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Sample records for chart review study

  1. A retrospective chart review of pirfenidone-treated patients in Sweden: the REPRIS study

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    Carl Magnus Sköld

    2016-07-01

    Full Text Available Background: Idiopathic pulmonary fibrosis (IPF is a chronic, progressive lung disease that usually results in respiratory failure and death. Pirfenidone was approved as the first licensed therapy for IPF in Europe based on phase III trials where patients with a forced vital capacity (FVC >50% of predicted were included. The aim of this study was to characterise patients treated with pirfenidone in Swedish clinical practice and to describe the adherence to the reimbursement restriction since reimbursement was only applied for patients with FVC below 80% of predicted. Methods: This was a retrospective, observational chart review of IPF patients treated with pirfenidone from three Swedish university clinics. Patients initiated on treatment during the period 28 June 2012 to 20 November 2014 were included. Data on patient characteristics, basis of diagnosis, treatment duration, quality of life, and adverse drug reactions (ADRs were collected from medical charts. Results: Forty-four patients were screened and 33 were included in the study. The mean treatment duration from start of pirfenidone until discontinuation or end of study was 38 weeks. At the initiation of pirfenidone treatment, FVC was 62.7% (12.1 [mean (SD], diffusion capacity (DLco was 45.1% (13.8 of predicted, and the ratio of forced expiratory volume on 1 sec (FEV1 to FVC was 0.78 (0.1. The percentage of patients with an FVC between 50 and 80% was 87%. Ten of the patients had ADRs including gastrointestinal and skin-related events, cough and signs of impaired hepatic function, but this led to treatment discontinuation in only two patients. Conclusion: Data from this chart review showed that adherence to the Swedish reimbursement restriction was followed in the majority of patients during the study period. At the start of pirfenidone treatment, lung function, measured as FVC, was lower in the present cohort of Swedish IPF patients compared with other registry and real-life data. About a

  2. The retrospective chart review: important methodological considerations

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    Vassar Matt

    2013-11-01

    Full Text Available In this paper, we review and discuss ten common methodological mistakes found in retrospective chart reviews. The retrospective chart review is a widely applicable research methodology that can be used by healthcare disciplines as a means to direct subsequent prospective investigations. In many cases in this review, we have also provided suggestions or accessible resources that researchers can apply as a “best practices” guide when planning, conducting, or reviewing this investigative method.

  3. A European chart review study on early rheumatoid arthritis treatment patterns, clinical outcomes, and healthcare utilization.

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    Emery, Paul; Solem, Caitlyn; Majer, Istvan; Cappelleri, Joseph C; Tarallo, Miriam

    2015-11-01

    This retrospective medical chart review aimed to provide a current, real-world overview of biologic usage in patients with rheumatoid arthritis (RA) in Germany, Spain, and the UK, and estimate clinical and healthcare utilization outcomes associated with early versus late treatment. Adults (≥18 years) with a confirmed RA diagnosis between January 2008 and December 2010, who received biologic treatment for ≥3 months and had ≥12 months of follow-up were included. Early treatment was receipt of biologic agent ≤1 year after RA diagnosis. Outcomes included 28-joint disease activity score (DAS28) reduction of ≥1.2 from biologic start and remission (DAS28 treatment, with a significant difference in Kaplan-Meier curves when indexing on time since diagnosis (p treatment.

  4. A Literature Review on the Fuzzy Control Chart; Classifications & Analysis

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    Mohammad Hossein Zavvar Sabegh

    2014-08-01

    Full Text Available Quality control plays an important role in increasing the product quality. Fuzzy control charts are more sensitive than Shewhart control chart. Hence, the correct use of fuzzy control chart leads to producing better-quality products. This area is complex because it involves a large scope of industries, and information is not well organized. In this research, we provide a literature review of the control chart under a fuzzy environment with proposing several classifications and analysis. Moreover, our research considered both attribute and variable control chart by analyzing the related researches based on the content analysis method, to classify past and current developments in the fuzzy control chart. This work has included a distribution of articles according to the journal, the case studies related to fuzzy control chart, the percentage of types of fuzzy control charts used in the literature, performance evaluation of the fuzzy control chart and summary of key points of each review paper. Finally, this paper discusses some future research direction and our overviews. The results of this study can help researchers become familiar with well-known journals, fuzzy control charts used in sample case studies, and to extract key points of each paper in minimum time.

  5. Charting Transnational Native American Studies

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    Hsinya Huang

    2012-06-01

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

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

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

    2013-04-01

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

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

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    Nagy, Joan; Szatmari, Peter

    1986-01-01

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

  8. Does pre-ordering tests enhance the value of the periodic examination? Study Design - Process implementation with retrospective chart review

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    Stroebel Robert J

    2011-09-01

    Full Text Available Abstract Background To evaluate the value of a pre-ordering process for the pro-active scheduling and completion of appropriate preventive and chronic disease monitoring tests prior to a periodic health examination (PHE. Methods A standardized template was developed and used by our nursing staff to identify and schedule appropriate tests prior to the patients PHE. Chart reviews were completed on all 602 PHE visits for a 3-month interval in a primary care setting. A patient satisfaction survey was administered to a convenience sample of the PHE patients. Results Of all the patients with tests pre-ordered, 87.8% completed the tests. All providers in the division used the process, but some evolved from one template to another over time. Most patients (61% preferred to get their tests done prior to their PHE appointment. Many of our patients had abnormal test results. With this process, patients were able to benefit from face-to-face discussion of these results directly with their provider. Conclusions A pre-order process was successfully implemented to improve the value of the PHE visit in an internal medicine primary care practice using a standardized approach that allowed for provider autonomy. The process was accepted by patients and providers and resulted in improved office efficiency through reduced message handling. Completion of routine tests before the PHE office visit can help facilitate face-to-face discussions about abnormal results and subsequent management that otherwise may only occur by telephone.

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

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

    2014-01-01

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

  10. Content knowledge and problem-solving skill in reviewing medical charts.

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    Dawson-Saunders, B; Mast, T A; Finch, W T; Konrad, H R; Folse, J R

    1984-01-01

    Skills in reviewing medical charts have been demonstrated components of clinical competence related to knowledge base, level of clinical experience, and basic observational skills. A study of the generalizability of performance on chart review exercises, which controlled for knowledge in the content area, was undertaken to determine their potential in evaluating students' problem-solving ability. Results of the study indicate that the case specificity which has characterized simulated problem-solving tasks is largely case, rather than content, specificity: correlations between scores on single charts demonstrated no consistent relationships for measures of proficiency, efficiency, and diagnostic accuracy. However, averaging the scores on two charts and then computing correlations resulted in significant positive measures for both proficiency and efficiency. The effects of length and difficulty level on the generalizability of tests of problem-solving ability are areas suggested for future research.

  11. Newly diagnosed exudative age-related macular degeneration treated with pegaptanib sodium monotherapy in US community-based practices: medical chart review study

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    Xu Xiao

    2010-02-01

    Full Text Available Abstract Background Studies have shown that early detection and treatment of neovascular age-related macular degeneration (NV-AMD can delay vision loss and blindness. The objective of this study was to evaluate the efficacy/safety of intravitreal pegaptanib sodium monotherapy in treatment-naïve subjects with newly diagnosed NV-AMD and to gain insight into characteristics of lesions treated in community-based practices. Methods From seven private US practices, charts were retrospectively reviewed on 73 subjects with previously untreated subfoveal choroidal NV-AMD treated with their first dose of pegaptanib monotherapy on/after 4/1/2005 through 6/5/2006, receiving ≥4 treatments at 6-week intervals over 21 weeks. Primary endpoint: mean visual acuity (VA change from baseline to month 6. Results 75% of lesions were occult, and 82% were subfoveal. From baseline to month 6, mean VA change was -0.68 lines; 58% and 16% gained ≥0 and ≥3 lines of VA, and 70% were responders ( Conclusion Pegaptanib is effective in real-world patients with treatment-naïve NV-AMD in uncontrolled community-based retina practices.

  12. Clinical experience of baclofen in alcohol dependence: A chart review

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    Abhijit R Rozatkar

    2016-01-01

    Full Text Available Introduction: Craving is recognized as a formidable barrier in the management of patients with alcohol dependence. Among pharmacological agents that have been used in experimental studies for reduction in craving, baclofen appears to have a significant advantage over other agents. Methodology: The study is retrospective chart review of patients (n = 113 who have been treated with baclofen for alcohol dependence in a tertiary hospital of North India. Baseline assessments included sociodemography, motivation, quantity-frequency of alcohol use, and other alcohol-related clinical parameters. Weekly assessments, for a period of 4 weeks, were extracted from records which included dose of baclofen, craving intensity, and alcohol consumption. Results: The study sample was predominantly male, mean age of 41.49 (±9.75 years, most having a family history of substance use (70.97%, and many reporting binge use pattern in last year (49.46%. Baseline assessment revealed 48.7% of the sample was in precontemplation phase for alcohol use and 70% reported severe and persistent craving. This persistent craving was reported by only 15% of the sample by the end of 4 weeks treatment with baclofen (20–40 mg/day. Thirty-four percent of patients reported continued problematic use of alcohol by the end of 4 weeks. Conclusion: Our clinical experience suggests that baclofen reduces craving and alcohol consumption including in those with poor motivation. The drug causes few side effects and does not add to the intoxication effect of alcohol. Considering that baclofen is safe in those with liver cirrhosis and reduces withdrawal symptoms due to alcohol, a controlled trial comparing it with standard treatment is required.

  13. Everolimus-Based Therapy versus Chemotherapy among Patients with HR+/HER2- Metastatic Breast Cancer: Comparative Effectiveness from a Chart Review Study.

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    Li, Nanxin; Hao, Yanni; Xie, Jipan; Lin, Peggy L; Koo, Valerie; Ohashi, Erika; Wu, Eric Q

    2015-01-01

    Objective. To compare the real-world effectiveness of everolimus-based therapy and chemotherapy in postmenopausal women with hormone-receptor-positive/human-epidermal-growth-factor-receptor-2-negative (HR+/HER2-) metastatic breast cancer (mBC). Methods. This retrospective chart review examined a nationwide sample of postmenopausal HR+/HER2- mBC women in community-based oncology practices. Patients received everolimus-based therapy or chemotherapy for mBC between 07/01/2012 and 04/15/2013, after failure of a non-steroidal aromatase inhibitor. Overall survival (OS), progression-free survival (PFS), and time on treatment (TOT) were compared using Kaplan-Meier analysis and Cox proportional hazards models adjusting for line of therapy and baseline characteristics. Results. 234 and 137 patients received everolimus-based therapy and chemotherapy. Patients treated with everolimus-based therapy tended to have less aggressive mBC than patients treated with chemotherapy. Multivariate-adjusted Cox models showed that everolimus-based therapy was associated with significantly longer OS [hazard ratio (HR) = 0.37, 95% confidence interval (CI): 0.22-0.63], PFS (HR = 0.70, 95% CI = 0.50-0.97), and TOT (HR = 0.34, 95% CI: 0.25-0.45) than chemotherapy. Adjusted comparative effectiveness results were generally consistent across lines of therapy. Conclusion. In this retrospective chart review of postmenopausal HR+/HER2- mBC patients, treatment with everolimus-based therapy was associated with longer OS, PFS, and TOT than chemotherapy.

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

    OpenAIRE

    2009-01-01

    Background Adherence has recently been suggested to be divided into these two components: persistence (i.e., whether patients continue treatment or not) and compliance (i.e., whether patients take doses as instructed). However, no study has yet assessed these two clinically relevant components at the same time in adherence to antidepressant treatment in the clinical outpatient setting. Methods In this retrospective chart-review, 6-month adherence to antidepressants was examined in 367 outpati...

  15. Use of basal insulin and the associated clinical outcomes among elderly nursing home residents with type 2 diabetes mellitus: a retrospective chart review study

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    Davis KL

    2014-10-01

    Full Text Available Keith L Davis,1 Wenhui Wei,2 Juliana L Meyers,1 Brett S Kilpatrick,3 Naushira Pandya4 1RTI Health Solutions, Research Triangle Park, NC, USA; 2Sanofi US, Inc, Bridgewater, NJ, USA; 3AnalytiCare, LLC, Glenview, IL, USA; 4Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, FL, USA Background: The management of type 2 diabetes mellitus in long-term care (LTC settings can be complex as a result of age-related complications. Despite guideline recommendations, sliding scale insulin remains commonplace in the LTC setting and data on basal insulin use are lacking.Methods: This retrospective study used medical chart data and the Minimum Data Set from elderly LTC facility patients who received basal insulin (insulin glargine, insulin detemir, or neutral protamine Hagedorn insulin for the treatment of diabetes, to investigate the practice patterns and associated clinical outcomes.Results: A total of 2,096 elderly, insulin-treated patients in LTC were identified, with 59.5% of them (N=1,247 receiving basal insulin. Of these, more than 50% of patients received sliding scale insulin in co-administration with basal insulin. Despite its ease of use, insulin pen use was very low, at 14.6%. Significant differences were observed between the basal insulin groups for glycated hemoglobin level and dosing frequency. Hypoglycemia was uncommon -17.2% of patients experienced at least one event, and there was no significant difference in the prevalence of hypoglycemia between the groups.Conclusion: These data suggest the underutilization of basal insulin in the LTC setting and worryingly high combinational use with sliding scale insulin. Differences in glycated hemoglobin and dosing frequencies between types of basal insulin warrant further comparative effectiveness studies. Keywords: long-term care, nursing homes, type 2 diabetes mellitus, insulin detemir, insulin glargine, NPH insulin

  16. Accelerating Chart Review Using Automated Methods on Electronic Health Record Data for Postoperative Complications

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    Hu, Zhen; Melton, Genevieve B.; Moeller, Nathan D.; Arsoniadis, Elliot G.; Wang, Yan; Kwaan, Mary R.; Jensen, Eric H.; Simon, Gyorgy J.

    2016-01-01

    Manual Chart Review (MCR) is an important but labor-intensive task for clinical research and quality improvement. In this study, aiming to accelerate the process of extracting postoperative outcomes from medical charts, we developed an automated postoperative complications detection application by using structured electronic health record (EHR) data. We applied several machine learning methods to the detection of commonly occurring complications, including three subtypes of surgical site infection, pneumonia, urinary tract infection, sepsis, and septic shock. Particularly, we applied one single-task and five multi-task learning methods and compared their detection performance. The models demonstrated high detection performance, which ensures the feasibility of accelerating MCR. Specifically, one of the multi-task learning methods, propensity weighted observations (PWO) demonstrated the highest detection performance, with single-task learning being a close second.

  17. Communication Between Acute Care Hospitals and Skilled Nursing Facilities During Care Transitions: A Retrospective Chart Review.

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    Jusela, Cheryl; Struble, Laura; Gallagher, Nancy Ambrose; Redman, Richard W; Ziemba, Rosemary A

    2017-03-01

    HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS 1.3 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. To obtain contact hours you must: 1. Read the article, "Communication Between Acute Care Hospitals and Skilled Nursing Facilities During Care Transitions: A Retrospective Chart Review" found on pages 19-28, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until February 29, 2020. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. ACTIVITY OBJECTIVES 1. Discuss problematic barriers during care transitions

  18. Loxapine for Reversal of Antipsychotic-Induced Metabolic Disturbances: A Chart Review

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    Jain, Seema; Andridge, Rebecca; Hellings, Jessica A.

    2016-01-01

    Loxapine substitution is a promising option for patients with autism spectrum disorder (ASD) who develop antipsychotic-induced metabolic illness. We performed a chart review of 15 adolescents and adults meeting DSM-IV-TR criteria for ASD, all with antipsychotic-associated weight gain, who received low dose loxapine in an attempt to taper or…

  19. Charting a professional course: a review of mentorship in medicine.

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    McKenna, Ann Marie; Straus, Sharon E

    2011-02-01

    Developing physicians require firm knowledge of the clinical science and technical procedures within their specialties, a knowledge base founded in residency and supplemented throughout training. However, the day-to-day practice of medicine demands the skillful balance of various leadership, administrative, educational, and research roles, and expertise that cannot be obtained from a textbook. This professional curriculum is increasingly being sought through mentorship, a relationship between a junior physician and an experienced advisor or mentor. The authors review the current literature for mentorship in medicine, including characteristics of successful mentors and their mentees, and the emerging role of formal institution-wide mentorship programs.

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

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

    2008-12-01

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

  1. Ischemic stroke management in West Scotland: a chart review

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    Verpillat, Patrice; Dorey, Julie; Guilhaume-Goulant, Chantal; Dabbous, Firas; Aballéa, Samuel

    2015-01-01

    Background Little information is available about the long-term management of ischemic stroke (IS) in West Scotland. In this study we aim to describe the management of IS at onset, admission, and during follow-up among patients who survived an IS event. Methods General practitioners (GPs) (n=20) were randomly selected to recruit IS patients and extract data about patient characteristics, hospitalizations, discharge, and ambulatory care from GP databases, hospital letters, and direct contact with patients and their relatives. Descriptive analyses were conducted. Results One hundred and one patients were included, with a mean age of 65.6±13.4. About half of the patients contacted their GPs at the time of onset (45.4%). Cardiovascular history was prevalent in 29.7% of cases, and 14% of all cases were recurrences. Of the patients, 89 (88%) were hospitalized with mean length of stay (LOS) 11.8 days. Treatment was administered on average within 12.9 hours of admission and 23.6% of the admitted patients received thrombolytic treatment. During the 1-year follow-up period, 33.6% of patients were rehospitalized and the mean LOS was 15.1±29.5 days. Further, patients on average sought nursing care (10.9%), physical therapy (45.5%), occupational therapy (27.7%), speech therapy (12.9%), and professional caregivers (12%). Conclusion The health-care resource utilization of IS patients is a major driver of economic burden. PMID:27123179

  2. Childhood Learning Disabilities and Atypical Dementia: A Retrospective Chart Review.

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    Alon Seifan

    Full Text Available To further our understanding of the association between self-reported childhood learning disabilities (LDs and atypical dementia phenotypes (Atypical Dementia, including logopenic primary progressive aphasia (L-PPA, Posterior Cortical Atrophy (PCA, and Dysexecutive-type Alzheimer's Disease (AD.This retrospective case series analysis of 678 comprehensive neuropsychological assessments compared rates of self-reported LD between dementia patients diagnosed with Typical AD and those diagnosed with Atypical Dementia. 105 cases with neuroimaging or CSF data available and at least one neurology follow-up were identified as having been diagnosed by the neuropsychologist with any form of neurodegenerative dementia. These cases were subject to a consensus diagnostic process among three dementia experts using validated clinical criteria for AD and PPA. LD was considered Probable if two or more statements consistent with prior LD were documented within the Social & Developmental History of the initial neuropsychological evaluation.85 subjects (Typical AD n=68, Atypical AD n=17 were included in the final analysis. In logistic regression models adjusted for age, gender, handedness, education and symptom duration, patients with Probable LD, compared to patients without Probable LD, were significantly more likely to be diagnosed with Atypical Dementia vs. Typical AD (OR 13.1, 95% CI 1.3-128.4. All three of the L-PPA cases reporting a childhood LD endorsed childhood difficulty with language. By contrast, both PCA cases reporting Probable childhood LD endorsed difficulty with attention and/or math.In people who develop dementia, childhood LD may predispose to atypical phenotypes. Future studies are required to confirm whether atypical neurodevelopment predisposes to regional-specific neuropathology in AD and other dementias.

  3. Study on Chart Based on Short Production Run

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

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

  4. Retrospective chart review of duloxetine and pregabalin in the treatment of painful neuropathy.

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    Mittal, Manoj; Pasnoor, Mamatha; Mummaneni, Reddiah B; Khan, Saud; McVey, April; Saperstein, David; Herbelin, Laura; Ridings, Larry; Wang, Yunxia; Dimachkie, Mazen M; Barohn, Richard J

    2011-09-01

    The primary aims of our study were to compare pregabalin and duloxetine in a neuromuscular clinic for diabetic neuropathic pain (DPN) and to study the effect of these medications in cryptogenic sensory polyneuropathy. We performed a retrospective chart review of 143 patients who were started on pregabalin or duloxetine during a 10-month period in a tertiary neuromuscular outpatient center for neuropathic pain. Duloxetine and pregabalin were started in 103 and 91 patients, respectively. Ninety-two patients tried only one of the two medications while both medications were used at different time periods in 51 patients. Follow-up was available for 87 patients on pregabalin and 89 patients on duloxetine. More patients with neuropathic pain reported an improvement with pregabalin (33%) than duloxetine (21%). Duloxetine (38%) had a higher frequency of side effects compared to pregabalin (30%). However, these differences between pregabalin and duloxetine were not statistically significant. Despite the study's limitations of retrospective design, these findings suggest that both pregabalin and duloxetine are probably effective for neuropathic pain, secondary to diabetes or cryptogenic sensory peripheral neuropathy in a tertiary care academic neuromuscular center. Prospective randomized controlled comparative effectiveness studies are required for both drugs in the treatment of neuropathic pain.

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

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    Gavigan, Geneviève; McEvoy, Alana; Walker, James

    2016-01-01

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

  6. Control charts, Cusum techniques and funnel plots. A review of methods for monitoring performance in healthcare.

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    Noyez, Luc

    2009-09-01

    Quality control in medicine is generating more and more interest. Industrial concepts of quality control have been refined and transformed to be useful in healthcare monitoring. Whereas medical practitioners first reaction to this new concept of quality control was negative 'we're treating patients, we're not a part of an industrial process', some dramatic cases of inferior medical performance urged the need to adequately monitor healthcare outcomes. To date, several methods have been described, and more and more reports deal with the subject. Most of us, however, are overwhelmed by the new and different tools in use such as Shewhart control charts, cumulative sum charts and funnel plots. This paper will review the methodology of statistical process control and its application in medical practice.

  7. Methadone for the treatment of Prescription Opioids Dependence. A retrospective chart review.

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    Barrio, Pablo; Ezzeldin, Mohamed; Bruguera, Pol; Pérez, Ana; Mansilla, Sara; Fàbrega, Marina; Lligoña, Anna; Mondón, Sílvia; Balcells, Mercè

    2016-06-14

    Prescription opioids (PO) addiction is increasing to an epidemic level. Few studies exist regarding its treatment. Although buprenorphine has been the mainstay so far, other treatment options might be considered, such as methadone. We conducted a retrospective assessment of all patients admitted to a psychiatry ward for PO detoxification using methadone between 2010 and 2013. The assessment and description was carried out during a 3-month follow-up period after their discharge. Although this is a retrospective chart review, our exploration included sociodemographic and treatment variables in addition to the abstinence rates for the whole sample. Eleven patients were included, mostly women (81.8%), with a median age of 50 years. The median duration of dependence was 8 years. Dependence on other substances and psychiatric comorbidities were high. Eight patients were monitored during three months. Of these, 7 (87.5%) were abstinent after that period. The results suggest that methadone deserves further exploration as a potentially efficacious treatment option for PO dependence.

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

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    Cindy L. Lamerson

    2012-01-01

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

  9. SU-E-T-408: Evaluation of the Type and Frequency of Variations Discovered During Routine Secondary Patient Chart Review

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    Hardin, M; Harrison, A; Lockamy, V; Li, J; Peng, C; Potrebko, P; Yu, Y; Doyle, L; Cao, J [Thomas Jefferson University, Philadelphia, PA (United States)

    2015-06-15

    Purpose: Desire to improve efficiency and throughput inspired a review of our physics chart check procedures. Departmental policy mandates plan checks pre-treatment, after first treatment and weekly every 3–5 days. This study examined the effectiveness of the “after first” check with respect to improving patient safety and clinical efficiency. Type and frequency of variations discovered during this redundant secondary review was examined over seven months. Methods: A community spreadsheet was created to record variations in care discovered during chart review following the first fraction of treatment and before the second fraction (each plan reviewed prior to treatment). Entries were recorded from August 2014 through February 2015, amounting to 43 recorded variations out of 906 reviewed charts. The variations were divided into categories and frequencies were assessed month-to-month. Results: Analysis of recorded variations indicates an overall variation rate of 4.7%. The initial rate was 13.5%; months 2–7 average 3.7%. The majority of variations related to discrepancies in documentation at 46.5%, followed by prescription, plan deficiency, and dose tracking related variations at 25.5%, 12.8%, and 12.8%, respectively. Minor variations (negligible consequence on patient treatment) outweighed major variations 3 to 1. Conclusion: This work indicates that this redundant secondary check is effective. The first month spike in rates could be due to the Hawthorne/observer effect, but the consistent 4% variation rate suggests the need for periodical re-training on variations noted as frequent to improve awareness and quality of the initial chart review process, which may lead to improved treatment quality, patient safety and increased clinical efficiency. Utilizing these results, a continuous quality improvement process following Deming’s Plan-Do-Study-Act (PDSA) methodology was generated. The first iteration of this PDSA was adding a specific dose tracking

  10. Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review

    Directory of Open Access Journals (Sweden)

    Olson Matthew D

    2012-08-01

    Full Text Available Abstract Background Medical records that do not accurately reflect the patient’s current medication list are an open invitation to errors and may compromise patient safety. Methods This cross-sectional study compares primary care provider (PCP medication lists and pharmacy claims for 100 patients seen in 8 primary care practices and examines the association of congruence with demographic, clinical, and practice characteristics. Medication list congruence was measured as agreement of pharmacy claims with the entire PCP chart, including current medication list, visit notes, and correspondence sections. Results Congruence between pharmacy claims and the PCP chart was 65%. Congruence was associated with large chronic disease burden, frequent PCP visits, group practice, and patient age ≥45 years. Conclusion Agreement of medication lists between the PCP chart and pharmacy records is low. Medication documentation was more accurate among patients who have more chronic conditions, those who have frequent PCP visits, those whose practice has multiple providers, and those at least 45 years of age. Improved congruence among patients with multiple chronic conditions and in group practices may reflect more frequent visits and reviews by providers.

  11. [Study and application of "binocular aniseikonia test chart"].

    Science.gov (United States)

    Liu, A N; Yan, S M

    1994-09-01

    With the help of this chart, the image incongruity of simultaneous perception, fusion and stereoscopic vision can be precisely determined. It can objectively evaluate the binocular visual function and possesses important significance for the diagnosis and treatment of anisometropia, amblyopia, strabismus and visual fatigue.

  12. Use of national and international growth charts for studying height in European children: development of up-to-date European height-for-age charts.

    Directory of Open Access Journals (Sweden)

    Marjolein Bonthuis

    Full Text Available BACKGROUND: Growth charts based on data collected in different populations and time periods are key tools to assess children's linear growth. We analyzed the impact of geographic factors and the secular trend on height-for-age charts currently used in European populations, developed up-to-date European growth charts, and studied the effect of using different charts in a sample of growth retarded children. METHODS AND FINDINGS: In an international survey we obtained 18 unique national height-for-age charts from 28 European countries and compared them with charts from the World Health Organization (WHO, Euro-Growth reference, and Centers of Disease Control and Prevention (CDC. As an example, we obtained height data from 3,534 children with end-stage renal disease (ESRD from 13 countries via the ESPN/ERA-EDTA registry, a patient group generally suffering from growth retardation. National growth charts showed a clear secular trend in height (mean height increased on average 0.6 cm/decade and a North-South height gradient in Europe. For countries without a recent (>1990 national growth chart novel European growth charts were constructed from Northern and Southern European reference populations, reflecting geographic height differences in mean final height of 3.9 cm in boys and 3.8 cm in girls. Mean height SDS of 2- to 17-year-old ESRD patients calculated from recent national or derived European growth charts (-1.91, 95% CI: -1.97 to -1.85 was significantly lower than when using CDC or WHO growth charts (-1.55, 95% CI: -1.61 to -1.49 (P<0.0001. CONCLUSION: Differences between height-for-age charts may reflect true population differences, but are also strongly affected by the secular trend in height. The choice of reference charts substantially affects the clinical decision whether a child is considered short-for-age. Therefore, we advocate using recent national or European height-for-age charts derived from recent national data when monitoring growth

  13. The incidence of vitamin D deficiency in the obese: a retrospective chart review

    Directory of Open Access Journals (Sweden)

    Deepu Daniel

    2015-02-01

    Full Text Available Objective: To determine whether the obese population is more likely to be vitamin D deficient compared to healthy and overweight individuals. Patients and methods: A retrospective chart review was performed for patients seen in two ambulatory clinics in South Florida over a 1-year period (n=402. Patients’ vitamin D levels drawn during annual wellness visits were analyzed. Subjects were categorized based on body mass index (BMI as normal (BMI 30.0. Their 25-OH vitamin D status was defined as normal (>30 ng/mL, insufficient (20.0–29.9 ng/mL, and deficient (<20 ng/mL. The study included both men and women of black, white, Hispanic, and Asian races. Other variables in the study included age, history of hypertension, and diabetes. Patients with conditions leading to vitamin D malabsorption (chronic pancreatitis, celiac disease, Crohn's disease, cystic fibrosis, ileocecal resection were excluded. Patients with prior vitamin D supplementation were also excluded. Results: The results of the study indicated a significant association of vitamin D deficiency and obesity (p<0.05. Patients who were obese had a relative risk of 3.36 (95% CI: 1.50–7.54 for vitamin D deficiency compared to subjects with normal BMI. The study also showed a significant association between vitamin D levels and obesity when controlling for age, race, and presence of hypertension (p <0.05, with Asians and blacks more likely to be vitamin D deficient. Conclusion: These results demonstrated that obesity was a risk factor for vitamin D deficiency in all races, especially the Asian and black populations. This suggests that physicians should screen for vitamin D deficiency in the obese populations, especially among Asian and black races.

  14. Clozapine Treatment and Cannabis Use in Adolescents with Psychotic Disorders – A Retrospective Cohort Chart Review

    Science.gov (United States)

    Tang, Sephora M.; Ansarian, Aylar; Courtney, Darren B.

    2017-01-01

    Objectives To examine the association between clozapine treatment and frequency of cannabis use in adolescents with co-occurring psychotic and cannabis use disorder in a retrospective cohort chart review. Method We conducted a retrospective cohort chart review of patients diagnosed with a psychotic disorder and concurrent cannabis use disorder admitted to a tertiary care youth inpatient unit from 2010–2012. Longitudinal exposure and outcome data was coded month-by-month. Frequency of cannabis use was measured using a 7-point ordinal scale. Severity of psychosis was measured on a 3-point ordinal scale. Mixed effects regression modeling was used to describe the relationship between exposure and outcome variables. Results Thirteen patients had exposure to clozapine and fourteen had no exposure to clozapine. Cannabis use decreased in patients treated with clozapine, compared to patients treated with other antipsychotics (OR 2.8; 95% CI 0.97–7.9). Compared to no medication, clozapine exposure was associated with significantly less cannabis use (OR 7.1; 95% CI 2.3–22.3). Relative to treatment with other antipsychotics, clozapine exposure was significantly associated with lower severity of psychotic symptoms (OR 3.7; 95% CI 1.2–11.8). Conclusions Clozapine may lead to decreased cannabis use and psychotic symptoms in adolescents with concurrent psychosis and substance use. Clinical trials are warranted. PMID:28331504

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

    Directory of Open Access Journals (Sweden)

    Slothower Molly P

    2006-08-01

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

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

    Directory of Open Access Journals (Sweden)

    Sawada Norifusa

    2009-06-01

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

  17. Aripiprazole Augmentation in the Treatment of Military-Related PTSD with Major Depression: a retrospective chart review

    Directory of Open Access Journals (Sweden)

    Fikretoglu Deniz

    2011-05-01

    Full Text Available Abstract Background In this chart review, we attempted to evaluate the benefits of adding aripiprazole in veterans with military-related PTSD and comorbid depression, who had been minimally or partially responsive to their existing medications. Methods A retrospective chart review of patients who received an open-label, flexible-dose, 12- week course of adjunctive aripiprazole was conducted in 27 military veterans meeting DSM-IV criteria for PTSD and comorbid major depression. Concomitant psychiatric medications continued unchanged, except for other antipsychotics which were discontinued prior to initiating aripiprazole. The primary outcome variable was a change from baseline in the PTSD checklist-military version (PCL-M and the Beck Depression Inventory (BDI-II. Results PTSD severity (Total PCL scores decreased from 56.11 at baseline to 46.85 at 12-weeks (p Conclusions The addition of aripiprazole contributed to a reduction in both PTSD and depression symptomatology in a population that has traditionally demonstrated poor pharmacological response. Further investigations, including double-blind, placebo-controlled studies, are essential to confirm and further demonstrate the benefit of aripiprazole augmentation in the treatment of military related PTSD.

  18. A critical review of the hypothesis of a medieval origin for portolan charts

    NARCIS (Netherlands)

    Nicolai, R.

    2014-01-01

    Portolan charts are nautical charts, which appear suddenly in the thirteenth century Mediterranean world, without any discernable development path or predecessors. These charts are remarkable for the high degree of realism and accuracy with which they render the coastlines of their core coverage are

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

    Directory of Open Access Journals (Sweden)

    Hoffman DA

    2012-06-01

    useful, particularly in treatment-resistant patients, in helping to guide medication selection. Based on the preliminary data obtained from this chart review, additional studies are warranted to establish the safety and efficacy of adding PEER data when making medication decisions.Keywords: PEER, referenced-EEG, QEEG, adverse events, medication selection, off label

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

    Directory of Open Access Journals (Sweden)

    Michelle T. Weckmann

    2014-01-01

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

  1. Charting a roadmap for heart failure biomarker studies.

    Science.gov (United States)

    Ahmad, Tariq; Fiuzat, Mona; Pencina, Michael J; Geller, Nancy L; Zannad, Faiez; Cleland, John G F; Snider, James V; Blankenberg, Stephan; Adams, Kirkwood F; Redberg, Rita F; Kim, Jae B; Mascette, Alice; Mentz, Robert J; O'Connor, Christopher M; Felker, G Michael; Januzzi, James L

    2014-10-01

    Heart failure is a syndrome with a pathophysiological basis that can be traced to dysfunction in several interconnected molecular pathways. Identification of biomarkers of heart failure that allow measurement of the disease on a molecular level has resulted in enthusiasm for their use in prognostication and selection of appropriate therapies. However, despite considerable amounts of information available on numerous biomarkers, inconsistent research methodologies and lack of clinical correlations have made bench-to-bedside translations rare and left the literature with countless publications of varied quality. There is a need for a systematic and collaborative approach aimed at definitively studying the clinical benefits of novel biomarkers. In this review, on the basis of input from academia, industry, and governmental agencies, we propose a systematized approach based on adherence to specific quality measures for studies looking to augment current prediction model or use biomarkers to tailor therapeutics. We suggest that study quality, rather than results, should determine publication and propose a system for grading biomarker studies. We outline the need for collaboration between clinical investigators and statisticians to introduce more advanced statistical methodologies into the field of biomarkers that would allow for data from a large number of variables to be distilled into clinically actionable information. Lastly, we propose the creation of a heart failure biomarker consortium that would allow for a comprehensive list of biomarkers to be concomitantly analyzed in a pooled sample of randomized clinical trials and hypotheses to be generated for testing in biomarker-guided trials. Such a consortium could collaborate in sharing samples to identify biomarkers, undertake meta-analyses on completed trials, and spearhead clinical trials to test the clinical utility of new biomarkers.

  2. Influence of proton pump inhibitors and histamine H2 receptor antagonists on serum phosphorus level control by calcium carbonate in patients undergoing hemodialysis: a retrospective medical chart review

    OpenAIRE

    Tatsuzawa, Masaomi; Ogawa, Ryuichi; OHKUBO, Atsushi; Shimojima, Kazuyo; Maeda, Kunimi; Echizen, Hirotoshi; Miyazaki, Akihisa

    2016-01-01

    Background Hyperphosphatemia is one of the common complications in patients undergoing hemodialysis. Although calcium carbonate (CaC) is often used to control serum inorganic phosphorus level in dialysis patients, co-administration of gastric acid reducers (ARs) may interfere with the phosphate binding effect of CaC. We performed a retrospective medical chart review to study whether ARs attenuate the hypophosphatemic effect of CaC in patients undergoing hemodialysis. Methods One hundred and e...

  3. A Retrospective Chart Review of 10 Hz Versus 20 Hz Repetitive Transcranial Magnetic Stimulation for Depression

    Directory of Open Access Journals (Sweden)

    Kristie L. DeBlasio

    2012-12-01

    Full Text Available We performed a retrospective chart review to examine the progress of patients with depression who received different frequencies of repetitive transcranial magnetic stimulation (rTMS delivered to the left dorsolateral prefrontal cortex (DLPFC. rTMS is a safe and effective alternative treatment for patients with various psychological and medical conditions. During treatment, a coil delivering a time-varying magnetic pulse placed over the scalp penetrates the skull, resulting in clinical improvement. There were 47 patients and three distinct treatment groups found: 10 Hz, 20 Hz, and a separate group who received both frequencies (10/20 Hz. The primary outcome indicator was the difference in Beck Depression Inventory–II (BDI-II scores. Secondary outcomes included categorical indicators of remission, response, and partial response rates as assessed with the BDI-II. In all 3 groups, the majority of patients had depression that remitted, with the highest rate occurring in the 20 Hz group. There were similar response rates in the 10 Hz and 20 Hz groups. There were no patients in the 10/20 Hz group whose depression responded and the highest partial response and nonresponse rates occurred in this group. Although within-group differences were significant from baseline to end of treatment, there were no between-group differences.

  4. Using Statistical Process Control Charts to Study Stuttering Frequency Variability during a Single Day

    Science.gov (United States)

    Karimi, Hamid; O'Brian, Sue; Onslow, Mark; Jones, Mark; Menzies, Ross; Packman, Ann

    2013-01-01

    Purpose: Stuttering varies between and within speaking situations. In this study, the authors used statistical process control charts with 10 case studies to investigate variability of stuttering frequency. Method: Participants were 10 adults who stutter. The authors counted the percentage of syllables stuttered (%SS) for segments of their speech…

  5. Individually customised fetal weight charts derived from ultrasound measurements: the Generation R Study.

    Science.gov (United States)

    Gaillard, Romy; de Ridder, Maria A J; Verburg, Bero O; Witteman, Jacqueline C M; Mackenbach, Johan P; Moll, Henriëtte A; Hofman, Albert; Steegers, Eric A P; Jaddoe, Vincent W V

    2011-12-01

    Maternal and fetal characteristics are important determinants of fetal growth potential, and should ideally be taken into consideration when evaluating fetal growth variation. We developed a model for individually customised growth charts for estimated fetal weight, which takes into account physiological maternal and fetal characteristics known at the start of pregnancy. We used fetal ultrasound data of 8,162 pregnant women participating in the Generation R Study, a prospective, population-based cohort study from early pregnancy onwards. A repeated measurements regression model was constructed, using backward selection procedures for identifying relevant maternal and fetal characteristics. The final model for estimating expected fetal weight included gestational age, fetal sex, parity, ethnicity, maternal age, height and weight. Using this model, we developed individually customised growth charts, and their corresponding standard deviations, for fetal weight from 18 weeks onwards. Of the total of 495 fetuses who were classified as small size for gestational age (measurements in a large population-based study to fit a model to construct individually customised growth charts, taking into account physiological maternal and fetal characteristics. These charts might be useful for use in epidemiological studies and in clinical practice.

  6. A retrospective chart review: adolescents with borderline personality disorder, borderline personality traits, and controls.

    Science.gov (United States)

    Jopling, Ellen N; Khalid-Khan, Sarosh; Chandrakumar, Shivani F; Segal, Shira C

    2016-07-21

    With an estimated lifetime prevalence as high as 5.9% in the general population, borderline personality disorder (BPD) is a psychiatric disorder characterized by marked impulsivity as well as difficulties in interpersonal relationships, self-image, and affects. The burden on the health care system is immense with BPD patients accounting for 10%-20% of the patients in mental health outpatient facilities and 15%-40% in mental health inpatient facilities. Further, while 75%-80% of BPD patients attempt to commit suicide, 10% succeed; this mortality rate exceeds even that of anorexia nervosa which, with a weighted mortality rate of 5.1%, has often been considered to have the highest mortality rate of any mental disorder. In order to provide treatment and to implement preventative measures, a risk profile as well as clinical features must be identified within the adolescent population. This is presently crucial, as the current criteria for BPD are not developmentally focused, and as a result, criteria initially developed for the adult population are being applied in diagnoses of adolescents. A population of adolescents (n=80) between 16 and 19 years of age meeting the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria either for BPD traits (n=46) or for BPD (n=36) were included in a retrospective chart review; a control group consisting of n=30 mood and anxiety control subjects were included to allow for further comparisons. Complex significant differences were discovered between the three groups in the following areas: history of sexual abuse, suicidal ideation, internalizing/externalizing symptoms, interpersonal difficulties, impulsivity, pre-perinatal stress, bullying, substance abuse, anxiety disorders, disruptive disorders, and finally, learning disorders.

  7. Simple acupoints prescription flow chart based on meridian theory: a retrospective study in 102 dogs.

    Science.gov (United States)

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

    2013-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Jong-Ho Jeong

    2013-01-01

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

  9. Quality Assurance Peer Review Chart Rounds in 2011: A Survey of Academic Institutions in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Lawrence, Yaacov Richard, E-mail: yaacovla@gmail.com [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Sheba Medical Center, Tel HaShomer (Israel); Sackler School of Medicine, Tel Aviv University (Israel); Whiton, Michal A. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Skagit Valley Hospital Regional Cancer Care Center, Mt. Vernon, Washington (United States); Symon, Zvi [Department of Radiation Oncology, Sheba Medical Center, Tel HaShomer (Israel); Sackler School of Medicine, Tel Aviv University (Israel); Wuthrick, Evan J. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Ohio State University, Columbus, Ohio (United States); Doyle, Laura; Harrison, Amy S.; Dicker, Adam P. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States)

    2012-11-01

    Purpose: In light of concerns regarding the quality of radiation treatment delivery, we surveyed the practice of quality assurance peer review chart rounds at American academic institutions. Methods and Materials: An anonymous web-based survey was sent to the chief resident of each institution across the United States. Results: The response rate was 80% (57/71). The median amount of time spent per patient was 2.7 minutes (range, 0.6-14.4). The mean attendance by senior physicians and residents was 73% and 93%, respectively. A physicist was consistently present at peer review rounds in 66% of departments. There was a close association between attendance by senior physicians and departmental organization: in departments with protected time policies, good attendance was 81% vs. 31% without protected time (p = 0.001), and in departments that documented attendance, attending presence was 69% vs. 29% in departments without documentation (p < 0.05). More than 80% of institutions peer review all external beam therapy courses; however, rates were much lower for other modalities (radiosurgery 58%, brachytherapy 40%-47%). Patient history, chart documentation, and dose prescription were always peer reviewed in >75% of institutions, whereas dosimetric details (beams, wedges), isodose coverage, intensity-modulated radiation therapy constraints, and dose-volume histograms were always peer reviewed in 63%, 59%, 42%, and 50% of cases, respectively. Chart rounds led to both minor (defined as a small multileaf collimator change/repeated port film) and major (change to dose prescription or replan with dosimetry) treatment changes. Whereas at the majority of institutions changes were rare (<10% of cases), 39% and 11% of institutions reported that minor and major changes, respectively, were made to more than 10% of cases. Conclusion: The implementation of peer review chart rounds seems inconsistent across American academic institutions. Brachytherapy and radiosurgical procedures are

  10. Vitamin Chart

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Vitamin Chart KidsHealth > For Teens > Vitamin Chart A A A en español Tabla de las vitaminas Type Benefits Sources Quantity Vitamin A Vitamin A prevents eye problems, promotes a ...

  11. Vitamin Chart

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Vitamin Chart KidsHealth > For Teens > Vitamin Chart Print A A A en español Tabla de las vitaminas Type Benefits Sources Quantity Vitamin A Vitamin A prevents eye problems, promotes a ...

  12. MIXMAX charts

    NARCIS (Netherlands)

    Albers, Willem

    2012-01-01

    For attribute data with (very) small failure rates control charts based on subsequent groups of r failure times, for some r >= 1, have been shown to be attractive. This especially holds for charts which stop once the maximum (MAX) of such a group is sufficiently small, as this choice allows a nonpar

  13. Off-label use of transmucosal ketamine as a rapid-acting antidepressant: a retrospective chart review

    Directory of Open Access Journals (Sweden)

    Nguyen L

    2015-10-01

    Full Text Available Linda Nguyen,1,2 Patrick J Marshalek,2 Cory B Weaver,1 Kathy J Cramer,2,3 Scott E Pollard,2,4 Rae R Matsumoto1,2,5 1Department of Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, WV, USA; 2Department of Behavioral Medicine and Psychiatry, School of Medicine, West Virginia University, Morgantown, WV, USA; 3Doctor of Nursing Practice Program, Robert Morris University, Moon Township, PA, USA; 4Department of Behavioral Health, West Park Hospital, Cody, WY, USA; 5College of Pharmacy, Touro University California, Vallejo, CA, USA Objective: This study evaluated the effectiveness and safety of subanesthetic doses of ketamine using an off-label, transmucosal administration route in patients with treatment-resistant depression.Methods: A retrospective chart review was conducted to identify patients who met the inclusion criteria for treatment-resistant major depressive disorder. Seventeen such patients who received subanesthetic doses of ketamine were included. Patient demographics, efficacy (drug refill, clinician notes, side effects, and concurrent medications were assessed.Results: Benefit from low-dose transmucosal ketamine was noted in 76% of subjects (average age 48 years, 88% female, with a dose duration lasting 7–14 days. No notable side effects were noted. The most common classes of concurrent medications to which ketamine was added were serotonin–norepinephrine reuptake inhibitors (59%, stimulants (47%, folate replacement (47%, and benzodiazepines (47%.Conclusion: Our results provide preliminary evidence of the effectiveness and safety of low-dose transmucosal ketamine in treatment-resistant patients. A controlled, prospective pilot study is warranted to validate these findings. Keywords: ketamine, depression, treatment resistance, NMDA receptor, glutamate, mood disorder 

  14. A Comparative Study of Memory-Type Control Charts under Normal and Contaminated Normal Environments

    NARCIS (Netherlands)

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

    2016-01-01

    Cumulative sum (CUSUM) and exponentially weighted moving average (EWMA) control charts are commonly used to detect small changes in the parameters of production processes. Recently, a new control structure was introduced, named as mixed EWMA–CUSUM control chart, which combined both charts. The curre

  15. Chart Series

    Data.gov (United States)

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

  16. Radar Chart

    Data.gov (United States)

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

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

    Directory of Open Access Journals (Sweden)

    Tri Indah Winarni

    2012-01-01

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

  18. Evaluation of temperature–pulse centile charts in identifying serious bacterial illness: observational cohort study

    Science.gov (United States)

    Brent, Andrew J; Lakhanpaul, Monica; Ninis, Nelly; Levin, Michael; MacFaul, Roddy; Thompson, Matthew

    2011-01-01

    Background Distinguishing serious bacterial infection (SBI) from milder/self-limiting infections is often difficult. Interpretation of vital signs is confounded by the effect of temperature on pulse and respiratory rate. Temperature–pulse centile charts have been proposed to improve the predictive value of pulse rate in the clinical assessment of children with suspected SBI. Objectives To assess the utility of proposed temperature–pulse centile charts in the clinical assessment of children with suspected SBI. Study design and participants The predictive value for SBI of temperature–pulse centile categories, pulse centile categories and Advanced Paediatric Life Support (APLS) defined tachycardia were compared among 1360 children aged 3 months to 10 years presenting with suspected infection to a hospital emergency department (ED) in England; and among 325 children who presented to hospitals in the UK with meningococcal disease. Main outcome measure SBI. Results Among children presenting to the ED, 55 (4.0%) had SBI. Pulse centile category, but not temperature–pulse centile category, was strongly associated with risk of SBI (p=0.0005 and 0.288, respectively). APLS defined tachycardia was also strongly associated with SBI (OR 2.90 (95% CI 1.60 to 5.26), p=0.0002). Among children with meningococcal disease, higher pulse and temperature–pulse centile categories were both associated with more severe disease (p=0.004 and 0.041, respectively). Conclusions Increased pulse rate is an important predictor of SBI, supporting National Institute for Health and Clinical Excellence recommendations that pulse rate be routinely measured in the assessment of febrile children. Temperature–pulse centile charts performed more poorly than pulse alone in this study. Further studies are required to evaluate their utility in monitoring the clinical progress of sick children over time. PMID:21233079

  19. Electroconvulsive therapy for treating schizophrenia: a chart review of patients from two catchment areas

    DEFF Research Database (Denmark)

    Kristensen, Diana; Bauer, Jeanett; Pedersen, Ida Hageman

    2011-01-01

    -26 sessions; maintenance ECT (M-ECT) was given to 18 patients for up to 12 years. Initial indications for ECT included psychosis (n = 28), pronounced affective symptoms (n = 28), delirious states (n = 20), and M-ECT (n = 3). Most patients experienced excellent/good outcomes (n = 66), but others experienced...... moderate (n = 8) or poor (n = 5) outcomes. No factors were identified that predicted treatment responses in individual patients. ECT proved to be effective in a population of patients that were severely ill with treatment-refractory schizophrenia. This does not imply that the patients were cured from...... schizophrenia. Rather, it reflects the degree of relief from psychosis and disruptive behaviour, as described in the patient charts. The treatment was often offered to patients after considerable disease durations....

  20. Patient Treatment Tracking Chart

    Science.gov (United States)

    ... ZIP code here Hepatitis C Treatment Tracking Chart Patient Treatment Tracking Chart Patient Treatment Tracking Chart Sample Chart This chart is ... this website Submit Share this page Related Resource Patient Treatment Tutorial return to top CONNECT Veterans Crisis ...

  1. A case study in Gantt charts as historiophoty: A century of psychology at the University of Alberta.

    Science.gov (United States)

    Dawson, Michael R W

    2013-05-01

    History is typically presented as historiography, where historians communicate via the written word. However, some historians have suggested alternative formats for communicating and thinking about historical information. One such format is known as historiophoty, which involves using a variety of visual images to represent history. The current article proposes that a particular type of graph, known as a Gantt chart, is well suited for conducting historiophoty. When used to represent history, Gantt charts provide a tremendous amount of information. Furthermore, the spatial nature of Gantt charts permits other kinds of spatial operations to be performed on them. This is illustrated with a case study of the history of a particular psychology department. The academic year 2009-2010 marked the centennial of psychology at the University of Alberta. This centennial was marked by compiling a list of its full-time faculty members for each year of its history. This historiography was converted into historiophoty by using it as the source for the creation of a Gantt chart. The current article shows how the history of psychology at the University of Alberta is revealed by examining this Gantt chart in a variety of different ways. This includes computing simple descriptive statistics from the chart, creating smaller versions of the Gantt to explore departmental demographics, and using image processing methods to provide measures of departmental stability throughout its history. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

  2. Appreciating the broad clinical features of SMAD4 mutation carriers: a multi-center chart review

    Science.gov (United States)

    Wain, K.E.; Ellingson, M.S.; McDonald, J.; Gammon, A.; Roberts, M.; Pichurin, P.; Winship, I.; Riegert-Johnson, D.; Weitzel, J. N.; Lindor, N.M.

    2014-01-01

    Heterozygous loss-of-function (LOF) SMAD4 mutations are associated with juvenile polyposis syndrome (JP) and hereditary hemorrhagic telangiectasia (HHT). Some carriers exhibit symptoms of both conditions, leading to the name JP-HHT syndrome. Three families have been reported with connective tissue abnormalities. In order to better understand the spectrum and extent of clinical findings in SMAD4 carriers, medical records of 34 patients (20 families) from five clinical practices were reviewed. Twenty-one percent (7/34) had features suggesting a connective tissue defect: enlarged aortic root (n=3), aortic and mitral insufficiency (n=2), aortic dissection (n=1), retinal detachment (n=1), brain aneurysms (n=1), lax skin and joints (n=1). JP-specific findings were almost uniformly present but variable. Ninety-seven percent had colon polyps that were generally pan-colonic and of variable histology and number. Forty-eight percent (15/31) had extensive gastric polyposis. HHT features were documented in 76% including epistaxis (19/31, 61%), mucocutaneous telangiectases (15/31, 48%), liver arteriovenous malformation (AVM) (6/16, 38%), brain AVM (1/26, 4%), pulmonary AVM (9/17, 53%), and intrapulmonary shunting (14/23, 61%). SMAD4 carriers should be managed for JP and HHT, since symptoms of both are likely yet unpredictable. Connective tissue abnormalities are an emerging component of JP-HHT syndrome, and larger studies are needed to understand these manifestations. PMID:24525918

  3. Appreciating the broad clinical features of SMAD4 mutation carriers: a multicenter chart review.

    Science.gov (United States)

    Wain, Karen E; Ellingson, Marissa S; McDonald, Jamie; Gammon, Amanda; Roberts, Maegan; Pichurin, Pavel; Winship, Ingrid; Riegert-Johnson, Douglas L; Weitzel, Jeffrey N; Lindor, Noralane M

    2014-08-01

    Heterozygous loss-of-function SMAD4 mutations are associated with juvenile polyposis syndrome and hereditary hemorrhagic telangiectasia. Some carriers exhibit symptoms of both conditions, leading to juvenile polyposis-hereditary hemorrhagic telangiectasia syndrome. Three families have been reported with connective tissue abnormalities. To better understand the spectrum and extent of clinical findings in SMAD4 carriers, medical records of 34 patients (20 families) from five clinical practices were reviewed. Twenty-one percent of the patients (7/34) had features suggesting a connective tissue defect: enlarged aortic root (n = 3), aortic and mitral insufficiency (n = 2), aortic dissection (n = 1), retinal detachment (n = 1), brain aneurysms (n = 1), and lax skin and joints (n = 1). Juvenile polyposis-specific findings were almost uniformly present but variable. Ninety-seven percent of the patients had colon polyps that were generally pan-colonic and of variable histology and number. Forty-eight percent of the patients (15/31) had extensive gastric polyposis. Hereditary hemorrhagic telangiectasia features, including epistaxis (19/31, 61%), mucocutaneous telangiectases (15/31, 48%), liver arteriovenous malformation (6/16, 38%), brain arteriovenous malformation (1/26, 4%), pulmonary arteriovenous malformation (9/17, 53%), and intrapulmonary shunting (14/23, 61%), were documented in 76% of the patients. SMAD4 carriers should be managed for juvenile polyposis and hereditary hemorrhagic telangiectasia because symptoms of both conditions are likely yet unpredictable. Connective tissue abnormalities are an emerging component of juvenile polyposis-hereditary hemorrhagic telangiectasia syndrome, and larger studies are needed to understand these manifestations.

  4. The predictive value of psychological assessment of candidates for gastric bypass: A medical chart review

    Directory of Open Access Journals (Sweden)

    Nathalie Aubert

    Full Text Available Background and Objectives: Guidelines for bariatric surgery demand a psychological evaluation of applicants. The aim of this study was to evaluate if the presence of "psychological risk factors" predicts postoperative weight loss after gastric bypass. Methods: Medical records of obese women who underwent bariatric surgery between 2000 and 2004 were reviewed. Psychological assessment consisted of a one-hour semi-structured interview, summarized in a written report. Anthropometric assessment at baseline and 6,12,18 and 24 months after surgery included body weight, height and body mass index. Results: The mean BMI of included patients (N = 92 was 46.2 + 6,3 kg/m² (range 38.4 - 69.7. Based on the psychological assessment, 27% (N = 25 of the patients were classified as having "psychological risk factors" and 28% (N = 26 were diagnosed with a psychiatric diagnosis, most often major depression. Two years after gastric bypass, 16% of patients with "psychological risk factors" achieved an excellent result (%EWL > 75 versus 39% of those without (p < 0.05. About 1 out of 4 patients was in postoperative psychiatric treatment, but only half of them were identified as having "psychological risk factors" at baseline. Weight loss of patients initiating a psychiatric treatment only after surgery was less than of patients who continued psychiatric treatment already initiated before surgery (55.7 + 14.8 versus 66.5 + 14.2 %EWL. Conclusions: A single semi-structured psychological interview may identify patients who are at risk for diminished postoperative weight loss; however, psychological assessment did not identify those patients who were in need of a psychiatric postoperative treatment.

  5. The predictive value of psychological assessment of candidates for gastric bypass: A medical chart review

    Directory of Open Access Journals (Sweden)

    Nathalie Aubert

    2010-06-01

    Full Text Available Background and Objectives: Guidelines for bariatric surgery demand a psychological evaluation of applicants. The aim of this study was to evaluate if the presence of "psychological risk factors" predicts postoperative weight loss after gastric bypass. Methods: Medical records of obese women who underwent bariatric surgery between 2000 and 2004 were reviewed. Psychological assessment consisted of a one-hour semi-structured interview, summarized in a written report. Anthropometric assessment at baseline and 6,12,18 and 24 months after surgery included body weight, height and body mass index. Results: The mean BMI of included patients (N = 92 was 46.2 + 6,3 kg/m² (range 38.4 - 69.7. Based on the psychological assessment, 27% (N = 25 of the patients were classified as having "psychological risk factors" and 28% (N = 26 were diagnosed with a psychiatric diagnosis, most often major depression. Two years after gastric bypass, 16% of patients with "psychological risk factors" achieved an excellent result (%EWL > 75 versus 39% of those without (p < 0.05. About 1 out of 4 patients was in postoperative psychiatric treatment, but only half of them were identified as having "psychological risk factors" at baseline. Weight loss of patients initiating a psychiatric treatment only after surgery was less than of patients who continued psychiatric treatment already initiated before surgery (55.7 + 14.8 versus 66.5 + 14.2 %EWL. Conclusions: A single semi-structured psychological interview may identify patients who are at risk for diminished postoperative weight loss; however, psychological assessment did not identify those patients who were in need of a psychiatric postoperative treatment.

  6. Flash Builder charting and multimedia

    CERN Document Server

    Rocchi, Cesare

    2010-01-01

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

  7. Growth charts of human development

    NARCIS (Netherlands)

    Van Buuren, Stef

    2014-01-01

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

  8. Designing and implementing a longitudinal study of children with neurological, genetic or metabolic conditions: charting the territory

    Directory of Open Access Journals (Sweden)

    Davies Betty

    2010-09-01

    Full Text Available Abstract Background Children with progressive metabolic, neurological, or chromosomal conditions and their families anticipate an unknown lifespan, endure unstable and often painful symptoms, and cope with erratic emotional and spiritual crises as the condition progresses along an uncertain trajectory towards death. Much is known about the genetics and pathophysiology of these diseases, but very little has been documented about the trajectory of symptoms for children with these conditions or the associated experience of their families. A longitudinal study design will help to close this gap in knowledge. Methods/Design Charting the Territory is a longitudinal descriptive, correlational study currently underway with children 0-19 years who are diagnosed with progressive neurological, metabolic, or chromosomal conditions and their families. The purpose of the study is to determine and document the clinical progression of the condition and the associated bio-psychosocial-spiritual experiences of the parents and siblings age 7-18 years. Approximately 300 families, both newly diagnosed children and those with established conditions, are being recruited in six Canadian cities. Children and their families are being followed for a minimum of 18 months, depending on when they enroll in the study. Family data collection will continue after the child's death if the child dies during the study period. Data collection includes monthly parental assessment of the child's symptoms; an annual functional assessment of the child; and completion of established instruments every 6 months by parents to assess family functioning, marital satisfaction, health status, anxiety, depression, stress, burden, grief, spirituality, and growth, and by siblings to assess coping and health. Impact of participation on parents is assessed after 1 year and at the end of the study. Chart reviews are conducted at enrollment and at the conclusion of the study or at the time of the

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

    Directory of Open Access Journals (Sweden)

    Karpa Kelly

    2012-10-01

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

  10. Patient Characteristics by Type of Hypersexuality Referral: A Quantitative Chart Review of 115 Consecutive Male Cases.

    Science.gov (United States)

    Sutton, Katherine S; Stratton, Natalie; Pytyck, Jennifer; Kolla, Nathan J; Cantor, James M

    2015-01-01

    Hypersexuality remains an increasingly common but poorly understood patient complaint. Despite diversity in clinical presentations of patients referred for hypersexuality, the literature has maintained treatment approaches that are assumed to apply to the entire phenomenon. This approach has proven ineffective, despite its application over several decades. The present study used quantitative methods to examine demographic, mental health, and sexological correlates of common clinical subtypes of hypersexuality referrals. Findings support the existence of subtypes, each with distinct clusters of features. Paraphilic hypersexuals reported greater numbers of sexual partners, more substance abuse, initiation to sexual activity at an earlier age, and novelty as a driving force behind their sexual behavior. Avoidant masturbators reported greater levels of anxiety, delayed ejaculation, and use of sex as an avoidance strategy. Chronic adulterers reported premature ejaculation and later onset of puberty. Designated patients were less likely to report substance abuse, employment, or finance problems. Although quantitative, this article nonetheless presents a descriptive study in which the underlying typology emerged from features most salient in routine sexological assessment. Future studies might apply purely empirical statistical techniques, such as cluster analyses, to ascertain to what extent similar typologies emerge when examined prospectively.

  11. A chart review of management of ischemic stroke patients in Germany

    Science.gov (United States)

    Verpillat, Patrice; Dorey, Julie; Guilhaume-Goulant, Chantal; Dabbous, Firas; Brunet, Julie; Aballéa, Samuel

    2015-01-01

    Background Ischemic stroke (IS) poses physical, emotional, and economic burdens on both patients and the healthcare system in Germany. However, the management of IS is not well described, especially after hospital discharge. In this study, we aim to describe the management of IS at onset, admission, and during follow-up. Methods German general practitioners (GPs) (n=40) extracted data on patient characteristics, hospitalizations, discharge, and ambulatory care from both GPs patient databases and hospital letters. Descriptive analyses were conducted. Results The sample included 185 patients with a mean age of 70 years [standard deviation (SD)=11.7]. Most patients (63%) contacted the Emergency Medical Services, while 36% contacted their GPs. The majority of patients were hospitalized within 1 h from onset, and the length of stay was on average 14 days. Half of the patients (50%) were admitted to the stroke unit, and 16% of patients received thrombolysis treatment with 2 h (SD=2.6) of time to treatment. Of the admitted patients, 32% were discharged to their homes, while the remaining patients were discharged to nursing homes (16.2%) and rehabilitation centers (47.6%). During the 12 months follow-up, 22% of patients were re-hospitalized and patients visited their GP (11.7 times), psychologist or psychiatrist (9.5 times), and neurologist (2.2 times). Death rate after stroke event was 13%. Conclusion The rate of patients who received thrombolysis is lower than the optimal rate in Germany. More research is needed to determine the factors that could predict the utilization of thrombolysis treatment. PMID:27123177

  12. Synthetic growth reference charts

    NARCIS (Netherlands)

    Hermanussen, Michael; Stec, Karol; Aßmann, Christian; Meigen, Christof; Van Buuren, Stef

    2016-01-01

    Objectives: To reanalyze the between-population variance in height, weight, and body mass index (BMI), and to provide a globally applicable technique for generating synthetic growth reference charts. Methods: Using a baseline set of 196 female and 197 male growth studies published since 1831, common

  13. The development of the Suicidal Patient Observation Chart (SPOC): Delphi study.

    Science.gov (United States)

    Björkdahl, A; Nyberg, U; Runeson, B; Omérov, P

    2011-08-01

    Constant observation is a method used to insure the safety of suicidal inpatients. It involves structure and control as well as flexibility and the development of a relationship between the observer and the patient. It has been found that important observations may go unnoticed by the observer or fail to be communicated to the multidisciplinary team because of a lack of sufficient training and systematic documentation. We therefore conducted a Delphi survey to collect opinions on what would be important to observe during constant observation of suicidal patients. A panel of experienced clinicians, service users and researchers reached consensus on 37 of 40 observation items (92%). Of these, 28 were rated as the most important. As a result, we developed a form for systematic observer documentation in clinical practice, the Suicidal Patient Observation Chart. The Suicidal Patient Observation Chart includes the 28 items and covers 24 separate observation periods.

  14. The chart based approach to studying the global structure of a spacetime induces a coordinate invariant boundary

    CERN Document Server

    Whale, Ben

    2014-01-01

    I demonstrate that the chart based approach to the study of the global structure of Lorentzian manifolds induces a homeomorphism of the manifold into a topological space as an open dense set. The topological boundary of this homeomorphism is a chart independent boundary of ideal points equipped with a topological structure and a physically motivated classification. I show that this new boundary contains all other boundaries that can be presented as the topological boundary of an envelopment. Hence, in particular, it is a generalisation of Penrose's conformal boundary. I provide three detailed examples: the conformal compactification of Minkowski spacetime, Scott and Szekeres' analysis of the Curzon singularity and Beyer and Hennig's analysis of smooth Gowdy symmetric generalised Taub-NUT spacetimes.

  15. SU-E-T-138: Automated Chart Review Module Including Cross-Vendor Data Transfer Verification Developed for IHE-RO Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Brewer, M; Gordon, C [Franciscan St Margaret Health, Hammond, IN (United States); Tien, C [Community Hospital, Munster, IN (United States)

    2015-06-15

    Purpose: To follow the Integrating Healthcare Enterprise - Radiation Oncology (IHE-RO) initiative of proper cross-vendor technology integration, an automated chart checker (ACC) was developed. ACC compares extracted data from an approved patient plan in the Eclipse treatment planning system (TPS) against data existing in the Mosaiq treatment management system (TMS). ACC automatically analyzes these parameters using built-in quality checklists to provide further aid in chart review. Methods: Eclipse TPS data are obtained using Eclipse scripting API (ESAPI) while Mosaiq TMS data are obtained from a radiotherapy-treatment-planning (RTP) file. Using this information, ACC identifies TPS-TMS discrepancies in 18 primary beam parameters including MU, energy, jaw positions, gantry angle, table angle, accessories, and bolus for up to 31 beams. Next, approximately 40 items from traditional quality checklists are evaluated such as prescription consistency, DRR graticule placement, plan approval status, global max dose, and dose tracking coefficients. Parameters were artificially modified to determine if ACC would detect an error in data transfer and to test each component of quality checklists. Results: Using ESAPI scripting and RTP file-processing, ACC was able to properly aggregate data from TPS and TMS for up to 31 beams. Errors were artificially introduced into each plan parameter, and ACC was able to successfully detect all of them within seconds. Next, ACC was able to successfully detect mistakes in the chart by identifying deviations with its quality checklists, within seconds. Conclusion: ACC effectively addresses the potential issue of faulty cross-vendor data transfer, as described by IHE-RO. In addition, ACC was also able to detect deviations from its built-in quality checklists. ACC is already an invaluable tool for efficient and standardized chart review and will continue to improve as its incorporated checklists become more comprehensive.

  16. A STUDY OF THE MEDIAN RUN LENGTH (MRL PERFORMANCE OF THE EWMA t CHART FOR THE MEAN

    Directory of Open Access Journals (Sweden)

    Chin, W. S.

    2012-11-01

    Full Text Available The exponentially weighted moving average (EWMA chart is effective in detecting small shifts. However, the EWMA chart is not robust enough to prevent errors in estimating the process standard deviation or a changing standard deviation. To overcome this problem, Zhang et al. suggested the EWMA t chart in 2009. The existing optimal design of the EWMA t chart is based on the average run length (ARL criterion. This paper proposes that the optimal design of the EWMA t chart be based on the median run length (MRL. The MRL performances of the optimal EWMA and optimal EWMA t charts are compared.

  17. Discoid Lupus and Human Immunodeficiency Virus: A Retrospective Chart Review to Determine the Prevalence and Progression of Co-occurrence of these Conditions at a Single Academic Center

    Science.gov (United States)

    Two, Aimee; So, Jessica Kim; Paravar, Taraneh

    2017-01-01

    Context: Discoid lupus erythematosus (DLE) and human immunodeficiency virus (HIV) are both disorders of the immune system. The pathophysiology of these diseases varies greatly as DLE is characterized by an overactive immune system that attacks normal host cells, whereas HIV is characterized by an exogenous attack on the immune system that depletes it of key cell types. Although the reason is unknown, co-occurrence of DLE and HIV is rare. Aims: The goal of this study is to determine the prevalence of co-occurrence of DLE and HIV and to determine whether patients with both DLE and HIV share any clinical feature. Subjects and Methods: The medical records of all patients seen within a single academic health center over a 20-year period were reviewed to determine the prevalence of cutaneous lupus, HIV, and co-occurrence of these conditions. The charts of patients diagnosed with both conditions were further reviewed to determine similarities between them. Results: Of the 10,719 patients diagnosed with HIV and 182 patients diagnosed with cutaneous lupus, only 2 patients were diagnosed with both conditions. Both of these patients were diagnosed with DLE several years after being diagnosed with HIV. They had an undetectable HIV viral load, normal CD4 T-cell counts, and were on antiretroviral therapy when diagnosed with DLE. Conclusion: These results confirm that co-occurrence of DLE and HIV is rare. Although our study population was small, findings from these patients suggest that in HIV-positive patients, DLE manifestations occur when their HIV disease activity is minimal.

  18. Excel 2007 Charts

    CERN Document Server

    Walkenbach, John

    2008-01-01

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

  19. A Study on the Effects of Non-Normality on the Performances of Max-DEWMA Versus SS-DEWMA Charts

    Directory of Open Access Journals (Sweden)

    Michael Khoo Boon Chong

    2012-01-01

    Full Text Available Problem statement: The called the Sum of Squares Double Exponentially Weighted Moving Average (SS-DEWMA chart which is effective in detecting shifts in the mean and/or variance is compared with the Max-DEWMA (called the maximum double exponentially weighted moving average chart. The comparison is based on the assumption that the distribution of the quality characteristic of the process is normal or approximately normally distributed. In many real world situations, this assumption may be violated. This study compares the effects of various forms of non-normality on the Max-DEWMA and SS-DEWMA control charts. Approach: A Monte Carlo simulation using the Statistical Analysis Software (SAS is conducted to compare the performances of the two charts for the case of skewed distributions, such as the Weibull, lognormal and gamma distributions. Results: The overall results show that the Max-DEWMA chart has in-control Average Run Lengths (ARLs closer to the specified value, as compared to that of the SS-DEWMA chart, for all levels of skewnesses considered. Conclusion/Recommendation: Practitioners are advised to use the Max-DEWMA chart for a joint monitoring of the process mean and/or variance, when the underlying distribution is non-normal.

  20. On regional geomagnetic charts

    Science.gov (United States)

    Alldredge, L.R.

    1987-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Jeantine M de Feijter

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

  2. Charting the progression of disability in parkinson disease: study protocol for a prospective longitudinal cohort study

    Directory of Open Access Journals (Sweden)

    Ford Matthew P

    2010-11-01

    Full Text Available Abstract Background People with Parkinson disease (PD, even in the presence of symptomatic relief from medical, surgical, and rehabilitative interventions, face a persistent worsening of disability. This disability is characterized by diminished quality of life, reduced functional mobility, declining performance in activities of daily living and worsening neurological impairments. While evidence has emerged supporting the clinically meaningful benefits of short-term exercise programs on these underlying factors, assertions regarding the effects of sustained programs of exercise and physical activity on the trajectory of disablement in PD are made in the absence of direct evidence. Indeed, the natural decline in quality of life and functional mobility in people diagnosed with PD is poorly understood. Moreover, outcome measures commonly used in clinical exercise trials typically do not capture the full spectrum of disability as defined by the World Health Organization (WHO. Methods/Design The objective of this multicenter prospective study will be to examine the 2-year trajectory of disablement in a cohort of persons with PD. Two hundred sixty participants will be recruited to produce an expected final sample size of 150 individuals. Participants will be included if they are greater than 40 years of age, have a neurologist confirmed diagnosis of idiopathic PD, and are at Hoehn and Yahr stages 1 through 4. Data will be collected every 6 months during the study period. Primary outcome measures reflecting a broad spectrum of disablement will include, but will not be limited to, MDS-UPDRS, Timed Up and Go, Berg Balance Test, Nine Hole Peg Test, PDQ-39, and directly monitored ambulatory activity. Self-reported exercise and physical activity data also will be recorded. Statistical analyses will be used to characterize the trajectory of disablement and examine the influence of its underlying contributing factors. Discussion Tertiary prevention is an

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

    Science.gov (United States)

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

    2016-07-01

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

  4. Operationalizing the psychodynamic diagnostic manual: a preliminary study of the psychodiagnostic chart.

    Science.gov (United States)

    Gordon, Robert M; Stoffey, Ronald W

    2014-01-01

    The Psychodiagnostic Chart (PDC) operationalizes the Psychodynamic Diagnostic Manual (PDM) Adult section. The authors collected 104 PDC cases from 15 psychologists who are experts with the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). They found very good construct validity when the PDC was compared to MMPI-2, the Karolinska Psychodynamic Profile (KAPP), and the Operationalized Psychodynamic Diagnosis (OPD) Psychic Structure/Mental Functioning Scales. They found very good reliability for the 73 cases with a 2-week test-retest of the PDC. Additionally, 61 psychologists were recruited from listservs and asked to use the PDC on a recent client; 84% rated Level of Personality Organization as "helpful-very helpful" in understanding their patients. There was also similar support for the Personality Patterns or Disorders and Mental Functioning dimensions. In comparison, only 31% rated the ICD or DSM symptoms as "helpful-very helpful" in understanding their patients. The PDC may be used for diagnoses, treatment formulations, progress reports, and outcome assessment, as well as for empirical research on the PDM.

  5. AMDIS and CHART update. 1

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-10-01

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

  6. Diagnostic Value of Run Chart Analysis: Using Likelihood Ratios to Compare Run Chart Rules on Simulated Data Series

    Science.gov (United States)

    Anhøj, Jacob

    2015-01-01

    Run charts are widely used in healthcare improvement, but there is little consensus on how to interpret them. The primary aim of this study was to evaluate and compare the diagnostic properties of different sets of run chart rules. A run chart is a line graph of a quality measure over time. The main purpose of the run chart is to detect process improvement or process degradation, which will turn up as non-random patterns in the distribution of data points around the median. Non-random variation may be identified by simple statistical tests including the presence of unusually long runs of data points on one side of the median or if the graph crosses the median unusually few times. However, there is no general agreement on what defines “unusually long” or “unusually few”. Other tests of questionable value are frequently used as well. Three sets of run chart rules (Anhoej, Perla, and Carey rules) have been published in peer reviewed healthcare journals, but these sets differ significantly in their sensitivity and specificity to non-random variation. In this study I investigate the diagnostic values expressed by likelihood ratios of three sets of run chart rules for detection of shifts in process performance using random data series. The study concludes that the Anhoej rules have good diagnostic properties and are superior to the Perla and the Carey rules. PMID:25799549

  7. Robust CUSUM control charting

    NARCIS (Netherlands)

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

    2013-01-01

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

  8. A systematic study of even-even nuclei in the nuclear chart by the relativistic mean field theory

    Energy Technology Data Exchange (ETDEWEB)

    Sumiyoshi, K.; Hirata, D.; Tanihata, I.; Sugahara, Y.; Toki, H. [Institute of Physical and Chemical Research, Wako, Saitama (Japan)

    1997-03-01

    We study systematically the properties of nuclei in the whole mass range up to the drip lines by the relativistic mean field (RMF) theory with deformations as a microscopic framework to provide the data of nuclear structure in the nuclear chart. The RMF theory is a phenomenological many-body framework, in which the self-consistent equations for nucleons and mesons are solved with arbitrary deformation, and has a potential ability to provide all the essential information of nuclear structure such as masses, radii and deformations together with single particle states and wave functions from the effective lagrangian containing nuclear interaction. As a first step toward the whole project, we study the ground state properties of even-even nuclei ranging from Z=8 to Z=120 up to the proton and neutron drip lines in the RMF theory. We adopt the parameter set TMA, which has been determined by the experimental masses and charge radii in a wide mass range, for the effective lagrangian of the RMF theory. We take into account the axially symmetric deformation using the constrained method on the quadrupole moment. We provide the properties of all even-even nuclei with all the possible ground state deformations extracted from the deformation energy curves by the constrained calculations. By studying the calculated ground state properties systematically, we aim to explore the general trend of masses, radii and deformations in the whole region of the nuclear chart. We discuss the agreement with experimental data and the predictions such as magicness and triaxial deformations beyond the experimental frontier. (author)

  9. The eye drop chart: a pilot study for improving administration of and compliance with topical treatments in glaucoma patients

    Directory of Open Access Journals (Sweden)

    McVeigh KA

    2015-05-01

    Full Text Available Katherine Anne McVeigh,1 Georgios Vakros21Department of Ophthalmology, Royal United Hospital, Combe Park, Bath, UK; 2Department of Ophthalmology, Queen’s Hospital, Romford, Essex, UKAim: In order to improve patient education, compliance, and administration of eye drops prescribed for patients suffering with glaucoma within a UK ophthalmology department, an eye drop chart (EDC was designed, developed, and piloted with patients attending the glaucoma clinic over 1 month.Methods: A cross-sectional prospective pilot study of 25 patients using an administration aid and a self-reported questionnaire. Chi-square tests were used to compare responses pre- and postintervention.Results: Results demonstrated an impressive improvement in nine of eleven categories assessed regarding drop administration and compliance. Patients stating that they always wash their hands increased significantly from 64% (13 participants to 92% (23 participants (P=0.029, and those who always shake the bottle improved from 40% (10 to 84% (21 (P=0.001. Punctal occlusion techniques improved from 44% (11 to 72% (18 (P=0.015. Finally, patients who always discarded the bottle after 28 days of use rose from 68% to 92%, though the difference was not significant (P=0.09. Only the number of drops being administered to the eye and the length of time left between the application of drops remained relatively unchanged. Sixty-four percent reported finding EDC helpful or useful, 52% had positive responses when asked if they would continue using EDC, and 88% would recommend it to a friend.Conclusion: Although there are limitations to the data as they are subjective, descriptive, and limited to sample size of 25, the results of this pilot study have shown promise. The EDC appears to be a cost-effective way at improving patients’ use of topical ocular medications.Keywords: glaucoma, administration, compliance, aid, drop chart

  10. Comparison of disease-severity measures within severe and very severe COPD patients: results from a nationally representative chart review and patient survey

    Directory of Open Access Journals (Sweden)

    Solem CT

    2014-09-01

    Full Text Available Caitlyn T Solem,1 Shawn X Sun,2 Sizhu Liu,1 Cynthia Macahilig,3 Monica Katyal,3 Xin Gao,1 Andrew F Shorr4 1Pharmerit International, Bethesda, MD, 2Forest Research Institute, Jersey City, NJ, 3Medical Data Analytics, Parsippany, NJ, 4Pulmonary Critical Care, Washington Hospital Center and Georgetown University, Washington, DC, USA Objective: This study aimed to compare spirometry- and risk + symptom-based classification systems to physician-based severity assessment and find which system is most predictive of patient-reported health status, as measured by the St George's Respiratory Questionnaire for COPD (chronic obstructive pulmonary disease; SGRQ-C.Materials and methods: In this chart review/patient survey, 99 physicians recruited patients with physician-assessed severe or very severe COPD who had recently experienced a moderate or severe exacerbation. A cross-tabulation was undertaken comparing physician report, spirometry (mild/moderate, forced expiratory volume in 1 second [FEV1] ≥50%; severe, 30% ≤ FEV1 <50%; very severe, FEV1 <30% predicted, and risk + symptom-based (A, low risk/fewer symptoms; B, low risk/more symptoms; C, high risk/fewer symptoms; D, high risk/more symptoms severity systems. Analysis of covariance models were run for SGRQ-C, varying COPD-severity systems.Results: Of 244 patients, 58.6% were severe and 34.8% very severe by physician report, 70% had FEV1 ≤50% at their most recent visit, and 86% fell into quadrant D. Spirometry and physician report had 57.4% agreement, with physicians often indicating higher severity. Physician report and risk + symptom agreement was high (81.2% severe/very severe and D. Physician-reported severity, risk + symptoms, exacerbations in the previous year, and symptoms were significant SGRQ-C predictors, while spirometry was not.Conclusion: For recently exacerbating severe or very severe COPD patients, risk + symptoms more closely aligned with physician-reported severity and SGRQ-C versus

  11. Fractional smith chart theory

    KAUST Repository

    Shamim, Atif

    2011-03-01

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

  12. The World Health Organization Fetal Growth Charts: A Multinational Longitudinal Study of Ultrasound Biometric Measurements and Estimated Fetal Weight

    Science.gov (United States)

    Carroli, Guillermo; Widmer, Mariana; Neerup Jensen, Lisa; Giordano, Daniel; Abdel Aleem, Hany; Talegawkar, Sameera A.; Benachi, Alexandra; Diemert, Anke; Tshefu Kitoto, Antoinette; Thinkhamrop, Jadsada; Lumbiganon, Pisake; Tabor, Ann; Kriplani, Alka; Gonzalez Perez, Rogelio; Hecher, Kurt; Hanson, Mark A.; Gülmezoglu, A. Metin; Platt, Lawrence D.

    2017-01-01

    Background Perinatal mortality and morbidity continue to be major global health challenges strongly associated with prematurity and reduced fetal growth, an issue of further interest given the mounting evidence that fetal growth in general is linked to degrees of risk of common noncommunicable diseases in adulthood. Against this background, WHO made it a high priority to provide the present fetal growth charts for estimated fetal weight (EFW) and common ultrasound biometric measurements intended for worldwide use. Methods and Findings We conducted a multinational prospective observational longitudinal study of fetal growth in low-risk singleton pregnancies of women of high or middle socioeconomic status and without known environmental constraints on fetal growth. Centers in ten countries (Argentina, Brazil, Democratic Republic of the Congo, Denmark, Egypt, France, Germany, India, Norway, and Thailand) recruited participants who had reliable information on last menstrual period and gestational age confirmed by crown–rump length measured at 8–13 wk of gestation. Participants had anthropometric and nutritional assessments and seven scheduled ultrasound examinations during pregnancy. Fifty-two participants withdrew consent, and 1,387 participated in the study. At study entry, median maternal age was 28 y (interquartile range [IQR] 25–31), median height was 162 cm (IQR 157–168), median weight was 61 kg (IQR 55–68), 58% of the women were nulliparous, and median daily caloric intake was 1,840 cal (IQR 1,487–2,222). The median pregnancy duration was 39 wk (IQR 38–40) although there were significant differences between countries, the largest difference being 12 d (95% CI 8–16). The median birthweight was 3,300 g (IQR 2,980–3,615). There were differences in birthweight between countries, e.g., India had significantly smaller neonates than the other countries, even after adjusting for gestational age. Thirty-one women had a miscarriage, and three fetuses had

  13. Teaching about Modern Germany: Instructional Materials for the Social Studies Classroom. Correlation Charts Indicating Content and Skills Addressed by Each Lesson.

    Science.gov (United States)

    Goethe House, New York, NY.

    This instructional booklet for the social studies classroom is a companion to a series about modern day Germany. The materials describe the documents in the series and present correlation charts for content and skills: (1) "A Kid Like Me across the Sea"; (2) "Communities and Regions"; (3) "Overview of Germany"; (4)…

  14. Fetal Biometry Studies of Malaysian Pregnant Women and Comparison with International Charts

    Science.gov (United States)

    Adam, N.; Ramli, R. M.; Jaafar, M. S.

    2010-07-01

    Fetal biometry is a measurement done on fetus anatomy to relate the fetus growth with gestational age (GA). In this study [1], fetal biometry that was studied consists of biparietal diameter (BPD), abdominal circumference (AC) and femur length (FL). Studies were carried out at Maternity Unit, Hospital Pulau Penang. From the finding, it is understood that fetal biometry distinguish the normal from abnormal fetal structures and it vary among different populations, depending upon their racial [2,3] and nutrition [4,5,6]. True findings are valuable in estimating the gestational age of the fetus, abnormalities in fetus and the consideration of maternal health specific to the Malaysian population.

  15. Growth charts for children with Ellis-van Creveld syndrome.

    Science.gov (United States)

    Verbeek, Sabine; Eilers, Paul H C; Lawrence, Kate; Hennekam, Raoul C M; Versteegh, Florens G A

    2011-02-01

    Ellis-van Creveld (EvC) syndrome is a congenital malformation syndrome with marked growth retardation. In this study, specific growth charts for EvC patients were derived to allow better follow-up of growth and earlier detection of growth patterns unusual for EvC. With the use of 235 observations of 101 EvC patients (49 males, 52 females), growth charts for males and females from 0 to 20 years of age were derived. Longitudinal and cross-sectional data were collected from an earlier review of growth data in EvC, a database of EvC patients, and from recent literature. To model the growth charts, the GAMLSS package for the R statistical program was used. Height of EvC patients was compared to healthy children using Dutch growth charts. Data are presented both on a scale for age and on a scale for the square root of age. Compared to healthy Dutch children, mean height standard deviation score values for male and female EvC patients were -3.1 and -3.0, respectively. The present growth charts should be useful in the follow-up of EvC patients. Most importantly, early detection of growth hormone deficiency, known to occur in EvC, will be facilitated.

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

    Directory of Open Access Journals (Sweden)

    Sadosky A

    2013-02-01

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

  17. Sonographic Growth Charts for Kidney Length in Normal Korean Children: a Prospective Observational Study.

    Science.gov (United States)

    Oh, Min-Su; Hwang, Geol; Han, Sanghoon; Kang, Hyun Sik; Kim, Seung Hyo; Kim, Young Don; Kang, Ki-Soo; Shin, Kyung-Sue; Lee, Mu Sook; Choi, Guk Myung; Han, Kyoung Hee

    2016-07-01

    Kidney length is the most useful parameter for clinical measurement of kidney size, and is useful to distinguish acute kidney injury from chronic kidney disease. In this prospective observational study of 437 normal children aged between 0 and kidney length was measured using sonography. There were good correlations between kidney length and somatic values, including age, weight, height, and body surface area. The rapid growth of height during the first 2 years of life was intimately associated with a similar increase in kidney length, suggesting that height should be considered an important factor correlating with kidney length. Based on our findings, the following regression equation for the reference values of bilateral kidney length for Korean children was obtained: kidney length of the right kidney (cm) = 0.051 × height (cm) + 2.102; kidney length of the left kidney (cm) = 0.051 × height (cm) + 2.280. This equation may aid in the diagnosis of various kidney disorders.

  18. Curvas de crescimento pôndero-estatural em crianças com síndrome de Down: uma revisão sistemática Growth charts in children with Down syndrome: a systematic review

    Directory of Open Access Journals (Sweden)

    Nathalie Jeanne M. Bravo-Valenzuela

    2011-06-01

    Full Text Available OBJETIVO: Revisar, de forma sistemática, as curvas de crescimento de crianças e adolescentes com síndrome de Down de diferentes países publicadas entre 1978 e 2008. FONTES DOS DADOS: Revisão sistemática baseada em dados eletrônicos (Medline, Lilacs e algumas referências de artigos citados, sendo selecionados títulos científicos publicados no intervalo de 30 anos. Analisadas as principais características dessas curvas de crescimento nos diferentes países. Excluídos estudos exclusivos de perímetro cefálico e os que não incluíam a construção de curvas de peso e/ ou estatura na síndrome de Down. As variáveis de peso e estatura/comprimento foram expressas em kg, centímetros e/ou escores Z. SÍNTESE DOS DADOS: Baixo peso e comprimento ao nascimento, baixa estatura final, prevalência de sobrepeso/ obesidade e reduzida velocidade de crescimento são caracte-rísticas importantes do crescimento na síndrome de Down. Cardiopatias congênitas e outras comorbidades podem ocorrer na síndrome, contribuindo para comprometer mais o crescimento deficiente. Nos estudos revisados, a média de estatura final variou entre 141,9 e 155cm para o gênero feminino e entre 150 e 165cm para o masculino (desvio padrão: -2,0 a -4,0. CONCLUSÕES: Reduzida velocidade de crescimento esta-tural, baixa estatura final e crescimento puberal total mais curto e precoce foram observados. Após o final da infância, ocorreu prevalência de sobrepeso/obesidade. É importante o uso de curvas específicas para a síndrome de Down para o reconhecimento precoce e adequado de doenças adicionais e/ou de sobrepeso/obesidade incipiente.OBJECTIVE: To systematic review studies of growth charts in children and teenagers with Down syndrome from differ-ent countries published between 1978 and 2008. DATA SOURCES: Electronic databases (Medline, Lilacs and references of the selected citations of papers published be-tween 1972-2008. The growth charts of Down syndrome in

  19. Smart Book Charts

    Science.gov (United States)

    Chinnapongse, Ronald L.

    2015-01-01

    Smart book charts for TPSM: Heatshield for Extreme Entry Environment Technology (HEEET), Conformal Ablative TPS (CA-TPS), 3D Woven Multifunctional Ablative TPS (3D MAT), and Adaptable, Deployable, Entry and Placement Technology (ADEPT).

  20. Barograms / Barograph Charts

    Data.gov (United States)

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

  1. Great Lakes Ice Charts

    Data.gov (United States)

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

  2. CDC Child Growth Charts

    Data.gov (United States)

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

  3. A Study Comparing the Efficacy of a Mole Ratio Flow Chart to Dimensional Analysis for Teaching Reaction Stoichiometry.

    Science.gov (United States)

    Wagner, Eugene P.

    2001-01-01

    Reaction stoichiometry calculations have always been difficult for students. Offers the use of a mole ratio flow chart (MRFC) as a logistical sequence of steps that incorporates molar proportions as alternative problem solving techniques to improve student understanding. Indicates that MRFC users performed as well on exam problems covering…

  4. Quality of caesarean delivery services and documentation in first-line referral facilities in Afghanistan: a chart review

    Directory of Open Access Journals (Sweden)

    Kim Young-Mi

    2012-03-01

    Full Text Available Abstract Background Increasing appropriate use and documentation of caesarean section (CS has the potential to decrease maternal and perinatal mortality in settings with low CS rates. We analyzed data collected as part of a comprehensive needs assessment of emergency obstetric and newborn care (EmONC facilities in Afghanistan to gain a greater understanding of the clinical indications, timeliness, and outcomes of CS deliveries. Methods Records were reviewed at 78 government health facilities expected to function as EmONC providers that were located in secure areas of the country. Information was collected on the three most recent CS deliveries in the preceding 12 months at facilities with at least one CS delivery in the preceding three months. After excluding 16 facilities with no recent CS deliveries, the sample includes 173 CS deliveries at 62 facilities. Results No CS deliveries were performed in the previous three months at 21% of facilities surveyed; all of these were lower-level facilities. Most CS deliveries (88% were classified as emergencies, and only 12% were referrals from another facility. General anesthesia was used in 62% of cases, and spinal or epidural anesthesia in 34%. Only 28% of cases were managed with a partograph. Surgery began less than one hour after the decision for a CS delivery in just 30% of emergency cases. Among the 173 cases, 27 maternal deaths, 28 stillbirths, and 3 early neonatal deaths were documented. In cases of maternal and fetal death, the most common indications for CS delivery were placenta praevia or abruption and malpresentation. In 62% of maternal deaths, the fetus was stillborn or died shortly after birth. In 48% of stillbirths, the fetus had a normal heart rate at the last check. Information on partograph use was missing in 38% of cases, information on parity missing in 23% of cases and indications for cesareans missing in 9%. Conclusions Timely referral within and to EmONC facilities would decrease

  5. State-Chart Autocoder

    Science.gov (United States)

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

    2007-01-01

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

  6. A gendered analysis of Canadian Aboriginal individuals admitted to inpatient substance abuse detoxification: a three-year medical chart review.

    Science.gov (United States)

    Callaghan, Russell C; Cull, Randi; Vettese, Lisa C; Taylor, Lawren

    2006-01-01

    This study examined gender differences within a sample of Canadian Aboriginal individuals admitted to an inpatient, hospital-based substance abuse detoxification program. Even though alcohol was the most frequent primary drug of detoxification for both genders, women received proportionately higher rates of cocaine or opiate detoxification diagnoses. In addition to a younger age, females reported higher rates of physical and sexual abuse. Women were also administered antidepressants, antibiotic medication protocols, and more medical evaluation tests. It appears that Canadian Aboriginal women have a diverse set of psychological and medical needs. This study demonstrates the need for detoxification programs to address the substantial rates of intravenous drug use and the associated risk of infectious disease (eg, Hepatitis C, HIV) among this treatment-seeking population.

  7. Long-lasting effects of anti-VEGF/photodynamic combination therapy in the treatment of exudative age-related macular degeneration: a retrospective chart review

    Directory of Open Access Journals (Sweden)

    Silva-Garcia R

    2014-12-01

    Full Text Available Rosemary Silva-Garcia, Colleen McLellan, Fadi S Shaya, Kent W Small Macula and Retina Institute, Molecular Insight Research Foundation, Cedars-Sinai Medical Towers, Glendale, CA, USA Purpose: To examine the potential long-term benefit of an anti-VEGF/photodynamic therapy (PDT combination on patients treated for wet age-related macular degeneration (AMD.Methods: A retrospective chart review was conducted on 29 eyes (subjects from 26 patients (eight male and 18 female that showed sustained, positive response to combination therapy for exudative AMD for a minimum of 1 year. Collected data included: visual acuity, central retinal thickness, intraocular pressure and history of glaucoma, wet AMD onset and treatment history, concomitant use of anticoagulants and past history or development of cerebrovascular or cardiovascular disease while receiving combination therapy. Results: Subjects underwent an average of five injections and two PDT treatments in total over 16 months before the choroidal neovascular membrane (CNVM stabilized and became inactive for at least 1 year. Prior to the effective anti-VEGF/PDT combination therapy the median Snellen visual acuity ranged from 20/200 to 20/250 and presented at no worse than 20/200 at 1 year after treatment. Some subjects were followed for up to 5 years and remained inactive.Conclusion: Combination therapy can cause long-lasting closure of the CNVM, even with advanced disease resistant to anti-VEGF monotherapy. Keywords: anti-vascular endothelial growth factor, photodynamic therapy, age-related macular degeneration, bevacizumab, visual acuity, intraocular pressure

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

    LENUS (Irish Health Repository)

    Donfrancesco, Chiara

    2010-08-01

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

  9. Sticker charts: a method for improving adherence to treatment of chronic diseases in children.

    Science.gov (United States)

    Luersen, Kara; Davis, Scott A; Kaplan, Sebastian G; Abel, Troy D; Winchester, Woodrow W; Feldman, Steven R

    2012-01-01

    Poor adherence is a common problem and may be an underlying cause of poor clinical outcomes. In pediatric populations, positive reinforcement techniques such as sticker charts may increase motivation to adhere to treatment regimens. To review the use of sticker charts to improve adherence in children with chronic disease, Medline and PsycINFO searches were conducted using the key words "positive reinforcement OR behavior therapy" and "adherence OR patient compliance" and "child." Randomized controlled retrospective cohort or single-subject-design studies were selected. Studies reporting adherence to the medical treatment of chronic disease in children using positive reinforcement techniques were included in the analysis. The systematic search was supplemented by identifying additional studies identified through the reference lists and authors of the initial articles found. Positive reinforcement techniques such as sticker charts increase adherence to medical treatment regimens. In several studies, this effect was maintained for months after the initial intervention. Better adherence correlated with better clinical outcomes in some, but not all, studies. Few studies examining the use of sticker charts were identified. Although single-subject-design studies are useful in establishing the effect of a behavioral intervention, larger randomized controlled trials would help determine the precise efficacy of sticker chart interventions. Adherence to medical treatments in children can be increased using sticker charts or other positive reinforcement techniques. This may be an effective means to encourage children with atopic dermatitis to apply their medications and improve clinical outcomes.

  10. Understanding Graphs & Charts.

    Science.gov (United States)

    Cleary, John J.; Gravely, Mary Liles

    Developed by educators from the Emily Griffith Opportunity School, this teacher's guide was developed for a 4-hour workshop to teach employees how to read the charts and graphs they need in the workplace. The unit covers four types of graphs: pictographs, bar graphs, line graphs, and circle graphs. The guide is divided into four sections: reading…

  11. A Review of Depleted Uranium Biological Effects: In Vitro Studies (Briefing charts)

    Science.gov (United States)

    2010-11-01

    M)µ 0 200 400 600 800 1000 1200 0 20 40 60 80 100 8- OH dG /10 d G 5 DU Ni Miller AC, et al, 2002, J Inorg Biochem DU Induces Oxidative Stress...et al, 2006 , “ Nephrotoxicity of uranyl acetate: effect on rat kidney brush border membrane vesicles”. Archives Toxicology Jul;80(7):387-93 2. DU... Induced Transformation of Human Osteoblast Cells Miller, et al, Environmental Health Perspectives, Vol. 1998; Miller, et al, Carcinogenesis, Vol. 22

  12. Weighing Rain Gauge Recording Charts

    Data.gov (United States)

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

  13. NOAA Raster Navigational Charts (RNC)

    Data.gov (United States)

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

  14. Four Experiments on the Perception of Bar Charts.

    Science.gov (United States)

    Talbot, Justin; Setlur, Vidya; Anand, Anushka

    2014-12-01

    Bar charts are one of the most common visualization types. In a classic graphical perception paper, Cleveland & McGill studied how different bar chart designs impact the accuracy with which viewers can complete simple perceptual tasks. They found that people perform substantially worse on stacked bar charts than on aligned bar charts, and that comparisons between adjacent bars are more accurate than between widely separated bars. However, the study did not explore why these differences occur. In this paper, we describe a series of follow-up experiments to further explore and explain their results. While our results generally confirm Cleveland & McGill's ranking of various bar chart configurations, we provide additional insight into the bar chart reading task and the sources of participants' errors. We use our results to propose new hypotheses on the perception of bar charts.

  15. Temporal patterns in count-to-ten fetal movement charts and their associations with pregnancy characteristics: a prospective cohort study

    Directory of Open Access Journals (Sweden)

    Winje Brita Askeland

    2012-11-01

    Full Text Available Abstract Background Fetal movement counting has long been suggested as a screening tool to identify impaired placental function. However, quantitative limits for decreased fetal movement perform poorly for screening purposes, indicating the need for methodological refinement. We aimed to identify the main individual temporal patterns in fetal movement counting charts, and explore their associations with pregnancy characteristics. Methods In a population-based prospective cohort in Norway, 2009–2011, women with singleton pregnancies counted fetal movements daily from pregnancy week 24 until delivery using a modified "count-to-ten” procedure. To account for intra-woman correlation of observations, we used functional data analysis and corresponding functional principal component analysis to identify the main individual temporal patterns in fetal movement count data. The temporal patterns are described by continuous functional principal component (FPC curves, with an individual score on each FPC for each woman. These scores were later used as outcome variables in multivariable linear regression analyses, with pregnancy characteristics as explanatory variables. Results Fetal movement charts from 1086 pregnancies were included. Three FPC curves explained almost 99% of the variation in the temporal data, with the first FPC, representing the individual overall counting time, accounting for 91% alone. There were several statistically significant associations between the FPCs and various pregnancy characteristics. However, the effects were small and of limited clinical value. Conclusions This statistical approach for analyzing fetal movement counting data successfully captured clinically meaningful individual temporal patterns and how these patterns vary between women. Maternal body mass index, gestational age and placental site explained little of the variation in the temporal fetal movement counting patterns. Thus, a perceived decrease in fetal

  16. Child abuse diagnosis and the emergency department chart.

    Science.gov (United States)

    Johnson, C F; Apolo, J; Joseph, J A; Corbitt, T

    1986-03-01

    Failure to uncover and report nonaccidental injury may have serious consequences for the child and the physician. To determine if the information recorded in the emergency department record was adequate to eliminate the possibility of nonaccidental injury, the charts of 333 children under five years of age were reviewed. No charts contained all the information deemed necessary; in 12.6% a diagnosis of nonaccidental injury could not be eliminated. In three cases, the injury was inconsistent with the history. Missing historical information included where the injury occurred, the presence of witnesses, notation of previous injuries, and old chart review. Information regarding size, color, and age of the injury was incomplete. A complete examination was recorded 22.3% of the time. The private-pay category charts and those recorded by staff were most complete. Remedial actions, guided by periodic chart reviews, are suggested.

  17. Nefazodone in psychotic unipolar and bipolar depression: a retrospective chart analysis and open prospective study on its efficacy and safety versus combined treatment with amitriptyline and haloperidol.

    Science.gov (United States)

    Grunze, Heinz; Marcuse, Alain; Schärer, Lars O; Born, Christoph; Walden, Jörg

    2002-01-01

    Although atypical antipsychotics are on the rise, traditional treatment of psychotic (or delusional) depression mostly includes the addition of classical antipsychotics to antidepressants. As there are only few data supporting this approach compared with antidepressant monotherapy, and almost no data comparing it with antidepressants of the latest generation, we conducted a retrospective chart analysis and a prospective, randomized open study on the efficacy and tolerability of nefazodone monotherapy versus combined treatment with amitriptyline and haloperidol in psychotic depression. The results suggest that the addition of classical antipsychotics should be reserved for those with very severe psychotic symptoms, but may not be needed in milder forms.

  18. Review - Critical Han Studies

    Directory of Open Access Journals (Sweden)

    Zhiguo Ye

    2013-12-01

    Full Text Available Review of: Thomas Mullaney, James Leibold, Stéphane Gros, and Eric Armand Vanden Bussche (eds. 2012. Critical Han Studies: The History, Representation, and Identity of China's Majority. Berkeley, Calif: University of California Press. This path-breaking volume is an academic collaboration that emerged out of the "Critical Han Studies Conference and Workshop" at Stanford University in April 2008. Eleven scholars contributed to the question of what it means to be 'Han' in China, both historically and at present. Constituting over ninety percent of China's population, the Han are not only the largest ethnic group in China, but are also one of the largest categories of collective identity in the world. Despite this, the dominant Han group has so far eluded careful scholarly scrutiny, with the Han often referred to as an unmarked majority category in contemporary China. This volume challenges such conventional views by conceptualizing new interdisciplinary approaches to the question of Hanness. The eleven essays of the volume are divided into three themes: 'Han and China', 'The Problem of Han Origins', and 'The Problem of Han Formations'. The first theme, comprised of four essays, analyzes the ties that bind the category of Han to those of Chinese ethnicity, race, and polity. Kevin Carrico in "Recentering China: The Cantonese in and Beyond the Han" questions a single, unitary Hanness that he believes conceals "countless other perceived and imagined lines of differentiation" (25. The study examines how multiple identities...

  19. MAX-EWMA CHART FOR AUTOCORRELATED PROCESSES (MEWMAP CHART

    Directory of Open Access Journals (Sweden)

    K. Thaga

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: This paper proposes an exponentially weighted moving average (EWMA control chart that is capable of detecting changes in both process mean and standard deviation for autocorrelated data (referred to as the Maximum Exponentially Weighted Moving Average Chart for Autocorrelated Process, or MEWMAP chart. This chart is based on fitting a time series model to the data, and then calculating the residuals. The observations are represented as a first-order autoregressive process plus a random error term. The Average Run Lengths (ARLs for fixed decision intervals and reference values (h, k are calculated. The proposed chart is compared with the Max-CUSUM chart for autocorrelated data proposed by Thaga (2003. Comparisons are based on the out-of-control ARLs. The MEWMAP chart detects moderate to large shifts in the mean and/or standard deviation at both low and high levels of autocorrelations more quickly than the Max-CUSUM chart for autocorrelated processes.

    AFRIKAANSE OPSOMMING: Die navorsing stel voor dat 'n eksponensiaal geweegde bewegende gemiddelde kontrolekaart gebruik word om verandering van prosesgemiddelde en – standaardafwyking van outogekorreleerde data te bepaal. Die kontrolekaart word gedryf deur passing van 'n tydreeks as datamodel met bepaling van residuwaardes. Met hierdie gegewens as vertrekpunt word gemiddelde looplengtes vir vaste besluitintervalle en verwysingwaardes (h, k bereken. Die kontrolekaart bepaal matige en groot verskuiwings van waardes vir hoë en lae outokorrelasiewaardes heel snel.

  20. Process control using reliability based control charts

    Directory of Open Access Journals (Sweden)

    J.K. Jacob

    2008-12-01

    Full Text Available Purpose: The paper presents the method to monitor the mean time between failures (MTBF and detect anychange in intensity parameter. Here, a control chart procedure is presented for process reliability monitoring.Control chart based on different distributions are also considered and were used in decision making. Results anddiscussions are presented based on the case study at different industries.Design/methodology/approach: The failure occurrence process can be modeled by different distributions likehomogeneous Poisson process, Weibull model etc. In each case the aim is to monitor the mean time betweenfailure (MTBF and detect any change in intensity parameter. When the process can be described by a Poissonprocess the time between failures will be exponential and can be used for reliability monitoring.Findings: In this paper, a new procedure based on the monitoring of time to observe r failures is also proposedand it can be more appropriate for reliability monitoring.Practical implications: This procedure is useful and more sensitive when compared with the λ-chart although itwill wait until r failures for a decision. These charts can be regarded as powerful tools for reliability monitoring.λr gives more accurate results than λ-chart.Originality/value: Adopting these measures to system of equipments can increase the reliability and availabilityof the system results in economic gain. A homogeneous Poisson process is usually used to model the failureoccurrence process with certain intensity.

  1. Effect of letter separation on computerised visual acuity measurements: comparison with the gold standard Early Treatment Diabetic Retinopathy Study (ETDRS) chart.

    Science.gov (United States)

    Shah, Nilpa; Laidlaw, D Alistair H; Brown, Graham; Robson, Chloe

    2010-03-01

    Contour interaction plays an important role in letter recognition and has long been known to influence clinical visual acuity measurements. LogMAR charts originally employed between-letter and line spacing of one letter width/height; however, in more recent designs, half letter width spacing has become accepted without validation. COMPlog is a computerised visual acuity measurement device being developed and validated for routine and research clinical use and is available commercially. This study was performed to investigate the effect of letter separation on computerised visual acuity measurements. An iterative series of experiments was performed in which test and retest fully interpolated five letters-per-line logMAR visual acuity measurements were taken in three groups of a total 100 adult subjects. Each group had visual acuity measured using ETDRS charts 1 and 2 and on COMPlog using various combinations of letter and line spacing. The first group consisted of 31 subjects tested using 3.75 and 2.50 stroke width spacing, the second 45 subjects using 2.50 and 1.25 stroke width spacing and the last group, 24 subjects tested using 1.90 stroke width spacing. The methods of Bland and Altman were used to analyse the data. No significant bias was noted between the gold standard ETDRS measurements and those taken using COMPlog with 3.75 stroke width spacing. Significant bias of half a logMAR line was found with crowding of 1.90 and 1.25 stroke widths. A small systematic bias with a reduction of 1 ETDRS letter was found with spacing of 2.50 stroke widths which has not been demonstrated in previous validation studies. Crowding of 2.50 stroke widths is the smallest spacing which can be used in the design of COMPlog.

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

    Energy Technology Data Exchange (ETDEWEB)

    Kametani, T.

    1997-05-27

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

  3. Art/Dance Developmental Chart.

    Science.gov (United States)

    Kinda, Crystal L., Comp.; Hand, Leslie, Comp.

    A developmental chart of dance and art is presented according to Piaget's three stages of mental development: intuitive thought, concrete operations, and formal operations. Development is charted for dance/movement and art beginning with a sensorimotor unit (1 to 3 years), through self awareness (3 to 5 years), motor skills (5 to 7 years), form (7…

  4. A Comparison Study on the Performances Of X , EWMA and CUSUM Control Charts for Skewed Distributions Using Weighted Standard Deviations Methods

    Directory of Open Access Journals (Sweden)

    Abdu. M. A. Atta

    2011-12-01

    Full Text Available In many statistical process control (SPC applications, the ease of use of control charts leads to ignoring the fact that the process population of the quality characteristic being measured may be highly skewed. However, in many situations, the normality assumption is usually violated. Among the recent heuristic charts for skewed distributions proposed in the literature are those based on the weighted standard deviation (WSD method. Thus, this paper compares the performances of certain WSD charts, such as WSD X , WSD Exponential weighted moving Average (WSDEWMA and WSD Cumulative Sum (WSD-CUSUM charts for skewed distributions. The skewed distributions being considered are weibull, gamma and lognormal. The false alarm and mean shift detection rates were computed so as to evaluate the performances of the WSD charts. The WSD X chart was found to have the lowest false alarm rate in cases of known and unknown parameters. Moreover, when parameters are known and unknown, the WSD-CUSUM provided the highest mean shift detection rates. The chart with the lowest false alarm and the highest mean shift detection rates for most level of skewness and sample size, n is assumed to be have a better performance.

  5. Pain management in trauma: A review study

    Directory of Open Access Journals (Sweden)

    Alireza Ahmadi

    2016-07-01

    Full Text Available Background: Pain in trauma has a role similar to the double-edged sword. On the one hand, pain is a good indicator to determine the severity and type of injury. On the other hand, pain can induce sever complications and it may lead to further deterioration of the patient. Therefore, knowing how to manage pain in trauma patients is an important part of systemic approach in trauma. The aim of this manuscript is to provide information about pain management in trauma in the Emergency Room settings. Method: In this review we searched among electronic and manual documents covering a 15-yr period between 2000 and 2016. Our electronic search included Pub Med, Google scholar, Web of Science, and Cochrane databases. We looked for articles in English and in peer-reviewed journals using the following keywords: acute pain management, trauma, emergency room and injury. Results: More than 3200 documents were identified. After screening based on the study inclusion criteria, 560 studies that had direct linkage to the study aim were considered for evaluation based World Health Organization (WHO pain ladder chart. Conclusion: To provide adequate pain management in trauma patients require: adequate assessment of age-specific pharmacologic pain management; identification of adequate analgesic to relieve moderate to severe pain; cognizance of serious adverse effects of pain medications and weighting medications against their benefits, and regularly reassessing patients and reevaluating their pain management regimen. Patient-centered trauma care will also require having knowledge of barriers to pain management and discussing them with the patient and his/her family to identify solutions.

  6. Treatment approach, delivery, and follow-up evaluation for cardiac rhythm disease management patients receiving radiation therapy: retrospective physician surveys including chart reviews at numerous centers.

    Science.gov (United States)

    Gossman, Michael S; Wilkinson, Jeffrey D; Mallick, Avishek

    2014-01-01

    In a 2-part study, we first examined the results of 71 surveyed physicians who provided responses on how they address the management of patients who maintained either a pacemaker or a defibrillator during radiation treatment. Second, a case review study is presented involving 112 medical records reviewed at 18 institutions to determine whether there was a change in the radiation prescription for the treatment of the target cancer, the method of radiation delivery, or the method of radiation image acquisition. Statistics are provided to illustrate the level of administrative policy; the level of communication between radiation oncologists and heart specialists; American Joint Committee on Cancer (AJCC) staging and classification; National Comprehensive Cancer Network (NCCN) guidelines; tumor site; patient׳s sex; patient׳s age; device type; manufacturer; live monitoring; and the reported decisions for planning, delivery, and imaging. This survey revealed that 37% of patient treatments were considered for some sort of change in this regard, whereas 59% of patients were treated without regard to these alternatives when available. Only 3% of all patients were identified with an observable change in the functionality of the device or patient status in comparison with 96% of patients with normal behavior and operating devices. Documented changes in the patient׳s medical record included 1 device exhibiting failure at 0.3-Gy dose, 1 device exhibiting increased sensor rate during dose delivery, 1 patient having an irregular heartbeat leading to device reprogramming, and 1 patient complained of twinging in the chest wall that resulted in a respiratory arrest. Although policies and procedures should directly involve the qualified medical physicist for technical supervision, their sufficient involvement was typically not requested by most respondents. No treatment options were denied to any patient based on AJCC staging, classification, or NCCN practice standards.

  7. Treatment approach, delivery, and follow-up evaluation for cardiac rhythm disease management patients receiving radiation therapy: Retrospective physician surveys including chart reviews at numerous centers

    Energy Technology Data Exchange (ETDEWEB)

    Gossman, Michael S., E-mail: MGossman@TSRCC.com [Regulation Directive Medical Physics, Russell, KY (United States); Wilkinson, Jeffrey D. [Medtronic, Inc., Mounds View, MN (United States); Mallick, Avishek [Department of Mathematics, Marshall University, Huntington, WV (United States)

    2014-01-01

    In a 2-part study, we first examined the results of 71 surveyed physicians who provided responses on how they address the management of patients who maintained either a pacemaker or a defibrillator during radiation treatment. Second, a case review study is presented involving 112 medical records reviewed at 18 institutions to determine whether there was a change in the radiation prescription for the treatment of the target cancer, the method of radiation delivery, or the method of radiation image acquisition. Statistics are provided to illustrate the level of administrative policy; the level of communication between radiation oncologists and heart specialists; American Joint Committee on Cancer (AJCC) staging and classification; National Comprehensive Cancer Network (NCCN) guidelines; tumor site; patient's sex; patient's age; device type; manufacturer; live monitoring; and the reported decisions for planning, delivery, and imaging. This survey revealed that 37% of patient treatments were considered for some sort of change in this regard, whereas 59% of patients were treated without regard to these alternatives when available. Only 3% of all patients were identified with an observable change in the functionality of the device or patient status in comparison with 96% of patients with normal behavior and operating devices. Documented changes in the patient's medical record included 1 device exhibiting failure at 0.3-Gy dose, 1 device exhibiting increased sensor rate during dose delivery, 1 patient having an irregular heartbeat leading to device reprogramming, and 1 patient complained of twinging in the chest wall that resulted in a respiratory arrest. Although policies and procedures should directly involve the qualified medical physicist for technical supervision, their sufficient involvement was typically not requested by most respondents. No treatment options were denied to any patient based on AJCC staging, classification, or NCCN practice standards.

  8. [Nursing observation chart: between the objectives targeted by this model and actual practice, where should we place the reflective process of the nurse? Results of the study. Future prospects of teaching tools].

    Science.gov (United States)

    Ripoche, Sébastien

    2012-09-01

    The research presented below examines the focus charting model in French nursing practice. Between the objectives targeted by this model and actual practice, where to place the reflective process of the nurse? To answer this question, the methodology used is the comprehensive approach. It is characterized by the production of semi-structured interviews of nurses using the model studied, but also by the in situ observation of practices. The results show that nurses engaged a reflexive process in the use of the focus charting model. This reflexive process is "in" the action rather than "on" or "for" the action. Nurse's position vis a vis at their disposal is investigated.

  9. Acuity systems and control charting.

    Science.gov (United States)

    Shaha, S H

    1995-01-01

    The strengths of control charting and other statistical process control (SPC) tools have not previously been applied to acuity systems. Intermountain Health Care, Salt Lake City, Utah, developed a new acuity system that relies heavily upon control charting for an array of purposes, including immediate feedback to caregivers regarding decisions, ongoing feedback to managers regarding decision patterns, and longer-term feedback regarding trends and budget-relevant information. The use of control charts has eliminated the need for auditing acuity-based staffing and has maintained the reliability of classifications at levels above 95 percent. Implications for other novel applications are offered.

  10. Model based control charts in stage 1 quality control

    NARCIS (Netherlands)

    A.J. Koning (Alex)

    1999-01-01

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

  11. Inland Electronic Navigational Charts (IENC)

    Data.gov (United States)

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

  12. NOAA Electronic Navigational Charts (ENC)

    Data.gov (United States)

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

  13. Prospective, non-interventional, uncontrolled, open-chart, pharmacoepidemiologic study of prescribing patterns for anti-diabetic drugs at tertiary care hospital in Erode

    Directory of Open Access Journals (Sweden)

    Radhika P

    2009-01-01

    Full Text Available The aim of this study is to determine current prescribing patterns for anti-diabetic drugs adopted by physicians in Erode. The prospective, non interventional, uncontrolled, open-chart, pharmacoepidemiological study was conducted from January -2007 to April -2007 at a diabetic care centre having 350 diabetic patients. The pattern of prescribing anti-diabetic drugs was recorded along with glycosylated haemoglobin levels, total cholesterol, high-density lipoprotein, low-density lipoprotein, very low-density lipoprotein and triglycerides in insulin-dependent diabetes mellitus and non-insulin-dependent diabetes mellitus patients and the values were observed. The prescribing pattern of the oral anti-diabetic drugs shows that out of the various oral anti-diabetic drugs′ available, drugs from only two groups were prescribed. Sulphonylureas, biguanides and combination therapy accounts for 31.43%, 20.28% and 33.71% of prescriptions, respectively, while insulin alone and with OAD′s accounts for 6.28% and 8.29% prescriptions, respectively. Overall, prescribing trend is away from monotherapy with insulin and sulphonylureas and towards combination therapies.

  14. The effect of reward system on job satisfaction in an organizational chart of four hierarchical levels: a qualitative study

    Directory of Open Access Journals (Sweden)

    Ekaterini Galanou

    2011-01-01

    Full Text Available Rewards systems are one of the most significant issues of the human resource management. Throughout the literature, it is obvious that theorists and academics, as well as practitioners and managers emphasize the important factor of rewards. Additionally, job satisfaction is another crucial term within the same body of literature. Job satisfaction is likely to provide employees of all levels with feelings of fulfillment, achievement and even pleasure for their job. Thus, such feelings can make people more productive, creative and therefore more profitable for the organization. Furthermore, feelings of job satisfaction can strengthen the commitment and loyalty of employees with the organization, which is very necessary in present times where all firms are looking for competitive advantage and especially through their people. The objective of this study is to examine the correlation of the rewards systems and job satisfaction, based on a qualitative research. An attempt is also made to identify differences in rewards systems and the extent to which these differences influence job satisfaction among people in different organizational level.Qualitative evidence was found for the aspects of satisfaction in accordance with different kinds of rewards, focusing on the four hierarchical levels of an organization. One of the challenges of the study and its strength is the transitional stage that the organization is in, and the sub-cultures that have been created.Future research should measure crucial factors as behaviors, attitudes, performance and how these results can be linked to contextual elements and to employment performance.This study contributes to increase job satisfaction awareness, which is important for organizational development.

  15. The effect of reward system on job satisfaction in an organizational chart of four hierarchical levels: a qualitative study

    Directory of Open Access Journals (Sweden)

    Ekaterini Galanou

    2011-01-01

    Full Text Available Rewards systems are one of the most significant issues of the human resource management. Throughout the literature, it is obvious that theorists and academics, as well as practitioners and managers emphasize the important factor of rewards. Additionally, job satisfaction is another crucial term within the same body of literature. Job satisfaction is likely to provide employees of all levels with feelings of fulfillment, achievement and even pleasure for their job. Thus, such feelings can make people more productive, creative and therefore more profitable for the organization. Furthermore, feelings of job satisfaction can strengthen the commitment and loyalty of employees with the organization, which is very necessary in present times where all firms are looking for competitive advantage and especially through their people. The objective of this study is to examine the correlation of the rewards systems and job satisfaction, based on a qualitative research. An attempt is also made to identify differences in rewards systems and the extent to which these differences influence job satisfaction among people in different organizational level.Qualitative evidence was found for the aspects of satisfaction in accordance with different kinds of rewards, focusing on the four hierarchical levels of an organization. One of the challenges of the study and its strength is the transitional stage that the organization is in, and the sub-cultures that have been created.Future research should measure crucial factors as behaviors, attitudes, performance and how these results can be linked to contextual elements and to employment performance.This study contributes to increase  job satisfaction awareness, which is important for organizational development .

  16. The EWMA control chart based on robust scale estimators

    Directory of Open Access Journals (Sweden)

    Nadia Saeed

    2016-12-01

    Full Text Available The exponentially weighted moving average (EWMA chart is very popular in statistical process control for detecting the small shifts in process mean and variance. This chart performs well under the assumption of normality but when data violate the assumption of normality, the robust approaches needed. We have developed the EWMA charts under different robust scale estimators available in literature and also compared the performance of these charts by calculating expected out-of-control points and expected widths under non-symmetric distributions (i.e. gamma and exponential. The simulation studies are being carried out for the purpose and results showed that amongst six robust estimators, the chart based on estimator Q_n relatively performed well for non-normal processes in terms of its shorter expected width and more number of expected out-of-control points which shows its sensitivity to detect the out of control signal.

  17. 7 CFR 51.2276 - Color chart.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Color chart. 51.2276 Section 51.2276 Agriculture... Standards for Shelled English Walnuts (Juglans Regia) General § 51.2276 Color chart. The color chart (USDA Walnut Color Chart) to which reference is made in §§ 51.2281 and 51.2282 illustrates the four shades...

  18. Fuzzy multinomial control chart and its application

    Science.gov (United States)

    Wibawati, Mashuri, Muhammad; Purhadi, Irhamah

    2016-03-01

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

  19. A paediatric X-ray exposure chart

    Energy Technology Data Exchange (ETDEWEB)

    Knight, Stephen P, E-mail: stephen.knight@health.qld.gov.au [Department of Medical Imaging, Royal Children' s Hospital, Brisbane, Queensland (Australia)

    2014-09-15

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

  20. Flowcharting with D-charts

    Science.gov (United States)

    Meyer, D.

    1985-01-01

    A D-Chart is a style of flowchart using control symbols highly appropriate to modern structured programming languages. The intent of a D-Chart is to provide a clear and concise one-for-one mapping of control symbols to high-level language constructs for purposes of design and documentation. The notation lends itself to both high-level and code-level algorithmic description. The various issues that may arise when representing, in D-Chart style, algorithms expressed in the more popular high-level languages are addressed. In particular, the peculiarities of mapping control constructs for Ada, PASCAL, FORTRAN 77, C, PL/I, Jovial J73, HAL/S, and Algol are discussed.

  1. Generalisation of Submarine Features on Nautical Charts

    Science.gov (United States)

    Guilbert, E.; Zhang, X.

    2012-07-01

    On most large scale and middle scale maps, relief is represented by contours and spot heights. In order to adapt the representation to the scale, the terrain is generalised either by smoothing or filtering the terrain model or by simplifying the contours. However this approach is not applicable to nautical chart construction where terrain features are selected according to their importance for navigation. This paper presents an approach for the consideration of feature attributes in the generalisation of a set of contours with respect to nautical chart constraints. Features are defined by sets of contours and a set of generalisation operators applied to features is presented. The definitions are introduced in a multi-agent system in order to perform automatic generalisation of a contour set. Results are discussed on a case study and directions for future work are presented.

  2. Charting Secrets Stop Reading Start Practicing

    CERN Document Server

    Bedford, Louise

    2012-01-01

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

  3. Design and Application of Economical Process Control Charts

    Directory of Open Access Journals (Sweden)

    S.S.N. Murthy

    1997-01-01

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

  4. Tactile acuity charts: a reliable measure of spatial acuity.

    Directory of Open Access Journals (Sweden)

    Patrick Bruns

    Full Text Available For assessing tactile spatial resolution it has recently been recommended to use tactile acuity charts which follow the design principles of the Snellen letter charts for visual acuity and involve active touch. However, it is currently unknown whether acuity thresholds obtained with this newly developed psychophysical procedure are in accordance with established measures of tactile acuity that involve passive contact with fixed duration and control of contact force. Here we directly compared tactile acuity thresholds obtained with the acuity charts to traditional two-point and grating orientation thresholds in a group of young healthy adults. For this purpose, two types of charts, using either Braille-like dot patterns or embossed Landolt rings with different orientations, were adapted from previous studies. Measurements with the two types of charts were equivalent, but generally more reliable with the dot pattern chart. A comparison with the two-point and grating orientation task data showed that the test-retest reliability of the acuity chart measurements after one week was superior to that of the passive methods. Individual thresholds obtained with the acuity charts agreed reasonably with the grating orientation threshold, but less so with the two-point threshold that yielded relatively distinct acuity estimates compared to the other methods. This potentially considerable amount of mismatch between different measures of tactile acuity suggests that tactile spatial resolution is a complex entity that should ideally be measured with different methods in parallel. The simple test procedure and high reliability of the acuity charts makes them a promising complement and alternative to the traditional two-point and grating orientation thresholds.

  5. Charting the Nation’s Course: Strategic Planning Processes in the 1952-53 "New Look" and the 1996-97 Quadrennial Defense Review

    Science.gov (United States)

    2007-11-02

    step in the study defines several alternative methods for conducting strategic planning , including how using those methods could influence the outcome...This study analyzes how the processes used in the national security planning influence the results. It begins by discussing the nature of strategic ... planning for national security, eventually defining it as a disciplined effort involving the allocation of resources to programmed activities aimed at

  6. Alternative Fuels (Briefing Charts)

    Science.gov (United States)

    2009-06-19

    SASOL Jet Fuel Qatar GTL Syntroleum Jet fuel in B-52 Nigeria GTL China Coal GTL Shell Bintulu GTL Cellulose ethanol for ground use Ocean Bio...Bintulu GTL Ocean Bio-fuel Factories Bio-butanol for ground use Future Energy Source Resurgence in Nuclear Power Bio-jet tests done ASTM Spec...High energy deoxygenated bio-jet fuel from algae PSU coal derived JP-8 B-52 emissions Scoping study HBR TF emissions New bio- fuel impacts Adv

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

    Directory of Open Access Journals (Sweden)

    Patel Sangnya

    2007-07-01

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

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

    Institute of Scientific and Technical Information of China (English)

    Haili Fang; Hongxing Diao; Linxing Chen; Junwen Zeng

    2014-01-01

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

  9. Are estimated control charts in control?

    NARCIS (Netherlands)

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

    2001-01-01

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

  10. NOAA Seamless Raster Navigational Charts (RNC)

    Data.gov (United States)

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

  11. Air Emissions Sources, Charts and Maps

    Data.gov (United States)

    U.S. Environmental Protection Agency — Air Emissions provides (1) interactive charts supporting national, state, or county charts, (2) county maps of criteria air pollutant emissions for a state, and (3)...

  12. Outcome of ventilator-associated pneumonia due to multidrug-resistant Acinetobacter baumannii and Pseudomonas aeruginosa treated with aerosolized colistin in neonates: a retrospective chart review.

    Science.gov (United States)

    Celik, Istemi Han; Oguz, Serife Suna; Demirel, Gamze; Erdeve, Omer; Dilmen, Ugur

    2012-02-01

    Multidrug-resistant (MDR) gram-negative bacteria-related nosocomial infections and ventilator-associated pneumonia (VAP) presents an emerging challenge to clinicians. Older antimicrobial agents such as colistin have become life-saving drugs because of the susceptibility of these pathogens. We report our experience with aerosolized colistin in two preterm and one term neonate with Acinetobacter baumannii and Pseudomonas aeruginosa-related VAP who were unresponsiveness to previous antimicrobial treatment. All pathogens were isolated from tracheal aspirate. We used 5 mg/kg (base activity) aerosolized colistin methanesulfonate sodium in every 12 h as an adjunctive therapy for VAP. VAP was treated by 14, 14, and 16-day courses of aerosolized colistin in these patients, respectively. No adverse effect such as nephrotoxicity or neurotoxicity was observed. We found that aerosolized colistin was tolerable and safe, and it may be an adjunctive treatment option for MDR gram-negative bacterial VAP in neonates. Further studies are needed to determine appropriate doses for aerosolized colistin and its eligibility as an alternative treatment choice in newborns.

  13. Optimality of Non-Restarting CUSUM charts

    OpenAIRE

    2012-01-01

    We show optimality, in a well-defined sense, using cumulative sum (CUSUM) charts for detecting changes in distributions. We consider a setting with multiple changes between two known distributions. This result advocates the use of non-restarting CUSUM charts with an upper boundary. Typically, after signalling, a CUSUM chart is restarted by setting it to some value below the threshold. A non-restarting CUSUM chart is not reset after signalling; thus is able to signal continuously. Imposing an ...

  14. 7 CFR 51.2946 - Color chart.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Color chart. 51.2946 Section 51.2946 Agriculture... Standards for Grades of Walnuts in the Shell General § 51.2946 Color chart. The color chart (USDA Walnut Color Chart) to which reference is made in §§ 51.2948, 51.2949, 51.2950, 51.2954, and...

  15. Efficacy, compliance and reasons for refusal of postoperative chemotherapy for elderly patients with colorectal cancer: a retrospective chart review and telephone patient questionnaire.

    Directory of Open Access Journals (Sweden)

    Pan Li

    Full Text Available BACKGROUND: Numerous clinical trials have demonstrated that elderly patients with colorectal cancer (CRC can benefit from chemotherapy, yet compliance in real-world practice is low. The purpose of this study is to investigate the efficacy, compliance and reasons for refusal of postoperative chemotherapy for elderly patients with CRC and to provide corresponding strategies. PATIENTS AND METHODS: The clinico-pathological and biochemical data of the chemotherapy group and chemo-refusing group were compared among 386 elderly patients (>70 years old with CRC who underwent surgery. 226 patients received chemotherapy and 160 patients refused. Follow-up of the subjective reasons for refusal was investigated using the elderly caner patients' chemo-refusal reason questionnaire (ECPCRRQ prepared by the authors and a group of psychologists. The questionnaire is administrated by telephone. A predictive model for 5-year disease-free survival (DFS and 5-year overall survival (OS was constructed by using Kaplan-Meier analysis, logistic and Cox regression. RESULTS: Among stage III patients, receiving chemotherapy was associated with a significantly higher OS (68% compared to those who refused ( OS 50% (HR: 2.05, 95%CI: 1.12-3.77, P = 0.02. The Chemo-refusal group had more female and elderly patients, significantly higher rate of severe complications, and lower body mass index (BMI. Follow-up phone questionnaire analysis showed the doctors' uncertainty of chemotherapy benefit, economic difficulties, uncomfortable feeling, superstition of Traditional Chinese Medicine, concealing information and lack of social support were the main factors for elderly CRC patients to decline chemotherapy. CONCLUSION: The receipt of post-operative chemotherapy in elderly patients with resected stage III CRC was associated with a more favorable survival. The low compliance rate (160/386 of postoperative chemotherapy was influenced by various subjective and objective factors.

  16. A novel experience in the use of control charts for the detection of nosocomial infection outbreaks

    Directory of Open Access Journals (Sweden)

    Isabel Cristina Gomes

    2011-01-01

    Full Text Available OBJECTIVE: This study aims to compare different control charts to monitor the nosocomial infection rate per 1,000 patient-days. METHODS: The control charts considered in this study were the traditional Shewhart chart and a variation of this, the Cumulative Sum and Exponentially Weighted Moving Average charts. RESULTS: We evaluated 238 nosocomial infections that were registered in the intensive care unit and were detected by the Committee for Nosocomial Infection Control in a university hospital in Belo Horizonte, Brazil, in 2004 and 2005. The results showed that the traditional Shewhart chart was the most appropriate method for monitoring periods with large deviations, while the Exponentially Weighted Moving Average and Cumulative Sum charts were better for monitoring periods with smaller deviations of the mean infection rate. CONCLUSION: The ability to detect nosocomial outbreaks was improved by using the information provided by all three different control charts.

  17. Improving the performance of CUSUM charts

    NARCIS (Netherlands)

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

    2011-01-01

    The control chart is an important statistical technique that is used to monitor the quality of a process. Shewhart control charts are used to detect larger disturbances in the process parameters, whereas CUSUM and EWMA charts are meant for smaller and moderate changes. Runs rules schemes are general

  18. Enhancing the performance of EWMA charts

    NARCIS (Netherlands)

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

    2011-01-01

    Control charts are extensively used in processes and are very helpful in determining the special cause variations so that a timely action may be taken to eliminate them. One of the charting procedures is the Shewhart-type control charts, which are used mainly to detect large shifts. Two alternatives

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

    DEFF Research Database (Denmark)

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

    2012-01-01

    trans-abdominal ultrasound. All pregnancies with pathology were excluded and a chart representing the optimal growth potential was developed using fetal weights and birth weights. The weight chart was compared to a chart from Congo, a chart representing a white population, and a chart representing......Objective: To produce a fetal weight chart representative of a Tanzanian population, and compare it to weight charts from Sub-Saharan Africa and the developed world. Methods: A longitudinal observational study in Northeastern Tanzania. Pregnant women were followed throughout pregnancy with serial......, in the end of pregnancy, the 10th percentiles deviated substantially causing an overestimation of the true prevalence of SGA newborns if our chart had not been used. Conclusions: We developed a weight chart representative for a Tanzanian population and provide evidence for the necessity of developing...

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

    Directory of Open Access Journals (Sweden)

    Aghafekokhian B. Osaiyuwu

    2015-03-01

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

  1. Drug-Refractory Aggression, Self-Injurious Behavior, and Severe Tantrums in Autism Spectrum Disorders: A Chart Review Study

    Science.gov (United States)

    Adler, Benjamin A.; Wink, Logan K.; Early, Maureen; Shaffer, Rebecca; Minshawi, Noha; McDougle, Christopher J.; Erickson, Craig A.

    2015-01-01

    Aggression, self-injurious behavior, and severe tantrums are impairing symptoms frequently experienced by individuals with autism spectrum disorders. Despite US Food and Drug Administration approval of two atypical antipsychotics targeting these symptoms in youth with autistic disorder, they remain frequently drug refractory. We define…

  2. Economic design of VSI GCCC charts for correlated samples

    Directory of Open Access Journals (Sweden)

    Y K Chen

    2013-08-01

    Full Text Available Generalised cumulative count of conforming (GCCC charts have been proposed for monitoring a high-yield process that allows the items to be inspected sample by sample and not according to the production order. Recent study has shown that the GCCC chart with a variable sampling interval (VSI is superior to the traditional one with a fixed sampling interval (FSI because of the additional flexibility of sampling interval it offers. However, the VSI chart is still costly when used for the prevention of defective products. This paper presents an economic model for the design problem of the VSI GCCC chart, taking into account the correlation of the production outputs within the same sample. In the economic design, a cost function is developed that includes the cost of sampling and inspection, the cost of false alarms, the cost of detecting and removing the assignable cause, and the cost when the process is out-of-control. An evolutionary search method using the cost function is presented for finding the optimal design parameters of the VSI GCCC chart. Comparisons between VSI and FSI charts for expected cost per unit time are also made for various process and cost parameters.

  3. Continuity Adjustment for Control Charts for Attributes

    Institute of Scientific and Technical Information of China (English)

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

    2003-01-01

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

  4. 中国明代航海图特色探讨%Study on the Features of Navigational Charts in China's Ming Dynasty

    Institute of Scientific and Technical Information of China (English)

    梁迅

    2016-01-01

    中国明代航海图闻名世界,迄今发现的明初“海道指南图”汇集了千年来南粮北运航线的详实资料;“郑和航海图”展示了中国古航海与航海图的鼎盛风貌,首次公开了跨越亚非欧洲际间的14条航线写景图,以及牵星技术成功应用于远洋导航先例,并继承发展了汉代以来所开辟的海上丝绸之路,再次宣扬了以文化交流与特产贸易为主要目的中外交往传统;南海天书“更路薄”记录了中国历代渔民用生命所换来的航海指南;“琉球过海图”代表了中国古代航海家曾经越洋过海先后到达琉球、台湾、日本等地的东方航海“针路”(指南针定向)面貌;“雪尔登中国地图”的航海总图功能,完善了明代航海图系列。本文还系统地论述了中国明代航海图的写实风格、配套文字或图说等内容特色,以及所采用的“对景法”、“牵星板”、“水上罗盘”、“天文观测仪器”、“船上测速”等技术特色。%The navigational charts in China's Ming dynasty are famous all over the world at that time, such as the‘Hydrographic Guide Map’so far discovered in the early Ming Dynasty, which collected the detailed shipping route to transport grain from the south to the north along the coastline between Ningbo and Liao river over thousands of years; and the‘ZhengHe Navigational Chart’, which reveals the style and features in a period of great prosperity on Chinese ancient navigation achievements and navigational chart techniques and includes 14 seaway routes crossing Asia, Africa and Europe recognized as the first one in the world. The inheritance and development of the‘Maritime Silk Road’since Han dynasty, once again advocates the main purpose of the traditional business between china and foreign countries, which is the culture exchange and local product trading. The‘Sea Route Book’recorded the navigational guide of South

  5. Process management: two control charts.

    Science.gov (United States)

    McKenzie, L

    1993-09-01

    It is not at all surprising that many persons avoid involvement in statistical process control. The statistical procedures developed in industry to monitor production processes are somewhat different from those employed in biostatistics and social science applications. Many find it difficult to adjust to these procedures and to apply statistical process control techniques to situations in health care settings. Not everyone involved in a QI process, however, needs to become versed in statistical process control techniques. At the Indiana University Medical Center several persons from different hospital departments have volunteered to form a cadre of internal statistical process control consultants. The group has come to be known by some as the statistical process control "think tank." No doubt a small group of individuals who are interested in statistics, quality control, and computers can be found in most hospitals. While it is necessary that the large majority of managers and supervisors in any health care organization are knowledgeable about process management and control charts at the concept level of understanding, it takes a relatively few to understand and use such control charts. As internal consultants, these few persons can provide technical assistance when such aid is needed.

  6. Quality control chart for crushed granite concrete

    Directory of Open Access Journals (Sweden)

    Ewa E. DESMOND

    2016-07-01

    Full Text Available A chart for assessing in-situ grade (strength of concrete, has been developed in this study. Four grades of concrete after the Nigerian General Specification for Roads and bridges (NGSRB-C20, C25, C30 and C35, is studied at different water-cement ratios for medium and high slump range. The concrete mixes are made from crushed granite rock as coarse aggregate with river sand as fine aggregate. Compression test on specimens are conducted at curing age of 1, 3, 7, 14, 21, 28 and 56 days. Results on concrete workability from slump values, and water-cement ratios revealed that specimens with lower water-cement ratio were less workable but had higher strength, compared to mixes with higher water cement ratio. A simple algorithm using nonlinear regression analysis performed on each experimental data set produced Strength-Age (S-A curves which were used to establish a quality control chart. The accuracy of these curves were evaluated by computing average absolute error (AAS, the error of estimate (EoE and the average absolute error of estimate (Abs EoE for each concrete mix. These were done based on the actual average experimental strengths to measure how close the predicted values are to the experimental data set. The absolute average error of estimate (Abs. EoE recorded was less than ±10% tolerance zone for concrete works.

  7. Differences in reported sepsis incidence according to study design: a literature review

    Directory of Open Access Journals (Sweden)

    Saga Elise Mariansdatter

    2016-10-01

    Full Text Available Abstract Background Sepsis and severe sepsis are common conditions in hospital settings, and are associated with high rates of morbidity and mortality, but reported incidences vary considerably. In this literature review, we describe the variation in reported population-based incidences of sepsis and severe sepsis. We also examine methodological and demographic differences between studies that may explain this variation. Methods We carried out a literature review searching three major databases and reference lists of relevant articles, to identify all original studies reporting the incidence of sepsis or severe sepsis in the general population. Two authors independently assessed all articles, and the final decision to exclude an article was reached by consensus. We extracted data according to predetermined variables, including study country, sepsis definition, and data source. We then calculated descriptive statistics for the reported incidences of sepsis and severe sepsis. The studies were classified according to the method used to identify cases of sepsis or severe sepsis: chart-based (i.e. review of patient charts or code-based (i.e. predetermined International Classification of Diseases [ICD] codes. Results Among 482 articles initially screened, we identified 23 primary publications reporting incidence of sepsis and/or severe sepsis in the general population. The reported incidences ranged from 74 to 1180 per 100,000 person-years and 3 to 1074 per 100,000 person-years for sepsis and severe sepsis, respectively. Most chart-based studies used the Bone criteria (or a modification hereof and Protein C Worldwide Evaluation in Severe Sepsis (PROWESS study criteria to identify cases of sepsis and severe sepsis. Most code-based studies used ICD-9 codes, but the number of codes used ranged from 1 to more than 1200. We found that the incidence varied according to how sepsis was identified (chart-based vs. code-based, calendar year, data source, and

  8. Electronic applications of the Smith chart

    CERN Document Server

    Smith, Phillip

    1995-01-01

    The legendary Smith chart inventor's classic reference book describes how the chart is used for designing lumped element and transmission line circuits. Provides tutorial material on transmission line theory and behavior, circuit representation on the chart, matching networks, network transformations and broadband matching. Includes a new chapter with examples designs and description of the winSMITH software accessory. Many computational instruments have succumbed to the power of the digital computer. This is not the case with the Smith Chart. A testament to Phil's genius is that his Smith Cha

  9. 顺序功能图的缺陷与改进研究%Study on the defects and improvement of sequential function chart

    Institute of Scientific and Technical Information of China (English)

    张中明; 吴晓苏; 陈恩爱; 郑小康

    2015-01-01

    为了解决现有顺序功能图无法灵活地表达自动循环与手动操作之间的工作状态转换问题,以液压动力滑台典型工作步骤为研究对象,提出了增设状态变量并插入微小分支回路的方法来保存两种状态之间的动态存储器变化过程。研究表明:重新设计后的顺序功能图与梯形图之间呈现出了更为严格的映射关系。通过图论建模发现,模型重构后连通图的最大流数量比之前有所增加,但是仍然符合图的封闭性原则,从而维持了控制系统的稳定性。通过现场观察梯形图的运行过程,控制程序在两种状态之间实现了断点无扰动切换,验证了新算法的正确性与可靠性。%In order to solve the problem that the current sequential function chart cannot express the conversion between automatic circulation and manual operation flexibly,taking the example of the typical work steps of hy-draulic power sliding table as the research object,the paper brings forward a method by adding state variables and inserting some micro branches to hold the change process of dynamic memory between these two states.The se-quential function chart and ladder diagram shows a more rigorous mapping relationship after redesign.By means of graph theory model establishment,we can find that the number of maximum flow has been increased than before after model reconstruction,but it still meets the needs of closure principle of graph,so as to maintain the stability of the control system.Through the observation of running the ladder diagram on the spot,the control program can shift between these two states with non-disturbance at the breakpoint,verifying the correctness and reliability of the new algorithm.

  10. Review Study of Mining Big Data

    Directory of Open Access Journals (Sweden)

    Mohammad Misagh Javaherian

    2016-06-01

    Full Text Available Big data is time period for collecting extensive and complex data set which including both structured and nonstructured information. Data can come from everywhere. sensors for collecting environment data are presented in online networking targets, computer images and recording and so on , this information is known as big data. The valuable data can be extracted from this big data using data mining. Data mining is a method to find attractive samples and also logical models of information in wide scale. This article shown types of big data and future problems in extensive information as a chart. Study of issues in data-centered model in addition to big data will be analyzed.

  11. Control charts for identifying systematic errors using control sera to detect antibody to Salmonella in an indirect ELISA

    DEFF Research Database (Denmark)

    Bak, H.; Barfod, Kristen

    2008-01-01

    This study evaluated the preparation of Shewhart's control charts using the concept of rational subgroups for monitoring the Salmonella antibody ELISA used for surveillance of Danish pig herds. Control charts were prepared for a buffer control sample, a negative serum sample and a positive serum ...... charts could reveal systematic analytical errors....

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

    OpenAIRE

    Chan, LY

    2003-01-01

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

  13. An efficiency comparison of control chart for monitoring process variance: Non-normality case

    Directory of Open Access Journals (Sweden)

    Sangkawanit, R.

    2005-11-01

    Full Text Available The purposes of this research are to investigate the relation between upper control limit and parameters of weighted moving variance linear weight control chart (WMVL, weighted moving variance: exponential weight control chart (WMVE , successive difference cumulative sum control chart (Cusum-SD and current sample mean cumulative sum control chart (Cusum-UM and to compare efficiencies of these control charts for monitoring increases in process variance, exponentially distributed data with unit variance and Student's t distributed data with variance 1.071429 (30 degrees of freedom as the in control process. Incontrol average run lengths (ARL0 of 200, 400 and 800 are considered. Out-of-control average run lengths (ARL1 obtained via simulation 10,000 times are used as a criteria.The main results are as follows: the upper control limit of WMVL has a negative relation with moving span while the upper control limit of WMVE has a negative relation with moving span and a positive relation with exponential weight. Both the upper control limits of Cusum-SD and Cusum-UM have a negative relation with reference value in which such relation looks like an exponential curve.The results of efficiency comparisons in case of exponentially distributed data for ARL0 of 200, 400 and 800 turned out to be quite similar. When standard deviation changes less than 50%, Cusum-SD control chart and Cusum-UM control chart have ARL1 less than those of WMVL control chart and WMVE control chart. However, when standard deviation changes more than 50%, WMVL control chart and WMVE control chart have ARL1 less than those of Cusum-SD control chart and Cusum-UM control chart. The results are different from the normally distributed data case, studied by Sparks in 2003. In case of Student's t distributed data for ARL0 of 200 and 400 when process variance shifts by a small amount (less than 50%, Cusum- UM control chart has the lowest ARL1 but when process variance shifts by a large amount

  14. Manufacturer-provided effective orifice area index charts and the prevention of prosthesis-patient mismatch.

    Science.gov (United States)

    House, Chad M; Nelson, William B; Kroshus, Timothy J; Dahiya, Ranjan; Pibarot, Philippe

    2012-01-01

    Prosthesis-patient mismatch (PPM) occurs when an implanted prosthesis is too small relative to the patient's body surface area (BSA). However, mismatch can often be prevented by indexing the expected effective orifice area (EOA) of a prosthesis to the patient's BSA and then selecting the largest implantable prosthesis to avoid mismatch. Previously, prosthesis manufacturers have attempted to simplify this process by providing charts that include the expected EOA for their prosthesis, already indexed into an array of BSA values. One caveat with these charts is that the expected EOA data must truly be reliable, or the charts will misguide the implanting surgeon. Manufacturer-provided charts could be improved by standardizing the EOA data, with one potential source being the hemodynamic data submitted to the United States Food and Drug Administration. This review discusses PPM, manufacturer-provided EOA charts, and the regulation of EOA data.

  15. Advanced nuclear systems. Review study; Fortgeschrittene Nuklearsysteme. Review Study

    Energy Technology Data Exchange (ETDEWEB)

    Liebert, Wolfgang; Glaser, Alexander; Pistner, Christoph [Interdisziplinaere Arbeitsgruppe Naturwissenschaft, Technik und Sicherheit (IANUS), Darmstadt University of Technology, Hochschulstrasse 10, D-64289 Darmstadt (Germany); Baehr, Roland; Hahn, Lothar [Institute for applied ecology (Oeko-Institut), Elisabethenstrasse 55-57, D-64283 Darmstadt (Germany)

    1999-04-01

    The task of this review study is to from provide an overview of the developments in the field of the various advanced nuclear systems, and to create the basis for more comprehensive studies of technology assessment. In an overview the concepts for advanced nuclear systems pursued worldwide are subdivided into eight subgroups. A coarse examination raster (set pattern) is developed to enable a detailed examination of the selected systems. In addition to a focus on enhanced safety features, further aspects are also taken into consideration, like the lowering of the proliferation risk, the enhancement of the economic competitiveness of the facilities and new usage possibilities (for instance concerning the relaxation of the waste disposal problem or the usage of alternative fuels to uranium). The question about the expected time span for realization and the discussion about the obstacles on the way to a commercially usable reactor also play a substantial role as well as disposal requirements as far as they can be presently recognized. In the central chapter of this study, the documentation of the representatively selected concepts is evaluated as well as existing technology assessment studies and expert opinions. In a few cases where this appears to be necessary, according technical literature, further policy advisory reports, expert statements as well as other relevant sources are taken into account. Contradictions, different assessments and dissents in the literature as well as a few unsettled questions are thus indicated. The potential of advanced nuclear systems with respect to economical and societal as well as environmental objectives cannot exclusively be measured by the corresponding intrinsic or in comparison remarkable technical improvements. The acceptability of novel or improved systems in nuclear technology will have to be judged by their convincing solutions for the crucial questions of safety, nuclear waste and risk of proliferation of nuclear weapons

  16. How To Prepare Effective Flip Charts.

    Science.gov (United States)

    National Audio-Visual Supply, East Rutherford, NJ.

    Designed to help create effective flip chart presentations, this guide contains the basic techniques and helpful hints necessary to produce professional, attention-getting flip charts in a step-by-step procedure format. Five topics are addressed in the guide: (1) eight steps to a successful meeting presentation; (2) advantages of flip chart…

  17. Color Charts, Esthetics, and Subjective Randomness

    Science.gov (United States)

    Sanderson, Yasmine B.

    2012-01-01

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

  18. Robust CUSUM control charting for process dispersion

    NARCIS (Netherlands)

    Nazir, H.Z.; Riaz, M.; Does, R.J.M.M.

    2015-01-01

    Process monitoring through control charts is a quite popular practice in statistical process control. From a statistical point of view, a superior control chart is one that has an efficient design structure, but having resistance against unusual situations is of more practical importance. To have a

  19. 49 CFR 236.718 - Chart, dog.

    Science.gov (United States)

    2010-10-01

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

  20. 47 CFR 73.333 - Engineering charts.

    Science.gov (United States)

    2010-10-01

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

  1. The Conjugate Acid-Base Chart.

    Science.gov (United States)

    Treptow, Richard S.

    1986-01-01

    Discusses the difficulties that beginning chemistry students have in understanding acid-base chemistry. Describes the use of conjugate acid-base charts in helping students visualize the conjugate relationship. Addresses chart construction, metal ions, buffers and pH titrations, and the organic functional groups and nonaqueous solvents. (TW)

  2. SMART AERONAUTICAL CHART MANAGEMENT SYSTEM DESIGN

    Directory of Open Access Journals (Sweden)

    M. E. Pakdil

    2015-10-01

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

  3. Obtaining the Andersen's chart, triangulation algorithm

    DEFF Research Database (Denmark)

    Sabaliauskas, Tomas; Ibsen, Lars Bo

    Andersen’s chart (Andersen & Berre, 1999) is a graphical method of observing cyclic soil response. It allows observing soil response to various stress amplitudes that can lead to liquefaction, excess plastic deformation or stabilizing soil response. The process of obtaining the original chart has...

  4. Growth charts for children with Ellis–van Creveld syndrome

    OpenAIRE

    Verbeek, Sabine; Eilers, Paul; Lawrence, Karen; Hennekam, Raoul; Versteegh, Florens

    2010-01-01

    textabstractEllis-van Creveld (EvC) syndrome is a congenital malformation syndrome with marked growth retardation. In this study, specific growth charts for EvC patients were derived to allow better follow-up of growth and earlier detection of growth patterns unusual for EvC. With the use of 235 observations of 101 EvC patients (49 males, 52 females), growth charts for males and females from 0 to 20 years of age were derived. Longitudinal and cross-sectional data were collected from an earlie...

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

    CERN Document Server

    Nadhani, Sanket; Bhattacharya, Shamasis

    2012-01-01

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

  6. Isomers chart; Table des isomeres

    Energy Technology Data Exchange (ETDEWEB)

    Dupont-Gautier, P.; Chantelot, S.; Moisson, N. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1967-07-01

    The nuclear isomers are nuclides offering the same mass number and the same atomic number, but different energy levels. In the following chart the zero energy ground states are omitted and the metastable isomers, i.e. of non-zero energy, known and of measurable lifetime, are listed. The lower limit of this lifetime was set here to 0.1 x 10{sup -6} s. The various isomers were classified in increasing lifetimes. (authors) [French] Les isomeres nucleaires sont des nucleides presentant le meme nombre de masse et le meme numero atomique, mais des niveaux energetiques differents. Dans la table suivante, on a neglige les etats fondamentaux d'energie nulle et on a recense les isomeres metastables, c'est-a-dire d'energie non nulle, connus et de periode mesurable. La limite inferieure de cette periode a ete fixee ici a 0,1 x 10{sup -6} s. Les differents isomeres ont ete classes par periodes croissantes. (auteurs)

  7. Individual control charts in paperboard industry

    Science.gov (United States)

    Grilo, Luís M.; Silva, Daniela S.; Nogueira, Isabel M.; Grilo, Helena L.; Oliveira, Teresa A.

    2016-12-01

    The stiffness of paperboard is an important continuous variable measured in the labs of paperboard industry to evaluate the quality of the final product. The variable is approximately normal distributed, in this case study, and individual control charts to monitor the stiffness are obtained based on average moving range. Since the available sample size is small we decide to estimate robust control limits using a non-parametric method based on empirical quantiles (that performs also well under the normality of the observations), with the bootstrap procedure. The comparison of the control limits should be made based on the required accuracy. We also compare the output of the stable process (i.e., in statistical control) with the process specifications and we conclude that it is not a capable process.

  8. CUSUM Charts with Controlled Conditional Performance Under Estimated Parameters

    NARCIS (Netherlands)

    Saleh, N.A.; Zwetsloot, I.M.; Mahmoud, M.A.; Woodall, W.H.

    2016-01-01

    We study the effect of the Phase I estimation error on the cumulative sum (CUSUM) chart. Impractically large amounts of Phase I data are needed to sufficiently reduce the variation in the in-control average run lengths (ARL) between practitioners. To reduce the effect of estimation error on the char

  9. CUSUM Chart with Controlled Conditional Performance Under Estimated Parameters

    NARCIS (Netherlands)

    Saleh, N.A.; Zwetsloot, I.M.; Mahmoud, M.A.; Woodall, W.H.

    2016-01-01

    We study the effect of the Phase I estimation error on the cumulative sum (CUSUM) chart. Impractically large amounts of Phase I data are needed to sufficiently reduce the variation in the in-control average run lengths (ARL) between practitioners. To reduce the effect of estimation error on the char

  10. Growth charts for children with Ellis-van Creveld syndrome

    NARCIS (Netherlands)

    S. Verbeek (Sabine); P.H.C. Eilers (Paul); K.A. Lawrence (Karen); R.C.M. Hennekam (Raoul); F.G. Versteegh (Florens)

    2011-01-01

    textabstractEllis-van Creveld (EvC) syndrome is a congenital malformation syndrome with marked growth retardation. In this study, specific growth charts for EvC patients were derived to allow better follow-up of growth and earlier detection of growth patterns unusual for EvC. With the use of 235 obs

  11. Live sequence charts to model medical information

    Directory of Open Access Journals (Sweden)

    Aslakson Eric

    2012-06-01

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

  12. Performance Charts for the Turbojet Engine

    Science.gov (United States)

    Pinkel, Benjamin; Karp, Irving M.

    1947-01-01

    Charts are presented for computing the thrust, fuel consumption, and other performance values of a turbojet engine for any given set of operating conditions and component efficiencies. The effects of the pressure losses in the inlet duct and combustion chamber, the variation in the physical properties of the gas as it passes through the cycle, and the change in mass flow by the addition of fuel are included. The principle performance charts show the effects of the primary variables and correction charts provide the effects of the secondary variables.

  13. Construction of Control Charts Using Fuzzy Multinomial Quality

    OpenAIRE

    2008-01-01

    Control charts are the simplest type of on-line statistical process control techniques. One of the basic control charts is P-chart. In classical P-charts, each item classifies as either "nonconforming" or "conforming" to the specification with respect to the quality characteristic. In practice, one may classify each item in more than two categories such as "bad", "medium", "good", and "excellent". Based on this, we introduce a fuzzy multinomial chart ( FM-chart) for monitoring a multinomial p...

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

    Directory of Open Access Journals (Sweden)

    Elisa Henning

    2014-02-01

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

  15. Interactive Financial Charts- Agency Financial Reports

    Data.gov (United States)

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

  16. Chart Supplements - Aeronautical Information Services Digital Products

    Data.gov (United States)

    Department of Transportation — The Chart Supplements are searchable by individual airport in PDF format. They contain data on public and joint use airports, seaplane bases, heliports, VFR airport...

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

    Science.gov (United States)

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

    2008-06-01

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

  18. Applying heuristic evaluation to observation chart design to improve the detection of patient deterioration.

    Science.gov (United States)

    Preece, Megan H W; Hill, Andrew; Horswill, Mark S; Karamatic, Rozemary; Hewett, David G; Watson, Marcus O

    2013-07-01

    A key goal for patient safety is to improve the early recognition and management of patients whose conditions deteriorate whilst in hospital. Paper-based observation charts are the main means of recording and monitoring patients' physiological stability, yet observations (e.g., blood pressure, heart rate, and respiratory rate) are not always correctly recorded or appropriately acted upon. No prior published study has applied usability heuristics to systematically compare the usability of multiple observation chart designs. In this study, five evaluators with human factors, applied psychology, or medical expertise inspected 25 observation charts for usability problems. Every chart was found to have substantial usability problems, potentially affecting the ability of hospital staff to accurately record observations or recognize patient deterioration. We proposed a new observation chart design, which avoids many of the previously observed usability problems.

  19. Practical guidance for charting ethics consultations.

    Science.gov (United States)

    Bruce, Courtenay R; Smith, Martin L; Tawose, Olubukunola Mary; Sharp, Richard R

    2014-03-01

    It is generally accepted that appropriate documentation of activities and recommendations of ethics consultants in patients' medical records is critical. Despite this acceptance, the bioethics literature is largely devoid of guidance on key elements of an ethics chart note, the degree of specificity that it should contain, and its stylistic tenor. We aim to provide guidance for a variety of persons engaged in clinical ethics consultation: new and seasoned ethics committee members who are new to ethics consultation, students and trainees in clinical ethics, and those who have significant experience with ethics consultation so that they can reflect on their practice. Toward the goal of promoting quality charting practices in ethics consultations, we propose recommendations on a broad array of questions concerning clinical ethics consultation chart notes, including whether and when to write a chart note, and practical considerations for the tenor, purpose, and content of a chart note. Our broader aim is to promote discussion about good charting practices in clinical ethics, with the hope of contributing to clear standards of excellence in clinical ethics consultation.

  20. Development of Markup Language for Medical Record Charting: A Charting Language.

    Science.gov (United States)

    Jung, Won-Mo; Chae, Younbyoung; Jang, Bo-Hyoung

    2015-01-01

    Nowadays a lot of trials for collecting electronic medical records (EMRs) exist. However, structuring data format for EMR is an especially labour-intensive task for practitioners. Here we propose a new mark-up language for medical record charting (called Charting Language), which borrows useful properties from programming languages. Thus, with Charting Language, the text data described in dynamic situation can be easily used to extract information.

  1. Review of relevant studies of isolated systems

    DEFF Research Database (Denmark)

    Hansen, L.H.; Lundsager, P.

    2001-01-01

    The report presents the results of a review of studies relating to integration of wind energy in isolated power supply systems, based on a systematic literature survey. The purpose of the study is to develop a methodology consisting of a set of guidelinesfor wind energy projects in isolated energy...... systems and a set of tools and models that are operational on an engineering level. The review is based on a literature search in the ETDE Energy Database with a main search covering the period 7/88 to 6/97 andsupplemented by partial update periods. A few newer references have been included in the review......, most notably the IEC/PAS 62111 specification. The amount of wind energy literature related to the subject is excessively large, and a complete review inwhich every relevant abstract is identified and examined is not feasible within the framework of this (or probably any other) study. The review results...

  2. Lactation studies of anticonvulsants : A quality review

    NARCIS (Netherlands)

    van der Meer, Douwe H.; Wieringa, Andre; Wegner, Ilse; Wilffert, Bob; Ter Horst, Peter G.J.

    2015-01-01

    AIM: The aim of this review was to investigate the quality of the current literature on the transfer of anticonvulsants to breast milk to provide an overview of which anticonvulsants are in need of further research. METHODS: We reviewed the quality of the available lactation studies for 19 anticonvu

  3. An omnibus CUSUM chart for monitoring time to event data.

    Science.gov (United States)

    Phinikettos, Ioannis; Gandy, Axel

    2014-07-01

    A non-parametric method is proposed for monitoring time-to-event data. A cumulative sum chart is constructed that is able to detect an unknown out-of-control state. This method exploits the absolute differences between the Kaplan-Meier estimator and the in-control distribution over specific time intervals. The efficiency of the algorithm is studied via a simulation and a real data study. The new method is also tested via the simulation study against existing methods.

  4. CS-EWMA chart for monitoring process dispersion

    NARCIS (Netherlands)

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

    2013-01-01

    Control charts are the most extensively used technique to detect the presence of special cause variations in processes. They can be classified into memory and memoryless control charts. Cumulative sum and exponentially weighted moving average control charts are memory-type control charts as their co

  5. Compressed Aeronautical Chart Processing Operator’s Manual

    Science.gov (United States)

    2007-11-02

    the processing thread A4A denotes a CAC ODI build for an (A) aeronautical chart at the (4) operational navigation chart (ONC) (1:1M) scale with...builds when both charts are at the same scale. For example, the processing thread A4A denotes a CAC ODI build for an (A) aeronautical chart at the (4

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

    DEFF Research Database (Denmark)

    Spliid, Henrik

    2010-01-01

    of the transformation is given and its limit for small values of p is derived. Control of high yield processes is discussed and the chart is shown to perform very well in comparison with both the most common alternative EWMA chart and the CUSUM chart. The construction and the use of the proposed EWMA chart...

  7. Fundamental Particles and Interactions. A Wall Chart of Modern Physics.

    Science.gov (United States)

    Achor, William T.; And Others

    1988-01-01

    Discusses a wall chart, "The Standard Model of Fundamental Particles and Interactions," for use in introductory physics courses at either high school or college level. Describes the chart development process, introduction and terminology of particle physics, components of the chart, and suggestions for using the chart, booklet, and…

  8. Review of traffic conflicts technique studies.

    NARCIS (Netherlands)

    Hondel, M. van den & Kraay, J.H.

    1979-01-01

    A review of literature concerning traffic conflicts technique studies is presented. The 101 references arranged alphabetically by authors' names are given with abstract. The procedure used in compiling this survey is outlined.

  9. Transmission Line Adapted Analytical Power Charts Solution

    Science.gov (United States)

    Sakala, Japhet D.; Daka, James S. J.; Setlhaolo, Ditiro; Malichi, Alec Pulu

    2016-08-01

    The performance of a transmission line has been assessed over the years using power charts. These are graphical representations, drawn to scale, of the equations that describe the performance of transmission lines. Various quantities that describe the performance, such as sending end voltage, sending end power and compensation to give zero voltage regulation, may be deduced from the power charts. Usually required values are read off and then converted using the appropriate scales and known relationships. In this paper, the authors revisit this area of circle diagrams for transmission line performance. The work presented here formulates the mathematical model that analyses the transmission line performance from the power charts relationships and then uses them to calculate the transmission line performance. In this proposed approach, it is not necessary to draw the power charts for the solution. However the power charts may be drawn for the visual presentation. The method is based on applying derived equations and is simple to use since it does not require rigorous derivations.

  10. Chinese chart publishing data updating technique and application

    Science.gov (United States)

    Liu, G. H.; Peng, R. C.; Chen, Y.; Gao, W. J.; Guo, L. X.; Zheng, Y. D.

    2007-06-01

    Although the production of nautical chart has developed a lot in China, there are still some defects, such as the long period of producing nautical chart, the continuous correction to the nautical chart published, and so on. On basis of analyzing Chinese chart publishing data and its updating data, this paper researches on the technique of interactively updating server chart publishing data and the technique of automatically updating client chart publishing data, which will lay the foundation for constructing the mode of printing charts on demand in China.

  11. Construction of Control Charts Using Fuzzy Multinomial Quality

    Directory of Open Access Journals (Sweden)

    V. Amirzadeh

    2008-01-01

    Full Text Available Control charts are the simplest type of on-line statistical process control techniques. One of the basic control charts is P-chart. In classical P-charts, each item classifies as either "nonconforming" or "conforming" to the specification with respect to the quality characteristic. In practice, one may classify each item in more than two categories such as "bad", "medium", "good", and "excellent". Based on this, we introduce a fuzzy multinomial chart ( FM-chart for monitoring a multinomial process. Control limits of FM-chart are obtained by using the multinomial distribution and the degrees of membership which one assigned to the distinct categories. The comparison of the FM-chart and the -chart based on a food production process illustrates that the FM-chart leads to better results.

  12. Statistical Process Control Charts for Public Health Monitoring

    Science.gov (United States)

    2014-12-01

    Poisson counts) [21-23].  Cumulative sum ( CUSUM ) and exponentially weighted moving average (EWMA) control charts are often used with Phase II data. These...charts have been shown to more quickly detect small changes than traditional Shewhart charts. There have been several applications of CUSUM charts in...distribution, a CUSUM or EWMA chart would be required.  Risk adjustment for health data has been applied when monitoring variables that can be

  13. Van Gogh and the life chart.

    Science.gov (United States)

    Rahe, R H

    1992-01-01

    Adolf Meyer originally devised the life chart in order to chronologically document a person's major life events and significant illness experiences over his or her life span. It is the purpose of this report to update Meyer's life chart through the presentation of the life events and illnesses of the famous artist Vincent Van Gogh. Van Gogh's life illustrates significant early (predisposing) life stresses, as well as clusterings of stressful (precipitating) life events occurring proximal to the occurrence of his several illnesses. Through the use of a life chart an understanding of why an individual becomes ill at a particular time in their life is enlarged. In addition, a systematic basis for formulating prognosis becomes available.

  14. Exploring patterns in European singles charts

    CERN Document Server

    Buda, Andrzej

    2015-01-01

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

  15. 1 m digital bathymetric contours from NOAA charts as organized for the Long Island Sound Study Geographic Information System (LISSGIS) library (LISBATHY.SHP)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Long Island Sound Study (LISS) compiled data from a number of different sources, integrated new data, and assembled a comprehensive spatial database for areas...

  16. 1 m digital bathymetric contours from NOAA charts as organized for the Long Island Sound Study Geographic Information System (LISSGIS) library (LISBATHY.SHP)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Long Island Sound Study (LISS) compiled data from a number of different sources, integrated new data, and assembled a comprehensive spatial database for areas of...

  17. Summary of the LIU Beam Studies Review

    CERN Document Server

    Rumolo, G; Bartmann, W; Bartosik, H; Huschauer, A; Raginel, V; Timko, H

    2012-01-01

    A review of the status of the LHC injector beam studies related to the LHC Injectors Upgrade (LIU) project took place on the 28 August 2012 at CERN. The main goal of the review was to define work priorities for the rest of the run before the Long Shutdown 1 (LS1) and be able to: • specify the equipment to be built for the LIU project; • estimate achievable beam characteristics in the various accelerators. A team of external reviewers was also asked to participate in the event and comment on the status of the presently ongoing activities as well as give recommendations for future work.

  18. [Saarland Growth Study: percentile charts for height, weight, and body mass index (BMI) for boys and girls, 4-18 years old, in Saarland].

    Science.gov (United States)

    Zabransky, S; Weinand, C; Schmidgen, A; Schafmeister, C; Müller, S; Hollinger-Philipp, R; Danker-Hopfe, H

    2000-01-01

    In a cross-sectional study dating from april 94 to march 96 we have investigated length and weight of 2610 girls and 2865 boys (age 4-18 years) at nursery schools and schools in Saarland. Thus we could provide first normative data for this region of Germany. Compared with data that have been collected between 1968 and 1989 at Dortmund, Bonn, Hamm and Jena, we found an increase in height of 2 cm for girls and boys aged 15-18 years. Apart from this finding, no further differences have been observed. Compared with international data, 18-year-old females and males in Saarland show large body heights: their average heights were 169 and 182 cm, respectively. Unfortunately, body weight of children of the Saarland is high, too. Children in Saarland were on average 1.5-6.6 kg heavier than those of the Dortmund study or other international studies. Studies have revealed that, according to the ECOG criteria, people of the Saarland are more obese than in other European countries. As a consequence of our study we request an institution for auxology to be founded which enables immediate reaction. This not only implies medical view points but also practical aspects of daily life (e.g. height of chairs or tables at schools). It is important to note that no changes have been made so far. Standards for height and weight should be updated every ten years. This should be a collaborative task between public health services and pediatric endocrinologists.

  19. Effect of alcohol use on the course of bipolar disorder : one-year follow-up study using the daily prospective Life Chart method

    NARCIS (Netherlands)

    van Zaane, Jan; van de Ven, Peter M.; Draisma, Stasja; Smit, Johannes H.; Nolen, Willem A.; van den Brink, Wim

    2014-01-01

    Objectives Relatively little is known about the temporal relationship between alcohol use and subsequent mood changes in patients with bipolar disorder, and the available findings are inconsistent. The present study was a fine-grained analysis of the temporal relationship between alcohol use and sho

  20. Solar-C Conceptual Spacecraft Design Study: Final Review. Release 2

    Science.gov (United States)

    Hopkins, Randall; Baysinger, Mike; Thomas, Dan; Heaton, Andy; Stough, Rob; Hill, Spencer; Owens, Jerry; Young, Roy; Fabisinski, Leo; Thomas, Scott; Kim, Tony; Cirtain, Jonathan

    2010-01-01

    This briefing package contains the conceptual spacecraft design completed by the Advanced Concepts Office (ED04) in support of the Solar-C Study. The mission is to succeed Hinode (Solar B), and is designed to study the polar regions of the sun. Included in the slide presentation are sections that review the payload data, and overall ground rules and assumptions, mission analysis and trajectory design, the conceptual spacecraft design section includes: (1) Integrated Systems Design, (2) Mass Properties (3) Cost, (4) Solar Sail Systems, (6) Propulsion, (7) Structures, (8) Thermal (9) Power (10) Avionics / GN&C. There are also conclusions and follow-up work that must be done. In the Back-up section there is information about the JAXA H-11A Launch Vehicle, scalability and spiral development, Mass Projections, a comparison of the TRL assessment for two potential vendors of solar sails, and a chart with the mass properties,

  1. Documentation of violence risk information in psychiatric hospital patient charts: an empirical examination.

    Science.gov (United States)

    Elbogen, Eric B; Tomkins, Alan J; Pothuloori, Antara P; Scalora, Mario J

    2003-01-01

    Studies have identified risk factors that show a strong association with violent behavior in psychiatric populations. Yet, little research has been conducted on the documentation of violence risk information in actual clinical practice, despite the relevance of such documentation to risk assessment liability and to conducting effective risk management. In this study, the documentation of cues of risk for violence were examined in psychiatric settings. Patient charts (n = 283) in four psychiatric settings were reviewed for documentation of violence risk information summarized in the MacArthur Violence Risk Assessment Study. The results revealed that particular patient and institutional variables influenced documentation practices. The presence of personality disorder, for example, predicted greater documentation of cues of violence risk, regardless of clinical setting. These findings have medicolegal implications for risk assessment liability and clinical implications for optimizing risk management in psychiatric practice.

  2. Topoisomerase II alpha gene copy loss has adverse prognostic significance in ERBB2-amplified breast cancer: a retrospective study of paraffin-embedded tumor specimens and medical charts

    Directory of Open Access Journals (Sweden)

    Zhu April

    2008-08-01

    Full Text Available Abstract Background Amplification of the ERBB2 (Her-2/neu oncogene, which occurs in approximately 25% of breast carcinomas, is a known negative prognostic factor. Available data indicate that a variable number of nearby genes on chromosome 17q may be co-amplified or deleted, forming a continuous amplicon of variable size. In approximately 25% of these patients, the amplicon extends to the gene for topoisomerase II alpha (TOP2A, a target for anthracyclines. We sought to understand the significance of these associated genomic changes for breast cancer prognosis and predicting response to therapy. Methods and patients Archival tissue samples from 63 breast cancer patients with ERBB2 amplification, stages 0–IV, were previously analyzed with FISH probes for genes located near ERBB2. In the present study, the clinical outcome data were determined for all patients presenting at stages I–III for whom adequate clinical follow up was available. Results Four amplicon patterns (Classes were identified. These were significantly associated with the clinical outcome, specifically, recurrence of breast cancer. The Amplicon class IV with deleted TOP2A had 67% (6/9 cases with recurrence, whereas the other three classes combined had only 12% (3/25 cases (p-value = 0.004 at the time of last follow-up. TOP2A deletion was also significantly associated with time to recurrence (p-value = 0.0002. After adjusting for age in Cox regression analysis, the association between TOP2A deletion and time to recurrence remains strongly significant (p-value = 0.002 whereas the association with survival is marginally significant (p-value = 0.06. Conclusion TOP2A deletion is associated with poor prognosis in ERBB2-amplified breast carcinomas. Clarification of the mechanism of this association will require additional study.

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

    Directory of Open Access Journals (Sweden)

    I A T Livingstone

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

  4. Prospective Evaluation of Visual Acuity Assessment: A Comparison of Snellen Versus ETDRS Charts in Clinical Practice (An AOS Thesis)

    Science.gov (United States)

    Kaiser, Peter K.

    2009-01-01

    Purpose: The purpose of this study was twofold: first, to prospectively compare visual acuity (VA) scores obtained with Snellen charts versus Early Treatment Diabetic Retinopathy Study (ETDRS) charts in a “real world” retinal practice, and second, to see if there was a difference in visual acuity measurements obtained with ETDRS charts starting at 4 or 2 meters. Methods: Prospective, consecutive evaluation of patients who underwent best-corrected visual acuity testing of their right eye performed at a single seating by the same experienced, certified vision examiner in the same room with standardized low light conditions using a projected Snellen chart at 20 feet, and two different back-illuminated ETDRS charts placed 4 and 2 meters from the patient. Results: One hundred sixty-three eyes were included in the study. The mean Snellen VA was 0.67 logMAR (20/94), ETDRS VA at 4 meters was 0.54 logMAR (~20/69), and ETDRS VA at 2 meters was 0.51 logMAR (~20/65). The mean difference was 6.5 letters better on the ETDRS chart (P=.000000001). As the VA worsened, there was increased variability between the charts and the mean discrepancy between charts also increased. Subgroup analysis revealed the greatest difference between charts was in the poor vision subgroup (<20/200) with a difference of 0.2 logMAR (10 letters; P=.0000002). Patients with exudative age-related macular degeneration (AMD) had the greatest disparity on vision testing, but patients with dry AMD and diabetic retinopathy also exhibited significant differences. Conclusions: Visual acuity scores were significantly better on ETDRS charts compared to Snellen charts. The difference was greatest with poor visual acuity (<20/200) and in patients with exudative AMD. Thus, caution should be exercised when comparing data using the different charts. PMID:20126505

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

    Directory of Open Access Journals (Sweden)

    Ashit Chakraborty

    2013-09-01

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

  6. Moessbauer Studies in Chinese Archaeology: A Review

    Energy Technology Data Exchange (ETDEWEB)

    Hsia Yuanfu; Huang Hongbo [Nanjing University, Department of Physics (China)

    2003-09-15

    The Moessbauer effect has been applied to a wide variety of objects related to Chinese archaeology. Besides ceramic artifacts, materials like porcelain, glazes, bronzes, ancient coins, ancient mineral drugs, and even fossils were studied. This article reviews these applications with particular emphasis on the study of the famous terracotta warriors and horses of the Qin Dynasty.

  7. Progress in the technology of nautical charting

    Digital Repository Service at National Institute of Oceanography (India)

    Joseph, A.

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

  8. Mobile Phone Mood Charting for Adolescents

    Science.gov (United States)

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

    2008-01-01

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

  9. Charting environmental pollution. [by noise measurements

    Science.gov (United States)

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

    1974-01-01

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

  10. EWMA control charts in statistical process monitoring

    NARCIS (Netherlands)

    Zwetsloot, I.M.

    2016-01-01

    In today’s world, the amount of available data is steadily increasing, and it is often of interest to detect changes in the data. Statistical process monitoring (SPM) provides tools to monitor data streams and to signal changes in the data. One of these tools is the control chart. The topic of this

  11. POWER AND INFLUENCE CHARTING: THE GOOGLE WAY

    Energy Technology Data Exchange (ETDEWEB)

    Troy Hiltbrand; Sharon Berrett

    2011-07-01

    The success or failure of a project may be charted in the initiation phase. Therefore, initiation is arguably the most important phase of any project. During the initiation phase, the foundation for the project is established, including the selection of project sponsors and champions and getting their buy-in, which sets the project up for success.

  12. Electronic Chart Display and Information System

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    This paper introduces the most advanced form of electronic chart display and information systems (ECDIS) which complies with the Performance Standards for ECDIS established by the International Maritime Organization (IMO) and the International Hydrographic Organization (IHO).It also describes the key features and the important functions of ECDIS.Then the future development of ECDIS in marine is discussed.

  13. Performance Charts for a Turbojet System

    Science.gov (United States)

    Karp, Irving M.

    1947-01-01

    Convenient charts are presented for computing the thrust, fuel consumption, and other performance values of a turbojet system. These charts take into account the effects of ram pressure, compressor pressure ratio, ratio of combustion-chamber-outlet temperature to atmospheric temperature, compressor efficiency, turbine efficiency, combustion efficiency, discharge-nozzle coefficient, losses in total pressure in the inlet to the jet-propulsion unit and in the combustion chamber, and variation in specific heats with temperature. The principal performance charts show clearly the effects of the primary variables and correction charts provide the effects of the secondary variables. The performance of illustrative cases of turbojet systems is given. It is shown that maximum thrust per unit mass rate of air flow occurs at a lower compressor pressure ratio than minimum specific fuel consumption. The thrust per unit mass rate of air flow increases as the combustion-chamber discharge temperature increases. For minimum specific fuel consumption, however, an optimum combustion-chamber discharge temperature exists, which in some cases may be less than the limiting temperature imposed by the strength temperature characteristics of present materials.

  14. Population control charts for population data.

    Science.gov (United States)

    Hansen, John P

    2007-01-01

    Healthcare managers are beginning to collect full population data, rather than sample data, on some patient and performance measures. For example, hospitals and healthcare systems already gather and store comprehensive data on admissions, ambulatory encounters, and other procedures. And as the electronic medical record is more widely used, complete population data will be collected on an even wider range of clinical measures, such as blood pressure and Laboratory values, in both inpatient and outpatient settings. To correctly monitor process quality when working with full population data, rather than sample data, healthcare managers will need appropriate statistical tools. Traditional control charts, which are used for tracking processes over time, are not suitable for such population data because they are based on the assumption that sample data are being collected. The author proposes a new type of control chart specifically for use with such population data: population control charts. These control charts can be used for monitoring processes that have output measures with continuous, binomial, or nonbinomial rate variables.

  15. Review of L2 Vocabulary Acquisition Studies

    Institute of Scientific and Technical Information of China (English)

    周先军

    2014-01-01

    Vocabulary is important in language and language acquisition, but it did not catch as much attention as it deserved for a long time. In this thesis, I’ll go through changes of vocabulary studied in linguistics and language teaching as well as rise of L2 vocabulary acquisition studies. Several aspects of L2 vocabulary acquisition studies will then be reviewed .Issues that need to be further studied will at last be put forward.

  16. Review of L2 Vocabulary Acquisition Studies

    Institute of Scientific and Technical Information of China (English)

    周先军

    2014-01-01

    Vocabulary is important in language and language acquisition, but it did not catch as much attention as it deserved for a long time. In this thesis, I’ll go through changes of vocabulary studied in linguistics and language teaching as well as rise of L2 vocabulary acquisition studies. Several aspects of L2 vocabulary acquisition studies will then be reviewed.Issues that need to be further studied will at last be put forward.

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

    Directory of Open Access Journals (Sweden)

    Quintana Alicia Esther

    2015-01-01

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

  18. A Comparison on the MRL Performances of Optimal MEWMA and Optimal MCUSUM Control Charts

    Directory of Open Access Journals (Sweden)

    Khoo Michael Boon Chong

    2011-01-01

    Full Text Available The MEWMA (called the multivariate exponentially weighted moving average chart and the MCUSUM (called the multivariate cumulative sum chart are used in process monitoring when a quick detection of small or moderate shifts in the mean vector is desired. The primary objective of this study is to compare the performances of the optimal MEWMA and optimal MCUSUM charts based on their median run length (MRL profiles. The number of quality characteristics considered is p = 2. Two cases are studied, i.e., Case 1 (a shift in only one variable and Case 2 (a shift in two variables. A Monte Carlo simulation is conducted using Statistical Analysis Software (SAS to study and compare the MRL performances for various magnitudes of mean shifts when the process is normally distributed. Overall, the results show that the MRL performances of the MEWMA and MCUSUM charts are comparable.

  19. Theoretical Studies of Nanoclusters (Briefing Charts)

    Science.gov (United States)

    2015-07-23

    representation of actual NP surface? • Reaction enthalpies and barriers for – chemisorption of NH3 – fragmentation of chemisorbed NH3 – formation of H2...suspended or dissolved in ionic liquids - surface-functionalized NPs can be dispersed in variety of liquids hydrocarbons , ILs, polar solvents...distribution unlimited. • DFT calculations (M06/6-311++G(d,p)) used to identify surface species and reactions leading to their formation. • Al80

  20. Leveraging Prior Calculus Study with Embedded Review

    Science.gov (United States)

    Nikolov, Margaret C.; Withers, Wm. Douglas

    2016-01-01

    We propose a new course structure to address the needs of college students with previous calculus study but no course validations as an alternative to repeating the first year of calculus. Students are introduced directly to topics from Calculus III unpreceded by a formal review of topics from Calculus I or II, but with additional syllabus time…

  1. Optimal design for inspection and maintenance policy based on the CCC chart

    OpenAIRE

    Chan, Ling-Yau; Wu, Shaomin

    2009-01-01

    In this paper, the concept of cumulative count of conforming chart (CCC chart) is applied in inspection and maintenance planning for systems where minor inspection, major inspection, minor maintenance and major maintenance are available. Several inspection and maintenance plans are defined and studied quantitatively. Analytic expressions of relevant statistics and their expectations are derived. These inspection and maintenance plans are optimized from an economic consideration.

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

    Directory of Open Access Journals (Sweden)

    H. de la R. Winter

    1997-07-01

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

  3. General review of flashing jet studies.

    Science.gov (United States)

    Polanco, Geanette; Holdø, Arne Erik; Munday, George

    2010-01-15

    The major concern on the management of superheated liquids, in industrial environments, is the large potential hazards involved in cases of any accidental release. There is a possibility that a violent phase change could take place inside the fluid released generating a flashing jet. This violent phase change might produce catastrophic consequences, such as explosions, fires or toxic exposure, in the installations and in the surroundings. The knowledge and understanding of the mechanisms involved in those releases become an important issue in the prevention of these consequences and the minimization of their impact. This work presents a comprehensive review of information about flashing processes. The review begins with a description of the single phase jet followed by a description of the two-phase flashing jet. The concepts and implications of the thermodynamic and mechanical effects on the behaviour of the jets are considered at the beginning of the review. Following the review is devoted to the classification of the different study approaches used to understand flashing processes in the past, highlighting various critical parameters on the behaviour and the hazard consequences of flashing jets. The review also contains an extensive compilation of experimental, theoretical and numerical data relating to these phenomena, which includes information on the distinct characteristics of the jet, since type of jet, velocity distribution, expansion angle and mass phase change all require individual estimation.

  4. General review of flashing jet studies

    Energy Technology Data Exchange (ETDEWEB)

    Polanco, Geanette, E-mail: gpolanco@usb.ve [Simon Bolivar University, Caracas (Venezuela, Bolivarian Republic of); Holdo, Arne Erik, E-mail: Erik.Holdo@coventry.ac.uk [Narvik University College, Narvik (Norway); Munday, George, E-mail: G.Munday@isaaconsult.co.uk [Coventry University, Coventry (United Kingdom)

    2010-01-15

    The major concern on the management of superheated liquids, in industrial environments, is the large potential hazards involved in cases of any accidental release. There is a possibility that a violent phase change could take place inside the fluid released generating a flashing jet. This violent phase change might produce catastrophic consequences, such as explosions, fires or toxic exposure, in the installations and in the surroundings. The knowledge and understanding of the mechanisms involved in those releases become an important issue in the prevention of these consequences and the minimization of their impact. This work presents a comprehensive review of information about flashing processes. The review begins with a description of the single phase jet followed by a description of the two-phase flashing jet. The concepts and implications of the thermodynamic and mechanical effects on the behaviour of the jets are considered at the beginning of the review. Following the review is devoted to the classification of the different study approaches used to understand flashing processes in the past, highlighting various critical parameters on the behaviour and the hazard consequences of flashing jets. The review also contains an extensive compilation of experimental, theoretical and numerical data relating to these phenomena, which includes information on the distinct characteristics of the jet, since type of jet, velocity distribution, expansion angle and mass phase change all require individual estimation.

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

    Directory of Open Access Journals (Sweden)

    Kovářík Martin

    2012-09-01

    Full Text Available We will deal with financial proceedings of the company using methods of SPC (Statistical Process Control, specifically through time series control charts. The paper will outline the intersection of two disciplines which are econometrics and statistical process control. The theoretical part will discuss the methodology of time series control charts and in the research part there will be this methodology demonstrated in three case studies. The first study will focus on the regulation of simulated financial flows for a company by CUSUM control chart. The second study will involve the regulation of financial flows for a heteroskedastic financial process by EWMA control chart. The last case study of our paper will be devoted to applications of ARIMA, EWMA and CUSUM control charts in the financial data that are sensitive to the mean shifting while calculating the autocorrelation in the data. In this paper, we highlight the versatility of control charts not only in manufacturing but also in managing the financial stability of cash flows.

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

    Data.gov (United States)

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

  7. A Chart Display and Reporting App for Windows

    Science.gov (United States)

    Poxon, M.

    2016-06-01

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

  8. JDATAVIEWER – JAVA-Based Charting Library

    CERN Document Server

    Kruk, G

    2009-01-01

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

  9. Orientations of BCFW Charts on the Grassmannian

    CERN Document Server

    Olson, Timothy M

    2014-01-01

    The Grassmannian formulation of $\\mathcal{N}=4$ super Yang-Mills theory expresses tree-level scattering amplitudes as linear combinations of residues from certain contour integrals. BCFW bridge decompositions using adjacent transpositions simplify the evaluation of individual residues, but orientation information is lost in the process. We present a straightforward algorithm to compute relative orientations between the resulting coordinate charts, and we show how to generalize the technique for charts corresponding to sequences of any not-necessarily-adjacent transpositions. As applications of these results, we demonstrate the existence of a signed boundary operator that manifestly squares to zero and prove via our algorithm that any residues appearing in the tree amplitude sum are decorated with appropriate signs so all non-local poles cancel exactly, not just mod 2 as in previous works.

  10. Jean Rotz and the Marine Chart, 1542

    Science.gov (United States)

    Taylor, E. G. R.

    This paper was first published in the Journal in 1954 (Vol. 7, p. 138). It is followed by comments from Michael Richey.At the time (1542) when Jean Rotz presented Henry VIII with a variation compass, and an accompanying treatise on its making and use, the question of magnetic variation was an acute one. It formed part of a wider controversy concerning the general validity of the sea-chart which had been raised among seamen. As to this, Dr Pedro Nunez, writing a treatise in 1537 addressed to his friend and pupil the Infante Dom Luys of Portugal, said that there were skilled pilots who derided the chart and declared it to be - the falsest thing in the world. Hastening to its defence, Nunez dealt at length with the navigating errors introduced by ignoring the convergence of the meridians, and showed besides that a rhumb, or line of constant bearing was a spiral curve on the globe.

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

    Directory of Open Access Journals (Sweden)

    Janini Cristina Paiz

    2014-12-01

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

  12. 3D Computer Graphics and Nautical Charts

    OpenAIRE

    Porathe, Thomas

    2011-01-01

    This paper gives an overview of an ongoing project using real-time 3D visualization to display nautical charts in a way used by 3D computer games. By displaying the map in an egocentric perspective the need to make cognitively demanding mental rotations are suggested to be removed, leading to faster decision-making and less errors. Experimental results support this hypothesis. Practical tests with limited success have been performed this year.

  13. Intelligent bar chart plagiarism detection in documents.

    Science.gov (United States)

    Al-Dabbagh, Mohammed Mumtaz; Salim, Naomie; Rehman, Amjad; Alkawaz, Mohammed Hazim; Saba, Tanzila; Al-Rodhaan, Mznah; Al-Dhelaan, Abdullah

    2014-01-01

    This paper presents a novel features mining approach from documents that could not be mined via optical character recognition (OCR). By identifying the intimate relationship between the text and graphical components, the proposed technique pulls out the Start, End, and Exact values for each bar. Furthermore, the word 2-gram and Euclidean distance methods are used to accurately detect and determine plagiarism in bar charts.

  14. 46 CFR 196.05-5 - Charts and nautical publications.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Charts and nautical publications. 196.05-5 Section 196... OPERATIONS Notice to Mariners and Aids to Navigation § 196.05-5 Charts and nautical publications. As..., must carry adequate and up-to-date— (a) Charts; (b) Sailing directions; (c) Coast pilots; (d)...

  15. 46 CFR 109.565 - Charts and nautical publications.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Charts and nautical publications. 109.565 Section 109... OPERATIONS Miscellaneous § 109.565 Charts and nautical publications. The master or person in charge of a self... the intended voyage: (a) Charts. (b) Sailing directions. (c) Coast pilots. (d) Light lists....

  16. 46 CFR 26.03-4 - Charts and nautical publications.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Charts and nautical publications. 26.03-4 Section 26.03... Operating Requirements § 26.03-4 Charts and nautical publications. (a) As appropriate for the intended voyage, all vessels must carry adequate and up-to-date— (1) Charts of appropriate scale to make...

  17. 46 CFR 97.05-5 - Charts and nautical publications.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Charts and nautical publications. 97.05-5 Section 97.05... OPERATIONS Notice to Mariners and Aids to Navigation § 97.05-5 Charts and nautical publications. As...) Charts; (b) Sailing directions; (c) Coast pilots; (d) Light lists; (e) Notices to mariners; (f)...

  18. 46 CFR 121.420 - Charts and nautical publications.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Charts and nautical publications. 121.420 Section 121... AND MISCELLANEOUS SYSTEMS AND EQUIPMENT Navigation Equipment § 121.420 Charts and nautical...) Charts of large enough scale to make safe navigation possible; (2) U.S. Coast Pilot or...

  19. 46 CFR 78.05-5 - Charts and nautical publications.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 3 2010-10-01 2010-10-01 false Charts and nautical publications. 78.05-5 Section 78.05... Notice to Mariners and Aids to Navigation § 78.05-5 Charts and nautical publications. As appropriate for..., must carry adequate and up-to-date— (a) Charts; (b) Sailing directions; (c) Coast pilots; (d)...

  20. 46 CFR 184.420 - Charts and nautical publications.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Charts and nautical publications. 184.420 Section 184... Charts and nautical publications. (a) As appropriate for the intended voyage, a vessel must carry adequate and up-to-date: (1) Charts of large enough scale to make safe navigation possible; (2) U.S....

  1. 46 CFR 130.330 - Charts and nautical publications.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Charts and nautical publications. 130.330 Section 130... CONTROL, AND MISCELLANEOUS EQUIPMENT AND SYSTEMS Navigational Equipment § 130.330 Charts and nautical... voyage, each vessel must carry adequate and up-to-date— (1) Charts of large enough scale to make...

  2. 21 CFR 870.2810 - Paper chart recorder.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Paper chart recorder. 870.2810 Section 870.2810...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2810 Paper chart recorder. (a) Identification. A paper chart recorder is a device used to print on paper, and create a...

  3. Memory-type control charts for monitoring the process dispersion

    NARCIS (Netherlands)

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

    2014-01-01

    Control charts have been broadly used for monitoring the process mean and dispersion. Cumulative sum (CUSUM) and exponentially weighted moving average (EWMA) control charts are memory control charts as they utilize the past information in setting up the control structure. This makes CUSUM and EWMA-t

  4. 46 CFR 150.150 - Exceptions to the compatibility chart.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Exceptions to the compatibility chart. 150.150 Section... CARGOES COMPATIBILITY OF CARGOES § 150.150 Exceptions to the compatibility chart. The Commandant (G-MSO... 1, the Compatibility Chart....

  5. Enhanced cumulative sum charts for monitoring process dispersion.

    Science.gov (United States)

    Abujiya, Mu'azu Ramat; Riaz, Muhammad; Lee, Muhammad Hisyam

    2015-01-01

    The cumulative sum (CUSUM) control chart is widely used in industry for the detection of small and moderate shifts in process location and dispersion. For efficient monitoring of process variability, we present several CUSUM control charts for monitoring changes in standard deviation of a normal process. The newly developed control charts based on well-structured sampling techniques - extreme ranked set sampling, extreme double ranked set sampling and double extreme ranked set sampling, have significantly enhanced CUSUM chart ability to detect a wide range of shifts in process variability. The relative performances of the proposed CUSUM scale charts are evaluated in terms of the average run length (ARL) and standard deviation of run length, for point shift in variability. Moreover, for overall performance, we implore the use of the average ratio ARL and average extra quadratic loss. A comparison of the proposed CUSUM control charts with the classical CUSUM R chart, the classical CUSUM S chart, the fast initial response (FIR) CUSUM R chart, the FIR CUSUM S chart, the ranked set sampling (RSS) based CUSUM R chart and the RSS based CUSUM S chart, among others, are presented. An illustrative example using real dataset is given to demonstrate the practicability of the application of the proposed schemes.

  6. Fusing Multiscale Charts into 3D ENC Systems Based on Underwater Topography and Remote Sensing Image

    Directory of Open Access Journals (Sweden)

    Tao Liu

    2015-01-01

    Full Text Available The purpose of this study is to propose an approach to fuse multiscale charts into three-dimensional (3D electronic navigational chart (ENC systems based on underwater topography and remote sensing image. This is the first time that the fusion of multiscale standard ENCs in the 3D ENC system has been studied. First, a view-dependent visualization technology is presented for the determination of the display condition of a chart. Second, a map sheet processing method is described for dealing with the map sheet splice problem. A process order called “3D order” is designed to adapt to the characteristics of the chart. A map sheet clipping process is described to deal with the overlap between the adjacent map sheets. And our strategy for map sheet splice is proposed. Third, the rendering method for ENC objects in the 3D ENC system is introduced. Fourth, our picking-up method for ENC objects is proposed. Finally, we implement the above methods in our system: automotive intelligent chart (AIC 3D electronic chart display and information systems (ECDIS. And our method can handle the fusion problem well.

  7. Recurrence Plot Based Damage Detection Method by Integrating  Control Chart

    Directory of Open Access Journals (Sweden)

    Cheng Zhou

    2015-04-01

    Full Text Available Because of the importance of damage detection in manufacturing systems and other areas, many fault detection methods have been developed that are based on a vibration signal. Little work, however, has been reported in the literature on using a recurrence plot method to analyze the vibration signal for damage detection. In this paper, we develop a recurrence plot based fault detection method by integrating the statistical process control technique. The recurrence plots of the vibration signals are derived by using the recurrence plot (RP method. Five types of features are extracted from the recurrence plots to quantify the vibration signals’ characteristic. Then, the  control chart, a multivariate statistical process control technique, is used to monitor these features. The  control chart technique, however, has the assumption that all the data should follow a normal distribution. The RP based  bootstrap control chart is proposed to estimate the control chart parameters. The performance of the proposed RP based  bootstrap control chart is evaluated by a simulation study and compared with other univariate bootstrap control charts based on recurrence plot features. A real case study of rolling element bearing fault detection demonstrates that the proposed fault detection method achieves a very good performance.

  8. BOOK REVIEW: Case Studies in Knowledge Management

    OpenAIRE

    BOYACI, Reviewed By Dr. Adnan

    2005-01-01

    161Case Studies in Knowledge ManagementEdited by Murray JennexHersley: PA: Idea Group, 2005, pp. 372, ISBN 1-59140-352-9Reviewed by Dr. Adnan BOYACIAnadolu UniversityEskişehir-TurkeyKnowledge management (KM) as a structured system and the way to the effectiveness isrelatively new field for the contemporary organizations functioning in different andcompetitive domain of public and private sectors in terms of getting optimal effectivenessunderlined by the concepts such as quality, productivity…...

  9. A review of empirical studies on jealousy

    OpenAIRE

    坪田, 雄二; 深田, 博己

    1991-01-01

    Bers & Rodin's (1984) classified jealousy into two types, that is, social-relations jealousy and social-comparison jealousy. This article proposed the definitions of the two types of jealousy. There were a lot of empirical studies on romantic jealousy, so romantic jealousy was considered as a representative example of social-relations jealousy. The results of research on romantic jealousy were reviewed in the following areas: 1) the components and structure of romantic jealousy, 2) the fa...

  10. Comparison of visual acuity results in preschool children with lea symbols and bailey-lovie e chart

    Directory of Open Access Journals (Sweden)

    Nijil Sanker

    2013-01-01

    Full Text Available Purpose: To compare visual acuity with two visual acuity charts in preschool children. Materials and Methods: Visual acuity measurement with Lea symbols and Bailey-Lovie tumbling E chart was performed on children between 3 and 6 years of age. Visual acuity data from the two charts were analyzed with Bland-Altman plot to determine the limits of agreement. The Wilcoxon signed test was performed in children aged 3-4 years and in children aged 5-6 years separately to evaluate the influence of age. The inter-eye difference between the two charts were further analyzed with the paired t-test. A p value < 0.05 was considered statistically significant. Results: A total of 47 children were enrolled for the study. The average logarithm of the Minimum Angle of Resolution (LogMAR monocular visual acuity with Lea symbols (0.17 ± 0.13 was better than the Bailey-Lovie tumbling E chart (0.22 ± 0.14. The mean difference between Bailey-Lovie tumbling E chart and Lea symbol chart was 0.05 ± 0.12 in logMAR units. A second analysis eliminating outliers showed the same result but lower differences (n = 43, 0.05 ± 0.05 logMAR units. Visual acuity results between the two charts in children aged 3-4 years showed a significant difference (p = 0.000, but not for children aged 5-6 years (p = 0.059. Inter-eye differences between the two charts was not statistically significant (p = 0.77. Conclusion: Bailey-Lovie tumbling E chart is comparable to the Lea symbols chart in pre-school children. But preference should be given to Lea symbols for children aged 3-4 years as the symbols are more familiar than a directional test for this age group.

  11. The properties of the geometric-Poisson exponentially weighted moving control chart with estimated parameters

    Directory of Open Access Journals (Sweden)

    Aamir Saghir

    2015-12-01

    Full Text Available The geometric-Poisson exponentially weighted moving average (EWMA chart has been shown to be more effective than the Poisson EWMA chart in monitoring the number of defects in the production processes. In these applications, it is assumed that the process parameters are known or have been accurately estimated. However, in practice, the process parameters are rarely known and must be estimated from reference sample to construct the geometric-Poisson EWMA chart. The performance of the given chart, due to variability in the parameter estimation, might differ from known parameters’ case. This article explored the effect of estimated parameters on the conditional and marginal performance of the geometric-Poisson EWMA chart. The run length characteristics are calculated using a Markov chain approach and the effect of estimation on the performance of the given chart is shown to be significant. Recommendations about the proposer choice of sample size, smoothing constant, and dispersion parameter are made. Results of this study highlight the practical implications of estimation error, and to offer advice to practitioners when constructing/analyzing a phase-I sample.

  12. A Study on the CUSUM Control Chart in Fluorine Filling of Air Conditioners%CUSUM控制图在空调充氟生产过程中的应用研究

    Institute of Scientific and Technical Information of China (English)

    何桢; 雷毅; 生静; 毛文峰

    2000-01-01

    Traditional Shewhart control charts have low power in detecting mean shift of quality characteristics under control. When an individual-moving range control chart(X-Rm) is used to control its deviations of fluorine filling amount, It is found that X-Rm is too insensitive to the shift of the deviations and unable to calibrate its fluorine filling machines in time. A CUSUM control chart is used to solve the problem and to improve machine calibration, which results in high quality and low cost in fluorine filling process.%经典的休哈特控制图对质量特征值的均值波动检出力较弱。采用单值-移动极差控制图控制空调充氟量在短期内往往很难发现充氟量偏差值的漂移,导致充氟量偏差调整不及时。本文采用累积和控制图(CUSUM)来控制充氟量偏差的变化,改进了充氟偏差调整方式,在保证质量的同时降低了生产成本。

  13. Studies about Misconceptions in Mathematics Education in Turkey: A Thematic Review

    Directory of Open Access Journals (Sweden)

    Ali TÜRKDOĞAN

    2015-08-01

    Full Text Available This study aimed to investigate the articles which entreated misconceptions in mathematics education from 1999 to 2013 in Turkey in a thematic frame. In order to reach this aim, survey method which is one of the descriptive research methods was adopted for this study. Within the scope of the study, 45 articles published between stated years in Turkish language and accessed through the relevant databases consisted the sample of the study. The articles accessed were analyzed by using categorical analysis technique in the context of sample/study group, topic, education level, publication year, misconception determination technique. Findings revealed that although there is an observable increase in the number of studies related to the misconceptions recently, those studies are mostly about determining the misconceptions and the number of the studies about removing the misconceptions is limited. According to the results of the present study, it can be suggested that studies should be carried out using different and multiple techniques to remove the misconceptions along with the studies determining them. Furthermore, in addition to the multiple choice questions which have been used quite often in order to determine the misconceptions in mathematics education, the techniques such as concept map, semantic analysis chart, prediction-observation-explanation, etc. are considered to be helpful for in-depth examination of the misconceptions.Keywords: Mathematics education, misconception studies, thematic review.

  14. Tire Crumb Research Study Literature Review / Gap ...

    Science.gov (United States)

    In order to more fully understand data gaps in human exposure and toxicity to tire crumb materials, ATSDR, CPSC and EPA undertook a collaborative effort in the form of a scientific literature review and subsequent gaps analysis. The first objective of the Literature Review and Gap Analysis (LRGA) collaboration was to identify the existing body of literature related specifically to human exposure to tire crumb materials through the use of synthetic turf athletic fields and playgrounds. The second objective was to characterize and summarize the relevant data from the scientific literature. The final objective was to review the summary information and identify data gaps to build on the current understanding of the state-of-the-science and inform the development of specific research efforts that would be most impactful in the near-term. Because of the need for additional information, the U.S. Environmental Protection Agency (EPA), the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry (ATSDR), and the U.S. Consumer Product Safety Commission (CPSC) launched a multi-agency action plan to study key environmental human health questions. The Federal Research Action Plan includes numerous activities, including research studies (U.S. EPA, 2016). A key objective of the Action Plan is to identify key knowledge gaps.

  15. Nonparametric Multivariate CUSUM Chart and EWMA Chart Based on Simplicial Data Depth

    Institute of Scientific and Technical Information of China (English)

    Yanting; Li Zhaojun Wang

    2003-01-01

    Simplicial data depth is a useful tool for describing how central a vector is in a multivariate distribution. If the average simplicial depth of a subgroup of observations from a multivariate distribution is too small, it may indicate that a shift in its location or/both scale occurs. In this paper, we propose two new types of nonparametric control charts which are one-sided CUSUM and EWMA control schemes based on simplicial data depth. We also compute the Average Run Length of the CUSUM chart and the EWMA chart by Markov chain method. Recommendations on how to choose the optimal reference value and the smoothing parameter are also given. Comparisons between these two proposed control schemes and the multivariate EWMA are presented.

  16. Review on study of seismotectonics in China

    Institute of Scientific and Technical Information of China (English)

    王椿镛; 刘琼林

    2003-01-01

    This paper reviews briefly the progresses made during the last four years (1999~2002) in study of seismotectonics in China, especially appraises the achievements in the fields of the crustal and upper mantle's structure, the active faults and tectonic setting of large earthquakes, the crustal deformation, and the numerical simulation. Most earthquakes occurred in China belong to continental earthquakes. Therefore, Chinese seismologists pay more attention to the continental earthquakes. Based on improvements of the observation systems in China during the ninth Five-Year Plan, the studies on seismotectonics have achieved great progresses.

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

    Directory of Open Access Journals (Sweden)

    Adelina Bostan

    2015-07-01

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

  18. Validation studies in nursing: integrative review

    Directory of Open Access Journals (Sweden)

    Maria Andréia silva Ribeiro

    2013-05-01

    Full Text Available The aim of this study was to analyze the methods used for validation studies in nursing research considering the clinical investigation as phenomenon. We carried out literature at BIREME, CINAHL, PUBMED which contain the terms 'validation studies', 'nursing' and 'clinical' and 21 articles were included in the review. The majority of the studies were conducted in 2008; in North America (USA and European Community (62% in the area of adult health. Most of the phenomena investigated were related to nursing care involving physical and emotional aspects. The content validity has been cited in 71.4% of the articles, criterion validity in 28.5% and construct validity in 23.8%. The reliability by means of Cronbach's alpha was used in the majority of the studies. It was found a knowledge gap concerning the validation estudies in the area of public health, child health and the social phenomena related to nursing care.

  19. Modyfing an attribute control chart: Daudin's methodology

    OpenAIRE

    Pérez Bernabeu, Elena; Sellés Cantó, Miguel Ángel; Carrión García, Andrés; Jabaloyes Vivas, José Manuel

    2012-01-01

    Copyright (2012) American Institute of Physics. This article may be downloaded for personal use only. Any other use requires prior permission of the author and the American Institute of Physics. The following article appeared in Pérez Bernabeu, E.; Sellés Cantó, MÁ.; Carrión García, A.; Jabaloyes Vivas, JM. (2012). Modyfing an attribute control chart: Daudin's methodology. AIP Conference Proceedings. 1431:920-924 and may be found at http://dx.doi.org/10.1063/1.4707651 There are many me...

  20. Application of Hotelling’s T{sup 2} charts in monitoring quality parameters in a drinking water supply system

    Energy Technology Data Exchange (ETDEWEB)

    Costa, Mafalda T., E-mail: mafaldatcosta@gmail.com [UAberta, Portugal and Ministry of Economy, Portuguese Government (Canada); Carolino, Elisabete, E-mail: lizcarolino@gmail.com [ESTeSL-IPL, Research Group Environment and Health of ESTeSL-IPL (Portugal); Oliveira, Teresa A., E-mail: teresa.oliveira@uab.pt [DCeT - Universidade Aberta, and Center of Statistics and Applications of University of Lisbon (Portugal)

    2015-03-10

    In water supply systems with distribution networkthe most critical aspects of control and Monitoring of water quality, which generates crises system, are the effects of cross-contamination originated by the network typology. The classics of control of quality systems through the application of Shewhart charts are generally difficult to manage in real time due to the high number of charts that must be completed and evaluated. As an alternative to the traditional control systems with Shewhart charts, this study aimed to apply a simplified methodology of a monitoring plan quality parameters in a drinking water distribution, by applying Hotelling’s T{sup 2} charts and supplemented with Shewhart charts with Bonferroni limits system, whenever instabilities with processes were detected.

  1. Dental Charting. Learning Activities, Unit Tests, Progress Chart, and Work Sheet.

    Science.gov (United States)

    Texas Univ., Austin. Center for Occupational Curriculum Development.

    These materials are part of a series dealing with skills and information needed by students in dental assisting. The individualized student materials are suitable for classroom, laboratory, or cooperative training programs. These student materials, designed to be used with the Dental Charting Student Manual, consist of learning activities, unit…

  2. Control of psychomotor agitation and aggressive behavior in patients with autistic disorder: a retrospective chart review Controle da agitação psicomotora e agressividade em pacientes com autismo: estudo retrospectivo de revisão de prontuário

    Directory of Open Access Journals (Sweden)

    Camila Marinho Novaes

    2008-01-01

    Full Text Available OBJECTIVE: To evaluate the efficacy of pharmacotherapy on the symptoms of psychomotor agitation and aggressive behavior in a sample of patients with autistic spectrum disorder. METHOD: The charts of all patients with a diagnosis of autistic spectrum disorder, receiving care for psychomotor agitation and/or aggressive behavior in two psychiatric outpatient departments between 2001 and 2006, were reviewed. The Clinical Global Impression-Severity and -Improvement scales (CGI-S and CGI-I were applied to the data retrieved from the charts. RESULTS: The majority of the 26 patients included were treated with second-generation antipsychotics. A positive, statistically significant correlation was found between the implementation of pharmacotherapy and a reduction in CGI-S scores (pOBJETIVO: Avaliar a eficácia do tratamento farmacológico dos sintomas de agitação psicomotora e agressividade em amostra de pacientes com transtorno do espectro autista. MÉTODO: Foram revisados os prontuários de pacientes com diagnóstico de transtorno do espectro autista que procuraram atendimento por apresentarem agitação psicomotora e/ou heteroagressividade, atendidos entre 2001 e 2006, em dois ambulatórios de psiquiatria. Para avaliação da evolução dos pacientes aplicou-se às informações do prontuário a escala de Impressão Clínica Global Sintomas (ICG-S e a Impressão Clínica Global Melhora (ICG-M. RESULTADOS: A maioria dos 26 pacientes estava em tratamento com antipsicóticos de segunda geração. Houve correlação positiva e estatisticamente significativa entre a introdução do tratamento farmacológico e a redução nos escores da ICG-S (p<0,05. A evolução do tratamento farmacológico foi melhor para os pacientes sem retardo mental do que para aqueles com retardo mental (p<0,05. A maioria dos pacientes que obteve melhora clínica com o tratamento participava de ao menos uma intervenção auxiliar ao tratamento principal (p<0,05. CONCLUSÃO: Os

  3. A Review Study of Interlanguage Theory

    Directory of Open Access Journals (Sweden)

    Mohammad Hamad Al-khresheh

    2015-05-01

    Full Text Available The influence of first language (L1 hereinafter  in the learning of second language  (L2 hereinafter has witnessed an intense debate during the past years, resulting in the prevalence of Error Analysis (EA hereinafter over Contrastive Analysis (CA hereinafter.  A great number of empirical studies indicated that neither L1 nor L2 was always responsible for learners' errors (Bailey et al. 1974; Krashen et al. 1978, 2003; Larsen-Freeman, 2002; 2003. CA and EA paved the way for Interlanguage theory (IL hereinafter in describing L2 learners' errors in the acquisition process of L2. IL, which has been in vogue for the last years, has witnessed huge criticism by different researchers and linguists from various L1 backgrounds. They all came to state that there are many points in this theory which are not clear. In light of this, this study aims at reviewing and discussing the role of  IL in describing and explaining learners' errors in the process of acquisition of L2. Therefore, theoretical foundations, theoretical assumptions, limitations and significance of this theory are discussed in detail. This review reveals that IL theory is almost no longer valid in the field of second language acquisition (SLA hereinafter for numerous reasons. Keywords: Interlanguage, First language, Second/foreign language, L2 errors

  4. Review of plant biogeographic studies in Brazil

    Institute of Scientific and Technical Information of China (English)

    Pedro FIASCHI; José R. PIRANI

    2009-01-01

    Molecular phylogenetic studies have become a major area of interest in plant systematics, and their impacts on historical biogeographic hypotheses are not to be disregarded. In Brazil, most historical biogeographic studies have relied on animal phylogenies, whereas plant biogeographic studies have largely lacked a phylogenetic component, having a limited utility for historical biogeography. That country, however, is of great importance for most biogeographic studies of lowland tropical South America, and it includes areas from a number of biogeographic regions of the continent. Important biogeographic reports have been published as part of phylogenetic studies, taxonomic monographs, and regional accounts for small areas or phytogeographic domains, hut the available information is subsequently scattered and sometimes hard to find. In this paper we review some relevant angiosperm biogeographic studies in Brazil. Initially we briefly discuss the importance of other continents as source areas for the South American flora. Then we present a subdivision of Brazil into phytogeographic domains, and we cite studies that have explored the detection of biogeographic units (areas of endemism) and how they are historically related among those domains. Examples of plant taxa that could be used to test some biogeographic hypotheses are provided throughout, as well as taxa that exemplify several patterns of endemism and disjunction in the Brazilian angiosperm flora.

  5. Studies of archaeoastronomy in Spain: a review

    Directory of Open Access Journals (Sweden)

    Cerdeño, Mª Luisa

    2006-12-01

    Full Text Available Studies of Arqueoastronomy have a long tradition in Europe and, to a lesser extent, in Spain. This research is mainly done by astronomers. The recognition of this studies is still lacking in archaeology. This paper reviews current research projects in Spain and the main problems raised by Archaeoastronomy.

    Los estudios de Arqueoastronomía tienen una larga trayectoria en algunos países europeos y, en menor medida, en España. Mayoritariamente se llevan a cabo desde el campo de los astrónomos y todavía no han alcanzado un definitivo reconocimiento en el ámbito arqueológico. En este trabajo se revisan las líneas de trabajo existentes en España, con la inevitable referencia al marco europeo, y se analizan los principales problemas que tiene planteados esta disciplina académica.

  6. Robust Multivariate Control Charts to Detect Small Shifts in Mean

    Directory of Open Access Journals (Sweden)

    Habshah Midi

    2011-01-01

    Full Text Available The classical multivariate CUSUM and EWMA charts are commonly used to detect small shifts in the mean vectors. It is now evident that those charts are easily affected by outliers which may be due to small or moderate changes in the mean vector. In this paper, we propose a robust multivariate CUSUM and Robust multivariate EWMA charts to remedy the problem of small changed in scatter outliers. Both the empirical and simulation results indicate that the proposed robust multivariate CUSUM and EWMA charts offer substantial improvement over other multivariate CUSUM and EWMA charts. This article also discussed the robustness of the proposed charts, when there is a small or moderate sustained shift in the data set.

  7. Peer Review of Grant Applications: Criteria Used and Qualitative Study of Reviewer Practices

    OpenAIRE

    Hendy Abdoul; Christophe Perrey; Philippe Amiel; Florence Tubach; Serge Gottot; Isabelle Durand-Zaleski; Corinne Alberti

    2012-01-01

    BACKGROUND: Peer review of grant applications has been criticized as lacking reliability. Studies showing poor agreement among reviewers supported this possibility but usually focused on reviewers' scores and failed to investigate reasons for disagreement. Here, our goal was to determine how reviewers rate applications, by investigating reviewer practices and grant assessment criteria. METHODS AND FINDINGS: We first collected and analyzed a convenience sample of French and international calls...

  8. Review of Studies on Just Culture

    Energy Technology Data Exchange (ETDEWEB)

    Yi, Kyung Joo; Choi, Young Sung; Jung, Su Jin [Safety Policy Department, Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2014-10-15

    Safety culture represents patterns of behavior and ways of thinking on safety for both individuals and organizations. Besides nuclear industry, many fields such as transport and health care have focused on the value and effectiveness of safety culture. In this paper, the definition and characteristics of just culture, which is one component of safety culture, and related studies reported by other researchers are described. We hope this review will serve to understand the current condition and underlying problems of the just culture of nuclear industry in Korea. This paper describes the definition and basic principle of just culture in nuclear industry based on the review of researches on safety and just culture in various fields. To establish just culture solidly in organization, each individual needs to understand the nature of the just culture first. And it is necessary to create an atmosphere encouraging to report and suggest safety-related issues. Most of all, to draw clear lines of blame and punishment for human error is essential.

  9. A Retrospective Chart Review of Treatment Seeking Middle Aged Individuals at a Tertiary Care Substance Use Disorder Treatment Centre in North Part of India over Five Successive Years: Findings from Drug Abuse Monitoring System

    Directory of Open Access Journals (Sweden)

    Yatan Pal Singh Balhara

    2013-01-01

    Full Text Available Adolescents and young adults continue to remain the main focus of attention with regards to substance use related problems. There has been a limited focus on illicit substance use among middle aged and elderly population. The current study explored the changing trends of substance use among treatment seeking middle aged individuals (aged 40–60 years at a tertiary level drug dependence treatment centre. The questionnaire used to gather information for the study is a 19-item structured questionnaire. It includes information on various sociodemographic variables, “current,” and “ever” use of substance. Information is also collected on variables related to high risk injecting drug use and HIV status of the individuals. There has been consistent increase in the population of treatment seekers over five years. Over the five-year period, the absolute percentage increase in treatment seeking population is approximately 21%. Polysubstance use was found to increase significantly over five-study years (PTrend = 0.007.

  10. EPA Enforcement and Compliance History Online: Water Effluent Charts Details

    Data.gov (United States)

    U.S. Environmental Protection Agency — Detailed Discharge Monitoring Report (DMR) data supporting effluent charts for one Clean Water Act discharge permit. Includes effluent parameters, amounts discharged...

  11. EPA Enforcement and Compliance History Online: Water Effluent Charts Downloads

    Data.gov (United States)

    U.S. Environmental Protection Agency — Detailed Discharge Monitoring Report (DMR) data supporting effluent charts for one Clean Water Act discharge permit. Includes effluent parameters, amounts discharged...

  12. Cusum charts for preliminary analysis of individual observations

    OpenAIRE

    1997-01-01

    textabstractA preliminary Cusum chart based on individual observations is developed from the uniformly most powerful test for the detection of linear trends. This Cusum chart is compared with several of its competitors which are based on the likelihood ratio test and on transformations of standardized recursive residuals on which for instance the Q-chart methodology is based. It turns out that the new proposed Cusum chart is not only superior in the detection of linear trend out-of-control co...

  13. New standardized visual acuity charts in hindi and gujarati

    Directory of Open Access Journals (Sweden)

    Khamar Bakulesh

    1996-01-01

    Full Text Available Conventional Snellen visual acuity chart has unequal difficulty score and irregular progression in letter size causing jumping effect at different visual acuity levels. There is also increase in number of letters from above downwards. Consequently one or two mistakes per line has different meaning of visual acuity at different levels. We designed a new visual acuity chart of fourteen lines in Hindi and Gujarati to facilitate standardization in visual acuity measurement. These charts are designed for use at six meter distance, and the illumination is provided from front. These charts provide a standardized way of measuring visual acuity using local languages.

  14. Converting Basic D3 Charts into Reusable Style Templates.

    Science.gov (United States)

    Harper, Jonathan; Agrawala, Maneesh

    2017-02-07

    We present a technique for converting a basic D3 chart into a reusable style template. Then, given a new data source we can apply the style template to generate a chart that depicts the new data, but in the style of the template. To construct the style template we first deconstruct the input D3 chart to recover its underlying structure: the data, the marks and the mappings that describe how the marks encode the data. We then rank the perceptual effectiveness of the deconstructed mappings. To apply the resulting style template to a new data source we first obtain importance ranks for each new data field. We then adjust the template mappings to depict the source data by matching the most important data fields to the most perceptually effective mappings. We show how the style templates can be applied to source data in the form of either a data table or another D3 chart. While our implementation focuses on generating templates for basic chart types (e.g. variants of bar charts, line charts, dot plots, scatterplots, etc.), these are the most commonly used chart types today. Users can easily find such basic D3 charts on the Web, turn them into templates, and immediately see how their own data would look in the visual style (e.g. colors, shapes, fonts, etc.) of the templates. We demonstrate the effectiveness of our approach by applying a diverse set of style templates to a variety of source datasets.

  15. THE CHART ROMANIA-NATO-UE

    Directory of Open Access Journals (Sweden)

    Duduială Popescu Lorena

    2009-05-01

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

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

    Directory of Open Access Journals (Sweden)

    Dorian Nedelcu

    2015-07-01

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

  17. Determination of Egg Shell Quality with P Control Charts in Poultry

    Directory of Open Access Journals (Sweden)

    Melis Çelik Güney

    2016-07-01

    Full Text Available Broken or cracked eggs are important factor in determining the quality of the egg shell. Manufacturers are experience great losses because broken or cracked eggs aren’t evaluated. The manufacturers need control charts throughout the production to determine whether process is under control. In this study, broken and cracked eggs which are taken Cukurova University, Faculty of Agriculture, Department of Animal Science, Poultry Businesses during 52 weeks are determined. P control charts of the data’s are taken in poultry business during 52 weeks is drawn due to determining whether there is under the control. Three methods were used for drawing control charts. In the end of this study, it has been determined to be not under control of the process.

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

    DEFF Research Database (Denmark)

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

    2013-01-01

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

  19. Development of an AR chart tool for understanding invisible physical phenomena

    Science.gov (United States)

    Manabe, S.; Mouri, C.; Tenzou, H.; Kasuga, T.; Motoki, K.

    2016-07-01

    The purpose of this study was to develop a tool to overlay a 3D chart on a real measurement field by using ARToolKit library and AR SDK. The tool was also designed to receive measurement data from any device as TCP/IP packets sent through a LAN. The tool is capable of drawing five types of charts; bar, bubble, red-line, spectrum-line and 3D-area. The tool requires a conventional PC, a USB camera, and an AR tag printed on a paper. The AR tag is laid on the measurement area and is recognized as the base level from where to draw the chart. 3D CG objects of the charts are overlaid on the images captured by the USB camera through recognition of the AR tag. A sample code was also prepared to manage DAQ data. The sample code for Windows OS can send the data as CSV text data via TCP/IP to the AR chart tool.

  20. Weight charts of infants dying of sudden infant death in England.

    Science.gov (United States)

    Scheimberg, Irene; Ashal, Husna; Kotiloglu-Karaa, Esin; French, Paul; Kay, Philippa; Cohen, Marta C

    2014-01-01

    The organ weights in cases of sudden infant death syndrome (SIDS) and undetermined deaths in previously healthy infants do not correspond to "the normal range" of organ weights in international standard charts for infants currently in use in some institutions. The aim of our study was to ascertain the organ weights of infants dying suddenly and unexpectedly in England and for whom a cause of death was not found, therefore falling under the category of SIDS or undetermined. We collated the organs weights from 2 institutions covering between them the South East and North of England including London, Yorkshire, and Derbyshire. The cases from The Royal London Hospital were autopsied between 1997 and 2013, and the cases from Sheffield Children's Hospital were autopsied between 2006 and 2013. There were 188 babies who had been born at term (62 female and 126 male) and 26 ex-premature babies (15 female and 11 male). Organs of male babies were slightly heavier than those of female babies but as there was no significant differences male and female babies were considered together. Comparison with standard charts (from 1932 and 1962) and with more recent charts confirmed the discrepancy between the older charts commonly in use with more recent measurements, including ours. The main reason for these differences is that babies in the recent charts were previously healthy babies with no long term disease and improved in the health of the population.

  1. Preventable trauma deaths: from panel review to population based-studies

    Directory of Open Access Journals (Sweden)

    Vesconi Sergio

    2006-04-01

    Full Text Available Abstract Preventable trauma deaths are defined as deaths which could be avoided if optimal care has been delivered. Studies on preventable trauma deaths have been accomplished initially with panel reviews of pre-hospital and hospital charts. However, several investigators questioned the reliability and validity of this method because of low reproducibility of implicit judgments when they are made by different experts. Nevertheless, number of studies were published all around the world and ultimately gained some credibility, particularly in regions where comparisons were made before and after trauma system implementation with a resultant fall in mortality. During the last decade of century the method of comparing observed survival with probability of survival calculated from large trauma registries has obtained popularity. Preventable trauma deaths were identified as deaths occurred notwithstanding a high calculated probability of survival. In recent years, preventable trauma deaths studies have been replaced by population-based studies, which use databases representative of overall population, therefore with high epidemiologic value. These databases contain readily available information which carry out the advantage of objectivity and large numbers. Nowadays, population-based researches provide the strongest evidence regarding the effectiveness of trauma systems and trauma centers on patient outcomes.

  2. A Review of Shock Mitigation Techniques (Briefing Charts)

    Science.gov (United States)

    2015-04-01

    15. SUBJECT TERMS Hard target fuzes, intelligent fuzes, hard target penetration, shock, instrumentation, shock sensors, recorders, accelerometers...Public Release; Distribution Unlimited (PA# 96TW- 2014-0154). 6 Viscoelastic • Polyurea – energy dissipation from hard and soft...DISTRIBUTION A; Approved for Public Release; Distribution Unlimited (PA# 96TW- 2014-0154). 11 Theoretical Framework • Transfer matrix

  3. An Efficient Novel Compensatory Multi-attribute Control Chart for Correlated Multinomial Processes

    Directory of Open Access Journals (Sweden)

    Sadigh Raissi

    2013-07-01

    Full Text Available Monitoring multi-attribute processes is an important issue in many quality control environments. Almost all the priory proposed control charts utilize equal weights for each Attribute Quality Characteristics (AQCs. In such condition, there is no priority among AQCs. But in real-world, compensatory may exist. Hence due to some applied reasons such as function or efficiency, unequal weights for each AQC are possible. This study proposed a novel efficient control chart for simultaneous monitoring of weighted AQC when data expressed by linguistic terms. Correspondingly a new procedure to interpret out-of-control signals is presented. Performance and comparison advantage of the proposed control chart is measured in terms of Average Run Length (ARL using a real case which priory was expressed. Consequences displayed that considering weight could efficiently extend the prior research for practical circumstancese.

  4. Personalized Progress Charts: An Effective Motivation for Reluctant Readers.

    Science.gov (United States)

    Webre, Elizabeth C.

    Progress charts are an effective means of dramatizing student effort and improvement in reading and are especially important for remedial reading students, who need concrete evidence of progress. Remedial reading students often need extrinsic reward, and since reading is a complex act, progress charts lend themselves to the element of reward and…

  5. 46 CFR 169.809 - Charts and nautical publications.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Charts and nautical publications. 169.809 Section 169.809 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS SAILING SCHOOL VESSELS Operations § 169.809 Charts and nautical publications. As appropriate for the intended voyage,...

  6. Chart it once: innovation in public health documentation.

    Science.gov (United States)

    Zerwekh, J; Thibodeaux, R; Plesko, R

    2000-01-01

    The Seattle-King County Department of Public Health implemented a revision in the charting for its Family Support programs with the goal of streamlining the entire charting process, reducing redundancy, improving quality, and improving productivity. This article applies diffusion of innovations theory to the process of changing documentation.

  7. Enhancing the performance of exponentially weighted moving average charts: discussion

    NARCIS (Netherlands)

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

    2015-01-01

    Abbas et al. (Abbas N, Riaz M, Does RJMM. Enhancing the performance of EWMA charts. Quality and Reliability Engineering International 2011; 27(6):821-833) proposed the use of signaling schemes with exponentially weighted moving average charts (named as 2/2 and modified − 2/3 schemes) for their impro

  8. 46 CFR Figure 1 to Part 150 - Compatibility Chart

    Science.gov (United States)

    2010-10-01

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

  9. Cusum charts for preliminary analysis of individual observations

    NARCIS (Netherlands)

    A.J. Koning (Alex); R.J.M.M. Does (Ronald)

    1997-01-01

    textabstractA preliminary Cusum chart based on individual observations is developed from the uniformly most powerful test for the detection of linear trends. This Cusum chart is compared with several of its competitors which are based on the likelihood ratio test and on transformations of standardiz

  10. US Nuclear Regulatory Commission organization charts and functional statements

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-07-01

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

  11. Automated Procedure of making the Andersen’s chart

    DEFF Research Database (Denmark)

    Sabaliauskas, Tomas; Ibsen, Lars Bo

    2016-01-01

    Andersen’s chart (Andersen & Berre, 1999) is a graphical method of observing cyclic soil response. It allows observing soil response to various stress amplitudes that can lead to liquefaction, excess plastic deformation stabilizing soil response. The process of obtaining the original chart has been...

  12. Quality Control Charts in Large-Scale Assessment Programs

    Science.gov (United States)

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

    2011-01-01

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

  13. The making of Andersen’s liquefaction chart

    DEFF Research Database (Denmark)

    Sabaliauskas, Tomas; Ibsen, Lars Bo

    Andersen’s chart (Andersen & Berre, 1999) is a graphical method of observing cyclic soil response. It allows observing soil response to various stress amplitudes that can lead to liquefaction, excess plastic deformation stabilizing soil response.The process of obtaining the original chart has bee...

  14. Synthetic-type control charts for time-between-events monitoring.

    Directory of Open Access Journals (Sweden)

    Fang Yen Yen

    Full Text Available This paper proposes three synthetic-type control charts to monitor the mean time-between-events of a homogenous Poisson process. The first proposed chart combines an Erlang (cumulative time between events, Tr chart and a conforming run length (CRL chart, denoted as Synth-Tr chart. The second proposed chart combines an exponential (or T chart and a group conforming run length (GCRL chart, denoted as GR-T chart. The third proposed chart combines an Erlang chart and a GCRL chart, denoted as GR-Tr chart. By using a Markov chain approach, the zero- and steady-state average number of observations to signal (ANOS of the proposed charts are obtained, in order to evaluate the performance of the three charts. The optimal design of the proposed charts is shown in this paper. The proposed charts are superior to the existing T chart, Tr chart, and Synth-T chart. As compared to the EWMA-T chart, the GR-T chart performs better in detecting large shifts, in terms of the zero- and steady-state performances. The zero-state Synth-T4 and GR-Tr (r = 3 or 4 charts outperform the EWMA-T chart for all shifts, whereas the Synth-Tr (r = 2 or 3 and GR-T 2 charts perform better for moderate to large shifts. For the steady-state process, the Synth-Tr and GR-Tr charts are more efficient than the EWMA-T chart in detecting small to moderate shifts.

  15. The use of quality control performance charts to analyze cesarean delivery rates nationally.

    LENUS (Irish Health Repository)

    Turner, Michael J

    2012-02-01

    OBJECTIVE: To examine the use of quality control performance charts to analyze cesarean rates nationally. METHODS: Information on cesarean rates was obtained for all 19 Irish maternity hospitals receiving state funding in 2009. All women who underwent cesarean delivery of a live or stillborn infant weighing 500 g or more between January 1 and December 31 were included. Deliveries were classified as elective or emergency. Individual hospitals were not identified in the analysis. RESULTS: The mean rates per hospital of elective and emergency cesarean were 12.9+\\/-2.6% (n=9337) and 13.8+\\/-3.0% (n=9989), respectively-giving an overall mean rate of 26.7+\\/-4.2% (n=19326) per hospital. Cesarean rates were normally distributed. Using a quality control performance chart with a cutoff 2 standard deviations from the mean, 1 hospital was above the normal range for both total and elective cesareans, indicating that its pre-labor obstetric practices warrant clinical review. Another hospital had a mean emergency cesarean rate above the normal range, indicating that its labor ward practices warrant review. CONCLUSION: Quality control performance charts can be used to analyze cesarean rates nationally and, thus, to identify hospitals at which obstetric practices should be reviewed.

  16. Ewmareg control chart applied in the monitoring of industrial processes

    Directory of Open Access Journals (Sweden)

    Danilo Cuzzuol Pedrini

    2011-12-01

    Full Text Available If the process quality characteristics are dependent of control variables, and these vary during the process operation, the basic assumptions of control charts are violated. If the values of the control variables are known, it’s possible to apply the regression control chart. One of the most recent works in this area is the EWMAREG chart, which is the monitoring of the standardized residuals using exponentially weighted moving average control chart. In this paper, we present a systematic application of the EWMAREG control chart in monitoring a simulated process of chemical industry. The process characteristic monitored was the corrosion rate of steel pipe in function of four process control variables. The tool applied demonstrated high potential to detect change in surveillance of corrosion rate, ensuring stability process.

  17. On the Mathematics behind the CUSUM Control Charts

    DEFF Research Database (Denmark)

    Madsen, Henrik

    1998-01-01

    This paper describes the mathematics behind CUSUM control charts. An introduction to CUSUM charts is found in (Madsen 1998).CUSUM charts are well suited for checking a measuring system in operation for any departure from some target or specified values. In general they can be used for:- detecting...... a drift (or shift in the level) of the measuring system, and- detecting a change of the precision of the measuring system.In both cases the CUSUM procedure contains methods for estimating the shift such that maintenance (e.g. recalibration) can take place.The CUSUM procedure is described in ISO/CD 7871...... from CEN-TC 69. However the presentation in ISO/CD 7871 concentrates on the level, whereas CUSUM charts for detecting changes in the precision are not discussed.This document outlines the theory of CUSUM control charts, and both CUSUM procedures for detecting a drift as well as CUSUM procedures...

  18. Charting Pathways to Completion for Low-Income Community College Students. CCRC Working Paper No. 34

    Science.gov (United States)

    Jenkins, Davis; Weiss, Madeline Joy

    2011-01-01

    This study uses administrative data from Washington State to chart the educational pathways of first-time community college students over seven years, with a focus on young, socioeconomically disadvantaged students. Of particular interest are the rates at which students enter a course of study (by passing multiple college-level courses within a…

  19. The problem of the availability of nautical charts and publications on the Northern Sea Route

    Directory of Open Access Journals (Sweden)

    Pastusiak Tadeusz

    2015-03-01

    Full Text Available Statistical studies of marine accidents and unfortunate events in ice-covered areas in 1995–2004 and 2004–2011 showed a general lack of information from the area under the jurisdiction of the Russian Federation. The author’s research for the period 2004–2011 showed a large number of unfortunate events caused by lack of adequate provision of nautical charts, shortage of accurate position systems on board vessels as well as weak technical condition of these vessels. The author examined the problem of navigation safety on the Northern Sea Route in terms of availability of the official nautical charts and publications.

  20. HydroHillChart – Pelton module. Software used to Calculate the Hill Chart of the Pelton Hydraulic Turbines

    Directory of Open Access Journals (Sweden)

    Dorian Nedelcu

    2015-07-01

    Full Text Available The paper presents the HydroHillChart - Pelton module application, used to calculate the hill chart of the Pelton hydraulic turbine models, by processing the data measured on the stand. In addition, the tools offered by the application such as: interface, menu, input data, numerical and graphical results, etc. are described.

  1. Control of wastewater using multivariate control chart

    Science.gov (United States)

    Nugraha, Jaka; Fatimah, Is; Prabowo, Rino Galang

    2017-03-01

    Wastewater treatment is a crucial process in industry cause untreated or improper treatment of wastewater may leads some problems affecting to the other parts of environmental aspects. For many kinds of wastewater treatments, the parameters of Biological Oxygen Demand (BOD), Chemical Oxygen Demand (COD), and the Total Suspend Solid (TSS) are usual parameters to be controlled as a standard. In this paper, the application of multivariate Hotteling T2 Individual was reported to control wastewater treatment. By using wastewater treatment data from PT. ICBP, east Java branch, while the fulfillment of quality standards are based on East Java Governor Regulation No. 72 Year 2013 on Standards of Quality of Waste Water Industry and / or Other Business Activities. The obtained results are COD and TSS has a correlation with BOD values with the correlation coefficient higher than 50%, and it is is also found that influence of the COD and TSS to BOD values are 82% and 1.9% respectively. Based on Multivariate control chart Individual T2 Hotteling, it is found that BOD-COD and BOD-TSS are each one subgroup that are outside the control limits. Thus, it can be said there is a process that is not multivariate controlled, but univariately the variables of BOD, COD and TSS are within specification (standard quality) that has been determined.

  2. From chart tracking to workflow management.

    Science.gov (United States)

    Srinivasan, P; Vignes, G; Venable, C; Hazelwood, A; Cade, T

    1994-01-01

    The current interest in system-wide integration appears to be based on the assumption that an organization, by digitizing information and accepting a common standard for the exchange of such information, will improve the accessibility of this information and automatically experience benefits resulting from its more productive use. We do not dispute this reasoning, but assert that an organization's capacity for effective change is proportional to the understanding of the current structure among its personnel. Our workflow manager is based on the use of a Parameterized Petri Net (PPN) model which can be configured to represent an arbitrarily detailed picture of an organization. The PPN model can be animated to observe the model organization in action, and the results of the animation analyzed. This simulation is a dynamic ongoing process which changes with the system and allows members of the organization to pose "what if" questions as a means of exploring opportunities for change. We present, the "workflow management system" as the natural successor to the tracking program, incorporating modeling, scheduling, reactive planning, performance evaluation, and simulation. This workflow management system is more than adequate for meeting the needs of a paper chart tracking system, and, as the patient record is computerized, will serve as a planning and evaluation tool in converting the paper-based health information system into a computer-based system.

  3. Interpretation models and charts of production profiles in horizontal wells

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Stratified flow is common for the gravity segregation and flow regimes are very complex because of borehole inclination,therefore,all the conventional production logging tools cannot be effectively applied in horizontal wells,thus significantly increasing the difficulties in log interpretation. In this paper,firstly,the overseas progress in updated integration tools for horizontal wells and production profile interpretation methods has been discussed in brief. Secondly,by means of theory study and experimental simulations,we have obtained the production profile interpretation model and experimental interpretation charts,which have been calibrated by the improved downhole technology and optimization methods. Finally,we have interpreted X-well with the production profile interpretation software designed by us,and it proves that the methods are useful for the production profile interpretation in horizontal wells.

  4. Analysis and reliability of data from 24-hour frequency-volume charts in men with lower urinary tract symptoms due to benign prostatic hyperplasia

    NARCIS (Netherlands)

    Gisolf, KWH; van Venrooij, GEPM; Eckhardt, MD; Boon, TA

    2000-01-01

    Objectives: The aims of this study were to analyse the data from frequency-volume charts and to study the reliability of these charts in men with lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH), Methods: Males with LUTS due to BPH were consecutively included in the stud

  5. Ethical and legal questions as regards filling out dental clinical charts

    Directory of Open Access Journals (Sweden)

    Mauro Henrique Nogueira Guimarãe de Abreu

    Full Text Available Objective: Evaluate imperfections in filling out dental clinical history charts of patients attended at the “Universidade Estadual de Montes Claros – Unimontes”, in 2005, from the ethical and legal aspects. Method: Descriptive statistical analysis, Pearson’s correlation, Chi-Square test (p<0.05 with Bonferroni correction in a contingency table (p<0.003 tests were performed, and Anova – Tukey (p<0.05 were calculate using SPSS software. This study was conducted using 881 clinical history charts of 19 subjects. Results: The highest percentage of charts concerned Stomatology (12% and 8 th period of the course (25%. The majority (63.3% of chartshad fields left blank and in 68% the handwriting was illegible. Unjustifiable erasures were found in 74.7% of charts. The majority of charts (98% were filled out in ink. The treatment plan was signed by course tutor in 83% of the cases. The term of consent was signed in the 94.9 % of the charts. As regards mistakes, 5.1% of documents had one error; 42% two errors; 23.5% three or more errors (average 1.89(± 0.9; percentile 25%=1; 50%=2 and 75%=2. The difference in the proportion of errors as regards filling out all fields differed statistically among the periods (p<0.05. Conclusion: It was concluded that an alarming number of documents were filled out incorrectly. The worst filling out performance was shown in the 5th, 6th and 7th periods (p<0.05.

  6. Peer review of grant applications: criteria used and qualitative study of reviewer practices.

    Directory of Open Access Journals (Sweden)

    Hendy Abdoul

    Full Text Available BACKGROUND: Peer review of grant applications has been criticized as lacking reliability. Studies showing poor agreement among reviewers supported this possibility but usually focused on reviewers' scores and failed to investigate reasons for disagreement. Here, our goal was to determine how reviewers rate applications, by investigating reviewer practices and grant assessment criteria. METHODS AND FINDINGS: We first collected and analyzed a convenience sample of French and international calls for proposals and assessment guidelines, from which we created an overall typology of assessment criteria comprising nine domains relevance to the call for proposals, usefulness, originality, innovativeness, methodology, feasibility, funding, ethical aspects, and writing of the grant application. We then performed a qualitative study of reviewer practices, particularly regarding the use of assessment criteria, among reviewers of the French Academic Hospital Research Grant Agencies (Programmes Hospitaliers de Recherche Clinique, PHRCs. Semi-structured interviews and observation sessions were conducted. Both the time spent assessing each grant application and the assessment methods varied across reviewers. The assessment criteria recommended by the PHRCs were listed by all reviewers as frequently evaluated and useful. However, use of the PHRC criteria was subjective and varied across reviewers. Some reviewers gave the same weight to each assessment criterion, whereas others considered originality to be the most important criterion (12/34, followed by methodology (10/34 and feasibility (4/34. Conceivably, this variability might adversely affect the reliability of the review process, and studies evaluating this hypothesis would be of interest. CONCLUSIONS: Variability across reviewers may result in mistrust among grant applicants about the review process. Consequently, ensuring transparency is of the utmost importance. Consistency in the review process could

  7. Studies on Aftershocks in Taiwan: A Review

    Directory of Open Access Journals (Sweden)

    Jeen-Hwa Wang

    2016-01-01

    Full Text Available We reviewed studies on aftershocks in Taiwan for the following topics: the spatial-temporal distributions and focal-plane solutions of aftershocks fromof thirty larger earthquakes with magnitudes > 5; the correlations between the mainshock and the largest aftershock based on dependence of the differences in magnitudes (ΔM, occurrence times (ΔT, epicenters (ΔH, and focal depths (ΔD upon the mainshock magnitude, Mm; magnitude-dependence of p-value of Omori’s law of aftershocks; the correlation between the b-value of the Gutenberg-Richter’s frequency-magnitude law and the p-value; application of the epidemic-type aftershock sequences (ETAS model to describe the aftershock sequence; the mechanisms of triggering aftershocks; and dynamic modeling of aftershocks. The main results are: (1 The spatial distribution of aftershocks for some earthquakes is consistent with the recognized fault; (2 Unlike Båth’s law, ΔM slightly increases with Mm; (3 ΔT does not correlate with Mm; (4 ΔD does not correlate with Mm; (5 ΔT somewhat increases with ΔD; (6 The p-value slightly increases with Mm; (7 There is a negative correlation between the b- and p-values. (8 There was seismic quiescence over a broader region of Taiwan before the 1999 Chi-Chi earthquake; (9 Both the static and dynamic stress changes trigger aftershocks; and (10 Dynamic modeling shows that a decrease in elastic modulus is a significant factor in triggering aftershocks.

  8. Reference values for frequency volume chart and uroflowmetry parameters in adolescent and adult enuresis patients

    NARCIS (Netherlands)

    Hofmeester, Ilse; Brinker, Astrid E.; Steffens, Martijn G.; Mulder, Zwaan; van Capelle, Jan Willem; Feitz, Wout F.J.; Blanker, Marco H.

    2017-01-01

    Aims: Reference values of Frequency Volume Chart (FVC) and uroflowmetry parameters for adolescent and adult enuresis patients are lacking. In this study, we aim to describe those parameters, in order to interpret findings from FVCs and uroflowmetries in those patients. Methods: Retrospective, descri

  9. Treatment for Intramuscular Lipoma Frequently Confused with Sarcoma: A 6-Year Restrospective Study and Literature Review

    Directory of Open Access Journals (Sweden)

    Hyun Ho Han

    2014-01-01

    Full Text Available Introduction. Intramuscular lipoma is a very rare form of lipoma, known to be categorized as an infiltrating lipoma due to its tendencies to infiltrate the muscle or the synovium. Contrary to other subcutaneous lipomas, even after surgical removal, the rate of local recurrence ranges at a high rate from 50∼80% and differential diagnosis with liposarcoma is very difficult. Patients and Methods. A retrospective chart review was conducted for a total of 27 patients. Before performing a surgery based on the types of mass, a radiologic imaging study was performed. An intraoperative frozen biopsy was performed on every patient and the results were compared. The progress was monitored every 3 to 6 months for recurrence or struggles with rehabilitation. Results. There were 13 male and 14 female patients with an average age of 54.6. The average tumor size was 8.2 cm (1.1 cm∼31.6 cm. Excision was performed using a wide excision. All 27 individuals were initially diagnosed as intramuscular lipoma; however, 1 of the patients was rediagnosed as liposarcoma in the final checkup. The patients had an average of 3 years and 1 month of follow-up and did not suffer recurrences. Conclusion. Thus, it is essential that a frozen biopsy is performed during the surgery in order to identify its malignancy. And a wide excision like malignant tumor operation is a principle of treatment.

  10. A Survey Study of Institutional Review Board Thought Processes in the United States and South Korea

    Directory of Open Access Journals (Sweden)

    Si-Kyung Jung

    2012-09-01

    Full Text Available Introduction: In the last several decades, South Korea has rapidly adopted Western customs and practices. Yet, cultural differences between South Korea and the United States exist. The purpose ofthis study was to identify and characterize potential cultural differences in the Korean and US institutional review board (IRB approach to certain topics.Methods: A qualitative analysis of a 9-item survey, describing 4 research study case scenarios, sent to IRB members from the United States and South Korea. The case scenarios involved the followingissues: (1 the need for consent for retrospective chart review when research subjects receive their care after the study is conceived; (2 child assent; (3 individual versus population benefit; and (4 exception from informed consent in emergency resuscitation research. The free-text responses were analyzed and abstracted for recurrent themes.Results: Twenty-three of the 45 survey recipients completed the survey, for an overall response rate of 51%. The themes that emerged were as follows: (1 the importance of parental authority among Korean participants versus the importance of child autonomy and child assent among US participants; (2 the recognition of the rights of a proxy or surrogate who can represent an individual’s values by all participants; and (3 the importance of the community, expressed by the Korean respondents, versus individualism, expressed by US respondents.Conclusion: Whereas US participants appear to emphasize the importance of the individual and the autonomy of a child, the Korean respondents stressed the importance of parental authority andbenefiting the community, above and beyond that of the individual person. However, there was substantial overlap in the themes expressed by respondents from both countries.

  11. Risk-Adjusted Control Charts for Health Care Monitoring

    Directory of Open Access Journals (Sweden)

    Willem Albers

    2011-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Jayanthi Adilakshmi Visali

    2015-02-01

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

  13. MDI Synoptic Charts of Magnetic Field: Interpolation of Polar Fields

    Science.gov (United States)

    Liu, Yang; Hoeksema, J. T.; Zhao, X.; Larson, R. M.

    2007-05-01

    In this poster, we compare various methods for interpolation of polar field for the MDI synoptic charts of magnetic field. By examining the coronal and heliospheric magnetic field computed from the synoptic charts based on a Potential Field Source Surface model (PFSS), and by comparing the heliospheric current sheets and footpoints of open fields with the observations, we conclude that the coronal and heliospheric fields calculated from the synoptic charts are sensitive to the polar field interpolation, and a time-dependent interpolation method using the observed polar fields is the best among the seven methods investigated.

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

    CERN Document Server

    Scheck, Reinhold

    2009-01-01

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

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

    Data.gov (United States)

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

  16. 49 CFR 236.338 - Mechanical locking required in accordance with locking sheet and dog chart.

    Science.gov (United States)

    2010-10-01

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

  17. Moral Judgment and Religion: A Review of the Literature.

    Science.gov (United States)

    Getz, Irene R.

    1984-01-01

    Reviews literature on the relationship between moral reasoning and several dimensions of religion. Studies are arranged by the religious dimension assessed (including beliefs, affiliation, and intrinsic-extrinsic orientation) and summarized in a chart at the close of the article. (JAC)

  18. [Prenatal diagnosis. Review, personal and prospective studies].

    Science.gov (United States)

    Engel, E; Empson, J; DeLozier, D; McGee, B; da Costa Woodson, E; Engel-de Montmollin, M; Carter, T; Lorber, C; Cassidy, S B; Millis, J; Heller, R M; Boehm, F; Vanhooydonk, J

    1979-07-07

    1. In a review of methods developed for the identification of fetal malformations, the technique, risks and results of amniocentesis are presented. 2. Large series already published have demonstrated the relative simplicity and feasibility of the procedure as well as current indications for its utilization. These include the detection of chromosomal anomalies, the determination of sex (in certain sex-linked disorders), documentation of enzymatic and metabolic deficiencies, and the demonstration of open lesions of the neural tube by appropriate techniques. 3. Experience with over 500 cases personally tested by the authors entirely confirms the major indications for and benefits of this modern method for the detection and prevention of severe congenital anomalies during early pregnancy. 4. The identification of chromosomal alterations is currently the major objective of the method. Increased risks are associated with pregnancies involving a maternal age of 35 years or older (which account for 1-3% of aneuploidies), the birth of a previous infant with free trisomy 21 (1% recurrence risk) or secondary to a parental chromosome translocation (as much as 10% risk of aneuploidy). Fetal karyotyping for determination of sex, in cases where the mother is a carrier of an X-linked recessive gene (on average, 50% of male offspring will be affected), is an inadequate method of diagnosis to be utilized only until alternative techniques render possible specific diagnosis of the anomalies under consideration (hemophilias A and B, muscular dystrophy, etc). 5. Several of these techniques are now nearing development through the advent of fetoscopy and advanced ultrasound methodology, and have already been applied to the detection of certain sex-linked disorders and also for diagnosis of hemoglobinopathies (thalassemias, sickel cell anemia) and other conditions requiring the obtaining of fetal blood for diagnosis. Technology allowing direct examination of fetal parts by means of optical

  19. Development of electronic medical record charting for hospital-based transfusion and apheresis medicine services: Early adoption perspectives

    Directory of Open Access Journals (Sweden)

    Rebecca Levy

    2010-01-01

    Full Text Available Background: Electronic medical records (EMRs provide universal access to health care information across multidisciplinary lines. In pathology departments, transfusion and apheresis medicine services (TAMS involved in direct patient care activities produce data and documentation that typically do not enter the EMR. Taking advantage of our institution′s initiative for implementation of a paperless medical record, our TAMS division set out to develop an electronic charting (e-charting strategy within the EMR. Methods: A focus group of our hospital′s transfusion committee consisting of transfusion medicine specialists, pathologists, residents, nurses, hemapheresis specialists, and information technologists was constituted and charged with the project. The group met periodically to implement e-charting TAMS workflow and produced electronic documents within the EMR (Cerner Millenium for various service line functions. Results: The interdisciplinary working group developed and implemented electronic versions of various paper-based clinical documentation used by these services. All electronic notes collectively gather and reside within a unique Transfusion Medicine Folder tab in the EMR, available to staff with access to patient charts. E-charting eliminated illegible handwritten notes, resulted in more consistent clinical documentation among staff, and provided greater real-time review/access of hemotherapy practices. No major impediments to workflow or inefficiencies have been encountered. However, minor updates and corrections to documents as well as select work re-designs were required for optimal use of e-charting by these services. Conclusion: Documentation of pathology subspecialty activities such as TAMS can be successfully incorporated into the EMR. E-charting by staff enhances communication and helps promote standardized documentation of patient care within and across service lines. Well-constructed electronic documents in the EMR may also

  20. Revised Indian Academy of Pediatrics 2015 growth charts for height, weight and body mass index for 5-18-year-old Indian children

    Directory of Open Access Journals (Sweden)

    Vaman V Khadilkar

    2015-01-01

    Full Text Available Growth chart committee of Indian Academy of Pediatrics (IAP has revised growth charts for 5-18-year-old Indian children in Jan 2015. The last IAP growth charts (2007 were based on data collected in 1989-92 which is now >2 decades old. India is in an economic and nutrition transition and hence growth pattern of Indian children has changed over last few years. Thus, it was necessary to produce contemporary, updated growth references for Indian children. The new IAP charts were prepared by collating data from nine groups who had published studies in indexed journals on growth from India in the last decade. Growth charts were constructed from a total of 87022 middle and upper socioeconomic class children (m 54086, f 32936 from all five zones of India. Data from middle and upper socioeconomic class children are likely to have higher prevalence of overweight and obesity and hence growth charts produced on such populations are likely to "normalize" obesity. To remove such unhealthy weights form the data, method suggested by World Health Organization was used to produce weight charts. Thus, the new IAP weight charts are much lower than the recently published studies on affluent Indian children. Since Indian′s are at a higher risk of obesity-related cardiometabolic complications at lower body mass index (BMI, BMI charts adjusted for 23, and 27 adult equivalent cut-offs as per International obesity task force guidelines were constructed. IAP now recommends use of these new charts to replace the 2007 IAP charts.

  1. Derivation of the Limits for Control Chart Using the Median Absolute Deviation for Monitoring Non-Normal Process

    Directory of Open Access Journals (Sweden)

    P. I. Azubuike

    2012-01-01

    Full Text Available Problem statement: The Shewhart and S control charts, in the literature, were combined to evaluate the stability of a process. These charts were based on the fundamental assumption of normality of the quality characteristics under investigation. Approach: In practice, the normality assumption was often violated by real life data, therefore, use of the Shewhart and S control charts on real life data might leads to misplacement of control limits. There were many alternatives in the literature to handle non-normality of quality characteristics. The Median Absolute Deviation (MAD claimed in the literature to be the best estimate when the data under consideration is non-normal. Thus in this study, we derived the control limits for the-control chart using the median absolute deviation for monitoring process stability when the quality characteristic under investigation was non-normal. Results: The derived control limits were compared with the control limits when the sample standard deviation was used as a measure of controlling the process variability using manufacturing process (real life data. Furthermore, a simulation study was carried out to evaluate the performance of the proposed MAD based control charts on both normal and non-normal process. Conclusion: The obtained results show that the derived control limit is an improvement on the control limit of the Shewhart and that the MAD control charts performed better for non-normal process than for normal process.

  2. Review of studies of research opportunities in energy conservation

    Energy Technology Data Exchange (ETDEWEB)

    Hane, G.J.; Williams, T.A.; Hauser, S.G.

    1984-04-01

    This study attempted to systematically identify, screen and review many of the 27 remaining major studies across the end-use areas. The method used to identify and review the studies, the scope of this effort, the types of studies reviewed, and the R and D opportunities identified are discussed. The actual report reviews are included. The review format and the kinds of information sought from each report are discussed. The general categories of the material are described; the types of information presented are summarized; and gaps in the literature are discussed. A discussion of R and D needs and comments of the specific needs presented and their temporal and evolutionary characteristics are included. The findings of the review are summarized and the researchers contacted for information are listed.

  3. Evaluation of extreme temperature events in northern Spain based on process control charts

    Science.gov (United States)

    Villeta, M.; Valencia, J. L.; Saá, A.; Tarquis, A. M.

    2017-02-01

    Extreme climate events have recently attracted the attention of a growing number of researchers because these events impose a large cost on agriculture and associated insurance planning. This study focuses on extreme temperature events and proposes a new method for their evaluation based on statistical process control tools, which are unusual in climate studies. A series of minimum and maximum daily temperatures for 12 geographical areas of a Spanish region between 1931 and 2009 were evaluated by applying statistical process control charts to statistically test whether evidence existed for an increase or a decrease of extreme temperature events. Specification limits were determined for each geographical area and used to define four types of extreme anomalies: lower and upper extremes for the minimum and maximum anomalies. A new binomial Markov extended process that considers the autocorrelation between extreme temperature events was generated for each geographical area and extreme anomaly type to establish the attribute control charts for the annual fraction of extreme days and to monitor the occurrence of annual extreme days. This method was used to assess the significance of changes and trends of extreme temperature events in the analysed region. The results demonstrate the effectiveness of an attribute control chart for evaluating extreme temperature events. For example, the evaluation of extreme maximum temperature events using the proposed statistical process control charts was consistent with the evidence of an increase in maximum temperatures during the last decades of the last century.

  4. North Atlantic IFR Route Planning Chart GEO-TIFF - Aeronautical Information Services Digital Products

    Data.gov (United States)

    Department of Transportation — North Atlantic Route Chart is designed for FAA Controllers to monitor transatlantic flights, this 5-color chart shows oceanic control areas, coastal navigation aids,...

  5. North Atlantic IFR Route Planning Chart PDF File - Aeronautical Information Services Digital Products

    Data.gov (United States)

    Department of Transportation — North Atlantic Route Chart is designed for FAA Controllers to monitor transatlantic flights, this 5-color chart shows oceanic control areas, coastal navigation aids,...

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

    NARCIS (Netherlands)

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

    2015-01-01

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

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

    Data.gov (United States)

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

  8. Acupuncture for neurological disorders in the Cochrane reviews:Characteristics of included reviews and studies

    Institute of Scientific and Technical Information of China (English)

    Deren Wang; Weimin Yang; Ming Liu

    2011-01-01

    OBJECTIVE: To summarize Cochrane reviews of acupuncture for neurological disorders, and characteristics of included reviews and studies.DATA SOURCES: A computer-based online search of the Cochrane Library (Issue 7 of 12, July 2010) was performed with the key word "acupuncture" and systematic evaluations for acupuncture for neurological disorders were screened.STUDY SELECTION: Systematic reviews on acupuncture in the treatment of neurological disorders were included, and the characteristics of these reviews were analyzed based on methods recommended by the Cochrane collaboration.MAIN OUTCOME MEASURES: Basic characteristics, methodological quality, main reasons for excluding trials, results and conclusions of Cochrane reviews were assessed.RESULTS: A total of 18 Cochrane systematic reviews were included, including 13 completed reviews and five research protocols. The 13 completed reviews involved 111 randomized controlled trials, including 43 trials (38.7%) conducted in China, 47 trials (42.3%) using sham-acupuncture or placebo as control, 15 trials (13.5%) with relatively high quality, 91 trials (81.9%) reporting data on follow-up. Primary outcomes used in the Cochrane reviews were reported by 65 trials (58.6%), and adverse events were reported in 11 trials (9.9%). Two hundred and eighty three trials were excluded. Two reviews on headache suggested that acupuncture is a valuable non-drug treatment for patients with chronic or recurrent headache, and has better curative effects on migraine compared with preventative drug treatment. CONCLUSION: Of the Cochrane reviews on acupuncture in the treatment of neurological disorders, two reviews evaluating the efficacy of acupuncture in treating headaches drew positive conculsions, while other reviews did not obtain positive conclusions due to a small sample size or low methodological quality. The methodological quality of acupuncture trials needs further improvement.

  9. Communicating Qualitative Research Study Designs to Research Ethics Review Boards

    Science.gov (United States)

    Ells, Carolyn

    2011-01-01

    Researchers using qualitative methodologies appear to be particularly prone to having their study designs called into question by research ethics or funding agency review committees. In this paper, the author considers the issue of communicating qualitative research study designs in the context of institutional research ethics review and offers…

  10. Bivariate copulas on the exponentially weighted moving average control chart

    Directory of Open Access Journals (Sweden)

    Sasigarn Kuvattana

    2016-10-01

    Full Text Available This paper proposes four types of copulas on the Exponentially Weighted Moving Average (EWMA control chart when observations are from an exponential distribution using a Monte Carlo simulation approach. The performance of the control chart is based on the Average Run Length (ARL which is compared for each copula. Copula functions for specifying dependence between random variables are used and measured by Kendall’s tau. The results show that the Normal copula can be used for almost all shifts.

  11. Robust control charts in industrial production of olive oil

    Science.gov (United States)

    Grilo, Luís M.; Mateus, Dina M. R.; Alves, Ana C.; Grilo, Helena L.

    2014-10-01

    Acidity is one of the most important variables in the quality analysis and characterization of olive oil. During the industrial production we use individuals and moving range charts to monitor this variable, which is not always normal distributed. After a brief exploratory data analysis, where we use the bootstrap method, we construct control charts, before and after a Box-Cox transformation, and compare their robustness and performance.

  12. Sulfur Speciation and Extraction in Jet A (Briefing Charts)

    Science.gov (United States)

    2015-08-16

    present in Jet A: • Detrimental to engine performance: coking, clogging, fouling, and deposits possible • SOx emissions are an...Charts 3. DATES COVERED (From - To) July 2015-August 2015 4. TITLE AND SUBTITLE Sulfur Speciation and Extraction in Jet A (Briefing Charts) 5a...T. Reams, Richard C. Lee, Joseph M. Mabry 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER Q0BG 7. PERFORMING ORGANIZATION NAME(S

  13. 甘特图在护理质量控制管理中应用的效果评价%Study on Gantt charts in quality control management in nursing practice

    Institute of Scientific and Technical Information of China (English)

    毕春霞; 李红玉; 辛程; 程玲; 张颖; 王秀丽

    2013-01-01

    目的 了解基于甘特图管理的护理质控对护士工作质量和压力的影响,以便探索新的适合临床护理质量控制的高效管理方法.方法 随机选取江西省九江市某三甲医院附属东院3个内科病房的52名护士为实验组,实施甘特图管理;同期选取附属西院病种一致的3个内科病房的52名护士为对照组,实施传统经验式管理.比较2组护理质量与护士压力的得分.结果 实验组管理后各项护理工作质量评分均高于对照组;实验组管理后护士压力总平均分以及在护理专业及工作、工作量及时间分配、患者护理、管理及人际关系4个方面得分均明显低于对照组,但2组护士在工作环境及资源方面压力得分比较差异无统计学意义.结论 甘特图管理方法可明显提高护士的工作质量,并能有效地缓解其工作压力.%Objective To know about the influence of quality control based on Gantt chart on work quality and stress,so as to explore effective method of management suitable for them.Methods 52 nurses from the eastern zone of a three A-level hospital in Jiujiang City were randomly selected as the experimental group,they were implemented with Gantt chart management.Another 52 nurses from the western zone of the same hospital were selected as the control group,they were executed traditional experience-based management.The scores of quality of care and nurses stress were compared between the two groups.Results For the score of the quality of care,the experimental group was higher;,for the score of the nurses stress,the experimental group was lower in the overall sides,and the differences were significant except those of the working environment and equipment,which showed no significant difference between two groups.Conclusions Gantt management method can significantly improve the quality of care,moreover,effectively alleviate the nurses'stress.

  14. Comparison of visual acuity estimates using three different letter charts under two ambient room illuminations

    Directory of Open Access Journals (Sweden)

    Ai-Hong Chen

    2012-01-01

    Full Text Available Background: Visual acuity is an essential estimate to assess ability of the visual system and is used as an indicator of ocular health status. Aim: The aim of this study is to investigate the consistency of acuity estimates from three different clinical visual acuity charts under two levels of ambient room illumination. Materials and Methods: This study involved thirty Malay university students aged between 19 and 23 years old (7 males, 23 females, with their spherical refractive error ranging between plano and −7.75D, astigmatism ranging from plano to −1.75D, anisometropia less than 1.00D and with no history of ocular injury or pathology. Right eye visual acuity (recorded in logMAR unit was measured with Snellen letter chart (Snellen, wall mounted letter chart (WM and projected letter chart (PC under two ambient room illuminations, room light on and room light off. Results: Visual acuity estimates showed no statistically significant difference when measured with the room light on and with the room light off (F1,372 = 0.26, P = 0.61. Post-hoc analysis with Tukey showed that visual acuity estimates were significantly different between the Snellen and PC (P = 0.009 and between Snellen and WM (P = 0.002. Conclusions: Different levels of ambient room illumination had no significant effect on visual acuity estimates. However, the discrepancies in estimates of visual acuity noted in this study were purely due to the type of letter chart used.

  15. Seasonal ARMA-based SPC charts for anomaly detection: Application to emergency department systems

    KAUST Repository

    Kadri, Farid

    2015-10-22

    Monitoring complex production systems is primordial to ensure management, reliability and safety as well as maintaining the desired product quality. Early detection of emergent abnormal behaviour in monitored systems allows pre-emptive action to prevent more serious consequences, to improve system operations and to reduce manufacturing and/or service costs. This study reports the design of a new methodology for the detection of abnormal situations based on the integration of time-series analysis models and statistical process control (SPC) tools for the joint development of a monitoring system to help supervising of the behaviour of emergency department services (EDs). The monitoring system developed is able to provide early alerts in the event of abnormal situations. The seasonal autoregressive moving average (SARMA)-based exponentially weighted moving average (EWMA) anomaly detection scheme proposed was successfully applied to the practical data collected from the database of the paediatric emergency department (PED) at Lille regional hospital centre, France. The method developed utilizes SARMA as a modelling framework and EWMA for anomaly detection. The EWMA control chart is applied to the uncorrelated residuals obtained from the SARMA model. The detection results of the EWMA chart are compared with two other commonly applied residual-based tests: a Shewhart individuals chart and a Cumulative Sum (CUSUM) control chart.

  16. A Review Study on Punica granatum L.

    Science.gov (United States)

    Shaygannia, Erfaneh; Bahmani, Mahmoud; Zamanzad, Behnam; Rafieian-Kopaei, Mahmoud

    2016-07-01

    Punica granatum L (pomegranate) is a deciduous shrub, native to Iran. Nowadays, besides its use as a fruit, its medicinal properties have attracted the interest of researchers of many countries. Pomegranate fruit has medicinal properties such as anti-inflammatory and antibacterial activities. The pomegranate seed oil has inhibitory effect on skin and breast cancers. The pomegranate seed oil has phytoestrogenic compounds and the fruit is rich in phenolic compounds with strong antioxidant activity. Ellagic acid is one of the main components of pomegranate with phenolic structure and antioxidant activity. This review article presents the recently published findings on different aspects of this plant focusing on its medicinal properties.

  17. A Review on Audio-visual Translation Studies

    Institute of Scientific and Technical Information of China (English)

    李瑶

    2008-01-01

    <正>This paper is dedicated to a thorough review on the audio-visual related translations from both home and abroad.In reviewing the foreign achievements on this specific field of translation studies it can shed some lights on our national audio-visual practice and research.The review on the Chinese scholars’ audio-visual translation studies is to offer the potential developing direction and guidelines to the studies and aspects neglected as well.Based on the summary of relevant studies,possible topics for further studies are proposed.

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

    Directory of Open Access Journals (Sweden)

    Marroquín–Prado E.

    2010-10-01

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

  19. A Review on Progress in QSPR Studies for Surfactants

    OpenAIRE

    Zhengwu Wang; Xiaoyi Zhang; Jiwei Hu

    2010-01-01

    This paper presents a review on recent progress in quantitative structure-property relationship (QSPR) studies of surfactants and applications of various molecular descriptors. QSPR studies on critical micelle concentration (cmc) and surface tension (γ) of surfactants are introduced. Studies on charge distribution in ionic surfactants by quantum chemical calculations and its effects on the structures and properties of the colloids of surfactants are also reviewed. The trends of QSPR studies o...

  20. BOOK REVIEW: Case Studies in Knowledge Management

    Directory of Open Access Journals (Sweden)

    Reviewed by Dr. Adnan BOYACI

    2005-10-01

    Full Text Available 161Case Studies in Knowledge ManagementEdited by Murray JennexHersley: PA: Idea Group, 2005, pp. 372, ISBN 1-59140-352-9Reviewed by Dr. Adnan BOYACIAnadolu UniversityEskişehir-TurkeyKnowledge management (KM as a structured system and the way to the effectiveness isrelatively new field for the contemporary organizations functioning in different andcompetitive domain of public and private sectors in terms of getting optimal effectivenessunderlined by the concepts such as quality, productivity…etc. Because of the growingimportance and the popularity of the KM either as a research topic or specialized coursesubject, a crucial need for understanding, conceptualization and implementation of KM asa system has emerged since the mid 1990’s. In this sense, the book contributes criticallyto fill the gap between theory and implementation as a teaching material.This edited book is published by Idea Group Publishing. The book has twenty chaptersdivided into seven sections. In addition to a section of authors’ biography contributing thebook and an index, there is a preface that the basic terms and key concepts underliningthe cases discussed following chapters, which is explained in a schematized way.Besides the editor, total of 47 authors have contributed to the book. These authors arefrom different countries, academic backgrounds, and institutions. Although approximatelyone third of the authors are from USA, the rest of the authors are from Canada, England,Austria, Germany, Australia, New Zealand, Egypt, Bahrain and China. The authorsrepresent a variety of universities, private companies, and military institutions. Most ofthem have strong professional backgrounds, which help them address the issues bothfrom theoretical and practical perspectives. Contributions of authors having differentbackgrounds and institutions enable the book to have very comprehensive spectrum andthis makes the book attractive practically for those working different sectors

  1. Measuring agreement of administrative data with chart data using prevalence unadjusted and adjusted kappa

    Directory of Open Access Journals (Sweden)

    Hemmelgarn Brenda

    2009-01-01

    Full Text Available Abstract Background Kappa is commonly used when assessing the agreement of conditions with reference standard, but has been criticized for being highly dependent on the prevalence. To overcome this limitation, a prevalence-adjusted and bias-adjusted kappa (PABAK has been developed. The purpose of this study is to demonstrate the performance of Kappa and PABAK, and assess the agreement between hospital discharge administrative data and chart review data conditions. Methods The agreement was compared for random sampling, restricted sampling by conditions, and case-control sampling from the four teaching hospitals in Alberta, Canada from ICD10 administrative data during January 1, 2003 and June 30, 2003. A total of 4,008 hospital discharge records and chart view, linked for personal unique identifier and admission date, for 32 conditions of random sampling were analyzed. The restricted sample for hypertension, myocardial infarction and congestive heart failure, and case-control sample for those three conditions were extracted from random sample. The prevalence, kappa, PABAK, positive agreement, negative agreement for the condition was compared for each of three samples. Results The prevalence of each condition was highly dependent on the sampling method, and this variation in prevalence had a significant effect on both kappa and PABAK. PABAK values were obviously high for certain conditions with low kappa values. The gap between these two statistical values for the same condition narrowed as the prevalence of the condition approached 50%. Conclusion Kappa values varied more widely than PABAK values across the 32 conditions. PABAK values should usually not be interpreted as measuring the same agreement as kappa in administrative data, particular for the condition with low prevalence. There is no single statistic measuring agreement that captures the desired information for validity of administrative data. Researchers should report kappa, the

  2. Research on Compilation of Nautical Charts of Arctic Regions%编制北极地区航海图有关问题的探讨

    Institute of Scientific and Technical Information of China (English)

    李树军; 张哲; 李惠雯; 吴迪; 王伟; 丁金挺

    2012-01-01

    This paper introduced the concept of the Arctic ,and researched the key questions involved in compilation of nautical charts from the aspects of chart projections .charting material, thematic feature symbols and chart sheeting. The research result will have an important influence on compilation of nautical charts to be further studied.%介绍了北极的概念,从海图投影、制图资料、专题符号、海图分幅等4个方面,研究了当前编制北极地区航海图需要解决的关键问题,为开展编制北极航海图的深入研究奠定了一定的基础.

  3. Review of Ammonium Dinitramide Toxicity Studies

    Science.gov (United States)

    2011-01-01

    reproductive toxicant in rats, causing implantation failure in early gestation; follow-on studies implied that ADN is embryotoxic . EPR studies indicated that...mutagenic. 15. SUBJECT TERMS Ammonium dinitramide, ADN, toxicity, reproductive, embryotoxic , genotoxicity 16. SECURITY CLASSIFICATION OF: U 17...reproductive studies, reproduction and fertility, pre-implantation and post-implantation studies, implied that ADN is embryotoxic . A mouse embryo

  4. A Systematic Review of Randomized Controlled Studies of Art Therapy

    Science.gov (United States)

    Maujean, Annick; Pepping, Christopher A.; Kendall, Elizabeth

    2014-01-01

    This review article examines current knowledge about the efficacy of art therapy based on the findings of 8 randomized controlled trials (RCTs) conducted with adult populations from 2008-2013 that met a high standard of rigor. Of these studies, all but one reported beneficial effects of art therapy. Review findings suggest that art therapy may…

  5. German science. Max Planck charts new path.

    Science.gov (United States)

    Koenig, R

    2000-06-09

    Germany's premier basic research organization, the Max Planck Society, released a long-awaited blueprint for change during its annual meeting this week, recommending that the society's nearly 3000 scientists embrace more interdisciplinary and international projects in a range of new research priorities. The report, called Max Planck 2000-Plus, is the product of an 18-month-long internal review. Its recommendations were formulated by some two dozen Max Planck researchers and administrators, who sought input from every institute.

  6. Pattern and Distribution of Colorectal Cancer in Tanzania: A Retrospective Chart Audit at Two National Hospitals

    Directory of Open Access Journals (Sweden)

    Leonard K. Katalambula

    2016-01-01

    Full Text Available Background. Colorectal cancer (CRC is a growing public health concern with increasing rates in countries with previously known low incidence. This study determined pattern and distribution of CRC in Tanzania and identified hot spots in case distribution. Methods. A retrospective chart audit reviewed hospital registers and patient files from two national institutions. Descriptive statistics, Chi square (χ2 tests, and regression analyses were employed and augmented by data visualization to display risk variable differences. Results. CRC cases increased sixfold in the last decade in Tanzania. There was a 1.5% decrease in incidences levels of rectal cancer and 2% increase for colon cancer every year from 2005 to 2015. Nearly half of patients listed Dar es Salaam as their primary residence. CRC was equally distributed between males (50.06% and females (49.94%, although gender likelihood of diagnosis type (i.e., rectal or colon was significantly different (P=0.027. More than 60% of patients were between 40 and 69 years. Conclusions. Age (P=0.0183 and time (P=0.004 but not gender (P=0.0864 were significantly associated with rectal cancer in a retrospective study in Tanzania. Gender (P=0.0405, age (P=0.0015, and time (P=0.0075 were all significantly associated with colon cancer in this study. This retrospective study found that colon cancer is more prevalent among males at a relatively younger age than rectal cancer. Further, our study showed that although more patients were diagnosed with rectal cancer, the trend has shown that colon cancer is increasing at a faster rate.

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

    Data.gov (United States)

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

  8. Review of the integrated thermal and nonthermal treatment system studies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-10-01

    This report contains a review and evaluation of three systems analysis studies performed by LITCO on integrated thermal treatment systems and integrated nonthermal treatment systems for the remediation of mixed low-level waste stored throughout the US Department of Energy weapons complex. The review was performed by an independent team of nine researchers from the Energy and Environmental Research Center, Science Applications International Corporation, the Waste Policy Institute, and Virginia Tech. The purpose of this review was to (1) determine whether the assumptions of the studies were adequate to produce an unbiased review of both thermal and nonthermal systems, (2) to identify the critical areas of the studies that would benefit from further investigation, and (3) to develop a standard template that could be used in future studies to assure a sound application of systems engineering.

  9. Review of Bio-EMC Studies

    Science.gov (United States)

    Watanabe, Soichi; Wake, Kanako; Fukunaga, Kaori; Yamanaka, Yukio

    2001-12-01

    Biological aspects of electromagnetic compatibility (Bio-EMC) have been studied by EMC Research Group of CRL. There are two main subjects in the field. One is related to rules and regulations of electromagnetic-wave hazards, especially development of standard estimation methods of electromagnetic power deposited in human bodies exposed to microwaves from cellular telephones or VHF-band radio waves. Another is development of exposure setups for laboratory animals used in biological studies on health effects of electromagnetic waves and their dosimetry. Novel phantoms are also being developed in order to perform highly accurate dosimetry in above studies. It is expected that these studies contribute development of compliance tests for radiofrequency protection guidelines and improvement of rationale of those guidelines, which consequently provides safety environment including appropriate radio wave applications.

  10. Mutation studies in ascidians: a review.

    Science.gov (United States)

    Crocetta, Fabio; Marino, Rita; Cirino, Paola; Macina, Alberto; Staiano, Leopoldo; Esposito, Rosaria; Pezzotti, Maria Rosa; Racioppi, Claudia; Toscano, Francesco; De Felice, Elena; Locascio, Annamaria; Ristoratore, Filomena; Spagnuolo, Antonietta; Zanetti, Laura; Branno, Margherita; Sordino, Paolo

    2015-01-01

    Historically, mutations have had a significant impact on the study of developmental processes and phenotypic evolution. Lesions in DNA are created by artificial methods or detected by natural genetic variation. Random mutations are then ascribed to genetic change by direct sequencing or positional cloning. Tunicate species of the ascidian genus Ciona represent nearly fully realized model systems in which gene function can be investigated in depth. Additionally, tunicates are valuable organisms for the study of naturally occurring mutations due to the capability to exploit genetic variation down to the molecular level. Here, we summarize the available information about how mutations are studied in ascidians with examples of insights that have resulted from these applications. We also describe notions and methodologies that might be useful for the implementation of easy and tight procedures for mutations studies in Ciona.

  11. Literature review of market studies of thermal energy storage

    Energy Technology Data Exchange (ETDEWEB)

    Hattrup, M.P.

    1988-02-01

    This report presents the results of a review of market studies of thermal energy storage (TES). This project was conducted by Pacific Northwest Laboratory (PNL) for the US Department of Energy (DOE). PNL staff reviewed and consolidated the findings of existing TES market studies conducted in the industrial, commercial, and residential sectors. The purpose of this project was to review and assess previous work and to use the information obtained to help provide direction for future technology transfer planning activities and to identify additional economic research needed within those three sectors. 37 refs.

  12. Digital waterway construction based on inland electronic navigation chart

    Science.gov (United States)

    Wang, Xue; Pan, Junfeng; Zhu, Weiwei

    2015-12-01

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

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

    Science.gov (United States)

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

    2002-01-01

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

  14. Cartographic Rules and Differences in Nautical Data Visualization on Paper and Electronic Nautical Charts

    Directory of Open Access Journals (Sweden)

    Tea Duplančić Leder

    2013-04-01

    Full Text Available This paper aims to present cartographic rules for the production of paper and electronic navigational charts and main differences in compilation, visualisation and representation of nautical information. Major differences between paper nautical charts and ENC are visualisation of nautical data: colour mixing, resolution of represented nautical objects, human control of display representation and fonts and signatures and chart content are described. It is concluded that electronic navigational charts have many advantages and few shortcomings to paper navigational charts.

  15. Economic design of a nonparametric EWMA control chart for location

    Directory of Open Access Journals (Sweden)

    Patil Subhash Hariba

    Full Text Available Abstract In this article, we have proposed an economic design of Exponentially Weighted Moving Average control chart based on sign statistic to control location parameter of the process. The economic performance of the chart is evaluated for different shifts in the location. It is observed that, as shift in the process location increases, sample size to detect the shift and the loss cost from the process decrease. The power of the chart increases with increasing shift. The design gives better economic/statistical performance for large shifts in the process. This economic procedure can be applied to any process having known or unknown process outcome distribution. The sensitivity of the design is also carried out to check the effect on statistical as well as economic performance of the design due to change in different time and cost parameters.

  16. Stroke and nutrition: A review of studies

    Directory of Open Access Journals (Sweden)

    Mehdi Foroughi

    2013-01-01

    Conclusions : Adherence to Mediterranean diet or DASH diet and increasing the consumption of antioxidant, vitamins, potassium, calcium food sources, vegetables, fruits, and whole grains intake can lower the risk of stroke. Healthy diet is effective in reducing risk of stroke, however, more studies need to be carried out in this area.

  17. Literature Review of Studies on Metaphor

    Institute of Scientific and Technical Information of China (English)

    龚腾龙

    2015-01-01

    This paper provides an overview of major theories of metaphor and some brief comments.In this paper,the studies of metaphor at home and abroad and some related researches are presented.Four influential metaphor theories( the comparison theory, the substitution theory,the interaction theory as well as the theory of conceptual metaphor.) will be introduced.

  18. 基于网络图的软件项目进度计划编制%Schedule Planning of Software Project Based on Network Chart

    Institute of Scientific and Technical Information of China (English)

    任永昌; 邢涛; 刘大成

    2011-01-01

    Well-developed, concise and accurate software project schedule planning is the key to successful software development. The current schedule planning mainly uses manual methods, draw up slow, lack of scientific characteristics and so on, the article bases on the network chart, the use of work breakdown structures, program evaluation and review technique, critical path method, gantt chart and other technical studies. It illustrates preparatory work firstly, including the definition of activities, activity sequencing, drawing the network chart, gives time parameters derived formula, including estimation the activity time, estimation the project cycle, calculation activity time, and describes preparation process by examples. The results show that the method of software project scheduling planning has high practical value.%制订周密、简洁和精确的软件项目进度计划,是软件项目开发成功的关键.针对当前进度计划主要采用手工方法,编制速度慢、缺乏科学性等特点,基于网络图,运用工作分解结构、计划评审技术、关键路径法、甘特图等技术对其进行研究.说明了前期准备工作,包括定义活动、活动排序、绘制网络图;给出了推导时间参数公式,包括活动时间估计、项目周期估计、活动时间计算;并通过实例阐述了编制过程.结果表明,该方法对软件项目进度计划编制具有较高的实用价值.

  19. Ultrastructure Studies of Pasta. A Review.

    OpenAIRE

    RESMINI, P.; Pagani, M.A.

    1983-01-01

    Freeze-fracturing can be used effectively to study pasta microstructure both in the dry and cooked state. Aft er a walerglycerol soaking. conventional raw wheat pasta shows an uncoagulated protein matrix in which the starch granules are uniformly dispersed. Starch granules appear unswollen with a spherulitic structure. Extensive protein denaturation and starch swelling may occur during processing when a temperature greater than 60°C is attained in drying. Extensive structural transformations ...

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

    Energy Technology Data Exchange (ETDEWEB)

    PREVETTE, S.S.

    2006-02-27

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

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

    Directory of Open Access Journals (Sweden)

    Kisić Emilija

    2013-01-01

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

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

    CERN Document Server

    Magerman, D M; Magerman, David M.; Weir, Carl

    1994-01-01

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

  3. Refinement-based verification of sequential implementations of Stateflow charts

    CERN Document Server

    Miyazawa, Alvaro; 10.4204/EPTCS.55.5

    2011-01-01

    Simulink/Stateflow charts are widely used in industry for the specification of control systems, which are often safety-critical. This suggests a need for a formal treatment of such models. In previous work, we have proposed a technique for automatic generation of formal models of Stateflow blocks to support refinement-based reasoning. In this article, we present a refinement strategy that supports the verification of automatically generated sequential C implementations of Stateflow charts. In particular, we discuss how this strategy can be specialised to take advantage of architectural features in order to allow a higher level of automation.

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

    CERN Document Server

    Bigwood, Sally

    2013-01-01

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

  5. jsGraph and jsNMR—Advanced Scientific Charting

    Directory of Open Access Journals (Sweden)

    Norman Pellet

    2014-09-01

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

  6. [Ajax-based child growth monitoring chart automatic drawing].

    Science.gov (United States)

    Geng, Xingyun; Jiang, Kui

    2010-10-01

    As regards the application of community residents electronics health record system, there is a question of how to draw the child growth monitoring chart quickly and efficiently, which is also the focus of this research for enhancing residents experience in using the system. The system is combined with the current emerging Ajax and GDI+ technology. The client uses the pre-designed Ajax Manager status to deal with residents' request and send XMLHTTP request to the server. Sever responds to the request and makes use of GDI+ programming for implementation of rendering graphics and feedback. The system finally realizes child growth monitoring chart releasing on the Web.

  7. Review of the integrated thermal and nonthermal treatment system studies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-08-01

    This report contains a review and evaluation of three systems analysis studies performed by LITCO on integrated thermal treatment systems and integrated nonthermal treatment systems for the remediation of mixed low-level waste stored throughout the US Department of Energy weapons complex. The review was performed by an independent team of nine researchers from the Energy and Environmental Research Center, Science Applications International Corporation, the Waste Policy Institute, and Virginia Tech. The three studies reviewed were as follows: Integrated Thermal Treatment System Study, Phase 1--issued July 1994; Integrated Thermal Treatment System Study, Phase 2--issued February 1996; and Integrated Nonthermal Treatment System Study--drafted March 1996. The purpose of this review was to (1) determine whether the assumptions of the studies were adequate to produce an unbiased review of both thermal and nonthermal systems, (2) to identify the critical areas of the studies that would benefit from further investigation, and (3) to develop a standard template that could be used in future studies to assure a sound application of systems engineering.

  8. Review of clinical studies on clobazam.

    Science.gov (United States)

    Koeppen, D

    1979-01-01

    1 Clobazam was compared with placebo and diazepam in 45 double-blind studies. 2 Clobazam dosage ranged from 5 mg daily (paediatric patients) to 120 mg daily (psychiatric in-patients). Usual daily dosage in out-patient therapy ranged from 20-30 mg clobazam. 3 Treatment duration varied from a few days up to 3.5 years. The usual duration of treatment was 2-4 weeks. 4 Clobazam was shown to be an efficacious and well tolerated anxiolytic agent in various neurotic and psychosomatic disorders. 5 Dosages showing distinct anxiolytic effects in out-patient therapy did not impair psychomotor performance.

  9. A Review Study of Interlanguage Theory

    OpenAIRE

    Mohammad Hamad Al-khresheh

    2015-01-01

    The influence of first language (L1 hereinafter)  in the learning of second language  (L2 hereinafter) has witnessed an intense debate during the past years, resulting in the prevalence of Error Analysis (EA hereinafter) over Contrastive Analysis (CA hereinafter).  A great number of empirical studies indicated that neither L1 nor L2 was always responsible for learners' errors (Bailey et al. 1974; Krashen et al. 1978, 2003; Larsen-Freeman, 2002; 2003). CA and EA paved the way for Interlanguage...

  10. The effects of parameter estimation on minimizing the in-control average sample size for the double sampling X bar chart

    Directory of Open Access Journals (Sweden)

    Michael B.C. Khoo

    2013-11-01

    Full Text Available The double sampling (DS X bar chart, one of the most widely-used charting methods, is superior for detecting small and moderate shifts in the process mean. In a right skewed run length distribution, the median run length (MRL provides a more credible representation of the central tendency than the average run length (ARL, as the mean is greater than the median. In this paper, therefore, MRL is used as the performance criterion instead of the traditional ARL. Generally, the performance of the DS X bar chart is investigated under the assumption of known process parameters. In practice, these parameters are usually estimated from an in-control reference Phase-I dataset. Since the performance of the DS X bar chart is significantly affected by estimation errors, we study the effects of parameter estimation on the MRL-based DS X bar chart when the in-control average sample size is minimised. This study reveals that more than 80 samples are required for the MRL-based DS X bar chart with estimated parameters to perform more favourably than the corresponding chart with known parameters.

  11. A Review of Solution Chemistry Studies: Insights into Students' Conceptions

    Science.gov (United States)

    Calyk, Muammer; Ayas, Alipa; Ebenezer, Jazlin V.

    2005-01-01

    This study has reviewed the last two decades of student conception research in solution chemistry pertaining to aims, methods of exploring students' conception, general knowledge claims, students' conceptions and difficulties, and conceptual change studies. The aims of solution chemistry studies have been to assess students' understanding level of…

  12. An Empirical Review of Internet Addiction Outcome Studies in China

    Science.gov (United States)

    Liu, Chennan; Liao, Minli; Smith, Douglas C.

    2012-01-01

    Objectives: The authors systematically reviewed the outcomes and methodological quality of 24 Internet addiction (IA) treatment outcome studies in China. Method: The authors used 15 attributes from the quality of evidence scores to evaluate 24 outcome studies. These studies came from both English and Chinese academic databases from 2000 to 2010.…

  13. SU-D-BRD-02: Auto Weekly - An Automated Online Weekly Chart Check System for Medical Physics

    Energy Technology Data Exchange (ETDEWEB)

    Tan, J; Yan, Y; Hager, F; Gu, X; Jia, X; Pompos, A; Foster, R; Stojadinovic, S; Yang, M; Hrycushko, B; Folkerts, M; Zhao, B; Medin, P; Ding, C; Jiang, S [UT Southwestern Medical Center, Dallas, TX (United States)

    2015-06-15

    Purpose: Radiation therapy has evolved to become not only more precise and potent, but also more complicated to monitor and deliver. More rigorous and comprehensive quality assurance is needed to safeguard ever advancing radiation therapy. ICRU standards dictate that an ever growing set of treatment parameters are manually checked weekly by medical physicists. This “weekly chart check” procedure is laborious and subject to human errors or other factors. A computer-assisted chart checking process will enable more complete and accurate human review of critical parameters, reduce the risk of medical errors, and improve the efficiency. Methods: We developed a web-based software system that enables a thorough weekly quality assurance checks. In the backend, the software retrieves all machine parameters from a Treatment Management System (TMS) and compares them against the corresponding ones from the treatment planning system. They are also checked for validity against preset rules. The results are displayed as a web page in the front-end for physicists to review. Then a summary report is generated and uploaded automatically to the TMS as a record for weekly chart checking. Results: The software system has been deployed on a web server in our department’s intranet, and has been tested thoroughly by our clinical physicists. A plan parameter would be highlighted when it is off the preset limit. The developed system has changed the way of checking charts with significantly improved accuracy, efficiency, and completeness. It has been shown to be robust, fast, and easy to use. Conclusion: A computer-assisted system has been developed for efficient, accurate, and comprehensive weekly chart checking. The system has been extensively validated and is being implemented for routine clinical use.

  14. A Review on Progress in QSPR Studies for Surfactants

    Directory of Open Access Journals (Sweden)

    Zhengwu Wang

    2010-03-01

    Full Text Available This paper presents a review on recent progress in quantitative structure-property relationship (QSPR studies of surfactants and applications of various molecular descriptors. QSPR studies on critical micelle concentration (cmc and surface tension (γ of surfactants are introduced. Studies on charge distribution in ionic surfactants by quantum chemical calculations and its effects on the structures and properties of the colloids of surfactants are also reviewed. The trends of QSPR studies on cloud point (for nonionic surfactants, biodegradation potential and some other properties of surfactants are evaluated .

  15. ON EVALUATING THE RUN LENGTH PROPERTIES OF X CHARTS WITH ESTIMATED CONTROL LIMITS

    Institute of Scientific and Technical Information of China (English)

    LI Guoying; YANG Chunyan; Siu-Keung TSE

    2002-01-01

    (X)charts with estimated control limits are commonly used in practice andtreated as if the in-control process parameters were known. However, the former canbehave quite differently from the latter. To understand the differences, it is necessary tostudy the run length distribution (RLD), its mean (ARL) and standard deviation (SDRL)of the (X)charts when the control limits are estimated. However, ARL and SDRL areintegrals over an infinite region with a boundless integrand, the finiteness has not beenproved in literature. In this paper, we show the finiteness and uniform integrability ofARL and SDRL. Furthermore, we numerically evaluate the ARL, SDRL and the RLDusing number theory method. A numerical study is conducted to assess the performanceof the proposed method and the results are compared with those given by Quesenberryand Chen.

  16. The effect of test chart design and human factors on visual performance with night vision goggles.

    Science.gov (United States)

    Silberman, W S; Apsey, D; Ivan, D J; Jackson, W G; Mitchell, G W

    1994-12-01

    In an effort to increase flight safety, it is imperative to learn as much as possible about the man-goggle interrelationship. This study was undertaken to see if type of goggle or other covariates might affect visual acuity (VA). We tested the VA of 103 aircrew with both the AN/PVS-5 and Aviator's Night Vision Imaging System (ANVIS) goggles using a Snellen vision testing chart and the new Night Vision Goggle (NVG) Resolution (Grid Type) Chart. Average VA's using ANVIS (Snellen = 20/38, Grid = 20/45) were significantly better (p goggles and for non-smokers using AN/PVS-5 goggles. Visual acuity is better with ANVIS than with AN/PVS-5 goggles, and may be affected somewhat by wearing spectacles, and by smoking.

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

    CERN Multimedia

    Yarris, L

    2003-01-01

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

  18. Reference chart for relative weight change to detect hypernatraemic dehydration

    NARCIS (Netherlands)

    Dommelen, P. van; Wouwe, J.P. van; Breuning-Boers, J.M.; Buuren, S. van; Verkerk, P.H.

    2007-01-01

    Objective: The validity of the rule of thumb that infants may have a weight loss of 10% in the first days after birth is unknown. We assessed the validity of this and other rules to detect breast-fed infants with hypernatraemic dehydration. Design: A reference chart for relative weight change was co

  19. 15 CFR 738.3 - Commerce Country Chart structure.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Commerce Country Chart structure. 738.3 Section 738.3 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) BUREAU OF INDUSTRY AND SECURITY, DEPARTMENT OF COMMERCE EXPORT ADMINISTRATION...

  20. 14 CFR Section 7 - Chart of Profit and Loss Accounts

    Science.gov (United States)

    2010-01-01

    ... Profit and Loss Classification Section 7 Chart of Profit and Loss Accounts Objective classification of.... 75.9General ground property 70 70 70. 76Amortization expense, capital leases: 76.1Amortization... Dr, 53 Cr. nonoperating income and expense 81Interest on long-term debt and capital leases:...

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

    Science.gov (United States)

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

    2013-01-01

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

  2. Processing Academic Language through Four Corners Vocabulary Chart Applications

    Science.gov (United States)

    Smith, Sarah; Sanchez, Claudia; Betty, Sharon; Davis, Shiloh

    2016-01-01

    4 Corners Vocabulary Charts (FCVCs) are explored as a multipurpose vehicle for processing academic language in a 5th-grade classroom. FCVCs typically display a vocabulary word, an illustration of the word, synonyms associated with the word, a sentence using a given vocabulary word, and a definition of the term in students' words. The use of…

  3. Fiscal output data produce versatile graphic-numeric charts

    Science.gov (United States)

    Powell, R. W.; Romo, J. J.

    1971-01-01

    Refined computerized plotting system produces low-cost graphic-numeric charts that illustrate fiscal data on monthly incremental or cumulative basis, or both. Output is in the form of hard copy or microfilm, or visual-aid transparencies prepared from hard copy for rapid management status presentations.

  4. 14 CFR Section 3 - Chart of Balance Sheet Accounts

    Science.gov (United States)

    2010-01-01

    ... 2005 Other 2015 Trade accounts payable 2021 Accounts payable—other 2025 Current obligations under... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Chart of Balance Sheet Accounts Section 3... PROCEEDINGS) ECONOMIC REGULATIONS UNIFORM SYSTEM OF ACCOUNTS AND REPORTS FOR LARGE CERTIFICATED AIR...

  5. Constant-Pressure Combustion Charts Including Effects of Diluent Addition

    Science.gov (United States)

    Turner, L Richard; Bogart, Donald

    1949-01-01

    Charts are presented for the calculation of (a) the final temperatures and the temperature changes involved in constant-pressure combustion processes of air and in products of combustion of air and hydrocarbon fuels, and (b) the quantity of hydrocarbon fuels required in order to attain a specified combustion temperature when water, alcohol, water-alcohol mixtures, liquid ammonia, liquid carbon dioxide, liquid nitrogen, liquid oxygen, or their mixtures are added to air as diluents or refrigerants. The ideal combustion process and combustion with incomplete heat release from the primary fuel and from combustible diluents are considered. The effect of preheating the mixture of air and diluents and the effect of an initial water-vapor content in the combustion air on the required fuel quantity are also included. The charts are applicable only to processes in which the final mixture is leaner than stoichiometric and at temperatures where dissociation is unimportant. A chart is also included to permit the calculation of the stoichiometric ratio of hydrocarbon fuel to air with diluent addition. The use of the charts is illustrated by numerical examples.

  6. US Nuclear Regulatory Commission organization charts and functional statements

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-08-19

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

  7. 40 CFR 86.343-79 - Chart reading.

    Science.gov (United States)

    2010-07-01

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

  8. US Nuclear Regulatory Commission organization charts and functional statements

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-11-01

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

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

    Science.gov (United States)

    Esawi, E. K.

    2009-03-01

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

  10. Semiotic evaluation of Lithuania military air navigation charts

    Science.gov (United States)

    Ovodas, Donatas; Česnulevičius, Algimantas

    2014-06-01

    Research of semiotic aspects Lithuanian military air navigation charts was based on the semantic, graphic and information load analysis. The aim of semantic analysis was to determine how the conventional cartographical symbols, used in air navigation charts, correspond with carto-linguistic and carto-semiotic requirements. The analysis of all the markings was performed complex and collected by questionnaire were interviewed various respondents: pilots, cartographers and other chart users. The researches seek two aims: evaluate information and graphical load of military air navigation charts. Information load evaluated to calculate all objects and phenomenon, which was in 25 cm² of map. Charts analysis showed that in low flight charts (LFC) average information load are 4 - 5 times richer than in the operational maps. Map signs optimization on LFC has to be managed very carefully, choosing signs that can reduce the load of information and helps for the information transfer process. Graphical load of maps evaluated of aeronautical maps is not great (5 - 12%) and does not require reduction the information load and generalization of charts. Air navigation charts analysis pointed that not all air navigation sings correspond carto-semiotic requirements and must be improved. The authors suggested some new sings for military air navigation chart, which are simpler, equivalent to human psychophysical perception criteria, creates faster communication and less load on the chart. Badania semiotycznych aspektów litewskich wojskowych map żeglugi powietrznej bazowały na semantycznej, graficznej i informacyjnej analizie treści tych map. Celem analizy semantycznej było określenie na ile tradycyjne symbole kartograficzne stosowane na mapach nawigacji lotniczej są zgodne z wymogami języka kartograficznego oraz zasadami stosowania znaków kartograficznych. Powyższe analizy przeprowadzono w sposób kompleksowy, informacje zebrano za pomocą ankiet, przeprowadzając wywiady w r

  11. Methods of Quality Appraisal for Studies Reviewed by Evidence Clearinghouses

    Science.gov (United States)

    Wilson, Sandra Jo; Tanner-Smith, Emily

    2015-01-01

    This presentation will discuss quality appraisal methods for assessing research studies used in systematic reviews, research syntheses, and evidence-based practice repositories such as the What Works Clearinghouse. The different ways that the methodological rigor and risk of bias of primary studies included in syntheses is assessed means that…

  12. Experimental Studies on Electronic Portfolios in Turkey: A Literature Review

    Science.gov (United States)

    Alan, Selahattin; Sünbül, Ali Murat

    2015-01-01

    In this study, a literature review was conducted about an individual's selected efforts, products stored in electronic format, and electronic portfolios that reflect the development and capacity of multimedia systems. In this context, relevant experimental studies performed in Turkey are collected to show e-portfolio application forms, their…

  13. A review of functional imaging studies on category-specificity

    DEFF Research Database (Denmark)

    Gerlach, Christian

    2007-01-01

    A review of 20 functional imaging studies that compared visual processing of natural objects and artefacts in normal subjects is presented. The studies included fulfilled three criteria: (i) they used pictures as stimuli, (ii) they were based on direct contrasts between categories, and (iii) they...

  14. Mössbauer Studies in Chinese Archaeology: A Review

    Science.gov (United States)

    Hsia, Yuanfu; Huang, Hongbo

    2003-09-01

    The Mössbauer effect has been applied to a wide variety of objects related to Chinese archaeology. Besides ceramic artifacts, materials like porcelain, glazes, bronzes, ancient coins, ancient mineral drugs, and even fossils were studied. This article reviews these applications with particular emphasis on the study of the famous terracotta warriors and horses of the Qin Dynasty.

  15. Do gender-specific and high-resolution three dimensional body charts facilitate the communication of pain for women?

    DEFF Research Database (Denmark)

    Egsgaard, Line Lindhardt; Christensen, Trine Søby; Petersen, Ida Munk

    2016-01-01

    BACKGROUND: Chronic pain is more prevalent among women; however, the majority of standardized pain drawings are often collected using male-like androgynous body representations. OBJECTIVE: The purpose of this study was to assess whether gender-specific and high-resolution three-dimensional (3D......) body charts facilitate the communication of pain for women. METHODS: Using mixed-methods and a cross-over design, female patients with chronic pain were asked to provide detailed drawings of their current pain on masculine and feminine two-dimensional (2D) body schemas (N=41, Part I) or on female 2D...... enabled a more accurate expression of their pain due to the detailed contours of the musculature and bone structure, however, patients also reported the 3D body chart was too human and believed that skin-like appearance limited 'deep pain' expressions. CONCLUSIONS: Providing gender-specific body charts...

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

    Energy Technology Data Exchange (ETDEWEB)

    COURNOYER, MICHAEL E. [Los Alamos National Laboratory; LEE, MICHELLE B. [Los Alamos National Laboratory; SCHREIBER, STEPHEN B. [Los Alamos National Laboratory

    2007-02-05

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

  17. edcc : An R Package for the Economic Design of the Control Chart

    Directory of Open Access Journals (Sweden)

    Weicheng Zhu

    2013-01-01

    Full Text Available The basic purpose of the economic design of the control charts is to find the optimum control charts parameters to minimize the process cost. In this paper, an R package, edcc (economic design of control charts, which provides a numerical method to find the optimum chart parameters is presented using the unified approach of the economic design. Also, some examples are given to illustrate how to use this package. The types of the control chart available in the edcc package are X̅, CUSUM (cumulative sum, and EWMA (exponentially-weighted moving average control charts.

  18. Research Review: A Critical Review of Studies on the Developmental Trajectories of Antisocial Behavior in Females

    Science.gov (United States)

    Fontaine, Nathalie; Carbonneau, Rene; Vitaro, Frank; Barker, Edward D.; Tremblay, Richard E.

    2009-01-01

    Background: Knowledge on the onset and the development of antisocial behavior in females is limited, because most of the research in this domain is based on males. Methods: We critically reviewed 46 empirical studies that examined developmental trajectories of antisocial behavior in females, notably to help determine whether or not an…

  19. Development of dental charts according to tooth development and eruption for Turkish children and young adults

    Energy Technology Data Exchange (ETDEWEB)

    Karadayl, Beytullah; Ozaslan, Abdi [University of Istanbul, Cerrahpasa Faculty of Medicine, Forensic Medicine Department, Istanbul (Turkey); Afsin, Hueseyin [University of Istanbul, Cerrahpasa Faculty of Medicine, Forensic Medicine Department, Istanbul (Turkey); Karadayi, Suekriye [Public Health Agency, Istanbul (Turkey)

    2014-06-15

    In this study, we aimed to develop dental charts for Turkish children and young adults of both genders within the age group of 4.5-22.5 years according to tooth mineralization and eruption in a format similar to that proposed by AlQahtani et al. In total, 753 digital panoramic radiographs from 350 males and 403 females were assessed. The permanent teeth were evaluated according to the classification system described by Demirjian et al. The eruption stage was assessed with Bengston's system, which was modified by AlQahtani et al at four points. Teeth generally developed earlier in females than in males. This was particularly notable in the age group of 5-14 years. However, this difference was usually visible in only one stage, not in all teeth. It has been determined that the mixed dentition period ended with the shedding of the second deciduous molars in both genders. The dental charts presented here included information that could be beneficial to dental clinicians in making appropriate diagnosis and planning orthodontic and surgical procedures. These charts also provided datasets for preliminary dental age estimation in Turkish children and young adults.

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

    Science.gov (United States)

    Gingerich, Owen

    2014-06-01

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

  1. Groundwater and climate change in Africa : review of recharge studies

    OpenAIRE

    Bonsor, H. C.; MacDonald, A. M.

    2010-01-01

    The review of recharge studies was conducted as part of a one year DFID-funded research programme, aimed at improving understanding of the impacts of climate change on groundwater resources and local livelihoods – see http://www.bgs.ac.uk/GWResilience/. The review is one of a series of components within the project. The overall outputs of the project are: Two hydrogeological case studies in West and East Africa – which assess the storage and availability of groundwater in different aquifers a...

  2. Mobility Research at TARDEC (Briefing Charts)

    Science.gov (United States)

    2015-03-10

    model to test data Simulated teleoperation runs w/latency Driver Distraction Modeling Higher level cognitive function study Integration of blended...and D. Rizzo 04 Sep 2012 5. tire and track modeling; terramechanics; roll over; active vehicle control; nonlinear fmbd; biomechanics ; uncertainty...model; soil model; running gear model; physics based; fe based; grid based; statistical models; soil testing; soil database; mobility; light/heavy

  3. Electronic golden structure of the periodic chart

    Energy Technology Data Exchange (ETDEWEB)

    Malinowski, Leonard J. [Interdisciplinary Research Club, Monroeville, PA (United States)], E-mail: LJMalinowski@gmail.com

    2009-11-15

    The golden ratio has been studied since the ancient Greeks due to its inherent symmetry and aesthetic beauty, especially in the five Platonic Solids. The golden mean is now established as a pillar of El Naschie's E infinity where it achieves the physical manifestation of 0.618 034 MeV. The largest atomic electron orbital total energies average to the golden mean energy. This paper examines the golden ratio in order to expand upon a century old attempt to produce a relatively static, visual, geometric model of atomic structure.

  4. A Variable Sampling Interval Synthetic Xbar Chart for the Process Mean.

    Directory of Open Access Journals (Sweden)

    Lei Yong Lee

    Full Text Available The usual practice of using a control chart to monitor a process is to take samples from the process with fixed sampling interval (FSI. In this paper, a synthetic X control chart with the variable sampling interval (VSI feature is proposed for monitoring changes in the process mean. The VSI synthetic X chart integrates the VSI X chart and the VSI conforming run length (CRL chart. The proposed VSI synthetic X chart is evaluated using the average time to signal (ATS criterion. The optimal charting parameters of the proposed chart are obtained by minimizing the out-of-control ATS for a desired shift. Comparisons between the VSI synthetic X chart and the existing X, synthetic X, VSI X and EWMA X charts, in terms of ATS, are made. The ATS results show that the VSI synthetic X chart outperforms the other X type charts for detecting moderate and large shifts. An illustrative example is also presented to explain the application of the VSI synthetic X chart.

  5. Emdogain in carcinogenesis: a systematic review of in vitro studies.

    Science.gov (United States)

    Laaksonen, Matti; Sorsa, Timo; Salo, Tuula

    2010-03-01

    Emdogain is a commercial product of unknown composition and is clinically used to induce periodontal regeneration. This study aims to review current knowledge of the in vitro effects of Emdogain on oral tissues and, in particular, factors related to carcinoma. A systematic approach was used to review studies from the Embase and Pubmed databases; a total of 76 studies were included. These comprised in vitro studies of the cytokines in, or regulated by, Emdogain and assays designed to study the effects of EMD on human cells in oral tissues or malignant cells. Several studies have shown that EMD regulates the proliferation, migration, adhesion, gene expression, and cytokine production of (pre-)osteoblasts, periodontal fibroblasts, and gingival fibroblasts. However, the effects of EMD on malignant oral cells are not well understood. EMD seems to have broad regulatory effects on malignant cells and on several carcinoma-related factors. Evidence suggests that patients with premalignant or malignant mucosal lesions should not be treated with EMD.

  6. Charting Phelan's 'To Suffer a Sea Change'.

    Science.gov (United States)

    Winkelman, Megan; Ng, Jacqueline; Shafer, Audrey

    2015-12-01

    Physicians and healthcare workers usually perceive their medical record entries as documentation rather than construction. In the following article, we extract a medical record from a narrative, Peggy Phelan's pathography of glaucoma, 'To Suffer a Sea Change'. From information about encounters described by Phelan, an ophthalmologist reconstructs progress notes similar to those that would be key to a glaucoma patient's medical record. Rather than condemning the arcane pointilism of the medical record as a poverty of language, or isolating the pathography as an academic text, we hope to instead appreciate what their collaborative dialogue offers the study of disease. While the points of divergence between these texts will demonstrate failures in communication, they will also unearth an enriched dialogue.

  7. THE APPLICATION OF BOX-BEHNKEN METHOD TO OPTIMIZE THE DESIGN OF EWMA CHART FOR AUTOCORRELATED PROCESSES

    Directory of Open Access Journals (Sweden)

    Karin Kandananond

    2013-06-01

    Full Text Available This research aims to evaluate the performance of the exponentially weighted moving average (EWMA control chart under the situation that the observations are autocorrelated. Three autoregressive integrated moving average (ARIMA models, AR (1, ARMA (1, 1 and IMA (1, 1, and a step func tion were utilized to characterize the process model. The auto correlated observations were monitored by the exponentially weighted moving average (EWMA chart and the average run length (ARL was used as the performance index. A response surface method, Box- Behnken design, was utilized to carry out the optimal design of the EWMA parameters, λ and L, while the robustness of the control chart was still maintained when there was no shift in the process. The empirical results show that the auto correlation has asignificant effect on the value of the ARL, i.e., the ability to detect a special cause and the occurrence frequency of a false alarm. Another important finding is that, under the autocorrelated situation (both stationary and non-stationary, the control limits of the EWMA chart should be narrowed down to L = 2 for the best performance. On the other hand, the value of λ does not seem to have a significant effect on the ARL except only when the observation follows ARMA (1, 1. Moreover, the results also reveal that the size of a shift will impact the detection sensitivity of the EWMA to a shift only when the process is stationary. According to the study, if the EWMA chart utilized under the autocorrelated environment is appropriately designed, the practitioners on the shop floor will have a state of the art guidelines for achieving the highest possible performance when deploying the EWMA chart.

  8. Meta-analysis of observational epidemiological studies: a review.

    OpenAIRE

    Jones, D R

    1992-01-01

    Meta-analyses (integration of findings by quantitative analyses of results of individual studies) are already widely used in the psychological and educational sciences and in the pooling of clinical trial results. Examples of the application of such techniques to the results of observational epidemiological studies are now proliferating. In this paper meta-analysis of the results of observational epidemiological studies is reviewed. Uncritical adoption of techniques used in pooled analyses of...

  9. Review Study on Main Models of Market Integration

    Institute of Scientific and Technical Information of China (English)

    He Feng

    2008-01-01

    With the endless strengthening of the economic globalization trend, the world market gradually steps into a new turn of the market integration period. Market integration in China is always the key study field of academic communities, but it is developed late, whatever content system or methodology shall be greatly improved as expected. This paper aims at summarizing and reviewing the study on the content system and main demonstrations of market integration in order to provide theoretical guide and methodological basis for related studies.

  10. Semantic-Oriented Sentiment Classification for Chinese Product Reviews: An Experimental Study of Book and Cell Phone Reviews

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Sentiment classification is an automatic opinion classification method to classify the product reviews on web into positive or negative opinions to help consumers or sellers to understand the opinions and evaluations from existing customers. Semantic-oriented approach is one of the recent developments in sentiment classification. Up to now, most research of sentiment classification is on English reviews,and little work has been done on Chinese reviews using sentiment classification. The detailed techniques used in English review cannot be applied directly to Chinese reviews due to the different characteristics between these two languages. This study modified and improved the semantic-oriented approach to a 6-step process for Chinese review, focusing on the modification and improvement on the text segmentation and reference words pairs (RWPs) identification. Two experiments were conducted on book reviews and cell phone reviews. The results show that the performances of the proposed approach are comparable to those of the existing English reviews classification studies.

  11. Comparative study of trhee methods used to laboration of declivity charts Estudo comparativo de três métodos utilizados para elaboração de carta clinográfica

    Directory of Open Access Journals (Sweden)

    Zacarias Xavier de Barros

    2009-03-01

    .0pt; line-height:115%;} @page Section1 {size:612.0pt 792.0pt; margin:70.85pt 3.0cm 70.85pt 3.0cm; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.Section1 {page:Section1;} --> The main purpose of this work was to compare three methods applied for the elaboration of the declivity charts of the Ribeirão Agua Fria- Bofete (SP basin.  Th e comparative analysis of data obtained from manual (Abacus and digital (GIS-IDRISI and GIS-SPRING methods revealed a discrepancy.   The GIS method presented lower time of processing, with the possibility of to be even lower with the use of microcomputers of greater processing speed.   The used of more rened grids, although it increases the time spent, it improves the precision of the results.O presente trabalho teve como objetivo comparar três métodos utilizados para elaboração da carta clinográfi ca da Bacia do Ribeirão Água Fria, Bofete-SP. A análise comparativa dos dados obtidos pelo processo manual (

  12. Inter-organizational network studies - a literature review

    DEFF Research Database (Denmark)

    Bergenholtz, Carsten; Waldstrøm, Christian

    literature review of the last 12 years' research on inter-organizational networks, with a focus on the methodological aspects. The findings of this paper is that few of the previous studies have used the full methodological (and thus theoretical) scope of the available data and that the most cited papers...

  13. Review of traffic conflicts technique studies. Third edition.

    NARCIS (Netherlands)

    Kraay, J.H.

    1983-01-01

    A review of literature concerning traffic conflicts technique studies is presented. The 204 references arranged, alphabetically by authors' names are given with abstracts. The procedure used in comping this survey is outlined. Third revised edition, with 103 new publications since 1979.

  14. 56-Day Complete Set of all of the Digital Enroute Charts - Aeronautical Information Services Digital Products

    Data.gov (United States)

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

  15. Review of the integrated thermal and nonthermal treatment system studies

    Energy Technology Data Exchange (ETDEWEB)

    Durrani, H.A.; Schmidt, L.J.; Erickson, T.A.; Sondreal, E.A.; Erjavec, J.; Steadman, E.N.; Fabrycky, W.J.; Wilson, J.S.; Musich, M.A.

    1996-07-01

    This report analyzes three systems engineering (SE) studies performed on integrated thermal treatment systems (ITTSs) and integrated nonthermal treatment systems (INTSs) for the remediation of mixed low-level waste (MLLW) stored throughout the US Department of Energy (DOE) weapons complex. The review was performed by an independent team of nine researchers from the Energy and Environmental Research Center (EERC), Science Applications International Corporation (SAIC), the Waste Policy Institute (WPI), and Virginia Tech (VT). The three studies reviewed were as follows: Integrated Thermal Treatment System Study, Phase 1--issued July 1994; Integrated Thermal Treatment System Study, Phase 2--issued February 1996; and Integrated Nonthermal Treatment System Study--drafted March 1996. The purpose of this review was to (1) determine whether the assumptions taken in the studies might bias the resulting economic evaluations of both thermal and nonthermal systems, (2) identify the critical areas of the studies that would benefit from further investigation, and (3) develop a standard template that could be used in future studies to produce sound SE applications.

  16. Changes in metamorphopsia in daily life after successful epiretinal membrane surgery and correlation with M-CHARTS score

    Directory of Open Access Journals (Sweden)

    Kinoshita T

    2015-02-01

    Full Text Available Takamasa Kinoshita,1,2 Hiroko Imaizumi,1 Hirotomo Miyamoto,1 Utako Okushiba,1 Yuki Hayashi,2 Takashi Katome,2 Yoshinori Mitamura2 1Department of Ophthalmology, Sapporo City General Hospital, Sapporo, Japan; 2Department of Ophthalmology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan Purpose: To determine the correlation between the changes in metamorphopsia in daily life environment and the M-CHARTS scores after epiretinal membrane (ERM removal, and to determine the criterion for determining whether clinically significant changes in the metamorphopsia score have occurred in M-CHARTS. Methods: We studied 65 eyes undergoing vitrectomy for unilateral ERM. Self-administered questionnaires were used to examine the metamorphopsia in their daily life. The degree of metamorphopsia was determined by M-CHARTS. The receiver operating characteristic curve was used to determine the best predictor of the changes in metamorphopsia in daily life. To determine the reproducibility of the M-CHARTS score, another set of 56 eyes with ERM was tested twice on two different days. Results: The postoperative changes in the logarithm of the M-CHARTS score was defined as M2-value. The area under the receiver operating characteristic curve for the M2-value as a predictor of the changes in metamorphopsia in daily life was larger than area under the receiver operating characteristic curve obtained for any other parameter. The optimal cutoff value was -0.4. The 95% limits of agreement between test and retest measurements had a reproducibility of ±0.3 logarithm of the M-CHARTS score. Taking into account not only the reproducibility but also the consistency with the subjective changes, we determined the criterion for clinically significant changes in the M-CHARTS scores as a change of the M2-value by ≥0.4. Conclusion: Evaluating the changes in the M-CHARTS scores in logarithmic form is favorable not only theoretically but also

  17. Use of Audible and Chart-recorded Ultrasonography to Monitor Fetal Heart Rate and Uterine Blood Flow Parameters in Cattle

    Science.gov (United States)

    The objective of the present study was to evaluate the use of audible chart-recorded doppler ultrasonography (DUS) to monitor both uterine blood flow and fetal heart rate (FHR) during pregnancy in dairy cattle. Possible applications of DUS include the monitoring of fetal distress when a pregnancy be...

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

    Directory of Open Access Journals (Sweden)

    Laura K. Wiegand

    2013-01-01

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

  19. A Cause-Consequence Chart of a Redundant Protection System

    DEFF Research Database (Denmark)

    Nielsen, Dan Sandvik; Platz, O.; Runge, B.

    1975-01-01

    A cause-consequence chart is applied in analysing failures of a redundant protection system (a core spray system in a nuclear power plant). It is shown how the diagram provides a basis for calculating two probability measures for malfunctioning of the protection system. The test policy of compone...... of components is taken into account. The possibility of using parameter variation as a basis for the choice of test policy is indicated.......A cause-consequence chart is applied in analysing failures of a redundant protection system (a core spray system in a nuclear power plant). It is shown how the diagram provides a basis for calculating two probability measures for malfunctioning of the protection system. The test policy...

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

    CERN Document Server

    Sher, Gene I

    2011-01-01

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

  1. Study-design selection criteria in systematic reviews of effectiveness of health systems interventions and reforms: A meta-review.

    Science.gov (United States)

    Rockers, Peter C; Feigl, Andrea B; Røttingen, John-Arne; Fretheim, Atle; de Ferranti, David; Lavis, John N; Melberg, Hans Olav; Bärnighausen, Till

    2012-03-01

    At present, there exists no widely agreed upon set of study-design selection criteria for systematic reviews of health systems research, except for those proposed by the Cochrane Collaboration's Effective Practice and Organisation of Care (EPOC) review group (which comprises randomized controlled trials, controlled clinical trials, controlled before-after studies, and interrupted time series). We conducted a meta-review of the study-design selection criteria used in systematic reviews available in the McMaster University's Health Systems Evidence or the EPOC database. Of 414 systematic reviews, 13% did not indicate any study-design selection criteria. Of the 359 studies that described such criteria, 50% limited their synthesis to controlled trials and 68% to some or all of the designs defined by the EPOC criteria. Seven out of eight reviews identified at least one controlled trial that was relevant for the review topic. Seven percent of the reviews included either no or only one relevant primary study. Our meta-review reveals reviewers' preferences for restricting synthesis to controlled experiments or study designs that comply with the EPOC criteria. We discuss the advantages and disadvantages of the current practices regarding study-design selection in systematic reviews of health systems research as well as alternative approaches.

  2. A review of longitudinal studies on antenatal and postnatal depression.

    Science.gov (United States)

    Underwood, Lisa; Waldie, Karen; D'Souza, Stephanie; Peterson, Elizabeth R; Morton, Susan

    2016-10-01

    Antenatal depression is a known risk factor for postnatal depression; both are common disorders associated with negative impacts on child development. Few studies have followed up women from pregnancy and through the postnatal period to explore how rates of depression change. This review evaluates recent evidence on depression during pregnancy and after childbirth. A search of Embase, PsychINFO, MEDLINE and Cochrane Reviews was carried out to identify longitudinal studies on antenatal and postnatal depression. Studies that measured depression during pregnancy and up to 1 year after childbirth were evaluated against a set of criteria (e.g. less than 50 % attrition). Of the initial 523 studies identified, 16 studies met the final inclusion criteria with a total of 35,419 women. The average rate of antenatal depression across these studies was 17 and 13 % postnatal depression. The longitudinal nature of the studies revealed that on average 39 % of those who experienced antenatal depression went on to have postnatal depression. Similarly, on average, 47 % of those with postnatal depression had also experienced antenatal depression. On average, almost 7 % of women reported significant depressive symptoms in pregnancy that persisted after childbirth. The review provided evidence that rates of depression tend to be higher during pregnancy than in the first year following childbirth. Furthermore, the longitudinal data show that there is much movement between the groups categorised as depressed or not depressed. There is evidence that postnatal depression is often a continuation of existing antenatal depression.

  3. Molecular approaches to bivalve population studies: a review

    Directory of Open Access Journals (Sweden)

    Dragomir-Cosmin David

    2011-12-01

    Full Text Available This paper presents a literature review concerning the importance of molecular approaches in bivalve’s population study. The class Bivalvia counts more than 20,000 species with a wide distribution both in freshwater and marine environment. Given their importance especially in aquaculture as a source of food, they have also a strong economic impact upon human society. This review encompasses best practices in bivalve studies from field sampling to laboratory analyses, addressing questions about molecular methods and tools commonly used by specialized researchers. Molecular tools specifically deals with phylogeography, population genetics, biology, ecology and taxonomy. In all these fields, molecular markers play an important role by completing some unanswered questions such as the role of the bivalves in the ecosystems in relation to anthropogenic and global change issues. Numerous genetic markers were developed for specific problems, thereferore we identify as a major issue the absence of uniform and universally recognized methods. The various sections of the paper emphasize from peer reviewed literature literature which are considered the most useful markers, costs and benefits of different methodology, major gaps of knowledge.in bivalve population studies. By reviewing virtually all genetic markers employed during nearly half a century of bivalve molecular research, in our opinion two are the best option “tools: the mitochondrial COI (cytochrome oxidase subunit I and nuclear ITS2 (internal transcribed spacer 2.

  4. Fluorinated Silsesquioxanes: Structure, Solubility, and Wetting (Briefing charts)

    Science.gov (United States)

    2015-08-01

    values based on Hansen Solubiliy Parameters (for “liquid” surfaces) γlv (dyn / cm) γdlv (dyn / cm) Fluorodecyl T8 (est. HSP) 34.6 24.8 Fluorohexyl T8 (est...Charts 3. DATES COVERED (From - To) July 2015-July 2015 4. TITLE AND SUBTITLE FLUORINATED SILSESQUIOXANES: STRUCTURE, SOLUBILITY , AND WETTING...FLUORINATED SILSESQUIOXANES: STRUCTURE, SOLUBILITY , AND WETTING Joseph Mabry, Andrew Guenthner, Scott Iacono, Raymond Campos, Sean Ramirez, Brian Moore

  5. Paperless system solves problem of lost chart costs.

    Science.gov (United States)

    2005-02-01

    Before going paperless, know what you're looking for and what the expected benefits are. The most technologically advanced system in the world is worthless if your doctors can't use it. The system will have greater value if your nurses can chart on it as well. A careful cost-benefit analysis should tell you ahead of time whether the system will pay for itself.

  6. Depreciation accounting in the uniform chart of accounts.

    OpenAIRE

    George, Charles Lee

    1982-01-01

    Approved for public release; distribution is unlimited This paper examines depreciation's contribution to the total cost of providing health care. In particular it analyzes the depreciation method used to measure the consumption of health care resources, the validity of the depreciation process and the subsequent allocation procedures. As defined by the Uniform Chart of Accounts, the usefulness of depreciation in determining the total cost of providing health care is atte...

  7. CUSUM control charts based on likelihood ratio for preliminary analysis

    Institute of Scientific and Technical Information of China (English)

    Yi DAI; Zhao-jun WANG; Chang-liang ZOU

    2007-01-01

    To detect and estimate a shift in either the mean and the deviation or both for the preliminary analysis, the statistical process control (SPC) tool, the control chart based on the likelihood ratio test (LRT), is the most popular method.Sullivan and woodall pointed out the test statistic lrt (n1, n2) is approximately distributed as x2 (2) as the sample size n, n1 and n2 are very large, and the value of n1 = 2, 3,..., n- 2 and that of n2 = n- n1.So it is inevitable that n1 or n2 is not large. In this paper the limit distribution of lrt(n1, n2) for fixed n1 or n2 is figured out, and the exactly analytic formulae for evaluating the expectation and the variance of the limit distribution are also obtained.In addition, the properties of the standardized likelihood ratio statistic slr(n1,n) are discussed in this paper. Although slr(n1, n) contains the most important information, slr(i, n)(i ≠ n1) also contains lots of information. The cumulative sum (CUSUM) control chart can obtain more information in this condition. So we propose two CUSUM control charts based on the likelihood ratio statistics for the preliminary analysis on the individual observations. One focuses on detecting the shifts in location in the historical data and the other is more general in detecting a shift in either the location and the scale or both.Moreover, the simulated results show that the proposed two control charts are, respectively, superior to their competitors not only in the detection of the sustained shifts but also in the detection of some other out-of-control situations considered in this paper.

  8. CUSUM control charts based on likelihood ratio for preliminary analysis

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    To detect and estimate a shift in either the mean and the deviation or both for the preliminary analysis, the statistical process control (SPC) tool, the control chart based on the likelihood ratio test (LRT), is the most popular method. Sullivan and woodall pointed out the test statistic lrt(n1, n2) is approximately distributed as x2(2) as the sample size n,n1 and n2 are very large, and the value of n1 = 2,3,..., n - 2 and that of n2 = n - n1. So it is inevitable that n1 or n2 is not large. In this paper the limit distribution of lrt(n1, n2) for fixed n1 or n2 is figured out, and the exactly analytic formulae for evaluating the expectation and the variance of the limit distribution are also obtained. In addition, the properties of the standardized likelihood ratio statistic slr(n1, n) are discussed in this paper. Although slr(n1, n) contains the most important information, slr(i, n)(i≠n1) also contains lots of information. The cumulative sum (CUSUM) control chart can obtain more information in this condition. So we propose two CUSUM control charts based on the likelihood ratio statistics for the preliminary analysis on the individual observations. One focuses on detecting the shifts in location in the historical data and the other is more general in detecting a shift in either the location and the scale or both. Moreover, the simulated results show that the proposed two control charts are, respectively, superior to their competitors not only in the detection of the sustained shifts but also in the detection of some other out-of-control situations considered in this paper.

  9. Review of Studies of Foreign Language Classroom Anxiety

    Institute of Scientific and Technical Information of China (English)

    QIN Ci-feng

    2015-01-01

    Anxiety is considered to be one of the key psychological variables as well as one of the important emotional factors that affect language learning. Taken into account that classroom is the main place in which Chinese college students learn English, it is of great significance to study students’language anxiety in the classroom environment. Based on the previous researches, this paper reviews the relevant studies in this area conducted at home and abroad.

  10. A Review of Studies on Media Bias at Home

    Institute of Scientific and Technical Information of China (English)

    辛一丹

    2015-01-01

    Bias is widely existed nowadays.Domestic scholars have done a lot of research on the bias,especially the media bias.They studied the media bias from different perspectives,such as the bias on China image,the bias of a certain media FOX,the bias on the venerable group,the bias on women and so on.The author plans to give a review of the studies on media bias at home in this paper.

  11. A Review of Studies on Media Bias at Home

    Institute of Scientific and Technical Information of China (English)

    辛一丹

    2015-01-01

    Bias is widely existed nowadays. Domestic scholars have done a lot of research on the bias, especially the media bias. They studied the media bias from different perspectives, such as the bias on China image,the bias of a certain media FOX, the bias on the venerable group, the bias on women and so on. The author plans to give a review of the studies on media bias at home in this paper.

  12. Observational studies of transiting extrasolar planets (invited review)

    CERN Document Server

    Southworth, John

    2014-01-01

    The study of transiting extrasolar planets is only 15 years old, but has matured into a rich area of research. I review the observational aspects of this work, concentrating on the discovery of transits, the characterisation of planets from photometry and spectroscopy, the Homogeneous Studies project, starspots, orbital obliquities, and the atmospheric properties of the known planets. I begin with historical context and conclude with a glance to a future of TESS, CHEOPS, Gaia and PLATO.

  13. Flood tracking chart for the Illinois River basin

    Science.gov (United States)

    Avery, Charles F.; Holmes, Jr., Robert R.; Sharpe, Jennifer B.

    1998-01-01

    This Flood Tracking Chart for the Illinois River Basin in Illinois can be used to record and compare the predicted or current flood-crest stage to past flood-crest information. This information can then be used by residents and emergency-response personnel to make informed decisions concerning the threat of flooding to life and property. The chart shows a map of the Illinois River Basin (see below), the location of real-time streamflow-gaging stations in the basin, graphs of selected historical recorded flood-crest stages at each of the stations, and sea-level conversion (SLC) factors that allow conversion of the current or predicted flood-crest stage to elevation above sea level. Each graph represents a streamflow-gaging station and has a space to record the most current river stage reported for that station by the U.S. Geological Survey (USGS). The National Weather Service (NWS) predicts flood crests for many of the stations shown on this chart.

  14. 33 CFR 209.310 - Representation of submarine cables and pipelines on nautical charts.

    Science.gov (United States)

    2010-07-01

    ... cables and pipelines on nautical charts. 209.310 Section 209.310 Navigation and Navigable Waters CORPS OF... of submarine cables and pipelines on nautical charts. (a) The policy of the Corps of Engineers with respect to showing the locations of submarine cables and pipelines on nautical charts published by...

  15. 78 FR 59339 - Intracoastal Waterway Route “Magenta Line” on NOAA Nautical Charts

    Science.gov (United States)

    2013-09-26

    ... Nautical Charts AGENCY: National Ocean Service, National Oceanic and Atmospheric Administration. (NOAA), Department of Commerce. ACTION: Request for comments. SUMMARY: Since 1912, a series of nautical charts of the... ``recommended route'' from NOAA nautical charts. We are also issuing a Local Notice to Mariners,...

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

    Science.gov (United States)

    Feldman, Roger

    2013-01-01

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

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

    Science.gov (United States)

    Koura, Hiroyuki

    2014-01-01

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

  18. On multivariate control charts Sobre gráficos de controle multivariados

    Directory of Open Access Journals (Sweden)

    Marianne Frisén

    2011-06-01

    Full Text Available Industrial production requires multivariate control charts to enable monitoring of several components. Recently there has been an increased interest also in other areas such as detection of bioterrorism, spatial surveillance and transaction strategies in finance. In the literature, several types of multivariate counterparts to the univariate Shewhart, EWMA and CUSUM methods have been proposed. We review general approaches to multivariate control chart. Suggestions are made on the special challenges of evaluating multivariate surveillance methods.A produção industrial requer o uso de gráficos de controle para permitir o monitoramento de vários componentes. Recentemente tem havido um aumento de interesse também em outras áreas como a detecção do bioterrorismo, vigilância espacial e estratégias de operação na área financeira. Na literatura, vários tipos de gráficos multivariados têm sido propostos contrapondo-se aos gráficos univariados de Shewhart, EWMA e CUSUM. Uma revisão geral sobre os gráficos de controle multivariados é apresentada. Sugestões são dadas em especial aos desafios em avaliar métodos multivariados em vigilância.

  19. Reviews

    Directory of Open Access Journals (Sweden)

    Lorraine Warren

    1994-12-01

    Full Text Available Europe in the Rotmdis a hypertextuall hypergraphical database of facts about Europe, biased towards education and training, but taking in its stride many peripheral areas relevant to anyone considering living and/or working in, or even visiting, a member state of the EU - population, economy, institutions, geography, climate and so forth - all making up thousands of interconnected screens. These screens contain maps with a selection of zooms and hotspots, all kinds of facts and figures about available educational and vocational courses (presented both textually and, where appropriate, as graphs, bar charts and such like, details of life in each EU member state, details of cities and what they have to offer, and a lot more. There are also extra facilities, such as being able to set currency exchange rates or to create customized notebooks.

  20. Reviews

    Science.gov (United States)

    2004-03-01

    WEB WATCH (204) Try unearthing some interesting information about archaeology BOOK REVIEWS (206) Teaching and assessing practical skills Book Review: Learn to drive with Sir Isaac Newton DVD REVIEW (207) Bring some sunshine into the classroom EQUIPMENT REVIEWS (208) Robust air puck takes a kicking Flowlog offers sensing options plus multimode datalogging Mastering Chladni figures takes practice but it offers surprises

  1. Economic Statistical Design of integrated X-bar-S control chart with Preventive Maintenance and general failure distribution.

    Science.gov (United States)

    Caballero Morales, Santiago Omar

    2013-01-01

    The application of Preventive Maintenance (PM) and Statistical Process Control (SPC) are important practices to achieve high product quality, small frequency of failures, and cost reduction in a production process. However there are some points that have not been explored in depth about its joint application. First, most SPC is performed with the X-bar control chart which does not fully consider the variability of the production process. Second, many studies of design of control charts consider just the economic aspect while statistical restrictions must be considered to achieve charts with low probabilities of false detection of failures. Third, the effect of PM on processes with different failure probability distributions has not been studied. Hence, this paper covers these points, presenting the Economic Statistical Design (ESD) of joint X-bar-S control charts with a cost model that integrates PM with general failure distribution. Experiments showed statistically significant reductions in costs when PM is performed on processes with high failure rates and reductions in the sampling frequency of units for testing under SPC.

  2. Cost-of-illness studies : a review of current methods.

    Science.gov (United States)

    Akobundu, Ebere; Ju, Jing; Blatt, Lisa; Mullins, C Daniel

    2006-01-01

    The number of cost-of-illness (COI) studies has expanded considerably over time. One outcome of this growth is that the reported COI estimates are inconsistent across studies, thereby raising concerns over the validity of the estimates and methods. Several factors have been identified in the literature as reasons for the observed variation in COI estimates. To date, the variation in the methods used to calculate costs has not been examined in great detail even though the variations in methods are a major driver of variation in COI estimates. The objective of this review was to document the variation in the methodologies employed in COI studies and to highlight the benefits and limitations of these methods. The review of COI studies was implemented following a four-step procedure: (i) a structured literature search of MEDLINE, JSTOR and EconLit; (ii) a review of abstracts using pre-defined inclusion and exclusion criteria; (iii) a full-text review using pre-defined inclusion and exclusion criteria; and (iv) classification of articles according to the methods used to calculate costs. This review identified four COI estimation methods (Sum_All Medical, Sum_Diagnosis Specific, Matched Control and Regression) that were used in categorising articles. Also, six components of direct medical costs and five components of indirect/non-medical costs were identified and used in categorising articles.365 full-length articles were reflected in the current review following the structured literature search. The top five cost components were emergency room/inpatient hospital costs, outpatient physician costs, drug costs, productivity losses and laboratory costs. The dominant method, Sum_Diagnosis Specific, was a total costing approach that restricted the summation of medical expenditures to those related to a diagnosis of the disease of interest. There was considerable variation in the methods used within disease subcategories. In several disease subcategories (e.g. asthma, dementia

  3. Case study methodology in nurse migration research: an integrative review.

    Science.gov (United States)

    Freeman, Michelle; Baumann, Andrea; Fisher, Anita; Blythe, Jennifer; Akhtar-Danesh, Noori

    2012-08-01

    The migration of nurses combined with a global nursing shortage affects the supply of nurses and access to health services in many countries. The purpose of this article was to conduct an integrative review of case study methodology (CSM) in nurse migration research. Findings identify where studies using CSM have been conducted, by whom, and the themes explored. More studies using CSM are required to answer the important "how" and "why" questions related to nurse migration. Nurses should take a leadership role in this research.

  4. Digital learning needs of elder people: a review study

    OpenAIRE

    Franco Caballero, Pablo Daniel; Leiva Olivencia, Juan José; Matas Terrón, Antonio

    2015-01-01

    This paper shows the conclusion from a review study about the digital learning needs of elder people. In developed countries a process of population ageing is occuring. The interesting feature of this ageing process is that despite their elderly status, their physical and mental healthiness are optimal and their quality of life is high, as is their economic capacity to access to goods and services. This reality is changing the developed societies structure and their identity. Specifically...

  5. Nursing portfolio study: the use in annual performance reviews.

    Science.gov (United States)

    Capan, Michelle L; Ambrose, Heather L; Burkett, Marnie; Evangelista, Tonya R; Flook, Donna M; Straka, Kristen L

    2013-01-01

    Professional portfolios allow staff to document their participation in areas of education, certification, shared governance councils, national nursing organizations, and community outreach. In this study, nurses tracked their professional development in a virtual electronic portfolio. A preperception/postperception questionnaire for both staff and unit directors revealed that nursing portfolios proved to be a valuable tool during annual performance reviews to acknowledge accomplishments and encourage continued professional growth of individual direct-care staff nurses.

  6. Review of studies of support for siblings with developmental disabilities

    OpenAIRE

    2012-01-01

    The purpose of this paper is to review the study on siblings of disabilities, and investigate siblings'experience and the trend in supports for them. As a result, two important factors are considered, 1) the role as siblings of people with disabilities were changed with the times, from role as caretaker about people with disabilities into role as siblings who have their own concern and to be supported. 2) siblings have unusual concerns and opportunities, however, siblings must care for their ...

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

    DEFF Research Database (Denmark)

    Egerod, Ingrid; Christensen, Doris

    2010-01-01

    Intensive care survivors often suffer from memory disorders, and some go on to develop anxiety, depression, and posttraumatic stress. Since the 1980s nurses have written diaries for intensive care patients to help them understand their illness and come to terms with their experiences after discha...

  8. Deception studies manipulating centrally acting performance modifiers: a review.

    Science.gov (United States)

    Williams, Emily L; Jones, Hollie S; Sparks, Sandy; Marchant, David C; Micklewright, Dominic; McNaughton, Lars R

    2014-07-01

    Athletes anticipatorily set and continuously adjust pacing strategies before and during events to produce optimal performance. Self-regulation ensures maximal effort is exerted in correspondence with the end point of exercise, while preventing physiological changes that are detrimental and disruptive to homeostatic control. The integration of feedforward and feedback information, together with the proposed brain's performance modifiers is said to be fundamental to this anticipatory and continuous regulation of exercise. The manipulation of central, regulatory internal and external stimuli has been a key focus within deception research, attempting to influence the self-regulation of exercise and induce improvements in performance. Methods of manipulating performance modifiers such as unknown task end point, deceived duration or intensity feedback, self-belief, or previous experience create a challenge within research, as although they contextualize theoretical propositions, there are few ecological and practical approaches which integrate theory with practice. In addition, the different methods and measures demonstrated in manipulation studies have produced inconsistent results. This review examines and critically evaluates the current methods of how specific centrally controlled performance modifiers have been manipulated, within previous deception studies. From the 31 studies reviewed, 10 reported positive effects on performance, encouraging future investigations to explore the mechanisms responsible for influencing pacing and consequently how deceptive approaches can further facilitate performance. The review acts to discuss the use of expectation manipulation not only to examine which methods of deception are successful in facilitating performance but also to understand further the key components used in the regulation of exercise and performance.

  9. REVIEW

    Directory of Open Access Journals (Sweden)

    N. F. Bugay

    2016-01-01

    Full Text Available Review of Study Guide: «KUBAN STUDIES. KUBAN IN THE XX CENTURY – THE BEGINNING OF THE XXI CENTURY. HISTORY. PEOPLE SOCIETY.» Study Guide (electronic version to grade 11 of educational institutions. A.A. Zaitsev, E.V. Morozova, N.V. Plotichkina and O.A. Borisko, M.A. Egupova, A.B. Sazantovich, I.S. Bashkakov, T.I. Belyaeva. Krasnodar: Perspectives on Education, 2015.In a review of a thorough analysis of all the component parts of the book that will surely attract the attention first of all history teachers and students in 11 classes of educational institutions of the region. A comprehensive presentation of the material significantly adds to the course of modern history of Russia and enrich its specific material about the life of the Russian Cossacks and as part of the – of the Kuban Cossacks. Along with the reference materials of pure nature that is needed for this kind of research are presented and informative sections on the socio-economic condition of the region, the interests of different strata of the population, the multinational factor and the religious beliefs of the population. Cossacks in its warlike mentality, and this trait is passed from generation to generation. But the aspirations of the Cossacks in this respect are transparent – protecting the integrity of the Fatherland, faithful service to him, boundless devotion to the Orthodox faith. The important story is linked with the identity of the Russian Cossacks, its mentality, "Kuban" specificity, especially for the rule on different sections of history, to various of its exponents, both military and civilians. As is known from the Cossacks received a development institute of judging for each Ataman smoking, working village judge. Cossacks series comply with the law as applied his own family, and chic plan – in the state, fought against offenders, it is considered in relation to the Cossacks and representatives of different ethnic communities living with the Cossacks, and

  10. Genetic association studies in lumbar disc degeneration: a systematic review.

    Directory of Open Access Journals (Sweden)

    Pasi J Eskola

    Full Text Available OBJECTIVE: Low back pain is associated with lumbar disc degeneration, which is mainly due to genetic predisposition. The objective of this study was to perform a systematic review to evaluate genetic association studies in lumbar disc degeneration as defined on magnetic resonance imaging (MRI in humans. METHODS: A systematic literature search was conducted in MEDLINE, MEDLINE In-Process, SCOPUS, ISI Web of Science, The Genetic Association Database and The Human Genome Epidemiology Network for information published between 1990-2011 addressing genes and lumbar disc degeneration. Two investigators independently identified studies to determine inclusion, after which they performed data extraction and analysis. The level of cumulative genetic association evidence was analyzed according to The HuGENet Working Group guidelines. RESULTS: Fifty-two studies were included for review. Forty-eight studies reported at least one positive association between a genetic marker and lumbar disc degeneration. The phenotype definition of lumbar disc degeneration was highly variable between the studies and replications were inconsistent. Most of the associations presented with a weak level of evidence. The level of evidence was moderate for ASPN (D-repeat, COL11A1 (rs1676486, GDF5 (rs143383, SKT (rs16924573, THBS2 (rs9406328 and MMP9 (rs17576. CONCLUSIONS: Based on this first extensive systematic review on the topic, the credibility of reported genetic associations is mostly weak. Clear definition of lumbar disc degeneration phenotypes and large population-based cohorts are needed. An international consortium is needed to standardize genetic association studies in relation to disc degeneration.

  11. The problem of the availability of nautical charts and publications on the Northern Sea Route

    OpenAIRE

    Pastusiak Tadeusz

    2015-01-01

    Statistical studies of marine accidents and unfortunate events in ice-covered areas in 1995–2004 and 2004–2011 showed a general lack of information from the area under the jurisdiction of the Russian Federation. The author’s research for the period 2004–2011 showed a large number of unfortunate events caused by lack of adequate provision of nautical charts, shortage of accurate position systems on board vessels as well as weak technical condition of these vessels. The author examined the prob...

  12. PSRO (Professional Standards Review Organization) pelvimetry study. Final report

    Energy Technology Data Exchange (ETDEWEB)

    McCue, S.M.

    1983-03-31

    A randomized controlled experimental study of the use x-ray pelvimetry in 151 hospitals in seven PSROs across the United States from June 1977 through March 1982 was conducted. The study was designed to test the impact of a physician educational intervention program on the utilization of a diagnostic procedure of questionable efficacy. Further, special studies were designed to assess substitution and quality effects by measuring changes in the utilization of caesarean section, electronic fetal monitoring and ultrasound; to assess the degree to which justification for the use of pelvimetry is recorded on the patient record; and to measure the utilization of pelvimetry in private radiologists' offices. The report contains a narrative discussion of the PSRO program; ancillary services review; a literature review of studies on the efficacy of pelvimetry and educational intervention strategies; and a detailed discussion of the design, methodology, and findings. The results of the study, a substantive drop in the pelvimetry rate in study hospitals vis-a-vis that in control hospitals pre and postintervention demonstrates that physician practice patterns changed due to the educational intervention.

  13. A Scoping Review on Studies of Cyberbullying Prevalence Among Adolescents.

    Science.gov (United States)

    Brochado, Sandra; Soares, Sara; Fraga, Sílvia

    2016-04-05

    This descriptive scoping aims to understand how the prevalence of cyberbullying has been estimated across studies. A systematic scoping review of cyberbullying empirical studies was conducted by using three bibliographic databases to search for papers published between January 2004 and August 2014. A protocol was defined to identify the relevant papers. Papers selected were included in a data sheet developed by the authors to record specific findings. In total, 159 studies were included in the scoping review. Most of the prevalence studies were conducted in the last 4 years, mainly in North America (n= 77) and in Europe (n= 65). High methodological heterogeneity was found among the studies, which may contribute to explain variability in prevalence estimates. Cyberbullying experiences were assessed through several different perspectives: focused only on victims, focused only on perpetrators, or focused on both victims and perpetrators (without differentiating between if they are victims or perpetrators). Most of the studies tend to assess cybervictimization experiences. However, even considering the same perspective, the same country, and the same recall period, a high variability in the estimates was observed. As a main conclusion, the way in which the prevalence of cyberbullying is estimated is influenced by methodological research options.

  14. Implementation of multivariate cumulative sum control charts in mastitis and lameness monitoring.

    Science.gov (United States)

    Miekley, Bettina; Stamer, Eckhard; Traulsen, Imke; Krieter, Joachim

    2013-09-01

    This study analyzed the methodology and applicability of multivariate cumulative sum (MCUSUM) charts for early mastitis and lameness detection. Data used were recorded on the Karkendamm dairy research farm, Germany, between August 2008 and December 2010. Data of 328 and 315 cows in their first 200 d in milk were analyzed for mastitis and lameness detection, respectively. Mastitis as well as lameness was specified according to veterinary treatments. Both diseases were defined as disease blocks. Different disease definitions for mastitis and lameness (2 for mastitis and 3 for lameness) varied solely in the sequence length of the blocks. Only the days before the treatment were included in the disease blocks. Milk electrical conductivity, milk yield, and feeding patterns (feed intake, number of trough visits, and feeding time) were used for the recognition of mastitis. Pedometer activity and feeding patterns were used for lameness detection. To exclude biological trends and obtain independent observations, the values of each input variable were either preprocessed by wavelet filters or a multivariate vector autoregressive model. The residuals generated between the observed and filtered or observed and forecast values, respectively, were then transferred to a classic or self-starting MCUSUM chart. The combination of the 2 preprocessing methods with each of the 2 MCUSUM sum charts resulted in 4 combined monitoring systems. For mastitis as well as lameness detection requiring a block sensitivity of at least 70%, all 4 of the combined monitoring systems used revealed similar results within each of the disease definitions. Specificities of 73 to 80% and error rates of 99.6% were achieved for mastitis. The results for lameness showed that the definitions used obtained specificities of up to 81% and error rates of 99.1%. The results indicate that the monitoring systems with these study characteristics have appealing features for mastitis and lameness detection. However, they

  15. REVIEW OF EXISTING LCA STUDIES ON WASTE WATER TREATMENT TECHNOLOGIES

    DEFF Research Database (Denmark)

    Larsen, Henrik Fred; Hauschild, Michael Zwicky

    The EU research project “NEPTUNE” is related to the EU Water Framework Directive and focused on the development of new waste water treatment technologies (WWTT) for municipal waste water. The sustainability of these WWTTs is going to be assessed by the use of life cycle assessment (LCA). New life...... cycle impact assessment methods on pathogens, whole effluent toxicity and micropollutants will be developed within the project. As part of this work a review of more than 20 previous LCA studies on WWTTs has been done and the findings are summarised on this poster. The review is focused on the relative...... even more treatment trains/scenarios) have already been the subject of more or less detailed LCAs. All life cycle stages may be important and all impact categories (except stratospheric ozone depletion) typically included in LCAs may show significance depending on the actual scenario. Potential impacts...

  16. Can we systematically review studies that evaluate complex interventions?

    Directory of Open Access Journals (Sweden)

    Sasha Shepperd

    2009-08-01

    Full Text Available BACKGROUND TO THE DEBATE: The UK Medical Research Council defines complex interventions as those comprising "a number of separate elements which seem essential to the proper functioning of the interventions although the 'active ingredient' of the intervention that is effective is difficult to specify." A typical example is specialist care on a stroke unit, which involves a wide range of health professionals delivering a variety of treatments. Michelle Campbell and colleagues have argued that there are "specific difficulties in defining, developing, documenting, and reproducing complex interventions that are subject to more variation than a drug". These difficulties are one of the reasons why it is challenging for researchers to systematically review complex interventions and synthesize data from separate studies. This PLoS Medicine Debate considers the challenges facing systematic reviewers and suggests several ways of addressing them.

  17. Behavior analytic studies of creativity: A critical review.

    Science.gov (United States)

    Winston, A S; Baker, J E

    1985-01-01

    Studies that treat creativity as operant behavior were critically reviewed. Of the twenty studies, most met minimal requirements for methodological adequacy; all provided at least some evidence for increased creative responding. Major difficulties involved potential confounds between instructions and contingencies, lack of an independent record of the training interaction, lack of social validation data, and very limited evidence for generalization. Several issues were discussed: problems in the behavioral definition of creativity, objections to the use of contingent reinforcement, and the need for empirical analysis of the creative process.

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

    Science.gov (United States)

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

    2008-04-01

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

  19. Monitoring of International Space Station Telemetry Using Shewhart Control Charts

    Science.gov (United States)

    Fitch, Jeffery T.; Simon, Alan L.; Gouveia, John A.; Hillin, Andrew M.; Hernandez, Steve A.

    2012-01-01

    Shewhart control charts have been established as an expedient method for analyzing dynamic, trending data in order to identify anomalous subsystem performance as soon as such performance would exceed a statistically established baseline. Additionally, this leading indicator tool integrates a selection methodology that reduces false positive indications, optimizes true leading indicator events, minimizes computer processor unit duty cycles, and addresses human factor concerns (i.e., the potential for flight-controller data overload). This innovation leverages statistical process control, and provides a relatively simple way to allow flight controllers to focus their attention on subtle system changes that could lead to dramatic off-nominal system performance. Finally, this capability improves response time to potential hardware damage and/or crew injury, thereby improving space flight safety. Shewhart control charts require normalized data. However, the telemetry from the ISS Early External Thermal Control System (EETCS) was not normally distributed. A method for normalizing the data was implemented, as was a means of selecting data windows, the number of standard deviations (Sigma Level), the number of consecutive points out of limits (Sequence), and direction (increasing or decreasing trend data). By varying these options, and treating them like dial settings, the number of nuisance alerts and leading indicators were optimized. The goal was to capture all leading indicators while minimizing the number of nuisances. Lean Six Sigma (L6S) design of experiment methodologies were employed. To optimize the results, Perl programming language was used to automate the massive amounts of telemetry data, control chart plots, and the data analysis.

  20. EXIT Chart Analysis of Binary Message-Passing Decoders

    DEFF Research Database (Denmark)

    Lechner, Gottfried; Pedersen, Troels; Kramer, Gerhard

    2007-01-01

    Binary message-passing decoders for LDPC codes are analyzed using EXIT charts. For the analysis, the variable node decoder performs all computations in the L-value domain. For the special case of a hard decision channel, this leads to the well know Gallager B algorithm, while the analysis can...... be extended to channels with larger output alphabets. By increasing the output alphabet from hard decisions to four symbols, a gain of more than 1.0 dB is achieved using optimized codes. For this code optimization, the mixing property of EXIT functions has to be modified to the case of binary message-passing...

  1. Biologic Discontinuations Studies: A Systematic Review of Methods

    Science.gov (United States)

    Yoshida, Kazuki; Sung, Yoon-Kyoung; Kavanaugh, Arthur; Bae, Sang-Cheol; Weinblatt, Michael E.; Kishimoto, Mitsumasa; Matsui, Kazuo; Tohma, Shigeto; Solomon, Daniel H.

    2016-01-01

    Objectives We conducted a systematic review to assess the design and “failure definition” in studies of biologic discontinuation in rheumatoid arthritis (RA). Methods We found 403 studies on PubMed, and included 9 published papers and 5 abstracts from scientific meetings. We used a structured extraction form to collect information regarding study design and outcome (failure) definition. Results Three types of studies were found: randomized controlled trials, long-term extension studies of clinical trials, and prospective discontinuation studies. The largest study had 196 subjects in the discontinuation arm. Most studies allowed concomitant use of non-biologic drugs at biologic discontinuation. Heterogeneity was also found in the failure definition. Although all studies used measures of disease activity, the threshold for failure and the time point of assessment differed among studies. Few studies incorporated changing use of non-biologic drugs or glucocorticoids into the failure definition. Conclusions Although many studies have examined the outcome of biologic discontinuation, they have all been relatively small. Typical practice studies from registries may add important information, but will likely need to rely on a broader failure definition. PMID:23723316

  2. Checklists of Methodological Issues for Review Authors to Consider When Including Non-Randomized Studies in Systematic Reviews

    Science.gov (United States)

    Wells, George A.; Shea, Beverley; Higgins, Julian P. T.; Sterne, Jonathan; Tugwell, Peter; Reeves, Barnaby C.

    2013-01-01

    Background: There is increasing interest from review authors about including non-randomized studies (NRS) in their systematic reviews of health care interventions. This series from the Ottawa Non-Randomized Studies Workshop consists of six papers identifying methodological issues when doing this. Aim: To format the guidance from the preceding…

  3. SU-D-BRD-01: An Automated Physics Weekly Chart Checking System Supporting ARIA

    Energy Technology Data Exchange (ETDEWEB)

    Chang, X; Yang, D [Washington University in St Louis, St Louis, MO (United States)

    2015-06-15

    Purpose: A software tool was developed in this study to perform automatic weekly physics chart check on the patient data in ARIA. The tool accesses the electronic patient data directly from ARIA server and checks the accuracy of treatment deliveries, and generates reports which summarize the delivery history and highlight the errors. Methods: The tool has four modules. 1) The database interface is designed to directly access treatment delivery data from the ARIA database before reorganizing the data into the patient chart tree (PCT). 2) PCT is a core data structure designed to store and organize the data in logical hierarchies, and to be passed among functions. 3) The treatment data check module analyzes the organized data in PCT and stores the checking results into PCT. 4) Report generation module generates reports containing the treatment delivery summary, chart checking results and plots of daily treatment setup parameters (couch table positions, shifts of image guidance). The errors that are found by the tool are highlighted with colors. Results: The weekly check tool has been implemented in MATLAB and clinically tested at two major cancer centers. Javascript, cascading style sheets (CSS) and dynamic HTML were employed to create the user-interactive reports. It takes 0.06 second to search the delivery records of one beam with PCT and compare the delivery records with beam plan. The reports, saved in the HTML files on shared network folder, can be accessed by web browser on computers and mobile devices. Conclusion: The presented weekly check tool is useful to check the electronic patient treatment data in Varian ARIA system. It could be more efficient and reliable than the manually check by physicists. The work was partially supported by a research grant from Varian Medical System.

  4. Bronze age cosmology and rock art images. Solar ships, deer and charts

    Science.gov (United States)

    Dimitriadis, G.

    Bronze Age societies were technologically complex. The impressive production of metal artefacts embodies clearly their astronomical culture and cosmological viewpoint. Same ascertainment is valid also for rock art. In fact, around the European landscape were discovered several cliffs engraved with solar ships, deer and charts. How one could be interpret them? Which is the hidden mentality? From the end of 3rd millennium-early 2nd millennium B. C. deep technological transformations are made by metals. New inventions such metal extraction for weapon production, horse pulling chariot used for war and the bull pulling one used for trade may shorten the culture and material distances between Central Europe and South Mediterranean area. Indeed, taphonomic studies indicate a specific modification of the human body mortuary traditional disposition (orientated to significant astronomical targets) below a substantial transformation of mortuary apparatus with spot evidence of weapons (halberds, swords, knifes) and ornaments (double spiral, lunar shape pectorals). The famous Trundhold Solar chart, the 2nd millennium terracotta chart form Dupljaja, the solar boats petroglyph in Bohusland and the horse rider carved on Philippi's cliffs were conceived by the same mentality: communion with the divinity. Culture expressions as communicate manifestation attested in rock art were produced by the same mentality presented in Bronze Age art-crafts such as, 1. Culture epidemiologic patterns dispersion took place through out iconographic motives, and, 2. Animals can play a double face function inside an analogical-mythological system: a. animal-reflex; b. animal-agent. The question is: Could such petroglyphs help us to "read" archaeoastronomical properly in an archaeological site?

  5. Psychological effects of amputation: A review of studies from India

    Directory of Open Access Journals (Sweden)

    Anamika Sahu

    2016-01-01

    Full Text Available Amputation is a major health burden on the families, society, and on medical services as well. Traumatic limb amputation is a catastrophic injury and an irreversible act which is sudden and emotionally devastating for the victims. In addition, it causes inability to support self and the family and driving many patients toward various psychiatric disorders. Extensive information regarding the effects of amputation has not been ascertained and therefore it was decided to do a systematic review. The goal of this review was to provide comprehensive information of peer-reviewed papers examining the psychological distress among amputees in India. A search of the literature resulted in a total of 12 articles with varied sample size from 16 to 190. The sample has been largely comprised males with lower limb amputation caused by primarily traumatic ones, i.e., motor vehicle accident, railway track accidents, machinery injury, blasts, etc., The prevalence of psychiatric disorders among amputees has been found to be in the range of 32% to 84% including depression rates 10.4%–63%, posttraumatic stress disorder 3.3%–56.3%, and phantom limb phenomenon 14%–92%. Although the studies reported that symptoms of anxiety and depression become better over the course of time, however surgical treatment providers need to liaise with psychiatrists and psychologists to support and deal with the psychological disturbances.

  6. Association studies in common endocrine diseases (review article

    Directory of Open Access Journals (Sweden)

    Akrami SM

    2007-05-01

    Full Text Available Our understanding of the pathogenesis of endocrine disorders increase rapidly by genetic studies at the molecular level. Common endocrine disorders such as diabetes mellitus, obesity, osteoporosis, dyslipidemia and cancer follow the multifactorial model in the genetic aspect. This review tries to clarify the approach in molecular studies of such diseases for clinicians in different specialties. How to evaluate a possible association between a single nucleotide polymorphism and an endocrinopathy or its complication is the main concern of this review. Two approaches for gene mapping will be discussed as well as main challenges regarding each approach. All such genetic studies ideally include some test of the association between genome sequence variation and the phenotype of interest such as the trait itself, the presence of a given complication, or measures of some endocrinopathy-related intermediate trait. Despite different advances in this analysis, there are major concerns regarding the overall performance and robustness of genetic association studies. By using powerful new high-throughput methods, further insights to molecular basis of such endocrine disorders can be expected. Close correlation between geneticists and clinicians can effectively bridge between basic sciences and clinical investigations.

  7. Alcohol-Related Dementia and Neurocognitive Impairment: A Review Study

    Science.gov (United States)

    Sachdeva, Ankur; Chandra, Mina; Choudhary, Mona; Dayal, Prabhoo; Anand, Kuljeet Singh

    2016-01-01

    Context Alcohol consumption has escalated rapidly in many countries over the past decade. Evidence suggests a correlation between alcohol use and cognitive decline. We have systematically reviewed the concept and controversies, epidemiology, nosology, neuropathology and neurobiology, neuropsychology and management updates of alcohol-related dementia (ARD) in this paper. Evidence Acquisition We retrieved papers for this review by searching the PubMed database for terms “alcohol and dementia”, “alcohol and cognitive impairment”, and “alcohol and wernicke-korsakoff” mentioned in the title of the published papers. A total of 131 studies showed up. Appropriate studies were shortlisted and included (n = 72). Cross-references if relevant were considered from the selected studies. Eligible articles were fully read by the authors and the results were compiled. Results The prolonged and excessive use of alcohol may lead to structural and functional brain damage, leading to ARD. The cognitive deficits are most frequently observed in domains of visuospatial functions, memory and executive tasks, with a potential of partial recovery if abstinence is maintained. However, there are doubts regarding the etiopathogenesis, nosological status, prevalence and diagnostic criteria for ARD, due to difficulty in assessment and various confounding factors. Conclusions With growing cohort of young and middle-aged people, there is a probable risk of upsurge of ARD. Presently, there are dilemmas over the diagnosis of independent ARD. Thus, there is a need to develop evidence-based guidelines for diagnosis and management of ARD through further systematic studies. PMID:27818965

  8. A Review of Different Comparative Studies on Mobile Operating System

    Directory of Open Access Journals (Sweden)

    Ahmed Ali

    2014-03-01

    Full Text Available The main purpose of this study is to discuss the different comparative studies on mobile operating system. From the last few years with the use of mobile, the mobile technology is also increasing at a fast speed. Now a day's different mobile phone companies are competing in the market each having its own hardware and software. Each company mobile phone has its own interface and they are looking to provide new features to their customers. Each company use different operating system like Apple using iOS, Samsung using Android and Nokia using Symbian. In this study we will give, you review of different comparative studies on mobile operating systems done by different authors.

  9. Asymptomatic moyamoya disease: literature review and ongoing AMORE study.

    Science.gov (United States)

    Kuroda, Satoshi

    2015-01-01

    Recent development of a non-invasive magnetic resonance examination has increased the opportunity to identify asymptomatic patients with moyamoya disease who have experienced no cerebrovascular events. However, their clinical features, prognosis, and treatment strategy are still unclear because of small number of subjects and short follow-up periods. Therefore, we have designed Asymptomatic Moyamoya Registry (AMORE) study in Japan. The objectives of this nation-wide, multi-center prospective study are to clarify long-term prognosis of asymptomatic patients with moyamoya disease and to determine the risk factors that cause ischemic and hemorrhagic stroke in them. In this article, we review the published data on asymptomatic moyamoya disease and report the on-going multi-center prospective cohort study, AMORE study. We would like to emphasize the importance to determine the clinical features, prognosis, and treatment strategies of asymptomatic moyamoya disease in very near future.

  10. Nuclide Guide and International Chart of Nuclides - 2008

    Science.gov (United States)

    Golashvili, T.

    2009-08-01

    New versions of Nuclide Guide and Chart of the Nuclides were developed as a result of Russian-Chinese collaboration. The Nuclide Guide contains the basic information on more than 3000 radioactive and stable nuclides. The characteristics of isomers with half-lives more than 1 ms are included. For each nuclide spin, parity, mass of nuclide, magnetic moment (if available), mass excess, half-life or abundance, decay modes, branching ratios, emitted particles, energies of most intense gamma-rays and their intensities, decay energies and mean values of radiation energy per decay are given. For stable and natural long-lived nuclides cross-sections of thermal neutron induced activation are indicated. The information presented in the Guide was compiled from 5 sources: 1) ENSDF-2008, 2) atomic mass evaluation-2005 by Audi and Wapstra, 3) interactive data bases at web-sites , , 4) original evaluations of authors, 5) recent publications. The International Chart ot Nuclides was developed on the basis of information presented in Nuclide Guide.

  11. Open Peer Review in Scientific Publishing: A Web Mining Study of PeerJ Authors and Reviewers

    Directory of Open Access Journals (Sweden)

    Peiling Wang

    2016-11-01

    Full Text Available Purpose: To understand how authors and reviewers are accepting and embracing Open Peer Review (OPR, one of the newest innovations in the Open Science movement. Design/methodology/approach: This research collected and analyzed data from the Open Access journal PeerJ over its first three years (2013-2016. Web data were scraped, cleaned, and structured using several Web tools and programs. The structured data were imported into a relational database. Data analyses were conducted using analytical tools as well as programs developed by the researchers. Findings: PeerJ, which supports optional OPR, has a broad international representation of authors and referees. Approximately 73.89% of articles provide full review histories. Of the articles with published review histories, 17.61% had identities of all reviewers and 52.57% had at least one signed reviewer. In total, 43.23% of all reviews were signed. The observed proportions of signed reviews have been relatively stable over the period since the Journal's inception. Research limitations: This research is constrained by the availability of the peer review history data. Some peer reviews were not available when the authors opted out of publishing their review histories. The anonymity of reviewers made it impossible to give an accurate count of reviewers who contributed to the review process. Practical implications: These findings shed light on the current characteristics of OPR. Given the policy that authors are encouraged to make their articles' review history public and referees are encouraged to sign their review reports, the three years of PeerJ review data demonstrate that there is still some reluctance by authors to make their reviews public and by reviewers to identify themselves. Originality/value: This is the first study to closely examine PeerJ as an example of an OPR model journal. As Open Science moves further towards open research, OPR is a final and critical component. Research in this

  12. Radionuclides in fruit systems. A review of experimental studies

    Energy Technology Data Exchange (ETDEWEB)

    Carini, F.; Spalla, S. [Universita Cattolica del Sacro Cuore, Institute of Agricultural and Environmental Chemistry, Faculty of Agricultural Sciences, Via Emilia Parmense 84, I-29100 Piacenza (Italy); Green, N. [NRPB, Chilton, Didcot, Oxfordshire OX11 0RQ (United Kingdom)

    2006-04-15

    Existing information on processes and parameters analysed in experimental studies on fruits was reviewed at the inception of the activities of the IAEA BIOMASS Fruits Working Group. Additional information on experimental studies, collected during the activities of the Group and not included in the Review, is presented and discussed in this paper. Studies on deposition of {sup 14}CO{sub 2}, CO{sup 35}S and {sup 3}H{sub 2}O in the gas phase to apple, raspberry, strawberry and blackcurrant have filled gaps in knowledge of uptake of gaseous pollutants in fruit plants, quantifying processes of deposition, translocation and carry-over between seasons. Measurements over a period of six years on vine plants contaminated via leaves and soil by dry deposition of {sup 137}Cs and {sup 90}Sr have improved knowledge of the processes of direct deposition to fruit, translocation and carry-over of radionuclides from year to year. Additional information is given on soil to fruit transfer of U, Th and Pb for apple and mandarin grown under intensive agricultural conditions. (author)

  13. Radionuclides in fruit systems: A review of experimental studies

    Energy Technology Data Exchange (ETDEWEB)

    Carini, F. [Universita Cattolica del Sacro Cuore, Institute of Agricultural and Environmental Chemistry, Faculty of Agricultural Sciences, Via Emilia Parmense 84, I-29100 Piacenza (Italy)]. E-mail: franca.carini@unicatt.it; Green, N. [NRPB, Chilton, Didcot, Oxfordshire OX11 0RQ (United Kingdom); Spalla, S. [Universita Cattolica del Sacro Cuore, Institute of Agricultural and Environmental Chemistry, Faculty of Agricultural Sciences, Via Emilia Parmense 84, I-29100 Piacenza (Italy)

    2006-04-15

    Existing information on processes and parameters analysed in experimental studies on fruits was reviewed at the inception of the activities of the IAEA BIOMASS Fruits Working Group. Additional information on experimental studies, collected during the activities of the Group and not included in the Review, is presented and discussed in this paper. Studies on deposition of {sup 14}CO{sub 2}, CO{sup 35}S and {sup 3}H{sub 2}O in the gas phase to apple, raspberry, strawberry and blackcurrant have filled gaps in knowledge of uptake of gaseous pollutants in fruit plants, quantifying processes of deposition, translocation and carry-over between seasons. Measurements over a period of six years on vine plants contaminated via leaves and soil by dry deposition of {sup 137}Cs and {sup 9}Sr have improved knowledge of the processes of direct deposition to fruit, translocation and carry-over of radionuclides from year to year. Additional information is given on soil to fruit transfer of U, Th and Pb for apple and mandarin grown under intensive agricultural conditions.

  14. Current management of bronchiectasis: review and 3 case studies.

    Science.gov (United States)

    Silverman, Enid; Ebright, Linda; Kwiatkowski, Marianne; Cullina, Joanne

    2003-01-01

    Bronchiectasis is the abnormal, irreversible dilatation of diseased bronchi. Permanently dilated airways, usually in the medium-sized bronchi, are inflamed and often obstructed with thick, purulent secretions. Known causative factors include postinfection bronchial damage, postinhalation injury, hypersensitivity reactions, and congenital airway obstructive disorders. Typical symptoms include sputum overproduction, fever, pleurisy, dyspnea, and chronic cough. Diagnosis involves radiographic studies and pulmonary function testing. Treatment includes oral, aerosolized, or intravenous antibiotic therapy according to the severity of the exacerbation, and mucus clearance by means of bronchial hygiene assistive devices, chest physiotherapy, postural drainage, and high-frequency chest compression. We present a review of bronchiectasis and offer 3 case studies illustrating current management of different presentations, including use of aerosolized antibiotics for patients infected with Pseudomonas aeruginosa. Although an adjunctive program of pulmonary rehabilitation may be useful for patients with bronchiectasis, no confirming studies have been performed to date, and additional research in this area is warranted.

  15. A Critical Review of Some Ecological Studies on Scientific Journals

    Science.gov (United States)

    Yamazaki, Shigeaki

    There have been hot discussions about the number and the rate of growth of scientific journals. The purpose of this review is intended to provide a critical assessment of those ecological studies on scientific journals. In 1961, Price presented his famous graph curve, and noted that rate of growth of journals had been fairly consisted at 5 per cent annum for nearly 300 years. But Price's graph curve has some primary error, and the author suggest to examine carefully his study. There is another problem that the loose definition of scientific journals is used. The author try to give a clear definition on the term ‘scientific journals’, and try to reestimate historically the growth rate in numbers of current scientific journals, referring several reliable studies previously conducted. The Author's estimation is about 1.85 per cent a year from the last of 18 century.

  16. The importance of Trademarks and a review of empirical studies

    Directory of Open Access Journals (Sweden)

    Mirësi Çela

    2015-10-01

    Full Text Available Many studies have been focused on innovation and patents, less emphasis is given to trademarks, even though these intellectual property assets are more widely used by firms of all types across the whole economy. Various international treaties have been established in order to harmonize the different trademark's registration procedures across countries, and to simplify the application process for applicants targeting multiple countries. The aim of this paper is to make a review of some of the empirical studies done by scholars with trademarks in focus. Which are the motives that urge firms to register a trademark. How are trademarks related to innovation and firm’s size. At the end the paper concludes with some key messages on trademarks and their use by firms. Keywords: trademarks, innovation, empirical studies, intellectual property 

  17. Review: Magnetic Resonance Spectroscopy Studies of Pediatric Major Depressive Disorder

    Directory of Open Access Journals (Sweden)

    Douglas G. Kondo

    2011-01-01

    Full Text Available Introduction. This paper focuses on the application of Magnetic Resonance Spectroscopy (MRS to the study of Major Depressive Disorder (MDD in children and adolescents. Method. A literature search using the National Institutes of Health's PubMed database was conducted to identify indexed peer-reviewed MRS studies in pediatric patients with MDD. Results. The literature search yielded 18 articles reporting original MRS data in pediatric MDD. Neurochemical alterations in Choline, Glutamate, and N-Acetyl Aspartate are associated with pediatric MDD, suggesting pathophysiologic continuity with adult MDD. Conclusions. The MRS literature in pediatric MDD is modest but growing. In studies that are methodologically comparable, the results have been consistent. Because it offers a noninvasive and repeatable measurement of relevant in vivo brain chemistry, MRS has the potential to provide insights into the pathophysiology of MDD as well as the mediators and moderators of treatment response.

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

    Directory of Open Access Journals (Sweden)

    Nwankwojike

    2014-12-01

    Full Text Available A model for predicting the friction required by a palm frond broom peeling machine for effective peeling of palm leaf to broom bristle and a chart for selecting the best abrasive material for this machine’s peeling operation were developed in this study using mechanistic modeling method. The model quantified the relationship between the coefficient of friction and other operational parameters of this machine while the abrasives selection chart constitutes a plot of this measured friction parameter against the abrasive materials used in palm frond broom peeling machine fabrication. The values of the coefficient of friction of palm leaf on different abrasive materials used in this plot were determined from experimental study of the effect of moisture content level of naturally withered palm leaves (uninfluenced by external forces on their coefficient of friction with the abrasives. Results revealed the average moisture content of palm leaf this machine can peel effectively as 6.96% and also that the roughest among the abrasives that approximate the coefficient of friction for a specific design of this peeling machine gives maximum peeling efficiency. Thus, the roughest among the abrasive materials that approximate the coefficient of friction for a specific design of this machine should be selected and used for its fabrication and operation.

  19. Statistical study and review of prostatic latent carcinoma

    Directory of Open Access Journals (Sweden)

    Jamali M

    1996-06-01

    Full Text Available The autopsies, which have been performed within the last 50 years, have revealed that real prevalence of prostatic carcinoma is more frequent than clinical one. The real prevalence of prostatic carcinoma, is prevalence combination of carcinomas which have been revealed clinically (They have been confirmed by autopsy or by operation and the prostatic latent carcinomas are those, which are found in autopsy or randomly in the biopsies taken for hyperplasia. But they have no clinical syndromes. In order to review prevalence of prostatic latent carcinoma in Iran, all prostatic lesions (Including hyperplasia or carcinoma were studied in Imam Khomeini medical complex during 10 years (1981-91, in university Jihad center and medical center of Iran within 2 years and in Yazd faculty of medicine within 3 years (1981-84. The total cases were 1110 among which 1085 cases were selected upon reviewing for statistical analysis. At first all lamellas were studied, then the ratio of adenocarcinoma to total prostatic lesions were analyzed and types of carcinoma and their percentage in total cases were identified. Finally the prostatic latent carcinoma and its percentage in total malignancy cases were presented

  20. Medical futility and its challenges: a review study

    Science.gov (United States)

    Aghabarary, Maryam; Dehghan Nayeri, Nahid

    2016-01-01

    Concerns over limited medical equipment and resources, particularly in intensive care units (ICUs), have raised the issue of medical futility. Medical futility draws a contrast between physician’s authority and patients’ autonomy and it is one of the major issues of end-of-life ethical decision-making. The aim of this study was to review medical futility and its challenges. In this systematized review study, a comprehensive search of the existing literature was performed using an internet search with broad keywords to access related articles in both Persian and English databases. Finally, 89 articles were selected and surveyed. Medical futility is a complex, ambiguous, subjective, situation-specific, value-laden, and goal-dependent concept which is almost always surrounded by some degrees of uncertainty; hence, there is no objective and valid criterion for its determination. This concept is affected by many different factors such as physicians’ and patients’ value systems, medical goals, and sociocultural and religious context, and individuals’ emotions and personal characteristics. It is difficult to achieve a clear consensus over the concept of medical futility; hence, it should be defined and determined at an individual level and based on the unique condition of each patient. PMID:28050241