Sample records for clinical performance evaluation

  1. Method for evaluating performance of clinical pharmacists.

    Schumock, G T; Leister, K A; Edwards, D; Wareham, P S; Burkhart, V D


    A performance-evaluation process that satisfies Joint Commission on Accreditation of Healthcare Organizations criteria and state policies is described. A three-part, criteria-based, weighted performance-evaluation tool specific for clinical pharmacists was designed for use in two institutions affiliated with the University of Washington. The three parts are self-appraisal and goal setting, peer evaluation, and supervisory evaluation. Objective criteria within each section were weighted to reflect the relative importance of that characteristic to the job that the clinical pharmacist performs. The performance score for each criterion is multiplied by the weighted value to produce an outcome score. The peer evaluation and self-appraisal/goal-setting parts of the evaluation are completed before the formal performance-evaluation interview. The supervisory evaluation is completed during the interview. For this evaluation, supervisors use both the standard university employee performance evaluation form and a set of specific criteria applicable to the clinical pharmacists in these institutions. The first performance evaluations done under this new system were conducted in May 1989. Pharmacists believed that the new system was more objective and allowed more interchange between the manager and the pharmacist. The peer-evaluation part of the system was seen as extremely constructive. This three-part, criteria-based system for evaluation of the job performance of clinical pharmacists could easily be adopted by other pharmacy departments. PMID:2301420

  2. Development and Psychometric Evaluation of the Nursing Instructors’ Clinical Teaching Performance Inventory


    Evaluation of nursing instructors’ clinical teaching performance is a prerequisite to the quality assurance of nursing education. One of the most common procedures for this purpose is using student evaluations. This study was to develop and evaluate the psychometric properties of Nursing Instructors’ Clinical Teaching Performance Inventory (NICTPI). The primary items of the inventory were generated by reviewing the published literature and the existing questionnaires as well as consulting wit...

  3. Clinical Observed Performance Evaluation: A Prospective Study in Final Year Students of Surgery

    Markey, G. C.; Browne, K.; Hunter, K.; Hill, A. D.


    We report a prospective study of clinical observed performance evaluation (COPE) for 197 medical students in the pre-qualification year of clinical education. Psychometric quality was the main endpoint. Students were assessed in groups of 5 in 40-min patient encounters, with each student the focus of evaluation for 8 min. Each student had a series…

  4. Nurses’ evaluation of physicians’ non-clinical performance in emergency departments: advantages, disadvantages and lessons learned

    Alameddine, Mohamad; Mufarrij, Afif; Saliba, Miriam; Mourad, Yara; Jabbour, Rima; Hitti, Eveline


    Background Peer evaluation is increasingly used as a method to assess physicians’ interpersonal and communication skills. We report on experience with soliciting registered nurses’ feedback on physicians’ non-clinical performance in the ED of a large academic medical center in Lebanon. Methods We utilized a secondary analysis of a de-identified database of ED nurses’ assessment of physicians’ non-clinical performance coupled with an evaluation of interventions carried out as a result of this ...

  5. Evaluation of a new clinical performance assessment tool : A reliability study

    C. Joseph


    Full Text Available Clinical practice is an essential requirement of any graduatephysiotherapy programme. For this purpose, valid and reliable assessment toolsare paramount for the measurement of key competencies in the real-worldsetting. This study aims to determine the internal consistency and inter-raterreliability of a newly developed and validated clinical performance assessmentform. A cross-sectional quantitative research design was used, which includedpaired evaluations of 32 (17 treatment and 15 assessment student examinationsperformed by two independent clinical educators. Chronbachs alpha was computedto assess internal consistency and intraclass correlation coefficient (ICC’s withconfidence intervals of 95% were computed to determine the percentage agreement between paired examiners. Thedegree of internal consistency was substantial for all key performance areas of both examinations, except for timeand organisational management (0.21 and professionalism (0.42 in the treatment and evaluation examinationsrespectively. The overall internal consistency was 0.89 and 0.73 for both treatment and assessment examinations,indicating substantial agreement. With regard to agreement between raters, the ICC’s for the overall marks were0.90 and 0.97 for both treatment and assessment examinations. Clinical educators demonstrated a high level ofreliability in the assessment of students’ competence using the newly developed clinical performance assessment form.These findings greatly underscore the reliability of results obtained through observation of student examinations, andadd another tool to the basket of ensuring quality assurance in physiotherapy clinical practice assessment.

  6. Comprehensive evaluation and validation of targeted next-generation sequencing performance in two clinical laboratories.

    Mendez, Pedro; Dang, Jennifer; Kim, James Wansoo; Lee, Sharon; Yoon, Jun-Hee; Kim, Thomas; Sailey, Charles J; Jablons, David M; Kim, Il-Jin


    Next-generation sequencing (NGS) has led to breakthroughs for genetic and genomic analyses and personalized medicine approaches for many diseases. More and more clinical laboratories are using NGS as a genetic screening tool for providing mutation information that is used to select the best treatment regimens for cancer patients. However, several obstacles prevent the routine implementation of NGS technology into the clinical molecular diagnosis setting: the sophisticated sample preparation process, high cost, time-consuming data analyses, as well as the reproducibility and accuracy of interpretation. To systematically evaluate the performance and quality of targeted NGS cancer panel analyses in clinical laboratories, we performed three different tests: i) laboratory-to-laboratory accuracy test, ii) intra-laboratory precision validation, and iii) limit of detection test, using formalin-fixed, paraffin-embedded cancer tissue specimens, cell lines and mutation positive DNA. A laboratory-to-laboratory accuracy test performed using 51 samples showed 100% sensitivity and 99.97% specificity. For the intra-laboratory precision test, 100% reproducibility was observed. For the limit of detection test, KRAS mutations from samples diluted from 70 to 2% of mutant allele frequencies were detected correctly. We believe that the present study demonstrated the feasibility of clinical implementation of a targeted NGS cancer panel analysis for personalized medicine. PMID:27121194

  7. Magnetic bead-based nucleic acid purification kit: Clinical application and performance evaluation in stool specimens.

    Yoon, Jihoon G; Kang, Jin Seok; Hwang, Seung Yong; Song, Jaewoo; Jeong, Seok Hoon


    Two different methods - the semi-automated magnetic bead-based kit (SK, Stool DNA/RNA Purification kit®) and the manual membrane column-based kit (QS, QIAamp® DNA Stool Mini kit) - for purifying nucleic acids from clinical stool samples were compared and evaluated. The SK kit was more user-friendly than QS due to the reduced manual processing, partial automation, and short turnaround time with half cost. Furthermore, SK produced high yields in both DNA and RNA extractions but poor purity in RNA extraction. In the assessment of rotavirus and Clostridium difficile infection, both kits had equivalent or more sensitive performance compared with the standard method. Although SK showed some interference and inhibition in nucleic acid extraction, the performance, including the repeatability, linearity, analytical sensitivity, and matrix effect, was sufficient for routine clinical use. PMID:27030641

  8. Exploring the key performance areas and assessment criteria for the evaluation of students’ clinical performance: a delphi study

    C. Joseph


    Full Text Available Background: evaluating  students’ clinical  performance  is  an integral part of the quality assurance in a physiotherapy curriculum, however, the objectivity during clinical examination have been questioned on numerous occasions.  The  aim  of  this  study  was  to  explore  the  essential  key  clinical performance areas and the associated assessment criteria in order to develop a reliable clinical assessment form.Methods: A Delphi study was used to obtain consensus on the development of a reliable clinical performance assessment tool. The study population consisted of  purposively  selected  academic  physiotherapy  staff  from  the  University  of Western Cape as well as supervisors and clinicians involved in the examination of  physiotherapy  students  from  the  three  Universities  in  the  Western Cape.  Findings  from  the  Delphi  rounds  were analysed  descriptively. Fifty  percent  or  higher  agreement  on  an  element  was  interpreted  as  an  acceptable  level of consensus.Results: Eight key performance areas were identified with five assessment criteria per key performance area as well as the weighting per area. It was evident that evaluators differed on the expectations of physiotherapy students as well as the criteria used to assess them.Conclusions: The Delphi panel contributed to the formulation of a clinical assessment form through the identification of  relevant  key  performance  areas  and  assessment  criteria  as  they  relate  to undergraduate  physiotherapy  training. Consensus on both aspects was reached following discussion and calculation of mean ranking sores.Implications: This process of reaching consensus in determining clear criteria for measuring key performance areas contributes to the objectivity of the process of examinations.

  9. Clinical evaluation of the Nucleus® 6 cochlear implant system: Performance improvements with SmartSound iQ

    Mauger, Stefan J.; Warren, Chris D; Knight, Michelle R; Goorevich, Michael; Nel, Esti


    Objective: This paper provides a detailed description of the Nucleus 6 system, and clinically evaluates user performance compared to the previous Nucleus 5 system in cochlear implant recipients. Additionally, it clinically evaluates a range of Nucleus 6 and Nucleus 5 programs to determine the performance benefits provided by new input processing technologies available in SmartSound iQ. Design Speech understanding tests were used to clinically validate the default Nucleus 6 program, by compari...

  10. Clinical observed performance evaluation: a prospective study in final year students of surgery.

    Markey, G C


    We report a prospective study of clinical observed performance evaluation (COPE) for 197 medical students in the pre-qualification year of clinical education. Psychometric quality was the main endpoint. Students were assessed in groups of 5 in 40-min patient encounters, with each student the focus of evaluation for 8 min. Each student had a series of assessments in a 25-week teaching programme. Over time, several clinicians from a pool of 16 surgical consultants and registrars evaluated each student by direct observation. A structured rating form was used for assessment data. Variance component analysis (VCA), internal consistency and inter-rater agreement were used to estimate reliability. The predictive and convergent validity of COPE in relation to summative OSCE, long case, and overall final examination was estimated. Median number of COPE assessments per student was 7. Generalisability of a mean score over 7 COPE assessments was 0.66, equal to that of an 8 x 7.5 min station final OSCE. Internal consistency was 0.88-0.97 and inter-rater agreement 0.82. Significant correlations were observed with OSCE performance (R = 0.55 disattenuated) and long case (R = 0.47 disattenuated). Convergent validity was 0.81 by VCA. Overall final examination performance was linearly related to mean COPE score with standard error 3.7%. COPE permitted efficient serial assessment of a large cohort of final year students in a real world setting. Its psychometric quality compared well with conventional assessments and with other direct observation instruments as reported in the literature. Effect on learning, and translation to clinical care, are directions for future research.

  11. Effects of structured written feedback by cards on medical students’ performance at mini clinical evaluation exercise (Mini-CEX) in an outpatient clinic



    Introduction: Feedback cards are recommended as a feasible tool for structured written feedback delivery in clinical education while effectiveness of this tool on the medical students’ performance is still questionable. The purpose of this study was to compare the effects of structured written feedback by cards as well as verbal feedback versus verbal feedback alone on the clinical performance of medical students at the Mini Clinical Evaluation Exercise (Mini-CEX) test in...


    Arabela Maria Barbosa Sampaio


    Full Text Available In a world experiencing profound technological and socio-political changes in areas of knowledge and capacity, healthcare can not remain static. A new kind of professional is required, whose practice is based on ethics, scientific standards, integrity, citizenship, and health promotion, who develops skills beyond healthcare, such as decision making, communication,leadership, management, and continuing education. No single method can assess all of these elements (knowledge, skills, and attitudes, and only a combination of methods is able to produce a valid evaluation. An alternative method exists: structured clinical assessments based on observation of "to do, or how to do" that aim to complete this evaluation by focusing attention on the performance of specific skills. In order to broaden the scope of evaluation methods that have been used in health education, this article, a literature review, intends to offer readers an overview of the diverse types of structured clinical evaluation, emphasizing Objective Structured Clinical Examination, the most widely used in Brazil, with a goal of advancing opportunities for health professionals to make use of this evaluative tool.

  13. The Evaluation Of Clinical Competence

    Boucher, François-Gilles; Palmer, Wilfred H.; Page, Gordon; Barriault, Ronald; Seely, Janet


    During a workshop on the evaluation of clinical competence, the participants identified the process skills that comprise clinical competence and examined the techniques available for evaluating these skills. No single technique allows satisfactory evaluation of all the process skills; the most commonly used methods (chart review and case presentation) evaluate few process skills. An adequate performance profile in all the process skills requires a combination of evaluation techniques. Medical...

  14. Clinical evaluation of the Nucleus® 6 cochlear implant system: Performance improvements with SmartSound iQ

    Mauger, Stefan J; Warren, Chris D; Knight, Michelle R; Goorevich, Michael


    Objective: This paper provides a detailed description of the Nucleus 6 system, and clinically evaluates user performance compared to the previous Nucleus 5 system in cochlear implant recipients. Additionally, it clinically evaluates a range of Nucleus 6 and Nucleus 5 programs to determine the performance benefits provided by new input processing technologies available in SmartSound iQ. Design Speech understanding tests were used to clinically validate the default Nucleus 6 program, by comparing performance outcomes against up to five custom Nucleus 5 or Nucleus 6 programs in a range of listening environments. Clinical comparisons between programs were conducted across the following listening environments; quiet, speech weighted noise (co-located and spatially separated noise), and 4-talker babble (co-located and spatially separated noise). Study sample Twenty-one adult cochlear implant recipients participated. Results Significant speech understanding benefits were found with the default Nucleus 6 program compared to the participants’ preferred program using their Nucleus 5 processor and compared to a range of custom Nucleus 6 programs. All participants successfully accepted and upgraded to the new default Nucleus 6 SmartSound iQ program. Conclusion This study demonstrates the acceptance and clinical benefits of the Nucleus 6 cochlear implant system and SmartSound iQ. PMID:25005776

  15. Clinical performance of a hybrid resin composite with and without an intermediate layer of flowable resin composite: a 7-year evaluation

    van Dijken, Jan W V; Pallesen, Ulla


    The objective of this prospective clinical follow up was to evaluate the long term clinical performance of a hybrid resin composite in Class II restorations with and without intermediate layer of flowable resin composite.......The objective of this prospective clinical follow up was to evaluate the long term clinical performance of a hybrid resin composite in Class II restorations with and without intermediate layer of flowable resin composite....

  16. Evaluation of a BED-SIDE platelet function assay: performance and clinical utility.

    Lau, Wei C; Walker, C Ty; Obilby, David; Wash, Mark M; Carville, David G M; Guyer, Kirk E; Bates, Eric R


    Platelets have a pivotal role in the initial defense against insult to the vasculature and are also recognized of critical importance in the acute care settings of percutaneous coronary intervention and cardiopulmonary bypass. In these environments both platelet count and function may be markedly compromised. Unfortunately, current assays to evaluate the parameters of platelet count and function are of limited utility for bed-side testing. Moreover, it is suggested that there may be significant inter patient variation in response to antiplatelet therapy that may be exacerbated by other agents (e.g. heparin) that are routinely administered during cardiac intervention. Here we describe a practical, rapid and user-friendly whole blood platelet function assay that has been developed for use in bed-side settings. Platelet agonists were formulated with an anticoagulant and lyophilized in blood collection tubes standardised to receive a l mL fresh whole blood sample. In the presence of an agonist, platelets are activated and interact (aggregate). Using traditional cell counting principles, non-aggregated platelets are counted whereas aggregated platelets are not. The percentage (%) of functional platelets in reference to a baseline tube may then be determined. Results are available within four minutes. Platelet aggregation in whole blood demonstrated good correlation with turbidometric aggregometry for both ADP (r=0.91) and collagen (r=0.88). Moreover, in clinical settings where antiplatelet agents were administered, this rapid, bed-side, platelet function assay demonstrated utility in monitoring patient response to these therapies. This novel bed-side assay of platelet function is extremely suitable for the clinical environment with a rapid turn-around time. In addition, it provides a full haematology profile, including platelet count, and should permit enhancement of transfusion and interventional decisions. PMID:17890800

  17. Performance characteristics and clinical evaluation of an in vitro bleeding time device--Thrombostat 4000.

    Alshameeri, R S; Mammen, E F


    The performance characteristics of an in vitro bleeding time device--Thrombostat 4000 were evaluated and compared with the Simplate bleeding time in healthy individuals and patients with disorders of primary hemostasis. Reference ranges were established using 30 normal volunteers. Although there were variations between different filter batches, reproducibility was good within a single batch. There were no differences between the two channels of the instrument and between male and female subjects. Hematocrit correlated negatively with the initial flow (IF) and IF correlated positively with closure time (T) and bleeding volume (V). Aspirin could be detected only when the traditional addition of ADP was replaced with CaCl2. Both, closure time (T) or bleeding volume (V) were more sensitive than Simplate bleeding time and T was more sensitive than V in detecting patients with disorders of primary hemostasis. We conclude that the Thrombostat 4000 is a reproducible, reliable, sensitive and easy to use instrument. It is superior to the traditional in vivo bleeding times for investigations of disorders of primary hemostasis (screening, diagnosis, monitoring, etc.). PMID:8533123

  18. Evaluation of Factors Affecting Continuous Performance Test Identical Pairs Version Score of Schizophrenic Patients in a Japanese Clinical Sample

    Takayoshi Koide


    Full Text Available Aim. Cognitive impairment in schizophrenia strongly relates to social outcome and is a good candidate for endophenotypes. When we accurately measure drug efficacy or effects of genes or variants relevant to schizophrenia on cognitive impairment, clinical factors that can affect scores on cognitive tests, such as age and severity of symptoms, should be considered. To elucidate the effect of clinical factors, we conducted multiple regression analysis using scores of the Continuous Performance Test Identical Pairs Version (CPT-IP, which is often used to measure attention/vigilance in schizophrenia. Methods. We conducted the CPT-IP (4-4 digit and examined clinical information (sex, age, education years, onset age, duration of illness, chlorpromazine-equivalent dose, and Positive and Negative Symptom Scale (PANSS scores in 126 schizophrenia patients in Japanese population. Multiple regression analysis was used to evaluate the effect of clinical factors. Results. Age, chlorpromazine-equivalent dose, and PANSS-negative symptom score were associated with mean d′ score in patients. These three clinical factors explained about 28% of the variance in mean d′ score. Conclusions. As conclusion, CPT-IP score in schizophrenia patients is influenced by age, chlorpromazine-equivalent dose and PANSS negative symptom score.

  19. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: Utility, technical performance and service provider perspective

    Breen Patricia


    Full Text Available Abstract Background Formative evaluation is conducted in the early stages of system implementation to assess how it works in practice and to identify opportunities for improving technical and process performance. A formative evaluation of a teleneurophysiology service was conducted to examine its technical and sociological dimensions. Methods A teleneurophysiology service providing routine EEG investigation was established. Service use, technical performance and satisfaction of clinical neurophysiology personnel were assessed qualitatively and quantitatively. These were contrasted with a previously reported analysis of the need for teleneurophysiology, and examination of expectation and satisfaction with clinical neurophysiology services in Ireland. A preliminary cost-benefit analysis was also conducted. Results Over the course of 40 clinical sessions during 20 weeks, 142 EEG investigations were recorded and stored on a file server at a satellite centre which was 130 miles away from the host clinical neurophysiology department. Using a virtual private network, the EEGs were accessed by a consultant neurophysiologist at the host centre for interpretation. The model resulted in a 5-fold increase in access to EEG services as well as reducing average waiting times for investigation by a half. Technically the model worked well, although a temporary loss of virtual private network connectivity highlighted the need for clarity in terms of responsibility for troubleshooting and repair of equipment problems. Referral quality, communication between host and satellite centres, quality of EEG recordings, and ease of EEG review and reporting indicated that appropriate organisational processes were adopted by the service. Compared to traditional CN service delivery, the teleneurophysiology model resulted in a comparable unit cost per EEG. Conclusion Observations suggest that when traditional organisational boundaries are crossed challenges associated with the

  20. Human Patient Simulations: Evaluation of Self-Efficacy and Anxiety in Clinical Skills Performance

    Onovo, Grace N.


    The relationship between self-efficacy (self-confidence) and anxiety levels, and the use of Human Patient Simulations (HPS) as a teaching-learning strategy, has not been sufficiently studied in the area of clinical nursing education. Despite the evidence in the literature indicating that HPS increases self-efficacy/self-confidence and decreases…

  1. Evaluation of mid- and long-term consequences, clinical and social performance in Chernobyl acute radiation syndrome patients in a multi-centre clinical follow-up study

    Since the Chernobyl accident in 1986 nearly all survivors (n=199) of 237 patients with suspected acute radiation syndrome (ARS) underwent regular follow-up investigations in the scientific centres in Kiev and in Moscow. In a close collaboration with these centres we investigate the health status of this population in a five step approach. An integral part of this approach to patient evaluation and analysis of the mid- and long-term consequences of the Chernobyl accident is a 'Questionnaire for clinical, laboratory and functional follow-up of radiation-exposed persons', developed with these centres. Beyond this project we report as an interim some results of analyses performed by the scientific centers in Kiev and in Moscow about disorders of the cardiovascular system and the digestive tract, formation of cataract, generalized and local skin injuries and/or disorders as well as for a subpopulation (n=89) the Karnofsky performance score and working ability

  2. Diagnostic performance of the upper gastrointestinal series in the evaluation of children with clinically suspected malrotation

    Sizemore, Alecia W. [Indiana University School of Medicine, Department of Radiology, Indianapolis, IN (United States); University of Virginia School of Medicine, Department of Radiology, Charlottesville, VA (United States); Rabbani, Kaneez Z. [Indiana University School of Medicine, Department of Medicine, Indianapolis, IN (United States); Ladd, Alan [Indiana University School of Medicine, Division of Pediatric Surgery, Riley Hospital, Indianapolis, IN (United States); Applegate, Kimberly E. [Indiana University School of Medicine, Section of Pediatric Radiology, Department of Radiology, Indianapolis, IN (United States); Riley Hospital for Children, Department of Radiology, Indianapolis, IN (United States)


    Malrotation is a congenital disorder of abnormal intestinal rotation and fixation that predisposes infants to potentially life-threatening midgut volvulus. Upper gastrointestinal tract (UGI) examination is sometimes equivocal and can lead to inaccurate diagnosis. To determine the diagnostic performance of UGI examinations in children who subsequently underwent a Ladd procedure for suspected malrotation or volvulus. We reviewed all children up to 21 years old who had undergone both a UGI examination and a Ladd procedure for possible malrotation across 9 years. Children were excluded if they had not undergone either a UGI examination or a Ladd procedure and if congenital abdominal wall defects were present. Of 229 patients identified, 166 (59% male, median age 67 days) were included. Excluded were 47 without a UGI series, 12 with omphalocele or gastroschisis, 1 without verifiable operative data, 1 who had not undergone a Ladd procedure, and 2 older than 21 years. Of the 166 patients, 40% were neonates and 73% were <12 months old, and 31% presented with bilious vomiting and 15% with abdominal distention. Of 163 patients with surgically verified malrotation, 156 had a positive UGI examination, a sensitivity of 96%. There were two patients with a false-positive UGI examination and seven with false-negative examination. Jejunal position was normal in six of the seven with a false-negative examination and abnormal in the two with a false-positive examination. Of 38 patients with surgically verified volvulus, 30 showed volvulus on the UGI series. Five required bowel resection and three died. Jejunal position can lead to inaccurate UGI series interpretation. Meticulous technique and periodic assessment of performance will help more accurately diagnose difficult or equivocal cases. (orig.)

  3. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: utility, technical performance and service provider perspective.

    Breen, Patricia


    Formative evaluation is conducted in the early stages of system implementation to assess how it works in practice and to identify opportunities for improving technical and process performance. A formative evaluation of a teleneurophysiology service was conducted to examine its technical and sociological dimensions.

  4. Material Performance and Animal Clinical Studies on Performance-Optimized Hwangtoh Mixed Mortar and Concrete to Evaluate Their Mechanical Properties and Health Benefits

    Bon-Min Koo


    Full Text Available In this study, the amount of cement used in a concrete mix is minimized to reduce the toxic effects on users by adjusting the concrete mixture contents. The reduction of cement is achieved by using various admixtures (ground granulated blast-furnace slag, flyash, ordinary Portland cement, and activated Hwangtoh powder. To apply the mix to construction, material property tests such as compressive strength, slump, and pH are performed. Preliminary experimental results showed that the Hwangtoh concrete could be used as a healthy construction material. Also, the health issues and effects of Hwangtoh mortar are quantitatively evaluated through an animal clinical test. Mice are placed in Hwangtoh mortar and cement mortar cages to record their activity. For the test, five cages are made with Hwangtoh and ordinary Portland cement mortar floors, using Hwangtoh powder replacement ratios of 20%, 40%, 60%, and 80% of the normal cement mortar mixing ratio, and two cages are made with Hwangtoh mortar living quarters. The activity parameter measurements included weight, food intake, water intake, residential space selection, breeding activity, and aggression. The study results can be used to evaluate the benefits of using Hwangtoh as a cement replacing admixture for lifestyle, health and sustainability.

  5. A pilot study to evaluate the safety and clinical performance of Leucopatch, an autologous, additive-free, platelet-rich fibrin for the treatment of recalcitrant chronic wounds

    Jørgensen, Bo; Karlsmark, Tonny; Vogensen, Hanne;


    This prospective, uncontrolled pilot study evaluated the safety and clinical performance of Leucopatch an additive-free, autologous platelet-rich fibrin in the treatment of recalcitrant chronic wounds. Fifteen patients, with 16 lower extremity chronic wounds of varying etiologies were treated...

  6. Prognostics Performance Evaluation

    National Aeronautics and Space Administration — This is the first version of the performance evaluation tool. Evaluation is based on point estimates of the RUL predictions. a more detailed documentation will be...

  7. Evaluating clinicians’ teaching performance

    Boerebach, B.C.M.


    The focus of this thesis is evaluations of clinicians’ teaching performance in postgraduate medical education in the Netherlands. More specifically we studied formative evaluations, which clinicians use to generate a critical appraisal of their performance for their personal development. Research that was conducted during the last two decades revealed that humans are probably predisposed to being poor at unguided self-generated evaluations of their own performance. Therefore, the availability...

  8. Malawi - Threshold Performance Evaluation

    Millenium Challenge Corporation — This ex post performance evaluation was carried out to provide an independent, objective investigation into the effectiveness and efficacy of MTP activities, using...

  9. Evaluation of emergency department performance

    Sørup, Christian Michel; Jacobsen, Peter; Forberg, Jakob Lundager


    Background Evaluation of emergency department (ED) performance remains a difficult task due to the lack of consensus on performance measures that reflects high quality, efficiency, and sustainability. Aim To describe, map, and critically evaluate which performance measures that the published...... number of articles addresses this study’s objective (n = 14 of 46 unique hits). Time intervals and patient-related measures were dominant in the identified performance measures in review articles from US, UK, Sweden and Canada. Length of stay (LOS), time between patient arrival to initial clinical...

  10. Evaluating Teacher Performance Fairly.

    Sportsman, Michel Allain


    Describes foundation and development of a performance-based teacher evaluation method developed in Missouri which makes mastery learning the basis for outcomes of instruction. Eight discrete parts of the teaching act characterizing successful teaching, four criteria important in performance-based evaluation development, and four definable phases…

  11. SU-E-J-102: Performance Variations Among Clinically Available Deformable Image Registration Tools in Adaptive Radiotherapy: How Should We Evaluate and Interpret the Result?

    Purpose: To evaluate the performance variations in commercial deformable image registration (DIR) tools for adaptive radiation therapy. Methods: Representative plans from three different anatomical sites, prostate, head-and-neck (HN) and cranial spinal irradiation (CSI) with L-spine boost, were included. Computerized deformed CT images were first generated using virtual DIR QA software (ImSimQA) for each case. The corresponding transformations served as the “reference”. Three commercial software packages MIMVista v5.5 and MIMMaestro v6.0, VelocityAI v2.6.2, and OnQ rts v2.1.15 were tested. The warped contours and doses were compared with the “reference” and among each other. Results: The performance in transferring contours was comparable among all three tools with an average DICE coefficient of 0.81 for all the organs. However, the performance of dose warping accuracy appeared to rely on the evaluation end points. Volume based DVH comparisons were not sensitive enough to illustrate all the detailed variations while isodose assessment on a slice-by-slice basis could be tedious. Point-based evaluation was over-sensitive by having up to 30% hot/cold-spot differences. If adapting the 3mm/3% gamma analysis into the evaluation of dose warping, all three algorithms presented a reasonable level of equivalency. One algorithm had over 10% of the voxels not meeting this criterion for the HN case while another showed disagreement for the CSI case. Conclusion: Overall, our results demonstrated that evaluation based only on the performance of contour transformation could not guarantee the accuracy in dose warping. However, the performance of dose warping accuracy relied on the evaluation methodologies. Nevertheless, as more DIR tools are available for clinical use, the performance could vary at certain degrees. A standard quality assurance criterion with clinical meaning should be established for DIR QA, similar to the gamma index concept, in the near future

  12. Safety evaluation of daidzein in laying hens: part I. Effects on laying performance, clinical blood parameters, and organs development.

    Shi, S R; Gu, H; Chang, L L; Wang, Z Y; Tong, H B; Zou, J M


    Daidzein, an estrogen-like product, becomes increasingly popular as a dietary supplement, particularly for postpeak-estrus animals seeking a safe natural alternative to play a role of estrogen. However, there is little available safety data of it for raisers and consumers. A subchronic laying hen safety study was conducted to examine if the high-dose daidzein could affect the safety of hens selves, including laying performance, clinical blood parameters and organs development. Seven hundred and sixty-eight 56-week-old Hyline Brown were randomly assigned to 4 groups with 8 replicates of 24 birds each and 3weeks later fed diets supplemented with 0, 10, 50 and 100mg of daidzein/kg for 12weeks. The mortality was significantly decreased (P0.05). In clinical chemistry parameters, total protein, total cholesterol, calcium and phosphorus were significantly affected by dietary daidzein supplement (P<0.05). The no observed adverse effect level (NOAEL) is considered to be 50mg/kg. PMID:23391597

  13. Safety evaluation of phytosterols in laying hens: effects on laying performance, clinical blood parameters, and organ development.

    Shi, S R; Shen, Y R; Chang, L L; Zhou, C J; Bo, Z; Wang, Z Y; Tong, H B; Zou, J M


    Phytosterols are intended for use as a novel food ingredient with plasma cholesterol-lowering activity. Although phytosterols are naturally present in the normal diet, daily consumption is insufficient to ensure plasma cholesterol-lowering levels. Therefore, phytosterols may be added to the diets to achieve the desired cholesterol-lowering activity. A subchronic laying hen safety study was conducted to examine if high-dose phytosterols could affect the safety of hens. Three hundred sixty 21-wk-old Hy-Line Brown laying hens were randomly assigned to 5 groups with 6 replicates of 12 birds each; after 3 wk, birds were fed diets supplemented with 0, 20, 80, 400, and 800 mg/kg of phytosterols for 12 wk. Throughout the study, clinical observations and laying performance were measured. At the end of the study, birds were subjected to a full postmortem examination: blood samples were taken for clinical pathology, selected organs were weighed, and specified tissues were taken for subsequent histological examination. No treatment-related changes that were considered to be of toxicological significance were observed. Therefore, a nominal phytosterol concentration of 800 mg/kg was considered to be the no-observed-adverse-effect level. PMID:24604846

  14. A performance evaluation of {sup 90}Y dose-calibrator measurements in nuclear pharmacies and clinics in the United States

    Schultz, Michael K. [National Institute of Standards and Technology, Nuclear Medicine Standards Program, 100 Bureau Drive, MS 8462, Gaithersburg, MD 20899 (United States)], E-mail:; Cessna, Jeffrey T. [National Institute of Standards and Technology, Nuclear Medicine Standards Program, 100 Bureau Drive, MS 8462, Gaithersburg, MD 20899 (United States); Anderson, Tamara L. [College of Pharmacy, Univ. of New Mexico Health Sciences Center, New Mexico Center for Isotopes in Medicine, 2502 Marble, NE MSC09 5360, Albuquerque, NM 87131-0001 (United States); Ponto, James A. [Dept. of Radiology, Div. of Nuclear Medicine, Univ. of Iowa Hospital and Clinics, 200 Hawkins Drive, 3832 JPP, Iowa City, IA 52242 (United States); Petry, Neil [Dept. of Radiology, Dept. of Nuclear Medicine, Duke Univ. Medical Center, 133 Bell Building, Box 3304, Durham, NC 27710-3304 (United States); Kowalsky, Richard J. [Dept. of Radiology, Univ. of North Carolina, 1312 Kerr Hall, CB 7360, Chapel Hill, NC 27599 (United States); Palmer, Matthew R. [Dept. of Radiology, Div. of Nuclear Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215-5400 (United States); Beinlich, Uwe F. [QSA Global, Inc., Auriga Medical Div., 40 North Avenue, Burlington, MA 01803 (United States); Baker, William [Pharmaceutical and Diagnostic Services, 1152 West 2240 South St. E., West Valley City, UT 84119 (United States); Hinkle, George H. [Ohio State Univ. Medical Center, Room 203D, Doan Hall, 410 West 10th Avenue, Columbus, OH 43210 (United States); Hung, Joseph C. [Mayo Clinic, Div. of Nuclear Medicine, Dept. of Radiology, 200 First Street SW, Rochester, MN 55905 (United States); Quinton, Timothy [Radiopharmacy, Inc., 1409 E. Virginia St., Evansville, IN 47711 (United States); Rice, Peter A. [Massachusetts General Hospital, Div. of Nuclear Medicine, Tilton-2, 55 Fruit Street, Boston, MA 02114 (United States)] (and others)


    A blind performance test was conducted to evaluate dose-calibrator measurements at nuclear pharmacies in the United States (US). Two test-sample geometries were chosen to represent those used for measurements of {sup 90}Y-ibritumomab tiuxetan (ZEVALIN). The radioactivity concentration of test-samples was verified by the US National Institute of Standards and Technology. Forty-five results were reported by 10 participants. Eighty percent of reported values were within the US Pharmacopoeia content standard ({+-}10%) for {sup 90}Y-ZEVALIN. All results were within US Nuclear Regulatory Commission conformance limits ({+-}20%) for defining therapeutic misadministrations.

  15. A performance evaluation of 90Y dose-calibrator measurements in nuclear pharmacies and clinics in the United States

    A blind performance test was conducted to evaluate dose-calibrator measurements at nuclear pharmacies in the United States (US). Two test-sample geometries were chosen to represent those used for measurements of 90Y-ibritumomab tiuxetan (ZEVALIN). The radioactivity concentration of test-samples was verified by the US National Institute of Standards and Technology. Forty-five results were reported by 10 participants. Eighty percent of reported values were within the US Pharmacopoeia content standard (±10%) for 90Y-ZEVALIN. All results were within US Nuclear Regulatory Commission conformance limits (±20%) for defining therapeutic misadministrations

  16. Evaluation of clinical practice guidelines.

    Basinski, A S


    Compared with the current focus on the development of clinical practice guidelines the effort devoted to their evaluation is meagre. Yet the ultimate success of guidelines depends on routine evaluation. Three types of evaluation are identified: evaluation of guidelines under development and before dissemination and implementation, evaluation of health care programs in which guidelines play a central role, and scientific evaluation, through studies that provide the scientific knowledge base fo...

  17. Performance measurement and evaluation

    Lehmann, Bruce; Timmermann, Allan


    We consider performance measurement and evaluation for managed funds. Similarities and differences−both in econometric practice and in interpretation of outcomes of empirical tests−between performance measurement and conventional asset pricing models are analyzed. We also discuss how inference on ‘skill’ is affected when fund managers have market timing information. Performance testing based on portfolio weights is also covered as is recent developments in Bayesian models of performance measu...

  18. Performance evaluation of Puritan® universal transport system (UniTranz-RT™) for preservation and transport of clinical viruses.

    Brasel, Trevor; Madhusudhan, Kunapuli T; Agans, Krystle; Dearen, Karen; Jones, Sara L; Sherwood, Robert L


    The ability of a non-propagating microbial transport medium to maintain the viability of clinically relevant viruses was compared to a similar commercial medium to establish performance equivalence. Two dilutions of stock of test viruses, namely adenovirus (AdV), cytomegalovirus (CMV), echovirus Type 30 (EV), herpes simplex virus (HSV) types 1 and 2, influenza A, parainfluenza 3 (PIV), respiratory syncytial virus (RSV), and varicella zoster virus (VZV), were spiked into Puritan® Medical Products Company Universal Transport System (UniTranz-RT™) and BD(TM) Universal Viral Transport System (UVT) and incubated at 4 °C and room temperature (RT) for up to 72 hr. Post incubation assessment of recovery of AdV, EV, HSV-2, PIV, and VZV from UniTranz-RT™ and UVT using shell vial assays followed by immunofluorescence staining demonstrated statistically significant differences between both transport media. In general, significantly higher recoveries of AdV, EV, and VZV were found from UniTranz-RT™ than UVT whereas HSV-2 and PIV were recovered better from UVT than UniTranz-RT™, under specific test conditions. The recovery of HSV-1, influenza A, PIV, and RSV showed no significant differences between transport media. Sulforhodamine B-based assay analysis of UniTranz-RT™ lots prior to and at expiration exhibited no cytotoxicity. The overall results of the study validate the full performance of UniTranz-RT™ as a viral transport medium and establish its effectiveness on par with the UVT. PMID:26243168

  19. PET performance and MRI compatibility evaluation of a digital, ToF-capable PET/MRI insert equipped with clinical scintillators

    Schug, David; Wehner, Jakob; Dueppenbecker, Peter Michael; Weissler, Bjoern; Gebhardt, Pierre; Goldschmidt, Benjamin; Salomon, Andre; Kiessling, Fabian; Schulz, Volkmar


    We evaluate the MR compatibility of the Hyperion-IID positron emission tomography (PET) insert, which allows simultaneous operation in a clinical magnetic resonance imaging (MRI) scanner. In contrast to previous investigations, this work aims at the evaluation of a clinical crystal configuration. An imaging-capable demonstrator with an axial field-of-view of 32 mm and a crystal-to-crystal spacing of 217.6 mm was equipped with LYSO scintillators with a pitch of 4 mm which were read out in a one-to-one coupling scheme by sensor tiles composed of digital silicon photomultipliers from Philips Digital Photon Counting (DPC 3200-22). The PET performance degradation (energy resolution and coincidence resolution time (CRT)) was evaluated during simultaneous operation of the MRI scanner. We used clinically motivated imaging sequences as well as synthetic gradient stress test sequences. Without activity of the MRI scanner, we measured for trigger scheme 1 (first photon trigger) an energy resolution of 11.4% and a CRT of 213 ps for a narrow energy (NE) window using five 22Na point-like sources. When applying the synthetic gradient sequences, we found worst-case relative degradations of the energy resolution by 5.1% and of the CRT by 33.9%. After identifying the origin of the degradations and implementing a fix to the read-out hardware, the same evaluation revealed no degradation of the PET performance anymore even when the most demanding gradient stress tests were applied. The PET performance of the insert was initially evaluated using the point sources, a high-activity phantom and hot-rod phantoms in order to assess the spatial resolution. Trigger schemes 2-4 delivered an energy resolution of 11.4% as well and CRTs of 279 ps, 333 ps and 557 ps for the NE window, respectively. An isocenter sensitivity of 0.41% using the NE window and 0.71% with a wide energy window was measured. Using a hot-rod phantom, a spatial resolution in the order of 2 mm was demonstrated and the

  20. Human Performance Evaluation System

    Operating nuclear power plants requires high standards of performance, extensive training and responsive management. Despite our best efforts inappropriate human actions do occur, but they can be managed. An extensive review of License Event Reports (LERs) was conducted which indicated continual inadequacy in human performance and in evaluation of root causes. Of some 31,000 LERs, about 5,000 or 16% were directly attributable to inappropriate actions. A recent analysis of 87 Significant Event Reports (issued by INPO in 1983) identified inappropriate actions as being the most frequent root cause (44% of the total). A more recent analysis of SERs issued in 1983 and 1984 indicate that 52% of the root causes were attributed to human performance. The Human Performance Evaluation System (HPES) is a comprehensive, coordinated utility/industry system for evaluating and reporting human performance situtations. HPES is a result of the realization that current reporting system provide limited treatment of human performance and rarely provide adequate information about root causes of inappropriate actions by individuals. The HPES was implemented to identify and eliminate root causes of inappropriate actions

  1. Board Performance Evaluation

    Osborne, Simon


    This guidance is produced to assist companies in understanding, and consequently managing, some of the major issues involved when considering how to carry out board performance evaluation. Different issues will apply to different companies, thus this guidance should not be considered as exhaustive. Hopefully it will trigger the thought processes so that boards may consider for themselves t...

  2. Clinical Concerns About Clinical Performance Measurement

    Werner, Rachel M.; Asch, David A.


    Performance measurement has become one of the foundations of current efforts to improve health care quality and has successfully increased compliance with practice guidelines in many settings. Despite the successes of performance measurement, many physicians remain apprehensive about its use because performance measurement “gets in the way of” delivering good care. There are several reasons clinicians might feel this way. First, performance measurement is increasingly being extended to areas ...

  3. Evaluation of Company Performance

    Šuláková, Jana


    This Master´s thesis is focus on the evaluation of performance and financial health of the REDA corporation from 2006 to 2010. In the practical part of thesis is perfomed analysis of the company and financial analysis and a comparison of its results with three competing companies. The target of this master´s thesis is suggestions to improve and to conserve company performace.

  4. Clinical evaluation of contemporary oxygenators.

    Stanzel, Roger D P; Henderson, Mark


    Advances in cardiopulmonary bypass equipment have played a critical role in improving outcomes for cardiac surgery patients. Recent advancements include reduced priming volumes, biocompatible coatings and gaseous microemboli handling, as well as the incorporation of an arterial filter into the oxygenator.The purpose of this study was to conduct a comprehensive clinical evaluation of adult oxygenators on the market. Oxygenators assessed included the Sorin Synthesis(®) (n = 30), the Sorin Inspire 6F(®) (n = 10) and Inspire 8F(®) (n = 30), the Terumo FX15(®) (n = 13) and FX25(®) (n = 30), the Maquet Quadrox-i(®) (n = 30) and the Medtronic Fusion(®) (n = 30). Parameters assessed included functional prime volumes, gas exchange, pressure gradients and the effects on patient hematology.The Synthesis had the largest functional prime volume (1426 ml), the FX15 the lowest (956 ml). The Inspire 6F, 8F and Fusion had the greatest O2 transfer. The Sorin oxygenators required the lowest sweep gas flows to obtain a PaCO2 of 40 mmHg. The Sorin oxygenators had the largest pressure gradients. While no differences were observed for hemoglobin and platelet levels post cross-clamp removal, the Sorin Synthesis and Inspire 8F had the largest increases in white blood cell (WBC) counts (122% and 141% of baseline, respectively) and neutrophils (162% and 185% of baseline, respectively).The data demonstrate that no single product is superior in all aspects. The choice of ideal oxygenator depends on the aspect(s) of oxygenator performance the perfusion team believes most clinically acceptable based on available data. PMID:26407816

  5. Clinical study to evaluate the Brinhaniya effect of Vidarikandadi Yog to enhance the sport performance in children

    Nilesh Manohar Ingle


    Full Text Available Background: Sport science studies applications of scientific principles and techniques with the aim of improving sports performance. Objective: Present research work was carried out with the aim to enhance the sport performance of children. Materials and Methods: Randomized double blind placebo controlled study was conducted in children involved in sports to assess the efficacy of trial drug "Vidarikandadi Yog". Total of 72 healthy students were selected for the study after screening 412 students. Out of them, 60 students completed the study. The students were randomly divided into two groups. Group A (Vidarikandadi Yog comprising of 38 and Group B (placebo of 34 students. The trial drug "Vidarikandadi Yog" was given in the dose of 200 mg/kg/day in two divided doses for 2 months with milk and follow up was conducted fortnightly. Results: The study revealed the statistically significant results for weight and chest circumference, whereas highly significant results were obtained for muscular strength and endurance assessment parameters (Push-up Test, Sit-up Test, and Hand Grip Strength Test. Change in Ruler Drop Test was not significant. Results were significant for cardio-respiratory parameters (Resting Heart Rate, Resting Respiratory Rate, and Harvard Step Test. Conclusion: Vidarikandadi Yog is a potential drug for enhancing the sport performance due to its Brinhaneeya effect.

  6. About performance and evaluation of employee performance

    Irinel MARIN


    The goal of this article is the importance of the performance and the performance evaluation in any company. Performance can be viewed as being in close relationship with the effort made by the employee, his ability, charging station or place and role within the organization. Performance refers to the contribution that employees make to the goals of the organization. While the performance evaluation is an activity which determine an organization in which employees perform their duties or thei...

  7. Criteria for performance evaluation

    David J. Weiss


    Full Text Available Using a cognitive task (mental calculation and a perceptual-motor task (stylized golf putting, we examined differential proficiency using the CWS index and several other quantitative measures of performance. The CWS index (Weiss and Shanteau, 2003 is a coherence criterion that looks only at internal properties of the data without incorporating an external standard. In Experiment 1, college students (n = 20 carried out 2- and 3-digit addition and multiplication problems under time pressure. In Experiment 2, experienced golfers (n = 12, also college students, putted toward a target from nine different locations. Within each experiment, we analyzed the same responses using different methods. For the arithmetic tasks, accuracy information (mean absolute deviation from the correct answer, MAD using a coherence criterion was available; for golf, accuracy information using a correspondence criterion (mean deviation from the target, also MAD was available. We ranked the performances of the participants according to each measure, then compared the orders using Spearman's rextsubscript{s}. For mental calculation, the CWS order correlated moderately (rextsubscript{s} =.46 with that of MAD. However, a different coherence criterion, degree of model fit, did not correlate with either CWS or accuracy. For putting, the ranking generated by CWS correlated .68 with that generated by MAD. Consensual answers were also available for both experiments, and the rankings they generated correlated highly with those of MAD. The coherence vs. correspondence distinction did not map well onto criteria for performance evaluation.

  8. A multi-centre, prospective, clinical in-market evaluation to assess the performance of Opsite? Post-Op Visible dressings.

    O'Brien, Gillian


    The aim of this study was to assess the performance of Opsite™ Post-Op Visible as a post-surgical dressing in a typical clinical setting. In this multi-centre clinical evaluation, patients who underwent clean surgery were treated with Opsite Post-Op Visible dressing. Duration of dressing wear, visibility through the dressing and ability to handle exudate were assessed and the product was rated in comparison with those normally used. A total of 64 patients were recruited. Mean wear time was 4·5 days. Exudate management was rated very good or good at 96% of assessments. Visibility of the incision site was rated as very good or good at 72%, and as acceptable at 24%, of assessments. Patient comfort was rated very comfortable (63%) or comfortable (37%) at all assessments. Dressings were generally rated as satisfactory or exceeding expectations with clinicians stating that the Opsite Post-Op Visible dressing was better than the dressing they routinely used for 92% of patients. Opsite Post-Op Visible dressing is an innovative dressing combining good visibility with exudate management and patient comfort. It was found to have adequate wear time, visibility and exudate management properties making it suitable for use on a variety of surgical incision sites.

  9. Performance Evaluation of the Becton Dickinson FACSPresto™ Near-Patient CD4 Instrument in a Laboratory and Typical Field Clinic Setting in South Africa.

    Lindi-Marie Coetzee

    Full Text Available The BD-FACSPresto™ CD4 is a new, point-of-care (POC instrument utilising finger-stick capillary blood sampling. This study evaluated its performance against predicate CD4 testing in South Africa.Phase-I testing: HIV+ patient samples (n = 214 were analysed on the Presto™ under ideal laboratory conditions using venous blood. During Phase-II, 135 patients were capillary-bled for CD4 testing on FACSPresto™, performed according to manufacturer instruction. Comparative statistical analyses against predicate PLG/CD4 method and industry standards were done using GraphPad Prism 6. It included Bland-Altman with 95% limits of agreement (LOA and percentage similarity with coefficient of variation (%CV analyses for absolute CD4 count (cells/μl and CD4 percentage of lymphocytes (CD4%.In Phase-I, 179/217 samples yielded reportable results with Presto™ using venous blood filled cartridges. Compared to predicate, a mean bias of 40.4±45.8 (LOA of -49.2 to 130.2 and %similarity (%CV of 106.1%±7.75 (7.3% was noted for CD4 absolute counts. In Phase-2 field study, 118/135 capillary-bled Presto™ samples resulted CD4 parameters. Compared to predicate, a mean bias of 50.2±92.8 (LOA of -131.7 to 232 with %similarity (%CV 105%±10.8 (10.3%, and 2.87±2.7 (LOA of -8.2 to 2.5 with similarity of 94.7±6.5% (6.83% noted for absolute CD4 and CD4% respectively. No significant clinical differences were indicated for either parameter using two sampling methods.The Presto™ produced remarkable precision to predicate methods, irrespective of venous or capillary blood sampling. A consistent, clinically insignificant over-estimation (5-7% of counts against PLG/CD4 and equivalency to FACSCount™ was noted. Further field studies are awaited to confirm longer-term use.

  10. Performance Evaluation of Security Protocols

    Genge, Bela


    We propose a comparative performance evaluation of security protocols. The novelty of our approach lies in the use of a polynomial mathematical model that captures the performance of classes of cryptographic algorithms instead of capturing the performance of each algorithm separately, approach that is used in other papers. A major advantage of using such a model is that it does not require implementation-specific information, because the decision is based on comparing the estimated performances of protocols instead of actually evaluating them. The approach is validated by comparatively evaluating the performances of 1000 automatically generated security protocols against the performances of their actual implementations.

  11. Evaluating clinical dermatology practice in medical undergraduates.

    Casanova, J M; Sanmartín, V; Martí, R M; Morales, J L; Soler, J; Purroy, F; Pujol, R


    The acquisition of competences (the set of knowledge, skills and attitudes required to perform a job to a professional level) is considered a fundamental part of medical training. Dermatology competences should include, in addition to effective clinical interviewing and detailed descriptions of skin lesions, appropriate management (diagnosis, differentiation, and treatment) of common skin disorders and tumors. Such competences can only be acquired during hospital clerkships. As a way of certifying these competences, we propose evaluating the different components as follows: knowledge, via clinical examinations or critical incident discussions; communication and certain instrumental skills, via structured workplace observation and scoring using a set of indicators; and attitudes, via joint evaluation by staff familiar with the student. PMID:23664251

  12. [Evaluation of the diagnostic performance of Xpert MTB/RIF test for the detection of Mycobacterium tuberculosis and rifampin resistance in clinical samples].

    Gürsoy, Nafia Canan; Yakupoğulları, Yusuf; Tekerekoğlu, Mehmet Sait; Otlu, Barış


    Rapid and accurate detection of active tuberculosis (TB) cases is one of the most important goal of tuberculosis control programme. For this purpose, new methods are being developed to isolate, serotype and determine the drug resistance of the agent. Xpert MTB/RIF test (CepheidGeneXpert® System, USA) that has been recently developed, is a real-time polymerase chain reaction-based method which detects Mycobacterium tuberculosis complex and resistance of the strain to rifampicin (RIF) from the clinical sample directly within a couple of hours. However, there are not sufficient data about the performance of that test for extrapulmonary samples and pulmonary samples other than sputum. The aims of this study were to investigate the sensitivity, specificity, positive and negative predictive values of Xpert MTB/RIF test in detection of M. tuberculosis and the performance in the determination of rifampicin resistance of the isolates from pulmonary and extrapulmonary clinical samples. A total of 2160 clinical samples, in which 1141 (52.8%) were pulmonary and 1019 (47.2%) were extrapulmonary samples, sent to our laboratory between July 2013 to December 2014, were included in the study. Sixty seven of the evaluated samples (3.1%) were positive with microscopy (acid-fast stain; AFS), 116 samples (5.1%) were positive with culture and 98 samples (4.5%) were positive with Xpert MTB/RIF test. When the culture was considered as the reference method, the sensitivity and specificity of Xpert MTB/RIF test were determined as 73.3% and 99.3%, respectively for all samples; 77.5% and 99.5%, respectively for pulmonary samples and 63.9% and 99.2%, respectively for extrapulmonary samples. Among AFS positive samples, the sensitivity was 100% and specificity was 66.7%; whereas among AFS negative samples those values were 40.4% and 99.4%, respectively. Among all the samples involved in the study, RIF resistance was determined only in three samples with Xpert MTB/ RIF test and that was also

  13. Computer Architecture Performance Evaluation Methods

    Eeckhout, Lieven


    Performance evaluation is at the foundation of computer architecture research and development. Contemporary microprocessors are so complex that architects cannot design systems based on intuition and simple models only. Adequate performance evaluation methods are absolutely crucial to steer the research and development process in the right direction. However, rigorous performance evaluation is non-trivial as there are multiple aspects to performanceevaluation, such as picking workloads, selecting an appropriate modeling or simulation approach, running the model and interpreting the results usi

  14. Emmetropic eyes: objective performance and clinical reference

    Tepichín-Rodríguez, Eduardo; Cruz Felix, Angel S.; López-Olazagasti, Estela; Balderas-Mata, Sandra


    The application of the wavefront sensors to measuring the monochromatic aberrations of the normal human eyes has given a new insight in the objective understanding of its performance. The resultant wavefront aberration function can be applied to evaluate the image quality on the retina, which includes the analysis of the higher-order aberrations. Among others, and due to their well-known mathematical properties for circular apertures, the wavefront aberration function is most commonly represented in terms of the Zernike polynomials. The main idea is to have a clinical reference of the objective performance of a set of normal human eyes. However, the high-order aberrations in normal human eyes are different for each persoņ that can be interpreted as that there are many possible solutions for the objective performance of emmetropic eyes. When dealing with the Zernike coefficients and excluding the spherical aberration, higher-order aberrations have a tendency to have a zero mean value. Different proposals have been suggested in the literature to deal with this feature. Moreover, it has been also shown that there is an ethnic dependency in the magnitude of the aberrations. We present in this work the objective performance of a set of uncorrected Mexican eyes, and compare them with other ethnic results published in the literature.

  15. Clinical and MRI evaluation of tuberculous meningitis

    Objective: To evaluate the relationship of clinical and magnetic resonance imaging (MRI) findings in patients with tuberculous meningitis (TBM), and to improve the understanding of TBM. Methods: The clinical and MRI findings in 42 patients with confirmed TBM were analyzed retrospectively. MRI examination was performed using a 1 Tesla system, including SE T1WI and T2WI. Intravenous contrast was injected in 29 patients, and follow-up scans were performed on 17 patients. Results: Of 24 patients with early TBM, MRI was abnormal in 5(21%) with slight Tl-hypointense meningeal (4) or ependymal thickening (1). MRI on 33/35 (94%) patients with late stage TBM was abnormal with T1 hypointensity and T2 hyperintensity including meningeal thickening (19), mild surrounding brain edema (10), nodules (11), tuberculoma (5) and abscess (2). There was significant plaque-like, nodular or rim enhancement with surrounding brain edema. Conclusion: Tuberculous meningitis has minimal clinical and MRI findings in the early phase and significant clinical and MRI findings in the late phase. The enhanced scan may help to detect the abnormality. (authors)

  16. Optical DQPSK Modulation Performance Evaluation

    Costa, Nelson; Cartaxo, Adolfo


    The performance evaluation of simulated optical DQPSK modulation has been analysed. The EDP of DQPSK signals is approximately Gaussian-distributed. Thus, a SASM for DQPSK systems performance evaluation based on the GA has been proposed. The SASM relies on the use of the closed-form expressions derived for the mean and STD of the EDP

  17. Dry Process Fuel Performance Evaluation

    Yang, Myung Seung; Song, K. C.; Moon, J. S. and others


    The objective of the project is to establish the performance evaluation system of DUPIC fuel during the Phase II R and D. In order to fulfil this objectives, irradiation test of DUPIC fuel was carried out in HANARO using the non-instrumented and SPND-instrumented rig. Also, the analysis on the in-reactor behavior analysis of DUPIC fuel, out-pile test using simulated DUPIC fuel as well as performance and integrity assessment in a commercial reactor were performed during this Phase. The R and D results of the Phase II are summarized as follows : - Performance evaluation of DUPIC fuel via irradiation test in HANARO - Post irradiation examination of irradiated fuel and performance analysis - Development of DUPIC fuel performance code (modified ELESTRES) considering material properties of DUPIC fuel - Irradiation behavior and integrity assessment under the design power envelope of DUPIC fuel - Foundamental technology development of thermal/mechanical performance evaluation using ANSYS (FEM package)

  18. Clinical simulation as an evaluation method in health informatics

    Jensen, Sanne


    work practice including other technology and organizational structure. Clinical simulation is ideal for proactive evaluation of new technology for clinical work practice. Clinical simulations involve real end-users as they simulate the use of technology in realistic environments performing realistic...... tasks. Clinical simulation study assesses effects on clinical workflow and enables identification and evaluation of patient safety hazards before implementation at a hospital. Clinical simulation also offers an opportunity to create a space in which healthcare professionals working in different...... locations or sectors can meet and exchange knowledge about work practices and requirement needs. This contribution will discuss benefits and challenges of using clinical simulation, and will describe how clinical simulation fits into classical usability studies, how patient safety may benefit by use of...

  19. Revisiting Mutual Fund Performance Evaluation

    Angelidis, Timotheos; Giamouridis, Daniel; Tessaromatis, Nikolaos


    Mutual fund manager excess performance should be measured relative to their self-reported benchmark rather than the return of a passive portfolio with the same risk characteristics. Ignoring the self-reported benchmark introduces biases in the measurement of stock selection and timing components of excess performance. We revisit baseline empirical evidence in mutual fund performance evaluation utilizing stock selection and timing measures that address these biases. We introduce a ...

  20. Evaluating Judicial Performance Evaluation: A Conceptual Analysis

    Joe McIntyre


    Full Text Available While the performance evaluation of judges has become a ubiquitous aspect of modern judicial administration, evaluation mechanisms of are too often utilised uncritically, without reflection on why we evaluate judges, and how ‘measurement’ furthers these objectives. This article provides a conceptual analysis of the role and purpose of performance evaluation, conceiving it as a limited tool of judicial accountability, which itself exists only to promote excellent judging. As such, the efficacy of evaluation mechanisms must always be assessed by reference to their impact on these overarching accountability objectives. The article explores the value of this conception approach by briefly examining three uses of performance evaluation: 1 judicial promotions; 2 judicial retention elections; and 3 judicial professional development. In doing so it illustrates how a clear conceptual approach invites a more nuanced and critical examination of the limitations and benefits of judicial performance evaluation programs. Mientras que la evaluación del rendimiento de los jueces se ha convertido en un aspecto omnipresente de la administración judicial moderna, los mecanismos de evaluación se utilizan con demasiada frecuencia de manera acrítica, sin reflexionar sobre las razones por las que evaluamos a los jueces, y cómo se alcanzan los objetivos buscados mediante la 'medición'. Este artículo ofrece un análisis conceptual de la función y el propósito de la evaluación del rendimiento, concibiéndola como una herramienta limitada de la responsabilidad judicial, que a su vez sólo existe para promover la excelencia judicial. Como tal, la eficacia de los mecanismos de evaluación siempre se debe comprobar en función de su impacto en los objetivos de responsabilidad globales. El artículo explora el valor de este enfoque examinando brevemente tres usos de la evaluación de rendimiento: 1 promociones judiciales; 2 elecciones para la reelección de

  1. Subjektive Kompetenzeinschätzung von Studierenden und ihre Leistung im OSCE [Student´s self-assessment of clinical competence and objective clinical performance in OSCE evaluation

    Jünger, Jana


    Full Text Available [english] Overestimating one's clinical competence can be dangerous to patient's safety. Therefore the goal of this study was to identify students with high confidence in their own clinical competence but low performance in objective assessment. 171 students in the 14 week course in internal medicine completed the clinical skills-related self-assessment expectations (SE and were tested in a 12 station OSCE. Both measures were obtained within three days. In total we identified 16% of students who overestimated their performance in clinical skills compared to their OSCE-results. Male students significantly more oversestimated their clinical compltence (31% than female students. One possible cause may be the lack of corrective experiences during clinical traineeship leading to the misconception of own performance. Further validation and the integration of a counselling program for these students seem necessary. [german] Die Selbstüberschätzung ärztlicher Kompetenzen kann weitereichende Konsequenzen für die Patientensicherheit haben. Aus diesem Grunde initiierten wir eine Studie zur Identifizierung von Studierenden, die ihre klinische Kompetenz als sehr gut einschätzen, jedoch eine unzufriedenstellende objektive klinisch-praktische Performanz aufweisen. 171 Studierende des 14-wöchigen Blockes Innere Medizin an der Medizinischen Universitätsklinik Heidelberg füllten einen Selbsteinschätzungsfragebogen zur klinischen Kompetenz aus und wurden in einem 12-Stationen OSCE evaluiert. Beide Messungen wurden innerhalb von drei Tagen vollzogen. Insgesamt konnten 16% der Studierenden identifiziert werden, die sich verglichen mit den OSCE-Ergebnissen, bezüglich ihrer klinisch-praktischen Fertigkeit selbst überschätzen. Dabei überschätzen sich signifikant mehr männliche (31% als weibliche (8% Studierende. Eine mögliche Erklärung für den Sachverhalt der studentischen Fehleinschätzung klinischer Kompetenzen könnte in fehlenden korrigierenden R

  2. Prospective evaluation of fluoro-2-deoxyglucose imaging for post-chemotherapy residual masses in patients with germ cell tumours: diagnostic performance and clinical impact

    Purpose: To establish the predictive value of [18F]-FDG coincidence detection emission tomography (CDET) for detecting viable cancer in residual post-chemotherapy masses in germ cell tumour (GCT) patients and to determine its influence on subsequent patient management. Patients and methods: 30 CDET examinations were performed in 15 patients with a Seminoma and in 12 patients with a non seminomatous GCT (NSGCT) and post-chemotherapy residual masses > 1 cm with negative tumour markers serum levels. Results were correlated with either the histology of the resected lesion or the clinical follow-up (median follow-up = 27). Before FDG imaging, the referring physician was asked what was the scheduled therapeutic modality for the patient. This was later compared to the management actually applied in the light of the FDG imaging information. Results: In seminoma patients, 10 FDG CDET were true negative (TN), 3 false negative (EN) and 5 true positive (TP) and in NSGCT patients, 7 were TN, one FN, 3 TP and one false positive, thus leading to an overall accuracy of 83%. FDG imaging induced changes in the management of 52% of patients (15/29), and 87% (13/15) of these changes were appropriate, considering the subsequent clinical course of disease. Conclusion: [18F]-FDG imaging may help to limit indications for resection of residual masses in patients with seminoma and to suspect treatment failure, thus allowing faster initiation of salvage treatment in both seminoma and NSGCT patients. However, patients with a negative CDET examination should still be carefully followed-up, since FN results cannot be ruled out, especially in poor prognosis patients. (author)

  3. Evaluation of a Rheumatology Transition Clinic

    Stringer, Elizabeth; Scott, Rachel; Mosher, Dianne; MacNeill, Inez; Huber, Adam M.; Ramsey, Suzanne; Lang, Bianca


    Background An adolescent with a chronic condition must prepare for transition from the pediatric to the adult health care system. Ideally, transition is a purposeful and coordinated process between the two systems. We sought to evaluate a pediatric rheumatology transition clinic from the perspective of the young adults who attended the clinic. Methods Young adults who attended the IWK Health Centre Pediatric Rheumatology Transition Clinic in Halifax, Nova Scotia, Canada were asked to complete...

  4. Evaluation of EIT system performance

    An electrical impedance tomography (EIT) system images internal conductivity from surface electrical stimulation and measurement. Such systems necessarily comprise multiple design choices from cables and hardware design to calibration and image reconstruction. In order to compare EIT systems and study the consequences of changes in system performance, this paper describes a systematic approach to evaluate the performance of the EIT systems. The system to be tested is connected to a saline phantom in which calibrated contrasting test objects are systematically positioned using a position controller. A set of evaluation parameters are proposed which characterize (i) data and image noise, (ii) data accuracy, (iii) detectability of single contrasts and distinguishability of multiple contrasts, and (iv) accuracy of reconstructed image (amplitude, resolution, position and ringing). Using this approach, we evaluate three different EIT systems and illustrate the use of these tools to evaluate and compare performance. In order to facilitate the use of this approach, all details of the phantom, test objects and position controller design are made publicly available including the source code of the evaluation and reporting software

  5. Performance Evaluation of Security Protocols

    Bodei, Chiara; Buchholtz, Mikael; Curti, Michele;


    We use a special operational semantics which drives us in inferring quantitative measures on systems describing cryptographis cryptographic protocols. We assign rates to transitions by only looking at these labels. The rates reflect the distributed architecture running applications and the use of...... possibly different cryptosystems. We then map transition systems to Markov chains and evaluate performance of systems, using standard tools....

  6. Novel noise reduction filter for improving visibility of early computed tomography signs of hyperacute stroke. Evaluation of the filter's performance. Preliminary clinical experience

    The aim of this study was to evaluate the performance of a novel noise reduction filter for improving the visibility of early computed tomography (CT) signs of hyperacute stroke on nonenhanced CT images. Fourteen patients with a middle cerebral artery occlusion within 4.5 h after onset were evaluated. The signal-to-noise ratio (SNR) of the processed images with the noise reduction filter and that of original images were measured. Two neuroradiologists visually rated all the processed and original images on the visibility of normal and abnormal gray-white matter interfaces. The SNR value of the processed images was approximately eight times as high as that of the original images, and a 87% reduction of noise was achieved using this technique. For the visual assessment, the results showed that the visibility of normal gray-white matter interface and that of the loss of the gray-white matter interface were significantly improved using the proposed method (P<0.05). The noise reduction filter proposed in the present study has the potential to improve the visibility of early CT signs of hyperacute stroke on nonenhanced CT images. (author)

  7. [Performing madness: the clinic as stage].

    Herrn, Rainer; Friedland, Alexander


    In the second half of the nine- teenth century, clinical demonstrations became the dominant teaching method in psychiatry, playing a key role in medical-professional disputes, as well. This paper traces this widely used though historiographically neglected practice of knowledge implementation and mediation, as demonstrated in the psychiatric clinic of the Berlin Charité (Psychiatrische und Nervenklinik der Berliner Charité) from 1881 to 1927. Documentation of this practice, found within individual medical records, forms the basis of this research. The concept of 'theatricality' assists in uncovering the dramatic quality of the clinical demonstration: Psychiatric knowledge was not simply disseminated through such a practice; rather, such knowledge was first performatively created through the very logic of its presentation of exemplary patient histories, as well as through the examination and diagnostic positioning of its patients. The 'success' of such presentations depended on many variables, related to staff, time, place, and other situational factors. These include the presence of appropriate lecture halls, the availability and calculated selection of patients, and the employment of specific performative techniques by doctors for the sake of producing desired results. As one effect, clinical demonstrations also encouraged patients to both learn and rehearse behavior considered relevant to the particular diagnosis that was to be demonstrated. PMID:25671967

  8. Developments in statistical evaluation of clinical trials

    Oud, Johan; Ghidey, Wendimagegn


    This book describes various ways of approaching and interpreting the data produced by clinical trial studies, with a special emphasis on the essential role that biostatistics plays in clinical trials. Over the past few decades the role of statistics in the evaluation and interpretation of clinical data has become of paramount importance. As a result the standards of clinical study design, conduct and interpretation have undergone substantial improvement. The book includes 18 carefully reviewed chapters on recent developments in clinical trials and their statistical evaluation, with each chapter providing one or more examples involving typical data sets, enabling readers to apply the proposed procedures. The chapters employ a uniform style to enhance comparability between the approaches.

  9. Evaluating clinical teachers with the Maastricht clinical teaching questionnaire : How much 'teacher' is in student ratings?

    Boerboom, Tobias B. B.; Mainhard, Tim; Dolmans, Diana H. J. M.; Scherpbier, Albert J. J. A.; Van Beukelen, Peter; Jaarsma, A. D. (Debbie) C.


    Background: Students are a popular source of data to evaluate the performance of clinical teachers. Instruments to obtain student evaluations must have proven validity. One aspect of validity that often remains underexposed is the possibility of effects of between-student differences and teacher and

  10. Relative performance evaluation in performance share plans: Evidence from Finland

    Rokkonen, Mira Marjut Elina


    Regardless of the strong theoretical justification for the use of relative performance evaluation in setting executive compensation, previous empirical results supporting relative performance evaluation are mixed. This study contributes to the existing literature by analyzing implicit relative performance evaluation in a specific form of compensation, performance share plans. Implicit relative performance evaluation is studied with the single-year relative performance evaluation model used al...

  11. Evaluating Judicial Performance: Editors’ Introduction

    Francesco Contini


    Full Text Available The articles in this issue tackle the conceptual issues associated with defining good judging and the purposes of evaluating judges, and ask such questions as: What values are central to the judicial role? What knowledge, skills, abilities, and other qualities are important to judicial performance? What does scholarship tell us about judging and judicial performance? What are the challenges in measuring judicial performance, the extent to which existing evaluation programs can capture what it means to be a judge, and the potential for developing multi-method evaluation programs? An underlying theme is the nature and desirability of linking evaluations of individual judges with evaluations of the court system and the ways in which results from performance evaluation can be incorporated into educational and other programs designed to promote improvements in the quality of the judiciary. The papers cluster around three major themes: (i Conceptual and methodological issues; (ii Experiences of evaluating judges; and (iii Empirical research findings. Los artículos de este número abordan aspectos conceptuales asociados con el hecho de juzgar de forma correcta y los propósitos de evaluar a los jueces, y plantean preguntas como: ¿qué valores son básicos en el rol judicial? ¿Qué conocimiento, aptitudes, habilidades y otras cualidades son importantes para el rendimiento judicial? ¿Qué nos dice el mundo académico sobre el hecho de juzgar y el rendimiento judicial? ¿Cuáles son los retos en la medición del rendimiento judicial, hasta qué punto los programas de evaluación existentes pueden capturar lo que significa ser un juez, y el potencial para desarrollar programas de evaluación multidisciplinares? Un tema subyacente es la naturaleza y la deseabilidad de unir evaluaciones de jueces individuales con evaluaciones del sistema judicial, y las formas en las que los resultados del rendimiento judicial se pueden incorporar en programas educativos

  12. Assessing Students – Clinical Competence Versus Performance

    John Ruedy


    Full Text Available The recent elaboration of the range of physiciancompetencies upon which the quality of health care isdependent has fostered the development of a variety ofmethods of assessing medical student competencies andperformance. Such assessments are essential inproviding feedback to students to guide their learningand to faculty on the success of the curriculum inachieving competency outcomes. In addition theyprovide evidence that students have achieved minimumrequirements for progressing. Well-designed ObservedStructured Clinical Examinations (OSCEs, MiniClinical Examinations (Mini-CEXs and some forms ofMulti-Source Feedback (MSF can meet acceptablestandards of validity and reliability and are feasible.Competency assessments are limited in predicting howa student will actually act in the work situationparticularly in humanistic skills. More emphasis needsto be placed on student performance, in suchcompetencies as communication and professionalism, ina variety of settings by a number of observers.

  13. Ceftriaxone: in vitro studies and clinical evaluation.

    Gnann, J. W.; Goetter, W E; Elliott, A M; Cobbs, C G


    The in vitro activity of ceftriaxone against 437 clinical isolates of gram-negative bacilli was determined. Ceftriaxone was found to have high in vitro activity against Enterobacteriaceae, with the exception of Enterobacter cloacae. Ceftriaxone was only minimally active against Pseudomonas aeruginosa and Acinetobacter calcoaceticus. We evaluated the clinical efficacy and toxicity of ceftriaxone in 55 adult patients. Bacterial infection was confirmed by the isolation of etiological bacteria in...

  14. 48 CFR 436.604 - Performance evaluation.


    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Performance evaluation... Performance evaluation. Preparation of performance evaluation reports. (a) In addition to the requirements of FAR 36.604, performance evaluation reports shall be prepared for indefinite-delivery type...

  15. Performance evaluation of computed radiography systems

    Recommended methods to test the performance of computed radiography (CR) digital radiographic systems have been recently developed by the AAPM Task Group No. 10. Included are tests for dark noise, uniformity, exposure response, laser beam function, spatial resolution, low-contrast resolution, spatial accuracy, erasure thoroughness, and throughput. The recommendations may be used for acceptance testing of new CR devices as well as routine performance evaluation checks of devices in clinical use. The purpose of this short communication is to provide a tabular summary of the tests recommended by the AAPM Task Group, delineate the technical aspects of the tests, suggest quantitative measures of the performance results, and recommend uniform quantitative criteria for the satisfactory performance of CR devices. The applicability of the acceptance criteria is verified by tests performed on CR systems in clinical use at five different institutions. This paper further clarifies the recommendations with respect to the beam filtration to be used for exposure calibration of the system, and the calibration of automatic exposure control systems

  16. Digital breast tomosynthesis versus digital mammography: a clinical performance study

    Gennaro, Gisella; Baldan, Enrica; Bezzon, Elisabetta; Polico, Ilaria; Proietti, Alessandro; Toffoli, Aida [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Toledano, Alicia [Statistics Collaborative Inc., Washington, DC (United States); Di Maggio, Cosimo [Padua University, Department of Oncological and Surgical Sciences, Padua (Italy); La Grassa, Manuela [Aviano Oncological Reference Center (CRO), IRCCS, Department of Radiology, Aviano (Pordenone) (Italy); Pescarini, Luigi [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Padua University, Department of Oncological and Surgical Sciences, Padua (Italy); Muzzio, Pier Carlo [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Padua University, Department of Medical Diagnostic Sciences, Padua (Italy)


    To compare the clinical performance of digital breast tomosynthesis (DBT) with that of full-field digital mammography (FFDM) in a diagnostic population. The study enrolled 200 consenting women who had at least one breast lesion discovered by mammography and/or ultrasound classified as doubtful or suspicious or probably malignant. They underwent tomosynthesis in one view [mediolateral oblique (MLO)] of both breasts at a dose comparable to that of standard screen-film mammography in two views [craniocaudal (CC) and MLO]. Images were rated by six breast radiologists using the BIRADS score. Ratings were compared with the truth established according to the standard of care and a multiple-reader multiple-case (MRMC) receiver-operating characteristic (ROC) analysis was performed. Clinical performance of DBT compared with that of FFDM was evaluated in terms of the difference between areas under ROC curves (AUCs) for BIRADS scores. Overall clinical performance with DBT and FFDM for malignant versus all other cases was not significantly different (AUCs 0.851 vs 0.836, p = 0.645). The lower limit of the 95% CI or the difference between DBT and FFDM AUCs was -4.9%. Clinical performance of tomosynthesis in one view at the same total dose as standard screen-film mammography is not inferior to digital mammography in two views. (orig.)

  17. Clinically meaningful performance benchmarks in MS

    Motl, Robert W.; Scagnelli, John; Pula, John H.; Sosnoff, Jacob J.; Cadavid, Diego


    Objective: Identify and validate clinically meaningful Timed 25-Foot Walk (T25FW) performance benchmarks in individuals living with multiple sclerosis (MS). Methods: Cross-sectional study of 159 MS patients first identified candidate T25FW benchmarks. To characterize the clinical meaningfulness of T25FW benchmarks, we ascertained their relationships to real-life anchors, functional independence, and physiologic measurements of gait and disease progression. Candidate T25FW benchmarks were then prospectively validated in 95 subjects using 13 measures of ambulation and cognition, patient-reported outcomes, and optical coherence tomography. Results: T25FW of 6 to 7.99 seconds was associated with a change in occupation due to MS, occupational disability, walking with a cane, and needing “some help” with instrumental activities of daily living; T25FW ≥8 seconds was associated with collecting Supplemental Security Income and government health care, walking with a walker, and inability to do instrumental activities of daily living. During prospective benchmark validation, we trichotomized data by T25FW benchmarks (10 seconds) ranges of performance. PMID:24174581

  18. Clinical task performance and imaging task performance compared for two different commercial electronic portal imaging systems

    Full text: This paper reports on the investigation and comparison of performance of a Varian Portal Vision system and a Siemens Beamview Plus system using the framework outlined by ICRU Report 54. Radiation Therapy EPI (Electronic Portal Imaging) systems are one of the main applications of digital imaging technology in a radiation therapy department. Radiation Therapy EPI systems may produce images of a lesser quality than the diagnostic radiology equivalent. It is therefore important to optimise the system to obtain the best performance possible. Contrasting opinion on the performance of EPI by clinicians, radiation therapists, medical physicists and engineers often exists, even when the same system and even the same image are being evaluated. Differing opinion occurs because of differences in task end points and task assessment methods of two broad groups of individuals, the human-observer group and the technical-measurement group. Each group uses different task criteria and methodology for assessing performance. The human-observer group is primarily interested in system performance that assures a high level clinical-task performance while the technical-measurement group is concerned with system performance that assures a high level of imaging-task performance. The technical-measurement group tends to be closely associated with imaging system technology, testing, adjustment and optimisation tasks which are couched in terms imaging-task criteria. The human-observer group is usually attempting to optimise performance using clinical-task criteria. The challenge is to provide a balanced evaluation using complementary imaging-task performance and clinical-task performance assessments. Comparison of the systems is on the basis of imaging-task performance i.e. technical-measurement through physical performance assessments such as spatial resolution and noise level, and clinical-task performance i.e. human-observer measurements through the application of psychophysical

  19. Clinical breast evaluation skills of house officers and students.

    Chalabian, J; Garman, K; Wallace, P; Dunnington, G


    Current health care reform is placing primary care physicians in an increasingly significant role as the front-line providers of women's health care. It is critical that primary care physicians as well as surgeons develop the knowledge base, physical examination skills, and interpersonal skills necessary to care for patients with breast cancer. This study uses a standardized patient breast case in an Objective Structured Clinical Examination (OSCE) format to objectively assess clinical breast evaluation skill performance by house officers and medical students. Performance of USC medical students, exposed to a uniform clinical breast evaluation curriculum, were compared with MSIVs from four other medical schools, and postgraduate year I and II categorical surgical residents. USC medical students were found to maintain performance between an initial surgical OSCE breast station and a delayed clinical practice exam (CPX) reexam as MSIVs (breast exam, P = 0.21; patient-physician interaction, P = 0.67). USC MSIVs had statistically significantly higher performance on the CPX breast station when compared with other MSIVs (T = 11.701, two-tailed test, P = 0.0001). House officers demonstrated significantly poorer skills than medical students (P = 0.03). An incoming housestaff group showed improvement with clinical breast evaluation checklists and orientation as part of their intern orientation program and ongoing curriculum. PMID:8813167

  20. 48 CFR 2936.604 - Performance evaluation.


    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Performance evaluation... Performance evaluation. (a) The HCA must establish procedures to evaluate architect-engineer contractor... reports must be made using Standard Form 1421, Performance Evaluation (Architect-Engineer) as...

  1. 13 CFR 304.4 - Performance evaluations.


    ... of at least one (1) other District Organization in the performance evaluation on a cost-reimbursement... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Performance evaluations. 304.4... ECONOMIC DEVELOPMENT DISTRICTS § 304.4 Performance evaluations. (a) EDA shall evaluate the...

  2. Evaluation of the clinical usefulness of modulated Arc treatment

    Lee, Young Kyu; Jang, Hong Seok; Kim, Yeon Sil; Choi, Byung Ock; Nam, Sang Hee; Park, Hyeong Wook; Kim, Shin Wook; Shin, Hun Joo; Lee, Jae Choon; Kim, Ji Na; PARK, SUNG KWANG; Kim, Jin Young; Kang, Young-Nam


    The purpose of this study is to evaluate the clinical usefulness of modulated arc (mARC) treatment techniques. The mARC treatment plans of the non-small cell lung cancer (NSCLC) patients were performed in order to verify the clinical usefulness of mARC. A pre study was conducted to find the most competent plan condition of mARC treatment and the usefulness of mARC treatment plan was evaluated by comparing it with the other Arc treatment plans such as Tomotherapy and RapidArc. In the case of m...

  3. 48 CFR 236.604 - Performance evaluation.


    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Performance evaluation... Architect-Engineer Services 236.604 Performance evaluation. (a) Preparation of performance reports. Use DD Form 2631, Performance Evaluation (Architect-Engineer), instead of SF 1421. (2) Prepare a...

  4. Priceless clinical pearls in the performance of cardiac CT.

    Lepor, Norman E; Madyoon, Hooman; Friede, Gerald


    Cardiovascular CT represents an important innovation in cardiac imaging as a noninvasive modality for the diagnosis of coronary artery disease. As a screening examination, coronary CT has the ability to identify the presence, extent, location, and severity of coronary artery disease in patients at risk. As a diagnostic examination in patients with chest discomfort and dyspnea, it can not only evaluate for the presence of coronary artery disease but also evaluate the pulmonary vasculature and aorta. The ability to perform high-quality cardiac CT requires a combination of technical expertise and knowledge of cardiac anatomy. From our experience having performed over 6000 cardiac CTs, we provide the reader with a number of clinical and technical pearls that will enhance his or her ability to perform high-quality studies even in the more challenging patient. PMID:18418315

  5. Experimental evaluation of clinical colon anastomotic leakage

    Pommergaard, Hans-Christian


    , ischemia and insufficient surgical technique have been suggested to play a central role. Animal models are valuable means to evaluate pathophysiological mechanisms and may be used to test preventive measures aiming at reducing the risk of anastomotic leakage, such as external anastomotic coating. The aim...... leakage. STUDY 1: This study is a systematic review using the databases MEDLINE and Rex. MEDLINE was searched up to October 2010 to identify studies on experimental animal models of clinical colon anastomotic leakage. From the Rex database, textbooks on surgical aspects as well as gastrointestinal...... physiology and anatomy of experimental animals were identified. The results indicated that the mouse and the pig are the best suited animals to evaluate clinical anastomotic leakage. However, the pig model is less validated and more costly to use compared with the mouse. Most frequently, rats are used as...

  6. Chronic diarrhea. Diagnosis and clinical evaluation

    Chronic diarrhea is a syndrome of great clinical complexity, which is frequently encountered by general physicians, internists and gastroenterologists. Differential diagnosis is very broad and sometime finding the precise cause can be difficult, expensive and frustration. Literature published about this topic lack, in general, adequate controlled studies and for this reason recommendations for diagnostic evaluation and treatment are based upon series of cases, experience of the institutions or expert opinion and not on reasonable evidence. On the other hand, many of the classical diagnostic tests that have survived until now were designed over physiologic foundations and have not been validated extensively with the precision of a clinical test. This limits its acceptance, application and standardization in the daily practice. There is not a general agreement about diagnosis and treatment of chronic diarrhea and many of the experts divert recommendation about their recommendations. The purpose of this paper is to define some general guidelines about the clinical evaluation of patients with chronic diarrhea that lead us to a rational approach based upon clinical trials and the appropriate use of the many different tests

  7. Periodic paralysis: clinical evaluation in 20 patients

    Célia Harumi Tengan; Acary S. Bulle de Oliveira; Alberto Alain Gabbai


    Twenty patients with periodic paralysis were evaluated and the aspects studied included epidemiological data, clinical manifestations, ancillary tests, treatment and evolution. Sixteen patients had the hypokalemic form (5 familiar, 5 sporadic, 5 thyrotoxic and 1 secondary). No patient with the normokalemic form was detected. Predominance of men was found (14 patients), especially in the cases with hyperthyroidism (5 patients). No thyrotoxic patient was of oriental origin. Only 4 patients had ...

  8. 48 CFR 36.604 - Performance evaluation.


    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Performance evaluation. 36.604 Section 36.604 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SPECIAL... Performance evaluation. See 42.1502(f) for the requirements for preparing past performance evaluations...

  9. Improving Fuzzy Comprehensive Evaluation of Logistics Performance Evaluation

    PAN Xiao lin; Huang, Rong Rong


    "According to the logistics enterprise performance evaluation of the complexity of the problems and the characteristics of fuzziness, based on the fuzzy comprehensive evaluation method point of view, this article established the fuzzy comprehensive evaluation of logistics performance evaluation index system. This article combines the logistics enterprise in the actual survey dates, and constructs three primary indexes and ten secondary indexes of logistics enterprise performance evaluation in...

  10. Energy performance evaluation of AAC

    Aybek, Hulya

    The U.S. building industry constitutes the largest consumer of energy (i.e., electricity, natural gas, petroleum) in the world. The building sector uses almost 41 percent of the primary energy and approximately 72 percent of the available electricity in the United States. As global energy-generating resources are being depleted at exponential rates, the amount of energy consumed and wasted cannot be ignored. Professionals concerned about the environment have placed a high priority on finding solutions that reduce energy consumption while maintaining occupant comfort. Sustainable design and the judicious combination of building materials comprise one solution to this problem. A future including sustainable energy may result from using energy simulation software to accurately estimate energy consumption and from applying building materials that achieve the potential results derived through simulation analysis. Energy-modeling tools assist professionals with making informed decisions about energy performance during the early planning phases of a design project, such as determining the most advantageous combination of building materials, choosing mechanical systems, and determining building orientation on the site. By implementing energy simulation software to estimate the effect of these factors on the energy consumption of a building, designers can make adjustments to their designs during the design phase when the effect on cost is minimal. The primary objective of this research consisted of identifying a method with which to properly select energy-efficient building materials and involved evaluating the potential of these materials to earn LEED credits when properly applied to a structure. In addition, this objective included establishing a framework that provides suggestions for improvements to currently available simulation software that enhance the viability of the estimates concerning energy efficiency and the achievements of LEED credits. The primary objective

  11. Traceability of performance evaluation materials

    One of the most critical elements of a performance evaluation (PE) program for radioactivity measurements is the traceability of the PE materials to the national standards. The requirements and criteria for the production of traceable environmental and radiobioassay PE materials have been defined by ANSI N42.22 and ANSI N13.30 standards. It is important to note that use of traceable source materials does not necessarily ensure the traceability of subsequently derived PE materials unless verification measurements exist in conjunction with the preparation processes. Protocol currently used by NIST for the preparation and verification of air filter, acidified water, spiked soil, synthetic urine, and synthetic fecal PE materials for low-level radioactivity measurements is described. The process involves gravimetric dilutions and mixing of primary radionuclide NIST Standard Reference Materials (SRMs), addition of the derived master solution to sample matrices, and subsequent verification measurements. Several gamma-emitters were used to trace the gravimetric dilutions and spike addition through an unbroken chain of gamma comparison measurements. The massic activities of alpha- and beta-emitters in the diluted solutions and PE samples were also measured by radiochemical methods and compared with their gravimetric values. A correlation analysis demonstrated that the gamma emitters quantitatively followed 90Sr, 238U, 238Pu, and 241Am throughout the dilution and spiking and can be used as effective process monitors. The statistical results from t-tests, box plots, and normal probability tests suggested that traceability of radionuclides in the PE materials to their primary standards can be verified to within 1%, with an overall precision better than 2% (1s). (author)

  12. Evaluation of leak current of clinical electrometers

    The present work shows the evaluation of two electrometers model Victoreen used in radiotherapy. The performance of the electrometers was proven using a source of current, built inside the work frame arcal 34, and using like reference the norm iec 60371. The results of the tests of leakage, displacement of the zero and linealty of the electrometers are presented

  13. Relative Performance Evaluation and Limited Liability

    Bhaskar, V.


    We analyze the role of relative performance evaluation when a principal has several agents, who face correlated shocks. If limited liability constraints are binding, relative performance evaluation may be of no value if the principal is restricted to symmetric contracts. However, with asymmetric contracts, where agents are induced to choose different effort levels, relative performance measures can be used in order to reduce informational rents. Relative performance evaluation is a way of red...

  14. Hypersensitivity pneumonitis: Radiological, clinical and pathologic evaluation

    This paper is to evaluate radiological features of hypersensitivity pneumonitis, correlated with clinical and pathologic findings. Patients consisted of 2 men and 3 women, aged 23-51 years old (average 41). Diagnosis was based on the presence of suggestive clinical and radiological findings (chest radiography, high resolutional CT, gallium scintigraphy), and lung biopsy showing characteristic histological features. All patients complained of external dyspnea and three patients experienced coughing. On the pulmonary function test, four patients revealed restrictive pattern and one patients was normal. Results of bronchoalveolar lavage, available in four patients, revealed lymphocytosis in three patients and normal finding in one patients. Chest radiographs showed ground glass opacity or diffuse nodular densities. On the HRCT,diffuse nodular opacity and ground glass and opacity were seen in variable features. All 4 patients had diffuse increased uptake on the gallium scan. On lung biopsy, a combination of histologic findings showed cellular bronchiolitis, diffuse interstitial infiltrates and non-necrotizing granulomas, consistent with diagnosis of hypersensitivity pneumonitis. Hypersensitively pneumonitis could be diagnosed with these radiological, clinical and pathological findings

  15. Theory and Practice on Teacher Performance Evaluation

    Cai Yonghong; Lin Chongde


    Tcacher performance evaluation plays a key role in educational personnel it has been an important yet difficult issue in educational reform.Previous evaluations on teachers failed to make strict distinction among the three dominant types of evaluation,namely,capability,achievement.and effectiveness.Moreover,teacher performance evaluation was usually restricted to task performance,neglecting contextual performance.Most researches done in teachers'evaluation were only about college teachers.This Paper suggests that teacher performance evaluation should find its theoretical foundation in teacher performance constructs.After making literature review,critical case study,critical interview,and qualitative research,the authors propose a new construct of teacher performance and make necessary analysis for the construct of reliability and validity in empirical approaches.

  16. Clinical evaluation in periodontitis patient after curettage

    Widowati Witjaksono


    Full Text Available Curettage is used in periodontics to scrap off the gingival wall of a periodontal pocket, and is needed to reduce loss of attachment (LOA by developing new connective tissue attachment in patients with periodontitis. The purpose of this study was to evaluate the success of curettage by the formation of tissue attachment. This clinical experiment was done by comparing LOA before curettage, 2 weeks and 3 weeks after curettage on 30 teeth with the indication of curettage. Study population were periodontitis patient who attending dental clinic at Hospital University Science Malaysia (HUSM with inclusion criteria good general health condition, 18 to 55 years old male or female and presented with pocket depth > 3mm. The teeth were thoroughly scaling before intervention and evaluated by measuring the periodontal attachment before curettage, two weeks and three weeks after curettage. Repeated measure ANOVA and Paired T Test were used to analyze the data. The result of the study showed that there was reduction in the periodontal attachment loss in periodontitis patient after curettage either in the anterior or posterior teeth which were supported by statistical analysis. This study concluded that curettage could make reattachment of the tissue

  17. Scoring of the Physical Therapist Clinical Performance Instrument (PT-CPI): Analysis of 7 Years of Use

    Proctor, Peggy L.; Dal Bello-Haas, Vanina P.; McQuarrie, Arlis M.; Sheppard, M. Suzanne; Scudds, Rhonda J.


    Purpose: The aims of this study were to (1) describe the completion rates of the 24 performance criteria (PCs) from the Physical Therapist Clinical Performance Instrument (PT-CPI) by clinical instructors; (2) evaluate change in PC visual analogue scores (VAS) with students' clinical experience; and (3) evaluate scoring patterns over time.

  18. Medicare Administrative Contractor Performance Evaluation

    U.S. Department of Health & Human Services — The Centers for Medicare and Medicaid Services (CMS) has compiled a summary of overall Medicare Administrative Contractor (MAC) performance information as measured...

  19. Performance Evaluation of Graphics Accelerator

    Vanek, Juraj


    This paper deals with possibilities and functions of modern graphic accelerators and with measuring performance under OpenGL interface. Widespread algorithms to render scene in real-time are used. It focuses on how to test every part of accelerator's graphic pipeline as well as measure performance in rendering of advanced effects and theoretical speed at general purpose calculations through graphic processor. This testing is realized by implementing multiple test series and their further eval...

  20. 75 FR 32484 - Array-Based Cytogenetic Tests: Questions on Performance Evaluation, Result Reporting and...


    ... Performance Evaluation, Result Reporting and Interpretation. The purpose of the public meeting is to seek input on challenges related to performance evaluation, determination of clinical significance, result... HUMAN SERVICES Food and Drug Administration Array-Based Cytogenetic Tests: Questions on...

  1. Evaluation of clinical trials by Ethics Committees in Germany – results and a comparison of two surveys performed among members of the German Association of Research-Based Pharmaceutical Companies (vfa

    Russ, Hagen


    Full Text Available [english] Objective: The objective of this project was to evaluate the quality and quantity of initial applications for a clinical trial according to § 7 of the German Good Clinical Practice (GCP ordinance (German: GCP-Verordnung, GCP-V, the quality of evaluations of those applications by Ethics Committees (ECs/Investigational Review Boards (IRBs in Germany as well as the pattern of EC objections in their reasoned opinions (vote. In order to identify a change over time, the results of the present survey were also compared with a survey performed in 2008.Methods: Based on reasoned opinions issued by the respective EC in charge of the coordinating principle investigator (coordinating EC in 2011, a written survey among members of the German Association of Research-Based Pharmaceutical Companies (vfa was conducted in 2012. The answers to the questionnaire were analyzed descriptively. Since the data set collected in 2011 was structurally identical with the data set gained in 2007 both surveys were compared.Results: Of the 24 companies represented on the vfa Clinical Research/Quality Assurance Subcommittee, 75% (18 took part in the survey. Survey evaluation was based on a total of 251 applications of these 18 companies submitted to 43 ECs. These account for about 21% of 1,214 applications for authorization of commercial and non-commercial phase I–IV clinical trials submitted to the regulatory authorities (BfArM and PEI in 2011.In comparison to 2007, a lower amount of applications (n=251 in 2011 vs. n=288 in 2007 was submitted to a slightly higher number of ECs (43 in 2011 vs. 40 in 2007. The amount of objections increased by 21% from 1,299 (2007 to 1,574 (2011 resulting in an average of 4.5 (2007 vs. 6.3 (2011 objections per application. Overall, the analysis of both formal and content related objections revealed almost the same pattern as in the previous survey. In total, the most frequent objections applied to the patient information and consent

  2. Evaluating iterative reconstruction performance in computed tomography

    potentials (11–54 mGy, 77%–84%), followed by SAFIRE3 (7–36 mGy, 50%–61%) and IRIS (6–26 mGy, 37%–50%). The dose reduction potentials highly depended on task size and task contrast, with tasks of lower contrasts and smaller sizes, i.e., more challenging tasks, indicating higher dose reductions. Softer edge profile showed higher dose reduction potentials with SAFIRE3 and SAFIRE5, but not with IRIS. The task-generic comparison between IR and FBP demonstrated the overall superiority of IR performance, as IR allowed a larger percent of tasks to exceed the threshold AUC: IRIS, 8%–12%; SAFIRE3, 10%–16%; and SAFIRE5, 20%–33%. The improvement with IR was generally more pronounced at lower dose levels. Conclusions: Expanding beyond traditional contrast and noise based assessments of IR, we performed both task-specific and task-generic evaluations of IR performance. The task-specific evaluation demonstrated the dependency of IR’s dose reduction potential on task attributes, which can be employed to optimize IR for clinical indications with specific range of size and contrast. The task-generic evaluation demonstrated IR’s overall superiority over FBP in terms of the range of tasks exceeding a threshold performance level, which can be employed for general comparisons between algorithms

  3. Portfolio optimization and performance evaluation

    Juhl, Hans Jørn; Christensen, Michael


    customer portfolios are determined, and it is shown how marketing decision-makers can use this information in their marketing strategies to optimize the revenue growth of the company. Finally, our analysis is the first analysis which applies portfolio based methods to measure customer performance, and it...

  4. Metrics for Offline Evaluation of Prognostic Performance

    National Aeronautics and Space Administration — Prognostic performance evaluation has gained significant attention in the past few years.*Currently, prognostics concepts lack standard definitions and suffer from...

  5. Performance Evaluation of Cluster Computing

    K D.Kavitha; RojaRamani.Adapa


    Cluster Computing addresses the latest results in these fields that support High Performance Distributed Computing (HPDC). In HPDC environments, parallel and/or distributed computing techniques are applied to the solution of computationally intensive applications across networks of computers. A cluster computing is a type of parallel or distributed computer system, which consists of a collection of interconnected stand-alone computers working together as a single integrated computing resource...

  6. Second-line Treatment of Stage III/IV Non-Small-Cell Lung Cancer (NSCLC with pemetrexed in routine clinical practice: Evaluation of performance status and health-related quality of life

    Schuette Wolfgang


    Full Text Available Abstract Background Second-line treatment of advanced non-small-cell lung cancer (NSCLC improves overall survival. There is a lack of data regarding the impact on patients' overall health condition. This prospective, non-interventional study evaluated performance status (PS and health-related quality of life (HR-QoL during second-line pemetrexed treatment in routine clinical practice. Methods Stage III/IV NSCLC patients who initiated second-line pemetrexed (standard vitamin and dexamethasone supplementation were observed for a maximum of 9 treatment cycles. The primary objective was to evaluate the proportion of patients achieving improvement of Karnofsky Index (KI of ≥ 10% (absolute or maintaining KI ≥ 80% after the second treatment cycle ("KI benefit response". HR-QoL was self-rated using the EuroQoL-5D questionnaire (EQ-5D. Factors potentially associated with KI benefit response were evaluated using logistic regression models. Results Of 521 eligible patients (73.5% Stage IV, median age 66.3 yrs, 36.1% ≥ 70 yrs, 62.0% with KI ≥ 80%, 471 (90.4% completed at least 2 treatment cycles. 58.0% (95%CI 53.6%;62.2% achieved KI benefit response after the second cycle. Patients with baseline KI ≥ 80%, no Grade 3/4 toxicities during the first 2 cycles, or combination regimen as prior first-line therapy were more likely to achieve a KI benefit response. EQ-5D scores improved over time. Grade 3/4 toxicities were reported in 23.8% of patients (mainly fatigue/asthenia 15.9%, neutropenia 8.7%. Conclusions In this large prospective, non-interventional study of second-line pemetrexed treatment in patients with advanced NSCLC, including 36% elderly patients ( ≥ 70 years, physician-rated PS and self-rated HR-QoL were maintained or improved in the majority of patients. Trial registration Registered on (NCT00540241 on October 4, 2007

  7. Performance Evaluation of Cluster Computing

    K D.Kavitha


    Full Text Available Cluster Computing addresses the latest results in these fields that support High Performance Distributed Computing (HPDC. In HPDC environments, parallel and/or distributed computing techniques are applied to the solution of computationally intensive applications across networks of computers. A cluster computing is a type of parallel or distributed computer system, which consists of a collection of interconnected stand-alone computers working together as a single integrated computing resource. The key components of a cluster include multiple standalone computers (PCs, Workstations, or SMPs, operating systems, high-performance interconnects, middleware, parallel programming environments, and applications. It assumes that the reader is familiar with the standard commodity hardware and software components such as stand-alone computers, operating systems such as Linux and Windows, and standard communication software such as TCP/IP. There are many applications which can benefit from parallelisation. Employing clusters of computers provides a method to utilise commodity components, minimising cost and and maximising longevity of the individual parts.

  8. Theory and Practice on Teacher Performance Evaluation

    Yonghong, Cai; Chongde, Lin


    Teacher performance evaluation plays a key role in educational personnel reform, so it has been an important yet difficult issue in educational reform. Previous evaluations on teachers failed to make strict distinction among the three dominant types of evaluation, namely, capability, achievement, and effectiveness. Moreover, teacher performance…

  9. Performance evaluation methods in the hotel industry

    Nunes, C.; Machado, M.


    This paper aims to contribute to increasing knowledge of performance evaluation methods used by the hotel industry, analysing whether there is a link between hotel characteristics and evaluation methods used. To achieve this goal we conducted surveys and interviews with financial officers of 275 four and five star hotels located in Portugal. The results support the conclusion that there is a link between hotel characteristics and performance evaluation methods used.

  10. Nursing students’ perceived stress and influences in clinical performance

    Laila Akhu-Zaheya; Insaf Shaban; Wejdan Khater


    Background: It is known that stress related to clinical training among nursing students could contribute to many physical and mental problems. However, little empirical evidence about the influence of stress in nurse students’ clinical performance Objective: The objective of this study was to assess the association between perceived stresses, stress related factors, and students’ clinical performance. Method: Using the perceived stress scale, 539 Jordanian nursing students from 2 publ...


    Pintea Mirela-Oana


    Full Text Available Performance evaluation of an economic entity requires approaching several criteria, such as industry and economic entity type, managerial and entrepreneurial strategy, competitive environment, human and material resources available, using a system of appropriate performance indicators for this purpose.The exigencies of communication occurred on the growing number of phenomena that marked the global economy in recent decades (internationalization and relocation of business crises and turmoil in financial markets, demand performance measurement to be made in a comprehensive way by financial and non-financial criteria. Indicators are measures of performance used by management to measure, report and improve performance of the economic entity. The relationship between indicators and management is ensured by the existence of performance measurement systems. Studies to date indicate that economic entities using balanced performance measurement systems as a key management tool registered superior performance compared to entities not using such systems. This study attempts to address the issue of performance evaluation by presenting opinions of different authors concerning the process of performance measurement and to present, after revising the literature, the evolution of the performance evaluation systems. We tried to do this literature review because sustainable development and, therefore, globalization require new standards of performance that exceeds the economic field, both for domestic companies as well as international ones. So, these standards should be integrated into corporate strategy development to ensure sustainability of activities undertaken by harmonizing the economic, social and environmental objectives. To assess the performance of economic entities it is required that performance evaluation to be done with a balanced multidimensional system, including both financial ratios and non-financial indicators in order to reduce the limits of

  12. Evaluating the Clinical Utility of the Medical Symptom Validity Test (MSVT): A Clinical Series.

    Suesse, Mareike; Wong, Vivien W C; Stamper, Laura L; Carpenter, Katherine N; Scott, Richard B


    Performance validity tests (PVTs) are not widely used beyond medico-legal contexts in the UK. A UK survey suggests clinicians have reservations about their accuracy in clinical settings. This study sought to explore the validity of PVTs in an acute adult neuropsychology setting and to establish a potential "false positive" (FP) base rate. Failures on the Medical Symptom Validity Test (MSVT) in a consecutive clinical series of 405 patients were evaluated systematically and allocated to groups depending on clinical context. All failures were checked against the test's "dementia profile". Of the 405 participants, 329 passed the MSVT (81.2%), while 76 participants (18.8%) failed based on standard criteria. A 5.2% rate of potentially 'unexplained' failures was found. Other reasons for failure were classified as: presumed malingered neurocognitive dysfunction (4.6%), dementia/significant cognitive impairment (3.7%), technical/visual problems (1.8%), and "unexplained failure" with contributory factors (2.4%). These results suggest test specificity between 0.95 and 0.90. Most of the clinically significantly impaired patients matched the dementia profile (86.7%). Our results support the sensitivity, but not the specificity, of the dementia profile. However, approximately 1 in 20 patients failed the MSVT despite an otherwise unremarkable neuropsychological presentation; moreover, mood and pain may affect MSVT performance. Clinical implications for interpreting test scores are discussed. PMID:25798743

  13. Testing Assumptions about Evaluating Strategic Alliance Performance

    Olk, Paul; Ariño, Africa


    Researchers have used a variety of measures to evaluate strategic alliance performance. In this paper we use data collected on performance of R&D consortia in the U.S. and of Spain-based equity and non-equity dyadic alliances to investigate empirically five basic assumptions made by strategic alliance researchers. We find that while several assumptions are supported, others are not. Results are consistent across samples. We conclude with recommendations for how to evaluate performance in futu...

  14. Performance Evaluation - Annual Report Year 2

    Ardaiz, Oscar; Catalano, Michele; Chacin, Pablo; Chao, Isaac; Cruellas, Juan Carlos; Freitag, Felix; Medina, Manuel; Navarro, Leandro; Valero, Miguel; Joita, Liviu; Rana, Omer F.; Schnizler, Björn; Eymann, Torsten


    In this paper a performance measuring infrastructure,developed for the prototype and simulator, concering the experiment configuration, data measurement, and data collection, is presented. A corresponding performance evaluation framework is defined to obtain the metrics from the measured data. Initial experiments were carried out to test the developed prototype, simulator and the performance measuring infrastructure.

  15. Periodic paralysis: clinical evaluation in 20 patients

    Célia Harumi Tengan


    Full Text Available Twenty patients with periodic paralysis were evaluated and the aspects studied included epidemiological data, clinical manifestations, ancillary tests, treatment and evolution. Sixteen patients had the hypokalemic form (5 familiar, 5 sporadic, 5 thyrotoxic and 1 secondary. No patient with the normokalemic form was detected. Predominance of men was found (14 patients, especially in the cases with hyperthyroidism (5 patients. No thyrotoxic patient was of oriental origin. Only 4 patients had the hyperkalemic form (3 familiar, 1 sporadic. Attacks of paralysis began during the first decade in the hyperkalemic form and up to the third decade in the hypokalemic. In both forms the attacks occurred preferentially in the morning with rest after exercise being the most important precipitating factor. Seventy five percent of the hyperkalemic patients referred brief attacks (<12 hours. Longer attacks were referred by 43% of the hypokalemic patients. The majority of the attacks manifested with a generalized weakness mainly in legs, and its frequency was variable. Creatinokinase was evaluated in 10 patients and 8 of them had levels that varied from 1,1 to 5 times normal. Electromyography was done in 6 patients and myotonic phenomenon was the only abnormality detected in 2 patients. Carbonic anhydrase inhibitors, especially acetazolamide, were used for prophylactic treatment in 9 pacients with good results in all. Although periodic paralysis may be considered a benign disease we found respiratory distress in 5 patients, permanent myopathy in 1, electrocardiographic abnormalities during crises in 4; death during paralysis occurred in 2. Therefore correct diagnosis and immediate treatment are crucial. This study shows that hyperthyroidism is an important cause of periodic paralysis in our country, even in non oriental patients. Hence endocrine investigation is mandatory since this kind of periodic paralysis will only be abated after return to the euthyroid state.

  16. Implementing Peer Evaluation of Clinical Teaching

    Laske, Rita Ann


    Clinical education provides the nursing student opportunities to learn the practice of nursing. In the clinical setting, the nursing student applies classroom knowledge to the real patient care situation. The clinical instructor facilitates this important process by assisting students to integrate knowledge into their practice, improve their…

  17. Modified cementless total coxofemoral prosthesis: development, implantation and clinical evaluation

    S.A. Arias


    Full Text Available The aim of this study was to modify canine coxofemoral prostheses and the clinical evaluation of the implantation. Fifteen canine hips and femora of cadavers were used in order to study the surface points of modification in prostheses and develop a perforation guide. Femoral stems and acetabular components were perforated and coated with biphasic calcium phosphate layer. Twelve young adult male mongrel dogs were implanted with coxofemoral prostheses. Six were operated upon and implanted with cemented canine modular hip prostheses, establishing the control group. The remaining six were implanted with a novel design of cementless porous tricalcic phosphate-hydroxyapatite coated hip prostheses. Clinical and orthopedic performance, complications, and thigh muscular hypotrophy were assessed up to the 120th post-operatory day. After 120 days, animals with cementless prostheses had similar clinical and orthopedic performance compared to the cemented group despite the increased pain thigh hypotrophy. Animals that underwent cementless hip prosthesis evidenced more pain, compared to animals with cemented hip prosthesis that required longer recuperation time. No luxations, two fractures and two isquiatic neurapraxies were identified in the course of the study. Using both the cemented and the bioactive coated cementless model were suitable to dogs, showing clinical satisfactory results. Osseointegration and biological fixation were observed in the animals with the modified cementless hip prosthesis.

  18. Managing Technological Change by Changing Performance Appraisal to Performance Evaluation.

    Marquardt, Steve


    Academic libraries can improve their management of change by reshaping performance appraisal into performance planning. This article notes problems with traditional employee evaluation as well as benefits of alternatives that focus on the future, on users, on planning and learning, and on skills needed to address problems and enhance individual…

  19. [Clinical practice guideline: a complete geriatric evaluation].

    Medina-Chávez, Juan Humberto; Torres-Arreola, Laura Del Pilar; Cortés-González, Rosa María; Durán-Gómez, Verónica; Martínez-Hernández, Fernando; Esquivel-Romero, Gustavo


    The care of elderly patients requires an evaluation that deserves a host of special considerations, such as biological aspects of aging, those related to activities of daily living and functionality, neuro-psychological conceptions, family dynamics and economic conditions. The growth of the aging population in our country is accompanied by an increase in chronic diseases and more individuals have greater vulnerability, requiring a more consumption of resources because of the high demand for services. This requires the incorporation of specialized care in the institutional system, which has caused serious consequences in the current health system, benefiting specialization and technology, but with a loss of an integrated and horizontal view of the patient. Therefore it is necessary to develop a practical tool that allows the family physician to identify and differentiate the geriatric population that requires specialized care from who does not, identifying problems that may improve and allow the design of strategies to improve health status and maintain functional autonomy of the elderly. Comprehensive Geriatric Assessment (CGA) is a fundamental tool for clinical practice of any medical care to the elderly. PMID:22176832

  20. Do Clinical Evaluations in a Psychiatry Clerkship Favor Students with Positive Personality Characteristics?

    Chibnall, John T.; Blaskiewicz, Robert J.


    Objective: The authors examine associations of personality characteristics, National Board of Medical Examiners subject examination performance, and Objective Structured Clinical Examination performance with clinical evaluations of third-year medical students in a psychiatry clerkship. Methods: Students completed the Revised NEO Personality…

  1. Clinical laboratory as an economic model for business performance analysis

    Buljanović, Vikica; Patajac, Hrvoje; Petrovečki, Mladen


    Aim To perform SWOT (strengths, weaknesses, opportunities, and threats) analysis of a clinical laboratory as an economic model that may be used to improve business performance of laboratories by removing weaknesses, minimizing threats, and using external opportunities and internal strengths. Methods Impact of possible threats to and weaknesses of the Clinical Laboratory at Našice General County Hospital business performance and use of strengths and opportunities to improve operating profit we...

  2. Clinical evaluation of serial CT scan

    Dynamic CT of abdominal organs was performed in a few cases, and movement of contrast medium in abdominal organs, the capacity of abdominal dynamic CT to visualize vascular cavity less than middle size, and the evaluation of abdominal dynamic CT in the diagnosis of malignant tumor were reported. After 50 ml of 60% meglumine iotalamate was injected into cubital vein in 15 seconds (3.3 ml/sec.), it was clarified by the first scan after the injection that contrast medium enough to visualize vascular cavity of 2 mm in diameter existed in vessels. That is, SOMATOM SD can visualize the intravascular phase of the contrast by the first or the second scan after the injection. Abdominal dynamic CT was very useful for the diagnosis of abdominal malignant tumor. (Tsunoda, M.)

  3. Conductor gestures influence evaluations of ensemble performance.

    Morrison, Steven J; Price, Harry E; Smedley, Eric M; Meals, Cory D


    Previous research has found that listener evaluations of ensemble performances vary depending on the expressivity of the conductor's gestures, even when performances are otherwise identical. It was the purpose of the present study to test whether this effect of visual information was evident in the evaluation of specific aspects of ensemble performance: articulation and dynamics. We constructed a set of 32 music performances that combined auditory and visual information and were designed to feature a high degree of contrast along one of two target characteristics: articulation and dynamics. We paired each of four music excerpts recorded by a chamber ensemble in both a high- and low-contrast condition with video of four conductors demonstrating high- and low-contrast gesture specifically appropriate to either articulation or dynamics. Using one of two equivalent test forms, college music majors and non-majors (N = 285) viewed sixteen 30 s performances and evaluated the quality of the ensemble's articulation, dynamics, technique, and tempo along with overall expressivity. Results showed significantly higher evaluations for performances featuring high rather than low conducting expressivity regardless of the ensemble's performance quality. Evaluations for both articulation and dynamics were strongly and positively correlated with evaluations of overall ensemble expressivity. PMID:25104944

  4. Conductor gestures influence evaluations of ensemble performance

    Steven eMorrison


    Full Text Available Previous research has found that listener evaluations of ensemble performances vary depending on the expressivity of the conductor’s gestures, even when performances are otherwise identical. It was the purpose of the present study to test whether this effect of visual information was evident in the evaluation of specific aspects of ensemble performance, articulation and dynamics. We constructed a set of 32 music performances that combined auditory and visual information and were designed to feature a high degree of contrast along one of two target characteristics: articulation and dynamics. We paired each of four music excerpts recorded by a chamber ensemble in both a high- and low-contrast condition with video of four conductors demonstrating high- and low-contrast gesture specifically appropriate to either articulation or dynamics. Using one of two equivalent test forms, college music majors and nonmajors (N = 285 viewed sixteen 30-second performances and evaluated the quality of the ensemble’s articulation, dynamics, technique and tempo along with overall expressivity. Results showed significantly higher evaluations for performances featuring high rather than low conducting expressivity regardless of the ensemble’s performance quality. Evaluations for both articulation and dynamics were strongly and positively correlated with evaluations of overall ensemble expressivity.

  5. Evaluation of the clinical usefulness of modulated Arc treatment

    Lee, Young Kyu; Kim, Yeon Sil; Choi, Byung Ock; Nam, Sang Hee; Park, Hyeong Wook; Kim, Shin Wook; Shin, Hun Joo; Lee, Jae Choon; Kim, Ji Na; Park, Sung Kwang; Kim, Jin Young; Kang, Young-Nam


    The purpose of this study is to evaluate the clinical usefulness of modulated arc (mARC) treatment techniques. The mARC treatment plans of the non-small cell lung cancer (NSCLC) patients were performed in order to verify the clinical usefulness of mARC. A pre study was conducted to find the most competent plan condition of mARC treatment and the usefulness of mARC treatment plan was evaluated by comparing it with the other Arc treatment plans such as Tomotherapy and RapidArc. In the case of mARC, the optimal condition for the mARC plan was determined by comparing the dosimetric performance of the mARC plans with the use of various parameters. The various parameters includes the photon energies (6 MV, 10 MV), optimization point angle (6{\\deg}-10{\\deg} intervals), and total segment number (36-59 segment). The best dosimetric performance of mARC was observed at 10 MV photon energy and the point angle 6 degree, and 59 segments. The each treatment plans of three different techniques were compared with the followin...

  6. Design Characteristics Influence Performance of Clinical Prediction Rules in Validation: A Meta-Epidemiological Study

    Ban, J-W.; Emparanza, J I; Urreta, I.; Burls, A


    BACKGROUND: Many new clinical prediction rules are derived and validated. But the design and reporting quality of clinical prediction research has been less than optimal. We aimed to assess whether design characteristics of validation studies were associated with the overestimation of clinical prediction rules' performance. We also aimed to evaluate whether validation studies clearly reported important methodological characteristics. METHODS: Electronic databases were searched for system...

  7. Laboratory performance evaluation reports for management

    In support of the US DOE's environmental restoration efforts, the Integrated Performance Evaluation Program (IPEP) was developed to produce laboratory performance evaluation reports for management. These reports will provide information necessary to allow DOE headquarters and field offices to determine whether or not contracted analytical laboratories have the capability to produce environmental data of the quality necessary for the remediation program. This document describes the management report

  8. Improvement of Automotive Part Supplier Performance Evaluation

    Kongmunee, Chalermkwan; Chutima, Parames


    This research investigates the problem of the part supplier performance evaluation in a major Japanese automotive plant in Thailand. Its current evaluation scheme is based on experiences and self-opinion of the evaluators. As a result, many poor performance suppliers are still considered as good suppliers and allow to supply parts to the plant without further improvement obligation. To alleviate this problem, the brainstorming session among stakeholders and evaluators are formally conducted. The result of which is the appropriate evaluation criteria and sub-criteria. The analytical hierarchy process is also used to find suitable weights for each criteria and sub-criteria. The results show that a newly developed evaluation method is significantly better than the previous one in segregating between good and poor suppliers.

  9. [Spondyloarthropathies--clinical evaluation and physical therapy].

    Vlak, Tonko


    Spondyloarthropathy is a group of chronic autoimmune disorders including ankylosing spondylitis, reactive arthritis, psoriatic arthritis, arthritis associated with inflammatory bowel disease, acute anterior uveitis and undifferentiated spondyloarthropathies. The spondyloarthropathies share common clinical, radiological, and genetic features that are clearly distinct from other inflammatory rheumatic diseases. The major goal in the management of patients with rheumatic disorders is to control or cure the disease and to preserve and control function and health status. To measure treatments' efficacy standardized assessment of organ morphology, function, and of health status are required. The instruments for measuring health status or quality of life cover a variety of dimensions of health, including physical, social, and emotional functioning. Measurements used to evaluate the efficacy of treatments in ankylosing spondylitis include spinal and chest movement, duration and severity of morning stiffness, and quality of sleep. Health status indices such as the HAQ or AIMS are not readily applicable to spondyloarthropaties. It is reason to use some others: 1. Functional status measure S-HAQ for patients with spondylitis by adding five items to the HAQ, to cover the activities identified as most problematic; 2. Functional index for the assessment of ankylosing spondylitis (Dougados Functional Index - DFI) - it is valid and reliable and shows sufficient responsiveness; S-HAQ appears at least as sensitive to change as the Dougados Index; 3. The Leeds Disability Questionnaire assesses disability in ankylosing spondylitis, inquiring about four areas of function: mobility, bending down, reaching up and neck movements, and postures; 4. The Bath Ankylosing Spondylitis Functional Index (BASFI) 10 item self-administered questionnaire to assess function and activities of daily living in patients with ankylosing spondylitis. Physical therapy is one of the most important way to

  10. Clinical evaluation of joint scintigraphy in rheumatoid arthritis

    Pertechnetate (sup(99m)TcO4-) joint scintigraphy was performed on 45 patients with rheumatoid arthritis, 3 with nonspecific arthritis and 6 normal subjects. 1) The sites of radioisotopic accumulation were generally in agreement with those of clinical involvement in rheumatoid arthritis. 2) By analysis of build-up curves in the wrist joint, tracer was found to be concentrated more rapidly in rheumatoid arthritis (T 1/2 = 0.67 min.) than in nonspecific arthritis (T 1/2 = 2.66 min.) 3) The degree of radioisotopic accumulation correlated well with the value of CRP and erythrocyte sedimentation rate. It could be cosidered that pertechnetate joint scintigraphy is useful for clinical evaluation of rheumatoid arthritis. (author)

  11. Class diagram based evaluation of software performance

    Pham, Huong V.; Nguyen, Binh N.


    The evaluation of software performance in the early stages of the software life cycle is important and it has been widely studied. In the software model specification, class diagram is the important object-oriented software specification model. The measures based on a class diagram have been widely studied to evaluate quality of software such as complexity, maintainability, reuse capability, etc. However the software performance evaluation based on Class model has not been widely studied, especially for object-oriented design of embedded software. Therefore, in this paper we propose a new approach to directly evaluate the software performance based on class diagrams. From a class diagram, we determine the parameters which are used to evaluate and build formula of the measures such as Size of Class Variables, Size of Class Methods, Size of Instance Variables, Size of Instance Methods, etc. Then, we do analysis of the dependence of performance on these measures and build the performance evaluation function from class diagram. Thereby we can choose the best class diagram based on this evaluation function.

  12. The Prediction of Academic and Clinical Performance in Medical School

    Gough, Harrison G.; Hall, Wallace B.


    A study of medical student performance showed the clinical performance factor more or less unpredictable from aptitude and premedical academic achievement indices while the academic performance factor was forecast with acceptable accuracy by equations based on the Medical College Admissions Test and premedical grade point average. (JT)

  13. Performance-Based Evaluation and School Librarians

    Church, Audrey P.


    Evaluation of instructional personnel is standard procedure in our Pre-K-12 public schools, and its purpose is to document educator effectiveness. With Race to the Top and No Child Left Behind waivers, states are required to implement performance-based evaluations that demonstrate student academic progress. This three-year study describes the…

  14. Building Leadership Talent through Performance Evaluation

    Clifford, Matthew


    Most states and districts scramble to provide professional development to support principals, but "principal evaluation" is often lost amid competing priorities. Evaluation is an important method for supporting principal growth, communicating performance expectations to principals, and improving leadership practice. It provides leaders…

  15. Performance evaluation of PL-11 platelet analyzer



    Objective To evaluate and report the performance of PL-11 platelet analyzer. Methods Intravenous blood sam-ples anticoagulated with EDTA-K2 and sodium citrate were tested by the PL-11 platelet analyzer to evaluate the intra-assay and interassay coefficient of variation(CV),

  16. Performance of Clinical Signs in the Diagnosis of Dehydration in Children with Acute Gastroenteritis

    Hoxha, Teuta; Xhelili, Luan; Azemi, Mehmedali; Avdiu, Muharrem; Ismaili-Jaha, Vlora; Efendija-Beqa, Urata; Grajcevci-Uka, Violeta


    Background: Acute evaluation and treatment of children presenting with dehydration represent one of the most common situation in the pediatric emergency department. To identify dehydration in infants and children before treatment, a number of symptoms and clinical signs have been evaluated. The aim of the study was to describe the performance of clinical signs in detecting dehydration in children. Methods: Two hundred children aged 1 month to 5 year were involved in our prospective study. The...

  17. Predictors of Successful Clinical Performance in Associate Degree Nursing Students.

    Rice, Eileen


    The purpose of this study was to explore self-efficacy and emotional intelligence (EI) as predictors for successful clinical performance in nursing students. Students (n = 56) from 5 associate degree in nursing (ADN) schools in 2 Northeastern states participated in the study. Findings demonstrated significant relationships among EI, self-efficacy, and student-rated clinical competence. The findings from this study support the importance of fostering clinical self-efficacy and building EI abilities in ADN students. PMID:25628244

  18. Disclosure of investigators' recruitment performance in multicenter clinical trials

    Dal-Ré, Rafael; Moher, David; Gluud, Christian;


    Rafael Dal-Ré and colleagues argue that the recruitment targets and performance of all site investigators in multi-centre clinical trials should be disclosed in trial registration sites before a trial starts, and when it ends.......Rafael Dal-Ré and colleagues argue that the recruitment targets and performance of all site investigators in multi-centre clinical trials should be disclosed in trial registration sites before a trial starts, and when it ends....

  19. Image Evaluation For Sensor Performance Standards

    Peck, Lorin C.


    The subject of imagery evaluation as it applies to electro-optical (EO) sensor performance testing standards is discussed. Some of the difficulties encountered in the development of these standards for the various aircraft Line Replaceable Units (LRUs) are listed. The use of system performance testing is regarded as a requirement for the depot maintenance program to insure the integrity of total system performance requirements for EO imaging systems such as the Advanced Tactical Air Reconnaissance System (ATARS). The necessity for tying NATO Essential Elements of Information (EEIs) together with Imagery Interpretation Rating Scale (IIRS) numbers is explained. The requirements for a field target suitable for EO imagery evaluation is explained.

  20. Performance evaluation of Central European companies

    Petr Fiala


    Full Text Available The paper presents a modelling approach for performance comparison of Central European companies on three levels: country, industry, and company. The approach is based on Data Envelopment Analysis and Analytic Hierarchy Process. The proposed model consists of two basic sections. The first section estimates the importance of selected industries in the countries, whereas the second section evaluates the performance of companies within industries. The results of both sections are synthesized and finally the country performance is estimated. The evaluation is based on the data set resulting from a survey of companies from selected industries.

  1. Clinical image quality evaluation for panoramic radiography in Korean dental clinics

    Choi, Bo-ram; Choi, Da-Hye; Huh, Kyung-Hoe; Yi, Won-Jin; Heo, Min-Suk; Choi, Soon-Chul; Bae, Kwang-Hak; Lee, Sam-Sun


    Purpose The purpose of this study was to investigate the level of clinical image quality of panoramic radiographs and to analyze the parameters that influence the overall image quality. Materials and Methods Korean dental clinics were asked to provide three randomly selected panoramic radiographs. An oral and maxillofacial radiology specialist evaluated those images using our self-developed Clinical Image Quality Evaluation Chart. Three evaluators classified the overall image quality of the p...

  2. Supplier Performance Evaluation and Rating System (SPEARS)

    The SSCL Magnet Quality Assurance Department has implemented a Supplier Performance Evaluation and Rating System (SPEARS) to assess supplier performance throughout the development and production stages of the SSCL program. The main objectives of SPEARS are to promote teamwork and recognize performance. This paper examines the current implementation of SPEARS. MSD QA supports the development and production of SSC superconducting magnets while implementing the requirements of DOE Order 5700.6C. The MSD QA program is based on the concept of continuous improvement in quality and productivity. The QA program requires that procurement of items and services be controlled to assure conformance to specification. SPEARS has been implemented to meet DOE requirements and to enhance overall confidence in supplier performance. Key elements of SPEARS include supplier evaluation and selection as well as evaluation of furnished quality through source inspection, audit, and receipt inspection. These elements are described in this paper

  3. Development of the Computerized Model of Performance-Based Measurement System to Measure Nurses' Clinical Competence.

    Liou, Shwu-Ru; Liu, Hsiu-Chen; Tsai, Shu-Ling; Cheng, Ching-Yu; Yu, Wei-Chieh; Chu, Tsui-Ping


    Critical thinking skills and clinical competence are for providing quality patient care. The purpose of this study is to develop the Computerized Model of Performance-Based Measurement system based on the Clinical Reasoning Model. The system can evaluate and identify learning needs for clinical competency and be used as a learning tool to increase clinical competency by using computers. The system includes 10 high-risk, high-volume clinical case scenarios coupled with questions testing clinical reasoning, interpersonal, and technical skills. Questions were sequenced to reflect patients' changing condition and arranged by following the process of collecting and managing information, diagnosing and differentiating urgency of problems, and solving problems. The content validity and known-groups validity was established. The Kuder-Richardson Formula 20 was 0.90 and test-retest reliability was supported (r = 0.78). Nursing educators can use the system to understand students' needs for achieving clinical competence, and therefore, educational plans can be made to better prepare students and facilitate their smooth transition to a future clinical environment. Clinical nurses can use the system to evaluate their performance-based abilities and weakness in clinical reasoning. Appropriate training programs can be designed and implemented to practically promote nurses' clinical competence and quality of patient care. PMID:26829522

  4. Prosthetic heart valves: Objective Performance Criteria versus randomized clinical trial.

    Grunkemeier, Gary L; Jin, Ruyun; Starr, Albert


    The current Food and Drug Administration (FDA) heart valve guidance document uses an objective performance criteria (OPC) methodology to evaluate the clinical performance of prosthetic heart valves. OPC are essentially historical controls, but they have turned out to be an adequate, and perhaps optimal, study design in this situation. Heart valves have a simple open-and-close mechanism, device effectiveness is easy to document, and the common complications (thromboembolism, thrombosis, bleeding, leak, and infection) are well known and easily detected. Thus, randomized clinical trials (RCTs) have not been deemed necessary for the regulatory approval of prosthetic heart valves. The OPC are derived from the average complication rates of all approved heart valves. Studies based on OPC have been shown to work well; many different valve models have gained FDA market approval based on this methodology. Although heart valve RCTs are not required by the FDA, they have been done to compare valves or treatment regimens after approval. Recently, the Artificial Valve Endocarditis Reduction Trial (AVERT) was designed to compare a new Silzone sewing ring, designed to reduce infection, with the Standard sewing ring on a St. Jude Medical heart valve. This was the largest heart valve RCT ever proposed (4,400 valve patients, followed for as long as 4 years), but it was stopped prematurely because of a high leak rate associated with the Silzone valve. Examining the results showed that a much smaller, OPC-based study with 800 patient-years would have been sufficient to disclose this complication of the Silzone valve. PMID:16928482

  5. Effects of Performers' External Characteristics on Performance Evaluations.

    Bermingham, Gudrun A.


    States that fairness has been a major concern in the field of music adjudication. Reviews the research literature to reveal information about three external characteristics (race, gender, and physical attractiveness) that may affect judges' performance evaluations and influence fairness of music adjudication. Includes references. (CMK)

  6. Hospital evacuation; planning, assessment, performance and evaluation

    Wabo Nero C; Örtenwall P; Khorram-Manesh A


    Objective: Malfunction in hospitals´ complex internal systems, or extern threats, may result in a hospital evacuation. Factors contributing to such evacuation must be identified, analyzed and action plans should be prepared. Our aims in this study were 1) to evaluate the use of risk and vulnerability analysis as a basis for hospital evacuation plan, 2) to identify risks/hazards triggering an evacuation and evaluate the respond needed and 3) to propose a template with main key points for planning, performance and evaluation of such evacuation. Methods: A risk and vulnerability analysis at two county hospitals along with a systematic online literature search based on the following keywords; “evacuation/closure”, “hospitals/medical facilities” and“disaster/hazards” alone or with “planning”, was conducted. Results: We found that although all hospitals have a disaster plan, there is a lack of knowledge and appropriate instruments to plan, perform and evaluate a hospital evacuation. Risk and vulnerability analysis can be used to reveal threats leading to an evacuation (e.g. on-going climate changes and terror actions). These key points can later be used to plan, perform and evaluate such evacuation. Conclusion: There is a need for an elaborated evacuation planning for hospitals. An evacuation plan should continuously be drilled based on a risk and vulnerability analysis. A general guide can be used as foundation to plan, perform and evaluate such plan.

  7. Nursing students’ perceived stress and influences in clinical performance

    Laila Akhu-Zaheya


    Full Text Available Background: It is known that stress related to clinical training among nursing students could contribute to many physical and mental problems. However, little empirical evidence about the influence of stress in nurse students’ clinical performance Objective: The objective of this study was to assess the association between perceived stresses, stress related factors, and students’ clinical performance. Method: Using the perceived stress scale, 539 Jordanian nursing students from 2 public universities in Jordan participated in the study. Results: The results showed that the mean of stress perceived by students was 45.9. Students’ assignment were perceived as the main source of stress (M= 10.7, SD= 4.5 followed by stress related to patients’ care (M= 10.5, SD= 5.5 and stress from teachers and nursing staff (M= 9.6, SD= 5.3. The lowest source of stress is from students’ lack of professional knowledge and skills (M= 3.96; SD= 2.8. The mean of students’ clinical performance is 73.4%. Students’ perceived stress has a significant negative correlation with students’ clinical performance (r= -.09; p <.05. The results also showed significant negative correlation between stress related to lack of professional knowledge and skills, and stress related to patient care and students’ clinical performance. Conclusion: This study expanded on students’ stress in clinical settings, and warrants further research in assessing its impact on their performance. Teachers should be aware of and help students to overcome and cope with said stress related factors in the clinical settings effectively.

  8. Evaluating clinical competence during nursing education: A comprehensive integrative literature review.

    Lejonqvist, Gun-Britt; Eriksson, Katie; Meretoja, Riitta


    This paper explored concepts, definitions and theoretical perspectives evaluating clinical competence during nursing education. The questions were: (i) How is clinical competence evaluated? and (ii) What is evaluated? An integrative review of 19 original research articles from 2009 to 2013 was performed. Results showed that evaluation tools were used in 14, observations in 2 and reflecting writing in 3 studies. The students participated in all but one evaluation alone or together with peers, faculty members or preceptors. Three themes were found: (i) professional practice with a caring perspective; (ii) clinical skills and reflective practice; and (iii) cognitive, affective and psychomotor skills both with a nursing perspective. This review shows an emphasis on structured methods with a risk reducing nursing to tasks and skills why combinations with qualitative evaluations are recommended. A holistic view of competence dominated and in designing evaluations, explicit perspectives and operationalized definitions of clinical competence became evident. PMID:26369943

  9. Evaluation of the clinical usefulness of modulated arc treatment

    Lee, Young Kyu; Jang, Hong Seok; Kim, Yeon Sil; Choi, Byung Ock; Kang, Young-Nam; Nam, Sang Hee; Park, Hyeong Wook; Kim, Shin Wook; Shin, Hun Joo; Lee, Jae Choon; Kim, Ji Na; Park, Sung Kwang; Kim, Jin Young


    The purpose of this study is to evaluate the clinical usefulness of modulated arc (mARC) treatment techniques. The mARC treatment plans for non-small-cell lung cancer (NSCLC) patients were made in order to verify the clinical usefulness of mARC. A pre-study was conducted to find the best plan condition for mARC treatment, and the usefulness of the mARC treatment plan was evaluated by comparing it with other Arc treatment plans such as tomotherapy and RapidArc plans. In the case of mARC, the optimal condition for the mARC plan was determined by comparing the dosimetric performance of the mARC plans developed by using various parameters, which included the photon energy (6 MV, 10 MV), the optimization point angle (6°- 10°intervals), and the total number of segments (36 - 59 segments). The best dosimetric performance of mARC was observed at a 10 MV photon energy, a point angle 6 degrees, and 59 segments. The treatment plans for the three different techniques were compared by using the following parameters: the conformity index (CI), homogeneity index (HI), the target coverage, the dose to the OARs, the number of monitor units (MU), the beam on time, and the normal tissue complication probability (NTCP). As a result, the three different treatment techniques showed similar target coverages. The mARC plan had the lowest V20 (volume of lung receiving > 20 Gy) and MU per fraction compared with both the RapidArc and the tomotherapy plans. The mARC plan reduced the beam on time as well. Therefore, the results of this study provide satisfactory evidence that the mARC technique can be considered as a useful clinical technique for radiation treatment.

  10. Clinical evaluation of 413 Thalassemic patients

    Korosdari Gh.H


    Full Text Available Thalassemia is the most prevalent genetic disorder in Iran and around the world and these patients need regular careful care. The present study reports results of routine examination of patients visited Thalassemia clinic of Tehran. Data about clinical and laboratory examinations of 413 Thalassemic were extracted and analyzed. The prevalence of heart complications, diabetes, growth retardation, delayed puberty and primary and secondary amenorrhea was 9%, 8%, 21.3%, 3.1% and 6.3%, respectively. 44% didn't have secondary sex characteristics. Splenectomy had been done for 67.2% of cases. HBsAg, HBsAb and HBcAb were positive in 1.9%, 57.4% and 43%, respectively. We concluded that blood transfusion standards in this clinic was acceptable, whereas because of poor knowledge, iron chelating is unfavorable.

  11. Evaluating a Model by Forecast Performance.

    Michael P. Clements; David F. Hendry


    Although out-of-sample forecast performance is often deemed to be the "gold standard" of evaluation, it is not in fact a good yardstick for evaluating models in general. The arguments are illustrated with reference to a recent paper by Carruth, Hooker and Oswald [Review of Economics and Statistics (1998), Vol. 80, pp. 621-628], who suggest that the good dynamic forecasts of their model support the efficiency-wage theory on which it is based.

  12. Evaluating Portfolio Performance with Stochastic Discount Factors


    This paper provides evidence on the use of stochastic discount factors in the evaluation of portfolio performance. First, we discuss evaluation in this setting, and relate it to traditional mean-variance analysis. We then use Monte Carlo experiments to examine the small sample properties of generalized method of moment (GMM) estimators. Both size and power properties are characterized for various GMM approaches. Finally, we apply the methodology to Swedish-based mutual funds. We offer an eval...

  13. Guideline for performance evaluation of positron emission tomographs

    This supplement presents guideline for performance evaluation of positron emission tomographies (PET). The purpose of this guideline is to define measurement methods for evaluating both the performance of PET equipment and the accuracy of various data corrections in the clinical setting. The guideline has 8 items. The first four items, consisting of spatial dose distributions, scattering fraction, sensitivity, and counting loss and accidental coincidence counting, deals with the basic performance of PET equipment. The next three items, including image uniformity, accuracy of absorption and scattering correction, and characteristics of high counting rate (accuracy of counting loss corrections and S/N ratio), are designed to provide the quantitative evaluation of images reconstructed by various data corrections for absorption, scattering, counting loss, and others. The last item is partial volume effect (recovery coefficient), which is important for the quantitative analysis of PET images, with the aim of both the measurement method of partial volume effect and the definition of phantoms required. (N.K.)

  14. Performance evaluations of demountable electrical connections

    Electrical conductors operating in cryogenic environments can require demountable connections along their lengths. The connections must have low resistance and high reliability and should allow ready assembly and disassembly. In this work, the performance of two types of connections has been evaluated. The first connection type is a clamped surface-to-surface joint. The second connection type is a screwed joint that incorporates male and female machine-thread components. The connections for copper conductors have been evaluated experimentally at 77 K. Experimental variables included thread surface treatment and assembly methods. The results of the evaluations are presented

  15. Smith Newton Vehicle Performance Evaluation - Cumulative (Brochure)


    The Fleet Test and Evaluation Team at the U.S. Department of Energy's National Renewable Energy Laboratory is evaluating and documenting the performance of electric and plug-in hybrid electric drive systems in medium-duty trucks across the nation. U.S. companies participating in this evaluation project received funding from the American Recovery and Reinvestment Act to cover part of the cost of purchasing these vehicles. Through this project, Smith Electric Vehicles is building and deploying 500 all-electric medium-duty trucks that will be deployed by a variety of companies in diverse climates across the country.

  16. The Clinical Evaluation of Parkinson's Tremor

    Zach, H.; Dirkx, M.; Bloem, B.R.; Helmich, R.C.


    Parkinson's disease harbours many different tremors that differ in distribution, frequency, and context in which they occur. A good clinical tremor assessment is important for weighing up possible differential diagnoses of Parkinson's disease, but also to measure the severity of the tremor as a basi

  17. Methods of Evaluating Performances for Marketing Strategies

    Ioan Cucu


    There are specific methods for assessing and improving the effectiveness of a marketing strategy. A marketer should state in the marketing plan what a marketing strategy is supposed to accomplish. These statements should set forth performance standards, which usually are stated in terms of profits, sales, or costs. Actual performance must be measured in similar terms so that comparisons are possible. This paper describes sales analysis and cost analysis, two general ways of evaluating the act...

  18. Performance evaluation of radiographic systems and techniques

    The chapter describes the present status of the problem of evaluating the imaging performance of a radiographic channel as a whole including the last stage which is psychophysical. Reference is made to specific detail shapes and to the extensive practive of using artificial details to monitor radiographic quality. Performance indices derived using informational concepts are discussed. A closing discussion points out suggested ways for mproving radiographic imaging

  19. Online evaluation of tracking algorithm performance

    Chau, Duc Phu; Bremond, François; Thonnat, Monique


    In the 3rd International Conference on Imaging for Crime Detection and Prevention 2009 (ICDP), Kingston University, London, UK International audience This paper presents a method to evaluate online the performance of tracking algorithms in surveillance videos. We use a set of features to compute the confidence of trajectories and also the precision of tracking results. A global score is computed online based on these features and is used to estimate the performance of tracking algorithm...

  20. Performance of speech-language pathology students in problem-based learning tutorials and in clinical practice.

    Ho, Diana W L; Whitehill, Tara L; Ciocca, Valter


    The purpose of the study was to identify if performance of speech-language pathology students in problem-based learning (PBL) tutorials could predict subsequent clinical performance evaluated through (a) a non-standardized, custom clinical evaluation form (HKU form) and (b) a standardized competency assessment for speech pathology developed in Australia (COMPASS®). Students' scores from PBL tutorial performance were correlated with scores in clinical placement on both the HKU form and the COMPASS. Significant correlations were found between students' PBL tutorial performance (reflective journals and participation in the tutorial process) and their clinical performance (treatment and interpersonal skills) on the HKU clinical evaluation form. Significant correlations were also found between (a) PBL tutorial performance (participation in the tutorial process) and their clinical performance (all generic and occupational competencies, and the overall score) on the COMPASS, (b) PBL tutorial performance (reading forms) and two occupational competencies on the COMPASS, (c) PBL tutorial performance (reflective journals) and four occupational competencies and the overall score on the COMPASS. The results highlighted the need for validating the assessment for the learning process in PBL tutorials with empirical evidence and the advantage of assessing clinical performance through COMPASS in Hong Kong. Tutors, clinical supervisors and students should be given clear behavioral descriptors for expected performance in PBL tutorials and clinical practice at different year levels. PMID:23889172

  1. Subjective performance evaluations and employee careers

    Frederiksen, Anders; Lange, Fabian; Kriechell, Ben

    Firms commonly use supervisor evaluations to assess the performance of employees who work in complex environments. Doubts persist whether their subjective nature invalidates using these performance measures to learn about careers of individuals and to inform theory in personnel economics. We...... examine personnel data from six large companies and establish how subjective ratings, interpreted as ordinal rankings of employee performances within narrowly defined peer-groups, correlate with objective career outcomes. We find many similarities across firms in how subjective ratings correlate with base...

  2. Evaluation of the Service Performance of Ships

    Andersen, Poul; Borrod, Anne-Sophie; Blanchot, Hervé


    A simple method has been established for the evaluation of the service performance of ships. Input data are easily collected daily on board and transformed to a well-defined condition that makes possible the comparison between ships, for instance, sister ships, and between different time periods of...

  3. Subjective performance evaluation and gender discrimination

    V.S. Maas; R. Torres-Gonzalez


    Gender discrimination continues to be a problem in organizations. It is therefore important that organizations use performance evaluation methods that ensure equal opportunities for men and women. This article reports the results of an experiment to investigate whether and, if so, how the gender of


    The report gives results of an extensive evaluation of the Improved Street Sweeper (ISS) in Bellevue, WA, and in San Diego, CA. The cleaning performance of the ISS was compared with that of broom sweepers and a vacuum sweeper. The ISS cleaned streets better than the other sweeper...

  5. Transition to clinical training: influence of pre-clinical knowledge and skills, and consequences for clinical performance

    van Hell, Elisabeth A.; Kuks, Jan B. M.; Schonrock-Adema, Johanna; van Lohuizen, Mirjam T.; Cohen-Schotanus, Janke


    CONTEXT Many students experience a tough transition from pre-clinical to clinical training and previous studies suggest that this may constrict students' progress. However, clear empirical evidence of this is lacking. The aim of this study was to determine: whether the perceived difficulty of transition influences student performance during the first 2 weeks of clerkships; whether it influences students' overall performance in their first clerkship, and the degree to which the difficulty of t...

  6. Clinical evaluation of synthetic aperture sequential beamforming

    Hansen, Peter Møller; Hemmsen, Martin Christian; Lange, Theis;


    the ultrasound beam. Five ultrasound experts (radiologists) evaluated the sequence pairs in a side-by-side comparison, and the results show that image quality using SASB was better than conventional B-mode imaging. 73 % of the evaluations favored SASB, and a probability of 70 % was calculated for a...... new radiologist to prefer SASB over conventional imaging, if a new sequence was recorded. There was no significant difference in penetration depth....

  7. Emotional intelligence and clinical performance/retention of nursing students

    Chelsea Marvos


    Full Text Available Objective: This exploratory, quantitative, descriptive study was undertaken to explore the relationship between clinical performance and anticipated retention in nursing students. Methods: After approval by the university′s Human Subjects Committee, a sample of 104 nursing students were recruited for this study, which involved testing with a valid and reliable emotional intelligence (EI instrument and a self-report survey of clinical competencies. Results: Statistical analysis revealed that although the group average for total EI score and the 6 score subsets were in the average range, approximately 30% of the individual total EI scores and 30% of two branch scores, identifying emotions correctly and understanding emotions, fell in the less than average range. This data, as well as the analysis of correlation with clinical self-report scores, suggest recommendations applicable to educators of clinical nursing students. Conclusions: Registered nurses make-up the largest segment of the ever-growing healthcare workforce. Yet, retention of new graduates has historically been a challenge for the profession. Given the projected employment growth in nursing, it is important to identify factors which correlate with high levels of performance and job retention among nurses. There is preliminary evidence that EI "a nontraditional intelligence measure" relates positively not only with retention of clinical staff nurses, but with overall clinical performance as well.

  8. Performance evaluation of two personal bioaerosol samplers.

    Tolchinsky, Alexander D; Sigaev, Vladimir I; Varfolomeev, Alexander N; Uspenskaya, Svetlana N; Cheng, Yung S; Su, Wei-Chung


    In this study, the performance of two newly developed personal bioaerosol samplers for monitoring the level of environmental and occupational airborne microorganisms was evaluated. These new personal bioaerosol samplers were designed based on a swirling cyclone with recirculating liquid film. The performance evaluation included collection efficiency tests using inert aerosols, the bioaerosol survival test using viable airborne microorganism, and the evaluation of using non-aqueous collection liquid for long-period sampling. The test results showed that these two newly developed personal bioaerosol samplers are capable of doing high efficiency, aerosol sampling (the cutoff diameters are around 0.7 μm for both samplers), and have proven to provide acceptable survival for the collected bioaerosols. By using an appropriate non-aqueous collection liquid, these two personal bioaerosol samplers should be able to permit continuous, long-period bioaerosol sampling with considerable viability for the captured bioaerosols. PMID:22175872

  9. Performance evaluation of cleanroom environmental systems

    Xu, Tengfang


    This paper presents in-situ measurement results for energy and environmental performance of thirteen cleanroom systems located in the USA, including key metrics for evaluating cleanroom air system performance and overall electric power intensity. Comparisons with the IEST Recommended Practice (IEST-RP-CC012.1) are made to examine the performance of cleanroom air systems. Based upon the results, the paper discusses likely opportunities for improving cleanroom energy efficiency while maintaining effective contamination control. The paper concludes that there are wide variations in energy performance of cleanroom environmental systems, and that performance benchmarking can serve as a vehicle to identify energy efficient cleanroom design practices and to highlight important issues in cleanroom operation and maintenance.

  10. 40 CFR 63.5850 - How do I conduct performance tests, performance evaluations, and design evaluations?


    ... test, performance evaluation, and design evaluation in 40 CFR part 63, subpart SS, that applies to you... CFR part 60. (f) The control device performance test must consist of three runs and each run must last... requirements in § 63.7(e)(1) and under the specific conditions that 40 CFR part 63, subpart SS, specifies....

  11. Clinical Evaluation of Baccalaureate Nursing Students Using SBAR Format: Faculty versus Self Evaluation

    Saied, Hala; James, Joemol; Singh, Evangelin Jeya; Al Humaied, Lulawah


    Clinical training is of paramount importance in nursing education and clinical evaluation is one of the most challenging responsibilities of nursing faculty. The use of objective tools and criteria and involvement of the students in the evaluation process are some techniques to facilitate quality learning in the clinical setting. Aim: The aim of…

  12. Nurse educators’ perceptions of OSCE as a clinical evaluation method

    MM Chabeli


    Full Text Available The South African Qualifications Authority, and the South African Nursing Council are in pursuit of quality nursing education to enable the learners to practise as independent and autonomous practitioners. The educational programme should focus on the facilitation of critical and reflective thinking skills that will help the learner to make rational decisions and solve problems. A way of achieving this level of functioning is the use of assessment and evaluation methods that measure the learners’ clinical competence holistically. This article is focused on the perceptions of twenty nurse educators, purposively selected from three Nursing Colleges affiliated to a university in Gauteng, regarding the use of OSCE (Objective Structured Clinical Examination as a clinical evaluation method within a qualitative and descriptive research strategy. Three focus group interviews were conducted in different sessions. A descriptive content analysis was used. Trustworthiness was ensured by using Lincoln and Guba’s model (1985. The results revealed both positive and negative aspects of OSCE as a clinical evaluation method with regard to: administrative aspects; evaluators; learners; procedures/instruments and evaluation. The conclusion drawn from the related findings is that OSCE does not measure the learners’ clinical competence holistically. It is therefore recommended that the identified negative perception be taken as challenges faced by nurse educators and that the positive aspects be strengthened. One way of meeting these recommendations is the use of varied alternative methods for clinical assessment and evaluation that focus on the holistic measurement of the learners’ clinical competence.

  13. Blind Source Parameters for Performance Evaluation of Despeckling Filters

    Nagashettappa Biradar


    Full Text Available The speckle noise is inherent to transthoracic echocardiographic images. A standard noise-free reference echocardiographic image does not exist. The evaluation of filters based on the traditional parameters such as peak signal-to-noise ratio, mean square error, and structural similarity index may not reflect the true filter performance on echocardiographic images. Therefore, the performance of despeckling can be evaluated using blind assessment metrics like the speckle suppression index, speckle suppression and mean preservation index (SMPI, and beta metric. The need for noise-free reference image is overcome using these three parameters. This paper presents a comprehensive analysis and evaluation of eleven types of despeckling filters for echocardiographic images in terms of blind and traditional performance parameters along with clinical validation. The noise is effectively suppressed using the logarithmic neighborhood shrinkage (NeighShrink embedded with Stein’s unbiased risk estimation (SURE. The SMPI is three times more effective compared to the wavelet based generalized likelihood estimation approach. The quantitative evaluation and clinical validation reveal that the filters such as the nonlocal mean, posterior sampling based Bayesian estimation, hybrid median, and probabilistic patch based filters are acceptable whereas median, anisotropic diffusion, fuzzy, and Ripplet nonlinear approximation filters have limited applications for echocardiographic images.

  14. Blind Source Parameters for Performance Evaluation of Despeckling Filters.

    Biradar, Nagashettappa; Dewal, M L; Rohit, ManojKumar; Gowre, Sanjaykumar; Gundge, Yogesh


    The speckle noise is inherent to transthoracic echocardiographic images. A standard noise-free reference echocardiographic image does not exist. The evaluation of filters based on the traditional parameters such as peak signal-to-noise ratio, mean square error, and structural similarity index may not reflect the true filter performance on echocardiographic images. Therefore, the performance of despeckling can be evaluated using blind assessment metrics like the speckle suppression index, speckle suppression and mean preservation index (SMPI), and beta metric. The need for noise-free reference image is overcome using these three parameters. This paper presents a comprehensive analysis and evaluation of eleven types of despeckling filters for echocardiographic images in terms of blind and traditional performance parameters along with clinical validation. The noise is effectively suppressed using the logarithmic neighborhood shrinkage (NeighShrink) embedded with Stein's unbiased risk estimation (SURE). The SMPI is three times more effective compared to the wavelet based generalized likelihood estimation approach. The quantitative evaluation and clinical validation reveal that the filters such as the nonlocal mean, posterior sampling based Bayesian estimation, hybrid median, and probabilistic patch based filters are acceptable whereas median, anisotropic diffusion, fuzzy, and Ripplet nonlinear approximation filters have limited applications for echocardiographic images. PMID:27298618

  15. Method of evaluating the reactor core performance

    Purpose: To enable exact evaluation for the core performance in a short period. Constitution: A reactor core is equally divided into 2, 4 or 8 sections considering the structure of the symmetricalness and calculation for the evaluation the core performance is carried out to at least one region of the divided core. However, the reactor core can not be said to be completely symmetrical and there is a difference more or less, because if identical type fuels are loaded the way of burning is different depending on the positions, thereby causing difference in the total heat calorie generated. Accordingly, the performance evaluation is conducted for the entire core at a predetermined time interval, the compensation value for each of the fuels is calculated based on the result of the calculation for the entire core and the corresponding result of the calculation in each of the divided cores and the compensated values are added to the calculation result for the divided cores to compensate the calculated evaluation value. This enables to shorten the calculation time and improve the calculation accuracy. (Yoshino, Y.)

  16. Performance evaluation of fingerprint verification systems.

    Cappelli, Raffaele; Maio, Dario; Maltoni, Davide; Wayman, James L; Jain, Anil K


    This paper is concerned with the performance evaluation of fingerprint verification systems. After an initial classification of biometric testing initiatives, we explore both the theoretical and practical issues related to performance evaluation by presenting the outcome of the recent Fingerprint Verification Competition (FVC2004). FVC2004 was organized by the authors of this work for the purpose of assessing the state-of-the-art in this challenging pattern recognition application and making available a new common benchmark for an unambiguous comparison of fingerprint-based biometric systems. FVC2004 is an independent, strongly supervised evaluation performed at the evaluators' site on evaluators' hardware. This allowed the test to be completely controlled and the computation times of different algorithms to be fairly compared. The experience and feedback received from previous, similar competitions (FVC2000 and FVC2002) allowed us to improve the organization and methodology of FVC2004 and to capture the attention of a significantly higher number of academic and commercial organizations (67 algorithms were submitted for FVC2004). A new, "Light" competition category was included to estimate the loss of matching performance caused by imposing computational constraints. This paper discusses data collection and testing protocols, and includes a detailed analysis of the results. We introduce a simple but effective method for comparing algorithms at the score level, allowing us to isolate difficult cases (images) and to study error correlations and algorithm "fusion." The huge amount of information obtained, including a structured classification of the submitted algorithms on the basis of their features, makes it possible to better understand how current fingerprint recognition systems work and to delineate useful research directions for the future. PMID:16402615

  17. Subjective performance evaluations and employee careers

    Frederiksen, Anders; Lange, Fabian; Kriechel, Ben

    data are for evaluating theories in personnel economics and whether findings from such data generalize to the labor force at large. In this paper, we examine personnel data from six large companies and establish how subjective ratings, interpreted as ordinal rankings of employees within narrowly......Firms commonly use supervisor ratings to evaluate employees when objective performance measures are unavailable. Supervisor ratings are subjective and data containing supervisor ratings typically stem from individual firm level data sets. For both these reasons, doubts persist on how useful such...

  18. Performance of combined clinical mammography and needle biopsy: a nationwide study from Denmark

    Jensen, Allan; Rank, Fritz; Dyreborg, Uffe;


    Clinical mammography and needle biopsy are key tools for non-operative assessment of breast lesions. We evaluated the performance of all combined tests undertaken in Denmark in 2000. Clinical mammography and needle biopsy data were collected and linked to final cancer outcome, to determine...... sensitivity, specificity, and predictive values of clinical mammography, needle biopsy, and combined test. In 2000, 6709 combined tests were performed in 36 mammography clinics in Denmark. The combined test was consistently more sensitive than any single test, increasing the proportion of women correctly...... identified with breast cancer by 9% compared with clinical mammography alone. For concordant combined tests (i.e. either both benign or both malignant), specificity and positive predictive value were 100%, sensitivity was 99.1%, and positive predictive value was 99.6%. Therefore, Danish patients...

  19. Cavitation performance evaluation for a condensate pump

    Cavitation in a condensate pump with specific speed of 95 m·m3s−1·min−1 was treated in this study. Cavitation performance for the pump was tested experimentally, and the steady state cavitating flows in the pump impeller were simulated by RANS method as well as a homogeneous cavitation model. It is noted that cavitating flow simulation reasonably depicted cavitation development in the pump. Compared to the tested results, the numerical simulation basically predicted later performance drops due to cavitation. Unfortunately, the cavitation simulation at the operation condition of 50% best efficiency point could not predict the head drop up to 3%. By applying the concept of relative cavity length cavitation performance evaluation is achieved. For better application, future study is necessary to establish the relation between relative cavity length and performance drop

  20. Clinical evaluation of desoximetasone in treatment of dermatoses and psoriasis.

    Nair, B K; Nair, C H


    A comparative clinical evaluation of desoximetasone, a corticosterone derivative by a double blind study showed that desoximetasone has potent topical activity as effective as betamethasone valerate and probably more effective than triamcinolone acetonide. PMID:1093984

  1. Appraising the performance of medical technologists in a clinical laboratory.

    Ghorpade, J; Chen, M M


    Medical technologists and their coworkers serve as a critical link in the delivery of health care, yet their performance typically is appraised in a traditional way, causing stress for both managers and workers. Drawing on Total Quality Management concepts, this article proposes a framework for appraising performance in a clinical laboratory context and shows how it can be used to address the problems that managers face in providing constructive appraisals to laboratory personnel. PMID:10166906

  2. One hospital's clinical evaluation of brushless scrubbing.

    Berman, Mara


    BRUSHLESS SCRUBBING rapidly is becoming an accepted method for surgical hand scrubbing. AN EVALUATION was undertaken at an acute care hospital in the southeastern United States to examine brushless scrubbing before laminectomy, craniotomy, and colectomy procedures. PATIENTS DID NOT SHOW an increase in postoperative surgical site infections when the brushless scrubbing product was used. SATISFACTION AND COMPLIANCE among users of the product was positive. PMID:15002831

  3. Two-year clinical evaluation of resin composite in posterior teeth: A randomized controlled study

    Gianordoli-Neto, Ranulfo; Padovani, Gislaine Cristina; Mondelli, José; de Lima Navarro, Maria Fidela; Mendonça, Juliano Sartori; Santiago, Sérgio Lima


    Background: Clinical evaluations as fundamental method to prove the efficiency of restorative materials. Aim: This study evaluated the clinical performance of restorative systems during 2 years of clinical service. Materials and Methods: This study assessed the clinical performance of restorative systems (Filtek Z250 and P60), during 2 years of clinical service, using the US Public Health Service system. The randomized and double-blind study comprising thirty volunteers. The restorations were evaluated at baseline, 6, 12, and 24 months. It was used the following criteria: marginal discoloration (MD), marginal integrity (MI), superficial texture (ST), wear (W), postoperative sensitivity (PS) and recurrent caries (RC). Results: Statistic analysis was performed using Fisher's and McNemar's exact tests and Pearsons's Chi-square in a significance level of 5%. The results at baseline and 24 months for Group I were: MD – 100, 100%; MI – 100, 88.6%; ST – 100, 94.3%; W – 100, 94.3%; PS – 100, 100%; RC – 100, 100%, of alpha scores; Group II: MD – 100, 97.1%; MI – 100, 91.4%; ST – 100, 94.3%; W – 100, 91.4%; PS – 100, 100%; RC – 100, 100%, of alpha scores. It was observed no statistical difference in the evaluated criteria and period. Conclusions: After 24 months of evaluation, both restorative systems exhibited acceptable clinical performance.

  4. Model Performance Evaluation and Scenario Analysis (MPESA) Tutorial

    This tool consists of two parts: model performance evaluation and scenario analysis (MPESA). The model performance evaluation consists of two components: model performance evaluation metrics and model diagnostics. These metrics provides modelers with statistical goodness-of-fit m...

  5. Injection performance evaluation for SSRF storage ring

    Yang, Yong; Leng, Yong-Bin; Yan, Ying-Bing; Chen, Zhi-Chu


    The injection performance of the storage ring is one of the most important factors to consider at a synchrotron radiation facility, especially in the top-up mode. To evaluate the injection performance of the storage ring at the Shanghai Synchrotron Radiation Facility, we have built a bunch-by-bunch position measuring system based on an oscilloscope Input/Output Controller. Accurate assessment of energy mismatching, distribution of residual oscillation, and angle error of injection kickers can be achieved by this system. Supported by National Natural Science Foundation of China (11375255)

  6. Interprofessional student clinics: an economic evaluation of collaborative clinical placement education.

    Haines, Terry P; Kent, Fiona; Keating, Jennifer L


    Interprofessional student clinics can be used to create clinical education placements for health professional students in addition to traditional hospital-based placements and present an opportunity to provide interprofessional learning experiences in a clinical context. To date, little consideration has been given in research literature as to whether such clinics are economically viable for a university to run. We conducted an economic evaluation based upon data generated during a pilot of an interprofessional student clinic based in Australia. Cost-minimization analyses of the student clinic as opposed to traditional profession-specific clinical education in hospitals were conducted from university, Commonwealth Government, state government and societal perspectives. Cost data gathered during the pilot study and market prices were used where available, while $AUD currency at 2011 values were used. Per student day of clinical education, the student clinic cost an additional $289, whereas the state government saved $49 and the Commonwealth Government saved $66. Overall, society paid an additional $175 per student day of clinical education using the student clinic as opposed to conventional hospital-based placements, indicating that traditional hospital-based placements are a cost-minimizing approach overall for providing clinical education. Although interprofessional student clinics have reported positive patient and student learning outcomes, further research is required to determine if these benefits can justify the additional cost of this model of education. Considerations for clinic sustainability are proposed. PMID:24417539

  7. Application of objective management and performance appraisal in evaluation of clinical department director%目标管理与绩效考核在临床科主任评价中的应用



    应用目标管理和绩效考核的方法,从社会责任维度、患者维度、内部流程维度、学习和成长维度、财务维度5个维度,主观和客观两方面阐述了临床科主任评价体系的设计思路、指标的选择和权重确定、科主任评价的实施、绩效考核的反馈等,为实现临床科主任评价的科学化提供一些参考.%This paper discuss the design ideas, indicators, implementation and the way of feedback from 5 dimensions, including social responsibility, patients, internal processes, learning and growth, finance, so as to achieve scientific evaluation of clinic department director.

  8. Clinical evaluation of Synthetic Aperture Sequential Beamforming and Tissue Harmonic Imaging

    Brandt, Andreas Hjelm; Hemmsen, Martin Christian; Hansen, Peter Møller;


    liver pathology were scanned to set a clinical condition, where ultrasonography is often performed. A total of 114 sequences were recorded and evaluated by five radiologists. The evaluators were blinded to the imaging technique, and each sequence was shown twice with different left-right positioning...


    K. SUNDARA KUMAR; P. SUNDARA KUMAR,; Dr.M.J.Ratnakanth Babu


    The present study has been undertaken to evaluate performance efficiency of a waste water treatment plant. A sewage treatment plant operating on biological treatment method (Activated Sludge Process) with an average wastewater inflow of 23MLD bas been considered for case study. Waste water samples were collected at different stages of treatment units and analysed for the major water quality parameters, such as biological oxygen demand (BOD), chemical oxygen demand (COD), total suspended solid...

  10. Performance Evaluation of Tree Object Matching

    Somchaipeng, Kerawit; Sporring, Jon; Kreiborg, Sven;


    Multi-Scale Singularity Trees (MSSTs) represents the deep structure of images in scale-space and provide both the connections between image features at different scales and their strengths. In this report we present and evaluate an algorithm that exploits the MSSTs for image matching. Two version......, and the COIL database. Finally the performance is compared with algorithms based on the Scale Invariant Feature Transform (SIFT), and the Position of Catastrophes (CAT)....

  11. What form of relative performance evaluation?

    Celentani, Marco; Loveira-Paz??, Rosa


    We study relative performance evaluation in executive compensation when executives have private information about their ability. We assume that the joint distribution of an individual firm??s profit and market movements depends on the ability of the executive that runs the firm. In the equilibrium of the executive labor market, compensation schemes exploit this fact to sort executives of di ?erent abilities. This implies that executive compensation is increasing in own perfo...

  12. Communication processes, public administration and performance evaluation

    Arta Musaraj


    Albanian efforts to fulfill European standards and norm in its Public Administration and service delivery, are becoming a research argument for academics and practitioners as well. Even if significant efforts have been made in this direction there is still a gap in analyzing the link between the communication process which creates and delivers the public service, effect of the used tools in service provision and delivery, the performance evaluation of this sector and the future of the sector ...

  13. Metrics for Offline Evaluation of Prognostic Performance

    Saxena, Abhinav; Celaya, Jose; Saha, Bhaskar; Saha, Sankalita; Goebel, Kai


    Prognostic performance evaluation has gained significant attention in the past few years. Currently, prognostics concepts lack standard definitions and suffer from ambiguous and inconsistent interpretations. This lack of standards is in part due to the varied end-user requirements for different applications, time scales, available information, domain dynamics, etc. to name a few. The research community has used a variety of metrics largely based on convenience and their respective requirements. Very little attention has been focused on establishing a standardized approach to compare different efforts. This paper presents several new evaluation metrics tailored for prognostics that were recently introduced and were shown to effectively evaluate various algorithms as compared to other conventional metrics. Specifically, this paper presents a detailed discussion on how these metrics should be interpreted and used. These metrics have the capability of incorporating probabilistic uncertainty estimates from prognostic algorithms. In addition to quantitative assessment they also offer a comprehensive visual perspective that can be used in designing the prognostic system. Several methods are suggested to customize these metrics for different applications. Guidelines are provided to help choose one method over another based on distribution characteristics. Various issues faced by prognostics and its performance evaluation are discussed followed by a formal notational framework to help standardize subsequent developments.

  14. Analytical performance evaluation for autonomous sensor fusion

    Chang, K. C.


    A distributed data fusion system consists of a network of sensors, each capable of local processing and fusion of sensor data. There has been a great deal of work in developing distributed fusion algorithms applicable to a network centric architecture. Currently there are at least a few approaches including naive fusion, cross-correlation fusion, information graph fusion, maximum a posteriori (MAP) fusion, channel filter fusion, and covariance intersection fusion. However, in general, in a distributed system such as the ad hoc sensor networks, the communication architecture is not fixed. Each node has knowledge of only its local connectivity but not the global network topology. In those cases, the distributed fusion algorithm based on information graph type of approach may not scale due to its requirements to carry long pedigree information for decorrelation. In this paper, we focus on scalable fusion algorithms and conduct analytical performance evaluation to compare their performance. The goal is to understand the performance of those algorithms under different operating conditions. Specifically, we evaluate the performance of channel filter fusion, Chernoff fusion, Shannon Fusion, and Battachayya fusion algorithms. We also compare their results to NaÃve fusion and "optimal" centralized fusion algorithms under a specific communication pattern.

  15. Evaluation of electronic biopsy for clinical diagnosis in virtual colonoscopy

    Marino, Joseph; Du, Wei; Barish, Matthew; Li, Ellen; Zhu, Wei; Kaufman, Arie


    Virtual colonoscopy provides techniques not available in optical colonoscopy, an exciting one being the ability to perform an electronic biopsy. An electronic biopsy image is created using ray-casting volume rendering of the CT data with a translucent transfer function mapping higher densities to red and lower densities to blue. The resulting image allows the physician to gain insight into the internal structure of polyps. Benign tissue and adenomas can be differentiated; the former will appear as homogeneously blue and the latter as irregular red structures. Although this technique is now common, is included with clinical systems, and has been used successfully for computer aided detection, there has so far been no study to evaluate the effectiveness of a physician using electronic biopsy in determining the pathological state of a polyp. We present here such a study, wherein an experienced radiologist ranked polyps based on electronic biopsy alone per scan (supine and prone), as well as both combined. Our results show a correct identification 77% of the time using prone or supine images alone, and 80% accuracy using both. Using ROC analysis based on this study with one reader and a modest sample size, the combined score is not significantly higher than using a single electronic biopsy image alone. However, our analysis indicates a trend of superiority for the combined ranking that deserves a follow-up confirmatory study with a larger sample and more readers. This study yields hope that an improved electronic biopsy technique could become a primary clinical diagnosis method.

  16. Clinical and radiological evaluation of ARDS

    Thirty patients under long-term artificial respiration being at risk of or suffering from ARDS were observed on the intensive care unit right from the beginning of treatment. In all cases, the lungs were visualised by means of computed tomography. Computed tomography of the lungs provided valuable information as to the pulmonal distribution of ARDS-related changes. In gradually developing acute respiratory insufficiency caused by parenchymal changes that start from the paravertebral regions CT scans also permitted the so-called 'silent period' to be ascertained that is always seen to escape radiological detection. Comparative evaluations confirmed the diagnostic superiority of computed tomography to conventional X-ray procedures and arterial blood gas analysis in those ARDS patients where the tissue changes begin in the dorsal sections of the lungs. (orig./MBC)

  17. Clinical Evaluation of Inpatients with Acute Urticaria

    Ayşe Serap


    Full Text Available Background and Design: To determine the clinical and etiological features of inpatients with acute urticaria and angioedema and to assess the need for laboratory tests. Material and Methods: We recruited 105 patients with acute urticaria and angioedema who were admitted to our inpatient unit. The lesions and the characteristics of the patients were analyzed. Routine diagnostic tests including complete blood count, thyroid function tests, hepatitis panel, stool parasite, total IgE levels, cultures, erythrocyte sedimentation rate, C-reactive protein, anti-nuclear antibody, and posterior anterior lung X-ray were ordered. A psychiatric consultation was obtained, when needed. The results were analyzed with SPSS 15.0 statistical software.Results: Among 105 patients, 28 (26.7% had urticaria, 7 (6.7% had angioedema, and 70 (66.7% suffered from both urticaria and angioedema. The most common accompanying symptoms were itching (91.4% and burning (34.3%. The most common systemic symptoms were fatigue (15.2% and headache (12.4%. The lesions usually appeared in the evening hours (24.8%. Twenty-five patients were waking up due to itching during the night. Some lesions were associated with physical activities. Systemic diseases accompanied the lesions in 12 patients (11%. In terms of etiological factors, 33 patients (22.5% had infections. Food- related lesions were encountered in 14 (13% patients. Thirty patients (28.5% had history of medication use. Stress was detected in 37.1% of the patients; anxiety was diagnosed in 3% of patients. The stool was positive for parasites in 10 (9% patients. Conclusion: Acute urticaria is a benign disorder. Although the underlying cause of urticaria can not always be identified, infections and medications are the most common causes. A comprehensive and detailed history is very important to discover the underlying cause. The diagnostic tests should be ordered according to the patient’s history. Conducting diagnostic tests

  18. Evaluation of models in performance assessment

    The reliability of models used for performance assessment for high-level waste repositories is a key factor in making decisions regarding the management of high-level waste. Model reliability may be viewed as a measure of the confidence that regulators and others have in the use of these models to provide information for decision making. The degree of reliability required for the models will increase as implementation of disposal proceeds and decisions become increasingly important to safety. Evaluation of the models by using observations of real systems provides information that assists the assessment analysts and reviewers in establishing confidence in the conclusions reached in the assessment. A continuing process of model calibration, evaluation, and refinement should lead to increasing reliability of models as implementation proceeds. However, uncertainty in the model predictions cannot be eliminated, so decisions will always be made under some uncertainty. Examples from the Canadian program illustrate the process of model evaluation using observations of real systems and its relationship to performance assessment. 21 refs., 2 figs

  19. Clinical image quality evaluation for panoramic radiography in Korean dental clinics

    The purpose of this study was to investigate the level of clinical image quality of panoramic radiographs and to analyze the parameters that influence the overall image quality. Korean dental clinics were asked to provide three randomly selected panoramic radiographs. An oral and maxillofacial radiology specialist evaluated those images using our self-developed Clinical Image Quality Evaluation Chart. Three evaluators classified the overall image quality of the panoramic radiographs and evaluated the causes of imaging errors. A total of 297 panoramic radiographs were collected from 99 dental hospitals and clinics. The mean of the scores according to the Clinical Image Quality Evaluation Chart was 79.9. In the classification of the overall image quality, 17 images were deemed 'optimal for obtaining diagnostic information,' 153 were 'adequate for diagnosis,' 109 were 'poor but diagnosable,' and nine were 'unrecognizable and too poor for diagnosis'. The results of the analysis of the causes of the errors in all the images are as follows: 139 errors in the positioning, 135 in the processing, 50 from the radiographic unit, and 13 due to anatomic abnormality. Panoramic radiographs taken at local dental clinics generally have a normal or higher-level image quality. Principal factors affecting image quality were positioning of the patient and image density, sharpness, and contrast. Therefore, when images are taken, the patient position should be adjusted with great care. Also, standardizing objective criteria of image density, sharpness, and contrast is required to evaluate image quality effectively.

  20. Evaluating laboratory's performance in drinking water samples

    The radiological protection of the environment and the population requires from all states to have laboratories with internationally comparable quality levels. To meet these requirements laboratories must establish quality assurance programs to ensure that can produce data of the required quality. Laboratories can provide objective evidence of their performance through participation in external quality assessment exercises. The management of the radiological environmental monitoring programs (REM) in Spain is responsibility of the CSN (Nuclear Safety Council), and their performance is carried out with the collaboration of laboratories in autonomic regions which provide the radioanalytical results in compliance with general criteria established by the CSN. The reliability of the assessment obtained from these programs requires that laboratories producing the analytical data be able to demonstrate the accuracy and comparability of their results, as well as their traceability to International Standards. To this end the CSN organises in collaboration with CIEMAT periodical inter-laboratory test comparisons, using samples similar in composition and activity levels to the ones routinely analysed in the programs. Following the issue of the European Community Drinking Water Directive concerning the quality of water for human consumption and its implementation by the Spanish Government, the last inter-comparison exercise was organised by using a water sample, in an attempt to evaluate the performance of the laboratories analysing the required radioactivity parameters (H-3, alpha and beta activity). The sample (a synthetic drinking water), was prepared at the National Laboratory for Ionising Radiation's Standards (CIEMAT), and contained the following radionuclides H-3, Pu-(239+240), Am-241, Sr-90, Cs-137 and K-40, results from gross Alpha, gross Beta and Residual Beta activity were also requested to participants. The organisation and the assessment of the laboratory

  1. Performance evaluation of an automotive thermoelectric generator

    Dubitsky, Andrei O.

    Around 40% of the total fuel energy in typical internal combustion engines (ICEs) is rejected to the environment in the form of exhaust gas waste heat. Efficient recovery of this waste heat in automobiles can promise a fuel economy improvement of 5%. The thermal energy can be harvested through thermoelectric generators (TEGs) utilizing the Seebeck effect. In the present work, a versatile test bench has been designed and built in order to simulate conditions found on test vehicles. This allows experimental performance evaluation and model validation of automotive thermoelectric generators. An electrically heated exhaust gas circuit and a circulator based coolant loop enable integrated system testing of hot and cold side heat exchangers, thermoelectric modules (TEMs), and thermal interface materials at various scales. A transient thermal model of the coolant loop was created in order to design a system which can maintain constant coolant temperature under variable heat input. Additionally, as electrical heaters cannot match the transient response of an ICE, modelling was completed in order to design a relaxed exhaust flow and temperature history utilizing the system thermal lag. This profile reduced required heating power and gas flow rates by over 50%. The test bench was used to evaluate a DOE/GM initial prototype automotive TEG and validate analytical performance models. The maximum electrical power generation was found to be 54 W with a thermal conversion efficiency of 1.8%. It has been found that thermal interface management is critical for achieving maximum system performance, with novel designs being considered for further improvement.

  2. Performance Evaluation of Triangulation Based Range Sensors

    Monica Bordegoni


    Full Text Available The performance of 2D digital imaging systems depends on several factors related with both optical and electronic processing. These concepts have originated standards, which have been conceived for photographic equipment and bi-dimensional scanning systems, and which have been aimed at estimating different parameters such as resolution, noise or dynamic range. Conversely, no standard test protocols currently exist for evaluating the corresponding performances of 3D imaging systems such as laser scanners or pattern projection range cameras. This paper is focused on investigating experimental processes for evaluating some critical parameters of 3D equipment, by extending the concepts defined by the ISO standards to the 3D domain. The experimental part of this work concerns the characterization of different range sensors through the extraction of their resolution, accuracy and uncertainty from sets of 3D data acquisitions of specifically designed test objects whose geometrical characteristics are known in advance. The major objective of this contribution is to suggest an easy characterization process for generating a reliable comparison between the performances of different range sensors and to check if a specific piece of equipment is compliant with the expected characteristics.

  3. Development and evaluation of a clinical note section header terminology.

    Denny, Joshua C; Miller, Randolph A; Johnson, Kevin B; Spickard, Anderson


    Clinical documentation is often expressed in natural language text, yet providers often use common organizations that segment these notes in sections, such as history of present illness or physical examination. We developed a hierarchical section header terminology, supporting mappings to LOINC and other vocabularies; it contained 1109 concepts and 4332 synonyms. Physicians evaluated it compared to LOINC and the Evaluation and Management billing schema using a randomly selected corpus of history and physical notes. Evaluated documents contained a median of 54 sections and 27 major sections. There were 16,196 total sections in the evaluation note corpus. The terminology contained 99.9% of the clinical sections; LOINC matched 77% of section header concepts and 20% of section header strings in those documents. The section terminology may enable better clinical note understanding and interoperability. Future development and integration into natural language processing systems is needed. PMID:18999303

  4. Change in action: using positive deviance to improve student clinical performance.

    Zaidi, Zareen; Jaffery, Tara; Shahid, Afshan; Moin, Shaheen; Gilani, Ahsen; Burdick, William


    At our medical college many students have lower ratings in their clinical performance once they start their clinical years (third year). This is contrary to their results in other written exams. Some students demonstrate better clinical performance. We used the six-step Positive Deviance (PD) Conceptual Framework to identify and disseminate the strategies employed by the successful students to improve group clinical performance. Fifty 3rd year students (of a 5-year MBBS program) rotating through internal medicine were assessed mid-rotation with mini-CEX and 360° evaluations. Twenty students (40%) who performed well were invited for in depth interviews in order to identify positive deviant behavior in their clinical skills learning practices. The seven students (14%) who reported novel behaviors were asked to develop strategies for dissemination of their learning behavior in their peers. They decided to work in small groups with their peers, using the identified PD behaviors to encourage learning of history taking and examining skills in their peers. Group performance was assessed at the end of rotation, using mini-CEX and 360° evaluation in comparison to a subsequent group of students in the same year that did not work in PD peer learning groups. For the 360° evaluation the EP(2) (generalizability coefficient) was 0.92 and for the mini-CEX the EP(2) was 0.95, taking into account the variances between participants, groups, time and the interactions effects; thus indicating good reliability of both the assessment methods. A statistically significant difference (p exam and 360 evaluation (p Learning strategies based on the PD framework can improve student's group performance. PMID:21553153

  5. A performance evaluation of personnel identity verifiers

    Personnel identity verification devices, which are based on the examination and assessment of a body feature or a unique repeatable personal action, are steadily improving. These biometric devices are becoming more practical with respect to accuracy, speed, user compatibility, reliability and cost, but more development is necessary to satisfy the varied and sometimes ill-defined future requirements of the security industry. In an attempt to maintain an awareness of the availability and the capabilities of identity verifiers for the DOE security community, Sandia Laboratories continues to comparatively evaluate the capabilities and improvements of developing devices. An evaluation of several recently available verifiers is discussed in this paper. Operating environments and procedures more typical of physical access control use can reveal performance substantially different from the basic laboratory tests

  6. Quality evaluation of controlled clinical information service trials.

    Balas, E A; Austin, S. M.; Brown, G.D.; Mitchell, J. A.


    Randomized controlled clinical trials are increasingly accepted as tools of computer technology assessment and, therefore, quality evaluation of trials has great theoretical and practical significance. The purpose of this study was to assist the design of evaluation studies and synthesis of published results by developing and validating an easy-to-use quality scoring method. The development of the new scoring system was based on the available quality evaluation methods and the analysis of 19 ...

  7. Performance evaluation of computer and communication systems

    Le Boudec, Jean-Yves


    … written by a scientist successful in performance evaluation, it is based on his experience and provides many ideas not only to laymen entering the field, but also to practitioners looking for inspiration. The work can be read systematically as a textbook on how to model and test the derived hypotheses on the basis of simulations. Also, separate parts can be studied, as the chapters are self-contained. … the book can be successfully used either for self-study or as a supplementary book for a lecture. I believe that different types of readers will like it: practicing engineers and resea

  8. Robust benevolent evaluations of teaching performance

    Rogge, Nicky


    Although benevolent (BoD) weighting has some appealing features for the construction of evaluation scores of teacher performance (i.e., SET-scores), it still suffers from an important drawback in its basic form: the sensitivity of its outcomes to the influence of potential outliers, extreme values, and potential measurement error in the data. The robust order-m BoD approach provides a solution for this problem as it no longer puts central the traditional assumption that all observations (thus...

  9. Performance evaluation of TCP over ABT protocols

    Ata, Shingo; Murata, Masayuki; Miyahara, Hideo


    ABT is promising for effectively transferring a highly bursty data traffic in ATM networks. Most of past studies focused on the data transfer capability of ABT within the ATM layer. In actual, however, we need to consider the upper layer transport protocol since the transport layer protocol also supports a network congestion control mechanism. One such example is TCP, which is now widely used in the Internet. In this paper, we evaluate the performance of TCP over ABT protocols. Simulation results show that the retransmission mechanism of ABT can effectively overlay the TCP congestion control mechanism so that TCP operates in a stable fashion and works well only as an error recovery mechanism.

  10. Irradiation and performance evaluation of DUPIC fuel

    Bae, Ki Kwang; Yang, M. S.; Song, K. C. [and others


    The objectives of the project is to establish the performance evaluation system for the experimental verification of DUPIC fuel. The scope and content for successful accomplishment of the phase 1 objectives is established as follows : irradiation test of DUPIC fuel at HANARO using a noninstrument capsule, study on the characteristics of DUPIC pellets, development of the analysis technology on the thermal behaviour of DUPIC fuel, basic design of a instrument capsule. The R and D results of the phase 1 are summarized as follows : - Performance analysis technology development of DUPIC fuel by model development for DUPIC fuel, review on the extendability of code(FEMAXI-IV, FRAPCON-3, ELESTRESS). - Study on physical properties of DUPIC fuel by design and fabrication of the equipment for measuring the thermal property. - HANARO irradiation test of simulated DUPIC fuel by the noninstrument capsule development. - PIE and result analysis.

  11. High-current performance evaluation of DCCTs

    Bordry, Frederick; Halvarsson, Bjorn; Perréard, J C; Pett, John G


    The evaluation of high performance DCCT's to the ppm level has never been an easy task. With the LHC demanding currents up to 13 kA, a whole series of problems has arisen in the accurate measurement of these devices. In order to tackle these problems, new facilities have been designed for laboratory measurements under full power operating conditions. These include a high performance low voltage 20 kA power converter, quasi-coaxial bus-bar structures, Kusters Bridge range extenders and a novel bipolar 0 - 10 A current calibrator with resolution and linearity better than ± 0.5 ppm. This paper will present an overview of the complete facility and give more detail on the new current calibrator. Initial results will be presented, along with application areas which advance the state of the art in this field of measurements.

  12. Irradiated Fuel Performance Evaluation Technology Development

    Performance evaluation system was established to investigate the irradiation characteristics of dual-cooled annular fuel. A new program which has a function of calculating fuel temperature and heat split of dual-cooled annular fuel is developed, and modules for calculating the distribution of thermal stress and deformation are presented. The reference code for transient performance has been analyzed in the aspects of the structure and model characteristics. The annealing tests were performed to evaluate the behaviors of the high burnup pellet and the large-grain pellet under transient conditions. A new post-irradiation annealing apparatus, which make a ultra-high temperature test possible, was established by substituting a new heating module an old heating one. Creep and embrittlement behaviors were also tested using newly established equipment in a hot cell. RIA(Reactivity Initiated Accident) and LOCA(Loss of Coolant Accident) test results were acquired and analyzed through international collaboration research with CABRI project in France and Halden reactor project in Norway. The second irradiation test is being performed with a burn-up target of 70 MWd/kgU for large-grain fuel pellets. Test fuel rods were fabricated for Fuel Test Loop and a steady state irradiation test is under way. The test rig were designed and fabricated for the irradiation of dual-cooled fuel rod, and then out-of reactor tests and safety analysis were conducted for the licensing of irradiation test. The dual-cooled fuel rods were irradiated to about 10 MWd/kgU in Hanaro reactor, and the post irradiation examination is going on. The profile of gamma scan shows that the annular pellet is stable in position during irradiation

  13. Performance evaluations of a geothermal power plant

    Thermodynamic analysis of an operational 7.5 MWe binary geothermal power plant in Tuzla-Turkey is performed, through energy and exergy, using actual plant data to assess its energetic and exergetic performances. Eight performance-related parameters, namely total exergy destruction ratio, component exergy destruction ratio, dimensionless exergy destruction, energetic renewability ratio, exergetic renewability ratio, energetic reinjection ratio, exergetic reinjection ratio and improvement potential are investigated. Energy and exergy losses/destructions for the plant and its units are determined and illustrated using energy and exergy flow diagrams. The largest energy and exergy losses occur in brine reinjection unit. The variation of the plant energy efficiency is found between 6% and 12%. Exergy efficiency values change between 35 and 49%. The annual average energy and exergy efficiencies are found as 9.47% and 45.2%, respectively. - Highlights: → Investigation of a geothermal system energetically and exergetically. → Performance assessment of the system through energy and exergy efficiencies. → Utilization of temperature distribution in exergy calculations. → Evaluation of eight energetic and exergetic parameters for the system.

  14. 48 CFR 436.201 - Evaluation of contractor performance.


    ... Construction 436.201 Evaluation of contractor performance. Preparation of performance evaluation reports. In addition to the requirements of FAR 36.201, performance evaluation reports shall be prepared for indefinite... of services to be ordered exceeds $500,000.00. For these contracts, performance evaluation...

  15. 40 CFR 35.9055 - Evaluation of recipient performance.


    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Evaluation of recipient performance. 35... Evaluation of recipient performance. The Regional Administrator will oversee each recipient's performance... schedule for evaluation in the assistance agreement and will evaluate recipient performance and...

  16. Sarcopenia: clinical evaluation, biological markers and other evaluation tools

    Pahor, M.; Manini,, Claudia; CESARI, M.


    Sarcopenia is characterized by a lower skeletal muscle quantity, higher fat accumulation in the muscle, lower muscle strength, and lower physical performance. The most commonly used, low cost and accessible methods to assess skeletal muscle mass include dual energy X-ray absorptiometry (DEXA), anthropometry and bioelectrical impedance analysis (BIA). Magnetic resonance imaging (MRI), computerized tomography (CT) and creatinine excretion are the most specific golden standards for assessing mus...

  17. All-ceramic systems: laboratory and clinical performance.

    Guess, Petra C; Schultheis, Stefan; Bonfante, Estevam A; Coelho, Paulo G; Ferencz, Jonathan L; Silva, Nelson R F A


    Several all-ceramic systems have been developed in dentistry to meet the increased expectations of patients and dentists for highly aesthetic, biocompatible, and long-lasting restorations. However, early bulk fractures or chippings have led the research community to investigate the mechanical performance of the all-ceramic systems. This overview explores the current knowledge of monolithic and bilayer dental all-ceramic systems, addressing composition and processing mechanisms, laboratory and clinical performance, and possible future trends for all-ceramic materials. PMID:21473997

  18. Clinical evaluation of multiplanar reformation CT images in disk hernias

    Computed tomography (CT) is a non-invasive procedure as compared with myelography in the diagnosis of diseases of the spine and spinal cord. In recent years, the performance of the CT-scan equipment has been markedly improved, resulting in an advancement of its diagnostic value, and it is said that CT is now superior to myelography in diagnosing some types of diseases of spine and spinal cord. We performed a multiplanar reformation in patients with disk hernia for the purpose of evaluating the method's clinical diagnostic value, and the reformatted images were compared with the axial images in the same patient. We used four types of reformation: coronal, sagittal, para-axial, and oblique reformations. The reformatted images were obtained from multiple continuous images with a slice thickness of 3 mm and with no declination of the gantry of the scanner. The axial images were obtained by making the gantry parallel to the disk and perpendicular to the vertebral body. The thickness of the axial images is 3 mm at the disk and 5 mm at the vertebral body level. We compared these reformatted and axial images with the extension of the disk hernia in the spinal canal and neural foramen and the degree of visualization of nerve roots. The sagittal reformatted images were useful in evaluating the extension of the disk hernia in the spinal canal and neural foramen. The coronal and oblique reformatted images were useful in visualizing the nerve roots. The axial images were excellent in ability to diagnose the disk hernia, while the reformatted images were significant in understanding the anatomical relation of the disease preoperatively. (author)


    Wadikar Sujata Surendra


    Full Text Available A Clinical study on "Clinical Evaluation of Selected Colouring Herbals in Savarnikaran" was carried out at shalya tantra dept. of M.A.Podar Hospital, Worli, Mumbai 18. The prime aim of the study is to make available an effective, alternative colouring cosmetic preparations which will be useful in post burn, post acne and post wound colour morbidity.Ayurvedic herbal drugs are abundant, easily available and cost effective but their use is not observed in all forms. The trial drug is prepared in powder-paste, oil and ointment form. Further the efficacy of the different preparation is also evaluated separately. Cosmetic aspect of ayurvedic surgery is neglected, here we attempt to bring this aspect in routine practice.Total number of 40 patients were studied in this clinical study.Observations were documented through specially designed clinical record form and relevant conclusions were drawn.

  20. Performance of the Vitek 2 system software version 5.03 in the bacterial identification and antimicrobial susceptibility test: evaluation study of clinical and reference strains of Gram-positive cocci

    Thiago Galvão da Silva Paim


    Full Text Available Introduction. The genera Enterococcus, Staphylococcus and Streptococcus are recognized as important Gram-positive human pathogens. The aim of this study was to evaluate the performance of Vitek 2 in identifying Gram-positive cocci and their antimicrobial susceptibilities. Methods. One hundred four isolates were analyzed to determine the accuracy of the automated system for identifying the bacteria and their susceptibility to oxacillin and vancomycin. Results. The system correctly identified 77.9% and 97.1% of the isolates at the species and genus levels, respectively. Additionally, 81.8% of the Vitek 2 results agreed with the known antimicrobial susceptibility profiles. Conclusion. Vitek 2 correctly identified the commonly isolated strains; however, the limitations of the method may lead to ambiguous findings.

  1. Integrated care for diabetes: clinical, psychosocial, and economic evaluation. Diabetes Integrated Care Evaluation Team.


    OBJECTIVES--To evaluate integrated care for diabetes in clinical, psychosocial, and economic terms. DESIGN--Pragmatic randomised trial. SETTING--Hospital diabetic clinic and three general practice groups in Grampian. PATIENTS--274 adult diabetic patients attending a hospital clinic and registered with one of three general practices. INTERVENTION--Random allocation to conventional hospital clinic care or integrated care. Integrated care patients seen in general practice every three or four mon...

  2. Evaluation of PICO as a Knowledge Representation for Clinical Questions

    Huang, Xiaoli; Lin, Jimmy; Demner-Fushman, Dina


    The paradigm of evidence-based medicine (EBM) recommends that physicians formulate clinical questions in terms of the problem/population, intervention, comparison, and outcome. Together, these elements comprise a PICO frame. Although this framework was developed to facilitate the formulation of clinical queries, the ability of PICO structures to represent physicians’ information needs has not been empirically investigated. This paper evaluates the adequacy and suitability of PICO frames as a ...

  3. Clinical laboratory evaluation of the automicrobic system Enterobacteriaceae biochemical card.

    J.R. Davis; Stager, C E; Wende, R D; Qadri, S M


    The AutoMicrobic System Enterobacteriaceae Biochemical Card (AMS-EBC; Vitek Systems, Inc.) was evaluated in two clinical microbiology laboratories. A total of 502 consecutive clinical isolates representing members of the family Enterobacteriaceae were tested in parallel with the AMS-EBC, API 20E, and Enterotube II systems. Discrepancies between systems were resolved with the conventional methods of Edwards and Ewing (P. R. Edwards and W. H. Ewing [ed.], Identification of Enterobacteriaceae, 1...

  4. Evaluation of Performance Indexes of Emergency Department

    Alireza Baratloo


    Full Text Available Introduction: The importance of evaluating performance indicators in the emergency department, as one of the most important departments of hospital, is obvious to everyone. Therefore, in this study we aimed to appraise the five performance indicators, approved by the ministry of health, in Shohadaye Tajrish hospital, Tehran, Iran. Methods: In a descriptive cross-sectional study based on the profiles of all the patients admitted to the emergency department, performance indicators in the emergency department were evaluated. The study was divided into 2 parts about the establishment of emergency medicine system and training the medical staff: the first 6 months of 1392 and the second. Then these 2 periods were compared using Mann-Whitney U test while P< 0.05 was considered as the level of significance. Results: Of the studied indicators, mean triage time was 6.04 minutes in the first 6 months which was reduced to 1.5 minutes in the second 6 months (p=0.016. In addition, the percentage of patients who moved out of the department in 12 hours was lowered from 97.3% in the first period to 90.4% in the second (p=0.004. While, the percentage of patients who were decided upon in 6 hours (p=0.2, unsuccessful CPR percentage (p=0.34 and patients discharged against medical advice (p=0.42 showed no significant difference. Conclusion: The results of this study showed that the establishment of the emergency medicine system in the emergency department could lead to more efficient triage. Due to the differences made after their establishment including: different pattern of the patients admitted, increased stay of the patients in the department due to their need for prolonged intensive care, a raise in patient referral to the hospital by pre-hospital services and a higher percentage of occupied hospital beds, other indicators have not shown a significant improvement.

  5. Evaluation of a pharmacist-managed anticoagulation clinic.

    Cohen, I A; Hutchison, T A; Kirking, D M; Shue, M E


    Medical records were retrospectively analyzed to evaluate the success of a pharmacist-managed Anticoagulation Surveillance Clinic (ASC). The 78 patients in group I were followed by the ASC. The 17 patients in Group II were followed by other Veterans Administration Medical Center clinics. Demographic characteristics, warfarin indication and potentially complicating conditions were comparable between the groups. Group I patients had shorter intervals between visits to the clinic than Group II patients. Although not statistically different compared to Group II, Group I patients had better prothrombin time control. Group I patients also had fewer complications per treatment year (6.9% vs 9.0%) and received fewer potentially interacting drugs. The ASC was at least as successful as the other clinics in managing patients on warfarin, and results compared very favorably to those reported in the literature for other anticoagulation clinics. PMID:4019790

  6. Performance Evaluation of DSC Windows for Buildings

    Jun-Gu Kang


    Full Text Available Interest in BIPV systems with dye-sensitized solar cells (DSCs that can replace building windows has increased for zero energy buildings. Although DSCs have lower efficiency in terms of electricity generation than silicon solar cells, they allow light transmission and application of various colors; they also have low production costs, which make them especially suitable for BIPV systems. DSC research is interdisciplinary, involving electrical, chemical, material, and metal engineering. A considerable amount of research has been conducted on increasing the electrical efficiency of DSC and their modules. However, there has not been sufficient research on building applications of DSC systems. The aim of this study is to evaluate the optical performance and thermal performance of DSC windows in buildings. For this study, DSC experimental models with different thicknesses and dye colors were manufactured, and their optical properties, such as transmittance and reflectivity, were measured by a spectrometer. The thermal and optical characteristics of double-glazed windows with DSC were analyzed with a window performance analysis program, WINDOW 6.0.

  7. Protected clinical teaching time and a bedside clinical evaluation instrument in an emergency medicine training program.

    Shayne, Philip; Heilpern, Katherine; Ander, Douglas; Palmer-Smith, Victoria


    In a process that has evolved over the last four years, the Emory University Emergency Medicine Education Committee has developed an "academic attending" teaching shift incorporating a formatted lecture series with a clinical evaluation exercise (CEE). The program structures the approach to clinical teaching at the bedside, provides an objective clinical evaluation tool specific to emergency medicine residents, and provides targeted learning for medical students and residents rotating in the emergency department (ED). The CEE instrument was designed to be quick and efficient, satisfy requirements of assessment of the Accreditation Council for Graduate Medical Education (ACGME) general competencies, and incorporate the language of the "Model of the Clinical Practice of Emergency Medicine." The original program called for unstructured bedside teaching three days a week, by faculty freed from clinical duties, combined with a limited series of introductory emergency medicine lectures. The program proved more successful when concentrated in a once weekly structured educational program. The prepared, repeating lecture series has been expanded to include many of the most common ED presenting chief complaints and has significantly advanced a curriculum for medical students and visiting interns. A CEE was developed to evaluate and provide immediate feedback to residents on many of the core ACGME competencies. The CEE has been successfully used to structure the bedside educational encounter. This dedicated non-clinical "teaching" shift appears effective in meeting the educational goals of the authors' academic ED. This is a description of the program and its evolution; the program has not been formally evaluated. PMID:12414493

  8. 免疫荧光法检测奈瑟氏淋球菌方法的建立及其临床应用评价%Establishment and Clinical Performance Evaluation of Neisseria Gonorrhoeae Immunofluorescence Detection Kit

    唐盛; 林恒先; 龚海涛; 单万水


    The best reaction condition of the labeling processing and the best concentration of the antibody were researched for the Neisseria gonorrhoeae (NG) immunofluorescence reagent. To test the Neisseria gonorrhoeae detection kit (Immunofluorescence) through clinical trials and evaluate its application value, a parallel-controlled method was carried out,and the clinical samples were both tested with the Neisseria gonorrhoeae immunofluorescence detection kit and isolated culture, which was used as contrast. Total 1100 samples were tested, and the overall coincidence rate was 97.64%. The positive coincidence rate was 93.28% ,and the negative coincidence rate was 98.17% ,and the Kappa value surpassed 0.8 ,which indicated that there was no significant difference between the test results of the immunofluorescence detection kit and of isolated culture. The Neisseria gonorrhoeae immunofluorescence detection kit of Microprofit owns the potential of providing a rapid, simple, economical and accurate clinical detection means for Neisseria gonorrhoeae.%通过试验研究,确定了抗体荧光标记的最佳条件、免疫荧光法检测的最适抗体浓度及最佳反应条件,从而研究免疫荧光法检测奈瑟氏淋球菌方法的建立,并对奈瑟氏淋球菌免疫荧光法检测试剂盒进行临床试验,评价其检测效果.采用分离培养法和奈瑟氏淋球菌免疫荧光法检测试剂盒对1100例临床样本进行平行检测,并以分离培养法检测结果为对照,统计免疫荧光试剂盒与分离培养法检测结果的总符合率及阴、阳性符合率.试验结果统计分析显示,受测免疫荧光试剂盒检测与分离培养法检测的总符合率为97.64%,阳性符合率为93.28%,阴性符合率为98.17%,Kappa值>0.8,表明受测免疫荧光试剂盒与分离培养法的临床检测结果无显著性差异.受测免疫荧光法检测试剂盒检测快速、简便、经济、准确,可用于奈瑟氏淋球菌的临床快速诊断.

  9. Nuclear fuel performance evaluation. Final report

    An evaluation has been made of the ability of Scandpower's empirical fuel performance model POSHO (''Power Shock'') to predict the probability of fuel pin failures resulting from pellet-clad interaction in commercial nuclear power plants. POSHO provides an analytical method to calculate the failure probabilities associated with power level maneuvers for different fuel assembly designs. Application of the method provides a basis for risk-benefit decisions concerning operational procedures, fuel designs and fuel management strategies. One boiling water reactor (BWR) and one pressurized water reactor (PWR) were selected for study to compare model predictions with actual failures, as determined from post irradiation examination of the fuel and activity release data. The fuel duty cycles were reconstructed from operating records and nodal power histories were created by using Scandpower's FMS computer programs. Nodal power histories, coupled with the relative pin power distribution in each node, were processed by the fuel failure prediction model, which tracks the interaction power level for each pin group in each node and calculates the power shocks and the probability for pellet-clad interaction cracks. The results of these calculations are processed statistically to give the expected number of cracks, the number of failed fuel pins in each assembly and the total number of failed assemblies in the core. Fuel performance in the BWR, Quad Cities Unit Two, was calculated by the model in approximate agreement with the observed performance. Fuel performance in the PWR, Maine Yankee, was calculated in approximate agreement for two of the three fuel designs. The high failure rate in the third design, Type B fuel, was not calculated by the POSHO pellet-clad interaction model

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

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


    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

  11. A performance evaluation system for photomultiplier tubes

    A comprehensive performance evaluation system for Photomultiplier tubes has been built up. The system is able to review diverse cathode and anode properties for PMTs with different sizes and dimensions. Relative and direct methods were developed for the quantum efficiency measurement and the results are consistent with each other. Two-dimensional and three-dimensional scanning platforms were built to test both the cathode and anode uniformity for either the plane type or spherical type photocathode. A Flash Analog-to-Digital Convertor module is utilized to achieve high speed waveforms sampling. The entire system is highly automatic and flexible. Details of the system and some typical experimental results are presented in this paper

  12. Development and Evaluation of a Clinical Note Section Header Terminology

    Denny, Joshua C.; Miller, Randolph A; Johnson, Kevin B; Spickard, Anderson


    Clinical documentation is often expressed in natural language text, yet providers often use common organizations that segment these notes in sections, such as “history of present illness” or “physical examination.” We developed a hierarchical section header terminology, supporting mappings to LOINC and other vocabularies; it contained 1109 concepts and 4332 synonyms. Physicians evaluated it compared to LOINC and the Evaluation and Management billing schema using a randomly selected corpus of ...

  13. Clinical performance feedback and quality improvement opportunities for perioperative physicians

    Kaye AD


    Full Text Available Alan David Kaye,1 Olutoyin J Okanlawon,2 Richard D Urman21Department of Anesthesiology, Louisiana State University School of Medicine, New Orleans, LA, 2Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston MA, USAAbstract: Clinical performance feedback is an important component of the ongoing development and education of health care practitioners. For physicians, feedback about their clinical practice and outcomes is central to developing both confidence and competence at all stages of their medical careers. Cultural and financial infrastructures need to be in place, and the concept of feedback needs to be readily embraced and encouraged by clinical leadership and other stakeholders. The "buy-in" includes the expectation and view that feedback occurs on a routine basis, and those engaged in the process are both encouraged to participate and held accountable. Feedback must be part of an overarching quality improvement and physician education agenda; it is not meant to be an isolated, fragmented initiative that is typically undermined by lack of resources or systemic barriers to gaining improvement within programs. Effective feedback should be an integral part of clinical practice. Anesthesiologists and other perioperative physicians are identifying specialty-specific indicators that can be used when creating a broader quality improvement agenda. Placing a more immediate formal feedback strategy that focuses on goal-oriented behavior is rapidly becoming a mainstay. Physicians may use their individual feedback reports for reflection and designing personal development plans as lifelong learners and leaders in improving patient care.Keywords: physician education, outcomes measurement, performance improvement, anesthesiology

  14. 48 CFR 236.201 - Evaluation of contractor performance.


    ... CONTRACTS Special Aspects of Contracting for Construction 236.201 Evaluation of contractor performance. (a) Preparation of performance evaluation reports. Use DD Form 2626, Performance Evaluation (Construction... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Evaluation of...

  15. Clinical evaluation of stress fractures using bone scintigraphy

    Clinical evaluation of stress fractures were performed in 58 athletes using bone scintigraphy with sup(99m)Tc-MDP. Stress fractures of the tibia were most often seen in the males with running type sports. They occurred more often in the proximal tibia and on the right side. Stress fractures of the fibula were most often seen in females with jumping type sports, such as volley ball. They occurred more often in the distal fibula and on the right side. Tarsal bone fractures were seen most often rugby players. Metatarsal fractures occurred in the third fourth and fifth metatarsals. No lesion was seen in the first and second metatarsals. We feel that stress fractures of the femur can be differentiated from osteosarcoma by small loculated radionuclide accumulation as well as symptome, course and tomographic and CT finding. Bilateral involvement was seen in two cases in patellae and calcanei. Most of the other fractures were seen on the right side. Negative radiographs were seen in 36% of the patients and occurred most commonly in the tarsal bones excluding calcaneus. Bone scintigrams were positive in all cases and were most useful in fractures of the tarsal bones excluding calcaneus. (author)

  16. Performance Evaluation of Frequent Subgraph Discovery Techniques

    Saif Ur Rehman


    Full Text Available Due to rapid development of the Internet technology and new scientific advances, the number of applications that model the data as graphs increases, because graphs have highly expressive power to model a complicated structure. Graph mining is a well-explored area of research which is gaining popularity in the data mining community. A graph is a general model to represent data and has been used in many domains such as cheminformatics, web information management system, computer network, and bioinformatics, to name a few. In graph mining the frequent subgraph discovery is a challenging task. Frequent subgraph mining is concerned with discovery of those subgraphs from graph dataset which have frequent or multiple instances within the given graph dataset. In the literature a large number of frequent subgraph mining algorithms have been proposed; these included FSG, AGM, gSpan, CloseGraph, SPIN, Gaston, and Mofa. The objective of this research work is to perform quantitative comparison of the above listed techniques. The performances of these techniques have been evaluated through a number of experiments based on three different state-of-the-art graph datasets. This novel work will provide base for anyone who is working to design a new frequent subgraph discovery technique.


    Ancy Mariam Babu


    Full Text Available Drastic growth in multimedia communication resulted to numerous security issues in the transmission of data. Moreover, the network used for the digital communication does not provide much security for the data transfer. During this time, tens of millions people using the internet options for essential communication and is being a tool for commercial field increased, So that security is an enormously important issue to deal with. We need to be protected confidentiality of data and provide secure connections for it. Hence we necessitate recognizing the different aspects of security and their applications. Many of these applications ranging from secure commerce, protecting passwords or pin and payments to private communications. As we know that, Cryptography is now becoming an essential aspect of the secure communication. Cryptography is the science of writing secret code with confident algorithm and key. The basic components of cryptography are encryption and decryption algorithms, digital signature and hashed message authentication code. We know that encryption is the synonym of cryptography. Different kinds of encryption are used in this modern era. Chaotic encryption is the type of the encryption which has adopted the concept of chaos. In this study, we are studying the history of cryptography until chaotic cryptography and analyzing the performance of chaotic encryption technique. The evaluation is performed in terms of encryption speed, the CPU utilization with time and the battery power consumption. The experimental results are specified the efficiency of the algorithms.

  18. Multilingual Database Management System: A Performance Evaluation

    Nurul H.M. Saad


    Full Text Available Problem statement: The use of English as well as Arabic language is increasingly evident in the aspects of international business and finance. This study explored the management of multilingual data in multilingual system, to cater two or more different speakers of Internet users. Approach: The proposed method divided into two ends: The front-end that consisted of the Client and the Translator components and the back-end where the management module and the database located. In this method, a single encoded table required to store information and corresponding dictionaries needed to store the multilingual data. The proposed method based on the framework presented in previous work with some modification to suit with characteristics of chosen languages. Results: Experimental evaluation was performed in storage requirement and mathematical analysis had been used to show the time of each database operations for both of the traditional and the proposed method. Conclusion/Recommendations: The proposed method found to be consistently performed well in the developed multilingual system.

  19. Imaging acquisition display performance: an evaluation and discussion of performance metrics and procedures.

    Silosky, Michael S; Marsh, Rebecca M; Scherzinger, Ann L


    When The Joint Commission updated its Requirements for Diagnostic Imaging Services for hospitals and ambulatory care facilities on July 1, 2015, among the new requirements was an annual performance evaluation for acquisition workstation displays. The purpose of this work was to evaluate a large cohort of acquisition displays used in a clinical environment and compare the results with existing performance standards provided by the American College of Radiology (ACR) and the American Association of Physicists in Medicine (AAPM). Measurements of the minimum luminance, maximum luminance, and luminance uniformity, were performed on 42 acquisition displays across multiple imaging modalities. The mean values, standard deviations, and ranges were calculated for these metrics. Additionally, visual evaluations of contrast, spatial resolution, and distortion were performed using either the Society of Motion Pictures and Television Engineers test pattern or the TG-18-QC test pattern. Finally, an evaluation of local nonuniformities was performed using either a uniform white display or the TG-18-UN80 test pattern. Displays tested were flat panel, liquid crystal displays that ranged from less than 1 to up to 10 years of use and had been built by a wide variety of manufacturers. The mean values for Lmin and Lmax for the displays tested were 0.28 ± 0.13 cd/m2 and 135.07 ± 33.35 cd/m2, respectively. The mean maximum luminance deviation for both ultrasound and non-ultrasound displays was 12.61% ± 4.85% and 14.47% ± 5.36%, respectively. Visual evaluation of display performance varied depending on several factors including brightness and contrast settings and the test pattern used for image quality assessment. This work provides a snapshot of the performance of 42 acquisition displays across several imaging modalities in clinical use at a large medical center. Comparison with existing performance standards reveals that changes in display technology and the move from cathode ray

  20. Clinical image quality evaluation for panoramic radiography in Korean dental clinics

    Choi, Bo Ram; Choi, Da Hye; Huh, Kyung Hoe; Yi, Won Jin; Heo, Min Suk; Choi, Soon Chul; Bae, Kwang Hak; Lee, Sam Sun [School of Dentistry, Seoul National University, Seoul (Korea, Republic of)


    The purpose of this study was to investigate the level of clinical image quality of panoramic radiographs and to analyze the parameters that influence the overall image quality. Korean dental clinics were asked to provide three randomly selected panoramic radiographs. An oral and maxillofacial radiology specialist evaluated those images using our self-developed Clinical Image Quality Evaluation Chart. Three evaluators classified the overall image quality of the panoramic radiographs and evaluated the causes of imaging errors. A total of 297 panoramic radiographs were collected from 99 dental hospitals and clinics. The mean of the scores according to the Clinical Image Quality Evaluation Chart was 79.9. In the classification of the overall image quality, 17 images were deemed 'optimal for obtaining diagnostic information,' 153 were 'adequate for diagnosis,' 109 were 'poor but diagnosable,' and nine were 'unrecognizable and too poor for diagnosis'. The results of the analysis of the causes of the errors in all the images are as follows: 139 errors in the positioning, 135 in the processing, 50 from the radiographic unit, and 13 due to anatomic abnormality. Panoramic radiographs taken at local dental clinics generally have a normal or higher-level image quality. Principal factors affecting image quality were positioning of the patient and image density, sharpness, and contrast. Therefore, when images are taken, the patient position should be adjusted with great care. Also, standardizing objective criteria of image density, sharpness, and contrast is required to evaluate image quality effectively.

  1. 48 CFR 1252.216-72 - Performance evaluation plan.


    ....216-72 Performance evaluation plan. As prescribed in (TAR) 48 CFR 1216.406(b), insert the following clause: Performance Evaluation Plan (OCT 1994) (a) A Performance Evaluation Plan shall be unilaterally... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Performance...

  2. DRACS thermal performance evaluation for FHR

    Highlights: • A computer code for DRACS thermal performance evaluation for FHR is developed. • The code is validated using available experimental data from the literature. • The code is applied to a High-Temperature DRACS Test Facility (HTDF) at the OSU. - Abstract: Direct Reactor Auxiliary Cooling System (DRACS) is a passive decay heat removal system proposed for the Fluoride-salt-cooled High-temperature Reactor (FHR) that combines coated particle fuel and a graphite moderator with a liquid fluoride salt as the coolant. The DRACS features three coupled natural circulation/convection loops, relying completely on buoyancy as the driving force. These loops are coupled through two heat exchangers, namely, the DRACS Heat Exchanger and the Natural Draft Heat Exchanger. In addition, a fluidic diode is employed to minimize the parasitic flow into the DRACS primary loop and correspondingly the heat loss to the DRACS during normal operation of the reactor, and to keep the DRACS ready for activation, if needed, during accidents. To help with the design and thermal performance evaluation of the DRACS, a computer code using MATLAB has been developed. This code is based on a one-dimensional formulation and its principle is to solve the energy balance and integral momentum equations. By discretizing the DRACS system in the axial direction, a bulk mean temperature is assumed for each mesh cell. The temperatures of all the cells, as well as the mass flow rates in the DRACS loops, are predicted by solving the governing equations that are obtained by integrating the energy conservation equation over each cell and integrating the momentum conservation equation over each of the DRACS loops. In addition, an intermediate heat transfer loop equipped with a pump has also been modeled in the code. This enables the study of flow reversal phenomenon in the DRACS primary loop, associated with the pump trip process. Experimental data from a High-Temperature DRACS Test Facility (HTDF) are

  3. How nurses seek and evaluate clinical guidelines on the Internet

    Verhoeven, Fenne; Steehouder, Michael F.; Hendrix, Ron M.G.; Gemert-Pijnen, van Julia E.W.C.


    Aim: This paper is a report of a study conducted to assess nurses’ information-seeking strategies and problems encountered when seeking clinical guidelines on the Internet, and to investigate the criteria they apply when evaluating the guidelines and the websites communicating the guidelines. - Back

  4. Clinical and radiographic evaluation of a polyester prosthesis in dogs with cranial cruciate ligament rupture

    Clinical and radiographic findings after intra-articular replacement of cranial cruciate ligament with a polyester prosthesis using a modified over-the-top technique were evaluated in six dogs. Seven surgeries were done due to bilateral involvement of the cranial cruciate ligament in one dog. Clinical evaluation was performed on postoperative days 3, 10 and 40, and radiographic evaluation was done at 5 and 24 months after surgery in five dogs, where signs of progressive degenerative joint disease were confirmed. Resolution of clinical signs was observed from 25 to 68 days after surgery as evaluated by dog owners. Overall function of joint movement after surgery was classified as good. Two dogs presented fraying of the implant after surgery. It was concluded that the polyester prosthesis, as implanted in these dogs, was not a satisfactory replacement for the injured ligament, as better results may be obtained with less invasive and simpler techniques

  5. The UK clinical aptitude test and clinical course performance at Nottingham: a prospective cohort study

    Yates, Janet; James, David


    Background The UK Clinical Aptitude Test (UKCAT) was introduced in 2006 as an additional tool for the selection of medical students. It tests mental ability in four distinct domains (Verbal Reasoning, Quantitative Reasoning, Abstract Reasoning, and Decision Analysis), and the results are available to students and admission panels in advance of the selection process. Our first study showed little evidence of any predictive validity for performance in the first two years of the Nottingham un...

  6. 40 CFR 63.2354 - What performance tests, design evaluations, and performance evaluations must I conduct?


    ... procedures specified in subpart SS of this part. (3) For each performance evaluation of a continuous emission... in § 63.997(e)(1)(v)(A) and (B). (3)(i) In addition to EPA Method 25 or 25A of 40 CFR part 60... of 40 CFR part 60, appendix A, as specified in paragraph (b)(3)(i) of this section. As an...


    This document describes the results of an evaluation of the current Integrated Water Treatment System (IWTS) operation against design performance and a determination of short term and long term actions recommended to sustain IWTS performance. The KW IWTS was designed to treat basin water and maintain basin clarity during fuel retrieval, washing, and packaging activities in the KW Basin. The original design was based on a mission that was limited to handling of KW Basin fuel. The use of the IWTS was extended by the decision to transfer KE fuel to KW to be cleaned and packaged using KW systems. The use was further extended for the packaging of two more Multi-Canister Overpacks (MCOs) containing legacy fuel and scrap. Planning is now in place to clean and package Knock Out Pot (KOP) Material in MCOs using these same systems. Some washing of KOP material in the Primary Cleaning Machine (PCM) is currently being done to remove material that is too small or too large to be included in the KOP Material stream. These plans will require that the IWTS remain operational through a campaign of as many as 30 additional MCOs, and has an estimated completion date in 2012. Recent operation of the IWTS during washing of canisters of KOP Material has been impacted by low pressure readings at the inlet of the P4 Booster Pump. The system provides a low pressure alarm at 10 psig, and low-low pressure interlock at 5 psig. The response to these low readings has been to lower total system flow to between 301 and 315 gpm. In addition, the IWTS operator has been required to operate the system in manual mode and make frequent adjustments to the P4 booster pump speed during PCM washes. The preferred mode of operation is to establish a setpoint of 317 gpm for the P4 pump speed and run IWTS in semi-automatic mode. Based on hydraulic modeling compared to field data presented in this report, the low P4 inlet pressure is attributed to restrictions in the 2-inch KOP inlet hose and in the KOP itself


    O. Marusych


    Full Text Available Currently, understanding of what constitutes a business process, what internal factors impact the company's performance make airlines review the methods for assessing their performance. To assess the profitability of the processes, several different methods were developed whose approbation proved both their popularity and the reliability of the results: the concept of the economic value added (EVA, a Balanced Scorecard (BSC and the process-oriented cost-benefit analysis (BPA. The concept of the economic value added is now claiming to play a leading role in determining the shapes and structural elements of the methodology of corporate governance in the world. The system of parameters that characterize the activities of an airline within the concept of cost management, has constantly been updated. With the introduction of modern information technologies, appearing of new ideas the parameters are becoming more objective and complex. Despite the fact that the system of parameters is an indicator of the general state of an enterprise, it would be wrong to only limit oneself to their analysis. In order to immediately prevent or solve any problems arising at a plant, a system of timely and reliable indicators performance is required to most fully evaluate the efficiency of an airline as a whole. Such a system is a balanced system of efficiency indexes. It can significantly improve the quality of business management, especially if a company has several activities. By means of this technique it is possible to assess the effectiveness of not only individual investments or projects, but also of entire companies or commercial entities. The problem of a balanced scorecard is that it does not solve the fundamental problems of performance measurement and gives guidelines how to combine diverse indicators into an overall assessment of effectiveness. This problem of a combination of different types of indicators is resolved through a process-oriented analysis of

  9. When Performance Trumps Gender Bias: Joint Versus Separate Evaluation

    Bohnet, Iris; Van Geen, Alexandra Vivien; Max H. Bazerman


    We examine a new intervention to overcome gender biases in hiring, promotion, and job assignments: an “evaluation nudge,†in which people are evaluated jointly rather than separately regarding their future performance. Evaluators are more likely to focus on individual performance in joint than in separate evaluation and on group stereotypes in separate than in joint evaluation, making joint evaluation the money-maximizing evaluation procedure. Our findings are compatible with a behavioral ...

  10. Evaluation Guidelines for the Clinical and Translational Science Awards (CTSAs)

    Trochim, William M.; Rubio, Doris M.; Thomas, Veronica G.


    The National Center for Advancing Translational Sciences (NCATS), a part of the National Institutes of Health, currently funds the Clinical and Translational Science Awards (CTSAs), a national consortium of 61 medical research institutions in 30 states and the District of Columbia. The program seeks to transform the way biomedical research is conducted, speed the translation of laboratory discoveries into treatments for patients, engage communities in clinical research efforts, and train a new generation of clinical and translational researchers.. An endeavor as ambitious and complex as the CTSA program requires high-quality evaluations in order to show that the program is well implemented, efficiently managed, and demonstrably effective. In this article, the Evaluation Key Function Committee of the CTSA Consortium presents an overall framework for evaluating the CTSA program and offers policies to guide the evaluation work. The guidelines set forth are designed to serve as a tool for education within the CTSA community by illuminating key issues and practices that should be considered during evaluation planning, implementation, and utilization. Additionally, these guidelines can provide a basis for ongoing discussions about how the principles articulated in this article can most effectively be translated into operational reality. PMID:23919366