.04), significant decrease in dosage of antipsychotics in 71% of patients (P = 0.03), and tendency toward reduction in dosage of antiparkinsonian drugs (P = 0.07) and body mass index (BMI) (P = 0.06). However, 8 of 27 subjects had a significant increase in lipid levels after switching to aripiprazole (P = 0.01). Conclusion. QOL for subjects who responded to the switch to aripiprazole improved as indicated by lower doses of antipsychotic and antiparkinson medications, improvement in BPRS score, and a decrease in BMI. Results indicate little influence on patient's QOL. PMID:22970386

  20. Comparison of Applicability of Different Visual Acuity Charts for Pediatric Outpatient Visual Tests

    Haili Fang; Hongxing Diao; Linxing Chen; Junwen Zeng

    2014-01-01

    Purpose: To evaluate the applicability of different visual acu-ity charts for outpatient pediatric visual tests. Methods: Fifty-three children (53 eyes) aged 4-8 years un-dergoing visual acuity tests as outpatients were randomly se-lected for this study. The best corrected visual acuity (BCVA) of the eye with better visual acuity was measured for each child using the digital LogMAR visual chart,.the ETDRS vi-sual chart,.and a new standard logarithm visual chart;.all measurements were repeated twice and the BCVA was record-ed. Paired comparisons were made between the LogMAR vi-sual acuity chart and ETDRS chart measurements or between the ETDRS chart and logarithm visual acuity chart measure-ments for statistical analysis of the differences in measurement of visual acuity..The results of different measurements by the same chart were compared to evaluate the consistency of the measurement results..Bland-Altman analysis was employed to evaluate the most suitable chart for outpatient measurement of visual acuity in children. Results:.Bland-Altman analysis revealed that the mean visual acuity measured was. (0.447 ±0.017 LogMAR).by the digital LogMAR chart,.(0.301±0.024 LogMAR).by the standard log-arithm visual acuity chart, and (0.309 ±0.018 LogMAR) by the ETDRS visual acuity chart. The BCVA was significantly lower when measured by the LogMAR visual acuity chart than by the ETDRS chart (P0.05)..The Bland-Altman plot showed that the high-est consistency was obtained with the digital LogMAR chart, with a difference between two repeated measurements of 0.068 LogMAR,.compared to 0.090 and 0.072 LogMAR for the logarithm and ETDRS visual acuity charts, respectively. Conclusion: All three types of visual acuity charts are appli-cable for outpatient measurement of pediatric visual acuity. The ETDRS and logarithm visual acuity charts have a higher consistency, but the LogMAR visual acuity chart shows better reproducibility..Consequently,.it is difficult to identify and

  1. Adolescent ovarian masses: A retrospective analysis.

    Gupta, Bindiya; Guleria, Kiran; Suneja, Amita; Vaid, Neelam B; Rajaram, Shalini; Wadhwa, Neelam

    2016-05-01

    A retrospective study was conducted to review incidence, clinical practice, surgical management and histology of adolescent ovarian masses in order to audit and improve future practices. Complete hospital records of all adolescents between 10 and 20 years who had undergone surgery for ovarian masses were analysed between November 2006 to 2014. Parameters analysed were age, clinical features, diagnosis, operative procedure and histopathology. Ninety-four patients were included in the study and among them, 37 had non-neoplastic masses, 30 had benign neoplasms while 27 had malignant tumors. The main clinical presentations were abdominal pain (54%) and abdominal mass (41%). Dermoid was the most common benign neoplasm while germ cell tumor was the most common malignant mass; dysgerminoma being the commonest (68%). Malignancy was more common in early adolescence (12 ± 4.8 years) while non-neoplastic masses were seen more frequently in late adolescence (17.7 ± 2.2 years). There was a fair correlation between ultrasound and histopathological diagnosis. PMID:26789784

  2. Time contour expression of limited range phenomena on stack chart; Jugo chart jo deno kyokuchi gensho jikan contour

    Kametani, T.

    1997-05-27

    Time contour expression of limited range phenomena on stack chart is examined for further improvement on the result of the ultimate interpretation in the seismic reflection survey. The policy is made clear from the beginning that local phenomena are to be discussed, and data prior CMP stacking is interpreted in detail. For this purpose, it is effective to make use of the time contour expression in the midpoint-offset plane simultaneously with the CMP and COP panels. For the review of data prior to CMP stacking, it is convenient to use the CMP (CDP) stacking chart in which the data is arranged methodically. In this chart, all the channels which are crude data prior to stacking are plotted on midpoint-offset coordinates, which plane is called the MOD (Midpoint Offset Domain) panel. Various panels can be chosen unrestrictedly, and their mutual relations can be easily grasped. When data points are given a time axis, they can be expressed in a time contour. Studies are conducted about the underground structure, multiple reflection paths divided by it, and characteristics of detour reflection attributable to faults. 4 refs., 9 figs.

  3. Application of machine learning and expert systems to Statistical Process Control (SPC) chart interpretation

    Shewhart, Mark

    1991-01-01

    Statistical Process Control (SPC) charts are one of several tools used in quality control. Other tools include flow charts, histograms, cause and effect diagrams, check sheets, Pareto diagrams, graphs, and scatter diagrams. A control chart is simply a graph which indicates process variation over time. The purpose of drawing a control chart is to detect any changes in the process signalled by abnormal points or patterns on the graph. The Artificial Intelligence Support Center (AISC) of the Acquisition Logistics Division has developed a hybrid machine learning expert system prototype which automates the process of constructing and interpreting control charts.

  4. J-chart method in designing a partially solar heated dryer

    Hirunlabh, J.; Khedari, J.; Daguenet, M. (Perpignan Univ., 66 (France))

    1992-01-01

    A new chart simulation method, named J-chart, has been developed for predicting the long-term average performance of solar drying systems. A simple graphical method comprising three charts and derived from the simulation results, is used to obtain a general design procedure for a partially solar heated dryer. The first chart illustrates the drying time, the second one is the fraction of heating load supplied by solar energy and the third one is the fraction of economized energy. These charts and polynomial correlations are used in establishing relationships between the collector are and the weight of the produce to be dried or the dried produce. (author).

  5. Comparing visual acuity in preschool children using the Lea symbols and Sheridan Gardiner charts

    Aghafekokhian B. Osaiyuwu

    2015-03-01

    Full Text Available Visual acuity measurement is a vital part of an optometric examination. The purpose of the present study was to compare visual acuity in preschool children using two charts – the Lea symbols chart and the Sheridan Gardiner chart. One hundred and fifty-three preschool children (72 boys and 81 girls between the ages of 3 and 5 years (mean age and standard deviation 4.23 ± 0.78 years were recruited from five randomly selected nursery schools. Distance visual acuity was measured monocularly and binocularly after a pre-test was done. An interval of 5 minutes was allowed for testing with both charts. The ages and sexes of each child were documented. Results showed a statistical difference in visual acuities using both charts (p < 0.05. There was also a statistical difference in both charts regarding age. There was no significant gender difference between the results from each chart.

  6. Development of a fetal weight chart using serial trans-abdominal ultrasound in an East African population

    Schmiegelow, Christentze; Scheike, Thomas Harder; Oesterholt, Mayke;

    2012-01-01

    Objective: To produce a fetal weight chart representative of a Tanzanian population, and compare it to weight charts from Sub-Saharan Africa and the developed world. Methods: A longitudinal observational study in Northeastern Tanzania. Pregnant women were followed throughout pregnancy with serial...... trans-abdominal ultrasound. All pregnancies with pathology were excluded and a chart representing the optimal growth potential was developed using fetal weights and birth weights. The weight chart was compared to a chart from Congo, a chart representing a white population, and a chart representing a...... white population but adapted to the study population. The prevalence of SGA was assessed using all four charts. Results: A total of 2193 weight measurements from 583 fetuses/newborns were included in the fetal weight chart. Our chart had lower percentiles than all the other charts. Most importantly, in...

  7. Chart Venture Partners' perspective on dual-use CBRNE technologies

    Van Nice, C. S.; Gardner, P. J.

    2008-04-01

    Chart Venture Partners' (CVP) approach to investing in Chemical, Biological, Radiological, Nuclear, and Explosives (CBRNE) detection technologies can be best understood in the context of the unique partnership between the firm's two founding institutions. CVP was founded as a partnership between the Chart Group, a New York-based merchant banking and venture capital boutique, and InSitech Incorporated, a 501(c)(3) non-profit commercial partnership intermediary for the U.S. Army's Armament Research Development and Engineering Center (ARDEC) at Picatinny Arsenal in New Jersey. The partnership between Chart Group and Insitech has yielded a new investment model. Unlike most venture funds, CVP operates with a singular focus on early-stage defense and security technologies, with the important caveat that everything we invest in must also have dual-use application in large-scale commercial markets. CVP believes that early-stage CBRNE companies require five qualities to be viable investment candidates and successful start-up companies: Great Science, Strong IP Positions, Recognized Scientific Champions, Identified Dual-Use Market Pull, and "Real World" Technical Performance Data. When earlystage CBRNE companies decide to seek venture capital and pursue higher growth dual-use business models, we often find that certain issues arise that are not always fully contemplated at the outset, and that can create gaps between what the start-up companies are offering to investors and what those investors are seeking from their potential portfolio companies. These same issues can have significant positive or negative impact on shareholder value over time, depending on how they are managed. Specifically, startups should consider carefully their strategies related to business development, market positioning, government funding, and investment syndicate formation.

  8. Minimum 2-Year Outcomes after Resection Arthroplasty of the Sternoclavicular Joint

    Katthagen, Jan Christoph; Tahal, Dimitri S.; Menge, Travis; Horan, Marilee P.; Millett, Peter J.

    2016-01-01

    Objectives: Injuries of the sternoclavicular (SC) joint are rare and are usually caused by high energy mechanisms, such as collision sports or motor vehicle accidents. The aims of this study were to assess functional outcomes and return to sport following resection arthroplasty for osteoarthritis of the sternoclavicular joint. Methods: 20 SC joints (18 patients) had undergone resection arthroplasty of up to a maximum of 10 mm of the medial end of the clavicle for painful osteoarthritis, without instability, between November 2006 and November 2013. Patients at least two years out from surgery and living in the U.S. were included in the study. This was an IRB-approved retrospective outcomes study with prospectively collected data. Preoperative and postoperative function and pain levels were assessed with the ASES, SF-12 PCS, QuickDASH and SANE scores. Additionally, the level of sport intensity and the pain levels during activities of daily living, work and recreation were assessed pre- and postoperatively. The results of the functional outcome scores were normally distributed and were compared with the paired sample t-test. The results of pain level assessment were not normally distributed and were compared with the paired Wilcoxon signed-rank test. Results: 19 SC joints in 17 patients (9 female, 8 male; mean age at time of surgery 39.5±17.1 years) met inclusion criteria. One patient refused participation in the study. Two patients (10.5%) were considered failures as they required additional SC joint surgery (one patient with revision resection of the medial clavicle for persistent symptoms and one patient with secondary figure-of-eight graft stabilization for instability). Minimum 2-year outcomes data were available for 14 of the remaining 16 SC joints (88%). The mean time to follow-up was 3.1 years (range, 2.0-8.8 years). The ASES score, QuickDASH, and pain levels demonstrated significant improvement postoperatively (p0.05; Table 1). All patients (100%, n=11) that

  9. Retrospect

    Weaver, Anthony

    1971-01-01

    A collection of essays on education printed in The New Era during the 1920-1930 era and written by: Beatrice Ensor, A. S. Neill, G. Bernard Shaw, Adolphe Ferriere, C. G. Jung, Martin Buber, Alfred Adler, Harold Rugg, Ovide Decroly, and Paul Langevin. (SE)

  10. Progressive pituitary hyperplasia over the course of 2 years demonstrated on magnetic resonance imaging in a patient with long standing, profound primary hypothyroidism

    Kathryn J. Stephens

    2013-02-01

    Full Text Available Pituitary hyperplasia secondary to primary hypothyroidism and subsequent regression following thyroid replacement has been well described. We report a 12 year-old male who was retrospectively found to have progressive pituitary hyperplasia over the course of 2 years prior to his diagnosis of primary hypothyroidism, as documented on annual brain magnetic resonance imaging (MRI for Arnold Chiari Type 1 malformation. He presented to Endocrinology with a 2-year history of fatigue, worsening daily headaches and linear growth deceleration. The diagnosis of primary hypothyroidism as the cause for his pituitary hyperplasia was made. He was started on levothyroxine with subsequent regression of pituitary hyperplasia demonstrated on repeat brain MRI six months later. This case is the first that demonstrates progressive pituitary hyperplasia from early in the course to diagnosis of hypothyroidism. It also illustrates that pituitary hyperplasia noted on routine brain MRI can be a presenting sign of primary hypothyroidism that should prompt endocrinologic evaluation.

  11. Portal film charts for a 6 MV linear accelerator

    Localization errors frequently arise in the portal film technique due to over-or underdevelop films, for high energy radiotherapy machines. To guarantee the accuracy and reproducibility of the localization film technique portal film charts were introduced into the routine planning for the Mevatron 6MV linear accelerator of the Beilinson Radiotherapy Dept. Maintaining reproducible film processor conditions, two films were used: medical X-ray film Curix RPI Agfa and localization film X-OMAT TL Kodak, combined with front and rear copper screens of 0.5 mm thickness each. The sensitometric curves for each film-screen combination were obtained (optical density as function of cassette dose). The least square fitted O.D. curve was used to obtain the cassette dose which produces an O.D. of 1.6. A theoretical equation for the calculation of the dose at the cassette positions, beyond a water phantom, as function of field size, SSD, patient thickness and patient to cassette separation, was experimentally checked with a 0.6 cc Farmer ionization chamber coupled to a 2570 Farmer dosimeter. As a result portal film charts (expressed in MU) were constructed as a function of FS, air-gap and patient-thickness, and the best partition dose for the double-exposure technique was also established. The patients dose in the double exposure technique was compared to that delivered in diagnostic radiology procedures. (author)

  12. Chronic heart failure in Japan: Implications of the CHART studies

    Nobuyuki Shiba

    2008-03-01

    Full Text Available Nobuyuki Shiba, Hiroaki ShimokawaDepartment of Cardiovascular Medicine, Department of Evidence-Based Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai City, JapanAbstract: The prognosis of patients with chronic heart failure (CHF still remains poor, despite the recent advances in medical and surgical treatment. Furthermore, CHF is a major public health problem in most industrialized countries where the elderly population is rapidly increasing. Although the prevalence and mortality of CHF used to be relatively low in Japan, the disorder has been markedly increasing due to the rapid aging of the society and the Westernization of lifestyle that facilitates the development of coronary artery disease. The Chronic Heart Failure Analysis and Registry in the Tohoku District (CHART-1 study was one of the largest cohorts in Japan. The study has clarified the characteristics and prognosis of Japanese patients with CHF, demonstrating that their prognosis was similarly poor compared with those in Western countries. However, we still need evidence for the prevention and treatment of CHF based on the large cohort studies or randomized treatment trials in the Japanese population. Since the strategy for CHF management is now changing from treatment to prevention, a larger-size prospective cohort, called the CHART-2 study, has been initiated to evaluate the risk factors of CHF in Japan. This review summarizes the current status of CHF studies in Japan and discusses their future perspectives.Keywords: heart failure, aging, Japanese

  13. Prospective multicenter assessment of perioperative and minimum 2-year postoperative complication rates associated with adult spinal deformity surgery.

    Smith, Justin S; Klineberg, Eric; Lafage, Virginie; Shaffrey, Christopher I; Schwab, Frank; Lafage, Renaud; Hostin, Richard; Mundis, Gregory M; Errico, Thomas J; Kim, Han Jo; Protopsaltis, Themistocles S; Hamilton, D Kojo; Scheer, Justin K; Soroceanu, Alex; Kelly, Michael P; Line, Breton; Gupta, Munish; Deviren, Vedat; Hart, Robert; Burton, Douglas C; Bess, Shay; Ames, Christopher P

    2016-07-01

    OBJECTIVE Although multiple reports have documented significant benefit from surgical treatment of adult spinal deformity (ASD), these procedures can have high complication rates. Previously reported complications rates associated with ASD surgery are limited by retrospective design, single-surgeon or single-center cohorts, lack of rigorous data on complications, and/or limited follow-up. Accurate definition of complications associated with ASD surgery is important and may serve as a resource for patient counseling and efforts to improve the safety of patient care. The authors conducted a study to prospectively assess the rates of complications associated with ASD surgery with a minimum 2-year follow-up based on a multicenter study design that incorporated standardized data-collection forms, on-site study coordinators, and regular auditing of data to help ensure complete and accurate reporting of complications. In addition, they report age stratification of complication rates and provide a general assessment of factors that may be associated with the occurrence of complications. METHODS As part of a prospective, multicenter ASD database, standardized forms were used to collect data on surgery-related complications. On-site coordinators and central auditing helped ensure complete capture of complication data. Inclusion criteria were age older than 18 years, ASD, and plan for operative treatment. Complications were classified as perioperative (within 6 weeks of surgery) or delayed (between 6 weeks after surgery and time of last follow-up), and as minor or major. The primary focus for analyses was on patients who reached a minimum follow-up of 2 years. RESULTS Of 346 patients who met the inclusion criteria, 291 (84%) had a minimum 2-year follow-up (mean 2.1 years); their mean age was 56.2 years. The vast majority (99%) had treatment including a posterior procedure, 25% had an anterior procedure, and 19% had a 3-column osteotomy. At least 1 revision was required in 82

  14. Knowledge Visualization: A Comparative Study between Project Tube Maps and Gantt Charts

    Burkhard, Remo Aslak; Meier, Michael; Rodgers, Peter; Smis, Matthias T. J.; Stott, Jonathan

    2005-01-01

    This paper compares the effectiveness of the Project Tube Map and the Gantt Chart for interfunctional communication in large projects where different stakeholders are involved. Today, Gantt Charts are well known in project management. However, the use of Gantt Charts has limitations: It fails in motivational aspects, it has difficulties to illustrate who is collaborating with whom, and it supports badly recall. The Project Tube Map has been introduced earlier as an approach to overcome these ...

  15. Designing business charts with Excel based on the standards of HICHERT

    Gerths, Holger

    2014-01-01

    This e-book offers a comprehensive range of knowledge for creating professional business charts based on the concept of HICHERT®SUCCESS. Given this knowledge, the SUCCESS rules of designing good business charts can be followed easily. This training is based on one complex example. The tips and trick learned can be transferred to other Excel chart types easily. Contents: Introduction to the HICHERT®SUCCESS design rules.Tips and tricks for Excel 2003 and 2007/2010.Comprehensive trai

  16. Design of inspection and maintenance models based on the CCC-chart

    Chan, LY

    2003-01-01

    In this research, six maintenance models are constructed based on whether minor inspection, major inspection, minor maintenance and major maintenance are performed on a system. The system to study is a production process in which items produced can be classified as either conforming or nonconforming, and a statistical process control chart called CCC-chart (cumulative count control chart) can be applied to monitor the process. The maintenance models are analyzed quantitatively, and selection ...

  17. Utilisation of CryoSat-2 SAR altimeter in operational ice charting

    E. Rinne; Similä, M.

    2016-01-01

    We present methods to utilise CryoSat-2 (CS-2) synthetic aperture radar (SAR) mode data in operational ice charting. We compare CS-2 data qualitatively to SAR mosaics over the Barents and Kara seas. Furthermore, we compare the CS-2 to archived operational ice charts. We present distributions of four CS-2 waveform parameters for different ice types as presented in the ice charts. We go on to present an automatic classification method for CS-2 data which, after training wit...

  18. Respiratory morbidity in very preterm and very low birth weight infants: the first 2 years of life

    Mariana Ferreira

    2014-06-01

    Full Text Available Respiratory morbidity in the first two years of life, including recurrent symptoms and frequent hospitalizations, is a common problem in very preterm and very low birth weight (VLBW infants. We conducted a retrospective cohort study aiming to describe the respiratory morbidity at 2 years of corrected age for very preterm and VLBW infants and to identify potential risk factors for its development in a Portuguese based population born in a tertiary referral center between 2009 and 2011. Data were collected from patient’s clinical files and using a standardized questionnaire-based clinical interview for parents. A total 59 children were included. Thirteen (22.0% had recurrent respiratory symptoms and 12 (20.3% were using chronic respiratory medication. Health care utilization for respiratory causes was frequent (57.6%, particularly emergency department attendance (50.8%. Twenty seven (45.8% had additional outpatient visits for respiratory causes and hospital admission was necessary for 8 (13.6% patients. Factors associated with increased recurrent respiratory symptoms included maternal hypertensive disorders during pregnancy, umbilical artery flow disturbances, being small for gestational age, bronchopulmonary dysplasia, retinopathy of prematurity, intraventricular hemorrhage and a weight percentile below 3 at 6, 12 and 24 months of corrected age. Premature rupture of membranes was negatively associated with respiratory morbidity. Respiratory morbidity at 2 years of age is a common problem in very preterm and VLBW children from our population. Several perinatal and developmental risk factors were identified for respiratory morbidity. Further studies are needed to clarify the importance of these factors, as they can lead to changes in healthcare guidelines.

  19. Validation of life-charts documented with the personal life-chart app – a self-monitoring tool for bipolar disorder

    Schärer, Lars O; Krienke, Ute J; Graf, Sandra-Mareike; Meltzer, Katharina; Langosch, Jens M

    2015-01-01

    Background Long-term monitoring in bipolar affective disorders constitutes an important therapeutic and preventive method. The present study examines the validity of the Personal Life-Chart App (PLC App), in both German and in English. This App is based on the National Institute of Mental Health’s Life-Chart Method, the de facto standard for long-term monitoring in the treatment of bipolar disorders. Methods Methods have largely been replicated from 2 previous Life-Chart studies. The particip...

  20. Sleep Duration, but Not Insomnia, Predicts the 2-Year Course of Depressive and Anxiety Disorders

    van Mill, Josine G.; Vogelzangs, Nicole; van Someren, Eus J. W.; Hoogendijk, Witte J. G.; Penninx, Brenda W. J. H.

    2014-01-01

    Objective: To examine the predictive role of insomnia and sleep duration on the 2-year course of depressive and anxiety disorders. Method: This study is a secondary data analysis based on data from the baseline (2004-2007) and 2-year assessment of the Netherlands Study of Depression and Anxiety. Par

  1. Sleep duration, but not insomnia, predicts the 2-year course of depressive and anxiety disorders

    van Mill, Josine G; Vogelzangs, Nicole; van Someren, Eus J W; Hoogendijk, Witte J G; Penninx, Brenda W J H

    2014-01-01

    OBJECTIVE: To examine the predictive role of insomnia and sleep duration on the 2-year course of depressive and anxiety disorders. METHOD: This study is a secondary data analysis based on data from the baseline (2004-2007) and 2-year assessment of the Netherlands Study of Depression and Anxiety. Par

  2. Sleep duration, but not insomnia, predicts the 2-year course of depressive and anxiety disorders

    J. van Mill; N. Vogelzangs (Nicole); E.J.W. van Someren (Eus); W.J.G. Hoogendijk (Witte); B.W.J.H. Penninx (Brenda)

    2014-01-01

    textabstractObjective: To examine the predictive role of insomnia andsleep duration on the 2-year course of depressive andanxiety disorders. Method: This study is a secondary data analysis based ondata from the baseline (2004-2007) and 2-year assessmentof the Netherlands Study of Depression and Anxi

  3. Night-vision goggles for night-blind subjects : subjective evaluation after 2 years of use

    Hartong, D. T.; Kooijman, A. C.

    2006-01-01

    Purpose: To evaluate the usefulness of night-vision goggles (NVG) for night-blind subjects after 1 and 2 years of use. Methods: Eleven night-blind subjects with retinitis pigmentosa used NVG for a 2-year period. At the end of each year, they were requested to fill-in two questionnaires regarding the

  4. Infantile Amnesia across the Years: A 2-Year Follow-Up of Children's Earliest Memories

    Peterson, Carole; Warren, Kelly L.; Short, Megan M.

    2011-01-01

    Although infantile amnesia has been investigated for many years in adults, only recently has it been investigated in children. This study was a 2-year follow-up and extension of an earlier study. Children (4-13 years old) were asked initially and 2 years later for their earliest 3 memories. At follow-up, their age at the time of these memories…

  5. Independent Pre-Transplant Recipient Cancer Risk Factors after Kidney Transplantation and the Utility of G-Chart Analysis for Clinical Process Control.

    Harald Schrem

    Full Text Available The aim of this study is to identify independent pre-transplant cancer risk factors after kidney transplantation and to assess the utility of G-chart analysis for clinical process control. This may contribute to the improvement of cancer surveillance processes in individual transplant centers.1655 patients after kidney transplantation at our institution with a total of 9,425 person-years of follow-up were compared retrospectively to the general German population using site-specific standardized-incidence-ratios (SIRs of observed malignancies. Risk-adjusted multivariable Cox regression was used to identify independent pre-transplant cancer risk factors. G-chart analysis was applied to determine relevant differences in the frequency of cancer occurrences.Cancer incidence rates were almost three times higher as compared to the matched general population (SIR = 2.75; 95%-CI: 2.33-3.21. Significantly increased SIRs were observed for renal cell carcinoma (SIR = 22.46, post-transplant lymphoproliferative disorder (SIR = 8.36, prostate cancer (SIR = 2.22, bladder cancer (SIR = 3.24, thyroid cancer (SIR = 10.13 and melanoma (SIR = 3.08. Independent pre-transplant risk factors for cancer-free survival were age 62.6 years (p = 0.001, HR: 1.29, polycystic kidney disease other than autosomal dominant polycystic kidney disease (ADPKD (p = 0.001, HR: 0.68, high body mass index in kg/m2 (p<0.001, HR: 1.04, ADPKD (p = 0.008, HR: 1.26 and diabetic nephropathy (p = 0.004, HR = 1.51. G-chart analysis identified relevant changes in the detection rates of cancer during aftercare with no significant relation to identified risk factors for cancer-free survival (p<0.05.Risk-adapted cancer surveillance combined with prospective G-chart analysis likely improves cancer surveillance schemes by adapting processes to identified risk factors and by using G-chart alarm signals to trigger Kaizen events and audits for root-cause analysis of relevant detection rate changes

  6. Persistence and compliance to antidepressant treatment in patients with depression: A chart review

    Sawada Norifusa

    2009-06-01

    Full Text Available Abstract Background Adherence has recently been suggested to be divided into these two components: persistence (i.e., whether patients continue treatment or not and compliance (i.e., whether patients take doses as instructed. However, no study has yet assessed these two clinically relevant components at the same time in adherence to antidepressant treatment in the clinical outpatient setting. Methods In this retrospective chart-review, 6-month adherence to antidepressants was examined in 367 outpatients with a major depressive disorder (ICD-10 (170 males; mean ± SD age 37.6 ± 13.9 years, who started antidepressant treatment from April 2006 through March 2007. Additionally, we evaluated Medication Possession Rate (MPR, defined as the total days a medication was dispensed to patients divided by the treatment period. Results Only 161 patients (44.3% continued antidepressant treatment for 6 months. Among 252 patients who discontinued their initial antidepressant, 63.1% of these patients did so without consulting their physicians. Sertraline use was associated with a higher persistence rate at month 6 (odds ratio 2.59 in comparison with sulpiride, and the use of anxiolytic benzodiazepines had a positive effect on persistence to antidepressant treatment only at month 1 (odds ratio 2.14. An overall MPR was 0.77; 55.6% of patients were considered compliant (i.e., a MPR of ≥ 0.8. Conclusion Given a high rate of antidepressant discontinuation without consulting their physicians, closer communication between patients and their physicians should be encouraged. Although the use of anxiolytic benzodiazepines was associated with a higher persistence to antidepressant treatment at month 1, the use of these drugs should be avoided as a rule, given their well-known serious adverse effects.

  7. A Retrospective Review of Outcomes of Dental Treatment Performed for Special Needs Patients under General Anaesthesia: 2-Year Follow-Up

    Sreekanth Kumar Mallineni

    2014-01-01

    Full Text Available Objective. The purpose of the study was to evaluate the follow-up pattern of special needs patients (SNP treated under general anaesthesia (GA and the failure rates of different treatment procedures and restorative materials. Study Design. The treatment records of the patients who received dental treatment under GA during 2005 to 2009 were reviewed. The duration of follow-up periods, the outcomes of different treatment procedures, and the quality of different restorative materials were recorded and evaluated. Statistics were used for the comparison (SPSS 20.0. Pearson’s chi-square test and post hoc analysis were used to evaluate the attendance of postoperative appointments and the associations of failure rates of different treatment procedures and restorative materials. Cohen kappa statistics was used for intraexaminer reliability. Results. A total of 177 patients were included in the study. The attendance of postoperative appointments showed a gradual decrease from 96% to 36% within 24 months (P<0.05. Restorative procedures had the highest failure rates among all treatment procedures (P<0.05. Stainless steel crowns showed higher survival rates among different restorative materials (P<0.05. Pulp treatment in primary molars has higher success rate than primary incisors and canines. Composite restorations placed in primary canines have low survival rates. The intraexaminer reliability was good (k=0.94. Conclusion. The attendance for postoperative follow-up appointments declined within two years. Restorative treatment was less successful when compared to preventive and pulp treatments. Stainless steel crowns were more reliable restorations with higher survival rates and composite restorations were less durable.

  8. A Nonparametric Shewhart-Type Quality Control Chart for Monitoring Broad Changes in a Process Distribution

    Saad T. Bakir

    2012-01-01

    Full Text Available This paper develops a distribution-free (or nonparametric Shewhart-type statistical quality control chart for detecting a broad change in the probability distribution of a process. The proposed chart is designed for grouped observations, and it requires the availability of a reference (or training sample of observations taken when the process was operating in-control. The charting statistic is a modified version of the two-sample Kolmogorov-Smirnov test statistic that allows the exact calculation of the conditional average run length using the binomial distribution. Unlike the traditional distribution-based control charts (such as the Shewhart X-Bar, the proposed chart maintains the same control limits and the in-control average run length over the class of all (symmetric or asymmetric continuous probability distributions. The proposed chart aims at monitoring a broad, rather than a one-parameter, change in a process distribution. Simulation studies show that the chart is more robust against increased skewness and/or outliers in the process output. Further, the proposed chart is shown to be more efficient than the Shewhart X-Bar chart when the underlying process distribution has tails heavier than those of the normal distribution.

  9. A study on the performance of synthetic type charts when process parameters are estimated

    You, Huay Woon; Khoo, Michael Boon Chong; Teh, Sin Yin

    2015-10-01

    There are two types of synthetic charts for monitoring the process mean, i.e. synthetic X ¯ chart and synthetic double sampling X ¯ chart (SDS X ¯ chart). In most applications, the process parameters, such as the in-control mean and the in-control standard deviation are usually unknown. Under such circumstances, both these process parameters need to be estimated from an in-control Phase I dataset. Thus, it is vital to study the performance of these charts when the process parameters are unknown. In this paper, the performance of two synthetic type charts with estimated process parameters will be studied. The average number of observations to signal (ANOS) criterion will be used to evaluate the performances of these charts. This study shows that the performances of synthetic type charts are significantly affected by the estimation of process parameters. Furthermore, a large number of Phase I samples is required so that the synthetic type charts with estimated process parameters will have reasonable performances as their corresponding known process parameters counterparts, especially when the sample size and size of process mean shift is small.

  10. Illuminant spectrum estimation using a digital color camera and a color chart

    Shi, Junsheng; Yu, Hongfei; Huang, Xiaoqiao; Chen, Zaiqing; Tai, Yonghang

    2014-10-01

    Illumination estimation is the main step in color constancy processing, also an important prerequisite for digital color image reproduction and many computer vision applications. In this paper, a method for estimating illuminant spectrum is investigated using a digital color camera and a color chart under the situation when the spectral reflectance of the chart is known. The method is based on measuring CIEXYZ of the chart using the camera. The first step of the method is to gain camera's color correction matrix and gamma values by taking a photo of the chart under a standard illuminant. The second step is to take a photo of the chart under an estimated illuminant, and the camera's inherent RGB values are converted to the standard sRGB values and further converted to CIEXYZ of the chart. Based on measured CIEXYZ and known spectral reflectance of the chart, the spectral power distribution (SPD) of the illuminant is estimated using the Wiener estimation and smoothing estimation. To evaluate the performance of the method quantitatively, the goodnessfitting coefficient (GFC) was used to measure the spectral match and the CIELAB color difference metric was used to evaluate the color match between color patches under the estimated and actual SPDs. The simulated experiment was carried to estimate CIE standard illuminant D50 and C using X-rite ColorChecker 24-color chart, the actual experiment was carried to estimate daylight and illuminant A using two consumergrade cameras and the chart, and the experiment results verified feasible of the investigated method.

  11. Energy predictions. [Briefs on 33 charts, figures, and graphs

    Freiwald, D.A.

    1977-01-01

    Briefs describe 33 charts, graphs, and schematics offering some recent history and perspectives on the world and U.S. energy situation and the problems for survival facing the world. Of interest is Figure 28, showing the Club of Rome's model of the earth in terms of resource consumption, food, money, people, pollution, etc. A computer was asked to extend recent history into the future and results indicate a collapse of the industrialized system towards an agrarian culture around the year 2025. It is noted that the model did not consider technological initiative or man's willingness to change lifestyles. The final (33) schematic is a guesstimate of noticeable impact timescales, indicating when research projects on transition or ultimate energy sources at LASL might be expected to yield impact. (MCW)

  12. Statistical process control based chart for information systems security

    Khan, Mansoor S.; Cui, Lirong

    2015-07-01

    Intrusion detection systems have a highly significant role in securing computer networks and information systems. To assure the reliability and quality of computer networks and information systems, it is highly desirable to develop techniques that detect intrusions into information systems. We put forward the concept of statistical process control (SPC) in computer networks and information systems intrusions. In this article we propose exponentially weighted moving average (EWMA) type quality monitoring scheme. Our proposed scheme has only one parameter which differentiates it from the past versions. We construct the control limits for the proposed scheme and investigate their effectiveness. We provide an industrial example for the sake of clarity for practitioner. We give comparison of the proposed scheme with EWMA schemes and p chart; finally we provide some recommendations for the future work.

  13. Developing control charts to review and monitor medication errors.

    Ciminera, J L; Lease, M P

    1992-03-01

    There is a need to monitor reported medication errors in a hospital setting. Because the quantity of errors vary due to external reporting, quantifying the data is extremely difficult. Typically, these errors are reviewed using classification systems that often have wide variations in the numbers per class per month. The authors recommend the use of control charts to review historical data and to monitor future data. The procedure they have adopted is a modification of schemes using absolute (i.e., positive) values of successive differences to estimate the standard deviation when only single incidence values are available in time rather than sample averages, and when many successive differences may be zero. PMID:10116719

  14. Draft tube flow phenomena across the bulb turbine hill chart

    In the framework of the BulbT project launched by the Consortium on Hydraulic Machines and the LAMH (Hydraulic Machine Laboratory of Laval University) in 2011, an intensive campaign to identify flow phenomena in the draft tube of a model bulb turbine has been done. A special focus was put on the draft tube component since it has a particular importance for recuperation in low head turbines. Particular operating points were chosen to analyse flow phenomena in this component. For each of these operating points, power, efficiency and pressure were measured following the IEC 60193 standard. Visualizations, unsteady wall pressure and efficiency measurements were performed in this component. The unsteady wall pressure was monitored at seven locations in the draft tube. The frequency content of each pressure signal was analyzed in order to characterize the flow phenomena across the efficiency hill chart. Visualizations were recorded with a high speed camera using tufts and cavitation bubbles as markers. The predominant detected phenomena were mapped and categorized in relation to the efficiency hill charts obtained for three runner blade openings. At partial load, the vortex rope was detected and characterized. An inflection in the partial load efficiency curves was found to be related to complex vortex rope instabilities. For overload conditions, the efficiency curves present a sharp drop after the best efficiency point, corresponding to an inflection on the power curves. This break off is more severe towards the highest blade openings. It is correlated to a flow separation at the wall of the draft tube. Also, due to the separation occurring in these conditions, a hysteresis effect was observed on the efficiency curves

  15. Retrospective analysis of fatal falls.

    Thierauf, Annette; Preuss, Johanna; Lignitz, Eberhard; Madea, Burkhard

    2010-05-20

    Fatal falls are frequent and inhomogeneous events and affect every age. The criminalistic classification can often only be done on the basis of extensive investigations and the autopsy results. We retrospectively surveyed 291 cases of fatal falls on which a post-mortem examination had been carried out in the institutes of Forensic Medicine in Bonn and Greifswald. In large part, these cases are falls from height (n=123) and ground-level falls (n=122). These are compared to fatal falls down a stairs (n=46); the analysis is confined to injuries to the cranium. In ground-level falls the injury pattern in falls under the influence of alcohol differs from that of falls with no alcohol in the case history: all injuries are seen in higher relative frequency in casualties after the consumption of alcohol. In falls from height, the previous consumption of alcohol did not influence the injury pattern; the intracranial traumas are seen in decreasing frequency with increasing heights. The aim of this retrospective analysis is to present injury patterns and influencing factors like fall heights and alcohol for the different kinds of falls on the basis of our collective and to demonstrate similarities and differences between the subgroups. PMID:20176452

  16. The Hill Chart Calculation for Francis Runner Models using the HydroHillChart - Francis Module Software

    Adelina Bostan

    2015-07-01

    Full Text Available In practice, for the design of hydraulic turbines, laboratory tests performed on reduced scale models of turbines are recommended. The optimisation of a turbine model requires extensive experimental research on several variants of geometry, the improvement of efficiency at an industrial scale which will lead to substantial economic benefits because of the extended life of the turbine. Warranty conditions arisen from model tests will be verified by additional tests performed on industrial prototypes at specific points agreed between the supplier and the customer. The purpose of these tests is the experimental determination of the relationships between the basic parameters of the operating turbine for different operating conditions. The graphic expression of these relationships represent the hill chart of the turbine which is valid for the whole turbine family similar to the tested model.

  17. Dually diagnosed: a retrospective study of the process of diagnosing autism spectrum disorders in children who are deaf and hard of hearing.

    Szarkowski, Amy; Flynn, Suzanne; Clark, Terrell

    2014-11-01

    Utilizing a retrospective chart review of 30 children who have been dually diagnosed with hearing loss and autism spectrum disorders (ASDs), this study explores the process of arriving at the diagnosis of ASD in this population. Factors of interest include the age of ASD diagnosis in children who are deaf and hard of hearing, the types of professionals involved in making the diagnosis, and the measures used for assessment. Complications in the diagnostic process are highlighted. PMID:25321854

  18. Radiological features and therapeutic responses of pulmonary nontuberculous mycobacterial disease in rheumatoid arthritis patients receiving biological agents: a retrospective multicenter study in Japan

    Mori, Shunsuke; Tokuda, Hitoshi; Sakai, Fumikazu; Johkoh, Takeshi; Mimori, Akio; Nishimoto, Norihiro; Tasaka, Sadatomo; Hatta, Kazuhiro; Matsushima, Hidekazu; Kaise, Shunji; Kaneko, Atsushi; Makino, Shigeki; Minota, Seiji; Yamada, Takashi; Akagawa, Shinobu

    2011-01-01

    Objective This study was performed to evaluate the radiological features of and therapeutic responses to pulmonary disease caused by nontuberculous mycobacteria (NTM) in the setting of biological therapy for rheumatoid arthritis (RA). Methods We conducted a retrospective chart review of 13 patients from multiple centers who had developed pulmonary NTM disease during biological therapy for RA, including infliximab, etanercept, adalimumab, and tocilizumab. Results Most cases were asymptomatic o...

  19. The assessment of weight status in children and young people attending a spina bifida outpatient clinic: a retrospective medical record review

    McPherson, Amy C.; Swift, Judy Anne; Yung, Emily; Lyons, Julia; Church, Paige

    2013-01-01

    PURPOSE: Children with disabilities are two to three times more likely to become overweight or obese than typically developing children. Children with spina bifida (SB) are at particular risk, yet obesity prevalence and weight management with this population are under-researched. This retrospective chart review explored how weight is assessed and discussed in a children's SB outpatient clinic. METHOD: Height/weight data were extracted from records of children aged 2-18 with a diagnos...

  20. Retrospective Birth Dating of Cells

    L.Spalding, K; Bhardwaj, R D; Buchholz, B A; Druid, H; Frisen, J

    2005-04-19

    The generation of cells in the human body has been difficult to study and our understanding of cell turnover is limited. Extensive testing of nuclear weapons resulted in a dramatic global increase in the levels of the isotope {sup 14}C in the atmosphere, followed by an exponential decrease after the test ban treaty in 1963. We show that the level of {sup 14}C in genomic DNA closely parallels atmospheric levels, and can be used to establish the time point when the DNA was synthesized and cells were born. We use this strategy to determine the age of cells in the cortex of the adult human brain, and show that whereas non-neuronal cells are exchanged, occipital neurons are as old as the individual, supporting the view that postnatal neurogenesis does not take place in this region. Retrospective birth dating is a generally applicable strategy that can be used to measure cell turnover in man under physiological and pathological conditions.

  1. Retrospective Evaluation of Colonoscopy Results

    Yaşar M et al.

    2010-09-01

    Full Text Available Aim: The aim of this study is the retrospective evaluation of colonoscopy results between 2005 January- 2009 December in General Surgery Department of Düzce University.Materials and Methods: Admitted to our department with lower gastrointestinal symptoms, and colonoscopy is indicated 500 male and 538 female total 1038 patients were performed flexible colonoscopic examinations after bowel cleansing.Results: According to results of colonoscopic findings, 42.9% No pathology, 32.5% Hemorrhoids, 17.6% Anal fissures were detected.Conclusion: As a result of this study, half of patients admitted to our surgical clinic with lower gastrointestinal complaints have no pathology and in the other half of patients have various pathologies such as hemorrhoids and anal fissures.

  2. Thyroid abnormalities in paediatric patients with vitiligo: retrospective study

    Borlu, Murat; Çınar, Salih Levent; Kesikoğlu, Ayten; Utaş, Serap

    2016-01-01

    Introduction The association between vitiligo and thyroid disease is not fully investigated especially in paediatric patients. Aim To determine the incidence of vitiligo and thyroid disorders in children. This is the first report from middle Anatolia and the second report from Turkey. Material and methods A retrospective chart review was performed to examine the presence of thyroid abnormalities in paediatric patients who had been admitted to the dermatology department with vitiligo. Results A total of 155 paediatric patients, including 80 (52%) male and 75 (48%) female patients were included. The mean age was 8.6 years. Non segmental vitiligo was the most common type of the disease in 140 (90%) reviewed patients, while segmental vitiligo appeared only in 15 (10%) patients. The mean onset of vitiligo was 5.6 ±0.9 years. A family history of vitiligo was found in 14 (9%) children. Thirty-four (22%) patients had thyroid function tests and/or thyroid autoantibody abnormality. All of these patients had non segmental vitiligo. It was statistically significant (p vitiligo and thyroid disease parameters. Conclusions Our results show that it may be useful to screen thyroid in children with non segmental vitiligo.

  3. Retrospective evaluation of a pharmacist-managed warfarin anticoagulation clinic.

    Garabedian-Ruffalo, S M; Gray, D R; Sax, M J; Ruffalo, R L

    1985-02-01

    The effectiveness of a pharmacist-managed warfarin anticoagulation clinic in maintaining therapeutic prothrombin times and preventing hospitalizations secondary to inadequate control of anticoagulation was evaluated. Patients who had received warfarin sodium for at least one year before being referred to the anticoagulation clinic were studied using retrospective chart reviews. Clinical pharmacists provided patient education, monitored patients for hemorrhagic and thromboembolic complications, and adjusted warfarin sodium dosage to maintain therapeutic prothrombin times. The patients' primary physicians retained responsibility for overall care and were consulted by pharmacists regarding complications of anticoagulation and patient unreliability. The percentage of patients requiring hospitalization (39% versus 4%) and the percentage of prothrombin times outside the therapeutic range (35.8% versus 14.4%) were significantly higher during the preclinic phase (before referral to the clinic) than during the clinic phase. Eight patients were hospitalized for hemorrhagic complications and four for thromboembolism during the preclinic phase; only one hospitalization for hemorrhage occurred during the clinic phase. The warfarin anticoagulation clinic staffed by specially trained pharmacists provided improved therapy compared with treatment received by patients before their referral to the clinic. PMID:3976675

  4. A New Spin on Miscue Analysis: Using Spider Charts to Web Reading Processes

    Wohlwend, Karen E.

    2012-01-01

    This article introduces a way of seeing miscue analysis data through a "spider chart", a readily available digital graphing tool that provides an effective way to visually represent readers' complex coordination of interrelated cueing systems. A spider chart is a standard feature in recent spreadsheet software that puts a new spin on miscue…

  5. Computer-assisted chart making from the graphic designer's perspective

    Marcus, A.

    1980-04-01

    It is important to improve the aesthetics and effectiveness of information graphics through greater awareness of graphic design as a visual communication discipline. Chart making is one subject area in which graphic design awareness can be enhanced. Basic design principles are reviewed which are relevant to creating better charts. Examples demonstrate improvements. 4 figures, 1 table.

  6. Increasing Communication in Geometry by Using a Personal Math Concept Chart

    Friedman, Rhonda; Kazerouni, Gety; Lax, Stacey; Weisdorf, Elli

    2011-01-01

    The action research team developed a "Personal Math Concept Chart". This chart required students to describe the mathematical concepts that they were studying in the Geometry strand of Mathematics using their own images and words. In this study, students were encouraged to express their own understanding of geometric concepts in order to…

  7. The Groningen assisted reproductive technologies cohort study : developmental status and behavior at 2 years

    Jongbloed-Pereboom, Marjolein; Middelburg, Karin J.; Heineman, Maas Jan; Bos, Arend F.; Hadders-Algra, Mijna

    2011-01-01

    Objective: To evaluate whether children's cognitive and psychomotor development and behavior at 2 years are affected by ovarian hyperstimulation and the IVF laboratory procedures or subfertility. Design: Prospective longitudinal cohort study. Setting: University Medical Center Groningen, the Netherl

  8. Inflammatory and Metabolic Dysregulation and the 2-Year Course of Depressive Disorders in Antidepressant Users

    Vogelzangs, Nicole; Beekman, Aartjan T. F.; Dortland, Arianne K. B. van Reedt; Schoevers, Robert A.; Giltay, Erik J.; de Jonge, Peter; Penninx, Brenda W. J. H.

    2014-01-01

    Scarce evidence suggests that inflammatory and metabolic dysregulation predicts poor response to antidepressants, which could result in worse depression outcome. This study prospectively examined whether inflammatory and metabolic dysregulation predicted the 2-year course of depressive disorders amo

  9. 75 FR 60172 - Proposed Information Collection (Gravesite Reservation Survey (2 Year)) Activity: Comment Request

    2010-09-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Gravesite Reservation Survey (2 Year)) Activity: Comment Request... Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the...

  10. 78 FR 68909 - Proposed Information Collection (Gravesite Reservation Survey (2 Year)) Activity: Comment Request

    2013-11-15

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Gravesite Reservation Survey (2 Year)) Activity: Comment Request... Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the...

  11. Many Kidney Transplant Patients Land in ER Within 2 Years: Study

    ... gov/medlineplus/news/fullstory_157959.html Many Kidney Transplant Patients Land in ER Within 2 Years: Study Findings show need to coordinate care after organ transplant, researcher says To use the sharing features on ...

  12. Long-term results after primary intraocular lens implantation in children operated less than 2 years of age for congenital cataract

    Jaspreet Sukhija

    2014-01-01

    Full Text Available Purpose: To study the long-term outcome of cataract surgery with primary intraocular lens (IOL in children <2 years. Materials and Methods: Retrospective analysis of bilateral cases that were operated before 2 years age for congenital cataract. All underwent primary posterior capsulotomy with anterior vitrectomy and primary IOL implantation. Only those with a follow-up of at least 8 years were evaluated. Results: Twenty-six eyes of 13 children with bilateral cataract met the inclusion criteria. Average age at surgery was 14.15 months with a mean follow-up of 102 months. Average preoperative axial length (AL was 19.93 mm. There was a refractive shift from a mean spherical equivalent of 1.64 D at 2 weeks after surgery to -1.42 D measured at last follow-up. Twenty-four eyes out of 26 (92% achieved final visual acuity (VA of 6/18 or more at last follow-up with 19/26 (73% having acuity of 6/12 or greater. Raised intraocular pressure was documented in one eye only. Average AL recorded at last follow-up was 22.21 mm. Conclusion: Primary IOL implantation in children <2 years is a safe surgical procedure with excellent long-term results. The myopic shift is well-controlled and final VA achieved is reasonably good.

  13. A New Approach to Diagnosing Signals from Multivariate EWMA Control Chart

    MA Yi-zhong; ZHAO Feng-yu

    2003-01-01

    Since Lowry et al. [1992] proposed a multivariate version of the exponentially weighted moving average (EWMA) control chart, the multivariate EWMA control chart has become more and more popular in monitoring production processes, especially in chemical processes. A major advantage of multivariate EWMA statistics is that it is sensitive to small and moderate shifts in the mean vector. However, when a multivariate EWMA chart issues a signal, it is difficult to identify which variable or set of variables is out of control. In this paper, we introduce a new approach to diagnosing signals from a multivariate EWMA control chart. The implementation procedure is that when the multivariate EWMA control chart issues a signal, we adopt a univariate diagnostic procedure to identify the variables or/and the principal components that caused the signal.

  14. Application of a binomial cusum control chart to monitor one drinking water indicator

    Elisa Henning

    2014-02-01

    Full Text Available The aim of this study is to analyze the use of a binomial cumulative sum chart (CUSUM to monitor the presence of total coliforms, biological indicators of quality of water supplies in water treatment processes. The sample series were monthly taken from a water treatment plant and were analyzed from 2007 to 2009. The statistical treatment of the data was performed using GNU R, and routines were created for the approximation of the upper limit of the binomial CUSUM chart. Furthermore, a comparative study was conducted to investigate whether there is a significant difference in sensitivity between the use of CUSUM and the traditional Shewhart chart, the most commonly used chart in process monitoring. The results obtained demonstrate that this study was essential for making the right choice in selecting a chart for the statistical analysis of this process.

  15. Robust Hotelling T2 control chart using reweighted minimum vector variance estimators

    Ali, Hazlina; Yahaya, Sharipah Soaad Syed; Omar, Zurni

    2014-12-01

    Hotelling T2 control chart is employed to monitor the stability of a multivariate process in Phase I and II. Traditional Hotelling T2 control chart using classical estimators in Phase I, however, suffers from masking and swamping effects and thus jeorpadizes its performance. To alleviate this problem, robust location and scale estimators are recommended instead. In this paper, a new Hotelling T2 control chart based on highly robust and efficient estimators of location and scatter estimators, known as reweighted minimum vector variance estimators, is proposed. Numerical results show that the new chart is not only capable of detecting outliers but it can also control the alarm rates better than the existing charts.

  16. PREVALENCE AND AETIOLOGICAL FACTORS OF URINARY TRACT INFECTION IN FEBRILE CHILDREN 2 MONTHS TO 2 YEARS

    Mohammed, MR; Adarsh

    2016-01-01

    OBJECTIVES To determine the prevalence of urinary tract infection and etiological factors in recurrent urinary tract infections in febrile children, 2 months to 2 years of age. METHODS It was a hospital-based cross-sectional study conducted in the OPD of a tertiary care teaching hospital; 239 children between the ages of 2 months to 2 years with fever of more than 5 days were evaluated for UTI. Those who have >5 pus cells in urine analysis, urine culture was done....

  17. Myopia Control with a Novel Peripheral Gradient Soft Lens and Orthokeratology: A 2-Year Clinical Trial

    Jaime Pauné; Hari Morales; Jesús Armengol; Lluisa Quevedo; Miguel Faria-Ribeiro; González-Méijome, José M.

    2015-01-01

    Objective. To evaluate the degree of axial elongation with soft radial refractive gradient (SRRG) contact lenses, orthokeratology (OK), and single vision (SV) spectacle lenses (control) during a period of 1 year before treatment and 2 years after treatment. Methods. This was a prospective, longitudinal, nonrandomized study. The study groups consisted of 30, 29, and 41 children, respectively. The axial length (AL) was measured during 2 years after recruitment and lens fitting. Results. The bas...

  18. A retrospective study on salmonella infection in Danish broiler flocks

    Angen, Øystein; Skov, M. N.; Chriél, Mariann; Agger, J. F.; Bisgaard, M.

    A retrospective longitudinal study was conducted to identify risk factors associated with Salmonella enterica infection in Danish broiler production. The study was based on information in the antemortem database (AM database) where data were available for all broiler Becks slaughtered over the 2......-year period from 1992 to 1993 in Denmark. The AM database contains information collected by the ante-mortem veterinarians, from the slaughterhouses, and from the salmonella examinations carried out at the National Veterinary Laboratory. The epidemiological unit was the individual broiler flock. The...... been evaluated. Fourteen variables were selected for analysis by multivariable logistic regression. An increased risk of salmonella infection in the broiler Becks was associated with the biggest hatcheries and feedmill, with an increasing number of houses on the farm, if the preceding flock was...

  19. Control-Chart Dashboards: managing your numbers instead of your numbers managing you

    This paper, which documents Fluor Hanford's application of Statistical Process Control (SPC) and Dashboards to support planning and decision making, is a sequel to 'Leading with Leading Indicators' that was presented at WM '05. This year's paper provides more detail on management's use of SPC and control charts and discusses their integration into an executive summary using the popular color-coded dashboard methodology. Fluor Hanford has applied SPC in a non-traditional (that is non-manufacturing) manner. Dr. Shewhart's 75-year-old control-chart methodologies have been updated to modern data processing, but are still founded on his sound, tried and true principles. These methods are playing a key role in safety and quality at what has been called the world's largest environmental cleanup project. The U.S. Department of Energy's (DOE's) Hanford Site played a pivotal role in the nation's defense, beginning in the 1940's when it was established as part of the Manhattan Project. After more than 50 years of producing nuclear weapons, Hanford - which covers 586 square miles in southeastern Washington state - is now focused on three outcomes: 1. Restoring the Columbia River corridor for multiple uses 2. Transitioning the central plateau to support long-term waste management 3. Putting DOE assets to work for the future. The control-chart-based dashboard has been featured by several professional societies in their publications, most recently by the American Society of Safety Engineers. The case is provided for why one should consider switching from bar charts, moving averages, 'rainbow charts', and other non-statistical charting methods, and changing to control charts. Control charts have actually cost less to make than these other charts. Lessons learned from implementing the 'FluorBoard' control-chart-based dashboards will be included. These tools, management theories and methods, coupled with involved leadership and employee efforts, will directly lead to significant

  20. Astrobiology: A Roadmap for Charting Life in the Universe

    DesMarais, David J.; DeVincezi, D. (Technical Monitor)

    2002-01-01

    Astrobiology is the study of the origin, evolution and distribution of life in the universe. It provides a biological perspective to many areas of NASA research. It links such endeavors as the search for habitable planets, exploration missions to Mars and the outer Solar System, efforts to understand the origins and early evolution of life, and charting the potential of life to adapt to future challenges, both on Earth and in space. Astrobiology addresses the following three basic questions, which have been asked in some form for generations. How does life begin and evolve? Does life exist elsewhere in the universe? What is future of life on Earth and beyond? The NASA Astrobiology Roadmap provides guidance for research and technology development across several NASA Enterprises: Space Science, Earth Science, and the Human Exploration and Development of Space. The Roadmap is formulated in terms of eight Science Goals that outline key domains of investigation that might require perhaps decades of effort to consolidate. For each of these goals, Science Objectives outline more specific high priority near-term efforts for the next three to five years. These twenty objectives will be integrated with NASA strategic planning.

  1. Astronomical Books and Charts in the Book of Bibliographie Coreenne

    Lee, Ki-Won; Yang, Hong-Jin; Park, Myeong-Gu

    2008-06-01

    We investigate astronomical materials listed in the book of Bibliographie Coréenne written by Maurice Courant. He classified ancient Korean books into nine Divisions (?) and thirty six Classes (?), and published them as three volumes (ranging from 1894 to 1896) and one supplement (in 1901). In total, 3,821 books including astronomical ones are listed together with information on physical size, possessional place, bibliographical note, and so forth. Although this book is an essential one in the field of Korea bibliography and contains many astronomical materials such as Cheon-Mun-Ryu-Cho ????, Si-Heon-Seo ??????, and Cheon-Sang-Yeol-Cha-Bun-Ya-Ji-Do ????????, it has not been well known to the public nor to astronomical society. Of 3,821 catalogues, we found that about 50 Items (?) are related to astronomy or astrology, and verified that most ! of them are located in the Kyujanggak Royal Library ???. We also found an unknown astronomical chart, Hon-Cheon-Chong-Seong-Yeol-Cha-Bun-Ya-Ji-Do ??????????. Because those astronomical materials are not well known to international astronomical community and there have been few studies on the materials in Korea, we here introduce and review them, particularly with the astronomical viewpoint.

  2. Kornati Islands on Old Geographic Maps and Charts

    Josip Faričić

    2005-09-01

    Full Text Available Based on the analysis of cartographic sources, the paper analyses the historical and geographical development of the Kornati islands, the largest group of Croatian islands. The old maps were used first of all as the means of geographic research that, being necessarily correlated to the simultaneous historical written sources and modern topographic and maritime maps, make the basis for creating a research platform for relevant scientific results to be achieved. On the basis of the old maps it is possible, among other things to anticipate that the Kornati islands used to have great geotraffic significance on the eastern Adriatic sailing route. According to the development of geographic concepts and cartographic methods, the geographic vision of the Kornati islands has been gradually clarified ever since the 16th century. The chart from the Carta di cabotaggio del Mare Adriatico edition published by the Military and Geographic Institute from Milan (1822-1824 presents the turning point with the first complete and mostly precise presentation of the Kornati islands group on the basis of hydrographic and topographic field measurements.

  3. PACS 2000: quality control using the task allocation chart

    Norton, Gary S.; Romlein, John R.; Lyche, David K.; Richardson, Ronald R., Jr.

    2000-05-01

    Medical imaging's technological evolution in the next century will continue to include Picture Archive and Communication Systems (PACS) and teleradiology. It is difficult to predict radiology's future in the new millennium with both computed radiography and direct digital capture competing as the primary image acquisition methods for routine radiography. Changes in Computed Axial Tomography (CT) and Magnetic Resonance Imaging (MRI) continue to amaze the healthcare community. No matter how the acquisition, display, and archive functions change, Quality Control (QC) of the radiographic imaging chain will remain an important step in the imaging process. The Task Allocation Chart (TAC) is a tool that can be used in a medical facility's QC process to indicate the testing responsibilities of the image stakeholders and the medical informatics department. The TAC shows a grid of equipment to be serviced, tasks to be performed, and the organization assigned to perform each task. Additionally, skills, tasks, time, and references for each task can be provided. QC of the PACS must be stressed as a primary element of a PACS' implementation. The TAC can be used to clarify responsibilities during warranty and paid maintenance periods. Establishing a TAC a part of a PACS implementation has a positive affect on patient care and clinical acceptance.

  4. Digital waterway construction based on inland electronic navigation chart

    Wang, Xue; Pan, Junfeng; Zhu, Weiwei

    2015-12-01

    With advantages of large capacity, long distance, low energy consumption, low cost, less land occupation and light pollution, inland waterway transportation becomes one of the most important constituents of the comprehensive transportation system and comprehensive water resources utilization in China. As one of "three elements" of navigation, waterway is the important basis for the development of water transportation and plays a key supporting role in shipping economic. The paper discuss how to realize the informatization and digitization of waterway management based on constructing an integrated system of standard inland electronic navigation chart production, waterway maintenance, navigation mark remote sensing and control, ship dynamic management, and water level remote sensing and report, which can also be the foundation of the intelligent waterway construction. Digital waterway construction is an information project and also has a practical meaning for waterway. It can not only meet the growing high assurance and security requirements for waterway, but also play a significant advantage in improving transport efficiency, reducing costs, promoting energy conservation and so on. This study lays a solid foundation on realizing intelligent waterway and building a smooth, efficient, safe, green modern inland waterway system, and must be considered as an unavoidable problem for the coordinated development between "low carbon" transportation and social economic.

  5. Percentile growth charts for biomedical studies using a porcine model.

    Corson, A M; Laws, J; Laws, A; Litten, J C; Lean, I J; Clarke, L

    2008-12-01

    Increasing rates of obesity and heart disease are compromising quality of life for a growing number of people. There is much research linking adult disease with the growth and development both in utero and during the first year of life. The pig is an ideal model for studying the origins of developmental programming. The objective of this paper was to construct percentile growth curves for the pig for use in biomedical studies. The body weight (BW) of pigs was recorded from birth to 150 days of age and their crown-to-rump length was measured over the neonatal period to enable the ponderal index (PI; kg/m3) to be calculated. Data were normalised and percentile curves were constructed using Cole's lambda-mu-sigma (LMS) method for BW and PI. The construction of these percentile charts for use in biomedical research will allow a more detailed and precise tracking of growth and development of individual pigs under experimental conditions. PMID:22444086

  6. A One-Class Classification-Based Control Chart Using the K-Means Data Description Algorithm

    Walid Gani

    2014-01-01

    referred to as OC-charts, and extend their applications. We propose a new OC-chart using the K-means data description (KMDD algorithm, referred to as KM-chart. The proposed KM-chart gives the minimum closed spherical boundary around the in-control process data. It measures the distance between the center of KMDD-based sphere and the new incoming sample to be monitored. Any sample having a distance greater than the radius of KMDD-based sphere is considered as an out-of-control sample. Phase I and II analysis of KM-chart was evaluated through a real industrial application. In a comparative study based on the average run length (ARL criterion, KM-chart was compared with the kernel-distance based control chart, referred to as K-chart, and the k-nearest neighbor data description-based control chart, referred to as KNN-chart. Results revealed that, in terms of ARL, KM-chart performed better than KNN-chart in detecting small shifts in mean vector. Furthermore, the paper provides the MATLAB code for KM-chart, developed by the authors.

  7. A retrospective of VAWT technology.

    Ashwill, Thomas D.; Sutherland, Herbert J. (HJS Consulting, Albuquerque, NM); Berg, Dale E.

    2012-01-01

    The study of Vertical-Axis Wind Turbine (VAWT) technology at Sandia National Laboratories started in the 1970's and concluded in the 1990's. These studies concentrated on the Darrieus configurations because of their high inherent efficiency, but other configurations (e.g., the Savonius turbine) were also examined. The Sandia VAWT program culminated with the design of the 34-m 'Test Bed' Darrieus VAWT. This turbine was designed and built to test various VAWT design concepts and to provide the necessary databases to validate analytical design codes and algorithms. Using the Test Bed as their starting point, FloWind Corp. developed a commercial VAWT product line with composite blades and an extended height-to-diameter ratio. The purpose of this paper is to discuss the design process and results of the Sandia 34-m VAWT Test Bed program and the FloWind prototype development program with an eye toward future offshore designs. This paper is our retrospective of the design, analysis, testing and commercial process. Special emphasis is given to those lessons learned that will aid in the development of an off-shore VAWT.

  8. Cancer cervix?: a retrospective study

    Anemia is very commonly seen in most of the malignancies including cancer cervix. Anemia has long been reported to adversely affect the efficacy of radiation treatment in cervical cancer. At our center, carcinoma cervix accounts for approximately 8-10% of all malignancies. The objective of this study is to see the impact of anemia in the treatment of cancer cervix. In the present study, we collected data of treatment results of FIGO stage II and III cancer cervix patients retrospectively treated in years of 2009-10. We have tried to assess the outcome of results in patients whom haemoglobin (Hb) level < 10 gm/dl and e''10 gm/dl. Out of 200 patients of disease with baseline Hb less than 10 gm/dl, 80(40%) patients had residual disease after 4 weeks of completion of treatment. Out of 168 patients with baseline Hb more than 10 gm/dl, 42(25%) had residual disease (p-0.0012 i.e highly significant). Our study shows that there is a good disease control at local site in patients with higher pretreatment Hb level. Effect of pretreatment Hb on treatment outcome in terms of overall survival, disease free survival, and local relapse free survival along with effect on corrective measures should be studied in detail. (author)

  9. Bio-Potential Signal Extraction from Multi-Channel Paper Recorded Charts

    Ali S.A. Al-Mejrad

    2011-01-01

    Full Text Available Abstract: Problem statement: Almost all of the modern biomedical equipments that record the biopotential actions have digital output but the paper chart records are a must. The volume of these records is significant and increasing rapidly. Keeping a bio-signal chart of a patient make it easy for quick assessment but still create problems in the essence of data storage, archiving , data interchange and communications. Approach: A solution to all these problems is to convert these paper records to digital form. In this study, a method for bio-potential signal extraction from single or multi-channel paper recorded charts using image processing techniques is developed. Results: After scanning the paper charts and converting them into images using a commercial scanner, the developed algorithm applied to eliminate the background of the scanned paper chart from any recording device single channel or multi-channel using binary neighborhood morphological operations then converting the extracted waveform image into quantized values representing the waveform recorded paper chart. The extracted signal then filtered to remove the high frequency effects that result from the morphological operations. A correlation and frequency analysis procedure then conducted to verify the result against known sampled waveform. Conclusion: A chart paper conversion to digital values that represent only the values for the biopotential waveform and eliminating the other irrelevant information has been achieved. These resulted in a less space occupation of patient records and make it easy for data further processing and manipulations."

  10. News from the Library: The 8th edition Karlsruhe nuclide chart has been released

    CERN Library

    2012-01-01

    The 8th edition of the Karlsruhe Nuclide Chart contains new data not found in the 7th edition.   Since 1958, the well-known Karlsruhe Nuclide Chart has provided scientists with structured, valuable information on the half-lives, decay modes and energies of radioactive nuclides. The chart is used in many disciplines in physics (health physics, radiation protection, nuclear and radiochemistry, astrophysics, etc.) but also in the life and earth sciences (biology, medicine, agriculture, geology, etc.). The 8th edition of the Karlsruhe Nuclide Chart contains new data on 737 nuclides not found in the 7th edition. In total, nuclear data on 3847 experimentally observed ground states and isomers are presented. A new web-based version of this chart is in the final stages of development for use within the Nucleonica Nuclear Science Portal - a portal for which CERN has an institutional license. The chart is also available in paper format.   If you want to buy a paper version of the chart, ple...

  11. The Significant Incidents and Close Calls in Human Space Flight Chart: Lessons Learned Gone Viral

    Wood, Bill; Pate, Dennis; Thelen, David

    2010-01-01

    This presentation will explore the surprising history and events that transformed a mundane spreadsheet of historical spaceflight incidents into a popular and widely distributed visual compendium of lessons learned. The Significant Incidents and Close Calls in Human Space Flight Chart (a.k.a. The Significant Incidents Chart) is a popular and visually captivating reference product that has arisen from the work of the Johnson Space Center (JSC) Safety and Mission Assurance (S&MA) Flight Safety Office (FSO). It began as an internal tool intended to increase our team s awareness of historical and modern space flight incidents. Today, the chart is widely recognized across the agency as a reference tool. It appears in several training and education programs. It is used in familiarization training in the JSC Building 9 Mockup Facility and is seen by hundreds of center visitors each week. The chart visually summarizes injuries, fatalities, and close calls sustained during the continuing development of human space flight. The poster-sized chart displays over 100 total events that have direct connections to human space flight endeavors. The chart is updated periodically. The update process itself has become a collaborative effort. Many people, spanning multiple NASA organizations, have provided suggestions for additional entries. The FSO maintains a growing list of subscribers who have requested to receive updates. The presenters will discuss the origins and motivations behind the significant incidents chart. A review of the inclusion criteria used to select events will be offered. We will address how the chart is used today by S&MA and offer a vision of how it might be used by other organizations now and in the future. Particular emphasis will be placed on features of the chart that have met with broad acceptance and have helped spread awareness of the most important lessons in human spaceflight.

  12. Performance of Statistical Control Charts with Bilateral Limits of Probability to Monitor Processes Weibull in Maintenance

    Quintana Alicia Esther

    2015-01-01

    Full Text Available Manufacturing with optimal quality standards is underpinned to the high reliability of its equipment and systems, among other essential pillars. Maintenance Engineering is responsible for planning control and continuous improvement of its critical equipment by any approach, such as Six Sigma. This is nourished by numerous statistical tools highlighting, among them, statistical process control charts. While their first applications were in production, other designs have emerged to adapt to new needs as monitoring equipment and systems in the manufacturing environment. The time between failures usually fits an exponential or Weibull model. The t chart and adjusted t chart, with probabilistic control limits, are suitable alternatives to monitor the mean time between failures. Unfortunately, it is difficult to find publications of them applied to the models Weibull, very useful in contexts such as maintenance. In addition, literature limits the study of their performance to the analysis of the standard metric average run length, thus giving a partial view. The aim of this paper is to explore the performance of the t chart and adjusted t chart using three metrics, two unconventional. To do this, it incorporates the concept of lateral variability, in their forms left and right variability. Major precisions of the behavior of these charts allow to understand the conditions under which are suitable: if the main objective of monitoring lies in detecting deterioration, the t chart with adjustment is recommended. On the other hand, when the priority is to detect improvements, the t chart without adjustment is the best choice. However, the response speed of both charts is very variable from run to run.

  13. Photometric Compliance of Tablet Screens and Retro-Illuminated Acuity Charts As Visual Acuity Measurement Devices.

    Livingstone, I A T; Tarbert, C M; Giardini, M E; Bastawrous, A; Middleton, D; Hamilton, R

    2016-01-01

    Mobile technology is increasingly used to measure visual acuity. Standards for chart-based acuity tests specify photometric requirements for luminance, optotype contrast and luminance uniformity. Manufacturers provide some photometric data but little is known about tablet performance for visual acuity testing. This study photometrically characterised seven tablet computers (iPad, Apple inc.) and three ETDRS (Early Treatment Diabetic Retinopathy Study) visual acuity charts with room lights on and off, and compared findings with visual acuity measurement standards. Tablet screen luminance and contrast were measured using nine points across a black and white checkerboard test screen at five arbitrary brightness levels. ETDRS optotypes and adjacent white background luminance and contrast were measured. All seven tablets (room lights off) exceeded the most stringent requirement for mean luminance (≥ 120 cd/m2) providing the nominal brightness setting was above 50%. All exceeded contrast requirement (Weber ≥ 90%) regardless of brightness setting, and five were marginally below the required luminance uniformity threshold (Lmin/Lmax ≥ 80%). Re-assessing three tablets with room lights on made little difference to mean luminance or contrast, and improved luminance uniformity to exceed the threshold. The three EDTRS charts (room lights off) had adequate mean luminance (≥ 120 cd/m2) and Weber contrast (≥ 90%), but all three charts failed to meet the luminance uniformity standard (Lmin/Lmax ≥ 80%). Two charts were operating beyond manufacturer's recommended lamp replacement schedule. With room lights on, chart mean luminance and Weber contrast increased, but two charts still had inadequate luminance uniformity. Tablet computers showed less inter-device variability, higher contrast, and better luminance uniformity than charts in both lights-on and lights-off environments, providing brightness setting was >50%. Overall, iPad tablets matched or marginally out

  14. Photometric Compliance of Tablet Screens and Retro-Illuminated Acuity Charts As Visual Acuity Measurement Devices.

    I A T Livingstone

    Full Text Available Mobile technology is increasingly used to measure visual acuity. Standards for chart-based acuity tests specify photometric requirements for luminance, optotype contrast and luminance uniformity. Manufacturers provide some photometric data but little is known about tablet performance for visual acuity testing. This study photometrically characterised seven tablet computers (iPad, Apple inc. and three ETDRS (Early Treatment Diabetic Retinopathy Study visual acuity charts with room lights on and off, and compared findings with visual acuity measurement standards. Tablet screen luminance and contrast were measured using nine points across a black and white checkerboard test screen at five arbitrary brightness levels. ETDRS optotypes and adjacent white background luminance and contrast were measured. All seven tablets (room lights off exceeded the most stringent requirement for mean luminance (≥ 120 cd/m2 providing the nominal brightness setting was above 50%. All exceeded contrast requirement (Weber ≥ 90% regardless of brightness setting, and five were marginally below the required luminance uniformity threshold (Lmin/Lmax ≥ 80%. Re-assessing three tablets with room lights on made little difference to mean luminance or contrast, and improved luminance uniformity to exceed the threshold. The three EDTRS charts (room lights off had adequate mean luminance (≥ 120 cd/m2 and Weber contrast (≥ 90%, but all three charts failed to meet the luminance uniformity standard (Lmin/Lmax ≥ 80%. Two charts were operating beyond manufacturer's recommended lamp replacement schedule. With room lights on, chart mean luminance and Weber contrast increased, but two charts still had inadequate luminance uniformity. Tablet computers showed less inter-device variability, higher contrast, and better luminance uniformity than charts in both lights-on and lights-off environments, providing brightness setting was >50%. Overall, iPad tablets matched or marginally out

  15. Charting early trajectories of executive control with the shape school.

    Clark, Caron A C; Sheffield, Tiffany D; Chevalier, Nicolas; Nelson, Jennifer Mize; Wiebe, Sandra A; Espy, Kimberly Andrews

    2013-08-01

    Despite acknowledgement of the importance of executive control for learning and behavior, there is a dearth of research charting its developmental trajectory as it unfolds against the background of children's sociofamilial milieus. Using a prospective, cohort-sequential design, this study describes growth trajectories for inhibitory control and cognitive flexibility across the preschool period in relation to child sex and sociofamilial resources. At ages 3, 3.75, 4.5, and 5.25 years, children (N = 388) from a broad range of social backgrounds were assessed using the Shape School, a graduated measure of executive control incorporating baseline, inhibitory control, and cognitive flexibility conditions. Measures of children's proximal access to learning resources and social network supports were collected at study entry. Findings revealed substantial gains in accuracy and speed for all Shape School conditions, these gains being particularly accelerated between ages 3 and 3.75 years. Improvements in inhibitory control were more rapid than those in flexible switching. Age-related differences in error and self-correction patterns on the Shape School also suggest qualitative changes in the underlying processes supporting executive performance across early childhood. Children from homes with fewer learning resources showed a subtle lag in inhibition and cognitive flexibility performance that persisted at kindergarten entry age, despite exhibiting gradual catch up to their more advantaged peers for the nonexecutive, baseline task condition. The study provides a unique characterization of the early developmental pathways for inhibitory control and cognitive flexibility and highlights the critical role of stimulating early educational resources for shaping the dynamic ontogeny of executive control. PMID:23106846

  16. The first published chart of the Andromeda Nebula, 1667

    Gingerich, Owen

    2014-06-01

    The Parisian astronomer Ismaél Bullialdus (1605-1694) is known for his planetary tables (Astronomia philolaica, 1645) based on a geometrical approximation to the Keplerian ellipse, and for his long correspondence with the Danzig astronomer Johannes Hevelius and with Christiaan Huygens. Bullialdus became interested in the nascent study of variable stars, and in 1667 published a small pamphlet with two contributions, one on Mira Ceti and the other on the nebula in Andromeda. He found a manuscript portraying the nebula with the date 1428, and because Tycho Brahe never mentioned a nebula in Andromeda, Bullialdus conjectured that this object was a variable that had disappeared in the intervening era. “We conclude this since this conglomeration was observed neither by Hipparchus nor anyone else in antiquity, nor in the previous age by Tycho, nor in the age of our forefathers like Bayer.” His publication included a handsome engraving of the image of Andromeda and the position of the nebula, its first printed chart. I recently acquired a copy of this rare pamphlet, Ad astronomos monita duo, and realized that the image matched a manuscript now in the Gotha Research Library, a 15th-century Latin version based on the work of the tenth-century Islamic astronomer, al-Sufi. The manuscript does not carry the name of al-Sufi, and hence Bullialdus had no real clue about its origin or its date of composition. Paul Kunitzsch (The Arabs and the Stars, 1989, Article XI, “The Astronomer Abu ’l-Husayn al-Sufi”) has identified a group of eight “Latin al-Sufi” manuscripts from this period, scattered in European libraries, but only the one now in Gotha is an exact match to Bullialdus’ engraving. The al-Sufi manuscript was given to the Gotha Library in 1798 by Duke Ernst II of Saxonia-Gotha-Altenburg, who must have acquired it from France sometime in the 18th century.

  17. Mutation-based growth charts for SEDC and other COL2A1 related dysplasias

    Terhal, Paulien A; van Dommelen, Paula; Le Merrer, Martine;

    2012-01-01

    From data collected via a large international collaborative study, we have constructed a growth chart for patients with molecularly confirmed congenital spondylo-epiphyseal dysplasia (SEDC) and other COL2A1 related dysplasias. The growth chart is based on longitudinal height measurements of 79...... patients with glycine substitutions in the triple-helical domain of COL2A1. In addition, measurements of 27 patients with other molecular defects, such as arginine to cysteine substitutions, splice mutations, and mutations in the C-terminal propeptide have been plotted on the chart. Height of the patients...

  18. Geo structural chart of Uruguay. Scale 1/2.000.000

    This work is about the Geo-Structural Chart of Uruguay , Esca le 1 / 2,000,000. The geological information synthesis in the country, obtained from: published geological work or whose information is registered by laboratory work and geophysical surveys. This Chart will allow an overview of the degree of geological knowledge of Uruguay, restricted to the limits imposed by the scale of this work. The realization of this Chart included a thorough and careful compilation, critical analysis, standardization and interpretation of all geological and geophysical maps available in the country

  19. MEASUREMENT ERROR EFFECT ON THE POWER OF CONTROL CHART FOR ZERO-TRUNCATED POISSON DISTRIBUTION

    Ashit Chakraborty

    2013-09-01

    Full Text Available Measurement error is the difference between the true value and the measured value of a quantity that exists in practice and may considerably affect the performance of control charts in some cases. Measurement error variability has uncertainty which can be from several sources. In this paper, we have studied the effect of these sources of variability on the power characteristics of control chart and obtained the values of average run length (ARL for zero-truncated Poisson distribution (ZTPD. Expression of the power of control chart for variable sample size under standardized normal variate for ZTPD is also derived.

  20. A Synthetic Scaled Weighted Variance Control Chart for Monitoring the Process Mean of Skewed Populations

    Castagliola, Philippe; Michael B.C. Khoo

    2009-01-01

    Abstract In this paper, a synthetic scaled weighted variance Xbar (synthetic SWV-Xbar) control chart is proposed to monitor the process mean of skewed populations. A comparison between the performances of the synthetic SWV-Xbar and synthetic WV-Xbar charts are made in terms of the average run length (ARL) values for the various levels of skewnesses as well as different magnitudes of positive and negative shifts in the mean. A method to construct the synthetic SWV-Xbar chart is exp...

  1. Design of Diverging Stacked Bar Charts for Likert Scales and Other Applications

    Richard Heiberger

    2014-04-01

    Full Text Available Rating scales, such as Likert scales, are very common in marketing research, customer satisfaction studies, psychometrics, opinion surveys, population studies, and numerous other fields. We recommend diverging stacked bar charts as the primary graphical display technique for Likert and related scales. We also show other applications where diverging stacked bar charts are useful. Many examples of plots of Likert scales are given. We discuss the perceptual and programming issues in constructing these graphs. We present two implementations for diverging stacked bar charts. Most examples in this paper were drawn with the likert function included in the HH package in R. We also have a dashboard in Tableau.

  2. Technology readiness assessments: A retrospective

    Mankins, John C.

    2009-11-01

    The development of new system capabilities typically depends upon the prior success of advanced technology research and development efforts. These systems developments inevitably face the three major challenges of any project: performance, schedule and budget. Done well, advanced technology programs can substantially reduce the uncertainty in all three of these dimensions of project management. Done poorly, or not at all, and new system developments suffer from cost overruns, schedule delays and the steady erosion of initial performance objectives. It is often critical for senior management to be able to determine which of these two paths is more likely—and to respond accordingly. The challenge for system and technology managers is to be able to make clear, well-documented assessments of technology readiness and risks, and to do so at key points in the life cycle of the program. In the mid 1970s, the National Aeronautics and Space Administration (NASA) introduced the concept of "technology readiness levels" (TRLs) as a discipline-independent, programmatic figure of merit (FOM) to allow more effective assessment of, and communication regarding the maturity of new technologies. In 1995, the TRL scale was further strengthened by the articulation of the first definitions of each level, along with examples (J. Mankins, Technology readiness levels, A White Paper, NASA, Washington, DC, 1995. [1]). Since then, TRLs have been embraced by the U.S. Congress' General Accountability Office (GAO), adopted by the U.S. Department of Defense (DOD), and are being considered for use by numerous other organizations. Overall, the TRLs have proved to be highly effective in communicating the status of new technologies among sometimes diverse organizations. This paper will review the concept of "technology readiness assessments", and provide a retrospective on the history of "TRLs" during the past 30 years. The paper will conclude with observations concerning prospective future

  3. Sea Ice Charts of the Russian Arctic in Gridded Format, 1933-2006

    National Oceanic and Atmospheric Administration, Department of Commerce — The Arctic and Antarctic Research Institute (AARI) in St. Petersburg, Russia, produces sea ice charts for safety of navigation in the polar regions and for other...

  4. Crime Trends vs. Random Walk. : The pitfalls of ad hoc chart reading.

    von Hofer, Hanns

    2012-01-01

    This research note questions the common practice of ad hoc chart reading without formulating a sensible statistical model of the data beforehand and argues that the random walk model should not be overlooked when analyzing time series of crime data.

  5. Adoption and Foster Care Analysis and Reporting System Trends Chart and Table

    U.S. Department of Health & Human Services — The AFCARS Trends Chart tracks children in Foster Care from FY 2002 through the most recent year. A table of data and a graphic depiction of trends are shown for...

  6. Canadian Ice Service Arctic Regional Sea Ice Charts in SIGRID-3 Format

    National Oceanic and Atmospheric Administration, Department of Commerce — The Canadian Ice Service (CIS) produces digital Arctic regional sea ice charts for marine navigation, climate research, and input to the Global Digital Sea Ice Data...

  7. Brief History of Measurement Systems with a Chart of the Modernized Metric System

    Social Education, 1977

    1977-01-01

    A history of measurement systems is presented. Topics discussed include standardization of units, invention of means for weighing, evolution and international adoption of the metric system. A chart of the modernized metric system is included. (Author/DB)

  8. Office of Coast Survey's Collection of Print on Demand Charts (POD)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA, National Ocean Service, Office of Coast Survey is responsible to build and maintain a suite of more than 1000 nautical charts that are used by commercial and...

  9. Applying Nightingale charts to evaluate the heterogeneity of biomedical waste in a Hospital

    Janini Cristina Paiz

    2014-12-01

    Full Text Available OBJECTIVES: to evaluate the heterogeneity of biomedical waste (BW using Nightingale charts.METHOD: cross-sectional study consisting of data collection on wastes (direct observation of receptacles, physical characterisation, and gravimetric composition, development of a Management Information System, and creation of statistical charts.RESULTS: the wastes with the greatest degree of heterogeneity are, in order, recyclable, infectious, and organic wastes; chemical waste had the most efficient segregation; Nightingale charts are useful for quick visualisation and systematisation of information on heterogeneity.CONCLUSION: the development of a management information system and the use of Nightingale charts allows for the identification and correction of errors in waste segregation, which increase health risks and contamination by infectious and chemical wastes and reduce the sale and profit from recyclables.

  10. Guideline implementation in clinical practice: Use of statistical process control charts as visual feedback devices

    Fahad A Al-Hussein

    2009-01-01

    Conclusions: A process of audits in the context of statistical process control is necessary for any improvement in the implementation of guidelines in primary care. Statistical process control charts are an effective means of visual feedback to the care providers.

  11. 2 years versus 1 year of adjuvant trastuzumab for HER2-positive breast cancer (HERA)

    Goldhirsch, Aron; Gelber, Richard D; Piccart-Gebhart, Martine J;

    2013-01-01

    Trastuzumab has established efficacy against breast cancer with overexpression or amplification of the HER2 oncogene. The standard of care is 1 year of adjuvant trastuzumab, but the optimum duration of treatment is unknown. We compared 2 years of treatment with trastuzumab with 1 year of treatmen...

  12. PSYCHOSOCIAL EFFECTS OF 2 YEARS OF HUMAN GROWTH-HORMONE TREATMENT IN TURNER SYNDROME

    SLIJPER, FME; SINNEMA, G; AKKERHUIS, GW; BRUGMANBOEZEMAN, A; FEENSTRA, J; DENHARTOG, L; HEUVEL, F

    1993-01-01

    Thirty-eight girls with Turner syndrome were treated for 2 years with human growth hormone. Both parents and patients carried out assessments of the effects of treatment on various aspects of psychosocial functioning. The children used the Piers-Harris Self-Concept Scale and the Social Anxiety Scale

  13. Complete paroxysmal atrioventricular block in a 2-year-old girl

    Holst, Line Marie; Dixen, Ulrik; Jeppesen, Dorthe L

    2015-01-01

    We present a case of atypical syncope in a 2-year-old, otherwise healthy girl. The patient presented with three episodes of syncope without any precipitating factors and no family history of sudden unexpected death. Holter monitoring revealed 24 events of complete atrioventricular block lasting up...

  14. Gender differences in outcome at 2-year follow-up of treated bipolar and depressed alcoholics.

    Farren, Conor K

    2011-09-01

    Alcohol dependence and affective disorders are significant health problems, and their co-occurrence is mutually detrimental. There are few long-term studies on the impact of treatment on the prognosis of these comorbid disorders. We wished to study if the impact of effective inpatient integrated treatment for these co-occurring disorders was maintained 2 years after discharge from the hospital.

  15. Myopia Control with a Novel Peripheral Gradient Soft Lens and Orthokeratology: A 2-Year Clinical Trial

    Jaime Pauné

    2015-01-01

    Full Text Available Objective. To evaluate the degree of axial elongation with soft radial refractive gradient (SRRG contact lenses, orthokeratology (OK, and single vision (SV spectacle lenses (control during a period of 1 year before treatment and 2 years after treatment. Methods. This was a prospective, longitudinal, nonrandomized study. The study groups consisted of 30, 29, and 41 children, respectively. The axial length (AL was measured during 2 years after recruitment and lens fitting. Results. The baseline refractive sphere was correlated significantly (Spearman’s Rho (ρ correlation = 0.542; P < 0.0001 with the amount of myopia progression before baseline. After 2 years, the mean myopia progression values for the SRRG, OK, and SV groups were −0.56 ± 0.51, −0.32 ± 0.53, and −0.98 ± 0.58 diopter, respectively. The results represent reductions in myopic progression of 43% and 67% for the SRRG and OK groups, respectively, compared to the SV group. The AL increased 27% and 38% less in the SRRG and OK groups, respectively compared with the SV group at the 2-year visit (P < 0.05. Axial elongation was not significantly different between SRRG and OK (P = 0.430. Conclusion. The SRRG lens significantly decreased AL elongation compared to the SV control group. The SRRG lens was similarly effective to OK in preventing myopia progression in myopic children and adolescent.

  16. How Joint Attention Relates to Cooperation in 1- and 2-Year-Olds

    Wu, Zhen; Pan, Jingtong; Su, Yanjie; Gros-Louis, Julie

    2013-01-01

    Joint attention has been suggested to contribute to children's development of cooperation; however, few empirical studies have directly tested this hypothesis. Children aged 1 and 2 years participated in two joint action activities to assess their cooperation with an adult partner, who stopped participating at a specific moment during the…

  17. Administration of high-dose interleukin-2 in a 2-year-old with metastatic melanoma.

    Bernhardt, M Brooke; Hicks, M John; Pappo, Alberto S

    2009-12-15

    Malignant melanoma is rare in pediatrics, and therapies for patients with disseminated disease have not been well studied. This report describes our experience with the use of high-dose interleukin 2 (aldesleukin, IL-2) in a 2-year-old child with metastatic melanoma and describes our approach for the administration of this agent to young patients. PMID:19731326

  18. Results of 2-year vitamin B treatment on cognitive performance: Secondary data from an RCT

    Zwaluw, N.L. van der; Dhonukshe-Rutten, R.A.M.; Wijngaarden, J.P. van; Brouwer-Brolsma, E.M.; Rest, O. van de; Veld, P.H. In 't; Enneman, A.W.; Dijk, S.C. van; Ham, A.C. van der; Swart, K.M.; Velde, N. van der; Schoor, N.M. van; Cammen, T.J.M. van der; Uitterlinden, A.G.; Lips, P.; Kessels, R.P.C.; Groot, L.C.P.G.M. de

    2014-01-01

    OBJECTIVE: We investigated the effects of 2-year folic acid and vitamin B12 supplementation on cognitive performance in elderly people with elevated homocysteine (Hcy) levels. METHODS: This multicenter, double-blind, randomized, placebo-controlled trial included 2,919 elderly participants (65 years

  19. Results of 2-year vitamin B treatment on cognitive performance Secondary data from an RCT

    Zwaluw, N.L. van der; Dhonukshe-Rutten, R.A.M.; Wijngaarden, J.P. van; Brouwer-Brolsma, E.M.; Rest, O. van de; Veld, P.H. in 't; Enneman, A.W.; Dijk, S.C. van; Ham, A.C.; Swart, K.M.A.; Velde, N. van der; Schoor, N.M. van; Cammen, T.J.M. van der; Uitterlinden, A.G.; Lips, P.J.; Kessels, R.P.C.; Groot, L.C.P.G.M. de

    2014-01-01

    Objective: We investigated the effects of 2-year folic acid and vitamin B-12 supplementation on cognitive performance in elderly people with elevated homocysteine (Hcy) levels. Methods: This multicenter, double-blind, randomized, placebo-controlled trial included 2,919 elderly participants (65 years

  20. Single-tooth replacement by osseointegrated Astra Tech dental implants: a 2-year report

    Karlsson, U; Gotfredsen, K; Olsson, C

    1998-01-01

    This study presents the outcome of single-tooth restorations supported by Astra Tech single-tooth implants followed for 2 years. Forty-seven implants were placed in the same number of patients. Forty-three patients attended the second recall visit, and none of the evaluated implants have been...

  1. MST with Conduct Disordered Youth in Sweden: Costs and Benefits after 2 Years

    Olsson, Tina M.

    2010-01-01

    Objectives: The purpose of this study was to investigate the costs and benefits associated with multisystemic therapy (MST) for conduct disordered youth, 2 years following intake. Methods: The study employed a secondary analysis of 156 youth enrolled in a randomized trial assessing the psychosocial and behavioral outcomes of MST. Results: MST cost…

  2. Mesenteric teratoma associated with acute perforated appendicitis in a 2-year-old girl

    Jihoon Jang

    2016-07-01

    Full Text Available Mesenteric teratoma is a rare tumor, with few cases reported in the literature. Because mesenteric teratomas have no specific signs or symptoms, their clinical manifestations depend on their size and location. This report describes a mesenteric teratoma associated with acute perforated appendicitis in a 2-year-old girl who presented with abdominal pain and high grade fever.

  3. 7 CFR 25.403. - Ongoing 2-year work plan requirement.

    2010-01-01

    ... 25.403. Agriculture Office of the Secretary of Agriculture RURAL EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES Post-Designation Requirements § 25.403. Ongoing 2-year work plan requirement. (a) Each Empowerment... conditional upon the designation of the community as an Empowerment Zone; and (iv) Documentation...

  4. Clustering of Dietary Intake and Sedentary Behavior in 2-Year-Old Children

    Gubbels, J.S.; Kremers, S.P.J.; Stafleu, A.; Dagnelie, P.C.; Vries, S.I.de; Vries, N.K.de; Thijs, C.

    2009-01-01

    Objective: To examine clustering of energy balance-related behaviors (EBRBs) in young children. This is crucial because lifestyle habits are formed at an early age and track in later life. This study is the first to examine EBRB clustering in children as young as 2 years. Study design: Cross-section

  5. MRI findings of an intermuscular lipoma in a 2-year-old

    Grandbois, Lindsey; Vade, Aruna; Lim-Dunham, Jennifer [Loyola University Medical Center, Department of Radiology, Maywood, IL (United States); Al-Masri, Hytham [Mount Sinai Hospital, Department of Pathology, Chicago, IL (United States)

    2006-09-15

    We report the MRI findings of a large deep intermuscular lipoma in a 2-year-old child with a painless palpable shoulder mass, and its differentiation from liposarcoma and other soft-tissue masses. To our knowledge, the imaging features of deep lipomas in children have not been reported. (orig.)

  6. Sexual Identity, Attractions, and Behavior among Young Sexual-Minority Women over a 2-Year Period.

    Diamond, Lisa M.

    2000-01-01

    Examined sexual identities, attractions, and behaviors of sexual-minority women in 2-year follow-up of women first interviewed at 16-23 years. Found half the participants had changed sexual-minority orientations more than once; one- third changed identities since the first interview. Found changes in sexual attractions were larger among bisexuals…

  7. A biomass energy flow chart for Sierra Leone

    Terrestrial above-ground biomass production and utilisation in Sierra Leone was analysed for the years 1984/5 to 1990/1. The total production of biomass energy was estimated at an annual average of 131 PJ (39% from agriculture, 51% from forestry and 10% from livestock). Of the 117 PJ produced from agricultural and forestry operations, 37 PJ was harvested as firewood and burnt (10.9 GJ or 0.72 t wood per capita per year, supplying 80% of the country's energy), 12 PJ was harvested for food, 66 PJ was unutilised crop and forestry residues, 3 PJ was harvested crop residues for use directly as fuel, and 2 PJ was harvested and used for industrial purposes and not for fuel. Livestock produced wastes with an energy content of 13 PJ of which only 0.1 PJ was collected and used for fuel. Thus 54 PJ (41%) of the 131 PJ of biomass energy produced annually was actually utilised while 49 PJ remained as unused agricultural residues and dung, and a further 27 PJ was unused forestry residues. The total amount of biomass (fuelwood, residues and dung) used directly to provide energy, mostly in households, was estimated at 40 PJ (11.8 GJ per capita per year of 0.79 t fuelwood equivalent). Direct biomass energy utilisation in agroindustry (0.4 PJ) was negligible in comparison. Two assessments of Sierra Leone's biomass standing stock and MAI (mean annual increment) were examined in order to assess the sustainability of various biomass use scenarios. Large differences were found between the MAI of the two assessments, making it difficult to predict sustainability of biomass production and use. The estimation of total standing stock varied between 227 and 366 Mt and the estimation of MAI varied between 15 and 70 Mt. Analysis of the availability and use of the biomass resource is crucial if biomass energy is to be used on a sustainable basis. A software package has been developed and is available to draft biomass flow charts but further work is needed to incorporate social and economic

  8. Rehabilitation outcomes in children with cerebral palsy during a 2 year period

    İçağasıoğlu, Afitap; Mesci, Erkan; Yumusakhuylu, Yasemin; Turgut, Selin Turan; Murat, Sadiye

    2015-01-01

    [Purpose] To observe motor and functional progress of children with cerebral palsy during 2 years. [Subjects and Methods] Pediatric cerebral palsy patients aged 3–15 years (n = 35/69) with 24-month follow-up at our outpatient cerebral palsy clinic were evaluated retrospectively. The distribution of cerebral palsy types was as follows: diplegia (n = 19), hemiplegia (n = 4), and quadriplegia (n = 12). Participants were divided into 3 groups according to their Gross Motor Functional Classificati...

  9. p-Charts in the Quality Control of the Grading Process in the High Education

    Savić Mirko

    2006-01-01

    European countries are making efforts to change their educational system. These changes include implementation of the ECTS (European Credit Transfer and Accumulation System) and are based on the Bologna Declaration. Adoption of ECTS will necessitate new quality standards in higher education, especially in grading procedures. With only small modifications, the control charts (such as p-charts) used in production and distribution applications can be applied to educational purposes.

  10. p-charts in the quality control of the grading process in the high education

    Savić Mirko

    2006-01-01

    Full Text Available European countries are making efforts to change their educational system These changes include implementation of the ECTS (European Credit Transfer and Accumulation System and are based on the Bologna Declaration. Adoption of ECTS will necessitate new quality standards in higher education especially in grading procedures. With only small modifications, the control charts(such as p-charts used in production and distribution applications can be applied to educational purposes.

  11. Development of Abrasive Selection Model/Chart for Palm Frond Broom Peeling Machine Design

    Nwankwojike; B. Nduka

    2014-01-01

    A model for predicting the friction required by a palm frond broom peeling machine for effective peeling of palm leaf to broom bristle and a chart for selecting the best abrasive material for this machine’s peeling operation were developed in this study using mechanistic modeling method. The model quantified the relationship between the coefficient of friction and other operational parameters of this machine while the abrasives selection chart constitutes a plot of this measured f...

  12. The Usage of Time Series Control Charts for Financial Process Analysis

    Kovářík Martin; Klímek Petr

    2012-01-01

    We will deal with financial proceedings of the company using methods of SPC (Statistical Process Control), specifically through time series control charts. The paper will outline the intersection of two disciplines which are econometrics and statistical process control. The theoretical part will discuss the methodology of time series control charts and in the research part there will be this methodology demonstrated in three case studies. The first study will focus on the regulation of simula...

  13. APPLICATION OF MULTIVARIATE CONTROL CHART FOR IMPROVEMENT IN QUALITY OF HOTMETAL - A CASE STUDY

    O. Rama Mohana Rao; K. Venkata Subbaiah; Narayana Rao, K; T. Srinivasa Rao

    2013-01-01

    Quality of hot metal produced in a blast furnace is affected by multiple variables. Classical Statistical Process Control (SPC) methodologies are non-optimal to monitor and control these multiple variables as the effect of one variable can be confounded with effects of other correlated variables. Further, Univariate control charts are difficult to manage and analyze because of the large numbers of control charts of each process variable. An lternative approach is to construct a single multiva...

  14. Use of a PERT Chart to Improve Efficiency of the Dissertation.

    Hudson, Shannon M; Laken, Marilyn A

    2015-01-01

    Efficiencies are needed to speed the dissertation process and graduation of prospective new faculty. We used a workflow process, the PERT chart, to organize and manage the many time-delimited tasks necessary for a complex dissertation. This article presents a case example that describes our experience and timely completion of the dissertation. PERT charts are useful tools to improve efficiency in nursing education. PMID:26328297

  15. Trading Signal Generation Using A Combination of Chart Patterns and Indicators

    Chalothon Chootong; Ohm Sornil,

    2012-01-01

    Chart patterns and indicators are popular technical tools for making investment decisions. This article presents a trading strategy combining price movement patterns, candlestick chart patterns, and trading indicators, including Moving Average, Exponential Moving Average, Bollinger Bands, On Balance Volume, Relative Strength Index, Moving Average Convergence Divergence, and Stochastic Oscillator, with the aim to increase the return on investment. A neural network ensemble is employed to deter...

  16. ABOUT THE DIAGRAMS OF LINEAR TRANSFORMER AND HIS CHART OF SUBSTITUTION VECTORIAL AND TOPOGRAPHICAL

    Prydubkov, P.; Khomenko, I.

    2011-01-01

    It is shown, that diagrams vectorial and topographical provide the highquality control of calculation of linear transformer at his planning, accordance of diagrams of transformer vectorial and topographical is set to similar diagrams of the developed chart of substitution of transformer, not containing inductive communications, it is proved, what only the given chart of substitution of transformer corresponds to the electromagnetic processes of linear transformer.

  17. Rate-optimal scheduling of recursive DSP algorithms based on the scheduling-range chart

    Heemstra de Groot, Sonia M.; Herrmann, Otto E.

    1990-01-01

    A method for rate-optimal scheduling of recursive DSP algorithms is presented. The approach is based on the determination of the scheduling window of each operation and the construction of a scheduling-range chart. The information in the chart is used during scheduling to optimize some quality criteria (number of hardware resources, latency, register life time) at the same time that a rate-optimal solution is guaranteed. An algorithm based on this approach is introduced. It can schedule cycli...

  18. Charts of episodes and chronometric duration have implications for provinces such as the Kaapvaal

    H. de la R. Winter

    1997-07-01

    Full Text Available An accurate basin analysis and knowledge of its evolutionary development being a prerequisite framework for metallogenic model­ling, a procedure was developed for the Kaapvaal Province to maximise quantitative observational data and constrain assumptions and interpretations. Employing an episodes chart to display various events interactively and its conversion to a geochronometric chart as the geological model, the method was applied to existing stratigraphic studies.

  19. Poor predictive ability of the risk chart SCORE in a Danish population

    Saidj, Madina; Jørgensen, Torben; Prescott, Eva;

    2013-01-01

    In Denmark, the European risk chart Systematic COronary Risk Evaluation (SCORE) from the European Society of Cardiology is recommended for use in cardiovascular prevention. Nevertheless, its predictive ability in a Danish population has never been investigated. The purpose of this study was...... therefore to assess the predictive ability of the SCORE risk chart with regard to fatal cardiovascular risk according to the socio-demographic factors of age, sex, income and education in a Danish population....

  20. Photometric Compliance of Tablet Screens and Retro-Illuminated Acuity Charts As Visual Acuity Measurement Devices.

    Livingstone, IA; Tarbert, CM; Giardini, ME; Bastawrous, A; Middleton, D; Hamilton, R.

    2016-01-01

    Mobile technology is increasingly used to measure visual acuity. Standards for chart-based acuity tests specify photometric requirements for luminance, optotype contrast and luminance uniformity. Manufacturers provide some photometric data but little is known about tablet performance for visual acuity testing. This study photometrically characterised seven tablet computers (iPad, Apple inc.) and three ETDRS (Early Treatment Diabetic Retinopathy Study) visual acuity charts with room lights on ...

  1. Pain charts (body maps or manikins) in assessment of the location of pediatric pain

    von Baeyer, Carl L; Lin, Vivian; Seidman, Laura C.; Tsao, Jennie CI; Zeltzer, Lonnie K.

    2011-01-01

    This article surveys the use of pain charts or pain drawings in eliciting information about the location of pain symptoms from children and adolescents. While pain charts are widely used and have been incorporated in multidimensional pediatric pain questionnaires and diaries, they present a number of issues requiring further study. These include, in particular, the number and size of different locations or areas of pain that need to be differentiated; the age at which children are able to com...

  2. Minimal TestCase Generation for Object-Oriented Software with State Charts

    Ranjita Kumari Swain; Prafulla Kumar Behera; Durga Prasad Mohapatra

    2012-01-01

    Today statecharts are a de facto standard in industry for modeling system behavior. Test data generation is one of the key issues in software testing. This paper proposes an reduction approach to test data generation for the state-based software testing. In this paper, first state transition graph is derived from state chart diagram. Then, all the required information are extracted from the state chart diagram. Then, test cases are generated. Lastly, a set of test cases are minimized by calcu...

  3. Prospective and Retrospective Learning in Honeybees

    Giurfa, Martin; Benard, Julie

    2006-01-01

    We focus on non-elemental forms of learning in honeybees in order to answer the question of whether retrospective learning can be found in an insect. We analyze three different forms of learning: category learning, rule learning and backward blocking. We provide examples showing that honeybees demonstrate these three forms of learning and propose that causal retrospection underlies them to different extents. We argue that an elemental associative account explains category learning whereas rul...

  4. Control chart analysis of data from a multicenter monitor unit verification study

    Background and purpose: This study aims to investigate the process of monitor unit verification using control charts. Control charts is a key tool within statistical process control (SPC), through which process characteristics can be visualized, usually chronologically with statistically determined limits. Material and methods: Our group has developed a monitor unit verification software that has been adopted at several Swedish institutions for pre-treatment verification of radiotherapy treatments. Deviations between point dose calculations using the treatment planning systems and using the independent monitor unit verification software from 9219 treatment plans and five different institutions were included in this multicenter study. The process of monitor unit verification was divided into subprocesses. Each subprocess was analyzed using probability plots and control charts. Results: Differences in control chart parameters for the investigated subprocesses were found between different treatment sites and different institutions, as well as between different treatment techniques. 19 of 37 subprocesses met the clinical specification (±5%), i.e. process capability index was equal to or above one. Conclusions: Control charts were found to be a useful tool for continuous analysis of data from the monitor unit verification software for patient specific quality control, as well as for comparisons between different institutions and treatment sites. The derived control chart limits were in agreement with AAPM TG114 guidelines on action levels.

  5. Overview of the consortium of hospitals advancing research on tobacco (chart

    Riley William T

    2012-08-01

    Full Text Available Abstract Background The Consortium of Hospitals Advancing Research on Tobacco (CHART is a network of six projects and a research coordinating unit funded by the National Heart, Lung, and Blood Institute, the National Cancer Institute, the National Institute on Drug Abuse, and the National Institutes of Health (NIH Office of Behavioral and Social Science Research. The CHART projects will assess the effectiveness and cost-effectiveness of smoking cessation interventions initiated during hospitalization and continued post-discharge. Methods/design Along with a seventh project funded previously under the NIH Challenge grants, the CHART projects will assess smoking cessation strategies delivered to approximately 10,000 hospitalized smokers across a geographically diverse group of nearly 20 private, public, academic, and community hospitals. The CHART research coordinating unit at Kaiser Permanente Center for Health Research provides organizational and data coordination support, facilitating the development of common measures for combining data from multiple CHART projects. Discussion The targeted enrollment in CHART, if achieved, will represent the largest, most diverse pooled dataset of hospitalized smokers receiving smoking cessation assistance, and is designed to contribute to the dissemination and implementation of smoking cessation interventions provided by hospital systems.

  6. Statistical Control Charts: Performances of Short Term Stock Trading in Croatia

    Dumičić Ksenija

    2015-03-01

    Full Text Available Background: The stock exchange, as a regulated financial market, in modern economies reflects their economic development level. The stock market indicates the mood of investors in the development of a country and is an important ingredient for growth. Objectives: This paper aims to introduce an additional statistical tool used to support the decision-making process in stock trading, and it investigate the usage of statistical process control (SPC methods into the stock trading process. Methods/Approach: The individual (I, exponentially weighted moving average (EWMA and cumulative sum (CUSUM control charts were used for gaining trade signals. The open and the average prices of CROBEX10 index stocks on the Zagreb Stock Exchange were used in the analysis. The statistical control charts capabilities for stock trading in the short-run were analysed. Results: The statistical control chart analysis pointed out too many signals to buy or sell stocks. Most of them are considered as false alarms. So, the statistical control charts showed to be not so much useful in stock trading or in a portfolio analysis. Conclusions: The presence of non-normality and autocorellation has great impact on statistical control charts performances. It is assumed that if these two problems are solved, the use of statistical control charts in a portfolio analysis could be greatly improved.

  7. Comorbidities Associated with Obstructive Sleep Apnea: a Retrospective Study

    Pinto, José Antonio; Ribeiro, Davi Knoll; Cavallini, Andre Freitas da Silva; Duarte, Caue; Freitas, Gabriel Santos

    2016-01-01

    Introduction Obstructive sleep apnea (OSA) is characterized by partial or complete recurrent upper airway obstruction during sleep. OSA brings many adverse consequences, such as hypertension, obesity, diabetes mellitus, cardiac and encephalic alterations, behavioral, among others, resulting in a significant source of public health care by generating a high financial and social impact. The importance of this assessment proves to be useful, because the incidence of patients with comorbidities associated with AOS has been increasing consistently and presents significant influence in natural disease history. Objective The objective of this study is to assess major comorbidities associated with obstructive sleep apnea (OSA) and prevalence in a group of patients diagnosed clinically and polysomnographically with OSA. Methods This is a retrospective study of 100 charts from patients previously diagnosed with OSA in our service between October 2010 and January 2013. Results We evaluated 100 patients with OSA (84 men and 16 women) with a mean age of 50.05 years (range 19–75 years). The prevalence of comorbidities were hypertension (39%), obesity (34%), depression (19%), gastroesophageal reflux disease (GERD) (18%), diabetes mellitus (15%), hypercholesterolemia (10%), asthma (4%), and no comorbidities (33%). Comorbidities occurred in 56.2% patients diagnosed with mild OSA, 67.6% with moderate OSA, and 70% of patients with severe OSA. Conclusion According to the current literature data and the values obtained in our paper, we can correlate through expressive values obesity with OSA and their apnea hypopnea index (AHI) values. However, despite significant prevalence of OSA with other comorbidities, our study could not render expressive significance values able to justify their correlations. PMID:27096019

  8. Comorbidities Associated with Obstructive Sleep Apnea: a Retrospective Study.

    Pinto, José Antonio; Ribeiro, Davi Knoll; Cavallini, Andre Freitas da Silva; Duarte, Caue; Freitas, Gabriel Santos

    2016-04-01

    Introduction Obstructive sleep apnea (OSA) is characterized by partial or complete recurrent upper airway obstruction during sleep. OSA brings many adverse consequences, such as hypertension, obesity, diabetes mellitus, cardiac and encephalic alterations, behavioral, among others, resulting in a significant source of public health care by generating a high financial and social impact. The importance of this assessment proves to be useful, because the incidence of patients with comorbidities associated with AOS has been increasing consistently and presents significant influence in natural disease history. Objective The objective of this study is to assess major comorbidities associated with obstructive sleep apnea (OSA) and prevalence in a group of patients diagnosed clinically and polysomnographically with OSA. Methods This is a retrospective study of 100 charts from patients previously diagnosed with OSA in our service between October 2010 and January 2013. Results We evaluated 100 patients with OSA (84 men and 16 women) with a mean age of 50.05 years (range 19-75 years). The prevalence of comorbidities were hypertension (39%), obesity (34%), depression (19%), gastroesophageal reflux disease (GERD) (18%), diabetes mellitus (15%), hypercholesterolemia (10%), asthma (4%), and no comorbidities (33%). Comorbidities occurred in 56.2% patients diagnosed with mild OSA, 67.6% with moderate OSA, and 70% of patients with severe OSA. Conclusion According to the current literature data and the values obtained in our paper, we can correlate through expressive values obesity with OSA and their apnea hypopnea index (AHI) values. However, despite significant prevalence of OSA with other comorbidities, our study could not render expressive significance values able to justify their correlations. PMID:27096019

  9. Sinus retrospective analysis of surgeries in a hospital school

    Carvalho, Thiago Bittencourt Ottoni de

    2010-12-01

    Full Text Available Introduction: The ENT is a medical specialty that covers 4.4% of all doctors in São Paulo, with a variety of surgical procedures distributed between pharynx, nose, ear and larynx. Knowing the profile of a reference service in otolaryngology allows for a better organization, scaling the volume of care and surgeries, providing better training to the student and resident physician. Objective: To describe the profile of sinonasal surgery and patients to them in the department of otolaryngology and head and neck surgery at a teaching hospital. Method: We conducted a cohort study of cross-sectional retrospective study with review of 872 charts of patients undergoing surgery Sinus between January 2006 and December 2008. Used questionnaires, seeking sex, age, surgical diagnosis and surgery. Results: Of 872 patients studied, 45.4% were female and 54.6% male, ranging in an age group 40-80 years (mean 29.8 years. The main surgical diagnoses were: nasal septum deviation (n=457, nasal deformity after trauma (n=287, enlarged turbinates (n=153, rhinosinusal polyposis (n=73, chronic sinusitis (n=32. Among the most frequently performed surgical procedures include: septoplasty (n=388, rhinoplasty (n=215, FESS (n=131, intra-turbinal cauterization (n=114, reconstructive rhinoplasty (n=73, turbinectomy (n=43, turbinoplasty (n=55. It is emphasized that patients may have received more than one surgical diagnosis and realized more than one surgery, depending on the alert. Conclusion: We present the volume and diversity of Sinus surgeries performed in our department, contributing to the scarce scientific literature on this type of case.

  10. Retrospective dosimetry using chromosome painting

    have performed our own dose response relationship, based on the frequency of stable chromosome aberrations detected by Chromosome Painting for Co60 γ-rays, with doses ranging from 0 Gy to 3 Gy delivered at a 0.4 Gy/min dose rate and painting chromosomes 1, 2 and 4, which represent 22% of the genome. We have scored reciprocal and non-reciprocal translocations, excess of painted acentrics, insertions, dicentrics and centric rings. After extrapolating the obtained frequencies to the full genome, the corresponding data set agree well with our previous results of dicentrics and centric rings and reciprocal and non reciprocal translocations, obtained using the same in vitro irradiation protocol. In order to collect information about the stability and the cumulative behavior of stable chromosome aberrations, we have retrospectively evaluated, using the Chromosome Painting calibration curve, a nuclear power plant worker sample with doses ranging from 500 mSv to 800 mSv. As a whole, the observed frequencies do not differ significantly from the expected frequencies obtained applying the calibration curve α coefficient. Some workers of this samples were previously evaluated using G-banding in 1995 and the present results agree well with the expected frequencies due to the accumulated during the last four years. (author)

  11. The Prescription of Off-Label Drugs towards 0–2 Years Old Pediatric Patients in Community Pharmacy in Bandung City

    Ami A. Pratiwi

    2013-06-01

    Full Text Available Off-label drug is a drug which is not prescribed in accordance with official drug information, including patient age, drug indications didn’t match with the marketing authorization, dosage and route of administration are not appropriate. This study was conducted to determine the percentage of patients pediatrician who prescribed with containing drugs off-label in pediatric patients aged 0 to 2 years at pharmacy in Bandung and determine the pattern of use through an observational study with retrospective data collection. Identification of medications that are prescribed off-label category or not based on the Pediatric Dosage Handbook 2007, Drug Information Handbook (DIH in 2012, the British National Formulary (BNF in 2009, MIMS USA 2013, MIMS Indonesia in 2013, and ISO 2012–2013. Based on the results obtained 542 pieces of off-label prescriptions (19.77% of the 2741 total pieces recipes, as well as 699 (7.89% of off-label drug items from 8861 drug, the percentage of off-label age category 70.53%, off-label doses of 19.74% and off-label contraindication 9.73%. The results of this study indicate that the uses of off-label drugs for children is high at Pharmacy in Bandung. This study is expected to be basic consideration in examining the efficacy and safety in off-label drug uses for children aged 0 to 2 years.

  12. Pulsatile lavage for pressure ulcer management in spinal cord injury: a retrospective clinical safety review.

    Bogie, Kath M; Ho, Chester H

    2013-03-01

    Pressure ulcers are major complications of reduced mobility and/or sensation. Pulsatile lavage therapy delivers localized hydrotherapy directly to the wound utilizing a pulsatile pressurized stream of normal saline. The purpose of this study was to evaluate the clinical safety of pulsatile lavage therapy, provided daily at the bedside, in routine management of Stage III and Stage IV pressure ulcers. Charts from 28 male patients with Stage III and Stage IV pressure ulcers and spinal cord injury (SCI) or spinal cord disorders (SCD) were retrospectively reviewed for documentation of adverse events/safety concerns. Mean therapy duration was 46 days (SD 37 days, range 6-152 days). Treatment was interrupted for 6 days in one patient due to minor wound bleeding. No other adverse events, including backsplash injuries, were documented. The results of this chart review suggest pulsatile lavage therapy can be administered at the patient's bedside without adverse events if appropriate protocols are followed. Additional research to confirm the efficacy and effectiveness of this treatment modality in a broader subject population is warranted. PMID:23475450

  13. Is It Time to Change Our Reference Curve for Femur Length? Using the Z-Score to Select the Best Chart in a Chinese Population.

    Boya Li

    Full Text Available To use Z-scores to compare different charts of femur length (FL applied to our population with the aim of identifying the most appropriate chart.A retrospective study was conducted in Beijing. Fifteen hospitals in Beijing were chosen as clusters using a systemic cluster sampling method, in which 15,194 pregnant women delivered from June 20th to November 30th, 2013. The measurements of FL in the second and third trimester were recorded, as well as the last measurement obtained before delivery. Based on the inclusion and exclusion criteria, we identified FL measurements from 19996 ultrasounds from 7194 patients between 11 and 42 weeks gestation. The FL data were then transformed into Z-scores that were calculated using three series of reference equations obtained from three reports: Leung TN, Pang MW et al (2008; Chitty LS, Altman DG et al (1994; and Papageorghiou AT et al (2014. Each Z-score distribution was presented as the mean and standard deviation (SD. Skewness and kurtosis and were compared with the standard normal distribution using the Kolmogorov-Smirnov test. The histogram of their distributions was superimposed on the non-skewed standard normal curve (mean = 0, SD = 1 to provide a direct visual impression. Finally, the sensitivity and specificity of each reference chart for identifying fetuses 95th percentile (based on the observed distribution of Z-scores were calculated. The Youden index was also listed. A scatter diagram with the 5th, 50th, and 95th percentile curves calculated from and superimposed on each reference chart was presented to provide a visual impression.The three Z-score distribution curves appeared to be normal, but none of them matched the expected standard normal distribution. In our study, the Papageorghiou reference curve provided the best results, with a sensitivity of 100% for identifying fetuses with measurements 95th percentile, and specificities of 99.9% and 81.5%, respectively.It is important to choose an

  14. Involvement in bullying and depression in a 2-year follow-up in middle adolescence

    Kaltiala-Heino, Riittakerttu; Fröjd, Sari; Marttunen, Mauri

    2009-01-01

    Abstract The main objective was to analyse whether involvement in bullying at school predicts depression, and whether depression predicts involvement in bullying in middle adolescence. A total of 2,070 15-year-old girls and boys in two Finnish cities were surveyed at ninth grade (age 15) at schools, and followed up 2 years later in the Adolescent Mental Health Cohort Study (AMHC). Depression was measured by a Finnish modification of the 13-item short Beck Depression Inventory. Invo...

  15. Instrumentation in lumbar fusion improves back pain but not quality of life 2 years after surgery

    Robinson, Yohan; Michaëlsson, Karl; Sandén, Bengt

    2013-01-01

    Background and purpose Instrumented and non-instrumented methods of fusion have been compared in several studies, but the results are often inconsistent and conflicting. We compared the 2-year results of 3 methods of lumbar fusion when used in degenerative disc disease (DDD), using the Swedish Spine Register (SWESPINE). Methods All patients registered in SWESPINE for surgical treatment of DDD between January 1, 2000 and October 1, 2007 were eligible for the study. Patients who had completed t...

  16. Substance misuse in life and death in a 2-year cohort of suicides

    Galway, Karen; Gossrau-Breen, Diana; Mallon, Sharon; Hughes, Lynette; Rosato, Michael; Rondon-Sulbaran, Janeet; Leavey, Gerry

    2015-01-01

    Background: Although substance misuse is a key risk factor in suicide, relatively little is known about the relationship between lifetime misuse and misuse at the time of suicide.Aims: To examine the relationship between substance misuse and subsequent suicide.Method: Linkage of coroners' reports to primary care records for 403 suicides occurring over 2 years.Results: With alcohol misuse, 67% of the cohort had previously sought help for alcohol problems and 39% were intoxicated at the time of...

  17. Predictors of beginning reading in Chinese and English: A 2-year longitudinal study of Chinese kindergartners

    Ho, CSH; McBrideChang, C

    2005-01-01

    Ninety Chinese children were tested once at age 4 and again 22 months later on phonological-processing and other reading skills. Chinese phonological-processing skills alone modestly predicted Chinese character recognition, and English letter-name knowledge uniquely predicted reading of both Chinese and English 2 years later. Furthermore, concurrently measured phonological-processing skills in Chinese, but not English, accounted for unique variance in both English and Chinese word recognition...

  18. Factors associated with phantom limb pain: a 31/2-year prospective study

    Bosmans, J.C.; Geertzen, J. H. B.; Post, W.J.; van der Schans, C P; Dijkstra, P.U.

    2010-01-01

    Objective: To analyse the prevalence of phantom (limb) pain over time and to analyse factors associated with phantom (limb) pain in a prospective cohort of amputees. Design: A multicentre longitudinal study. Patients: One hundred and thirty-four patients scheduled for amputation were included. Methods: Patients filled in questionnaires before amputation, and postal questionnaires six months, 1 years and 2 years to a maximum of 3 years after amputation. Preoperative assessment included patient...

  19. Filariasis presenting as a scrotal nodule in a 2 year old child:A case report

    Kiran Yagain; Mary Mathew

    2011-01-01

    A two year old boy from southwestern village of India presented with a2 cm í1 cm size swelling in scrotum for8 months. It was excised surgically and the histopathological examination revealed a gravid filarial worm. The occurrence of adult filarial worm in2 year old boy signifies the endemicity and high larval load of insect vectors in western coast of south India.

  20. Health-Engagement Control Strategies and 2-Year Changes in Older Adults’ Physical Health

    Wrosch, Carsten; Schulz, Richard

    2008-01-01

    This study examined the associations between older adults’ daily physical symptoms (e.g., chest pain or difficulty breathing) and 2-year changes in chronic health problems (e.g., cardiovascular disease or cancer) and in functional problems (e.g., difficulty dressing or moving around at home). We reasoned that these associations depend on a person’s active control processes aimed at counteracting physical health problems (i.e., health-engagement control strategies, or HECS). In particular, we ...

  1. Effectiveness of a tinnitus management programme: a 2-year follow-up

    Gudex, Claire

    2009-01-01

    new clients presenting with tinnitus completed the Tinnitus Handicap Inventory (THI) three times - before their first consultation, after one month and after 1-2 years. The scores were tested for significant differences over time using tests for paired data. Logistic regression was used to examine...... significant benefit to many clients at a relatively low cost. It would be useful to conduct a randomised controlled study comparing the current programme with alternative forms of combination counselling/sound therapy approaches....

  2. A 2-Year Psychological Autopsy Study of Completed Suicides in the Athens Greater Area, Greece

    Paraschakis, Antonios; Michopoulos, Ioannis; Christodoulou, Christos; Koutsaftis, Filippos; Lykouras, Lefteris; Douzenis, Athanassios

    2015-01-01

    Objective To study the characteristics of a sample of suicide victims from the Athens Greater Area using the psychological autopsy method for the first time in Greece. Methods We studied all recorded cases of completed suicide for the 2-year time period November 2007-October 2009 collecting data from the victims' forensic records as well as from the completion of a psychological autopsy questionnaire. Results 335 persons were recorded as suicide victims. We contacted relatives of 256 victims ...

  3. The Histological Changes of the Great Saphenous Vein at 2 Years after Cryosclerosis

    Balint, Istvan Bence; Bali, Ottilia; Vargovics, Eszter; Simon, Eva; Vizsy, Laszlo

    2014-01-01

    Cryosclerosis was developed at the end of the last decade. It is the endovenous cryoablation of the great saphenous vein and has been forgotten before the era of the endovenous ablation techniques began. The caused histomorphological changes of the vein weren’t described before, especially, years after the procedure. A 31-year-old female patient underwent cryosclerosis 2 years ago. Because of the recanalization of the great saphenous vein and recurrent varicosity, high ligation, cryostripping...

  4. Running with Dewey: An alternative running program in 2. year high shool physical education

    Næss, Harald Solhaug

    2012-01-01

    This study is based on an action research project labeled “Running with Dewey” implemented in a 2.year High School Physical Education class. The purpose of the project was to analyze students´ response to a running program based on experience learning. 8 students participated in alternative Physical Education for 8 weeks. The action research project facilitated an autonomy supportive and reflection supportive climate, where students were individually given the freedom to choose th...

  5. Endoscopic ultrasound-guided transmural drainage of infected pancreatic necrosis developing 2 years after acute pancreatitis

    Eliason, Kyle; Douglas G. Adler

    2015-01-01

    This is a case report of endoscopic ultrasound guided transmural drainage of a large infected pancreatic necrosis. The infected necrosis was treated by placement of a fully covered metal stent with subsequent endoscopic necrosectomy to remove solid debris. The case is notable for the fact that the patient developed infection of a long-standing and previously stable area of walled-off pancreatic necrosis 2 years after it formed. We believe this is the longest time ever reported between necroti...

  6. Knee rotational laxity and proprioceptive function 2 years after partial ACL reconstruction

    Chouteau, Julien; Testa, Rodolphe; Viste, Anthony; MOYEN, Bernard

    2012-01-01

    The aim of our study was to evaluate knee rotational laxity and proprioceptive function 2 years after partial anterior cruciate ligament (ACL) reconstruction. According to our hypothesis, partial ACL reconstruction could restore knee laxity and function to the intact level. Methods : We conducted a study in fifteen consecutive patients undergoing partial ACL reconstruction. Fifteen anteromedial bundle tears were identified intra-operatively. Partial ACL reconstructions were performed by the s...

  7. Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis.

    Pryor, Michael B; Carrion, Rafael; Wang, Run; Henry, Gerard

    2016-01-01

    A common complaint after inflatable penile prosthesis surgery is reduced penile length. We previously reported how using the Coloplast Titan inflatable penile prosthesis with aggressive new length measurement technique (NLMT) coupled with postoperative IPP rehabilitation of the implant for 1-year helped to improve patient satisfaction and erectile penile measurements. This is a 2 years follow-up of a prospective, three-center, study of 40 patients who underwent Titan prosthesis placement, with new length measurement technique for erectile dysfunction. Patient instructions were to inflate daily for 6 months and then inflate maximally for 1-2 h daily for 6-24 months. Fifteen penile measurements were taken before and immediately after surgery and at follow-up visits. Measurement changes were improved at 24 months as compared to immediately postoperative and at 12 months. 67.8% of subjects were satisfied with their length at 2 years, and 77% had perceived penile length that was longer (30.8%) or the same (46.2%) as prior to the surgery. 64.3% and 17.9% of subjects had increased and unchanged satisfaction, respectively, with penile length as compared to prior to penile implant surgery. All but one subject (96.5%) was satisfied with the overall function of his implant. This study suggests using the Coloplast Titan with aggressive cylinder sizing, and a postoperative penile rehabilitation inflation protocol can optimize patient satisfaction and erectile penile measurements at 2 years postimplant. PMID:26459782

  8. PREVALENCE AND AETIOLOGICAL FACTORS OF URINARY TRACT INFECTION IN FEBRILE CHILDREN 2 MONTHS TO 2 YEARS

    Mohammed

    2016-03-01

    Full Text Available OBJECTIVES To determine the prevalence of urinary tract infection and etiological factors in recurrent urinary tract infections in febrile children, 2 months to 2 years of age. METHODS It was a hospital-based cross-sectional study conducted in the OPD of a tertiary care teaching hospital; 239 children between the ages of 2 months to 2 years with fever of more than 5 days were evaluated for UTI. Those who have >5 pus cells in urine analysis, urine culture was done. Children with recurrent UTI were evaluated by abdominal ultrasonogram, MCU and DMSA scan. RESULTS Total number of children studied were 239, prevalence of urinary tract infection was 11.3%, 2-6 months of age (18.75% and 7-12 months of age (14.14%. E. coli constituted 62.96%. Among children with recurrent urinary tract infection, pyelonephritic changes in DMSA scan were present in 4 (36.3% and VUR was present in 2 (16% in MCU. CONCLUSIONS Urinary tract infection is a significant problem to be looked for in febrile children 2 months to 2 years. In recurrent UTI, any underlying problems like VUR should be considered and evaluated.

  9. The lasting memory enhancements of retrospective attention.

    Reaves, Sarah; Strunk, Jonathan; Phillips, Shekinah; Verhaeghen, Paul; Duarte, Audrey

    2016-07-01

    Behavioral research has shown that spatial cues that orient attention toward task relevant items being maintained in visual short-term memory (VSTM) enhance item memory accuracy. However, it is unknown if these retrospective attentional cues ("retro-cues") enhance memory beyond typical short-term memory delays. It is also unknown whether retro-cues affect the spatial information associated with VSTM representations. Emerging evidence suggests that processes that affect short-term memory maintenance may also affect long-term memory (LTM) but little work has investigated the role of attention in LTM. In the current event-related potential (ERP) study, we investigated the duration of retrospective attention effects and the impact of retrospective attention manipulations on VSTM representations. Results revealed that retro-cueing improved both VSTM and LTM memory accuracy and that posterior maximal ERPs observed during VSTM maintenance predicted subsequent LTM performance. N2pc ERPs associated with attentional selection were attenuated by retro-cueing suggesting that retrospective attention may disrupt maintenance of spatial configural information in VSTM. Collectively, these findings suggest that retrospective attention can alter the structure of memory representations, which impacts memory performance beyond short-term memory delays. PMID:27038756

  10. Evaluation of terrain geomorphometric characteristics for ground clearance charts production

    Mirko A. Borisov

    2011-01-01

    Full Text Available Geomorphometric exploration applied in the military terrain analysis is based on the GIS methodology of spatial analyses and is related primarily to military terrain analyses. It includes relief assessment aiming at producing ground clearance charts for the analysis of terrain maneuverability and its deployment, cover and concealment possibilities. An evaluation analysis of geomorphological parameters was performed for the Avala test area using a few terrain parameters (visibility, terrain aspect and slope as well as some terrain qualitative categories (e.g. vegetation density. Terrain slope Slope and aspect are morphometric terrain parameters that can be derived directly from the DTM using some GIS operations. Slope is the first derivative of a surface and has both magnitude and direction. Slope is perhaps the most important aspect of the surface form, since surfaces are formed completely of slopes, and slope angles control the gravitational force available for geomorphic work. Mathematically, the tangent of the slope angle is the first derivative of altitude, and it is a tangent or percent slope as this surface parameter is generally referred to. Slope is defined at each point as the slope of a plane tangent to the surface at that point. In practice, however, slope is generally measured over a finite distance, especially when data are obtained from a contour map. Terrain aspect Aspect is also the first derivative of a surface and has both magnitude and direction. The term aspect is defined as the direction of the biggest slope vector on the tangent plane projected onto the horizontal plane. Aspect is the bearing (or azimuth of the slope direction, and its angle ranges from 0 to 360°. Analyses of terrain slope and ground clearance for military forces The analysis of land assessment of the Avala test area included the definition of relief categories in relation to cover and concealment purposes with the aim to include the geomorphological basis

  11. Development of an AR chart tool for understanding invisible physical phenomena

    Manabe, S.; Mouri, C.; Tenzou, H.; Kasuga, T.; Motoki, K.

    2016-07-01

    The purpose of this study was to develop a tool to overlay a 3D chart on a real measurement field by using ARToolKit library and AR SDK. The tool was also designed to receive measurement data from any device as TCP/IP packets sent through a LAN. The tool is capable of drawing five types of charts; bar, bubble, red-line, spectrum-line and 3D-area. The tool requires a conventional PC, a USB camera, and an AR tag printed on a paper. The AR tag is laid on the measurement area and is recognized as the base level from where to draw the chart. 3D CG objects of the charts are overlaid on the images captured by the USB camera through recognition of the AR tag. A sample code was also prepared to manage DAQ data. The sample code for Windows OS can send the data as CSV text data via TCP/IP to the AR chart tool.

  12. Implementing a New Chart in the Radiotherapy Unit at Rambam Medical Center

    The Radiotherapy chart is the paper form used by the multi-disciplinary team of the Radiotherapy [RT] Unit to convey information and register treatment orders. The chart is a major tool which helps the medical and para-medical staff to provide the correct treatment to the patient and to assure that every step is performed appropriately and approved. For this reason, the RT chart is one of the quality assurance tools used in the Unit. In the last decade, the RT chart used at Rambam Medical Center was very simple, 4 pages long, designed by the staff members themselves. Several errors in delivering RT led to a decision to involve the Research Center for Work Safety and Human Engineering at Technion. This group conducted a human factors and safety analysis study in the RT Unit. After both general and focused analyses, the group recommended redesigning the RT chart which plays an important role as an information and guiding map, affecting the quality of treatment and the patient's health and safety

  13. Monitoring of an industrial process by multivariate control charts based on principal component analysis.

    Marengo, Emilio; Gennaro, Maria Carla; Gianotti, Valentina; Robotti, Elisa

    2003-01-01

    The control and monitoring of an industrial process is performed in this paper by the multivariate control charts. The process analysed consists of the bottling of the entire production of 1999 of the sparkling wine "Asti Spumante". This process is characterised by a great number of variables that can be treated with multivariate techniques. The monitoring of the process performed with classical Shewhart charts is very dangerous because they do not take into account the presence of functional relationships between the variables. The industrial process was firstly analysed by multivariate control charts based on Principal Component Analysis. This approach allowed the identification of problems in the process and of their causes. Successively, the SMART Charts (Simultaneous Scores Monitoring And Residual Tracking) were built in order to study the process in its whole. In spite of the successful identification of the presence of problems in the monitored process, the Smart chart did not allow an easy identification of the special causes of variation which casued the problems themselves. PMID:12911145

  14. Nursing care gestion of chronically ill elderly people. Policlinico 2, year 2007

    Liudmila Carbonell Sanamé

    2009-01-01

    Full Text Available A descriptive prospective study was made to those patients aged more than 60 years who are attended in the Policlinico 2 “Leonilda Tamayo Matos” in Isla de la Juventud during the year 2007. The study population was 1254 and 700 chronically ill elderly people were taken as representative sample, using a simple random sampling. The Mini Mental State Examination and a satisfaction survey was made to old people, all these with their informed consent. The main variables to study were: sex, age, race, civil state, educational level, work, assistance to the Grandparent’s Circle and satisfaction level. There exists a feminine predominance (61% over male, as well as the age group from 60 to 64 years old. Mixed race is the most common one (43%, followed by black (35%. 43% of these elders have secondary studies, and 64% of them are retired. The assistance to the Grandparent’s Circle is good, 338 of all the elders studied (48.2% assist to it. The results were expressed with real numbers and percentages, and were represented in bar and pie charts. There exists a predominance of arterial hypertension and diabetes mellitus in the elders studied. The quality of the nursing cares to the chronically ill old people of the policlinic 2 in 2007 was good.

  15. Optically stimulated luminescence in retrospective dosimetry

    Bøtter-Jensen, L.; Murray, A.S.

    2002-01-01

    Since the beginning of the 1990s the exploration of optically stimulated luminescence (OSL) in retrospective accident dosimetry has driven an intensive investigation and development programme at Riso into measurement facilities and techniques. This paper reviews some of the outcomes of this progr......Since the beginning of the 1990s the exploration of optically stimulated luminescence (OSL) in retrospective accident dosimetry has driven an intensive investigation and development programme at Riso into measurement facilities and techniques. This paper reviews some of the outcomes...

  16. Preterm infant gut colonization in the neonatal ICU and complete restoration 2 years later.

    Moles, L; Gómez, M; Jiménez, E; Fernández, L; Bustos, G; Chaves, F; Cantón, R; Rodríguez, J M; Del Campo, R

    2015-10-01

    Preterm infants in a neonatal intensive care unit (NICU) are exposed to multidrug-resistant bacteria previously adapted to the hospital environment. The aim of the present study was to characterize the bacterial antibiotic-resistant high-risk lineages colonizing preterm infants during their NICU stay and their persistence in faeces after 2 years. A total of 26 preterm neonates were recruited between October 2009 and June 2010 and provided 144 faecal samples. Milk samples (86 mother's milk, 35 human donor milk and 15 formula milk) were collected at the same time as faecal samples. An additional faecal sample was recovered in 16 infants at the age of 2 years. Samples were plated onto different selective media, and one colony per morphology was selected. Isolates were identified by 16S rDNA nucleotide sequence and MALDI-TOF. Antibiotic susceptibility (agar dilution), genetic diversity (RAPD, PFGE and MLST) and virulence factors (only in enterococcal and staphylococcal isolates) were determined by PCR. A high proportion of antibiotic-resistant high-risk clones was detected in both faecal and milk samples during the NICU admittance. Almost all infants were colonized by Enterococcus faecalis ST64 and Enterococcus faecium ST18 clones, while a wider genetic diversity was observed for the Gram-negative isolates. Multidrug-resistant high-risk clones were not recovered from the faecal samples of the 2-year-olds. In conclusion, the gut of preterm infants admitted to the NICU might be initially colonized by antibiotic-resistant and virulent high-risk lineages, which are later replaced by antibiotic-susceptible community ones. PMID:26086569

  17. Food Variety at 2 Years of Age is Related to Duration of Breastfeeding

    Wendy H. Oddy

    2012-10-01

    Full Text Available The aim of this study was to investigate the association of breastfeeding duration and food variety at 2 years of age. A secondary data analysis was undertaken of the Western Australian Pregnancy Cohort (Raine Study, an ongoing longitudinal study. Data collected from a single 24 h dietary recall of 1905, 2 year-old children were used to calculate two food variety scores; a core food variety score (CFVS and a fruit and vegetable variety score (FVVS. Multivariate linear regression analysis was used to identify those factors independently associated with the CFVS and FVVS. The mean CFVS was 7.52 (range 1–18 of a possible 34 food items or groups and the mean FVVS was 2.84 (range 0–10 of a possible 16 food items or groups. Breastfeeding duration was independently directly associated with the CFVS (p < 0.001 and FVVS (p < 0.001. In addition, maternal age was independently directly associated with the CFVS (p < 0.001 and FVVS (p = 0.001 as was maternal education (CFVS p < 0.001 and FVVS p = 0.043. The presence of older siblings was independently inversely associated with the CFVS (p = 0.003 and FVVS (p = 0.001. This study demonstrated a direct modest association between breastfeeding duration and food variety in 2 year-old children, independent of maternal demographic characteristics known to predict food variety in children. This finding supports the hypothesis that flavours transferred in breast milk provide repeated early exposure to different tastes and positively shape children’s food preferences and food variety.

  18. Clinically significant behavior problems among young children 2 years after the Great East Japan Earthquake.

    Takeo Fujiwara

    Full Text Available BACKGROUND: On March 11, 2011, a massive undersea earthquake and tsunami struck East Japan. Few studies have investigated the impact of exposure to a natural disaster on preschool children. We investigated the association of trauma experiences during the Great East Japan Earthquake on clinically significant behavior problems among preschool children 2 years after the earthquake. METHOD: Participants were children who were exposed to the 2011 disaster at preschool age (affected area, n = 178; unaffected area, n = 82. Data were collected from September 2012 to June 2013 (around 2 years after the earthquake, thus participants were aged 5 to 8 years when assessed. Severe trauma exposures related to the earthquake (e.g., loss of family members were assessed by interview, and trauma events in the physical environment related to the earthquake (e.g. housing damage, and other trauma exposure before the earthquake, were assessed by questionnaire. Behavior problems were assessed by caregivers using the Child Behavior Checklist (CBCL, which encompasses internalizing, externalizing, and total problems. Children who exceeded clinical cut-off of the CBCL were defined as having clinically significant behavior problems. RESULTS: Rates of internalizing, externalizing, and total problems in the affected area were 27.7%, 21.2%, and 25.9%, respectively. The rate ratio suggests that children who lost distant relatives or friends were 2.36 times more likely to have internalizing behavior problems (47.6% vs. 20.2%, 95% CI: 1.10-5.07. Other trauma experiences before the earthquake also showed significant positive association with internalizing, externalizing, and total behavior problems, which were not observed in the unaffected area. CONCLUSIONS: One in four children still had behavior problems even 2 years after the Great East Japan Earthquake. Children who had other trauma experiences before the earthquake were more likely to have behavior problems. These

  19. Mechanical Properties of Cranial Bones and Sutures in 1–2-Year-Old Infants

    Wang, Jiawen; Zou, Donghua; LI, ZHENGDONG; Huang, Ping; Li, Dongri; Shao, Yu; Wang, Huijun; Chen, Yijiu

    2014-01-01

    Background The mechanical properties of 1–2-year-old pediatric cranial bones and sutures and their influential factors were studied to better understand how the pediatric calvarium reacts to loading. Material/Methods Cranial bone and suture specimens were extracted from seven fresh-frozen human infant cadavers (1.5±0.5 years old). Eight specimens were obtained from each subject: two frontal bones, two parietal bones, two sagittal suture samples, and two coronal suture samples. The specimens w...

  20. Practical prediction model for the risk of 2-year mortality of individuals in the general population.

    Goldfarb-Rumyantzev, Alexander; Gautam, Shiva; Brown, Robert S

    2016-04-01

    This study proposed to validate a prediction model and risk-stratification tool of 2-year mortality rates of individuals in the general population suitable for office practice use. A risk indicator (R) derived from data in the literature was based on only 6 variables: to calculate R for an individual, starting with 0, for each year of age above 60, add 0.14; for a male, add 0.9; for diabetes mellitus, add 0.7; for albuminuria >30 mg/g of creatinine, add 0.7; for stage ≥3 chronic kidney disease (CKD), add 0.9; for cardiovascular disease (CVD), add 1.4; or for both CKD and CVD, add 1.7. We developed a univariate logistic regression model predicting 2-year individual mortality rates. The National Health and Nutrition Examination Survey (NHANES) data set (1999-2004 with deaths through 2006) was used as the target for validation. These 12,515 subjects had a mean age of 48.9±18.1 years, 48% males, 9.5% diabetes, 11.7% albuminuria, 6.8% CVD, 5.4% CKD, and 2.8% both CKD and CVD. Using the risk indicator R alone to predict mortality demonstrated good performance with area under the receiver operating characteristic (ROC) curve of 0.84. Dividing subjects into low-risk (R=0-1.0), low intermediate risk (R>1.0-3.0), high intermediate risk (R>3.0-5.0) or high-risk (R>5.0) categories predicted 2-year mortality rates of 0.52%, 1.44%, 5.19% and 15.24%, respectively, by the prediction model compared with actual mortality rates of 0.29%, 2.48%, 5.13% and 13.40%, respectively. We have validated a model of risk stratification using easily identified clinical characteristics to predict 2-year mortality rates of individuals in the general population. The model demonstrated performance adequate for its potential use for clinical practice and research decisions. PMID:26951378

  1. Recurrent parosteal osteosarcoma of the talus in a 2-year-old child

    Parosteal osteosarcoma is an uncommon, low-grade malignant bone tumor and is found in an older age group than conventional osteosarcoma. We present a talar parosteal osteosarcoma that recurred twice in a 2-year-old child. To our knowledge, this is the youngest patient reported with a parosteal osteosarcoma. The talus is an unusual site for parosteal osteosarcoma. Inadequate resection due to a diagnosis of juxtacortical chondroma resulted in recurrence of the tumor. The age of the patient, the thick cartilaginous cap, and well-differentiated trabecular bone all contributed to the critical erroneous diagnosis. (orig.)

  2. Testicular microlithiasis in a 2-year-old boy with pseudoxanthoma elasticum

    De Goede, J.; Hack, W. W. M.; Sijstermans, K; Pierik, F. H.

    2008-01-01

    Pseudoxantoma elasticum (PXE) is a rare chromosomal disorder that results in mineralization of elastic fibers, especially in the skin, eye, and cardiovascular system. Recently, PXE has been associated with testicular microlithiasis (TM),1 which itself might be associated with testicular malignancy.2 Here we report on a 9-year-old boy with PXE who already had TM at 2 years. To our knowledge, this is the youngest patient with PXE in whom TM is documented. © 2008 by the American Institute of Ult...

  3. Food production and nutrition for the crew during the first 2-year closure of Biosphere 2.

    Silverstone, S E

    1997-01-01

    Biosphere 2's finite natural resources: atmosphere, plants, water, and soil, and its unique increased rate of nutrient cycling, mandated a design for the agriculture that emphasized sustainability and high productivity. The results of the initial 2-year test of the agriculture system showed that it could provide a diet that was both nutritionally adequate and pleasing to the palate of the eight-member crew from September 1991 to September 1993. The agriculture design was developed from 1985 to 1991 at the Space Biospheres research greenhouses with consulting from the Institute of Ecotechnics (London) from its experiments in New Mexico, Australia, and France and the Environmental Research Laboratory (University of Arizona). During the 2-year mission this research was continued with the close collaboration of outside scientific consultants, particularly in the area of soil management and integrated pest management. The 2000-m2 cropping area provided approximately 81% of the overall nutritional needs of the crew. Initial results showed light to be the main limiting factor and the additional electric light was added after the first 2-year mission to increase the productivity for future experiments. The diet was primarily vegetarian supplemented with daily amounts of milk, and weekly meals of meat and eggs from the system's domestic goats, pigs, and chickens. Nontoxic methods of pest and disease control were used. The main pest problems were broad mite and root knot nematode. Inedible plant material, domestic animal wastes, and human waste water were successfully processed for nutrient return to the soil. Eighty-six varieties of crops were grown in Biosphere 2. Major staple crops included rice, sweet potato, beets, banana, and papaya. The African pygmy goats were the most productive of the domestic animals producing on average 1.14 kg of milk per day. The diet averaged 2200 calories, 73 g of protein, and 32 g of fat per person per day over the 2 years. The crew had a 10

  4. Middle and Lower Face Soft Tissue Reconstruction: A 10-Year Retrospective Study.

    Wusiman, Patiguli; Tuerxun, Julaiti; Ling, Wang; Tuerdi, Maimaitituerxun; Maimaiti, Abudukelimujiang; Tao, Yao Zhi; Saimait, Adilijiang; Mijiti, Ainiwaer; Moming, Adili

    2016-09-01

    Retrospectively analyze the reconstruction methods and surgical outcomes of patients with middle and lower face soft tissue defects treated at our hospital over the past 10 years. 200 patients with middle and lower face soft tissue defects were surgically reconstructed at our hospital. Medical charts were retrospectively reviewed and analyzed to abstract the pertinent information. The lesion was mainly at the eyelid, lips, chin and nasal-cheek region. There were 41 (63.08 %) men and 24 (36.92 %) women. In our study, male to female ratio = 1.7:1. We used direct closure for night patients, local flap for 141 patients, free flap for 38 patients, combined flap for 12 patients involving extensive mid face and lower face defects. Most patients had their tumor resected and reconstructed in single stage procedure mostly with local advancement flap, and no flap failure was presented post-operatively. Middle and lower face soft tissue defects can be successfully treated with local flap in a single stage approach and step-by-step approach. PMID:27508131

  5. Dental x-ray validation study: comparison of information from patient interviews and dental charts

    Information was collected from dentists of a subset of participants in a case-control interview study conducted in Los Angeles County, California, in August 1980-August 1981 to evaluate the relationship of dental x-rays to tumors of the parotid gland. Complete dental charts were available from 142 dentists of 84 cases and from 130 dentists of 79 control. Analysis of data from these interview chart comparisons indicates that recall appears to be unbiased since the measures of agreement between interview and dental chart data are similar for cases and controls. The authors further conclude that interview data alone may be used for case-control comparisons of dental x-ray exposure and would, because of unbiased misclassification, tend to underestimate the relative risks. 12 references, 3 tables

  6. An Efficient Novel Compensatory Multi-attribute Control Chart for Correlated Multinomial Processes

    Sadigh Raissi

    2013-07-01

    Full Text Available Monitoring multi-attribute processes is an important issue in many quality control environments. Almost all the priory proposed control charts utilize equal weights for each Attribute Quality Characteristics (AQCs. In such condition, there is no priority among AQCs. But in real-world, compensatory may exist. Hence due to some applied reasons such as function or efficiency, unequal weights for each AQC are possible. This study proposed a novel efficient control chart for simultaneous monitoring of weighted AQC when data expressed by linguistic terms. Correspondingly a new procedure to interpret out-of-control signals is presented. Performance and comparison advantage of the proposed control chart is measured in terms of Average Run Length (ARL using a real case which priory was expressed. Consequences displayed that considering weight could efficiently extend the prior research for practical circumstancese.

  7. A signal-to-noise chart for designing planar high-Tc SQUID gradiometers for magnetocardiographs

    To design practical planar high-Tc SQUID gradiometers for magnetocardiographs, a signal-to-noise (S/N) chart that will enable the gradiometers to detect P-waves was developed. The signal was estimated as the gradient field generated by the mean current dipole of P-waves of 20 healthy volunteers. The current dipoles were obtained by using a conventional magnetocardiograph comprising low-Tc SQUID gradiometers. On the other hand, the noise was estimated from studies on previously reported gradiometers based on the limit of intrinsic gradient field noise. The obtained S/N chart indicates that a gradiometer with a baseline longer than 12 mm is necessary for detecting P-waves without averaging. The reliability of the S/N chart was confirmed by detecting actual P-waves with 100-beat averaging by using a fabricated planar high-Tc SQUID gradiometer with a baseline of 6.75 mm. (author)

  8. GJ-CHART: a simple design method for partial solar heated modular polyvalent dryers

    Hirunlabh, J.; Khedari, J.; Daguenet, M. (Perpignan Univ. (France). Lab. de Thermodynamique et Energetique)

    1993-01-01

    The authors propose a generalisation of the J-CHART method for a polyvalent modular drying system obtained by multiple simulation of thermal performance of two standard configurations: without recycling the air leaving the dryer, with 50% recycling of the air leaving the dryer and mixing with the air leaving the collectors. This method, named as ''GJ-CHART'' is based on the use of charts of polynomial correlations which allows to determine the fraction of monthly average heating load supplied by solar energy and the fraction of monthly average economized energy as function of the two dimensionless parameters. These parameters are related to the standard collector parameters, the data of monthly average radiation, temperature and the estimates of drying loads, which by consequence, allows for a more general use. (Author)

  9. Statistical evaluation of the dose-distribution charts of the National Computerized Irradiation Planning Network

    The establishment of the National Computerized Irradiation Planning Network allowed to perform the statistical evaluation presented in this report. During the first 5 years 13389 dose-distribution charts were calculated for the treatment of 5320 patients, i.e. in average, 2,5 dose-distribution chart-variants per patient. This number practically did not change in the last 4 years. The irradiation plan of certain tumour localizations was performed on the basis of the calculation of, in average, 1.6-3.0 dose-distribution charts. Recently, radiation procedures assuring optimal dose-distribution, such as the use of moving fields, and two- or three-irradiation fields, are gaining grounds. (author)

  10. Do gender-specific and high-resolution three dimensional body charts facilitate the communication of pain for women?

    Egsgaard, Line Lindhardt; Christensen, Trine Søby; Petersen, Ida Munk;

    2016-01-01

    body chart enabled a more accurate expression of their pain due to the detailed contours of the musculature and bone structure, however, patients also reported the 3D body chart was too human and believed that skin-like appearance limited 'deep pain' expressions. CONCLUSIONS: Providing gender...... and quantitative responses of the drawing experience. RESULTS: The consistency between body charts were high (Part I: ICC=0.980, Part II: ICC=0.994). The preference ratio for the masculine to feminine body schemas were 6:35 and 18:23 for the 2D to 3D female body charts. Patients reported that the 3D...

  11. Monitoring Actuarial Present Values of Term Life Insurance By a Statistical Process Control Chart

    Hafidz Omar, M.

    2015-06-01

    Tracking performance of life insurance or similar insurance policy using standard statistical process control chart is complex because of many factors. In this work, we present the difficulty in doing so. However, with some modifications of the SPC charting framework, the difficulty can be manageable to the actuaries. So, we propose monitoring a simpler but natural actuarial quantity that is typically found in recursion formulas of reserves, profit testing, as well as present values. We shared some simulation results for the monitoring process. Additionally, some advantages of doing so is discussed.

  12. An Improved Multivariate T2 Control Chart for Individual Observations in Low Volume Manufacturing

    Miao Rui(苗瑞); Wang Dongpeng; Yao Yingxue

    2004-01-01

    For multivariate statistical process quality control with individual observations, the usually recommended procedure is Hotelling's T2 control chart. Using the T2 statistic based on β distribution is an exact method for constructing multivariate control limits in low volume manufacturing, but it is not convenient in that the variation of sample size leads to a change in control limit. This paper presents an improved multivariate T2 control chart whose control limit does not change with sample size, which is especially useful when the sample size is small.

  13. A randomised multicentre trial of CHART versus conventional radiotherapy in head and neck cancer

    Background and purpose: Continuous, hyperfractionated, accelerated radiotherapy (CHART) has shown promise of improved tumour control and reduced late morbidity in pilot studies and has now been tested in a multicentre randomised controlled clinical trial. Material and methods: Patients with squamous cell cancer in the main sites within the head and neck region with the general exception of early T1 N0 tumours were entered into the study by 11 centres. There was a 3:2 randomisation to either CHART, where a dose of 54 Gy was given in 36 fractions over 12 days, or to conventional therapy where 66 Gy was given in 33 fractions over 6.5 weeks. A total of 918 patients were included over a 5 year period from March 1990. Results: Acute Morbidity: Acute radiation mucositis was more severe with CHART, occurred earlier but settled sooner and was in nearly all cases healed by 8 weeks in both arms. Skin reactions were less severe and settled more quickly in the CHART treated patients. Tumour control and survival: Life table analyses of loco-regional control, primary tumour control, nodal control, disease-free interval, freedom from metastasis and survival showed no evidence of differences between the two arms. In exploratory subgroup analyses there was evidence of a greater response to CHART in younger patients (P = 0.041) and poorly differentiated tumours appeared to fare better with conventional radiotherapy (P = 0.030). In the larynx there was evidence of a trend towards increasing benefit with more advanced T stage (P = 0.002). Late treatment related morbidity: Osteoradionecrosis occurred in 0.4% of patients after CHART and 1.4% of patients after conventional radiotherapy. The incidence of chondritis or cartilage necrosis was similar in both arms. Life table analysis showed evidence of reduced severity in a number of late morbidities in favour of CHART. These were most striking for skin telangiectasia, superficial and deep ulceration of the mucosa and laryngeal oedema

  14. Trading Signal Generation Using A Combination of Chart Patterns and Indicators

    Chalothon Chootong

    2012-11-01

    Full Text Available Chart patterns and indicators are popular technical tools for making investment decisions. This article presents a trading strategy combining price movement patterns, candlestick chart patterns, and trading indicators, including Moving Average, Exponential Moving Average, Bollinger Bands, On Balance Volume, Relative Strength Index, Moving Average Convergence Divergence, and Stochastic Oscillator, with the aim to increase the return on investment. A neural network ensemble is employed to determine buy and sell signals on the next trading day. Experimental results, using stocks from five different industries in Stock Exchange of Thailand, show that the proposed strategy yields higher returns than do traditional technical trading methods

  15. Derivation of charts for determining the horizontal tail load variation with any elevator motion

    Pearson, Henry A

    1943-01-01

    The equations relating the wing and tail loads are derived for a unit elevator displacement. These equations are then converted into a nondimensional form and charts are given by which the wing- and tail-load-increment variation may be determined under dynamic conditions for any type of elevator motion and for various degrees of airplane stability. In order to illustrate the use of the charts, several examples are included in which the wing and tail loads are evaluated for a number of types of elevator motion. Methods are given for determining the necessary derivatives from results of wind-tunnel tests when such tests are available.

  16. Triceps skinfold thickness centile charts in primary school children in Shiraz, Iran.

    Ayatollahi, Seyyed-Mohammad-Taghi; Mostajabi, Farida

    2008-03-01

    Triceps skinfold thickness charts of a random sample of 2,234 healthy school children (1,161 boys and 1,073 girls) in Shiraz, Iran are presented. Triceps skinfold thickness increases by age and is higher in girls than boys, except for upper extreme centiles. Triceps skinfold thickness may be used with reasonable success to detect childhood obesity, which would be of great importance in public health promotion. It favors adequacy and simplicity in screening for adiposity. The charts presented here are likely to be applied to urban population of school-aged children in Iran, however, it should be updated periodically. PMID:18298302

  17. DASHBOARDS AND CONTROL CHARTS. EXPERIENCES IN IMPROVING SAFETY AT HANFORD WASHINGTON

    The aim of this paper is to demonstrate the integration of safety methodology, quality tools, leadership, and teamwork at Hanford and their significant positive impact on safe performance of work. Dashboards, Leading Indicators, Control charts, Pareto Charts, Dr. W. Edward Deming's Red Bead Experiment, and Dr. Deming's System of Profound Knowledge have been the principal tools and theory of an integrated management system. Coupled with involved leadership and teamwork, they have led to significant improvements in worker safety and protection, and environmental restoration at one of the nation's largest nuclear cleanup sites

  18. Design and analysis of control charts for standard deviation with estimated parameters

    Schoonhoven, M.; Riaz, M.; Does, R.J.M.M.

    2011-01-01

    This paper concerns the design and analysis of the standard deviation control chart with estimated limits. We consider an extensive range of statistics to estimate the in-control standard deviation (Phase I) and design the control chart for real-time process monitoring (Phase II) by determining the factors for the control limits. The Phase II performance of the design schemes is assessed when the Phase I data are uncontaminated and normally distributed as well as when the Phase I data are con...

  19. Optimal Inspection Policy for Three-state Systems Monitored by Variable Sample Size Control Charts

    Wu, Shaomin

    2011-01-01

    This paper presents the expected long-run cost per unit time for a system monitored by an adaptive control chart with variable sample sizes: if the control chart signals that the system is out of control, the sampling which follows will be conducted with a larger sample size. The system is supposed to have three states: in-control, out-of-control, and failed. Two levels of repair are applied to maintain the system. A minor repair will be conducted if an assignable cause is c...

  20. New method for assessment of skeletal maturity in the first 2 years of life

    Hernandez, M.; Sanchez, E.; Sobradillo, B.; Rincon, J.M.; Narvaiza, J.L.

    1988-09-01

    We present an original scoring method for assessing skeletal maturity in the first 2 years of life. We propose a lateral radiograph of the ankle and foot. Five different bony centers were examined: The calcaneus, the cuboid, the third cuneiform, the distal tibial epiphysis and the distal fibular epiphysis. The maturity scores given to the different stages of each bony center were calculated in proportion to the coefficients of regression between the skeletal maturity and a factor that expresses the influence of weight and head circumference as high multiple correlation coefficients of skeletal maturity with the factor obtained (0.920 for boys ad 0.929 for girls). Our method was standardized in a children population of less than two years of life in Biscaye, where 1,164 radiographs were taken. The distribution of scores in this study shows the discriminative ability of our method and its validity as an adequate method for skeletal maturity assessment in children less than 2 years of age.

  1. A new method for assessment of skeletal maturity in the first 2 years of life

    We present an original scoring method for assessing skeletal maturity in the first 2 years of life. We propose a lateral radiograph of the ankle and foot. Five different bony centers were examined: The calcaneus, the cuboid, the third cuneiform, the distal tibial epiphysis and the distal fibular epiphysis. The maturity scores given to the different stages of each bony center were calculated in proportion to the coefficients of regression between the skeletal maturity and a factor that expresses the influence of weight and head circumference as high multiple correlation coefficients of skeletal maturity with the factor obtained (0.920 for boys ad 0.929 for girls). Our method was standardized in a children population of less than two years of life in Biscaye, where 1,164 radiographs were taken. The distribution of scores in this study shows the discriminative ability of our method and its validity as an adequate method for skeletal maturity assessment in children less than 2 years of age. (orig.)

  2. Translating theory into practice: results of a 2-year trial for the LEAD programme.

    Shelton, D

    2008-05-01

    This paper presents data for 2 years of a continuing study aimed to reduce the risk of first-time involvement by minority youth with the juvenile justice system. A quasi-experimental design was used to test a 14-week expressive art curriculum (LEAD: leadership, education, achievement and development) implemented in two rural communities. A total of 70 African American youth participated in the programme over a 2-year period. Pre- and post-test differences were examined for protective factors, behavioural self-control, self-esteem and resilience measures. When compared with the after-school programme (control group), youth in the LEAD programme in both communities had more dramatic increases in post-test scores following the intervention. The combined data from year 1 and year 2 provide positive findings in support of LEAD as a prevention programme for young offenders. The placement of the programme within an African American church in year 2 improved the processes of the LEAD programme and seemed to provide a better fit with the original design of the programme, highlighting the importance of the context, in which the programme was provided. PMID:18387150

  3. Irrigation effects on diameter growth of 2-year-old Paulownia tomentosa saplings

    Javad Eshaghi Rad; Seyed Rostam Mousavi Mirkala

    2015-01-01

    Species of Paulownia are fast-growing trees that are planted in many countries in green spaces and agroforestry systems. We studied the influence of irrigation on the diameter growth of 2-year-old Paulownia tomentosa saplings planted in 3 m × 3 m grids at Nazlou Campus of Urmia University, Iran. Completely randomized experi-mental design was used with four irrigation amount, viz. 10, 15, 20 and 25 L, and three irrigation intervals, viz. 3-and 6-days, in 8 replications. During the growth season, we measured collar diameters of all saplings at the end of each month. Diameter growth declined with reduced irrigation amount and increased irrigation interval. The lowest average diameter growth (9 mm) was recorded for 10 L water at 6-day intervals and maximum average diameter growth (28.7 mm) was recorded for 25 L volume at 3-day intervals. The latter treatment resulted in significantly greater diameter growth than any other treatment (except 20 L at 3-day intervals). More than 80% of diameter growth was achieved in the first 3 months. Therefore, it is essential to irrigate with 25 L of water at 3-day intervals during the first three growth months to achieve maximum diameter growth for 2-year-old P. tomentosa saplings.

  4. Predictive factors of non-deterioration of glucose tolerance following a 2-year behavioral intervention

    Almeida-Pititto Bianca

    2010-07-01

    Full Text Available Abstract Aim To identify predictive factors associated with non-deterioration of glucose metabolism following a 2-year behavioral intervention in Japanese-Brazilians. Methods 295 adults (59.7% women without diabetes completed 2-year intervention program. Characteristics of those who maintained/improved glucose tolerance status (non-progressors were compared with those who worsened (progressors after the intervention. In logistic regression analysis, the condition of non-progressor was used as dependent variable. Results Baseline characteristics of non-progressors (71.7% and progressors were similar, except for the former being younger and having higher frequency of disturbed glucose tolerance and lower C-reactive protein (CRP. In logistic regression, non-deterioration of glucose metabolism was associated with disturbed glucose tolerance - impaired fasting glucose or impaired glucose tolerance - (p Conclusion The whole sample presented a homogeneous behavior during the intervention. Lower CRP levels and diagnosis of glucose intolerance at baseline were predictors of non-deterioration of the glucose metabolism after a relatively simple intervention, independent of body adiposity.

  5. Radiostereometric migration analysis of the Cerafit femoral stem: 28 patients followed for 2 years.

    Tschunko, Franz; Wagner, Benedikt; Hong, Yutong; Söder, Stephan; Wölfel, Rainer; Müller, Lutz A; Forst, Raimund; Sesselmann, Stefan

    2016-06-01

    Radiostereometric analysis (RSA) is the gold standard evaluating micromovements after total hip arthroplasty. The aim of this study was to investigate the migratory pattern of an uncemented femoral stem during the first 2 years after surgery. We followed 28 patients with a mean age of 57 (SD 13) years for the first two postoperative years. Radiostereometric analysis was used to measure the translation and rotation of the femoral component. The Harris hip score (HHS) was determined to evaluate the clinical outcome. No stem had to be revised. The mean HHS advanced from 35 (SD 11) preoperative to 89 (SD 10) 1 year after surgery. At the end of the observation period, mean subsidence of the stem was 0.26 mm (SD 0.82). Maximum total point motion (MTPM) was 1.23 mm (SD 1.22). The main distal migration took place up to 6 weeks after surgery with nearly no further subsidence up to 2 years postoperatively. All the measured migrations of the hip stem were very small. Results of the HHS demonstrate good clinical outcome. Long-term RSA is necessary to assess possible late migration of the Cerafit standard femoral stem. PMID:25996482

  6. A model of Earth's magnetic field derived from 2 years of Swarm satellite constellation data

    Olsen, Nils; Finlay, Christopher C.; Kotsiaros, Stavros; Tøffner-Clausen, Lars

    2016-07-01

    More than 2 years of magnetic field data taken by the three-satellite constellation mission Swarm are used to derive a model of Earth's magnetic field and its time variation. This model is called SIFMplus. In addition to the magnetic field observations provided by each of the three Swarm satellites, explicit advantage is taken of the constellation aspect of Swarm by including East-West magnetic intensity and vector field gradient information from the lower satellite pair. Along-track differences of the magnetic intensity as well as of the vector components provide further information concerning the North-South gradient. The SIFMplus model provides a description of the static lithospheric field that is very similar to models determined from CHAMP data, up to at least spherical harmonic degree n=75. Also the core field part of SIFMplus, with a quadratic time dependence for n ≤ 6 and a linear time dependence for n=7-15, demonstrates the possibility to determine high-quality field models from only 2 years of Swarm data, thanks to the unique constellation aspect of Swarm. To account for the magnetic signature caused by ionospheric electric currents at polar latitudes we co-estimate, together with the model of the core, lithospheric and large-scale magnetospheric fields, a magnetic potential that depends on quasi-dipole latitude and magnetic local time.

  7. The 2-year stability of parental perceptions of child vulnerability and parental overprotection.

    Thomasgard, M; Metz, W P

    1996-08-01

    Clinicians often identify parent-child relationships that are believed to be problematic for the child's future emotional growth, yet there are minimal outcome data on which to base anticipatory guidance. This 2-year follow-up study examined the stability and child behavioral correlates of parental perceptions of increased child vulnerability and parental overprotection. Of 192 potential participants, 114 parents (93% mothers, 86% white, 75% married, 90% middle-upper socioeconomic status) with children age 4 to 7 years successfully completed the Parent Protection Scale, Child Vulnerability Scale, Child Behavior Checklist 4-18, and the Parental Bonding Instrument. The 2-year stability of high parental overprotection was 37%; for high parental perception of child vulnerability, it was 31%. High perceived vulnerability at enrollment was significantly associated with both internalizing (somatic complaints, anxious/depressed) and externalizing (aggressive) behaviors at follow-up. A history of overprotection in the parent's childhood was not associated with current parental report of overprotective behaviors toward the child. PMID:8856517

  8. A Retrospective Appraisal of Teacher Induction

    Nasser-Abu Alhija, Fadia M.; Fresko, Barbara

    2016-01-01

    Examination of an induction program for new teachers was undertaken from the viewpoint of induction graduates three years after participation. Their retrospective perspectives were investigated as to their satisfaction with assimilation in school in the induction year, their attitudes towards organizational aspects of the program, and the…

  9. Retrospective assessment of seasonal allergic symptoms

    Bødtger, Uffe; Poulsen, L K; Malling, H-J

    2003-01-01

    controlled clinical studies. OBJECTIVES: To investigate the agreement between in- and post-seasonal ratings of seasonal symptoms, and to investigate whether the effect of SIT could be detected retrospectively. MATERIAL AND METHODS: Thirty-five birch pollen-allergic patients were allocated to SIT or placebo...

  10. Retrospective assessment of seasonal allergic symptoms

    Bodtger, U; Poulsen, Lars K.; Malling, H-J

    2003-01-01

    The history of the severity of seasonal allergic symptoms is often obtained post-seasonally as a retrospective assessment. Correct rating is essential when determining the efficacy of pharmaceutical treatment, indications for allergen-specific immunotherapy (SIT), or inclusion into controlled...

  11. The Learning Organization Turns 15: A Retrospective

    Smith, Peter A. C.

    2008-01-01

    Purpose: The purpose of this paper is to introduce the Special Issue; to provide a practitioner's retrospective views of the learning organization concept; and to comment on the status of "The Learning Organization" journal. Design/methodology/approach: The approach adopted involves recounting a personal history of a practitioner's experiences…

  12. Optically stimulated luminescence in retrospective dosimetry

    Bøtter-Jensen, L.; Murray, A.S.

    Since the beginning of the 1990s the exploration of optically stimulated luminescence (OSL) in retrospective accident dosimetry has driven an intensive investigation and development programme at Riso into measurement facilities and techniques. This paper reviews some of the outcomes of this...

  13. Suprir - multibase system for retrospective search

    SUPRIR - a Retrospective Search System developed at the Centro de Informacoes Nucleares (CIN) of the Comissao Nacional de Energia Nuclear (CNEN) is described. The multi-base software structure and the bibliographic data bases in operation under SUPRIR are presented. The utilization of the system, means of access and query formulation are shown. (Author)

  14. Optically stimulated luminescence techniques in retrospective dosimetry

    Bøtter-Jensen, L.; Murray, A.S.

    2001-01-01

    Optically stimulated luminescence signals from natural quartz and feldspar are now used routinely in dating geological and archaeological materials. More recently they have also been employed in accident dosimetry, i.e. the retrospective assessment of doses received as a result of a nuclear...

  15. Vietnam’s forest transition in retrospect

    Ankersen, Jeppe; Grogan, Kenneth Joseph; Mertz, Ole;

    2015-01-01

    factors like forest degradation and the lack of linearity in forest cover transitions challenge the accuracy of such scenarios. Here we predict and validate such BAU scenarios retrospectively based on forest cover changes at village and district level in North Central Vietnam. With the government...

  16. Gestational trophoblastic neoplasia: A 6 year retrospective study

    Sushruta Shrivastava

    2014-01-01

    Full Text Available Aims and Objectives: To study the clinical presentations of gestational trophoblastic neoplasia and its response to chemotherapy. Materials and Methods: This is a retrospective study of 28 women of gestational trophoblastic neoplasia evaluated over a period of 6 years from January 2004 to December 2009. Patients were evaluated on the basis of their age, number of deliveries, history of abortion or molar pregnancy, and the treatment received. All patients were scored on the basis of WHO scoring system. Patients with low risk (score /=7 received multiple agent chemotherapy with EMACO regimen. After completion of chemotherapy patients were followed for a minimum of 2 years. The response to treatment was evaluated during follow-up by clinical examination, beta hCG levels and imaging as and when required. Results: Out of 28 women only 27 could be evaluated, because 1 patient was lost to follow-up. Out of 27 patients, 18 patients (66.67% achieved complete remission with the first-line chemotherapy and additional 25.92% (7/27 achieved complete remission with second line chemotherapy resulting in complete remission of 92.5% (25/27. Conclusion: Gestational trophoblastic neoplasia is curable if patient is properly evaluated and scored. It shows good response to chemotherapy.

  17. Topoisomerase II alpha gene copy loss has adverse prognostic significance in ERBB2-amplified breast cancer: a retrospective study of paraffin-embedded tumor specimens and medical charts

    Zhu April

    2008-08-01

    Full Text Available Abstract Background Amplification of the ERBB2 (Her-2/neu oncogene, which occurs in approximately 25% of breast carcinomas, is a known negative prognostic factor. Available data indicate that a variable number of nearby genes on chromosome 17q may be co-amplified or deleted, forming a continuous amplicon of variable size. In approximately 25% of these patients, the amplicon extends to the gene for topoisomerase II alpha (TOP2A, a target for anthracyclines. We sought to understand the significance of these associated genomic changes for breast cancer prognosis and predicting response to therapy. Methods and patients Archival tissue samples from 63 breast cancer patients with ERBB2 amplification, stages 0–IV, were previously analyzed with FISH probes for genes located near ERBB2. In the present study, the clinical outcome data were determined for all patients presenting at stages I–III for whom adequate clinical follow up was available. Results Four amplicon patterns (Classes were identified. These were significantly associated with the clinical outcome, specifically, recurrence of breast cancer. The Amplicon class IV with deleted TOP2A had 67% (6/9 cases with recurrence, whereas the other three classes combined had only 12% (3/25 cases (p-value = 0.004 at the time of last follow-up. TOP2A deletion was also significantly associated with time to recurrence (p-value = 0.0002. After adjusting for age in Cox regression analysis, the association between TOP2A deletion and time to recurrence remains strongly significant (p-value = 0.002 whereas the association with survival is marginally significant (p-value = 0.06. Conclusion TOP2A deletion is associated with poor prognosis in ERBB2-amplified breast carcinomas. Clarification of the mechanism of this association will require additional study.

  18. Efficacy, compliance and reasons for refusal of postoperative chemotherapy for elderly patients with colorectal cancer: a retrospective chart review and telephone patient questionnaire.

    Pan Li

    Full Text Available BACKGROUND: Numerous clinical trials have demonstrated that elderly patients with colorectal cancer (CRC can benefit from chemotherapy, yet compliance in real-world practice is low. The purpose of this study is to investigate the efficacy, compliance and reasons for refusal of postoperative chemotherapy for elderly patients with CRC and to provide corresponding strategies. PATIENTS AND METHODS: The clinico-pathological and biochemical data of the chemotherapy group and chemo-refusing group were compared among 386 elderly patients (>70 years old with CRC who underwent surgery. 226 patients received chemotherapy and 160 patients refused. Follow-up of the subjective reasons for refusal was investigated using the elderly caner patients' chemo-refusal reason questionnaire (ECPCRRQ prepared by the authors and a group of psychologists. The questionnaire is administrated by telephone. A predictive model for 5-year disease-free survival (DFS and 5-year overall survival (OS was constructed by using Kaplan-Meier analysis, logistic and Cox regression. RESULTS: Among stage III patients, receiving chemotherapy was associated with a significantly higher OS (68% compared to those who refused ( OS 50% (HR: 2.05, 95%CI: 1.12-3.77, P = 0.02. The Chemo-refusal group had more female and elderly patients, significantly higher rate of severe complications, and lower body mass index (BMI. Follow-up phone questionnaire analysis showed the doctors' uncertainty of chemotherapy benefit, economic difficulties, uncomfortable feeling, superstition of Traditional Chinese Medicine, concealing information and lack of social support were the main factors for elderly CRC patients to decline chemotherapy. CONCLUSION: The receipt of post-operative chemotherapy in elderly patients with resected stage III CRC was associated with a more favorable survival. The low compliance rate (160/386 of postoperative chemotherapy was influenced by various subjective and objective factors.

  19. Burden of illness associated with painful diabetic peripheral neuropathy among adults seeking treatment in the US: results from a retrospective chart review and cross-sectional survey

    Sadosky A; Schaefer C; Mann R; Bergstrom F; Baik R; Parsons B; Nalamachu S; Nieshoff E; Stacey BR; Anschel A; Tuchman M

    2013-01-01

    Alesia Sadosky,1 Caroline Schaefer,2 Rachael Mann,3 Felicia Bergstrom,2 Rebecca Baik,2 Bruce Parsons,1 Srinivas Nalamachu,4 Edward Nieshoff,5 Brett R Stacey,6 Alan Anschel,7 Michael Tuchman81Pfizer Inc, New York, NY, 2Covance Market Access Services Inc, Gaithersburg, MD, 3Covance Market Access Services Inc, San Diego, CA, 4International Clinical Research Institute, Overland Park, KS, 5Rehabilitation Institute of Michigan/Wayne State University, Detroit, MI, 6Oregon Health and Science Universi...

  20. Determining the association of medical co-morbidity with subjective and objective cognitive performance in an inner city memory disorders clinic: a retrospective chart review

    Jiang Depeng

    2010-12-01

    Full Text Available Abstract Background Medical co-morbidity may be associated with impaired cognitive function based on prior studies. However, no studies to date have determined to what extent this association is linked to medical illness or other factors that may be linked to medical illness (such as education, income levels, depression or subjective memory loss. The present study examined how medical co-morbidity, socioeconomic status (defined as residential SES, education and depression are associated with subjective and objective memory function in a sample of patients recruited from a university affiliated Memory Disorders Clinic located in a large Canadian inner city teaching hospital. Methods Data was collected from 85 consecutive referrals to an Inner City Memory Disorders Clinic including socio-demographic characteristics, cognitive status and medical co-morbidity. Descriptive and correlational analyses were conducted. Results Impaired objective cognitive function correlated significantly with increased medical co-morbidity and partially with education but not with residential SES or depression. Elevated memory complaints correlated significantly with depression, inversely with residential SES and not at all with medical co-morbidity or education. Conclusions Increased medical co-morbidity is significantly associated with impaired cognitive performance but not with subjective memory complaints in an Inner City Memory Clinic sample.

  1. Treatment approach, delivery, and follow-up evaluation for cardiac rhythm disease management patients receiving radiation therapy: Retrospective physician surveys including chart reviews at numerous centers

    In a 2-part study, we first examined the results of 71 surveyed physicians who provided responses on how they address the management of patients who maintained either a pacemaker or a defibrillator during radiation treatment. Second, a case review study is presented involving 112 medical records reviewed at 18 institutions to determine whether there was a change in the radiation prescription for the treatment of the target cancer, the method of radiation delivery, or the method of radiation image acquisition. Statistics are provided to illustrate the level of administrative policy; the level of communication between radiation oncologists and heart specialists; American Joint Committee on Cancer (AJCC) staging and classification; National Comprehensive Cancer Network (NCCN) guidelines; tumor site; patient's sex; patient's age; device type; manufacturer; live monitoring; and the reported decisions for planning, delivery, and imaging. This survey revealed that 37% of patient treatments were considered for some sort of change in this regard, whereas 59% of patients were treated without regard to these alternatives when available. Only 3% of all patients were identified with an observable change in the functionality of the device or patient status in comparison with 96% of patients with normal behavior and operating devices. Documented changes in the patient's medical record included 1 device exhibiting failure at 0.3-Gy dose, 1 device exhibiting increased sensor rate during dose delivery, 1 patient having an irregular heartbeat leading to device reprogramming, and 1 patient complained of twinging in the chest wall that resulted in a respiratory arrest. Although policies and procedures should directly involve the qualified medical physicist for technical supervision, their sufficient involvement was typically not requested by most respondents. No treatment options were denied to any patient based on AJCC staging, classification, or NCCN practice standards

  2. Treatment approach, delivery, and follow-up evaluation for cardiac rhythm disease management patients receiving radiation therapy: Retrospective physician surveys including chart reviews at numerous centers

    Gossman, Michael S., E-mail: MGossman@TSRCC.com [Regulation Directive Medical Physics, Russell, KY (United States); Wilkinson, Jeffrey D. [Medtronic, Inc., Mounds View, MN (United States); Mallick, Avishek [Department of Mathematics, Marshall University, Huntington, WV (United States)

    2014-01-01

    In a 2-part study, we first examined the results of 71 surveyed physicians who provided responses on how they address the management of patients who maintained either a pacemaker or a defibrillator during radiation treatment. Second, a case review study is presented involving 112 medical records reviewed at 18 institutions to determine whether there was a change in the radiation prescription for the treatment of the target cancer, the method of radiation delivery, or the method of radiation image acquisition. Statistics are provided to illustrate the level of administrative policy; the level of communication between radiation oncologists and heart specialists; American Joint Committee on Cancer (AJCC) staging and classification; National Comprehensive Cancer Network (NCCN) guidelines; tumor site; patient's sex; patient's age; device type; manufacturer; live monitoring; and the reported decisions for planning, delivery, and imaging. This survey revealed that 37% of patient treatments were considered for some sort of change in this regard, whereas 59% of patients were treated without regard to these alternatives when available. Only 3% of all patients were identified with an observable change in the functionality of the device or patient status in comparison with 96% of patients with normal behavior and operating devices. Documented changes in the patient's medical record included 1 device exhibiting failure at 0.3-Gy dose, 1 device exhibiting increased sensor rate during dose delivery, 1 patient having an irregular heartbeat leading to device reprogramming, and 1 patient complained of twinging in the chest wall that resulted in a respiratory arrest. Although policies and procedures should directly involve the qualified medical physicist for technical supervision, their sufficient involvement was typically not requested by most respondents. No treatment options were denied to any patient based on AJCC staging, classification, or NCCN practice standards.

  3. Fluoridated salt for caries prevention and control - a 2-year field study in a disadvantaged community

    Wennhall, Inger; Hajem, Samara; Ilros, Susanna;

    2014-01-01

    BACKGROUND: Salt fluoridation is considered a cost-effective community strategy for reducing caries. AIM: To evaluate the effect of school-based and domestic distribution of F-salt to schoolchildren residing in a disadvantaged community. DESIGN: Seven hundred and thirty-three schoolchildren (12......-14 years), attending two public schools, were enrolled; one was assigned to intervention (IS), whereas the other served as reference (RS). Subjects in IS were given access to F-salt (250 ppm F) in marked jars at school lunch and through free supply for domestic use. The 2-year caries increment and...... progression rate, assessed from bitewing radiographs, was scored. Information on diet, oral hygiene, and fluoride exposure was collected through a baseline questionnaire. RESULTS: The dropout rate was high (IS 27%; RS 18%). At baseline, the IS children displayed more unfavourable risk factors and a higher...

  4. Health-Engagement Control Strategies and 2-Year Changes in Older Adults’ Physical Health

    Wrosch, Carsten; Schulz, Richard

    2009-01-01

    This study examined the associations between older adults’ daily physical symptoms (e.g., chest pain or difficulty breathing) and 2-year changes in chronic health problems (e.g., cardiovascular disease or cancer) and in functional problems (e.g., difficulty dressing or moving around at home). We reasoned that these associations depend on a person’s active control processes aimed at counteracting physical health problems (i.e., health-engagement control strategies, or HECS). In particular, we hypothesized that high levels of HECS buffer the adverse effect of daily physical symptoms on increases in chronic and functional health problems. We found that daily physical symptoms were associated with declines in chronic and functional health among older adults who were not engaged in addressing their health problems, but not among their counterparts who reported high levels of HECS. These findings suggest that active control strategies play an important role in the maintenance of older adults’ physical health. PMID:18578842

  5. Stressful work, psychological job strain, and turnover: a 2-year prospective cohort study of truck drivers.

    de Croon, Einar M; Sluiter, Judith K; Blonk, Roland W B; Broersen, Jake P J; Frings-Dresen, Monique H W

    2004-06-01

    Based on a model that combines existing organizational stress theory and job transition theory, this 2-year longitudinal study examined antecedents and consequences of turnover among Dutch truck drivers. For this purpose, self-reported data on stressful work (job demands and control), psychological strain (need for recovery after work and fatigue), and turnover were obtained from 820 drivers in 1998 and 2000. In agreement with the model, the results showed that strain mediates the influence of stressful work on voluntary turnover. Also in conformity with the model, job movement to any job outside the trucking industry (i.e., interoccupational turnover) resulted in a larger strain reduction as compared to job movement within the trucking industry (intraoccupational turnover). Finally, strain was found to stimulate interoccupational turnover more strongly than it stimulated intraoccupational turnover. These findings provide a thorough validation of existing turnover theory and give new insights into the turnover (decision) process. PMID:15161404

  6. ATLAS Distributed Computing Monitoring tools after full 2 years of LHC data taking

    Schovancová, J; The ATLAS collaboration

    2012-01-01

    This paper details variety of Monitoring tools used within the ATLAS Distributed Computing during the first 2 years of LHC data taking. We discuss tools used to monitor data processing from the very first steps performed at the Tier-0 facility at CERN after data is read out of the ATLAS detector, through data transfers to the ATLAS computing centers distributed world-wide. We present an overview of monitoring tools used daily to track ATLAS Distributed Computing activities ranging from network performance and data transfers throughput, through data processing and readiness of the computing services at the ATLAS computing centers, to the reliability and usability of the ATLAS computing centers. Described tools provide monitoring for issues of different level of criticality: from spotting issues with the instant online monitoring to the long-term accounting information.

  7. Gesture and Symbolic Representation in Italian and English-Speaking Canadian 2-Year-Olds.

    Marentette, Paula; Pettenati, Paola; Bello, Arianna; Volterra, Virginia

    2016-05-01

    Analyses of elicited pantomime, primarily of English-speaking children, show that preschool-aged children are more likely to symbolically represent an object with gestures depicting an object's form rather than its function. In contrast, anecdotal reports of spontaneous gesture production in younger children suggest that children use multiple representational techniques. This study examined the spontaneous gestures of sixty-four 2-year-old Italian children and English-speaking Canadian children, primarily from middle-class Caucasian families. The Italian children produced twice as many gestures as Canadian children in a picture-naming task but produced a similar range of representational techniques. Two-year-olds were equally likely to produce gestures depicting function as form. These data suggest young children's communicative skills are supported by a symbolic capacity that reflects contextual communicative demands. PMID:27079825

  8. Use of the Griffiths Mental Scales in normal 2 year old Malaysian children.

    Ho, J J; Amar, H S; Ismail, R

    2001-09-01

    The Griffiths Scales for Mental Development were used to assess a group of 60 normal 2-year old Malaysian children (25 Indian, 23 Malay and 12 Chinese). The mean GQ was 104.2 (SD 9.3). This was significantly higher than the test mean of 100, p social, performance and practical reasoning subscales while they were significantly lower on the hand eye subscale and did not differ from the test mean on the hearing and speech subscale. There was a significant correlation between GQ and social class, r = -0.39, p < 0.05. Scores were lower than those currently obtained on British children, p < 0.001. Minor difficulties due to language and cultural factors arose over the interpretation of several items but with standardisation of these items the test is useful in Malaysian children. PMID:11732079

  9. Persistent renal cortical scintigram defects in children 2 years after urinary tract infection

    Background: Renal cortical scintigraphic studies challenge the role of vesicoureteric reflux in renal scar development, emphasizing instead the part played by acute pyelonephritis. Objective: To determine the prevalence of renal cortical defects in a child cohort 2 years after the child's first diagnosed urinary tract infection and to analyze the relationship of these defects with acute illness variables, primary vesicoureteric reflux and recurrent infections. Materials and methods: In a prospective cohort study, 193 children younger than 5 years with their first proven urinary tract infection underwent renal sonography, voiding cystourethrogram, and renal cortical scintigraphy within 15 days of diagnosis. Two years later, 150 of the 193 children, or 77.7%, had a further renal cortical scintigram, including 75, or 86.2%, of the 87 children who had acute scintigraphic defects. The relationship of cortical defects to age, gender, pre-treatment symptom duration, hospitalization, presence and grade of vesicoureteric reflux, and recurrent urinary tract infections was evaluated. Results: Overall, 20 of the 150 (13.3%; 95% confidence interval (CI) 8.3, 19.8) children had persistent defects 2 years after infection. This included 20 of 75 (26.7%; 95% CI 17.1, 38.1) with initially abnormal scintigrams. No new defects were detected. Although acute defects were more common in the young, those with persistent defects were older (median ages 16.4 vs. 6.8 months, P=0.004) than those with transient abnormalities. After adjustment for age, persistent defects were no longer associated with gender and were not predicted by acute illness variables, primary vesicoureteric reflux or recurrent infections. (orig.)

  10. Ocenění podniku Chart Ferox, a.s.

    Zeidler, Marek

    2009-01-01

    The thesis estimates the value of equity per share of the company Chart Ferox, a.s. for informational purposes of shareholders and management. The valuation is done through the DCF FCFE model. Prior to the financial plan and the valuation itself, the theses provides financial and strategic analysis of the company.

  11. Information Landscaping: Information Mapping, Charting, Querying and Reporting Techniques for Total Quality Knowledge Management.

    Tsai, Bor-sheng

    2003-01-01

    Total quality management and knowledge management are merged and used as a conceptual model to direct and develop information landscaping techniques through the coordination of information mapping, charting, querying, and reporting. Goals included: merge citation analysis and data mining, and apply data visualization and information architecture…

  12. Determining Role of Temperature Chart while Evaluating Specific Expenses of Organic Fuel

    A. P. Nesenchouk; T. V. Ryzhova; S. S. Kovalev; V. I. Tchernyshevitch; V. V. Shidlovsky

    2014-01-01

    The paper considers designing principles of operational space continuous heating and heat-treating furnaces at mechanical engineering, automotive and tractor enterprises in theRepublicofBelarus. A role of temperature chart on heating metallic charge while evaluating specific expenses of organic fuel in heating and heat-treating furnaces of mechanical engineering, automotive and tractor industries. 

  13. U.S. Nuclear Regulatory Commission organization charts and functional statements. Revision 18

    This document (NUREG-0325) is the current US NRC organization chart, listing all NRC offices and regions and their components down through the branch level as of July 23, 1995. Functional statements of each position are given, as is the name of the individual holding the position

  14. Loxapine for Reversal of Antipsychotic-Induced Metabolic Disturbances: A Chart Review

    Jain, Seema; Andridge, Rebecca; Hellings, Jessica A.

    2016-01-01

    Loxapine substitution is a promising option for patients with autism spectrum disorder (ASD) who develop antipsychotic-induced metabolic illness. We performed a chart review of 15 adolescents and adults meeting DSM-IV-TR criteria for ASD, all with antipsychotic-associated weight gain, who received low dose loxapine in an attempt to taper or…

  15. Longterm Changes in BMI Growth Charts Pattern for Czech Children and Adolescents

    Vignerová, J.; Paulová, M.; Brabec, Marek; Bláha, P.

    2008-01-01

    Roč. 32, Suppl 1 (2008), S188-S188. ISSN 0307-0565. [European Congress on Obesity . 14.05.2008-17.05.2008, Geneva] R&D Projects: GA MZd NR7857 Institutional research plan: CEZ:AV0Z10300504 Keywords : growth charts * growth curves * BMI Subject RIV: FB - Endocrinology, Diabetology, Metabolism, Nutrition

  16. Charts for Weight Loss to Detect Hypernatremic Dehydration and Prevent Formula Supplementing

    Dommelen, P. van; Boer, S.; Unal, S.; Wouwe, J.P. van

    2014-01-01

    BACKGROUND: Most breast-fed newborns get the milk they need. However, very rarely milk intake is insufficient mostly as a result of poor breastfeeding techniques. Dramatic weight loss and hypernatremic dehydration may occur. Our aim was to construct charts for weight loss. METHODS: A case-control st

  17. Charting the Effects of Improving Instruction: College Seniors Learning to Write Lesson Plans

    Pass, Susan

    2006-01-01

    The purpose of this article is to chart improvement in student achievement by use of a new teaching strategy. An additional goal is to discover if an increase in student achievement might also increase students' interest, motivation, and sense of value in learning the subject (in this case, secondary social studies education). A third goal is to…

  18. Serial correlation of quality control data--on the use of proper control charts

    Winkel, P; Zhang, Nevin

    2004-01-01

    Biochemical quality control (QC) data have been reported to be autocorrelated. Serial correlation may increase the rate of false alarms if the traditional exponentially weighted moving average (EWMA) control chart to monitoring the process mean is used. False alarms are the focus of this paper...

  19. Determining Role of Temperature Chart while Evaluating Specific Expenses of Organic Fuel

    A. P. Nesenchouk

    2009-01-01

    Full Text Available The paper considers designing principles of operational space continuous heating and heat-treating furnaces at mechanical engineering, automotive and tractor enterprises in theRepublicofBelarus. A role of temperature chart on heating metallic charge while evaluating specific expenses of organic fuel in heating and heat-treating furnaces of mechanical engineering, automotive and tractor industries. 

  20. Statistical Process Control Charts for Measuring and Monitoring Temporal Consistency of Ratings

    Omar, M. Hafidz

    2010-01-01

    Methods of statistical process control were briefly investigated in the field of educational measurement as early as 1999. However, only the use of a cumulative sum chart was explored. In this article other methods of statistical quality control are introduced and explored. In particular, methods in the form of Shewhart mean and standard deviation…

  1. Using Statistical Process Control Charts to Study Stuttering Frequency Variability during a Single Day

    Karimi, Hamid; O'Brian, Sue; Onslow, Mark; Jones, Mark; Menzies, Ross; Packman, Ann

    2013-01-01

    Purpose: Stuttering varies between and within speaking situations. In this study, the authors used statistical process control charts with 10 case studies to investigate variability of stuttering frequency. Method: Participants were 10 adults who stutter. The authors counted the percentage of syllables stuttered (%SS) for segments of their speech…

  2. U.S. Nuclear Regulatory Commission organization charts and functional statements. Revision 18

    NONE

    1995-07-23

    This document (NUREG-0325) is the current US NRC organization chart, listing all NRC offices and regions and their components down through the branch level as of July 23, 1995. Functional statements of each position are given, as is the name of the individual holding the position.

  3. US Nuclear Regulatory Commission organization charts and functional statements. Revision 17

    This document is a detailed organizational chart detailing the different staffing and board offices. They include: the commission, the several committees and boards, the commission staff offices, the office of the Inspector General, the executive director for operations and staff offices, and the regional and program offices

  4. Numerical prediction of a bulb turbine performance hill chart through RANS simulations

    Within the framework of an international research consortium on low-head hydraulic turbine flow dynamics, the predictive behavior of Reynolds Averaged Navier-Stokes (RANS) simulations of the efficiency (η) hill chart of a bulb turbine is investigated. The paper presents the impacts of the blade tip gap and the hub gaps on performance predictions.

  5. Managing Approach Plate Information Study (MAPLIST): An Information Requirements Analysis of Approach Chart Use

    Ricks, Wendell R.; Jonnson, Jon E.; Barry, John S.

    1996-01-01

    Adequately presenting all necessary information on an approach chart represents a challenge for cartographers. Since many tasks associated with using approach charts are cognitive (e.g., planning the approach and monitoring its progress), and since the characteristic of a successful interface is one that conforms to the users' mental models, understanding pilots' underlying models of approach chart information would greatly assist cartographers. To provide such information, a new methodology was developed for this study that enhances traditional information requirements analyses by combining psychometric scaling techniques with a simulation task to provide quantifiable links between pilots' cognitive representations of approach information and their use of approach information. Results of this study should augment previous information requirements analyses by identifying what information is acquired, when it is acquired, and what presentation concepts might facilitate its efficient use by better matching the pilots' cognitive model of the information. The primary finding in this study indicated that pilots mentally organize approach chart information into ten primary categories: communications, geography, validation, obstructions, navigation, missed approach, final items, other runways, visibility requirement, and navigation aids. These similarity categories were found to underlie the pilots' information acquisitions, other mental models, and higher level cognitive processes that are used to accomplish their approach and landing tasks.

  6. The Use of Performance Control Charts in Business Schools: A Tool for Assessing Learning Outcomes

    Cervetti, Michael J.; Royne, Marla B.; Shaffer, J. Michael

    2012-01-01

    The authors propose the use of performance control charts as a useful tool for tracking student assessments that rely upon faculty administered exams and projects as well as assessing teacher performance. This quantitative, formative evaluation process can be integrated into the classroom during an actual semester and utilized as a means to…

  7. Seasonal ARMA-based SPC charts for anomaly detection: Application to emergency department systems

    Kadri, Farid

    2015-10-22

    Monitoring complex production systems is primordial to ensure management, reliability and safety as well as maintaining the desired product quality. Early detection of emergent abnormal behaviour in monitored systems allows pre-emptive action to prevent more serious consequences, to improve system operations and to reduce manufacturing and/or service costs. This study reports the design of a new methodology for the detection of abnormal situations based on the integration of time-series analysis models and statistical process control (SPC) tools for the joint development of a monitoring system to help supervising of the behaviour of emergency department services (EDs). The monitoring system developed is able to provide early alerts in the event of abnormal situations. The seasonal autoregressive moving average (SARMA)-based exponentially weighted moving average (EWMA) anomaly detection scheme proposed was successfully applied to the practical data collected from the database of the paediatric emergency department (PED) at Lille regional hospital centre, France. The method developed utilizes SARMA as a modelling framework and EWMA for anomaly detection. The EWMA control chart is applied to the uncorrelated residuals obtained from the SARMA model. The detection results of the EWMA chart are compared with two other commonly applied residual-based tests: a Shewhart individuals chart and a Cumulative Sum (CUSUM) control chart.

  8. The development of subjective quality of life over the first 2 years in first-episode psychosis

    Melle, Ingrid; Røssberg, Jan Ivar; Joa, Inge;

    2010-01-01

    The main aim of this study was to examine changes in subjective quality of life (general s-QoL) in patients with first-episode psychosis from baseline to 2 years follow-up. A total of 201 of 252 patients had full quality of life assessment at both baseline and at 2 years. Repeated measure analyse...

  9. Automatic Extraction of High-Resolution Rainfall Series from Rainfall Strip Charts

    Saa-Requejo, Antonio; Valencia, Jose Luis; Garrido, Alberto; Tarquis, Ana M.

    2015-04-01

    Soil erosion is a complex phenomenon involving the detachment and transport of soil particles, storage and runoff of rainwater, and infiltration. The relative magnitude and importance of these processes depends on a host of factors, including climate, soil, topography, cropping and land management practices among others. Most models for soil erosion or hydrological processes need an accurate storm characterization. However, this data are not always available and in some cases indirect models are generated to fill this gap. In Spain, the rain intensity data known for time periods less than 24 hours back to 1924 and many studies are limited by it. In many cases this data is stored in rainfall strip charts in the meteorological stations but haven't been transfer in a numerical form. To overcome this deficiency in the raw data a process of information extraction from large amounts of rainfall strip charts is implemented by means of computer software. The method has been developed that largely automates the intensive-labour extraction work based on van Piggelen et al. (2011). The method consists of the following five basic steps: 1) scanning the charts to high-resolution digital images, 2) manually and visually registering relevant meta information from charts and pre-processing, 3) applying automatic curve extraction software in a batch process to determine the coordinates of cumulative rainfall lines on the images (main step), 4) post processing the curves that were not correctly determined in step 3, and 5) aggregating the cumulative rainfall in pixel coordinates to the desired time resolution. A colour detection procedure is introduced that automatically separates the background of the charts and rolls from the grid and subsequently the rainfall curve. The rainfall curve is detected by minimization of a cost function. Some utilities have been added to improve the previous work and automates some auxiliary processes: readjust the bands properly, merge bands when

  10. Penetrating pancreatico-duodenal injuries: a 2-year experience at cmh peshawar

    Objective: To outline the various treatment options and outcomes in penetrating pancreatico-duodenal injuries with emphasis on the operative decision making strategies. Study Design: Descriptive study. Place and Duration of Study: Department of Surgery at Combined Military Hospital Peshawar, from 1st June 2008 to 30th May 2010. Patients and Methods: All combat casualties with penetrating pancreaticoduodenal injuries (PPDI) received in 'Emergency reception' of Combined Military Hospital, Peshawar were included. Data was taken from the patients medical charts and by personal evaluation and entered in a proforma. The variables used were age, sex, cause of the injury, haemo-dynamic status, conscious level, intensive care treatment duration, time to initial exploration, associated injury, grade of pancreatic injury according to Penetrating Abdominal Trauma Index (PATI) scoring system, grade of duodenal injury (according to PATI scoring system), total PATI score, operative repair, total hospital stay, morbidity, and mortality. Results: Twenty three patients having either or both of PPDI were included in the study out of 196 combat casualities. No case was excluded on basis of presence of associated injury. Mean age was 29.26 years (SD+-6.489) with only one (4.3%) case of female gender, the rest were male patients or soldiers. Nineteen (82.6%) cases had primary mechanism/cause of injury being splinters from Improvised Explosive Devices (IEDs) or bomb blasts; while 4 (17.4%) cases had Gunshot Wounds. Eighteen (78.3%) patients were haemo-dynamically stable on arrival while 5 (21.7%) patients were unstable. Mean duration of stay in hospital was 10.6 days, with a range of 1-19 days (cases with high PATI score and un-stable haemodynamic status died with-in 24 hrs). Most cases of pancreatico-duodenal injury were of mild severity i.e. grade-1 or 2 and we encountered no case of grade-5 PPDI. Most commonly occurring associated injury was to small gut. Overall mortality was 6 (26

  11. Scientists, Engineers, and Technicians in Manufacturing Industries: 1983. Detailed Tables and Charts. Surveys of Science Resources Series.

    National Science Foundation, Washington, DC. Div. of Science Resources Studies.

    This report presents national estimates of employment of scientists, engineers, and technicians (SETs) in manufacturing industries in 1983. The estimates are provided as data in five charts and three detailed statistical tables. Data in charts include: SETs by sector of employment; employment growth in high-technology and other manufacturing…

  12. Control charts for identifying systematic errors using control sera to detect antibody to Salmonella in an indirect ELISA

    Bak, H.; Barfod, Kristen

    2008-01-01

    , and separate control charts were prepared for five robots. The control limits were set at six times the standard deviation for In(OD) and three times the standard deviation for OD%. Evaluation based on a number of sensitising rules for control charts produced from historical data showed that use of...

  13. The fabrication of art and beyond: making and inventing in digital culture - CHArt 30th Conference, London

    Mumberson, Stephen

    2015-01-01

    Written presentation now published on CHArt site from the conference - The Fabrication of Art and Beyond: making and invention in Digital Culture, 30th CHArt conferences at Kings London, where I showed the video Invalid Geometry on the early 3D printed work - the approach, sources and prints.

  14. The solar chart for designing shading devices for Tripoli City, Libya

    Due to lake of standardized methods to design and validate sun shading devices in Libya, this study aims at developing a solar chart, which can be used as a practical and systematic methodology for designing sun-shading devices in the city of Tripoli. In order to achieve the objective of this study, this paper was divided into five sections. The first section is dealing with a focused literature with respect to types of shading devices and their impact on the exterior wall opening, the person of the sun, sun's altitudes azimuths and how to mathematically be determined; the sun charts, and the shading calculator. While the second section was dedicated for the determination of the overheated periods over the year in which shading devices should be in place. The third section presents a computer software developed in order to automatically calculate the sun angles (Altitudes and Azimuth angles). The north latitude of 32.59 was chosen as a validation example. By using the statgraphics software, the output data were analyzed and illustrated in a solar chart that presents the equinox, summer and winter solstices. The resulted solar chart serves as a tool, which will jointly be used with the shading chart to design accurate shading devices for the chosen North latitude 32.59. The forth section explains the methodology of selecting an effective solar altitude and azimuth angles which an architect would on while designing sun shading devices. The fifth section, identifies and lists the methodology of designing each type of shading devices in the city of Tripoli. Libya. Finally, study conclusions were drawn, and further research studies were recommended to enhance the finding of this research paper. (author)

  15. Application of luminescence techniques in retrospective dosimetry

    Bøtter-Jensen, L.; Jungner, H.

    1999-01-01

    Luminescence signals measured from minerals within bricks or ceramic samples can provide information about the absorbed radiation dose. This feature has for several years been used in dating archaeological and geological samples and recently luminescence techniques have been intensively used far...... retrospective assessment of accident doses received by the population after a nuclear accident. The development of new luminescence techniques after the Chernobyl accident has considerably improved the sensitivity and precision in the evaluation of accident doses. This paper reviews the development work......, especially on optically stimulated luminescence methods for retrospective assessment of accident doses carried out at Riso National Laboratory in collaboration with the University of Helsinki as part bf a joint European Union research project. We demonstrate that doses lower than 100 mGy can be measured from...

  16. Emerging technological bases for retrospective dosimetry.

    Straume, T; Anspaugh, L R; Haskell, E H; Lucas, J N; Marchetti, A A; Likhtarev, I A; Chumak, V V; Romanyukha, A A; Khrouch, V T; Gavrilin YuI; Minenko, V F

    1997-01-01

    In this article we discuss examples of challenging problems in retrospective dosimetry and describe some promising solutions. The ability to make measurements by accelerator mass spectrometry and luminescence techniques promises to provide improved dosimetry for regions of Belarus, Ukraine and Russian Federation contaminated by radionuclides from the Chernobyl accident. In addition, it may soon be possible to resolve the large neutron discrepancy in the dosimetry system for Hiroshima through novel measurement techniques that can be used to reconstruct the fast-neutron fluence emitted by the bomb some 51 years ago. Important advances in molecular cytogenetics and electron paramagnetic resonance measurements have produced biodosimeters that show potential in retrospective dosimetry. The most promising of these are the frequency of reciprocal translocations measured in chromosomes of blood lymphocytes using fluorescence in situ hybridization and the electron paramagnetic resonance signal in tooth enamel. PMID:9368303

  17. Occupational chemical burns: a 2-year experience in the emergency department

    Touzopoulos P

    2011-10-01

    Full Text Available Panagiotis Touzopoulos1, Paul Zarogoulidis2, Alexandros Mitrakas1, Michael Karanikas1, Panagiotis Milothridis1, Dimitrios Matthaios1, Ioannis Kouroumichakis3, Stella Proikaki3, Paschalis Pavlioglou3, Nikolaos Katsikogiannis4, Theodoros C Constantinidis511st University Surgical Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, 2Pulmonary Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, 32nd Internal Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, 4Surgical Department (NHS, University General Hospital of Alexandroupolis, 5Medical School, Laboratory of Hygiene and Environmental Protection, Democritus University of Thrace, Regional Laboratory of Public Health (Eastern Macedonia-Thrace, GreeceAbstract: Chemical burn injuries are a result of exposure to acid, alkali, or organic compounds. In this retrospective study, a total of 21 patients suffering occupational chemical burns, came to the emergency room at the University General Hospital of Alexandroupolis, from 2008 to 2010; 76.2% were workers, 19% were farmers, and 4.8% were desk officers. The majority of burns were due to exposure to acid (61.9%. Upper extremities were the most frequently injured area followed by the lower extremities and thorax. None of the patients needed further hospital care, but in the follow-up, four of the patients suffered keloid. Proper surgical treatment at the emergency room decreases the length of hospital stay for patients who suffer chemically induced burns.Keywords: chemical burns, surgical treatment, labor accidents

  18. Diabetic hyperosmolality: retrospective study of 60 cases

    Campos, MV; Bastos, M; T. Martins; Leitão, P.; Lemos, MC; Carvalheiro, M; Ruas, A

    2003-01-01

    AIMS AND METHODS: Our aims were to determine the frequency of diabetic hyperosmolality (DH) in our Department, its causes, therapeutic implications and evolution. A five-years retrospective study was performed in 60 patients regarding age, sex, type and duration of diabetes mellitus (DM), previous antidiabetic therapy, underlying diseases, biochemical data, precipitating factors, therapeutic management and outcome. RESULTS: The hyperosmolar coma was responsible for 90% of the metabolic comas ...

  19. Haemorrhoids in Children: A Retrospective Study

    Karavelioğlu, Afra; Senayli, Atilla; Köseoğlu, Burhan; Akın, Melih; ÖZGÜNER, İsmet Faruk

    2015-01-01

    Purpose: After six-year follow-up period of paediatric haemorrhoid patients, authors have presented the collected data in this article to share views on how to treat haemorrhoid disease.Material/ Methods: Documents of patients were evaluated retrospectively. Patients with haemorrhoids were evaluated for gender, age, diagnosis year, and disease history, symptoms, physical examinations, laboratory, operations and follow-up periods.Results: Fourteen patients of the evaluated 9,958 patients had h...

  20. Retrospective Evaluation of Alopecia Areata Patients

    Müzeyyen Gönül; Ülker Gül,; Emine Pişkin; Seray Külcü Çakmak; Seçil Soylu; Arzu Kılıç; Zeynep Bıyıklı

    2011-01-01

    Objective: We aimed to evaluate the clinical, demographic and laboratory features of alopecia areata (AA) patients who attended our policlinic in the last year.Material and Methods: The study was performed retrospectively and age, gender, family history of patients, onset age, duration and localization area of AA, number of recurrences, associated findings and laboratory findings were obtained from records. Results: The study included 132 patients. Median duration of disease was 4 months. 15....