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Sample records for clinical performance evaluation

  1. Method for evaluating performance of clinical pharmacists.

    Science.gov (United States)

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

    1990-01-01

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

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

    OpenAIRE

    2014-01-01

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

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

    Science.gov (United States)

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

    2011-01-01

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

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

    OpenAIRE

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

    2015-01-01

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

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

    Directory of Open Access Journals (Sweden)

    C. Joseph

    2012-12-01

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

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

    Science.gov (United States)

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

    2016-07-01

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

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

    Science.gov (United States)

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

    2016-05-01

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

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

    Directory of Open Access Journals (Sweden)

    C. Joseph

    2011-02-01

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

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

    OpenAIRE

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

    2014-01-01

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

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

    LENUS (Irish Health Repository)

    Markey, G C

    2010-06-24

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

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

    OpenAIRE

    FARIBA HAGHANI; MOHAMMAD HATEF KHORAMI; MOHAMMAD FAKHARI

    2016-01-01

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

  12. STRUCTURED CLINICAL EVALUATION

    Directory of Open Access Journals (Sweden)

    Arabela Maria Barbosa Sampaio

    2014-05-01

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

  13. The Evaluation Of Clinical Competence

    OpenAIRE

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

    1980-01-01

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

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

    Science.gov (United States)

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

    2014-01-01

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

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

    DEFF Research Database (Denmark)

    van Dijken, Jan W V; Pallesen, Ulla

    2011-01-01

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

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

    Science.gov (United States)

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

    2002-01-01

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

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

    Science.gov (United States)

    Alshameeri, R S; Mammen, E F

    1995-08-01

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

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

    Directory of Open Access Journals (Sweden)

    Takayoshi Koide

    2012-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Breen Patricia

    2010-09-01

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

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

    Science.gov (United States)

    Onovo, Grace N.

    2013-01-01

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

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

    International Nuclear Information System (INIS)

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2008-05-15

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

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

    LENUS (Irish Health Repository)

    Breen, Patricia

    2010-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Bon-Min Koo

    2015-09-01

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

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

    DEFF Research Database (Denmark)

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

    2011-01-01

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

  6. Prognostics Performance Evaluation

    Data.gov (United States)

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

  7. Evaluating clinicians’ teaching performance

    OpenAIRE

    Boerebach, B.C.M.

    2014-01-01

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

  8. Malawi - Threshold Performance Evaluation

    Data.gov (United States)

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

  9. Evaluation of emergency department performance

    DEFF Research Database (Denmark)

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

    2013-01-01

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

  10. Evaluating Teacher Performance Fairly.

    Science.gov (United States)

    Sportsman, Michel Allain

    1986-01-01

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

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

    International Nuclear Information System (INIS)

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

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

    Science.gov (United States)

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

    2013-05-01

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

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

    Science.gov (United States)

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

    2014-03-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2008-02-15

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

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

    International Nuclear Information System (INIS)

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

  16. Evaluation of clinical practice guidelines.

    OpenAIRE

    Basinski, A S

    1995-01-01

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

  17. Performance measurement and evaluation

    OpenAIRE

    Lehmann, Bruce; Timmermann, Allan

    2007-01-01

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

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

    Science.gov (United States)

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

    2015-10-01

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

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

    Science.gov (United States)

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

    2015-09-01

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

  20. Human Performance Evaluation System

    International Nuclear Information System (INIS)

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

  1. Board Performance Evaluation

    OpenAIRE

    Osborne, Simon

    2008-01-01

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

  2. Clinical Concerns About Clinical Performance Measurement

    OpenAIRE

    Werner, Rachel M.; Asch, David A.

    2007-01-01

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

  3. Evaluation of Company Performance

    OpenAIRE

    Šuláková, Jana

    2012-01-01

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

  4. Clinical evaluation of contemporary oxygenators.

    Science.gov (United States)

    Stanzel, Roger D P; Henderson, Mark

    2016-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Nilesh Manohar Ingle

    2013-01-01

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

  6. About performance and evaluation of employee performance

    OpenAIRE

    Irinel MARIN

    2009-01-01

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

  7. Criteria for performance evaluation

    Directory of Open Access Journals (Sweden)

    David J. Weiss

    2009-03-01

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

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

    LENUS (Irish Health Repository)

    O'Brien, Gillian

    2010-10-01

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

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

    Directory of Open Access Journals (Sweden)

    Lindi-Marie Coetzee

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

  10. Performance Evaluation of Security Protocols

    CERN Document Server

    Genge, Bela

    2009-01-01

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

  11. Evaluating clinical dermatology practice in medical undergraduates.

    Science.gov (United States)

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

    2014-06-01

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

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

    Science.gov (United States)

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

    2016-04-01

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

  13. Computer Architecture Performance Evaluation Methods

    CERN Document Server

    Eeckhout, Lieven

    2010-01-01

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

  14. Emmetropic eyes: objective performance and clinical reference

    Science.gov (United States)

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

    2013-11-01

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

  15. Clinical and MRI evaluation of tuberculous meningitis

    International Nuclear Information System (INIS)

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

  16. Optical DQPSK Modulation Performance Evaluation

    OpenAIRE

    Costa, Nelson; Cartaxo, Adolfo

    2010-01-01

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

  17. Dry Process Fuel Performance Evaluation

    Energy Technology Data Exchange (ETDEWEB)

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

    2005-04-15

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

  18. Clinical simulation as an evaluation method in health informatics

    DEFF Research Database (Denmark)

    Jensen, Sanne

    2016-01-01

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

  19. Revisiting Mutual Fund Performance Evaluation

    OpenAIRE

    Angelidis, Timotheos; Giamouridis, Daniel; Tessaromatis, Nikolaos

    2012-01-01

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

  20. Evaluating Judicial Performance Evaluation: A Conceptual Analysis

    Directory of Open Access Journals (Sweden)

    Joe McIntyre

    2014-12-01

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

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

    Directory of Open Access Journals (Sweden)

    Jünger, Jana

    2006-08-01

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

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

    International Nuclear Information System (INIS)

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

  3. Evaluation of a Rheumatology Transition Clinic

    OpenAIRE

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

    2015-01-01

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

  4. Evaluation of EIT system performance

    International Nuclear Information System (INIS)

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

  5. Performance Evaluation of Security Protocols

    DEFF Research Database (Denmark)

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

    2005-01-01

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

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

    International Nuclear Information System (INIS)

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

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

    Science.gov (United States)

    Herrn, Rainer; Friedland, Alexander

    2014-12-01

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

  8. Developments in statistical evaluation of clinical trials

    CERN Document Server

    Oud, Johan; Ghidey, Wendimagegn

    2014-01-01

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

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

    NARCIS (Netherlands)

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

    2012-01-01

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

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

    OpenAIRE

    Rokkonen, Mira Marjut Elina

    2013-01-01

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

  11. Evaluating Judicial Performance: Editors’ Introduction

    Directory of Open Access Journals (Sweden)

    Francesco Contini

    2014-12-01

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

  12. Assessing Students – Clinical Competence Versus Performance

    Directory of Open Access Journals (Sweden)

    John Ruedy

    2007-06-01

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

  13. Ceftriaxone: in vitro studies and clinical evaluation.

    OpenAIRE

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

    1982-01-01

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

  14. 48 CFR 436.604 - Performance evaluation.

    Science.gov (United States)

    2010-10-01

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

  15. Performance evaluation of computed radiography systems

    International Nuclear Information System (INIS)

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2010-07-15

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

  17. Clinically meaningful performance benchmarks in MS

    Science.gov (United States)

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

    2013-01-01

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

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

    International Nuclear Information System (INIS)

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

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

    Science.gov (United States)

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

    1996-10-01

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

  20. 48 CFR 2936.604 - Performance evaluation.

    Science.gov (United States)

    2010-10-01

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

  1. 13 CFR 304.4 - Performance evaluations.

    Science.gov (United States)

    2010-01-01

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

  2. Evaluation of the clinical usefulness of modulated Arc treatment

    OpenAIRE

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

    2015-01-01

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

  3. 48 CFR 236.604 - Performance evaluation.

    Science.gov (United States)

    2010-10-01

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

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

    Science.gov (United States)

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

    2008-01-01

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

  5. Experimental evaluation of clinical colon anastomotic leakage

    DEFF Research Database (Denmark)

    Pommergaard, Hans-Christian

    2014-01-01

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

  6. Chronic diarrhea. Diagnosis and clinical evaluation

    International Nuclear Information System (INIS)

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

  7. Periodic paralysis: clinical evaluation in 20 patients

    OpenAIRE

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

    1994-01-01

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

  8. 48 CFR 36.604 - Performance evaluation.

    Science.gov (United States)

    2010-10-01

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

  9. Improving Fuzzy Comprehensive Evaluation of Logistics Performance Evaluation

    OpenAIRE

    PAN Xiao lin; Huang, Rong Rong

    2012-01-01

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

  10. Energy performance evaluation of AAC

    Science.gov (United States)

    Aybek, Hulya

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

  11. Traceability of performance evaluation materials

    International Nuclear Information System (INIS)

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

  12. Evaluation of leak current of clinical electrometers

    International Nuclear Information System (INIS)

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

  13. Relative Performance Evaluation and Limited Liability

    OpenAIRE

    Bhaskar, V.

    2002-01-01

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

  14. Hypersensitivity pneumonitis: Radiological, clinical and pathologic evaluation

    International Nuclear Information System (INIS)

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

  15. Theory and Practice on Teacher Performance Evaluation

    Institute of Scientific and Technical Information of China (English)

    Cai Yonghong; Lin Chongde

    2006-01-01

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

  16. Clinical evaluation in periodontitis patient after curettage

    Directory of Open Access Journals (Sweden)

    Widowati Witjaksono

    2006-09-01

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

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

    OpenAIRE

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

    2010-01-01

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

  18. Medicare Administrative Contractor Performance Evaluation

    Data.gov (United States)

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

  19. Performance Evaluation of Graphics Accelerator

    OpenAIRE

    Vanek, Juraj

    2010-01-01

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

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

    Science.gov (United States)

    2010-06-08

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

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

    Directory of Open Access Journals (Sweden)

    Russ, Hagen

    2015-01-01

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

  2. Evaluating iterative reconstruction performance in computed tomography

    International Nuclear Information System (INIS)

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

  3. Portfolio optimization and performance evaluation

    DEFF Research Database (Denmark)

    Juhl, Hans Jørn; Christensen, Michael

    2013-01-01

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

  4. Metrics for Offline Evaluation of Prognostic Performance

    Data.gov (United States)

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

  5. Performance Evaluation of Cluster Computing

    OpenAIRE

    K D.Kavitha; RojaRamani.Adapa

    2013-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Schuette Wolfgang

    2012-01-01

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

  7. Performance Evaluation of Cluster Computing

    Directory of Open Access Journals (Sweden)

    K D.Kavitha

    2013-08-01

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

  8. Theory and Practice on Teacher Performance Evaluation

    Science.gov (United States)

    Yonghong, Cai; Chongde, Lin

    2006-01-01

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

  9. Performance evaluation methods in the hotel industry

    OpenAIRE

    Nunes, C.; Machado, M.

    2014-01-01

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

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

    OpenAIRE

    Laila Akhu-Zaheya; Insaf Shaban; Wejdan Khater

    2015-01-01

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

  11. PERFORMANCE EVALUATION: LITERATURE REVIEW AND TIME EVOLUTION.

    Directory of Open Access Journals (Sweden)

    Pintea Mirela-Oana

    2012-07-01

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

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

    Science.gov (United States)

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

    2015-01-01

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

  13. Testing Assumptions about Evaluating Strategic Alliance Performance

    OpenAIRE

    Olk, Paul; Ariño, Africa

    2003-01-01

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

  14. Performance Evaluation - Annual Report Year 2

    OpenAIRE

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

    2006-01-01

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

  15. Periodic paralysis: clinical evaluation in 20 patients

    Directory of Open Access Journals (Sweden)

    Célia Harumi Tengan

    1994-12-01

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

  16. Implementing Peer Evaluation of Clinical Teaching

    Science.gov (United States)

    Laske, Rita Ann

    2013-01-01

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

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

    Directory of Open Access Journals (Sweden)

    S.A. Arias

    2013-12-01

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

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

    Science.gov (United States)

    Marquardt, Steve

    1996-01-01

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

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

    Science.gov (United States)

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

    2011-01-01

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

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

    Science.gov (United States)

    Chibnall, John T.; Blaskiewicz, Robert J.

    2008-01-01

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

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

    OpenAIRE

    Buljanović, Vikica; Patajac, Hrvoje; Petrovečki, Mladen

    2011-01-01

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

  2. Clinical evaluation of serial CT scan

    International Nuclear Information System (INIS)

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

  3. Conductor gestures influence evaluations of ensemble performance.

    Science.gov (United States)

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

    2014-01-01

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

  4. Conductor gestures influence evaluations of ensemble performance

    Directory of Open Access Journals (Sweden)

    Steven eMorrison

    2014-07-01

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

  5. Evaluation of the clinical usefulness of modulated Arc treatment

    CERN Document Server

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

    2015-01-01

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

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

    OpenAIRE

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

    2016-01-01

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

  7. Laboratory performance evaluation reports for management

    International Nuclear Information System (INIS)

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

  8. Improvement of Automotive Part Supplier Performance Evaluation

    Science.gov (United States)

    Kongmunee, Chalermkwan; Chutima, Parames

    2016-05-01

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

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

    Science.gov (United States)

    Vlak, Tonko

    2004-01-01

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

  10. Clinical evaluation of joint scintigraphy in rheumatoid arthritis

    International Nuclear Information System (INIS)

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

  11. Class diagram based evaluation of software performance

    Science.gov (United States)

    Pham, Huong V.; Nguyen, Binh N.

    2013-03-01

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

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

    Science.gov (United States)

    Gough, Harrison G.; Hall, Wallace B.

    1975-01-01

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

  13. Performance-Based Evaluation and School Librarians

    Science.gov (United States)

    Church, Audrey P.

    2015-01-01

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

  14. Building Leadership Talent through Performance Evaluation

    Science.gov (United States)

    Clifford, Matthew

    2015-01-01

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

  15. Performance evaluation of PL-11 platelet analyzer

    Institute of Scientific and Technical Information of China (English)

    张有涛

    2013-01-01

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

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

    OpenAIRE

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

    2015-01-01

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

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

    Science.gov (United States)

    Rice, Eileen

    2015-01-01

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

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

    DEFF Research Database (Denmark)

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

    2011-01-01

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

  19. Image Evaluation For Sensor Performance Standards

    Science.gov (United States)

    Peck, Lorin C.

    1989-02-01

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

  20. Performance evaluation of Central European companies

    Directory of Open Access Journals (Sweden)

    Petr Fiala

    2015-10-01

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

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

    OpenAIRE

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

    2012-01-01

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

  2. Supplier Performance Evaluation and Rating System (SPEARS)

    International Nuclear Information System (INIS)

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

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

    Science.gov (United States)

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

    2016-04-01

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

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

    Science.gov (United States)

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

    2006-09-01

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

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

    Science.gov (United States)

    Bermingham, Gudrun A.

    2000-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

    Wabo Nero C; Örtenwall P; Khorram-Manesh A

    2012-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Laila Akhu-Zaheya

    2015-06-01

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

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

    Science.gov (United States)

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

    2016-04-01

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

  9. Evaluation of the clinical usefulness of modulated arc treatment

    Science.gov (United States)

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

    2015-07-01

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

  10. Clinical evaluation of 413 Thalassemic patients

    Directory of Open Access Journals (Sweden)

    Korosdari Gh.H

    2000-08-01

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

  11. Evaluating a Model by Forecast Performance.

    OpenAIRE

    Michael P. Clements; David F. Hendry

    2005-01-01

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

  12. Evaluating Portfolio Performance with Stochastic Discount Factors

    OpenAIRE

    1997-01-01

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

  13. Guideline for performance evaluation of positron emission tomographs

    International Nuclear Information System (INIS)

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

  14. Performance evaluations of demountable electrical connections

    International Nuclear Information System (INIS)

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

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

    Energy Technology Data Exchange (ETDEWEB)

    2014-08-01

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

  16. The Clinical Evaluation of Parkinson's Tremor

    NARCIS (Netherlands)

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

    2015-01-01

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

  17. Methods of Evaluating Performances for Marketing Strategies

    OpenAIRE

    Ioan Cucu

    2005-01-01

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

  18. Performance evaluation of radiographic systems and techniques

    International Nuclear Information System (INIS)

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

  19. Online evaluation of tracking algorithm performance

    OpenAIRE

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

    2009-01-01

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

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

    Science.gov (United States)

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

    2014-01-01

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

  1. Subjective performance evaluations and employee careers

    DEFF Research Database (Denmark)

    Frederiksen, Anders; Lange, Fabian; Kriechell, Ben

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

  2. Evaluation of the Service Performance of Ships

    DEFF Research Database (Denmark)

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

    2005-01-01

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

  3. Subjective performance evaluation and gender discrimination

    NARCIS (Netherlands)

    V.S. Maas; R. Torres-Gonzalez

    2011-01-01

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

  4. PERFORMANCE EVALUATION OF AN IMPROVED STREET SWEEPER

    Science.gov (United States)

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

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

    OpenAIRE

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

    2008-01-01

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

  6. Clinical evaluation of synthetic aperture sequential beamforming

    DEFF Research Database (Denmark)

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

    2012-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Chelsea Marvos

    2015-01-01

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

  8. Performance evaluation of two personal bioaerosol samplers.

    Science.gov (United States)

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

    2011-01-01

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

  9. Performance evaluation of cleanroom environmental systems

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Tengfang

    2003-07-07

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

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

    Science.gov (United States)

    2010-07-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Directory of Open Access Journals (Sweden)

    MM Chabeli

    2001-09-01

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

  13. Blind Source Parameters for Performance Evaluation of Despeckling Filters

    Directory of Open Access Journals (Sweden)

    Nagashettappa Biradar

    2016-01-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

  15. Method of evaluating the reactor core performance

    International Nuclear Information System (INIS)

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

  16. Performance evaluation of fingerprint verification systems.

    Science.gov (United States)

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

    2006-01-01

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

  17. Subjective performance evaluations and employee careers

    DEFF Research Database (Denmark)

    Frederiksen, Anders; Lange, Fabian; Kriechel, Ben

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

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

    DEFF Research Database (Denmark)

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

    2006-01-01

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

  19. Cavitation performance evaluation for a condensate pump

    International Nuclear Information System (INIS)

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

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

    Science.gov (United States)

    Nair, B K; Nair, C H

    1975-05-01

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

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

    Science.gov (United States)

    Ghorpade, J; Chen, M M

    1997-01-01

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

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

    Science.gov (United States)

    Berman, Mara

    2004-02-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Science.gov (United States)

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

  5. Injection performance evaluation for SSRF storage ring

    Science.gov (United States)

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

    2015-09-01

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

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

    Science.gov (United States)

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

    2014-07-01

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

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

    Institute of Scientific and Technical Information of China (English)

    官雪梅

    2015-01-01

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

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

    DEFF Research Database (Denmark)

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

    2014-01-01

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

  9. PERFORMANCE EVALUATION OF WASTE WATER TREATMENT PLANT

    OpenAIRE

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

    2010-01-01

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

  10. Performance Evaluation of Tree Object Matching

    DEFF Research Database (Denmark)

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

    2005-01-01

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

  11. What form of relative performance evaluation?

    OpenAIRE

    Celentani, Marco; Loveira-Paz??, Rosa

    2004-01-01

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

  12. Communication processes, public administration and performance evaluation

    OpenAIRE

    Arta Musaraj

    2011-01-01

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

  13. Metrics for Offline Evaluation of Prognostic Performance

    Science.gov (United States)

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

    2010-01-01

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

  14. Analytical performance evaluation for autonomous sensor fusion

    Science.gov (United States)

    Chang, K. C.

    2008-04-01

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

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

    Science.gov (United States)

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

    2011-03-01

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

  16. Clinical and radiological evaluation of ARDS

    International Nuclear Information System (INIS)

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

  17. Clinical Evaluation of Inpatients with Acute Urticaria

    Directory of Open Access Journals (Sweden)

    Ayşe Serap

    2011-12-01

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

  18. Evaluation of models in performance assessment

    International Nuclear Information System (INIS)

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

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

    International Nuclear Information System (INIS)

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

  20. Evaluating laboratory's performance in drinking water samples

    International Nuclear Information System (INIS)

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

  1. Performance evaluation of an automotive thermoelectric generator

    Science.gov (United States)

    Dubitsky, Andrei O.

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

  2. Performance Evaluation of Triangulation Based Range Sensors

    Directory of Open Access Journals (Sweden)

    Monica Bordegoni

    2010-07-01

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

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

    Science.gov (United States)

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

    2008-01-01

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

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

    Science.gov (United States)

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

    2012-03-01

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

  5. A performance evaluation of personnel identity verifiers

    International Nuclear Information System (INIS)

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

  6. Quality evaluation of controlled clinical information service trials.

    OpenAIRE

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

    1993-01-01

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

  7. Performance evaluation of computer and communication systems

    CERN Document Server

    Le Boudec, Jean-Yves

    2011-01-01

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

  8. Robust benevolent evaluations of teaching performance

    OpenAIRE

    Rogge, Nicky

    2009-01-01

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

  9. Performance evaluation of TCP over ABT protocols

    Science.gov (United States)

    Ata, Shingo; Murata, Masayuki; Miyahara, Hideo

    1998-10-01

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

  10. Irradiation and performance evaluation of DUPIC fuel

    Energy Technology Data Exchange (ETDEWEB)

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

    2000-05-01

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

  11. High-current performance evaluation of DCCTs

    CERN Document Server

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

    1998-01-01

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

  12. Irradiated Fuel Performance Evaluation Technology Development

    International Nuclear Information System (INIS)

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

  13. Performance evaluations of a geothermal power plant

    International Nuclear Information System (INIS)

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

  14. 48 CFR 436.201 - Evaluation of contractor performance.

    Science.gov (United States)

    2010-10-01

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

  15. 40 CFR 35.9055 - Evaluation of recipient performance.

    Science.gov (United States)

    2010-07-01

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

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

    OpenAIRE

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

    2009-01-01

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

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

    Science.gov (United States)

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

    2011-04-01

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

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

    International Nuclear Information System (INIS)

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

  19. CLINICAL EVALUATION OF SELECTED COLOURING HERBALS IN SAVARNIKARAN

    Directory of Open Access Journals (Sweden)

    Wadikar Sujata Surendra

    2013-03-01

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

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

    Directory of Open Access Journals (Sweden)

    Thiago Galvão da Silva Paim

    2014-06-01

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

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

    OpenAIRE

    1994-01-01

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

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

    OpenAIRE

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

    2006-01-01

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

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

    OpenAIRE

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

    1981-01-01

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

  4. Evaluation of Performance Indexes of Emergency Department

    Directory of Open Access Journals (Sweden)

    Alireza Baratloo

    2015-02-01

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

  5. Evaluation of a pharmacist-managed anticoagulation clinic.

    Science.gov (United States)

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

    1985-06-01

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

  6. Performance Evaluation of DSC Windows for Buildings

    Directory of Open Access Journals (Sweden)

    Jun-Gu Kang

    2013-01-01

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

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

    Science.gov (United States)

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

    2002-11-01

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

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

    Institute of Scientific and Technical Information of China (English)

    唐盛; 林恒先; 龚海涛; 单万水

    2011-01-01

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

  9. Nuclear fuel performance evaluation. Final report

    International Nuclear Information System (INIS)

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

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

    Science.gov (United States)

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

    1985-02-01

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

  11. A performance evaluation system for photomultiplier tubes

    International Nuclear Information System (INIS)

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

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

    OpenAIRE

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

    2008-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Kaye AD

    2014-05-01

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

  14. 48 CFR 236.201 - Evaluation of contractor performance.

    Science.gov (United States)

    2010-10-01

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

  15. Clinical evaluation of stress fractures using bone scintigraphy

    International Nuclear Information System (INIS)

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

  16. Performance Evaluation of Frequent Subgraph Discovery Techniques

    Directory of Open Access Journals (Sweden)

    Saif Ur Rehman

    2014-01-01

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

  17. PERFORMANCE EVALUATION OF CHAOTIC ENCRYPTION TECHNIQUE

    Directory of Open Access Journals (Sweden)

    Ancy Mariam Babu

    2013-01-01

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

  18. Multilingual Database Management System: A Performance Evaluation

    Directory of Open Access Journals (Sweden)

    Nurul H.M. Saad

    2011-01-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2012-09-15

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

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

    Science.gov (United States)

    2010-10-01

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

  2. DRACS thermal performance evaluation for FHR

    International Nuclear Information System (INIS)

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

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

    NARCIS (Netherlands)

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

    2010-01-01

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

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

    International Nuclear Information System (INIS)

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

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

    OpenAIRE

    Yates, Janet; James, David

    2013-01-01

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

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

    Science.gov (United States)

    2010-07-01

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

  7. INTEGRATED WATER TREATMENT SYSTEM PERFORMANCE EVALUATION

    International Nuclear Information System (INIS)

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

  8. ANALYZING APPROACHES TO EVALUATING AIRLINES PERFORMANCE

    Directory of Open Access Journals (Sweden)

    O. Marusych

    2014-09-01

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

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

    OpenAIRE

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

    2012-01-01

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

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

    Science.gov (United States)

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

    2014-01-01

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

  11. Importance Performance Analysis as a Trade Show Performance Evaluation and Benchmarking Tool

    OpenAIRE

    Tafesse, Wondwesen; Skallerud, Kåre; Korneliussen, Tor

    2010-01-01

    The purpose of this study is to introduce importance performance analysis as a trade show performance evaluation and benchmarking tool. Importance performance analysis considers exhibitors’ performance expectation and perceived performance in unison to evaluate and benchmark trade show performance. The present study uses data obtained from exhibitors of an international trade show to demonstrate how importance performance analysis can be used to evaluate and benchmark trade show performance. ...

  12. Evaluation of strategic plans: the performance principle

    OpenAIRE

    1997-01-01

    Evaluation and implementation studies have a well-established tradition For evaluation in general, this tradition seems to offer a clear-cut research design. This is not true for evaluation of strategic plans. First, most evaluation and implementation research deals with specific and well-defined operational policy and not with broad and sometimes vague indicative strategic planning. Second, the means - ends scheme underlying mainstream evaluation, in which conformance between a plan and fina...

  13. Performance Evaluation and Simulation of Pressurized Gasification

    Directory of Open Access Journals (Sweden)

    C. Mohanraj

    2012-08-01

    Full Text Available The emergence of biomass based energy warrants the evaluation of syn-gas from biomass gasification as a fuel for power systems. The earlier investigations reveal that the operating parameters strongly affect the syn gas quality. The gasifier performance was investigated with different operating pressure. The downdraft gasifier has tested with silver oak woodchips of size approximately 12mm×12mm×12mm. The total feed of 8-8.5kg of wood was fed into the system and an airflow rate of 130 lpm supplied by compressor and the gasifier was tested different pressure conditions. The main variables namely oxidation zone temperature, combustible gas contents (H2, CO & CH4, calorific value, gas production rate and conversion efficiency was studied. The percentage of total combustible gas is varied between 30.60% - 35.97% and the average composition is N2 = 44.29% – 54.78%, CH4 = 0.62% – 1.51%, H2 = 15.7% – 25.48%, CO = 7.96% – 11.4%, CO2 = 11.37% – 19.70%. The calorific value of syn gas was found to vary between 3.860 MJ/m3 – 4.374.94 MJ/m3. The conversion efficiency varied between 86.8% - 73.7%.Computational fluid dynamics (CFD method was used to predict the performance of the down draft biomass gasifier. For simulation purpose the combustion zone of the gasifier was separately modeled and analyzed.

  14. High-Performance Monopropellants and Catalysts Evaluated

    Science.gov (United States)

    Reed, Brian D.

    2004-01-01

    The NASA Glenn Research Center is sponsoring efforts to develop advanced monopropellant technology. The focus has been on monopropellant formulations composed of an aqueous solution of hydroxylammonium nitrate (HAN) and a fuel component. HAN-based monopropellants do not have a toxic vapor and do not need the extraordinary procedures for storage, handling, and disposal required of hydrazine (N2H4). Generically, HAN-based monopropellants are denser and have lower freezing points than N2H4. The performance of HAN-based monopropellants depends on the selection of fuel, the HAN-to-fuel ratio, and the amount of water in the formulation. HAN-based monopropellants are not seen as a replacement for N2H4 per se, but rather as a propulsion option in their own right. For example, HAN-based monopropellants would prove beneficial to the orbit insertion of small, power-limited satellites because of this propellant's high performance (reduced system mass), high density (reduced system volume), and low freezing point (elimination of tank and line heaters). Under a Glenn-contracted effort, Aerojet Redmond Rocket Center conducted testing to provide the foundation for the development of monopropellant thrusters with an I(sub sp) goal of 250 sec. A modular, workhorse reactor (representative of a 1-lbf thruster) was used to evaluate HAN formulations with catalyst materials. Stoichiometric, oxygen-rich, and fuelrich formulations of HAN-methanol and HAN-tris(aminoethyl)amine trinitrate were tested to investigate the effects of stoichiometry on combustion behavior. Aerojet found that fuelrich formulations degrade the catalyst and reactor faster than oxygen-rich and stoichiometric formulations do. A HAN-methanol formulation with a theoretical Isp of 269 sec (designated HAN269MEO) was selected as the baseline. With a combustion efficiency of at least 93 percent demonstrated for HAN-based monopropellants, HAN269MEO will meet the I(sub sp) 250 sec goal.

  15. Clinical evaluation of digital cine imaging on coronary angiography

    International Nuclear Information System (INIS)

    Digital cine angio system was developed a few years ago and is used widely for cardiac examinations. However, the image quality of digital imaging in clinical examinations is seldom evaluated. We have attempted to evaluate the digital imaging in D.C.I. First, each segment of coronary arteries that is exposed in routine projection angle were visually evaluated. Second, regarding the appearance of the coronary arteries on the diaphragm we compared digital imaging with cine film. As a result, the image quality of the coronary arteries except for segments 7 to 10 (classified by A.H.A.) was evaluated as being good. Regarding the appearance of coronary arteries on a diaphragm, digital imaging was evaluated higher than cine film. In this report, the advantages of digital imaging in coronary angiography were studied. (author)

  16. Clinical evaluation of a wireless ECG sensor system for arrhythmia diagnostic purposes

    OpenAIRE

    Fensli, Rune; Gundersen, Torstein; Snaprud, Tormod; Heljesen, Ole

    2013-01-01

    In a clinical study, a novel wireless electrocardiogram (ECG) recorder has been evaluated with regard to its ability to perform arrhythmia diagnostics. As the ECG recorder will detect a "non-standard" ECG signal, it has been necessary to compare those signals to "standard" ECG recording signals in order to evaluate the arrhythmia detection ability of the new system. Simultaneous recording of ECG signals from both the new wireless ECG recorder and a conventional Holter recorder was compared by...

  17. Performance Evaluation of an Infrared Thermocouple

    Directory of Open Access Journals (Sweden)

    Te-Ching Shen

    2010-11-01

    Full Text Available The measurement of the leaf temperature of forests or agricultural plants is an important technique for the monitoring of the physiological state of crops. The infrared thermometer is a convenient device due to its fast response and nondestructive measurement technique. Nowadays, a novel infrared thermocouple, developed with the same measurement principle of the infrared thermometer but using a different detector, has been commercialized for non-contact temperature measurement. The performances of two-kinds of infrared thermocouples were evaluated in this study. The standard temperature was maintained by a temperature calibrator and a special black cavity device. The results indicated that both types of infrared thermocouples had good precision. The error distribution ranged from −1.8 °C to 18 °C as the reading values served as the true values. Within the range from 13 °C to 37 °C, the adequate calibration equations were the high-order polynomial equations. Within the narrower range from 20 °C to 35 °C, the adequate equation was a linear equation for one sensor and a two-order polynomial equation for the other sensor. The accuracy of the two kinds of infrared thermocouple was improved by nearly 0.4 °C with the calibration equations. These devices could serve as mobile monitoring tools for in situ and real time routine estimation of leaf temperatures.

  18. Multilingual Database Management System: A Performance Evaluation

    Directory of Open Access Journals (Sweden)

    Nurul H.M. Saad

    2011-01-01

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

  19. Clinical and Radiographic Evaluation of Patients Treated with ITI Dental Implants and Evaluation of their Satisfaction

    OpenAIRE

    M Rismanchian; A Fazel

    2007-01-01

    Introduction: Dental implants are used increasingly in educational and clinical centers due to their ability to provide esthetic and function in patients. The aim of this study was to evaluate patients treated with ITI Dental implants clinically and radiographically, and also evaluate their satisfaction from esthetic and practical point of view.Methods and Materials: In this analytical descriptive retrospective study, 318 ITI Dental implants were placed for 107 patients (male and females). Im...

  20. Reporting and evaluation of HIV-related clinical endpoints in two multicenter international clinical trials

    DEFF Research Database (Denmark)

    Lifson, A; Rahme, FS; Belloso, WH; Dragsted, Ulrik Bak; El-Sadr, WM; Gatell, JM; Hoy, JF; Krum, EA; Nelson, R; Pedersen, C; Pett, SL; Davey, RT

    2006-01-01

    adjudication between reviewers before diagnostic certainty was assigned. CONCLUSION: Important requirements for HIV trials using clinical endpoints include objective definitions of "confirmed" and "probable," a formal reporting process with adequate information and supporting source documentation, evaluation......PURPOSE: The processes for reporting and review of progression of HIV disease clinical endpoints are described for two large phase III international clinical trials. METHOD: SILCAAT and ESPRIT are multicenter randomized HIV trials evaluating the impact of interleukin-2 on disease progression and...... death in HIV-infected patients receiving antiretroviral therapy. We report definitions used for HIV progression of disease endpoints, procedures for site reporting of such events, processes for independent review of reported events by an Endpoint Review Committee (ERC), and the procedure for...

  1. Clinical Application and Evaluation of Pharmacogenomics in Tumor Chemotherapy

    Institute of Scientific and Technical Information of China (English)

    Feng Jifeng

    2014-01-01

    In the treatment of tumor patients, how to select the chemotherapy regimen with better efifcacy, less toxicity and expense is a difficult problem that perplexes clinical doctors for a long time. Pharmacogenetics is to study the influence of genetic factors on pharmacokinetics, whereas pharmacogenomics is to study the relationship between various gene mutations and drug efifcacy and safety. With molecular biology developing, pharmacogenetics and pharmacogenomics are considered to be essential in the reduction of adverse reactions, improvement of efficacy and realization of individualized treatment. In this article, the clinical application and evaluation of pharmacogenomics in tumor chemotherapy were primarily investigated.

  2. CLINICAL EVALUATION OF SELECTED COLOURING HERBALS IN SAVARNIKARAN

    OpenAIRE

    Wadikar Sujata Surendra; Reddy Govind R.

    2013-01-01

    A Clinical study on "Clinical Evaluation of Selected Colouring Herbals in Savarnikaran" was carried out at shalya tantra dept. of M.A.Podar Hospital, Worli, Mumbai 18. The prime aim of the study is to make available an effective, alternative colouring cosmetic preparations which will be useful in post burn, post acne and post wound colour morbidity.Ayurvedic herbal drugs are abundant, easily available and cost effective but their use is not observed in all forms. The trial drug is prepared in...

  3. Comprehensive non-clinical respiratory evaluation of promising new drugs

    International Nuclear Information System (INIS)

    The need to evaluate the potential for new drugs to produce adverse effects on respiratory function in non-clinical safety assessment is based on the known effects of drugs from a variety of pharmacological/therapeutic classes on the respiratory system, the life-threatening consequences of respiratory dysfunction, and compliance with world-wide regulatory safety guidelines. The objective of this article is to provide a brief overview of the functional disorders of the respiratory system and to present the strategy and techniques considered to be most appropriate for detecting and characterizing drug-induced respiratory disorders in non-clinical safety studies

  4. Postoperative MRI evaluation of anorectal malformations with clinical correlation

    International Nuclear Information System (INIS)

    Sixteen postoperative patients with anorectal malformation were evaluated by MRI, and the results compared with the clinical assessment. Patients were classified into three groups - good (group 1, n = 10), fair (group 2, n = 3) and poor (group 3, n = 3) - on the basis of Kelly's clinical score of incontinence. The degree of development of the puborectalis and external sphincter muscles and the levator hammock was evaluated on MRI in comparison with patients without anorectal disease. The proportions of fair or poor development of the muscles were 37% in group 1,22% in group 2 and 67% in group 3. Although fair or poor development of the muscles was seen more frequently in group 3, there was no statistically significant difference between groups. However, poorly developed muscles were seen only in patients with fair or poor clinical scores. The difference in the anorectal angle measured on sagittal MRI images between patients in group 1 and groups 2 or 3 was significant. Our study indicates that MRI evaluation based solely on muscle development can be misleading, and measurement of the anorectal angle should be included in the MRI evaluation. (orig.)

  5. Clinical and audiological evaluation of hearing impaired children

    Directory of Open Access Journals (Sweden)

    Zafarullah Beigh

    2012-01-01

    Full Text Available Daily activities, interpersonal relationship, employment, and general well being; among such skills, communication skills are essential to a successful life for all individuals. Such skills affect education, adequate hearing acuity is of paramount importance and acts as a prerequisite in the overall personality development of an individual. Hearing impairment at any age has serious effects on the day to day life of an individual and he/she feels handicapped socially, emotionally, and scholastically. A child stuck with this malady is a back bencher in the class, excommunicative, and absent-minded. This study was conducted in order to find out various causes of hearing impairment in children and to study role of various audiological and radiological tests in finding the cause of impaired hearing in children. Aims and Objectives: To assess the possible etiological causes of hearing impairment in children. Study role of various audiological tests in finding the cause of impaired hearing in children. Study Design: Prospective study. Materials and Methods: This study was conducted in the Department of ENT and HNS of government medical college Srinagar. A total of 150 children of age range 0-14 years visited our ENT Department with complaints of impaired hearing, but only 70 children who met the inclusion criteria of impaired hearing and defective/delayed speech were selected for this study. Results of initial evaluation by means of comprehensive clinical history and followed by proper thorough systemic physical examination from head to toe was performed. These hearing impaired children were subjected to various subjective and objective tests; pure tone audiometry and behavioral observation audiometry were performed for subjective tests and impedance audiometry, Oto-acoustic emissions (OAE, and brainstem evoked response audiometry (BERA were performed for objective tests. Results: Possible etiological cause on the basis of history were birth anoxia (2

  6. 24 CFR 570.491 - Performance and evaluation report.

    Science.gov (United States)

    2010-04-01

    ... Development Block Grant Program § 570.491 Performance and evaluation report. The annual performance and evaluation report shall be submitted in accordance with 24 CFR part 91. (Approved by the Office of Management... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Performance and evaluation...

  7. 48 CFR 2452.216-73 - Performance evaluation plan.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Performance evaluation plan... 2452.216-73 Performance evaluation plan. As prescribed in 2416.406(e)(3), insert the following clause in all award fee contracts: Performance Evaluation Plan (AUG 1987) (a) The Government...

  8. 48 CFR 8.406-7 - Contractor Performance Evaluation.

    Science.gov (United States)

    2010-10-01

    ... Performance Evaluation. Ordering activities must prepare an evaluation of contractor performance for each... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Contractor Performance Evaluation. 8.406-7 Section 8.406-7 Federal Acquisition Regulations System FEDERAL ACQUISITION...

  9. 10 CFR 1045.9 - RD classification performance evaluation.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false RD classification performance evaluation. 1045.9 Section... classification performance evaluation. (a) Heads of agencies shall ensure that RD management officials and those... RD or FRD documents shall have their personnel performance evaluated with respect to...

  10. What is the relationship between emotional intelligence and dental student clinical performance?

    Science.gov (United States)

    Victoroff, Kristin Zakariasen; Boyatzis, Richard E

    2013-04-01

    Emotional intelligence has emerged as a key factor in differentiating average from outstanding performers in managerial and leadership positions across multiple business settings, but relatively few studies have examined the role of emotional intelligence in the health care professions. The purpose of this study was to examine the relationship between emotional intelligence (EI) and dental student clinical performance. All third- and fourth-year students at a single U.S. dental school were invited to participate. Participation rate was 74 percent (100/136). Dental students' EI was assessed using the Emotional Competence Inventory-University version (ECI-U), a seventy-two-item, 360-degree questionnaire completed by both self and other raters. The ECI-U measured twenty-two EI competencies grouped into four clusters (Self-Awareness, Self-Management, Social Awareness, and Relationship Management). Clinical performance was assessed using the mean grade assigned by clinical preceptors. This grade represents an overall assessment of a student's clinical performance including diagnostic and treatment planning skills, time utilization, preparation and organization, fundamental knowledge, technical skills, self-evaluation, professionalism, and patient management. Additional variables were didactic grade point average (GPA) in Years 1 and 2, preclinical GPA in Years 1 and 2, Dental Admission Test academic average and Perceptual Ability Test scores, year of study, age, and gender. Multiple linear regression analyses were conducted. The Self-Management cluster of competencies (b=0.448, pemotional self-control, achievement orientation, initiative, trustworthiness, conscientiousness, adaptability, and optimism. In this sample, dental students' EI competencies related to Self-Management were significant predictors of mean clinical grade assigned by preceptors. Emotional intelligence may be an important predictor of clinical performance, which has important implications for

  11. 40 CFR 35.515 - Evaluation of performance.

    Science.gov (United States)

    2010-07-01

    ... Administrator's decision under the dispute processes in 40 CFR 31.70. (d) Evaluation reports. The Regional... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Evaluation of performance. 35.515....515 Evaluation of performance. (a) Joint evaluation process. The applicant and the...

  12. Ultrasound Image Quality Assessment: A framework for evaluation of clinical image quality

    DEFF Research Database (Denmark)

    Hemmsen, Martin Christian; Pedersen, Mads Møller; Nikolov, Svetoslav Ivanov;

    2010-01-01

    Improvement of ultrasound images should be guided by their diagnostic value. Evaluation of clinical image quality is generally performed subjectively, because objective criteria have not yet been fully developed and accepted for the evaluation of clinical image quality. Based on recommendation 500...... from the International Telecommunication Union - Radiocommunication (ITU-R) for such subjective quality assessment, this work presents equipment and a methodology for clinical image quality evaluation for guiding the development of new and improved imaging. The system is based on a BK-Medical 2202 Pro......Focus scanner equipped with a UA2227 research interface, connected to a PC through X64-CL Express camera link. Data acquisition features subject data recording, loading/saving of exact scanner settings (for later experiment reproducibility), free access to all system parameters for beamformation and is...

  13. Measurement properties of exsisting clinical assessment methods evaluating scapular positioning and function. A systematic review

    DEFF Research Database (Denmark)

    Larsen, Camilla Marie; Juul-Kristensen, B; Lund, H;

    2014-01-01

    MEASUREMENT PROPERTIES OF EXISTING CLINICAL ASSESSMENT METHODS EVALUATING SCAPULAR POSITIONING AND FUNCTION. A SYSTEMATIC REVIEW1,2Camilla Marie Larsen, 1,3Birgit Juul-Kristensen, 1,3Hans Lund, 1Karen Søgaard1Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark2...... of the available clinical scapular assessment methods and critically appraise the methodological quality of the involved studies. METHODS A systematic, computer-assisted literature search using Medline, CINAHL, SportDiscus and EMBASE was performed from inception to October 2013. Reference lists in...... groups: Static positioning assessment (n=19), Semi-dynamic (n=13), and Dynamic functional assessment (n=22). Fifteen studies were excluded for evaluation due to no/few clinimetric results, leaving 35 studies for evaluation. Graded according to the COnsensus-based Standards for the selection of health...

  14. Relationship between oral clinical conditions and daily performances

    Directory of Open Access Journals (Sweden)

    Andréa Silveira Gomes

    2009-03-01

    Full Text Available The aim of this study was to assess the impact of oral status on the daily performances of civil servants from the Public Works and Waste Management Department of the city of Porto Alegre, located in Southern Brazil. A cross-sectional study was conducted on a representative sample composed of 276 civil servants with ages ranging from 35 to 44 years. The Oral Impacts on Daily Performances index developed was employed to measure impacts caused by oral clinical conditions. Oral examinations were performed after the interviews. Multinomial Logistic Regression Analysis was used. After adjusting for sex and educational level, the results showed that the subjects with high DMFT scores were 5.8 times (95% CI = 2.1-16.1 more likely to have high impacts on their everyday life than those with low DMFT scores. Subjects that presented some coronal caries were 4.3 times (95% CI = 1.9-9.8 more likely to have high impacts on their everyday life than those with no coronal caries. Dental status assessed through the DMFT index and coronal caries are important indicators of impacts on the everyday life of the studied population.

  15. A Quantitative and Qualitative Evaluation of Sentence Boundary Detection for the Clinical Domain.

    Science.gov (United States)

    Griffis, Denis; Shivade, Chaitanya; Fosler-Lussier, Eric; Lai, Albert M

    2016-01-01

    Sentence boundary detection (SBD) is a critical preprocessing task for many natural language processing (NLP) applications. However, there has been little work on evaluating how well existing methods for SBD perform in the clinical domain. We evaluate five popular off-the-shelf NLP toolkits on the task of SBD in various kinds of text using a diverse set of corpora, including the GENIA corpus of biomedical abstracts, a corpus of clinical notes used in the 2010 i2b2 shared task, and two general-domain corpora (the British National Corpus and Switchboard). We find that, with the exception of the cTAKES system, the toolkits we evaluate perform noticeably worse on clinical text than on general-domain text. We identify and discuss major classes of errors, and suggest directions for future work to improve SBD methods in the clinical domain. We also make the code used for SBD evaluation in this paper available for download at http://github.com/drgriffis/SBD-Evaluation. PMID:27570656

  16. Significant alterations in reported clinical practice associated with increased oversight of organ transplant center performance.

    Science.gov (United States)

    Schold, Jesse D; Arrington, Charlotte J; Levine, Greg

    2010-09-01

    In the past several years, emphasis on quality metrics in the field of organ transplantation has increased significantly, largely because of the new conditions of participation issued by the Centers for Medicare and Medicaid Services. These regulations directly associate patients' outcomes and measured performance of centers with the distribution of public funding to institutions. Moreover, insurers and marketing ventures have used publicly available outcomes data from transplant centers for business decision making and advertisement purposes. We gave a 10-question survey to attendees of the Transplant Management Forum at the 2009 meeting of the United Network for Organ Sharing to ascertain how centers have responded to the increased oversight of performance. Of 63 responses, 55% indicated a low or near low performance rating at their center in the past 3 years. Respondents from low-performing centers were significantly more likely to indicate increased selection criteria for candidates (81% vs 38%, P = .001) and donors (77% vs 31%, P < .001) as well as alterations in clinical protocols (84% vs 52%, P = .007). Among respondents indicating lost insurance contracts (31%), these differences were also highly significant. Based on respondents' perceptions, outcomes of performance evaluations are associated with significant changes in clinical practice at transplant centers. The transplant community and policy makers should practice vigilance that performance evaluations and regulatory oversight do not inadvertently lead to diminished access to care among viable candidates or decreased transplant volume. PMID:20929114

  17. Evaluation of different imaging chains in clinical chest radiography

    Energy Technology Data Exchange (ETDEWEB)

    Manninen, H.; Terho, E.O.; Wiljasalo, M.; Wiljasalo, S.; Soimakallio, S. (Kuopio Central Hospital (Finland))

    1984-11-01

    Six imaging techniques in clinical chest radiography have been evaluated: four film-screen combinations in the conventional grid technique and two combinations in the air gap technique. Five parameters characterising the quality of a chest radiograph were evaluated by three radiologists and one chest physician by using a nominal grading scale from -2 to +2 compared with the standard technique. The quality parameters judged were: the visibility of peripheral lung vessels, lung parenchyme, the pulmonary hilum, and lung structure behind the heart shadow, as well as the visibility of miscellaneous findings of clinical interest. The air gap technique was shown to be superior to the ordinary grid technique. The diagnostic quality of chest radiography does not necessarily deteriorate with the screen speed. However, statistically significant differences were noticed, even between techniques which had equal speed and physical resolution.

  18. PERFORMANCE COMPARISON OF ECG COMPRESSIONALGORITHMS BASED ON CLINICAL DIAGNOSIS

    Institute of Scientific and Technical Information of China (English)

    李顺山; 李高平; 乐园; 庄天戈

    2001-01-01

    This paper reviewed the recent progress in the field of electrocardiogram (ECG) compression and compared the efficiency of some compression algorithms. By experimenting on the 500 cases of ECG signals from the ECG database of China, it obtained the numeral indexes for each algorithm. Then by using the automatic diagnostic program developed by Shanghai Zhongshan Hospital, it also got the parameters of the reconstructed signals from linear approximation distance threshold (LADT), wavelet transform (WT), differential pulse code modulation (DPCM) and discrete cosine transform (DCT) algorithm. The results show that when the index of percent of root-mean-square difference(PRD) is less than 2.5%, the diagnostic agreement ratio is more than 90%; the index of PRD cannot completely show the damage of significant clinical information; the performance of wavelet algorithm exceeds other methods in the same compression ratio (CR). For the statistical result of the parameters of various methods and the clinical diagnostic results, it is of certain value and originality in the field of ECG compression research.

  19. Radiological Evaluation of Temporomandibular Joint Disorders Followed by Clinical Symptoms

    Energy Technology Data Exchange (ETDEWEB)

    Park, Tae Won; You Dong Soo [Dept. of Oral Radiology, College of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    1989-11-15

    The authors analyzed the clinical findings, radiological findings and their correlations in the temporomandibular joint disorders. 1. The most prevalent age group was in the first decade, then the second decade and the third decade. Female were more common with a ratio of 3.4 : 1. 2. The most common clinical findings was the pain on open mouth position (42.43%), then came the clicking and limitation of mouth opening. 3. The most common bone change on the condyle side was the erosion, then came the flattening, the osteopyte and the sclerosis in that orders. 4. In the case of the crepitus, the coarse crepitus showed more radiological change than the fine crepitus. 5. In the case of the mouth opening limitation, the evaluation of the translatory movement by transcranial projection was in accordance with the clinical evaluation. 6. The correlation between the clinical symptom and the condylar position within the mandibular fossa was not present and in the case of diagnosis of disc displacement, the transcranial projection seemed not to be able to substitute for the arthrography. 7. Radiographically, the most prevalent age group which showed the bone change was in the first, the second and the third decade. And the bone change seemed to have no relationship with aging.

  20. Radiological Evaluation of Temporomandibular Joint Disorders Followed by Clinical Symptoms

    International Nuclear Information System (INIS)

    The authors analyzed the clinical findings, radiological findings and their correlations in the temporomandibular joint disorders. 1. The most prevalent age group was in the first decade, then the second decade and the third decade. Female were more common with a ratio of 3.4 : 1. 2. The most common clinical findings was the pain on open mouth position (42.43%), then came the clicking and limitation of mouth opening. 3. The most common bone change on the condyle side was the erosion, then came the flattening, the osteopyte and the sclerosis in that orders. 4. In the case of the crepitus, the coarse crepitus showed more radiological change than the fine crepitus. 5. In the case of the mouth opening limitation, the evaluation of the translatory movement by transcranial projection was in accordance with the clinical evaluation. 6. The correlation between the clinical symptom and the condylar position within the mandibular fossa was not present and in the case of diagnosis of disc displacement, the transcranial projection seemed not to be able to substitute for the arthrography. 7. Radiographically, the most prevalent age group which showed the bone change was in the first, the second and the third decade. And the bone change seemed to have no relationship with aging.

  1. Advancing the use of checklists for evaluating performance in health care.

    Science.gov (United States)

    Rosen, Michael A; Pronovost, Peter J

    2014-07-01

    Patients frequently do not receive recommended therapies because performance expectations are often unclear. Clinical guidelines provide exhaustive details and recommendations, but this information is not formatted in a way that supports decision making or bedside translation of therapies. When performance expectations are unclear, it is difficult for clinicians to assess their own or others' competence. Checklists offer hope because they codify interventions, remove ambiguity, and increase reliability of care processes. Schmutz and colleagues developed a robust methodology to create a checklist for evaluating clinical performance, which is described in this issue of Academic Medicine.In this commentary, the authors offer several points to consider as checklists become more prevalent in medical education and clinical practice. First, culture is a much larger part of the equation than the checklist; understanding what all stakeholders expect to gain will help engage checklist use. Second, the construction, validation, and maintenance of checklist evaluation tools is labor intensive, requiring innovative dissemination approaches to ensure maximum access and use of checklists. Third, integrated systems that evaluate technically specified and adaptive performance are needed because some aspects of clinical performance cannot be captured on a checklist. Fourth, checklists provide an opportunity to evaluate and improve an individual's performance concurrently with the context in which it is delivered. A tighter connection between education and training activities and process improvement strategies will accelerate improvements in safety and quality. Schmutz and colleagues have provided advancements in performance evaluation that will help health care achieve higher-quality and safer care. PMID:24826861

  2. Epidemiological, clinical and sleep laboratory evaluations of insomnia

    Science.gov (United States)

    Bixler, E. O.; Kales, A.; Kales, J. D.

    1975-01-01

    Epidemiological studies have contributed to the understanding of the total scope of the insomnia problem, both in terms of the incidence of sleep difficulties, and the extent and frequency of hypnotic drug use. Clinical studies - at the Sleep Research and Treatment Center - have been used to evaluate the medical, psychological, pharmacological and situational factors contributing to insomnia, and to evaluate the psychotherapy and chemotherapy best suited to treatment of insomnia. The sleep laboratory studies were of two types: (1) the study of sleep induction, sleep maintenance, and sleep stages, and (2) the use of hypnotic drugs, emphasizing their effectiveness in inducing and maintaining sleep, and the duration of this effectiveness.

  3. A Clinical Evaluation Denture Adhesives Used by Patients With Xerostomia

    OpenAIRE

    Bogucki, Zdzislaw A.; Napadlek, Piotr; Dabrowa, Tomasz

    2015-01-01

    Abstract The purpose of study was to analyze the participants’ opinions concerning the effectiveness of 6 denture adhesives (DA). The study group included 60 participants. Criteria for selecting the patients were as follows: reduced retention and stabilization of maxillary complete dentures and xerostomia. These features were evaluated on basis of clinical examination and standard sialometry tests (u-SFR). Retention of maxillary dentures was scored by modified Kapur index before application o...

  4. A four-year clinical evaluation of acid etched bridges

    International Nuclear Information System (INIS)

    Thirty six (36) three unit acid etched bridges (20 posterior and 16 anterior) were clinically evaluated in relation to retention, cracking in the porcelain and caries status of the abutment teeth. The results showed that after 4 years 26 bridges (72.2 %) were successfully retained, one porcalin facing had fractured and none of the abutments showed evidence of caries during the period of the study. (author)

  5. Developing and assessing initiatives designed to improve clinical teaching performance.

    Science.gov (United States)

    Khandelwal, Sorabh; Bernard, Aaron W; Wald, David A; Manthey, David E; Fisher, Jonathan; Ankel, Felix; Williams, Sarah R; Szyld, Demian; Riddle, Janet; Anders Ericsson, K

    2012-12-01

    To improve the teaching performance of emergency physicians, it is necessary to understand the attributes of expert teachers and the optimal methods to deliver faculty development. A working group of medical educators was formed to review the literature, summarize what is known on the topic, and provide recommendations for future research. This occurred as a track of the 2012 Academic Emergency Medicine (AEM) consensus conference "Education Research in Emergency Medicine: Opportunities, Challenges, and Strategies for Success." The group concluded that the current state of research on these topics is limited. Improvement in understanding will come through research focusing on Kirkpatrick's higher levels of evaluation (behavior and results). PMID:23216823

  6. Clinical Evaluation of Heart Failure: Agreement among Tests.

    Science.gov (United States)

    Pandey, Amit K; Penny, William F; Bhargava, Valmik; Lai, N Chin; Xu, Ronghui; Hammond, H Kirk

    2016-01-01

    Methods commonly used clinically to assess cardiac function in patients with heart failure include ejection fraction (EF), exercise treadmill testing (ETT), and symptom evaluation. Although these approaches are useful in evaluating patients with heart failure, there are at times substantial mismatches between individual assessments. For example, ETT results are often discordant with EF, and patients with minimal symptoms sometimes have surprisingly low EFs. To better define the relationship of these methods of assessment, we studied 56 patients with heart failure with reduced EF (HFrEF) who underwent measurement of ETT duration, EF by echocardiography, quantitative symptom evaluation, and LV peak dP/dt (rate of left ventricular pressure development and decline, measured invasively). Correlations were determined among these four tests in order to assess the relationship of EF, ETT, and symptoms against LV peak dP/dt. In addition, we sought to determine whether EF, ETT, and symptoms correlated with each other. Overall, correlations were poor. Only 15 of 63 total correlations (24%) were significant (p dP/dt. Linear regression analysis indicated that EF, ETT, and symptoms taken together predicted LV peak dP/dt better than any one measure alone. We conclude that clinical tests used to assess LV function in patients with HFrEF may not be as accurate or correlate as well as expected. All three clinical measures considered together may be the best representation of cardiac function in HFrEF patients currently available. PMID:27537778

  7. Clinical and postextraction evaluation of periodontal disease indicators

    Directory of Open Access Journals (Sweden)

    Rajashri Kolte

    2016-01-01

    Full Text Available Background: Clinical attachment level is the most frequently used and acceptable parameter in monitoring periodontal status in diseased individual and denotes patterns of periodontal destruction. Awareness of root morphology and the condition of the periodontal tissues is essential for reliable periodontal pocket probing and for effective debridement of root surfaces. Clinically, it is challenging to observe exact nature of complex periodontal attachment loss. The aim of the present study was to evaluate patterns of periodontal destruction based on vertical and horizontal attachment loss. Materials and Methods: A total of 200 extracted teeth were obtained from chronic periodontitis patients. Prior to extraction, clinical measurements were recorded and after extraction, the teeth were stained with crystal violet. Root length, vertical and horizontal attachment loss were measured using digital caliper. Results: There was a significant difference between clinical attachment level and vertical attachment loss for both maxillary and mandibular teeth. Mean vertical attachment loss varied between 5.17 mm and 9.17 mm. Interproximal surfaces exhibited statistically significant vertical attachment loss in both maxillary and mandibular dentition. Results indicated that vertical attachment loss was more severe with teeth belonging to the anterior sextant whereas the horizontal attachment loss was more pronounced with posterior teeth. Conclusion: Both vertical and horizontal attachment loss were observed in all periodontally involved teeth. There was a difference in clinical measurements and actual periodontal status denoted by postextraction staining. These findings have an impact on determining the prognosis and appropriate treatment plan for patients.

  8. Clinical and postextraction evaluation of periodontal disease indicators

    Science.gov (United States)

    Kolte, Rajashri; Kolte, Abhay; Wattamwar, Pooja

    2016-01-01

    Background: Clinical attachment level is the most frequently used and acceptable parameter in monitoring periodontal status in diseased individual and denotes patterns of periodontal destruction. Awareness of root morphology and the condition of the periodontal tissues is essential for reliable periodontal pocket probing and for effective debridement of root surfaces. Clinically, it is challenging to observe exact nature of complex periodontal attachment loss. The aim of the present study was to evaluate patterns of periodontal destruction based on vertical and horizontal attachment loss. Materials and Methods: A total of 200 extracted teeth were obtained from chronic periodontitis patients. Prior to extraction, clinical measurements were recorded and after extraction, the teeth were stained with crystal violet. Root length, vertical and horizontal attachment loss were measured using digital caliper. Results: There was a significant difference between clinical attachment level and vertical attachment loss for both maxillary and mandibular teeth. Mean vertical attachment loss varied between 5.17 mm and 9.17 mm. Interproximal surfaces exhibited statistically significant vertical attachment loss in both maxillary and mandibular dentition. Results indicated that vertical attachment loss was more severe with teeth belonging to the anterior sextant whereas the horizontal attachment loss was more pronounced with posterior teeth. Conclusion: Both vertical and horizontal attachment loss were observed in all periodontally involved teeth. There was a difference in clinical measurements and actual periodontal status denoted by postextraction staining. These findings have an impact on determining the prognosis and appropriate treatment plan for patients. PMID:27143828

  9. Neurofibromatosis: Evaluation of Clinical Features of 11 Cases

    Directory of Open Access Journals (Sweden)

    Gülşen Akoğlu

    2013-12-01

    Full Text Available Objective: Neurofibromatosis (NF is one of the most commonly seen autosomal dominantly inherited neurocutaneous syndromes. The most common subtypes are NF1 and NF2. The clinical course of NF may be heterogeneous.In this study, clinical features of patients with NF and its rare manifestations were described. Methods: Records of 11 patients with NF diagnosed between May 2008 and August 2011 were retrospectively reviewed. Demographic and clinical features of patients were detailed. Results: Six female and 5 male patients were enrolled. Patients' ages ranged between 1.5 and 58 years. Seven of them had positive family history for NF. A 1.5-year-old baby presented early appearance of Lisch nodules. One female patient had unilateral segmentally distributed pigmentary macules with bilateral Lisch nodules. Severe scoliosis and multiple painful neurofibromas were observed in a male patient. An asymptomatic arachnoid cyst was detected incidentally in a female patient. A male patient with NF1 had diffuse large B cell lymphoma and glioblastoma multiforme. Conclusion: Patients with NF may present with diverse clinical manifestations. Since patients may first apply to a dermatology outpatient clinic with only cutaneous complaints, early diagnosis of NF both in the patients and in their first degree relatives by careful dermatological and ophthalmological examinations and radiological evaluations can be possible.

  10. Performance evaluation of Jepirachi Wind Park

    Energy Technology Data Exchange (ETDEWEB)

    Pinilla, Alvaro [Mechanical Engineering Department, Universidad de Los Andes, Cra 1 Este No. 18 A - 10, Bogota (Colombia); Rodriguez, Luis; Trujillo, Rodrigo [Generation Planning Management Office, Empresas Publicas de Medellin, Medellin (Colombia)

    2009-01-15

    This paper presents some technical details, operational experiences, and lessons learnt by the Colombian public utility - Empresas Publicas de Medellin - with a recently installed 19.5 MW wind park in the northern region of Colombia - province of La Guajira. This is the first ever wind park feeding to the electricity network in Colombia. The Jepirachi Wind Park was commissioned in April 2004 and it has to date accumulated nearly 180,000 h of operation. During that time 15 NORDEX N60/1.3 MW turbines have fed electricity to the Colombian main electricity grid. This work describes the park layout, including meteorological stations installed in the surroundings and the wind regime prevailing in the zone. Details are also given about remote monitoring of the Wind Park and individual turbines, through the Supervisory, Control and Data Acquisition system (SCADA Nordex Control 2). Since July 2004, Empresas Publicas de Medellin (EEPPM) and Universidad de Los Andes-Bogota, Colombia have been working together in a wind park performance monitoring programme. This has permitted both institutions to learn more rapidly matters relating to evaluation, planning and operation of wind parks exposed to extreme climatic conditions like those present in the semi-desert region of the Guajira. This work describes the wind park operation, where individual wind turbines have yielded monthly production capacity factors as high as 65-75%; values which are high when compared to similar turbines installed elsewhere. Accordingly, levels of electrical energy production of up to 1750 kWh/m{sup 2}-year per turbine have been measured, exceeding typical values reported in the wind energy literature. A series of operational and technical troubles have become evident, which are related to some of the particular features of the climate and the wind regime at the site of the Jepirachi Wind Park. Because of these local features it is suggested that a greater level of uncertainty (limiting the validity of

  11. Supply Chain Performance Evaluation: Trends and Challenges

    Directory of Open Access Journals (Sweden)

    Ezutah U. Olugu

    2009-01-01

    Full Text Available Problem statement: In today’s manufacturing world, globalization policies and rejuvenation have created a more intensive competition amongst manufacturers. On the other hand, manufacturers have turned to the option of adopting innovative technologies, process re-engineering and strategies such as efficient supply chain management to achieve a sustainable competitive advantage. Effective supply chain performance measurement has been identified as a key issue towards efficient supply chain management. To explore the extent of research in supply chain performance measurement and establish the gap in knowledge in supply chain performance measurement using fuzzy logic operation. Approach: Literatures in the area of supply chain performance measurement had been extensively reviewed. Both traditional and fuzzy logic approaches to supply chain performance measurement were scrutinized. Further scrutiny was carried out to establish potential research areas in the application of fuzzy logic operations in supply chain performance measurement. Results: The supply chain performance measurement using fuzzy logic operation was identified as a new direction in measuring the uncertainty and ambiguity surrounding supply chain performance measurement. Direction for further studies in the application of fuzzy logic operation in supply chain management and its performance measurement were also identified. Conclusion: Result of this study implied that there is still a gap in knowledge in the area of supply chain performance measurement. This new direction of studies involved extending the existing supply chains to incorporate product recovery after the useful life.

  12. Evaluation of clinical skills for first-year surgical residents using orientation programme and objective structured clinical evaluation as a tool of assessment

    Directory of Open Access Journals (Sweden)

    Pandya J

    2010-01-01

    Full Text Available Background: Postgraduate specialities require a combination of knowledge and clinical skills. The internship year is less structured. Clinical and practical skills that are picked up during training are not well regulated and the impact is not assessed. In this study, we assessed knowledge and skills using objective structured clinical examination (OSCE. Aim: To evaluate the clinical skills of new first-year surgical residents using orientation programme and OSCE as a tool for assessment. Settings and Design: Observational study. Materials and Methods: Twenty new first-year surgical residents (10 each in 2008 and 2009 participated in a detailed structured orientation programme conducted over a period of 7 days. Clinically important topics and skills expected at this level (e.g., suturing, wound care etc. were covered. The programme was preceded by an OSCE to test pre-programme knowledge (the "pre-test". The questions were validated by senior department staff. A post-programme OSCE (the "post-test" helped to evaluate the change in clinical skill level brought about by the orientation programme. Statistical Analysis: Wilcoxson matched-pairs signed-ranks test. Results: Passing performance was achieved by all participants in both pre- and post-tests. Following the orientation programme, significant improvement was seen in tasks testing the psychomotor and cognitive domains. (P = 0.0001 and P = 0.0401, respectively. Overall reliability of the OSCE was found to be 0.7026 (Cronbach′s coefficient alpha. Conclusions: This study highlighted the lacunae in current internship training, especially for skill-based tasks. There is a need for universal inclusion of structured orientation programmes in the training of first-year residents. OSCE is a reliable, valid and effective method for the assessment of clinical skills.

  13. Staff Performance Evaluation in Public Organizations

    Directory of Open Access Journals (Sweden)

    Drumea C.

    2014-12-01

    Full Text Available In public Organizations staff performance is difficult to measure in absence of overall quantitative performance indicators. There are also the qualitative indicators that give an overview on staff’s motivation, strive, ability, commitment to values, teamwork. These aspects are even less easy to illustrate, in private and public sectors equally. In both cases, measuring staff performance at work, as well as its input on the global performance of the organization is a difficult task which has in practice different approaches. Subsequently, this paper is discussing the system indicators and performance triggers used in International Organizations UN affiliated, in order to adjust staff classification and benefits to their staff’s performance.

  14. Performance analysis of GYRO: a tool evaluation

    International Nuclear Information System (INIS)

    The performance of the Eulerian gyrokinetic-Maxwell solver code GYRO is analyzed on five high performance computing systems. First, a manual approach is taken, using custom scripts to analyze the output of embedded wallclock timers, floating point operation counts collected using hardware performance counters, and traces of user and communication events collected using the profiling interface to Message Passing Interface (MPI) libraries. Parts of the analysis are then repeated or extended using a number of sophisticated performance analysis tools: IPM, KOJAK, SvPablo, TAU, and the PMaC modeling tool suite. The paper briefly discusses what has been discovered via this manual analysis process, what performance analyses are inconvenient or infeasible to attempt manually, and to what extent the tools show promise in accelerating or significantly extending the manual performance analyses

  15. Evaluation of medication treatment for Alzheimer's disease on clinical evidence

    Directory of Open Access Journals (Sweden)

    Meng-qiu LI

    2014-03-01

    Full Text Available Objective To formulate the best treatment plan for Alzheimer's disease patients by evaluating the therapeutic efficacy and side effect of various evidence-based programs. Methods Alzheimer's disease, donepezil, rivastigmine, galantamine, memantine, rosiglitazone, etc. were defined as retrieval words. PubMed, Cochrane Library, Wanfang Data and China National Knowledge Infrastructure (CNKI databases were used with applying of manual searching. Systematic reviews, randomized controlled trials (RCT, controlled clinical trials and case-observation studies were collected and evaluated by Jadad Scale. Results After screening, 33 selected resources included 14 systematic reviews, 14 randomized controlled trials, 4 controlled clinical trials and 1 case-observation study. According to Jadad Scale, total 28 articles were evaluated to be high quality (12 with score 4, 10 score 5, 6 score 7, and 5 were low quality with score 3. It was summarized as follows: 1 Alzheimer's disease is a progressive neurodegenerative disease for which no cure exists. To date, only symptomatic treatments with cholinesterase inhibitors (donepezil, rivastigmine, galantamine and an N-methyl-D-aspartate (NMDA receptor noncompetitive antagonist (memantine, are effective and well tolerated to counterbalance the neurotransmitter disturbance, but cannot limit or impact on disease progression. 2 Disease modifying drug is an potential agent, with persistent effect on slowing the progression of structural damage, and can be detected even after withdrawing the treatment. Many types of disease modifying drugs are undergoing clinical trials. Conclusions Using evidence-based medicine methods can provide best clinical evidence on Alzheimer's disease treatment. doi: 10.3969/j.issn.1672-6731.2014.03.009

  16. CEO turnover and relative performance evaluation

    OpenAIRE

    Jenter, Dirk; Kanaan, Fadi

    2015-01-01

    This paper examines whether CEOs are fired after bad firm performance caused by factors beyond their control. Standard economic theory predicts that corporate boards filter out exogenous industry and market shocks to firm performance when deciding on CEO retention. Using a new hand-collected sample of 1,590 CEO turnovers from 1993 to 2001, we document that CEOs are significantly more likely to be dismissed from their jobs after bad industry and bad market performance. A decline in the industr...

  17. Facial diplegia: etiology, clinical manifestations, and diagnostic evaluation

    OpenAIRE

    Sefer Varol; Hasan Huseyin Ozdemir; Esref Akil; Demet Arslan; M. Ufuk Aluclu; Demir, Caner F.; Yavuz Yucel

    2015-01-01

    ABSTRACT Objective Facial diplegia (FD) is a rare neurological manifestation with diverse causes. This article aims to systematically evaluate the etiology, diagnostic evaluation and treatment of FD. Method The study was performed retrospectively and included 17 patients with a diagnosis of FD. Results Patients were diagnosed with Guillain-Barré syndrome (GBS) (11), Bickerstaff’s brainstem encephalitis (1), neurosarcoidosis (1), non-Hodgkin’s Lymphoma (1), tuberculous meningitis (1) her...

  18. Building a web-based CAD server for clinical use, evaluation, and incremental learning. Implementation of analysis function based on execution result and clinical feedback

    International Nuclear Information System (INIS)

    Development of clinical image analysis software such as computer-assisted detection/diagnosis (CAD) involves a cycle of algorithm development, software implementation, clinical use, refinement of algorithm and software based on feedback. This cycle is expected to accelerate development of CAD software. We have been building a web-based CAD server that enables radiologists to use CAD software and to give feedback in clinical environment. The platform has been utilized in our hospital for 16 months, and more than 2,000 cases of feedback data have been accumulated. In this report, we introduce additional functions for performance evaluation based on executed results of CAD software and clinical feedback. (author)

  19. Uniform Evaluation of Clinical Teaching - an instrument for specific feedback and cross comparison between Departments

    Directory of Open Access Journals (Sweden)

    Pernilla Kihlberg

    2011-06-01

    Full Text Available The quality of clinical teaching in Swedish medical schools has recently been questioned by student representatives at the medical schools in Sweden. The clinical teaching at Uppsala University Medical School has previously only been sparsely evaluated and with varying instruments. Our aim was to develop a simple assessment instrument and implement it uniformly, enabling cross comparisons between different departments. Further we wanted to investigate students’ response rate and analyze their response pattern.A questionnaire inspired by a concept from Stanford University was created and introduced at hospital departments performing clinical teaching of medical students. Ten questions reflecting different aspects of clinical teaching were used. The outcome was used for specific feedback to the clinical teachers, cross comparison and official ranking of the departments.The evaluation instrument has been successfully developed and uniformly implemented throughout the departments of the hospital. The students have with a relatively high response rate graded the items with a great deal of variation between and within the clinical rotations. Altogether, this has provided specific feedback to the clinical teachers and enabled cross comparison between departments. Our belief is that the instrument also applies to other educations involving supervision.

  20. Evaluating Performances of Solar-Energy Systems

    Science.gov (United States)

    Jaffe, L. D.

    1987-01-01

    CONC11 computer program calculates performances of dish-type solar thermal collectors and power systems. Solar thermal power system consists of one or more collectors, power-conversion subsystems, and powerprocessing subsystems. CONC11 intended to aid system designer in comparing performance of various design alternatives. Written in Athena FORTRAN and Assembler.

  1. Current status on performance of CT colonography and clinical indications

    International Nuclear Information System (INIS)

    CT colonography (CTC) is a robust and reliable imaging test of the colon. Accuracy for the detection of colorectal cancer (CRC) is as high as conventional colonoscopy (CC). Identification of polyp is size dependent, with large lesions (≥10 mm) accurately detected and small lesions (6–9 mm) identified with moderate to good sensitivity. Recent studies show good sensitivity for the identification of nonpolypoid (flat) lesions as well. Current CTC indications include the evaluation of patients who had undergone a previous incomplete CC or those who are unfit for CC (elderly and frail individuals, patients with underlying severe clinical conditions, or with contraindication to sedation). CTC can also be efficiently used in the assessment of diverticular disease (excluding patients with acute diverticulitis, where the exam should be postponed), before laparoscopic surgery for CRC (to have an accurate localization of the lesion), in the evaluation of colonic involvement in the case of deep pelvic endometriosis (replacing barium enema). CTC is also a safe procedure in patients with colostomy. For CRC screening, CTC should be considered an opportunistic screening test (not available for population, or mass screening) to be offered to asymptomatic average-risk individuals, of both genders, starting at age 50. The use in individuals with positive family history should be discussed with the patient first. Absolute contraindication is to propose CTC for surveillance of genetic syndromes and chronic inflammatory bowel diseases (in particular, ulcerative colitis). The use of CTC in the follow-up after surgery for CRC is achieving interesting evidences despite the fact that literature data are still relatively weak in terms of numerosity of the studied populations. In patients who underwent previous polypectomy CTC cannot be recommended as first test because debate is still open. It is desirable that in the future CTC would be the first-line and only diagnostic test for

  2. Current status on performance of CT colonography and clinical indications

    Energy Technology Data Exchange (ETDEWEB)

    Laghi, Andrea, E-mail: andrea.laghi@uniroma1.it [Department of Radiological Sciences, Oncology and Pathology Sapienza – Università di Roma, Polo Pontino, I.C.O.T. Hospital, Via Franco Faggiana 43, 04100 Latina (Italy); Rengo, Marco [Department of Radiological Sciences, Oncology and Pathology Sapienza – Università di Roma, Polo Pontino, I.C.O.T. Hospital, Via Franco Faggiana 43, 04100 Latina (Italy); Graser, Anno [InstitutfürKlinische Radiologie, Klinikumder Ludwig-Maximilians-Universität München, Campus Großhadern, Marchioninistr. 15, 81377 München (Germany); Iafrate, Franco [Department of Radiological Sciences, Oncology and Pathology Sapienza – Università di Roma, Policlinico Umberto I, Viale Regina Elena 324, 00161 Rome (Italy)

    2013-08-15

    CT colonography (CTC) is a robust and reliable imaging test of the colon. Accuracy for the detection of colorectal cancer (CRC) is as high as conventional colonoscopy (CC). Identification of polyp is size dependent, with large lesions (≥10 mm) accurately detected and small lesions (6–9 mm) identified with moderate to good sensitivity. Recent studies show good sensitivity for the identification of nonpolypoid (flat) lesions as well. Current CTC indications include the evaluation of patients who had undergone a previous incomplete CC or those who are unfit for CC (elderly and frail individuals, patients with underlying severe clinical conditions, or with contraindication to sedation). CTC can also be efficiently used in the assessment of diverticular disease (excluding patients with acute diverticulitis, where the exam should be postponed), before laparoscopic surgery for CRC (to have an accurate localization of the lesion), in the evaluation of colonic involvement in the case of deep pelvic endometriosis (replacing barium enema). CTC is also a safe procedure in patients with colostomy. For CRC screening, CTC should be considered an opportunistic screening test (not available for population, or mass screening) to be offered to asymptomatic average-risk individuals, of both genders, starting at age 50. The use in individuals with positive family history should be discussed with the patient first. Absolute contraindication is to propose CTC for surveillance of genetic syndromes and chronic inflammatory bowel diseases (in particular, ulcerative colitis). The use of CTC in the follow-up after surgery for CRC is achieving interesting evidences despite the fact that literature data are still relatively weak in terms of numerosity of the studied populations. In patients who underwent previous polypectomy CTC cannot be recommended as first test because debate is still open. It is desirable that in the future CTC would be the first-line and only diagnostic test for

  3. Cross-system evaluation of clinical trial search engines.

    Science.gov (United States)

    Jiang, Silis Y; Weng, Chunhua

    2014-01-01

    Clinical trials are fundamental to the advancement of medicine but constantly face recruitment difficulties. Various clinical trial search engines have been designed to help health consumers identify trials for which they may be eligible. Unfortunately, knowledge of the usefulness and usability of their designs remains scarce. In this study, we used mixed methods, including time-motion analysis, think-aloud protocol, and survey, to evaluate five popular clinical trial search engines with 11 users. Differences in user preferences and time spent on each system were observed and correlated with user characteristics. In general, searching for applicable trials using these systems is a cognitively demanding task. Our results show that user perceptions of these systems are multifactorial. The survey indicated eTACTS being the generally preferred system, but this finding did not persist among all mixed methods. This study confirms the value of mixed-methods for a comprehensive system evaluation. Future system designers must be aware that different users groups expect different functionalities. PMID:25954590

  4. Students’ perceptions regarding the objective, structured, clinical evaluation as an assessment approach

    Directory of Open Access Journals (Sweden)

    Louis Frederick Small

    2013-04-01

    Full Text Available The nursing profession is characterised by the fact that a significant amount of time is spent on competency-related activities. The assessment of clinical competence is therefore an important issue in nursing education and the utilisation of objective structured clinical evaluation for that purpose was considered to be very important in this study. The objective of this research was to explore and describe the perceptions of first- and third-year student nurses with regard to the objective structured clinical evaluation assessment approach. A quantitative, cross-sectional, analytical research design was used. The instrument was a questionnaire (ordinal. This questionnaire focused on the perceptions of student nurses with regard to the objective structured clinical evaluation approach in particular, and with regard to aspects such as reality, execution, time allocation and student and assessor variables. The findings indicated that, as an assessment tool, the objective structured clinical evaluation approach was perceived as not being totally realistic, especially by the more senior nursing students (third-year as compared with the first-year nursing students. Varying degrees of stress were experienced by the nursing students in their first and third years but, in general, the overall perception appeared to be that the approach was well organised and that the respective students would be able to perform equally well in the clinical field. It may be concluded that the majority of students appreciate the format of the objective structured clinical evaluation approach. However, the study further highlighted the fact that more extensive training of students on time management and the relief of emotional stress is necessary during the implementation of this approach.

  5. 48 CFR 2936.201 - Evaluation of contractor performance.

    Science.gov (United States)

    2010-10-01

    ... Construction 2936.201 Evaluation of contractor performance. The HCA must establish procedures to evaluate... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Evaluation of contractor performance. 2936.201 Section 2936.201 Federal Acquisition Regulations System DEPARTMENT OF LABOR...

  6. Team Primacy Concept (TPC) Based Employee Evaluation and Job Performance

    Science.gov (United States)

    Muniute, Eivina I.; Alfred, Mary V.

    2007-01-01

    This qualitative study explored how employees learn from Team Primacy Concept (TPC) based employee evaluation and how they use the feedback in performing their jobs. TPC based evaluation is a form of multirater evaluation, during which the employee's performance is discussed by one's peers in a face-to-face team setting. The study used Kolb's…

  7. Clinical Evaluation of Superficial Fungal Infections in Children

    Directory of Open Access Journals (Sweden)

    Ragıp Ertaş

    2015-12-01

    Full Text Available Objective: This retrospective study was referred to evaluate 51 cases of superficial mycoses, referred to our Pediatric Dermatology outpatient clinic in one year. Methods: We reviewed following data for all patients: age, gender, accompanied diseases, clinical types, localization and treatment. Superficial mycotic infections were diagnosed on the basis of clinical picture, direct microscopy and some of them were confirmed by fungal cultures. Results: Our patients comprised 33 boys (64.7% and 18 girls (35.3%, with an average age of 6.2 years (range 4 months to 17 years. Eighteen patients (35.3% had dermatophytes on the scalp. Clinical forms, in the order of frequency, were: tinea capitis profunda in 10 patients (19.6%, tinea capitis superficialis in 8 patients (15.8%, tinea unguium in 8 patients (15.8%. Tinea capitis (35.3% was the most frequent form of dermatomycosis. The most common symptom was the pruritus. Thirty (58% patients were treated with local antimycotics and 21 (42% patients were treated with systemic terbinafine or itraconazole. Conclusion: In this study it was found that, tinea capitis was the most frequent form of dermatomycosis and onychomycosis in children are not uncommon as it is mentioned. The data also suggest that topical antifungal agents may be effective and well-tolerated in the treatment of onychomycosis and tinea capitis in children.

  8. Evaluation of vitamin B 12 deficiency in various clinical condition

    International Nuclear Information System (INIS)

    Low levels of vitamin B 12 have been associated with several clinical conditions. However no single symptom or group of symptoms can be made responsible. Reported causes of deficiency among older population are hematologic or neurological, followed by gastrointestinal and possibly vascular symptoms. The present prospective observational study was, hence, initiated to evaluate the underlying clinical condition or symptoms associated with vitamin B12 deficiency. The study was prospective observational and carried out on 121 patients (males, n=63 and females, n=58) for the period from January 1, 2004 to January 24, 2007. Age ranges were between 16 - 70 years, and categorized as > 60 yrs and < 60 years. All blood parameters were analyzed by standardized methods on automated analyzers. The deficiency was found to be more prevalent in males and increased from 52.06% to 58.10% in individuals with vitamin B12 <150 pg/ml. Mal nourishment was noted among the most subjects and weakness and anemia were frequent clinical findings (35.55%, n=43, 14%, n=51). Other clinical conditions were neuropsychiatric. Whereas less frequent findings were paraesthesia and gastrointestinal symptoms. Hypertension was more prevalent in vitamin B12 deficient individuals followed by diabetes, dementia, stroke, ischemic heart disease and Parkinson's disease. (author)

  9. Design and evaluation of a bacterial clinical infectious diseases ontology.

    Science.gov (United States)

    Gordon, Claire L; Pouch, Stephanie; Cowell, Lindsay G; Boland, Mary Regina; Platt, Heather L; Goldfain, Albert; Weng, Chunhua

    2013-01-01

    With antimicrobial resistance increasing worldwide, there is a great need to use automated antimicrobial decision support systems (ADSSs) to lower antimicrobial resistance rates by promoting appropriate antimicrobial use. However, they are infrequently used mostly because of their poor interoperability with different health information technologies. Ontologies can augment portable ADSSs by providing an explicit knowledge representation for biomedical entities and their relationships, helping to standardize and integrate heterogeneous data resources. We developed a bacterial clinical infectious diseases ontology (BCIDO) using Protégé-OWL. BCIDO defines a controlled terminology for clinical infectious diseases along with domain knowledge commonly used in hospital settings for clinical infectious disease treatment decision-making. BCIDO has 599 classes and 2355 object properties. Terms were imported from or mapped to Systematized Nomenclature of Medicine, Unified Medical Language System, RxNorm and National Center for Bitechnology Information Organismal Classification where possible. Domain expert evaluation using the "laddering" technique, ontology visualization, and clinical notes and scenarios, confirmed the correctness and potential usefulness of BCIDO. PMID:24551353

  10. Evaluation of photovoltaic installations performances in Sardinia

    International Nuclear Information System (INIS)

    Highlights: • One year measurement and performance analysis of grid connected PV power plants. • The analysis of the whole energetic PV transformation chain is presented. • Ambient parameters monitored and compared with the ones available in literature. • Monthly variability of the performance ratio and its correlation with temperature. • Range of variation of performance ratio in plants grouped by typology. - Abstract: This paper aims at providing a performance analysis of a grid connected photovoltaic power plant in Sardinia by investigating on the effective performance ratio of PV installations, with a critical analysis of the whole energetic transformation chain, starting from the incident solar energy, to the DC energy output from the modules and AC energy output from the inverter and transformer. The parameters that can influence the energy production are analyzed in order to find out the critical points in the optimization of the PV system design process. One year measurement and performance analysis of two real-life grid connected PV power plants are presented in the paper, providing up-to-date measurement data, useful to compare the effective energy production of PV plants positioned in different areas of the world. Monthly variability of the performance ratio and its correlation with ambient temperature is also discussed in the paper

  11. Performance of clinical mammography: a nationwide study from Denmark

    DEFF Research Database (Denmark)

    Jensen, Allan; Vejborg, Ilse; Severinsen, Niels;

    2006-01-01

    sensitivity, specificity and accuracy, the latter using a receiver-operating characteristics (ROC) analysis. In 96,534 clinical mammography examinations, sensitivity was 75% and specificity 99%. The presence of at least one high volume-reading radiologist in the clinic increased accuracy (AUC = 0.91 for <1...... that clinical mammography worked best in patient populations of purely symptomatic women. Our data indicate that to increase the accuracy of clinical mammography at the community level, the presence of an experienced radiologist should be prioritized ahead of raising the clinic size....

  12. Conversations, Not Evaluations: An Alternative Model of Performance Management

    Science.gov (United States)

    Lee, Christopher D.

    2003-01-01

    Traditional appraisal and evaluation systems focus almost exclusively on an employee's past performance. The desired result in each of these systems is better work performance. The very nature of most appraisals or evaluations, however, may inhibit performance unintentionally by focusing energy, attention and effort on past shortcomings rather…

  13. 24 CFR 968.330 - PHA performance and evaluation report.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false PHA performance and evaluation... 250 or More Public Housing Units) § 968.330 PHA performance and evaluation report. For any FFY in which a PHA has received assistance under this subpart, the PHA shall submit a Performance...

  14. Style Analysis and Performance Evaluation of Dutch Mutual Funds

    NARCIS (Netherlands)

    Ter Horst, J.R.; Nijman, T.E.; de Roon, F.A.

    1998-01-01

    In this paper we show how style analysis of mutual funds can be used to circumvent the problem of self-reported investment styles, and to improve relative performance evaluation. Subsequently, we relate style analysis to performance evaluation and present results on the performance of Dutch mutual f

  15. Clinical evaluation of 131I in treatment hyperthyroidism

    International Nuclear Information System (INIS)

    The clinical value of 131I in the treatment of hyperthyroidism is observed. The weight of the thyroid was evaluated by palpation, 131I was taken orally by one dose method. The dose was calculated by actual absorption of 131I/per gram of thyroid. 3 - 6 months after drug administration, the symptom, clinical manifestation and the serum hormone of the pituitary-hypothyroid axis were observed. In 105 cases, 80(76.2%) were nearly recovered, among them 16(15.2%) had hypothyroidism in the early period. The all over recovering rate was 91.4% in one dose, but 9(8.6%) were recurred and can be controlled at a second dose. Therefore 131I for the hyperthyroidism had a high recovering rate, low recurring rate and was very convenient. If prospect on the Chinese effort the controlled, the occurrence of hypothyroidism can be reduced to the acceptable level

  16. Clinical performance of a new silver dressing, Contreet Foam, for chronic exuding venous leg ulcers

    DEFF Research Database (Denmark)

    Karlsmark, T; Agerslev, R H; Bendz, S H;

    2003-01-01

    OBJECTIVE: This study aimed to evaluate the safety and performance of a new sustained silver-releasing dressing, Contreet Foam (Coloplast A/S), in the treatment of moderately to highly exuding chronic venous leg ulcers in which healing is delayed due to the presence of bacteria. METHOD: The...... clinical performance of Contreet Foam was studied for four weeks in 25 patients with moderately to highly exuding delayed-healing venous leg ulcers. Healing was assessed on a weekly basis with reference to the wound-bed tissue composition, degree of odour and pain, dressing performance and the dressing......: Contreet Foam was found to be safe and performed well when used in the treatment of delayed-healing chronic venous leg ulcers, combining effective antibacterial properties with excellent exudate management. DECLARATION OF INTEREST: This study was supported by Coloplast A/S, Humlebaek, Denmark....

  17. Evaluation of fatigue performance at different temperatures

    OpenAIRE

    Minhoto, Manuel; Pais, Jorge; Pereira, Paulo

    2009-01-01

    The fatigue performance of asphalt mixtures is used to predict pavement life to control the cracking in the asphalt layers. The design of an asphalt pavement is usually made for a specific temperature, what is intended to represent the pavement behaviour throughout a whole year. For damage analysis during a year, along which the pavement temperature constant-ly varies, it is necessary to calculate the fatigue performance of pavements at a wide range of temperatures. Thus, this paper presents ...

  18. Evaluation of febrile neutropenic patients hospitalized in a hematology clinic

    Institute of Scientific and Technical Information of China (English)

    M ucahit Goruk; Mehmet Sinan Dal; Tuba Dal; Abdullah Karakus; Recep Tekin; Nida Ozcan; Orhan Ayyildiz

    2015-01-01

    Objective: To evaluate the febrile neutropenic patients with hematological malignancies hospitalized in hematology clinic with poor hygiene standards. Methods: A total of 124 patients with hematological malignancies (69 male, 55 female) hospitalized in hematology clinic with poor hygiene conditions depending on hospital conditions, between January 2007 and December 2010, were evaluated, retrospectively. Results: In this study, 250 febrile neutropenia episodes developing in 124 hospitalized patients were evaluated. Of the patients, 69 were men (56%) and 55 women (44%). A total of 40 patients (32%) had acute myeloid leukemia, 25 (20%) acute lymphoblastic leukemia, 19 (15%) non-Hodgkin's lymphoma, 10 (8%) multiple myeloma, and 8 (8%) chronic myeloid leukemia. In our study, 56 patients (22%) were diagnosed as pneumonia, 38 (15%) invasive aspergillosis, 38 (15%) sepsis, 16 (6%) typhlitis, 9 (4%) mucormy-cosis, and 4 (2%) urinary tract infection. Gram-positive cocci were isolated from 52%(n = 20), while Gram-negative bacilli 42%(n = 16) and yeasts from 6% (n = 2) of the sepsis patients, respectively. The most frequently isolated Gram-positive bacteria were methicillin-resistant coagulase-negative staphylococci (n=18), while the most frequently isolated Gram-negative bacteria was Escherichia coli (n=10). Conclusions: Febrile neutropenia is still a problem in patients with hematological ma-lignancies. The documentation of the flora and detection of causative agents of infections in each unit would help to decide appropriate empirical therapy. Infection control pro-cedures should be applied for preventing infections and transmissions.

  19. Methodology for evaluation of diagnostic performance

    International Nuclear Information System (INIS)

    Effort in this project during the past year has focused on the development, refinement, and distribution of computer software that will allow current Receiver Operating Characteristic (ROC) methodology to be used conveniently and reliably by investigators in a variety of evaluation tasks in diagnostic medicine; and on the development of new ROC methodology that will broaden the spectrum of evaluation tasks and/or experimental settings to which the fundamental approach can be applied. Progress has been limited by the amount of financial support made available to the project

  20. Performance-optimized clinical IMRT planning on modern CPUs

    International Nuclear Information System (INIS)

    Intensity modulated treatment plan optimization is a computationally expensive task. The feasibility of advanced applications in intensity modulated radiation therapy as every day treatment planning, frequent re-planning for adaptive radiation therapy and large-scale planning research severely depends on the runtime of the plan optimization implementation. Modern computational systems are built as parallel architectures to yield high performance. The use of GPUs, as one class of parallel systems, has become very popular in the field of medical physics. In contrast we utilize the multi-core central processing unit (CPU), which is the heart of every modern computer and does not have to be purchased additionally. In this work we present an ultra-fast, high precision implementation of the inverse plan optimization problem using a quasi-Newton method on pre-calculated dose influence data sets. We redefined the classical optimization algorithm to achieve a minimal runtime and high scalability on CPUs. Using the proposed methods in this work, a total plan optimization process can be carried out in only a few seconds on a low-cost CPU-based desktop computer at clinical resolution and quality. We have shown that our implementation uses the CPU hardware resources efficiently with runtimes comparable to GPU implementations, at lower costs. (paper)

  1. Performance Evaluation of an Axysimmetric Floating OWC

    DEFF Research Database (Denmark)

    Alves, M. A.; Costa, I. R.; Sarmento, A. J.;

    2010-01-01

    -diffraction panel model based on the classic linear water wave theory and potential flow. To proceed with the wave energy converter (WEC) evaluation the equations of motion (of each body), in the frequency domain, are expressed as functions of the complex amplitude of the displacements, which can be determined from...

  2. Performance evaluation of 1 kw PEFC

    Energy Technology Data Exchange (ETDEWEB)

    Komaki, Hideaki [Ishikawajima-Harima Heavy Industries Co., Ltd. Tokyo (Japan); Tsuchiyama, Syozo [Shipbuilding Research Association, Minato-ky, Tokyo (Japan)

    1996-12-31

    This report covers part of a joint study on a PEFC propulsion system for surface ships, summarized in a presentation to this Seminar, entitled {open_quote}Study on a PEFC Propulsion System for Surface Ships{close_quotes}, and which envisages application to a 1,500 DWT cargo vessel. The aspect treated here concerns the effects brought on PEFC operating performance by conditions particular to shipboard operation. The performance characteristics were examined through tests performed on a 1 kw stack and on a single cell (Manufactured by Fuji Electric Co., Ltd.). The tests covered the items (1) to (4) cited in the headings of the sections that follow. Specifications of the stack and single cell are as given.

  3. Performance objectives and criteria for plant evaluations

    International Nuclear Information System (INIS)

    Maintenance organization and administration should ensure effective implementation and control of maintenance activities. The criteria are: A. The organizational structure is clearly defined. B. Staffing and resources are sufficient to accomplish assigned tasks. C. Responsibilities and authority of each management, supervisory, and professional position are clearly defined. D. Personnel clearly understand their authority, responsibilities, accountabilities, and interfaces with supporting groups. E. Administrative controls are employed for maintenance activities important to plant safety and reliability. F. Performance appraisals are effectively utilized to enhance individual performance

  4. Performance Evaluation of Wave Energy Converters

    DEFF Research Database (Denmark)

    Pecher, Arthur

    prototypes. Guidelines for the development of wave energy converters recommend the use of different prototypes, having different sizes, which have to perform tank tests or sea trials. Thisimplicates the need of different testing environment, which shifts from being controllable to uncontrollable with the...... development stages, and results thereby in a need for specific testobjectives and procedures for each development stage. This PhD thesis has looked into the different development stages and more specifically in the performance assessment of wave energy converters based on tank testing and sea trials. The...

  5. Performance Evaluation of Wave Energy Converters

    DEFF Research Database (Denmark)

    Pecher, Arthur

    prototypes. Guidelines for the development of wave energy converters recommend the use of different prototypes, having different sizes, which have to perform tank tests or sea trials. This implicates the need of different testing environment, which shifts from being controllable to uncontrollable with the...... development stages, and results thereby in a need for specific test objectives and procedures for each development stage. This PhD thesis has looked into the different development stages and more specifically in the performance assessment of wave energy converters based on tank testing and sea trials. The...

  6. A Novel Evaluation Indicator System and Evaluation Method for Supply Chain Performance of Food Production

    Directory of Open Access Journals (Sweden)

    Zhai Xiyao

    2015-02-01

    Full Text Available Supply chain performance evaluation is a research hotspot and lies in the core status in supply chain management. The study presents a new evaluation indicator system and evaluation algorithm for supply chain performance. First, the balanced score card is used to construct an evaluation indicator system for supply chain performance evaluation through analyzing the basic principle and connotation characteristics of supply chain management; Second analytic hierarchy process and fuzzy comprehensive evaluation algorithms are combined to satisfy the dynamic, subjective and transitional characteristics of evaluation indicators and improve evaluation accuracy. Thirdly the evaluation indicator system and evaluation algorithm are used in supply chain performance evaluation of fresh food products and the experimental results shows that the presented evaluation indicator system and evaluation algorithm has satisfied validity and feasibility.

  7. Fuel performance evaluation through iodine activity monitoring

    International Nuclear Information System (INIS)

    The objective of the failed fuel detection system is to keep a watch on fuel behaviour during operation. This paper describes the evaluation of fuel behaviour by monitoring the activities of various isotopes of iodine both during steady state and during a reactor shutdown. The limitations of this approach also has been explained. The monitoring of tramp uranium for different types of release, namely fixed contamination and continuous release from fuel, is also presented. (author)

  8. Handheld Digital TV Performance Evaluation Method

    Directory of Open Access Journals (Sweden)

    Gunnar Bedicks

    2008-01-01

    Full Text Available This paper presents a simplified method for signal level clearance evaluation in each place of signal reception up to threshold for a given portable TV receiver device. It describes briefly the structure of transmission system considering the “1Seg” structure of ISDB-T. The preliminary laboratory test was made before the field tests to verify the main features of handheld receiver.

  9. Using Ratio Analysis to Evaluate Financial Performance.

    Science.gov (United States)

    Minter, John; And Others

    1982-01-01

    The ways in which ratio analysis can help in long-range planning, budgeting, and asset management to strengthen financial performance and help avoid financial difficulties are explained. Types of ratios considered include balance sheet ratios, net operating ratios, and contribution and demand ratios. (MSE)

  10. Game Performance Evaluation in Male Goalball Players

    Directory of Open Access Journals (Sweden)

    Molik Bartosz

    2015-12-01

    Full Text Available Goalball is a Paralympic sport exclusively for athletes who are visually impaired and blind. The aims of this study were twofold: to describe game performance of elite male goalball players based upon the degree of visual impairment, and to determine if game performance was related to anthropometric characteristics of elite male goalball players. The study sample consisted of 44 male goalball athletes. A total of 38 games were recorded during the Summer Paralympic Games in London 2012. Observations were reported using the Game Efficiency Sheet for Goalball. Additional anthropometric measurements included body mass (kg, body height (cm, the arm span (cm and length of the body in the defensive position (cm. The results differentiating both groups showed that the players with total blindness obtained higher means than the players with visual impairment for game indicators such as the sum of defense (p = 0.03 and the sum of good defense (p = 0.04. The players with visual impairment obtained higher results than those with total blindness for attack efficiency (p = 0.04, the sum of penalty defenses (p = 0.01, and fouls (p = 0.01. The study showed that athletes with blindness demonstrated higher game performance in defence. However, athletes with visual impairment presented higher efficiency in offensive actions. The analyses confirmed that body mass, body height, the arm span and length of the body in the defensive position did not differentiate players’ performance at the elite level.

  11. Game Performance Evaluation in Male Goalball Players.

    Science.gov (United States)

    Molik, Bartosz; Morgulec-Adamowicz, Natalia; Kosmol, Andrzej; Perkowski, Krzysztof; Bednarczuk, Grzegorz; Skowroński, Waldemar; Gomez, Miguel Angel; Koc, Krzysztof; Rutkowska, Izabela; Szyman, Robert J

    2015-11-22

    Goalball is a Paralympic sport exclusively for athletes who are visually impaired and blind. The aims of this study were twofold: to describe game performance of elite male goalball players based upon the degree of visual impairment, and to determine if game performance was related to anthropometric characteristics of elite male goalball players. The study sample consisted of 44 male goalball athletes. A total of 38 games were recorded during the Summer Paralympic Games in London 2012. Observations were reported using the Game Efficiency Sheet for Goalball. Additional anthropometric measurements included body mass (kg), body height (cm), the arm span (cm) and length of the body in the defensive position (cm). The results differentiating both groups showed that the players with total blindness obtained higher means than the players with visual impairment for game indicators such as the sum of defense (p = 0.03) and the sum of good defense (p = 0.04). The players with visual impairment obtained higher results than those with total blindness for attack efficiency (p = 0.04), the sum of penalty defenses (p = 0.01), and fouls (p = 0.01). The study showed that athletes with blindness demonstrated higher game performance in defence. However, athletes with visual impairment presented higher efficiency in offensive actions. The analyses confirmed that body mass, body height, the arm span and length of the body in the defensive position did not differentiate players' performance at the elite level. PMID:26834872

  12. Nuclear safety. Romania. Defective fuel performance evaluation

    International Nuclear Information System (INIS)

    This report summarizes the results of a Technical Co-operation mission to Romania (ROM/9/004) to provide an understanding of defective fuel performance on behalf of the International Atomic Energy Agency (IAEA). 34 refs, 3 figs, 1 tab

  13. Evaluating Suit Fit Using Performance Degradation

    Science.gov (United States)

    Margerum, Sarah E.; Cowley, Matthew; Harvill, Lauren; Benson, Elizabeth; Rajulu, Sudhakar

    2012-01-01

    The Mark III planetary technology demonstrator space suit can be tailored to an individual by swapping the modular components of the suit, such as the arms, legs, and gloves, as well as adding or removing sizing inserts in key areas. A method was sought to identify the transition from an ideal suit fit to a bad fit and how to quantify this breakdown using a metric of mobility-based human performance data. To this end, the degradation of the range of motion of the elbow and wrist of the suit as a function of suit sizing modifications was investigated to attempt to improve suit fit. The sizing range tested spanned optimal and poor fit and was adjusted incrementally in order to compare each joint angle across five different sizing configurations. Suited range of motion data were collected using a motion capture system for nine isolated and functional tasks utilizing the elbow and wrist joints. A total of four subjects were tested with motions involving both arms simultaneously as well as the right arm by itself. Findings indicated that no single joint drives the performance of the arm as a function of suit size; instead it is based on the interaction of multiple joints along a limb. To determine a size adjustment range where an individual can operate the suit at an acceptable level, a performance detriment limit was set. This user-selected limit reveals the task-dependent tolerance of the suit fit around optimal size. For example, the isolated joint motion indicated that the suit can deviate from optimal by as little as -0.6 in to -2.6 in before experiencing a 10% performance drop in the wrist or elbow joint. The study identified a preliminary method to quantify the impact of size on performance and developed a new way to gauge tolerances around optimal size.

  14. PERFORMANCE EVALUATION OF TYPE I MARINE SANITATION DEVICES

    Science.gov (United States)

    This performance test was designed to evaluate the effectiveness of two Type I Marine Sanitation Devices (MSDs): the Electro Scan Model EST 12, manufactured by Raritan Engineering Company, Inc., and the Thermopure-2, manufactured by Gross Mechanical Laboratories, Inc. Performance...

  15. Modeling and performance evaluation of computer systems security operation

    OpenAIRE

    Guster, D.; Krivulin, N. K.

    2012-01-01

    A model of computer system security operation is developed based on the fork-join queueing network formalism. We introduce a security operation performance measure, and show how it may be used to performance evaluation of actual systems.

  16. Measurement properties of existing clinical assessment methods evaluating scapular positioning and function. A systematic review

    DEFF Research Database (Denmark)

    Larsen, Camilla Marie; Juul-Kristensen, Birgit; Lund, Hans;

    2014-01-01

    The aims were to compile a schematic overview of clinical scapular assessment methods and critically appraise the methodological quality of the involved studies. A systematic, computerassisted literature search using Medline, CINAHL, SportDiscus and EMBASE was performed from inception to October...... excluded for evaluation due to no/few clinimetric results, leaving 35 studies for evaluation. Graded according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN checklist), the methodological quality in the reliability and validity domains was ‘‘fair’’ (57%) to......) reliability; (2) validity; and (3) responsiveness. Observational evaluation systems and assessment of scapular upward rotation seem suitably evidence-based for clinical use. Future studies should test and improve the clinimetric properties, and especially diagnostic accuracy and responsiveness, to increase...

  17. Measurement properties of existing clinical assessment methods evaluating scapular positioning and function. A systematic review

    DEFF Research Database (Denmark)

    Larsen, Camilla Marie; Juul-Kristensen, Birgit; Lund, Hans;

    2014-01-01

    Abstract The aims were to compile a schematic overview of clinical scapular assessment methods and critically appraise the methodological quality of the involved studies. A systematic, computer-assisted literature search using Medline, CINAHL, SportDiscus and EMBASE was performed from inception to...... excluded for evaluation due to no/few clinimetric results, leaving 35 studies for evaluation. Graded according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN checklist), the methodological quality in the reliability and validity domains was "fair" (57%) to......; (2) validity; and (3) responsiveness. Observational evaluation systems and assessment of scapular upward rotation seem suitably evidence-based for clinical use. Future studies should test and improve the clinimetric properties, and especially diagnostic accuracy and responsiveness, to increase...

  18. Measurement properties of existing clinical assessment methods evaluating scapular positioning and function. A systematic review

    DEFF Research Database (Denmark)

    Larsen, Camilla Marie; Juul-Kristensen, B; Lund, H;

    2014-01-01

    Measurement properties of existing clinical assessment methods evaluating scapular positioning and function. A systematic review Larsen CM1, Juul-Kristensen B1,2 Lund H1,2, Søgaard K1 1University of Southern Denmark, Institute of Sports Science and Clinical Biomechanics 2Institute of Occupational....... Methods A systematic, computer-assisted literature search using Medline, CINAHL, SportDiscus and EMBASE was performed from inception to October 2013. Reference lists in articles were also screened for publications. The overall method used in this review can be divided into four steps: 1) Compile an...... evaluation due to no/few clinimetric results, leaving 35 studies for evaluation. Graded according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN checklist), the methodological quality in the reliability and validity domains was ‘fair’ (57%) to ‘poor’ (43%), with...

  19. Measurement properties of existing clinical assessment methods evaluating scapular positioning and function. A systematic review

    DEFF Research Database (Denmark)

    Larsen, Camilla Marie; Juul-Kristensen, Birgit; Lund, Hans;

    ABSTRACT OARSI Measurement properties of existing clinical assessment methods evaluating scapular positioning and function. A systematic review Larsen CM1, Juul-Kristensen B1,2 Lund H1,2, Søgaard K11University of Southern Denmark, Institute of Sports Science and Clinical Biomechanics2Institute of...... studies.MethodsA systematic, computer-assisted literature search using Medline, CINAHL, SportDiscus and EMBASE was performed from inception to October 2013. Reference lists in articles were also screened for publications. The overall method used in this review can be divided into four steps: 1) Compile an...... evaluation due to no/few clinimetric results, leaving 35 studies for evaluation. Graded according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN checklist), the methodological quality in the reliability and validity domains was ‘fair’ (57%) to ‘poor’ (43%), with...

  20. Clinical evaluation of direct composite restoration done for midline diastema closure – long-term study

    OpenAIRE

    Prabhu, R.; S Bhaskaran; Geetha Prabhu, K. R.; M A Eswaran; Phanikrishna, G.; Deepthi, B.

    2015-01-01

    Purpose of the Study: The aim of this study was to evaluate clinically the performance of composite resin used to restore midline diastema between the maxillary and mandibular central incisors. Methodology: Direct composite restorations were done for 45 patients with midline diastema between the maxillary and mandibular central incisors. Standard protocols were followed for the placement of composite resin for the diastema closure, and recall visits were made for every 6 months for a period o...

  1. A Safety Analysis Approach to Clinical Workflows: Application and Evaluation

    Directory of Open Access Journals (Sweden)

    Lamis Al-Qora’n

    2014-11-01

    Full Text Available Clinical workflows are safety critical workflows as they have the potential to cause harm or death to patients. Their safety needs to be considered as early as possible in the development process. Effective safety analysis methods are required to ensure the safety of these high-risk workflows, because errors that may happen through routine workflow could propagate within the workflow to result in harmful failures of the system’s output. This paper shows how to apply an approach for safety analysis of clinical workflows to analyse the safety of the workflow within a radiology department and evaluates the approach in terms of usability and benefits. The outcomes of using this approach include identification of the root causes of hazardous workflow failures that may put patients’ lives at risk. We show that the approach is applicable to this area of healthcare and is able to present added value through the detailed information on possible failures, of both their causes and effects; therefore, it has the potential to improve the safety of radiology and other clinical workflows.

  2. Evaluation of Clinical Features of Female Patients with Macroprolactinemia

    Directory of Open Access Journals (Sweden)

    Göksun Ayvaz

    2011-09-01

    Full Text Available Aim: Macroprolactin is a high-molecular-weight form of prolactin. It has been suggested that macroprolactin has no clinical importance because of its decreased or limited bioactivity. Although screening for macroprolactinemia is recommended especially in patients with idiopathic hyperprolactinemia; recent studies reported that patients with macroprolactinemia may have some hyperprolactinemia symptoms. Currently, the causes of the symptoms as well as the treatment and follow-up of this group of patients are not clear. In our study, we aimed to retrospectively evaluate and compare the clinical characteristics and gonadal hormone levels of patients with macroprolactinemia and hyperprolactinemia.Materials and Methods: Forty patients with macroprolactinemia and 15 patients with hyperprolactinemia who referred to Obstetrics and Gynecology Hospital were examined.Results: We observed that the patients with macroprolactinemia had similar menstrual disturbances (oligomenorrhea/amenorrhea to the patients with hyperprolactinemia. There was no statistically significant difference between the two groups with respect to FSH, LH and estradiol levels. The frequencies of galactorrhea (p=0.002, headache (p=0.04 and positive radiological finding (p=0.001 were higher in patients with hyperprolactinemia. Infertility rate was found to be increased in women with macroprolactinemia (p=0.02.Conclusion: Patients with macroprolactinemia may have very similar clinic symptoms to those with hyperprolactinemia. Therefore, macroprolactin levels should be measured regardless of the symptoms of hyperprolactinemia in patients with elevated prolactin levels. Türk Jem 2011; 15: 62-5

  3. IT-benchmarking of clinical workflows: concept, implementation, and evaluation.

    Science.gov (United States)

    Thye, Johannes; Straede, Matthias-Christopher; Liebe, Jan-David; Hübner, Ursula

    2014-01-01

    Due to the emerging evidence of health IT as opportunity and risk for clinical workflows, health IT must undergo a continuous measurement of its efficacy and efficiency. IT-benchmarks are a proven means for providing this information. The aim of this study was to enhance the methodology of an existing benchmarking procedure by including, in particular, new indicators of clinical workflows and by proposing new types of visualisation. Drawing on the concept of information logistics, we propose four workflow descriptors that were applied to four clinical processes. General and specific indicators were derived from these descriptors and processes. 199 chief information officers (CIOs) took part in the benchmarking. These hospitals were assigned to reference groups of a similar size and ownership from a total of 259 hospitals. Stepwise and comprehensive feedback was given to the CIOs. Most participants who evaluated the benchmark rated the procedure as very good, good, or rather good (98.4%). Benchmark information was used by CIOs for getting a general overview, advancing IT, preparing negotiations with board members, and arguing for a new IT project. PMID:24825693

  4. Functional outcomes for clinical evaluation of implant restorations.

    Science.gov (United States)

    Bassi, Francesco; Carr, Alan B; Chang, Ting-Ling; Estafanous, Emad W; Garrett, Neal R; Happonen, Risto-Pekka; Koka, Sreenivas; Laine, Juhani; Osswald, Martin; Reintsema, Harry; Rieger, Jana; Roumanas, Eleni; Salinas, Thomas J; Stanford, Clark M; Wolfaardt, Johan

    2013-01-01

    The functional outcomes related to treating patients afflicted with tooth loss are an important hallmark in substantiating prosthodontic intervention. The Oral Rehabilitation Outcomes Network (ORONet) conducted two international workshops to develop a core set of outcome measures, including a functional domain. The process followed the general format used in the Outcome Measures in Rheumatology (OMERACT) workshops to develop consensus for clinical outcome measures in arthritis research, which included: developing a comprehensive list of potential outcomes in the literature; submitting them to a filter for validity, clinical discrimination, and feasibility; and ranking those measures meeting all the filter criteria for relative value. The search was conducted to include functional assessments of speech, swallowing, mastication, nutrition, sensation, and motor function as they relate to dental implant therapies. This literature review surveyed 173 papers that produced some result of these descriptors in the functional domain. Of these, 67 papers reported on functional assessments and further defined objective and subjective outcomes. Many of these results were patient-perceived improvements in function, while others were objective assessments based on established methodologies and instruments. Objective evaluations of masticatory function and speech may meet criteria for validity and discriminability for selected interventions, but are generally not feasible for routine use in clinical care settings. The current recommendation is to employ a well-validated survey instrument that covers mastication and speech, such as the Oral Health Impact Profile (OHIP-14, short form), recognizing that patient perceptions of function may differ from objective ability. PMID:23998137

  5. Evaluating Models of Human Performance: Safety-Critical Systems Applications

    Science.gov (United States)

    Feary, Michael S.

    2012-01-01

    This presentation is part of panel discussion on Evaluating Models of Human Performance. The purpose of this panel is to discuss the increasing use of models in the world today and specifically focus on how to describe and evaluate models of human performance. My presentation will focus on discussions of generating distributions of performance, and the evaluation of different strategies for humans performing tasks with mixed initiative (Human-Automation) systems. I will also discuss issues with how to provide Human Performance modeling data to support decisions on acceptability and tradeoffs in the design of safety critical systems. I will conclude with challenges for the future.

  6. Supply Chain Performance Evaluation: Trends and Challenges

    OpenAIRE

    Ezutah U. Olugu; Kuan Y. Wong

    2009-01-01

    Problem statement: In todays manufacturing world, globalization policies and rejuvenation have created a more intensive competition amongst manufacturers. On the other hand, manufacturers have turned to the option of adopting innovative technologies, process re-engineering and strategies such as efficient supply chain management to achieve a sustainable competitive advantage. Effective supply chain performance measurement has been identified as a key issue towards efficient supply chain manag...

  7. Performance Evaluation of Flash File Systems

    OpenAIRE

    Olivier, Pierre; Boukhobza, Jalil; Senn, Eric

    2012-01-01

    Today, flash memory are strongly used in the embedded system domain. NAND flash memories are the building block of main secondary storage systems. Such memories present many benefits in terms of data density, I/O performance, shock resistance and power consumption. Nevertheless, flash does not come without constraints: the write / erase granularity asymmetry and the limited lifetime bring the need for specific management. This can be done through the operating system using dedicated Flash Fil...

  8. Brookfield Homes Passive House Performance Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Herk, A. [IBACOS, Inc., Pittsburgh, PA (United States); Poerschke, A. [IBACOS, Inc., Pittsburgh, PA (United States); Beach, R. [IBACOS, Inc., Pittsburgh, PA (United States)

    2016-02-01

    In 2012-2013, IBACOS worked with a builder, Brookfield Homes in Denver, Colorado, to design and construct a Passive House certified model home. IBACOS used several modeling programs and calculation methods to complete the final design package along with Brookfield's architect KGA Studio. This design package included upgrades to the thermal enclosure, basement insulation, windows, and heating, ventilation, and air conditioning. Short-term performance testing in the Passive House was done during construction and after construction.

  9. Performance evaluation in competitive REE models

    OpenAIRE

    Paolo Colla; Marín, José M.

    2010-01-01

    Our basic premise is that fund managers performance is related to superior information about an asset payoff. We investigate the relationship between managerial skills and trading behavior within a two-period rational expectation equilibrium (REE) model where agents trade on private information in the first round, while a public signal arrives at the second date that makes traders revise their beliefs and retrade. The public signal can be related to the asset payoff, or to variables not relat...

  10. A Novel Evaluation Indicator System and Evaluation Method for Supply Chain Performance of Food Production

    OpenAIRE

    Zhai Xiyao; Ye Hankun

    2015-01-01

    Supply chain performance evaluation is a research hotspot and lies in the core status in supply chain management. The study presents a new evaluation indicator system and evaluation algorithm for supply chain performance. First, the balanced score card is used to construct an evaluation indicator system for supply chain performance evaluation through analyzing the basic principle and connotation characteristics of supply chain management; Second analytic hierarchy process and fuzzy comprehens...

  11. Evaluating performance measures to determine training effectiveness

    International Nuclear Information System (INIS)

    This research was conceived and dedicated to helping the CECo training organization become a more integrated part of the corporate business. The target population for this study was nuclear and fossil generating station employees who directly impacted the production of electricity. The target sample (n = 150) included: instrument, mechanical, and electrical maintenance personnel; control room operators; engineers, radiation chemists, and other technical specialists; and equipment operators and attendants. A total of four instruments were utilized by this study. Three instruments were administered to the generating station personnel. These included a demographic form, a learning style profile, and a motivational style profile. The focal instrument, a performance skills rating form, was administered to supervisory personnel. Data analysis consisted of three major parts. Part one established internal consistency through Cronbach alpha statistics. Part two provides summary statistics and breakdown tables for important variables. Part three provides inferential statistics responding to the research questions. All six Performance Skills variables discriminated significantly between the trained and non-trained groups (p .001). In all cases, the mean value for the trained group exceeded the mean value for the non-trained group. Implications for further research indicate that training does have a quantifiable effect on job performance

  12. Radiological evaluation of swallowing and clinical patterns of systemic sclerosis

    International Nuclear Information System (INIS)

    Fifty-one patients with systemic sclerosis (scleroderma) were studied by means of videofluoroscopy in order to evaluate the abnormalities in the oral-pharyngeal and esophageal phases of deglutition and to correlate the radiological patterns with the clinical features of the disease. Thirteen patients (25.5%) exhibited swallowing disorders such as oral leakage, retention, penetration, mild or moderate aspiration and abnormal upper esophageal sphincter behavior. These dysfunctions were more evident in patients with esophageal motility abnormalities. A normal radiological pattern in the esophagus was not associated with swallowing alterations. Remarkably, patients with oral-pharyngeal disorders had a higher incidence of lung diseases. Forty-five patients (88%) exhibited disorders of the esophageal phase of deglutition, such as mild or severe motility abnormalities or hiatal hernia, gastro-esophageal reflux, reflux esophagitis, and stricture. Radiological findings in the esophagus can be abnormal in the early stages of the disease. On the other hand, the radiological pattern of esophageal motility can be occasionally negative in advanced or extensive disease. This indicates a discrepancy between clinical symptoms and radiological picture of the esophagus. The radiological examination of the oral-pharyngeal and esophageal phases of deglutition is important in patients with scleroderma in order to evaluate visceral involvement, motility disorders, and risk of aspiration. Such radiological information can be useful in preventing esophagitis and pulmonary complications

  13. Facial diplegia: etiology, clinical manifestations, and diagnostic evaluation

    Directory of Open Access Journals (Sweden)

    Sefer Varol

    2015-12-01

    Full Text Available ABSTRACT Objective Facial diplegia (FD is a rare neurological manifestation with diverse causes. This article aims to systematically evaluate the etiology, diagnostic evaluation and treatment of FD. Method The study was performed retrospectively and included 17 patients with a diagnosis of FD. Results Patients were diagnosed with Guillain-Barré syndrome (GBS (11, Bickerstaff’s brainstem encephalitis (1, neurosarcoidosis (1, non-Hodgkin’s Lymphoma (1, tuberculous meningitis (1 herpes simplex reactivation (1 and idiopathic (1. In addition, two patients had developed FD during pregnancy. Conclusion Facial diplegia is an ominous symptom with widely varying causes that requires careful investigation.

  14. An Effective Model for a Comprehensive Performance Measurement of Clinical and Research Laboratory Centers

    Directory of Open Access Journals (Sweden)

    Ghazinoory S

    2011-01-01

    Full Text Available Bachground and objectives: Improvement of the effectiveness of services isone of the most important strategies in many clinical and research laboratorycenters. The increased client satisfaction (researchers or patients, resourcedevelopment innovation, efficacy, continuity of services and income are alsothe important strategies of these centers. For achieving these strategies, wecombined the qualitative and the quantitative approaches to evaluate theeffective model based on frameworks of the Balance Scorecard (BSC and theLaboratory Quality Management Systems (LQMS.Material and Methods: This paper describes the basic steps required fordesigning and developing of a model for performance measurement inlaboratory centers. For model validation, the relationship between the criteria,the strategies and the strategic objectives was evaluated using both the AHPmethod and the evaluation by the experts.Results: Implementation of the above mentioned model, conducted in one ofthe largest Laboratory centers, has resulted in a remarkable enhancement inthe efficiency (22%, profit (33%, level of quality of service (27% and inthe clients’ satisfaction (4%.Conclusion: This research model is a valuable tool for effective evaluationand continuous improvement of the clinical and research laboratory centers.Applying this model leads to increased resource productivity as well as theclients and community satisfaction from the laboratories services.Key words: Laboratory Centers, Performance Management, BalanceScorecard (BSC, Laboratory Quality Management Systems (LQMS

  15. Relationship between kinesiophobia and performance in a functional capacity evaluation

    NARCIS (Netherlands)

    Reneman, MF; Jorritsma, W; Dijkstra, SJ; Dijkstra, PU

    2003-01-01

    Fear of movement and (re) injury (kinesiophobia) has been postulated to play an important role in the performance in a Functional Capacity Evaluation (FCE). This study was performed to analyze the relationship between kinesiophobia and performance in an FCE. Kinesiophobia and FCE performance of 54 m

  16. Performance Evaluation to Enable Institutionalisation of Technology

    Directory of Open Access Journals (Sweden)

    Abrar Haider

    2008-12-01

    Full Text Available Technology implementation involves understanding of the structure of the technology, the reasons for choosing particular technology and its implementation approaches, assumptions about the context in which technology is to be used, and previous experiences with technology adoption. However, information systems implementation in engineering organizations generally disregards human, contextual, and organizational elements and is driven by the needs of individual departments rather than in response to the strategic needs of the entire organization. This paper presents an account of information systems implementation in a public sector transport organization. The case emphasizes the importance of ex-post or ex-ante evaluation of technology as well as the context of their implementation. It highlights that evaluation of information systems should not be treated as an isolated process, which is often left to auditors. In fact, it is a strategic activity that requires participation from a wider organizational community, which provides core justifications for investments in information systems as well as roadmaps for their implementation and institutionalization in the organization.

  17. Re-Evaluation of Clinical Dementia Diagnoses with Pittsburgh Compound B Positron Emission Tomography

    Directory of Open Access Journals (Sweden)

    M. Degerman Gunnarsson

    2013-12-01

    Full Text Available Objectives: There is an overlap regarding Pittsburgh compound B (PIB retention in patients clinically diagnosed as Alzheimer's disease (AD and non-AD dementia. The aim of the present study was to investigate whether there are any differences between PIB-positive and PIB-negative patients in a mixed cohort of patients with neurodegenerative dementia of mild severity regarding neuropsychological test performance and regional cerebral glucose metabolism measured with [18F]fluoro-2-deoxy-D-glucose (FDG positron emission tomography (PET. Methods: Eighteen patients clinically diagnosed as probable AD or frontotemporal dementia were examined with PIB PET, FDG PET and neuropsychological tests and followed for 5-9 years in a clinical setting. Results: The PIB-positive patients (7 out of 18 had slower psychomotor speed and more impaired visual episodic memory than the PIB-negative patients; otherwise performance did not differ between the groups. The initial clinical diagnoses were changed in one third of the patients (6 out of 18 during follow-up. Conclusions: The subtle differences in neuropsychological performance, the overlap of hypometabolic patterns and clinical features between AD and non-AD dementia highlight the need for amyloid biomarkers and a readiness to re-evaluate the initial diagnosis.

  18. Clinical and Radiological Evaluation of Children with Subacute Sclerosan Panencephalitis

    Directory of Open Access Journals (Sweden)

    Ahmet İrdem

    2004-01-01

    Full Text Available A total of 65 children with Subacute Sclerosing Panencephalitis (SSPE who admittedto our clinic between September 1998 and December 2002 were retrospectively evaluated interms of clinical and radiological findings.The most common symptoms and findings at admission were myoklonia (31 patients, 47%, behaveral changes (18 patients, 27.7 % and convulsion (8 patients, 12 %. There was atrauma history initiating symptoms in 14 patients (21.5 %. Neurological symptoms presentedsignificantly earlier in patients who had measles before 2 years of age compared to others(p0.05. The clinical stage of the patients at admission was determined based on Risk veHaddad classification. The most frequent stage was IIA (21 patients, 32.2%, IIC (17patients, 26.2% and IIB (16 patients, 24.6%. At the follow-up period, 46 (71% patients wasdepended to bed. The mean time interval between SSPE initiation age and bed dependencywas 4.68 ± 4.05 months (1-17 months.Of the 31 patients who underwent cranial magnetic rezonans imaging (MRI, 15patients (48.38% had pathological findings, the most frequent findings were cortical vesubcortical lesions. Of the 24 patients who underwent cranial tomographi, 22 (91.6% werenormal. Of the remaining two, one had atrophy and the other had increase in contrast. All ofthe patients underwent rutine EEG test. Fifty-four (83.1% of these had periodic complexhigh slow wave activity.The clinical findings and Electro Encephalographi results are important parameters inthe diagnosis of SSPE. Cranial tomographi is not useful in the diagnosis of SSPE. However,cranial MRI findings is pathologic only in the half of the patients.

  19. HENC performance evaluation and plutonium calibration

    International Nuclear Information System (INIS)

    The authors have designed a high-efficiency neutron counter (HENC) to increase the plutonium content in 200-L waste drums. The counter uses totals neutron counting, coincidence counting, and multiplicity counting to determine the plutonium mass. The HENC was developed as part of a Cooperative Research and Development Agreement between the Department of Energy and Canberra Industries. This report presents the results of the detector modifications, the performance tests, the add-a-source calibration, and the plutonium calibration at Los Alamos National Laboratory (TA-35) in 1996

  20. ATAMM enhancement and multiprocessing performance evaluation

    Science.gov (United States)

    Stoughton, John W.

    1994-01-01

    The algorithm to architecture mapping model (ATAAM) is a Petri net based model which provides a strategy for periodic execution of a class of real-time algorithms on multicomputer dataflow architecture. The execution of large-grained, decision-free algorithms on homogeneous processing elements is studied. The ATAAM provides an analytical basis for calculating performance bounds on throughput characteristics. Extension of the ATAMM as a strategy for cyclo-static scheduling provides for a truly distributed ATAMM multicomputer operating system. An ATAAM testbed consisting of a centralized graph manager and three processors is described using embedded firmware on 68HC11 microcontrollers.

  1. Medical beam monitor-Pre-clinical evaluation and future applications

    International Nuclear Information System (INIS)

    Future medical ion beam applications for cancer therapy which are based on scanning technology will require advanced beam diagnostics equipment. For a precise analysis of beam parameters we want to resolve time structures in the range of microseconds to nanoseconds. A prototype of an advanced beam monitor was developed by University of Applied Sciences Wiener Neustadt and its research subsidiary Fotec in co-operation with CERN RD42, Ohio State University and the Jozef Stefan Institute in Ljubljana. The detector is based on polycrystalline Chemical Vapor Deposition (pCVD) diamond substrates and is equipped with readout electronics up to 2 GHz analog bandwidth. In this paper we present the design of the pCVD-detector system and results of tests performed in various particle accelerator based facilities. Measurements performed in clinical high energy photon beams agreed within 1.2% with results obtained by standard ionization chambers

  2. PERFORMANCE EVALUATION OF VANETS ROUTING PROTOCOLS

    Directory of Open Access Journals (Sweden)

    Abduladhim Ashtaiwi

    2014-11-01

    Full Text Available Lately, the concept of VANETs (Vehicular Ad hoc Networks has gotten a huge attention as more wireless communication technologies becoming available. Such networkis expected to be one of the most valuable technology for improving efficiency and safety of the future transportation. Vehicular networks are characterized by high mobility nodes which pose many communication challenging problems. In vehicular networks, routing Collision Avoidance Messages (CAMs among vehicles is a key communication problem.Failure in routing CAMs to their intended destination within the time constraint can render these messages useless. Many routing protocols have been adapted for VANETs, such as DSDV (Destination Sequenced Distance Vector, AODV (Ad-hoc On demand Distance Vector, and DSR (Dynamic Source Routing. This work compares the performance of those routing protocols at different driving environments and scenarios created by using the mobility generator (VanetMobiSim and network simulator(NS2. The obtained results at different vehicular densities, speeds, road obstacles, lanes, traffic lights, and transmission ranges showed that on average AODV protocol outperforms DSR and DSDV protocols in packet delivery ratio and end-toend delay. However, at certain circumstances (e.g., at shorter transmission ranges DSR tends to have better performance than AODV and DSDV protocols.

  3. Comparative Performance Evaluation of ITER TBM Concepts

    International Nuclear Information System (INIS)

    Fast reactors, accelerated driven subcritical reactor (ADSR), and fusion-fission hybrid reactor (FFHR) are major choices of concept for waste transmutation. Systems of ADSR and FFHR are dependent on subcritical reactor whereas fast reactor is an independent critical reactor. It is known that subcritical reactors are much more efficient and safe compared with critical reactors. Recent works showed transmutation capability of FFHR. Korea is now running a Korea Superconducting Tokamak Advanced Research (KSTAR) project and is also participating with International Thermonuclear Experimental Reactor (ITER) project. The infrastructure for FFHR option is well ready and transmutation with FFHR can be a plan-B of the fast critical reactor option or ADSR. Final purpose of this research is to make a design concept for hybrid test blanket module (HTBM) as a test bed for FFHR. Current design concept should be adapted to a feasible machine, ITER. The purpose of ITER Test Blanket Modules (TBM) is to test physical performance of tritium breeding, whereas the purpose of HTBM should be different, to test transmutation performance of high level radioactive waste. Therefore HTBM should be loaded with TRU isotopes which were separated from nuclear spent fuel by pyroprocessing. In this paper, design characteristics of 4 TBMs; WCCB, LLCB, HCPB, HCCB are analyzed before design of HTBM for waste transmutation

  4. Comparative Performance Evaluation of ITER TBM Concepts

    Energy Technology Data Exchange (ETDEWEB)

    Hong, SeongHee; Park, YunSeo; Kim, Myung Hyun [Kyung Hee University, Yongin (Korea, Republic of)

    2015-05-15

    Fast reactors, accelerated driven subcritical reactor (ADSR), and fusion-fission hybrid reactor (FFHR) are major choices of concept for waste transmutation. Systems of ADSR and FFHR are dependent on subcritical reactor whereas fast reactor is an independent critical reactor. It is known that subcritical reactors are much more efficient and safe compared with critical reactors. Recent works showed transmutation capability of FFHR. Korea is now running a Korea Superconducting Tokamak Advanced Research (KSTAR) project and is also participating with International Thermonuclear Experimental Reactor (ITER) project. The infrastructure for FFHR option is well ready and transmutation with FFHR can be a plan-B of the fast critical reactor option or ADSR. Final purpose of this research is to make a design concept for hybrid test blanket module (HTBM) as a test bed for FFHR. Current design concept should be adapted to a feasible machine, ITER. The purpose of ITER Test Blanket Modules (TBM) is to test physical performance of tritium breeding, whereas the purpose of HTBM should be different, to test transmutation performance of high level radioactive waste. Therefore HTBM should be loaded with TRU isotopes which were separated from nuclear spent fuel by pyroprocessing. In this paper, design characteristics of 4 TBMs; WCCB, LLCB, HCPB, HCCB are analyzed before design of HTBM for waste transmutation.

  5. Performance evaluation of reheat gas turbine cycles

    Energy Technology Data Exchange (ETDEWEB)

    Sarabchi, K. [University of Tabriz (Iran). Dept. of Mechanical Engineering

    2004-12-01

    The role of gas turbine power plants in electrical energy production has been considerably increased in the last two to three decades. Various methods have been proposed to improve the performance of gas turbine cycles. In this research, two methods, a reheat cycle (RC) and a cycle with a reheat and a heat exchanger (RHC), were investigated and compared with a simple cycle (SC). Today, to achieve a higher efficiency and capacity in gas turbines, higher turbine inlet temperatures (1300{sup o}C and more) are used. Basically, application of such temperatures without turbine blade cooling is impossible. Therefore, analysis of gas turbine cycles without considering blade cooling in modelling will certainly not lead to a valid and correct result. The main objective of this paper is to study the performance of an RC and RHC under actual conditions. In this regard, all processes are treated as actual, and in particular a relatively simple and reliable approach is used to predict the amount of cooling air. It should be noted that there are many attempts being made to produce ceramic turbines, for which a much- reduced cooling requirement will be necessary. The results obtained on the basis of a model developed for this research show that reheating in the context of a realistic study may lead to an improvement both in efficiency and in specific net work. (author)

  6. Evaluation of febrile neutropenic patients hospitalized in a hematology clinic

    Institute of Scientific and Technical Information of China (English)

    Mcahit; Grk; Mehmet; Sinan; Dal; Tuba; Dal; Abdullah; Karakus; Recep; Tekin; Nida; zcan; Orhan; Ayyildiz

    2015-01-01

    Objective:To evaluate the febrile neutropenic patients with hematological malignancies hospitalized in hematology clinic with poor hygiene standards.Methods:A total of 124 patients with hematological malignancies(69 male,55 female)hospitalized in hematology clinic with poor hygiene conditions depending on hospital conditions,between January 2007 and December 2010,were evaluated,retrospectively.Results:In this study,250 febrile neutropenia episodes developing in 124 hospitalized patients were evaluated.Of the patients,69 were men(56%)and 55 women(44%).A total of 40 patients(32%)had acute myeloid leukemia,25(20%)acute lymphoblastic leukemia,19(15%)non-Hodgkin’s lymphoma,10(8%)multiple myeloma,and 8(8%)chronic myeloid leukemia.In our study,56 patients(22%)were diagnosed as pneumonia,38(15%)invasive aspergillosis,38(15%)sepsis,16(6%)typhlitis,9(4%)mucormycosis,and 4(2%)urinary tract infection.Gram-positive cocci were isolated from 52%(n=20),while Gram-negative bacilli 42%(n=16)and yeasts from 6%(n=2)of the sepsis patients,respectively.The most frequently isolated Gram-positive bacteria were methicillin-resistant coagulase-negative staphylococci(n=18),while the most frequently isolated Gram-negative bacteria was Escherichia coli(n=10).Conclusions:Febrile neutropenia is still a problem in patients with hematological malignancies.The documentation of the flora and detection of causative agents of infections in each unit would help to decide appropriate empirical therapy.Infection control procedures should be applied for preventing infections and transmissions.

  7. Burar seismic station: evaluation of seismic performance

    International Nuclear Information System (INIS)

    A new seismic monitoring system, the Bucovina Seismic Array (BURAR), has been established since July 2002, in the Northern part of Romania, in a joint effort of the Air Force Technical Applications Center, USA, and the National Institute for Earth Physics (NIEP), Romania. The small-aperture array consists of 10 seismic sensors (9 vertical short-period and one three-component broad band) located in boreholes and distributed in a 5 x 5 km2 area. At present, the seismic data are continuously recorded by the BURAR and transmitted in real-time to the Romanian National Data Center in Bucharest and National Data Center of the USA, in Florida. Based on the BURAR seismic information gathered at the National Data Center, NIEP (ROMNDC), in the August 2002 - December 2004 time interval, analysis and statistical assessments were performed. Following the preliminary processing of the data, several observations on the global performance of the BURAR system were emphasized. Data investigation showed an excellent efficiency of the BURAR system particularly in detecting teleseismic and regional events. Also, a statistical analysis for the BURAR detection capability of the local Vrancea events was performed in terms of depth and magnitude for the year 2004. The high signal detection capability of the BURAR resulted, generally, in improving the location solutions for the Vrancea seismic events. The location solution accuracy is enhanced when adding BURAR recordings, especially in the case of low magnitude events (recorded by few stations). The location accuracy is increased, both in terms of constraining hypocenter depth and epicentral coordinates. Our analysis certifies the importance of the BURAR system in NIEP efforts to elaborate seismic bulletins. Furthermore, the specific procedures for array data processing (beam forming, f-k analysis) increase significantly the signal-to-noise ratio by summing up the coherent signals from the array components, and ensure a better accuracy of

  8. Performance evaluation methods and instrumentation for mine ventilation fans

    Institute of Scientific and Technical Information of China (English)

    LI Man; WANG Xue-rong

    2009-01-01

    Ventilation fans are one of the most important pieces of equipment in coal mines. Their performance plays an important role in the safety of staff and production. Given the actual requirements of coal mine production, we instituted a research project on the measurement methods of key performance parameters such as wind pressure, amount of ventilation and power. At the end a virtual instrument for mine ventilation fans performance evaluation was developed using a USB interface. The practical perform-ance and analytical results of our experiments show that it is feasible, reliable and effective to use the proposed instrumentation for mine ventilation performance evaluation.

  9. Performance evaluation of lithium formate dosimeter

    International Nuclear Information System (INIS)

    Lithium formate dosimeter system is being developed for the dose range 50-1250 Gy. The performance of this dosimeter for use in radiation processing dosimetry was investigated by carrying out dose mapping in product box of Food Package Irradiator and comparing the doses measured by the system with that of Fricke dosimeters placed at identical positions in the product box. It is clear that the maximum difference between the dose values measured by Fricke and lithium formate dosimeters for identical dosimeter position was found to be ± 8 %. As the maximum difference between the dose values measured by lithium formate dosimeters and Fricke dosimeters for identical dosimeter position is within ± 10% (1σ), this dosimetry system qualifies for radiation processing dosimetry as per the limits specified by International Dose Assurance Services of IAEA

  10. 48 CFR 36.201 - Evaluation of contractor performance.

    Science.gov (United States)

    2010-10-01

    ... Contracting for Construction 36.201 Evaluation of contractor performance. See 42.1502(e) for the requirements... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Evaluation of contractor performance. 36.201 Section 36.201 Federal Acquisition Regulations System FEDERAL ACQUISITION...

  11. 48 CFR 1536.201 - Evaluation of contracting performance.

    Science.gov (United States)

    2010-10-01

    ... Contracting for Construction 1536.201 Evaluation of contracting performance. (a) The Contracting Officer will... will file the form in the contractor performance evaluation files which it maintains. (e) The Quality... with EPA's Freedom of Information Act procedures at 40 CFR part 2....

  12. Evaluation of PV Module Field Performance

    Energy Technology Data Exchange (ETDEWEB)

    Wohlgemuth, John; Silverman, Timothy; Miller, David C.; McNutt, Peter; Kempe, Michael; Deceglie, Michael

    2015-06-14

    This paper describes an effort to inspect and evaluate PV modules in order to determine what failure or degradation modes are occurring in field installations. This paper will report on the results of six site visits, including the Sacramento Municipal Utility District (SMUD) Hedge Array, Tucson Electric Power (TEP) Springerville, Central Florida Utility, Florida Solar Energy Center (FSEC), the TEP Solar Test Yard, and University of Toledo installations. The effort here makes use of a recently developed field inspection data collection protocol, and the results were input into a corresponding database. The results of this work have also been used to develop a draft of the IEC standard for climate and application specific accelerated stress testing beyond module qualification. TEP Solar Test Yard, and University of Toledo installations. The effort here makes use of a recently developed field inspection data collection protocol, and the results were input into a corresponding database. The results of this work have also been used to develop a draft of the IEC standard for climate and application specific accelerated stress testing beyond module qualification. TEP Solar Test Yard, and University of Toledo installations. The effort here makes use of a recently developed field inspection data collection protocol, and the results were input into a corresponding database. The results of this work have also been used to develop a draft of the IEC standard for climate and application specific accelerated stress testing beyond module qualification.

  13. Evaluation of two commercially available anti human immunodeficiency virus antibody Elisa Kits using clinical samples

    OpenAIRE

    Anuradha K; Ponamgi S; Lakshmi V

    2002-01-01

    Laboratory diagnosis is the mainstay in the diagnosis of HIV infection in an individual. The wide range of diagnostic kits available, for the detection of anti HIV antibodies, makes it mandatory that the kits are evaluated before they are made available in the market. We evaluated the performance of a Microlisa HIV kit (J.Mitra & Co.)† using a panel of HIV reactive and non reactive clinical specimens. The sensitivity and specificity of the kit were found to be 100% as com...

  14. Research on Performance Evaluation by IDSS Based on AHP

    Directory of Open Access Journals (Sweden)

    Tang Xuelian

    2013-03-01

    Full Text Available Talent resource is the primary resource. There are two sides as the starting point and foothold in this paper. One is how to evaluate the performance of science and technology talents flow by IDSS (Intelligence Decision Supporting System. Another is how to guide the innovation work of science and technology according to the evaluation results. The evaluation index on performance system has hierarchical structure. So AHP (Analytic Hierarchy Process is applied to evaluate the performance. Evaluation model is established and illustrated by the cases in this paper. It can be seen that the flow of performance is influenced by the growth rate of important scientific and technological achievements. Furthermore, some constructive suggestions are given based on the results of evaluation.

  15. 42 CFR 493.1453 - Condition: Laboratories performing high complexity testing; clinical consultant.

    Science.gov (United States)

    2010-10-01

    ... Condition: Laboratories performing high complexity testing; clinical consultant. The laboratory must have a... testing; clinical consultant. 493.1453 Section 493.1453 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION...

  16. Cooling performance evaluation of the concrete cask

    International Nuclear Information System (INIS)

    The concrete cask storage system stores spent fuel by first sealing it within canisters and then containing such canisters inside a concrete cask. This report describes the results of a full-size model test performed to examine the heat dissipation characteristics of the concrete cask and to ascertain its ability to deal with elevated temperature. The specification to which a full-size concrete cask model was fabricated assumed an interim storage of 17x17UO2 fuel that was burned in PWR, estimating the heating value of spent fuel containing canister to be approximately 20 kW apiece. The test, which actually covered canister heating values ranging from 10 kW to 30 kW per unit to allow for temperature variations likely to be experienced in actual operation, verified that the concrete cask member did not exceed temperature limits. Test condition anticipated highest air temperature inside the spent fuel storage facility to be 30degC and, with reference to existing standard, set temperature limits of 65degC or less for the main body of concrete and 90degC or less for the local part as criteria. Preliminary 3-D thermo hydrodynamic analysis done prior to the test indicated that the temperature of the local part of the concrete cask member would be below 90degC. It also confirmed that steel material used as the structural member of the canisters or concrete cask would remain around 200degC even in an area where it was highest, validating that the integrity of such material would pose no problem from the analytical point of view. Heat dissipation performance test conducted in steady state verified that the concrete cask was able to have a sufficient cooling capacity against per-canister heating values in the 10 kW to 30 kW range which had been chosen in anticipation of temperature variation thought to be encountered in actual service. Also, to examine the consequence of the concrete cask having lost its cooling ability, another heat dissipation test was carried out under

  17. 40 CFR 35.115 - Evaluation of performance.

    Science.gov (United States)

    2010-07-01

    ... requirements for progress reporting under 40 CFR 31.40(b). (b) Elements of the evaluation process. The... in 40 CFR 31.70. (d) Evaluation reports. The Regional Administrator will ensure that the required... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Evaluation of performance....

  18. Plant operator performance evaluation from the viewpoint of crew communications

    International Nuclear Information System (INIS)

    Elucidation of a plant operator's cognitive processes is required to improve the man-machine interface that supports operators' diagnoses and decisions. Experiments to clarify operators' cognitive processes have been performed in which operator performance under abnormal conditions was evaluated by protocol analyses and interviews using a plant dynamics simulator. The cognitive processes had been previously analyzed by using the information-processing model developed based on Rasmussen's idea. The authors have had the working hypothesis, based on the experimental observations, that crew communications can be divided into various types, and operator performance can be evaluated by analysis of crew communications. Differences in operator crew performance were evaluated in the present study

  19. Developing a comprehensive safety performance evaluation framework for Saudi schools

    OpenAIRE

    Turki Alolah; Rodney Anthony Stewart; Kriengsak Panuwatwanich; Sherif Mohamed

    2014-01-01

    Purpose – The purpose of this paper is to empirically develop a safety performance (SP) framework for evaluating the various leading and lagging indicators of SP in Saudi public schools. Design/methodology/approach – A comprehensive review of the safety and performance evaluation literature enabled the formulation of the constructs, factors and items that underpinned a conceptual SP evaluation framework. The research method involved a conceptual framework review and refinement process with 18...

  20. Fuel performance evaluation for ADS MYRRHA

    International Nuclear Information System (INIS)

    MYRRHA is an Accelerator Driven System (ADS) under development at Mol in Belgium and aiming to serve as a basis for the European experimental ADS to provide protons and neutrons for various applications. It consists of a proton accelerator delivering a 350 MeV*5 mA proton beam to a liquid Pb-Bi spallation target that in turn couples to a Pb-Bi cooled, subcritical fast core. A preliminary design of the experimental fuel rods and analysis of their performance under typical ADS conditions is a first step of the fuel development program. Different designs are to be studied and different kinds of fuels are expected to be tested. In the current design, (U,Pu)O2 MOX fuel with the enrichment of 20-30 wt.% of Pu is considered to be a basis of the subcritical core, whereas different sorts of experimental fuel rods should be tested in the experimental channels to study minor actinides and low-lived fission products transmutation. In a later phase, a part of the MOX fuel in the subcritical core will be replaced with non-uranium fuels with transuranium elements. In the present report some result of modelling of the behaviour of two experimental rods (one with MOX and another with IMF) in the hottest fuel assembly of the ADS MYRRHA - are presented. (author)

  1. Performance evaluation of breast image compression techniques

    International Nuclear Information System (INIS)

    Novel diagnosis orienting tele working systems manipulate, store, and process medical data through real time communication - conferencing schemes. One of the most important factors affecting the performance of these systems is image handling. Compression algorithms can be applied to the medical images, in order to minimize : a) the volume of data to be stored in the database, b) the demanded bandwidth from the network, c) the transmission costs, and to minimize the speed of the transmitted data. In this paper an estimation of all the factors of the process that affect the presentation of breast images is made, from the time the images are produced from a modality, till the compressed images are stored, or transmitted in a Broadband network (e.g. B-ISDN). The images used were scanned images of the TOR(MAX) Leeds breast phantom, as well as typical breast images. A comparison of seven compression techniques has been done, based on objective criteria such as Mean Square Error (MSE), resolution, contrast, etc. The user can choose the appropriate compression ratio in order to achieve the desired image quality. (authors)

  2. Brookfield Homes Passive House Performance Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Herk, A. [IBACOS, Inc., Pittsburgh, PA (United States); Poerschke, A. [IBACOS, Inc., Pittsburgh, PA (United States); Beach, R. [IBACOS, Inc., Pittsburgh, PA (United States)

    2016-02-04

    In 2012-2013, IBACOS worked with a builder, Brookfield Homes in Denver, Colorado, to design and construct a Passive House certified model home. IBACOS used several modeling programs and calculation methods to complete the final design package along with Brookfield's architect KGA Studio. This design package included upgrades to the thermal enclosure, basement insulation, windows, and heating, ventilation, and air conditioning. Short-term performance testing in the Passive House was done during construction and after construction. Testing with a blower door indicated that whole-building air leakage to the outside was 324 CFM and 0.60 ACH50. The other two test homes had little short-term testing done post-construction by the local energy rater. IBACOS then monitored the energy consumption and whole-house comfort conditions of that occupied Passive House after one year of operation and compared the monitoring results to those for two other occupied test houses in the same area with similar square footage but slightly different floor plans. IBACOS also assisted the builder, Brookfield Homes, in researching design scenarios for Zero Energy Ready Home and ENERGY STAR acceptance levels. IBACOS also assisted Brookfield in conceptualizing product for Denver's Brighton Heights area. Brookfield was considering building to Zero Energy Ready Home standards in that location. IBACOS provided strategies that Brookfield may draw from in the event the builder chooses to pursue a Zero Energy Ready Home plan for that market.

  3. One-year clinical evaluation of posterior packable resin composite restorations.

    Science.gov (United States)

    Loguercio, A D; Reis, A; Rodrigues Filho, L E; Busato, A L

    2001-01-01

    This study evaluated the clinical performance of four packable resin composite restorative materials in posterior teeth (Class I and II) compared with one hybrid composite after one year. Eighty-four restorations were placed in 16 patients. Each patient received at least five restorations. The tested materials were: (1) Solitaire + Solid Bond; (2) ALERT + Bond-1; (3) Surefil + Prime & Bond NT (4) Filtek P60 + Single Bond and; (5) TPH Spectrum + Prime & Bond 2.1. All restorations were made using rubber dam isolation, and the cavity design was restricted to the elimination of carious tissue. Deeper cavities were covered with calcium hydroxide and/or glass ionomer cement. In shallow and medium cavities, no protection was performed except for the respective adhesive system used in each group. Each adhesive system and resin composite was placed according to the manufacturer's instructions. One week later, the restorations were finished/polished and evaluated according to the USPHS modified criteria. All patients attended the one-year recall, and the 84 restorations were evaluated at that time based on the same evaluation criteria. The scores were submitted to statistical analysis (Chi-square test, p<0.05). Solitaire and TPH showed some fractures at marginal ridges. Solitaire, ALERT and TPH showed some concerns related to color match and surface texture. Surefil and Filtek P60 showed an excellent clinical performance after one year. PMID:11551005

  4. Performance evaluation of norwegian equity funds 1998-2008

    OpenAIRE

    Barkousaraei, Seyedeh Azadeh Mir Sayyar; Valtmane, Ieva

    2008-01-01

    The purpose of this thesis is to evaluate the performance of Norwegian equity funds during the period from 1998 to 2008. We have identified the best and the worst performing funds during the period based on five performance measures: Sharpe ratio, Treynor ratio, Jensen’s Alpha, Appraisal ratio and Modigliani and Modigliani measure. The analysis focuses on the funds’ performance in the form of risk-adjusted return. We compare the performances of the funds, and investigate whethe...

  5. Performance Evaluation of Marine Industries Based on Eco-economy

    OpenAIRE

    Minli Gong; Yanqing Qi

    2013-01-01

    An assessment framework is made to evaluate the performance factors of marine industries from the perspective of eco-economics by means of the AHP and the Delphi methods. Results are as follows: Performance assessment index of marine industries is decided by ecological performance, economic performance and social performance with ecological index taking priority over economic index; the efficiency of economy output and value-creating are preferred in the pursuit of low energy-consuming and le...

  6. Performance Requirements on Remodeling Apartment Housing and TOPSIS Evaluation

    OpenAIRE

    Jaeho Cho; Jaeyoul Chun

    2015-01-01

    Functional improvement needed in remodeling projects is determined by users in a complex manner since remodeling projects require performance improvement against deterioration. This study defines fundamental Remodeling Performance Criteria (RPC) for apartment housing by referring to performance criteria of both domestic and international performance-related systems. In this case study, performance evaluation of Construction Element Method (CEM) for remodeling projects was conducted based on R...

  7. Evaluating Judicial Performance and Addressing Gender Bias

    Directory of Open Access Journals (Sweden)

    Angela Melville

    2014-12-01

    Full Text Available Elek and Rottman argue that judicial evaluation is often biased against women and minority judges. The need to address bias is important, however often the desire for diversity seems so self-evident as to belie deeper analysis. This paper examines the two main rationales for gender equality on the bench. First, female judges are often considered necessary in order to bring a gendered perspective to judging, however it is argued that this rationale is flawed. Second, an alternative rationale based on equality and legitimacy is offered which avoids gender essentialism. While debates typically focus on these two rationales, a third rationale embraces both difference and equality/legitimacy. The presence of female judges has an important symbolic value which destabilises existing fraternal legal norms. Finally, increasing the number of female judges may not necessarily change judging, and this paper also analyses how the transformative potential offered by judicial diversity can work in practice. Elek y Rottman defienden que la evaluación judicial suele estar sesgada en contra de las mujeres y los jueces pertenecientes a minorías. La necesidad de abordar el sesgo es importante, sin embargo a menudo el deseo de diversidad parece tan evidente como para contradecir un análisis más profundo. Este artículo examina los dos motivos principales para la igualdad de género en el banquillo. En primer lugar, las mujeres jueces a menudo se consideran necesarias para aportar una perspectiva de género al hecho de juzgar, sin embargo, se defiende que este razonamiento es erróneo. En segundo lugar, se ofrece una alternativa lógica basada en la igualdad y la legitimidad que evita el esencialismo de género. Mientras que los debates suelen centrarse en estas dos razones, una tercera justificación abarca tanto la diferencia como la igualdad/legitimidad. La presencia de mujeres en la judicatura tiene un importante valor simbólico que desestabiliza las normas

  8. Performance of Algerian SME: evaluation by the FDH approach

    Directory of Open Access Journals (Sweden)

    Ali Nabil BELOUARD

    2014-06-01

    Full Text Available This paper aims to apply the nonparametric frontier analysis to evaluate the performance of the Algerian private SMS. The interest of a good measure of firm performance is to have a good reference (benchmark. For that, it seems important and useful to present an appropriate approach to construct the Benchmarking, and to illustrate it through an application upon a sample of Algerian SMS’s in order to evaluate suitably their performance.

  9. Performance of Algerian SME: evaluation by the FDH approach

    OpenAIRE

    Ali Nabil BELOUARD

    2014-01-01

    This paper aims to apply the nonparametric frontier analysis to evaluate the performance of the Algerian private SMS. The interest of a good measure of firm performance is to have a good reference (benchmark). For that, it seems important and useful to present an appropriate approach to construct the Benchmarking, and to illustrate it through an application upon a sample of Algerian SMS’s in order to evaluate suitably their performance.

  10. Performance management in the Slovak higher education system: preliminary evaluation

    OpenAIRE

    Juraj Nemec

    2007-01-01

    The aim of our paper is a preliminary evaluation of the introduction of performance management and performance financing arrangements in the Slovak higher education system – accreditation and formula based performance financing. This evaluation will be mainly based on the assessment of short-term impacts of the above mentioned instruments and is expected to invite further professional discussion. We feel that the data and brief analysis included are sufficient enough to show that the Slovak s...

  11. DNA Damage in Chronic Kidney Disease: Evaluation of Clinical Biomarkers

    Science.gov (United States)

    Schupp, Nicole; Stopper, Helga; Heidland, August

    2016-01-01

    Patients with chronic kidney disease (CKD) exhibit an increased cancer risk compared to a healthy control population. To be able to estimate the cancer risk of the patients and to assess the impact of interventional therapies thereon, it is of particular interest to measure the patients' burden of genomic damage. Chromosomal abnormalities, reduced DNA repair, and DNA lesions were found indeed in cells of patients with CKD. Biomarkers for DNA damage measurable in easily accessible cells like peripheral blood lymphocytes are chromosomal aberrations, structural DNA lesions, and oxidatively modified DNA bases. In this review the most common methods quantifying the three parameters mentioned above, the cytokinesis-block micronucleus assay, the comet assay, and the quantification of 8-oxo-7,8-dihydro-2′-deoxyguanosine, are evaluated concerning the feasibility of the analysis and regarding the marker's potential to predict clinical outcomes. PMID:27313827

  12. Clinical evaluation of gadodiamide injection in paediatric MR imaging

    International Nuclear Information System (INIS)

    The safety and efficacy of intravenous gadodiamide injection, 0.1 mmol/kg body weight, have been evaluated in an open label, non-comparative as to drug, phase III clinical trial in 50 children from 6 months to 13 years of age, referred for MRI requiring the injection of a contrast medium. The central nervous system and other body areas were examined with T1 sequences before and after intravenous injection of the contrast medium. Overall safety was very good and no clinically relevant changes were evident as regards heart rate and venous blood oxygen saturation after injection. No adverse event or discomfort was experienced by conscious patients that could with certainty be related to the contrast medium, but slight movements were observed in two sedated patients that could be related to the injection. Comparing pre- and post-injection images, additional diagnostic information could be obtained from the latter in 41 patients (82 %). In these images, the number of lesions detected increased and they were generally better delineated and their size more easily estimated. The results of this trial indicate that gadodiamide injection is safe and effective for MRI examinations in children. (orig.). With 3 figs., 1 tab

  13. Echocardiographic evaluation of clinically healthy Florida manatees (Trichechus manatus latirostris).

    Science.gov (United States)

    Gerlach, Trevor J; Estrada, Amara H; Sosa, Ivan S; Powell, Melanie; Maisenbacher, Herbert W; de Wit, Martine; Ball, Ray L; Walsh, Michael T

    2013-06-01

    Antemortem studies pertaining to the manatee cardiovascular and cardiopulmonary systems are limited despite reports of cardiac disease in postmortem specimens. The objective of this project was to develop a technique for echocardiography in the Florida manatee (Trichechus manatus latirostris). Because of their unique anatomy, a ventral approach was employed by use of an echocardiography table designed specifically for this study. Fourteen clinically healthy, free-ranging and captive Florida manatees underwent echocardiography between the fall of 2011 and winter of 2012. Eight females and six males of various age categories were included in the study. Clear visualization of all valves and chambers was accomplished, and length and width measurements of the left atrium, peak aortic flow velocity, and ejection fraction percentage were calculated in most animals. Abnormalities observed during the study included atrioventricular regurgitation and severe right-atrial enlargement. Based on the results of this study, echocardiography in the Florida manatee is possible, which has both clinical and research implications in larger epidemiologic studies evaluating diseases of the cardiopulmonary and cardiovascular systems. PMID:23805547

  14. Accuracy and Robustness Improvements of Echocardiographic Particle Image Velocimetry for Routine Clinical Cardiac Evaluation

    Science.gov (United States)

    Meyers, Brett; Vlachos, Pavlos; Charonko, John; Giarra, Matthew; Goergen, Craig

    2015-11-01

    Echo Particle Image Velocimetry (echoPIV) is a recent development in flow visualization that provides improved spatial resolution with high temporal resolution in cardiac flow measurement. Despite increased interest a limited number of published echoPIV studies are clinical, demonstrating that the method is not broadly accepted within the medical community. This is due to the fact that use of contrast agents are typically reserved for subjects whose initial evaluation produced very low quality recordings. Thus high background noise and low contrast levels characterize most scans, which hinders echoPIV from producing accurate measurements. To achieve clinical acceptance it is necessary to develop processing strategies that improve accuracy and robustness. We hypothesize that using a short-time moving window ensemble (MWE) correlation can improve echoPIV flow measurements on low image quality clinical scans. To explore the potential of the short-time MWE correlation, evaluation of artificial ultrasound images was performed. Subsequently, a clinical cohort of patients with diastolic dysfunction was evaluated. Qualitative and quantitative comparisons between echoPIV measurements and Color M-mode scans were carried out to assess the improvements delivered by the proposed methodology.

  15. Reinvigorating performance evaluation: first steps in a local health department.

    Science.gov (United States)

    Smith, Kathleen N; Gunzenhauser, Jeffrey D; Fielding, Jonathan E

    2010-01-01

    The ability of a local health department to assess and improve employee performance through an effective evaluation process is critical to overall organizational success. A constructive performance evaluation process not only provides meaningful feedback on work performance but also provides opportunities to reinforce work behaviors that support the organization's mission, to recognize exceptional work, and to guide future growth and learning. The Los Angeles County Department of Public Health is creating a new approach to performance evaluation that recognizes 3 distinct components of work performance: standard business practices, competencies, and standards of practice. This multidimensional perspective acknowledges that the expectations of workers are complex and that evaluations of performance are not easily captured with single-dimension assessment tools. This report describes the conceptual relationships of these 3 components and how they integrate to form a single performance evaluation process. Key elements within this structure include a base document of competencies for all workers, expanded competency sets for professional staff, role-specific duty statements for workers who perform similar work, and standards of competent practice related to the mission of units to which individuals are assigned. Key first steps are to define the terminology of performance evaluation and to create role-specific duty statements. PMID:20840712

  16. Mini clinical evaluation exercise in undergraduate dermatovenereology education: an experience of University of Pamukkale, Medical Faculty

    Directory of Open Access Journals (Sweden)

    Şeniz Ergin

    2013-03-01

    Full Text Available Background and Design: Mini Clinical Evaluation Exercise (Mini-CEX is being widely used in medical education and is a reliable and valid method for the assessment of residents’ competency in medical interviewing, physical examination, humanistic qualities/professionalism, clinical judgment, counseling skills, organization, and efficiency. In order to enhance formative evaluation methods in our faculty, we planned to apply the method to students on dermatovenereology training. Materials and Methods: The Mini-CEX was performed by residents to 42 medical students. At first, 5 residents were evaluated by a faculty member with Mini-CEX and were informed about their application-oriented evaluator roles. The students were informed prior to conducting the assessment. Standard Mini-CEX form was used for the assessment. The participants were rated in 7 competencies and each was rated using a 9-point Likert scale. At the end of each encounter, students and evaluators rated their satisfaction with Mini-CEX using a 9-point Likert scale. Student’s t-test and one-way ANOVA were used for statistical analysis. Student feedback was evaluated with “grounded theory”. Results: A total of 50 assessments, 44 in outpatient and 6 in inpatient clinic, were performed. Satisfaction with the Mini-CEX was rated by the evaluators and the students as 7,16 and 7,98, respectively. There was no significant difference between the evaluators in terms of student satisfaction. Average time spent on observing the encounter and in giving feedback was 16.5 and 6.5 minutes, respectively. There was no significant difference between assessors in terms of time spent observing and giving feedback. Average scores of assessed clinical competencies were between 4,28 and 8,14. The highest scores were reported on humanistic qualities/ professionalism whereas the lowest were reported on clinical judgment skills. Discussion: According to our data, we believe that Mini-CEX may be used as an

  17. Evaluation of Clinical and Ultrasonographic Parameters in Psoriatic Arthritis Patients Treated with Adalimumab: A Retrospective Study

    Directory of Open Access Journals (Sweden)

    M. Teoli

    2012-01-01

    Full Text Available Objectives. The aim of this study was to evaluate clinical and US-PD parameters in PsA during adalimumab treatment. Methods. A retrospective study has been conducted in forty patients affected by moderate-to-severe peripheral PsA. Clinical, laboratory, and US-PD evaluations were performed at baseline, after 4, 12, and 24 weeks of treatment. They included erythrocyte sedimentation rate (ESR, C-reactive protein (CRP, visual analogue scale (VAS, Health Assessment Questionnaire (HAQ modified for Spondyloarthritis, Psoriasis Area Severity Index (PASI score, the 28-joint Disease Activity Score (DAS 28, and US-PD assessment. US-PD findings were scored according to a semiquantitative scale (ranging 0–3 for synovial proliferation (SP, joint effusion (SE, bone erosions (BE, and PD. Results. Data obtained for clinical, laboratory findings and US-PD evaluation showed statistical significant improvement in all the measures performed except for BE. A significant parallel decrease in SE, SP, and PD values were demonstrated. Conclusion. This study demonstrated that US-PD is a valid technique in monitoring the response to adalimumab in moderate-to-severe PsA.

  18. 48 CFR 3052.216-72 - Performance evaluation plan.

    Science.gov (United States)

    2010-10-01

    ... CONTRACT CLAUSES Text of Provisions and Clauses 3052.216-72 Performance evaluation plan. As prescribed in (HSAR) 48 CFR 3016.406(e)(i)(ii), insert a clause substantially the same as the following: Performance... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Performance...

  19. A clinical evaluation on adhesive posts in extensive composite restorations

    Directory of Open Access Journals (Sweden)

    Ghavamnasiri M. Associate Professor

    2003-06-01

    Full Text Available Problem: A few studies have been conducted about bioglass posts."nAim: The aim of this study was to compare bioglass posts with prefabricated metallic posts in clinical performance of extensive composite restorations for anterior endodontically treated teeth. Materials and Methods: Sixty endodontocally maxillary anterior teeth, with horizontally or vertically destruction, were selected. Teeth were divided into two groups based on the kind of post: Metallic prefabricated parapost and bioglass post. Each group was divided into three subgroups based on anterior bite: normal, deep bite and edge to edge. Gutta-percha was removed from 2/3 of canal length for parapost and 1/3 for bioglass post. After etching with phosphoric-acid (37% and applying dentine bonding syntac, Duo cement was used for the adhesion of bioglass post and a self cured composite (Degufil for parapost. Restoration was done with a hybrid composite (Heliomolar. Follow up studies, radio-graphically and clinically, were done every three months for a 1.5-year period. Exact Fisher and Pearson tests were used for data analysis."nResults: Apical lesion was not observed in any of the radiographs. Post seal was increased by resin cement and dentin bonding agent. Post type did not significantly affect on the clinical success rate of the restorations. The retention of restoration, for both posts, was the same. Crown destruction had no significant effect on success rate. The type of anterior bite had a significant effect on success rate, as the total 6.6% failure rate was related to the patients with anterior deep bite."nConclusion: It is suggested to use metallic paraposts and bioglass posts, in extensive composite restorations for patients with deep-bite, more conservatively.

  20. Rotational laxity after anterior cruciate ligament injury by kinematic evaluation of clinical tests.

    Science.gov (United States)

    Zaffagnini, S; Martelli, S; Falcioni, B; Motta, M; Marcacci, M

    2000-01-01

    Despite the numerous studies on anterior cruciate ligament biomechanics and clinical tests, some disagreements still exist in the literature on the role of ACL in restraining rotations and which kinematic test after ACL injuries is the most suitable to evaluate this instability. This work analyses the capability of passive clinical and stress tests to detect an ACL state quantifying rotational instability. The study was conducted on animal knees with a new protocol. We found that an internal-external stress test can give a useful indication on the ACL state when used to estimate the side to side differences while varus-valgus laxity and secondary motions in standard kinematic tests did not seem to be affected by ACL injury. The kinematic protocol performed could be used intra-operatively to quantify rotations, allowing a more accurate evaluation of knee instability to guide surgical reconstruction and improve its final outcome. PMID:11204247

  1. Evaluation of clinical reflection and reasoning skills in undergraduate occupational therapy students

    OpenAIRE

    Dasari, B.D.

    2006-01-01

    Given the current focus on the importance of clinical reasoning in occupational therapy education, various ways to examine and evaluate clinical reflection and reasoning skills should be available. The main focus of this paper therefore is to examine and evaluate students’ clinical reflection and the process thereof as a fundamental dimension of clinical reasoning using the Self-Assessment of Clinical Reflection and Reasoning (SACRR) instrument (Royeen et al., 1994). This study adopted a long...

  2. Performance evaluation of the EM algorithm applied to radiographic images

    International Nuclear Information System (INIS)

    In this paper the authors evaluate the expectation maximization (EM) algorithm, both qualitatively and quantitatively, as a technique for enhancing radiographic images. Previous studies have qualitatively shown the usefulness of the EM algorithm but have failed to quantify and compare its performance with those of other image processing techniques. Recent studies by Loo et al, Ishida et al, and Giger et al, have explained improvements in image quality quantitatively in terms of a signal-to-noise ratio (SNR) derived from signal detection theory. In this study, we take a similar approach in quantifying the effect of the EM algorithm on detection of simulated low-contrast square objects superimposed on radiographic mottle. The SNRs of the original and processed images are calculated taking into account both the human visual system response and the screen-film transfer function as well as a noise component internal to the eye-brain system. The EM algorithm was also implemented on digital screen-film images of test patterns and clinical mammograms

  3. The Varicocele: Clinical Presentation, Evaluation, and Surgical Management.

    Science.gov (United States)

    Lomboy, Jason R; Coward, Robert M

    2016-09-01

    A varicocele is an abnormal dilatation and tortuosity of the veins of the spermatic cord. Although varicoceles are common in the general population and are frequently found on routine physical examinations, they represent the most common correctable cause of male factor infertility. Varicoceles are also often incidental findings on imaging studies, particularly scrotal ultrasound. Importantly, not all varicoceles should be treated equally (or at all), and basic guidelines on the evaluation and indications for treatment of adult varicoceles should be reviewed before counseling and treatment. A semen analysis should be obtained for any male patient of reproductive age considering intervention. The adolescent varicocele is managed much differently than the adult varicocele and remains a source of controversy. This review describes the clinical presentation and the evaluation of adult and pediatric varicoceles, and provides guidance on their diagnosis and workup. It also describes options for surgical repair and the success and complication rates associated with each surgical approach, ultimately supporting microsurgical subinguinal varicocele repair as the current surgical standard. PMID:27582602

  4. Clinical evaluation of dynamic CT scan of the pancreas

    Energy Technology Data Exchange (ETDEWEB)

    Tokuda, Masamichi

    1984-09-01

    The clinical usefulness of dynamic CT scans (DCT) of the pancreas was evaluated in 62 normal cases, 9 cases of acute pancreatitis, 24 cases of chronic pancreatitis and 43 cases of carcinoma of the pancreas. The normal pancreas was intensely and homogeneously enhanced on DCT, and peripancreatic vessels were clearly demonstrated, especially the gastroduodenal artery (98.4%). DCT was useful to demonstrate vascular lesions, associated with pancreatitis such as pseudoaneurysm. Although the carcinoma of the pancreas showed poor contrast enhancement on conventional enhanced CT (CCT), 37.2% showed intense contrast enhancement on DCT. Visualization of the gastroduodenal artery by DCT is helpful to decide the extent of tumor. DCT is superior to CCT in demonstrating collateral veins caused by tumor invasion to the portal system in carcinoma. DCT was approximately as accurate as angiography (92.6%) in evaluating tumor invasion to the portal system. DCT is a useful and minimally invasive modality in assessing the resectability of pancreatic carcinoma. DCT may eliminate angiography and surgery in unresectable cases. (author).

  5. Clinical evaluation of a novel respiratory rate monitor.

    Science.gov (United States)

    Lee, Peter J

    2016-04-01

    Respiratory rate has been shown to be an important predictor of cardiac arrest, respiratory adverse events and intensive care unit admission and has been designated a vital sign. However it is often inadequately monitored in hospitals. We test the hypothesis that RespiraSense, a piezoelectric-based novel respiratory rate (RR) monitor which measures the differential motion of the chest and abdomen during respiratory effort, is not inferior to commonly used methods of respiratory rate measurement. Respiratory rate was compared between the developed RespiraSense device and both electrocardiogram and direct observation by nursing staff. Data was collected from 48 patients admitted to the post-anaesthesia care unit in a tertiary level hospital. The primary outcome measure was difference in average RR calculated over a 15 min interval between (1) RespiraSense and ECG and (2) RespiraSense and nurses' evaluation. The secondary outcome measure was the correlation between the respiratory rates measured using these three methods. The 95 % confidence interval for the difference in average RR between RespiraSense and ECG was calculated to be [-3.9, 3.1]. The 95 % confidence interval for the difference in average RR between RespiraSense and nurses' evaluation was [-5.5, 4.3]. We demonstrate a clinically relevant agreement between RR monitored by the RespiraSense device with both ECG-derived and manually observed RR in 48 post-surgical patients in a PACU environment. PMID:25900144

  6. SPECT-PET in Epilepsy and Clinical Approach in Evaluation.

    Science.gov (United States)

    Ergün, Eser Lay; Saygi, Serap; Yalnizoglu, Dilek; Oguz, Kader Karli; Erbas, Belkis

    2016-07-01

    In epilepsy, a detailed history, blood chemistry, routine electroencephalography, and brain MRI are important for the diagnosis of seizure type or epilepsy syndrome for the decision of appropriate drug treatment. Although antiepileptic drugs are mostly successful for controlling epileptic seizures, 20%-30% patients are resistant to medical treatment and continue to have seizures. In this intractable patient group, surgical resection is the primarily preferred treatment option. This particular group of patients should be referred to the epilepsy center for detailed investigation and further treatment. When the results of electroencephalography, MRI, and clinical status are discordant or there is no structural lesion on MRI, ictal-periictal SPECT, and interictal PET play key roles for lateralization or localization of epileptic region and guidance for the subsequent subdural electrode placement in intractable epilepsy. SPECT and PET show the functional status of the brain. SPECT and PET play important roles in the evaluation of epilepsy sydromes in childhood by showing abnormal brain regions. Most of the experience has been gained with (18)FDG-PET, in this respect. (11)C-flumazenil-PET usually deliniates the seizure focus more smaller than (18)FDG-PET and is sensitive in identifying medial temporal sclerosis. (11)C-alpha-methyl-l-tryptophan is helpful in the differentiation of epileptogenic and nonepileptogenic regions in children especially in tuberous sclerosis and multifocal cortical dysplasia for the evaluation of surgery. Finally, when there is concordance among these detailed investigations, resective surgery or palliative procedures can be discussed individually. PMID:27237440

  7. The FY 1998 Battelle performance evaluation and incentive fee agreement

    Energy Technology Data Exchange (ETDEWEB)

    Davis, T.L.

    1998-01-07

    Fiscal Year 1998 represents the second full year utilizing a results-oriented, performance-based contract. This document describes the critical outcomes, objectives, performance indicators, expected levels of performance, and the basis for the evaluation of the Contractors performance for the period October 1, 1997 through September 30, 1998, as required by Articles entitled Use of Objective Standards of Performance, Self Assessment and Performance Evaluation and Critical Outcomes Review of the Contract DE-AC06-76RL01830. In partnership with the Contractor and other key customers, the Department of Energy (DOE) Richland Operations Office has defined six critical outcomes that serve as the core for the Contractors performance evaluation. The Contractor also utilizes these outcomes as a basis for overall management of the Laboratory. The Critical Outcome system focuses all of the customer desires into specific objectives and performance indicators, with supporting measures to track and foster continued improvement in meeting the needs (outcomes) of the Laboratory`s customers. Section 1 provides information on how the overall performance rating for the Contractor will be determined. Section 2 provides the detailed information concerning critical outcomes, objectives, performance indicators and expectations of performance. Section 3 describes the commitments for documenting and reporting the Laboratory`s self-evaluation.

  8. Optimal contracts based on subjective performance evaluations and reciprocity

    DEFF Research Database (Denmark)

    Sebald, Alexander Christopher; Walzl, Markus

    2015-01-01

    As demonstrated in a recent laboratory experiment (see Sebald & Walzl, 2014), individuals tend to sanction others who subjectively evaluate their performance whenever this assessment falls short of the individuals’ self-evaluation. Interestingly, this is the case even if the individuals’ earnings...... are unaffected by the subjective performance appraisal. Hence, performance feedback which falls short of agents’ self- evaluations can be interpreted as an unkind act that triggers a negatively reciprocal response not only if the assessment determines agents’ earnings but also when it lacks monetary consequences...

  9. Performance evaluation of quality monitor models in spot welding

    Institute of Scientific and Technical Information of China (English)

    Zhang Zhongdian; Li Dongqing; Wang Kai

    2005-01-01

    Performance of quality monitor models in spot welding determines the monitor precision directly, so it's crucial to evaluate it. Previously, mean square error ( MSE ) is often used to evaluate performances of models, but it can only show the total errors of finite specimens of models, and cannot show whether the quality information inferred from models are accurate and reliable enough or not. For this reason, by means of measure error theory, a new way to evaluate the performances of models according to the error distributions is developed as follows: Only if correct and precise enough the error distribution of model is, the quality information inferred from model is accurate and reliable.

  10. The post-arthro-CT of the wrist clinical evaluation

    CERN Document Server

    Scheurecker, G

    2001-01-01

    To compare the diagnostic effectiveness of post-arthro-CT (PACT) and 3-compartment wrist arthrography (AG) both separate and combined versus wrist arthroscopy for scapho-lunate ligament (SLL), luno-triquetral ligament (LTL) and triangular fibrocartilage (TFC) defects and chondromalacia of the carpal bones. Material and methods: in 58 patients (16-69 years) the affected wrist was examined initially by conventional 3-compartment wrist arthrography with digital subtraction technique during injection followed by digital stress images. Afterwards spiral arthro-CT was performed in the semi-coronal and axial plane with 1 mm slice thickness and secondary true-coronal and sagittal reconstructions. Within 1 month arthroscopy was performed in general anesthesia utilizing standard joint entry points combined with routine digital picture archiving. All examinations were evaluated for SLL, LTL and TFC defects, PACT and AS for ChM too. Results: AG versus AS: the following detection rates were observed (AG and AS positive/AG...

  11. An improved multilevel fuzzy comprehensive evaluation algorithm for security performance

    Institute of Scientific and Technical Information of China (English)

    LI Ling-juan; SHEN Ling-tong

    2006-01-01

    It is of great importance to take various factors into account when evaluating the network security performance.Multilevel fuzzy comprehensive evaluation is a relatively valid method. However, the traditional multilevel fuzzy comprehensive evaluation algorithm relies on the expert's knowledge and experiences excessively, and the result of the evaluation is usually less accurate. In this article, an improved multilevel fuzzy comprehensive evaluation algorithm, based on fuzzy sets core and entropy weight is presented. Furthermore, a multilevel fuzzy comprehensive evaluation model of P2P network security performance has also been designed, and the improved algorithm is used to make an instant computation based on the model. The advantages of the improved algorithm can be embodied in comparison with the traditional evaluation algorithm.

  12. Two h-Index Benchmarks for Evaluating the Publication Performance of Medical Informatics Researchers

    OpenAIRE

    El Emam, Khaled; Arbuckle, Luk; Jonker, Elizabeth; Anderson, Kevin

    2012-01-01

    Background The h-index is a commonly used metric for evaluating the publication performance of researchers. However, in a multidisciplinary field such as medical informatics, interpreting the h-index is a challenge because researchers tend to have diverse home disciplines, ranging from clinical areas to computer science, basic science, and the social sciences, each with different publication performance profiles. Objective To construct a reference standard for interpreting the h-index of medi...

  13. Evaluating dose response from flexible dose clinical trials

    Directory of Open Access Journals (Sweden)

    Baron David

    2008-01-01

    Full Text Available Abstract Background The true dose effect in flexible-dose clinical trials may be obscured and even reversed because dose and outcome are related. Methods To evaluate dose effect in response on primary efficacy scales from 2 randomized, double-blind, flexible-dose trials of patients with bipolar mania who received olanzapine (N = 234, 5–20 mg/day, or patients with schizophrenia who received olanzapine (N = 172, 10–20 mg/day, we used marginal structural models, inverse probability of treatment weighting (MSM, IPTW methodology. Dose profiles for mean changes from baseline were evaluated using weighted MSM with a repeated measures model. To adjust for selection bias due to non-random dose assignment and dropouts, patient-specific time-dependent weights were determined as products of (i stable weights based on inverse probability of receiving the sequence of dose assignments that was actually received by a patient up to given time multiplied by (ii stable weights based on inverse probability of patient remaining on treatment by that time. Results were compared with those by unweighted analyses. Results While the observed difference in efficacy scores for dose groups for the unweighted analysis strongly favored lower doses, the weighted analyses showed no strong dose effects and, in some cases, reversed the apparent "negative dose effect." Conclusion While naïve comparison of groups by last or modal dose in a flexible-dose trial may result in severely biased efficacy analyses, the MSM with IPTW estimators approach may be a valuable method of removing these biases and evaluating potential dose effect, which may prove useful for planning confirmatory trials.

  14. Human Performance Factors in the Evaluation of Virtual Organizations

    Directory of Open Access Journals (Sweden)

    Siyamak Noori

    2009-02-01

    Full Text Available Performance evaluation is one of the most important issues that have been considered due to the transition from industrial age to knowledge era. Virtual organizations, as one of the challenges of third millennium, which came to existence for enhancing organization’s performance through outsourcing, are not excluding. The main objective of this paper is to investigate the main factors that affect the virtual organization performance and to show how these factors can be used in virtual organization evaluation.Based on review of literature, this study provides a conceptual model of important performance factors of virtual organization. This conceptual framework gives a valuable insight into the performance in virtual organization and can give a useful help to practitioners to evaluate the performance of these organizations. Then, we use expert opinion to validate proposed model and to rank the importance of the factors.

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

    NARCIS (Netherlands)

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

    2008-01-01

    CONTEXT Many students experience a tough transition from pre-clinical to clinical training and previous studies suggest that this may constrict students' progress. However, clear empirical evidence of this is lacking. The aim of this study was to determine: whether the perceived difficulty of transi

  16. An Algorithm for Glaucoma Screening in Clinical Settings and Its Preliminary Performance Profile

    Directory of Open Access Journals (Sweden)

    S-Farzad Mohammadi

    2013-01-01

    Full Text Available Purpose: To devise and evaluate a screening algorithm for glaucoma in clinical settings. Methods: Screening included examination of the optic disc for vertical cupping (≥0.4 and asymmetry (≥0.15, Goldmann applanation tonometry (≥21 mmHg, adjusted or unadjusted for central corneal thickness, and automated perimetry. In the diagnostic step, retinal nerve fiber layer imaging was performed using scanning laser polarimetry. Performance of the screening protocol was assessed in an eye hospital-based program in which 124 non-physician personnel aged 40 years or above were examined. A single ophthalmologist carried out the examinations and in equivocal cases, a glaucoma subspecialist′s opinion was sought. Results: Glaucoma was diagnosed in six cases (prevalence 4.8%; 95% confidence interval, 0.01-0.09 of whom five were new. The likelihood of making a definite diagnosis of glaucoma for those who were screened positively was 8.5 times higher than the estimated baseline risk for the reference population; the positive predictive value of the screening protocol was 30%. Screening excluded 80% of the initial population. Conclusion: Application of a formal screening protocol (such as our algorithm or its equivalent in clinical settings can be helpful in detecting new cases of glaucoma. Preliminary performance assessment of the algorithm showed its applicability and effectiveness in detecting glaucoma among subjects without any visual complaint.

  17. Embedded Measures of Performance Validity in the Rey Complex Figure Test in a Clinical Sample of Veterans.

    Science.gov (United States)

    Sugarman, Michael A; Holcomb, Erin M; Axelrod, Bradley N; Meyers, John E; Liethen, Philip C

    2016-01-01

    The purpose of this study was to determine how well scores from the Rey Complex Figure Test (RCFT) could serve as embedded measures of performance validity in a large, heterogeneous clinical sample at an urban-based Veterans' Affairs hospital. Participants were divided into credible performance (n = 244) and noncredible performance (n = 87) groups based on common performance validity tests during their respective clinical evaluations. We evaluated how well preselected RCFT scores could discriminate between the 2 groups using cut scores from single indexes as well as multivariate logistic regression prediction models. Additionally, we evaluated how well memory error patterns (MEPs) could discriminate between the 2 groups. Optimal discrimination occurred when indexes from the Copy and Recognition trials were simultaneous predictors in logistic regression models, with 91% specificity and at least 53% sensitivity. Logistic regression yielded superior discrimination compared with individual indexes and compared with the use of MEPs. Specific scores on the RCFT, including the Copy and Recognition trials, can serve as adequate indexes of performance validity, when using both cut scores and logistic regression prediction models. We provide logistic regression equations that can be applied in similar clinical settings to assist in determining performance validity. PMID:26384155

  18. Model-driven performance evaluation for service engineering

    OpenAIRE

    Pahl, Claus; Boskovic, Marko; Hasselbring, Wilhelm

    2007-01-01

    Service engineering and service-oriented architecture as an integration and platform technology is a recent approach to software systems integration. Software quality aspects such as performance are of central importance for the integration of heterogeneous, distributed service-based systems. Empirical performance evaluation is a process of measuring and calculating performance metrics of the implemented software. We present an approach for the empirical, model-based performance evaluat...

  19. Relative Performance Evaluation Contracts and Asset Market Equilibrium

    OpenAIRE

    Sandeep Kapur; Allan Timmermann

    2005-01-01

    We analyse the equilibrium consequences of performance-based contracts for fund managers. Managerial remuneration is tied to a fund's absolute performance and its performance relative to rival funds. Investors choose whether or not to delegate their investment to better-informed fund managers; if they delegate they choose the parameters of the optimal contract subject to the fund manager's participation constraint. We find that the impact of relative performance evaluation on the equilibrium ...

  20. Maternal evaluations of young children’s developmental status: A comparison of clinic- and non-clinic-groups

    Directory of Open Access Journals (Sweden)

    Pia Deimann

    2011-06-01

    Full Text Available The question whether parents’ reports on their children’s development provide reliable information is a subject of controversial debate. While parental rating scales and parental interviews are widely used in clinical practice, empirical findings have shown that parents cannot assess their children well. Previous research has illustrated that most parents tend to overestimate the developmental status and cognitive performance of their children. If the child displays behavior problems, the accuracy of mothers’ appraisals decreases substantially. The aim of this study was (1 to examine whether mothers who are concerned about their children’s development still overestimate the developmental status and (2 whether maternal beliefs about developmental norms influence the accuracy of evaluation. The sample consisted of 14 mother-child-dyads who were clients of two outpatient clinics in Vienna and had concerns about the child’s development, 16 mother-child-dyads without concerns who sought advice because of their children’s potential high abilities, and 30 mother-child-dyads without concerns and no clinic referral. While the children were tested using the Wiener Entwicklungstest (Viennese Developmental Test, WET, Kastner-Koller & Deimann, 2002, a developmental test for children 3 to 6 years old, mothers were asked to estimate which items of the WET (1 their own child and (2 a normal peer would be able to solve. Mothers with concerns had limited knowledge of what a child of a certain age can achieve and they expected too much. Though they realized that their own developmentally delayed child did not fulfill these high expectations, they were not able to appraise his/her performance accurately. Mothers whose children were normally developed or even above average were able to evaluate their own children much more precisely. Moreover, these mothers estimated developmental norms more accurately. Both mothers of gifted children and of

  1. Laboratory evaluation of urinary tract infections in an ambulatory clinic.

    Science.gov (United States)

    Carroll, K C; Hale, D C; Von Boerum, D H; Reich, G C; Hamilton, L T; Matsen, J M

    1994-01-01

    A 4-month evaluation of ambulatory patients with a suspicion of a urinary tract infection was performed. Specific objectives included assessment of five urinary screening methods, reevaluation of the necessity of the phenylethyl alcohol plate (PEA), and cost-effectiveness of screening for low colony count bacteriuria. Urine samples were collected as midstream, clean-caught specimens. A total of 142 samples, 87 from 79 symptomatic patients and 55 negative controls, were evaluated. All urine specimens were cultured using a 0.01 mL loop and a 0.001 mL loop onto Columbia sheep blood agar, MacConkey agar, and PEA agar. Twenty-four specimens (17%) were sterile, 64 (45%) were contaminated, and 54 (38%) were infected. Five urine screening methods were performed. These tests and their associated sensitivity and specificity are as follows. The Chemstrip 9 (Behring, Inc., Somerville, NJ) for leukocyte esterase and nitrate, 67%, 98%; microscopic analysis on spun urine, 79%, 93%; methylene blue stain for pyuria, 60%, 99%; Gram stain for pyuria, 45%, 93%; Gram stain for bacteriuria, 65%, 75%; and the URISCREEN (Analytab Products, Plainview, NY), 92%, 89%. Inclusion of a PEA plate for isolation of gram-positive organisms provided no additional information. Routine culture of urine samples at 10(-2) mL increased the contamination rate by 19%. PMID:7506476

  2. Evaluating current automatic de-identification methods with Veteran’s health administration clinical documents

    Directory of Open Access Journals (Sweden)

    Ferrández Oscar

    2012-07-01

    Full Text Available Abstract Background The increased use and adoption of Electronic Health Records (EHR causes a tremendous growth in digital information useful for clinicians, researchers and many other operational purposes. However, this information is rich in Protected Health Information (PHI, which severely restricts its access and possible uses. A number of investigators have developed methods for automatically de-identifying EHR documents by removing PHI, as specified in the Health Insurance Portability and Accountability Act “Safe Harbor” method. This study focuses on the evaluation of existing automated text de-identification methods and tools, as applied to Veterans Health Administration (VHA clinical documents, to assess which methods perform better with each category of PHI found in our clinical notes; and when new methods are needed to improve performance. Methods We installed and evaluated five text de-identification systems “out-of-the-box” using a corpus of VHA clinical documents. The systems based on machine learning methods were trained with the 2006 i2b2 de-identification corpora and evaluated with our VHA corpus, and also evaluated with a ten-fold cross-validation experiment using our VHA corpus. We counted exact, partial, and fully contained matches with reference annotations, considering each PHI type separately, or only one unique ‘PHI’ category. Performance of the systems was assessed using recall (equivalent to sensitivity and precision (equivalent to positive predictive value metrics, as well as the F2-measure. Results Overall, systems based on rules and pattern matching achieved better recall, and precision was always better with systems based on machine learning approaches. The highest “out-of-the-box” F2-measure was 67% for partial matches; the best precision and recall were 95% and 78%, respectively. Finally, the ten-fold cross validation experiment allowed for an increase of the F2-measure to 79% with partial matches

  3. The role of peer-assisted learning in building evaluative judgement: opportunities in clinical medical education.

    Science.gov (United States)

    Tai, Joanna Hong-Meng; Canny, Benedict J; Haines, Terry P; Molloy, Elizabeth K

    2016-08-01

    This study explored the contribution of peer-assisted learning (PAL) in the development of evaluative judgement capacity; the ability to understand work quality and apply those standards to appraising performance. The study employed a mixed methods approach, collecting self-reported survey data, observations of, and reflective interviews with, the medical students observed. Participants were in their first year of clinical placements. Data were thematically analysed. Students indicated that PAL contributed to both the comprehension of notions of quality, and the practice of making comparisons between a given performance and the standards. Emergent themes included peer story-telling, direct observation of performance, and peer-based feedback, all of which helped students to define 'work quality'. By participating in PAL, students were required to make comparisons, therefore using the standards of practice and gaining a deeper understanding of them. The data revealed tensions in that peers were seen as less threatening than supervisors with the advantage of increasing learners' appetites for thoughtful 'intellectual risk taking'. Despite this reported advantage of peer engagement, learners still expressed a preference for feedback from senior teachers as more trusted sources of clinical knowledge. While this study suggests that PAL already contributes to the development of evaluative judgement, further steps could be taken to formalise PAL in clinical placements to improve learners' capacity to make accurate judgements on the performance of self and others. Further experimental studies are necessary to confirm the best methods of using PAL to develop evaluative judgement. This may include both students and educators as instigators of PAL in the workplace. PMID:26662035

  4. Building a medical multimedia database system to integrate clinical information: an application of high-performance computing and communications technology.

    Science.gov (United States)

    Lowe, H J; Buchanan, B G; Cooper, G F; Vries, J K

    1995-01-01

    The rapid growth of diagnostic-imaging technologies over the past two decades has dramatically increased the amount of nontextual data generated in clinical medicine. The architecture of traditional, text-oriented, clinical information systems has made the integration of digitized clinical images with the patient record problematic. Systems for the classification, retrieval, and integration of clinical images are in their infancy. Recent advances in high-performance computing, imaging, and networking technology now make it technologically and economically feasible to develop an integrated, multimedia, electronic patient record. As part of The National Library of Medicine's Biomedical Applications of High-Performance Computing and Communications program, we plan to develop Image Engine, a prototype microcomputer-based system for the storage, retrieval, integration, and sharing of a wide range of clinically important digital images. Images stored in the Image Engine database will be indexed and organized using the Unified Medical Language System Metathesaurus and will be dynamically linked to data in a text-based, clinical information system. We will evaluate Image Engine by initially implementing it in three clinical domains (oncology, gastroenterology, and clinical pathology) at the University of Pittsburgh Medical Center. PMID:7703940

  5. Performance evaluation and analysis of ITER poloidal field conductors

    International Nuclear Information System (INIS)

    The performance evaluation and analysis of PF5 conductor of the ITER Project in China have been performed using the Gandalf code (Bottura [1]). This study focuses on the Tcs and MQE of PF5 conductor with Cu–non Cu ratio of 2.3 NbTi strands from WST. The PF5 conductor samples have been measured in SULTAN at CRPP for evaluating the performance successfully. The measurement results are also presented with the evaluation results in the paper. The evaluation results related to Tcs and MQE are agreed well with the measurement results. The simulation with Gandalf code can predict the performance of PF5 conductor effectively and provide the helpful method for ITER conductor design and analysis.

  6. A dynamic performance evaluation method based on SD-BSC

    Institute of Scientific and Technical Information of China (English)

    TENG Chun-xian; PAN Xiao-dong; HU Xian-wu

    2007-01-01

    Taking into consideration the disadvantage of Balanced Scorecard (BSC) not being able to reflect time delay, nonlinear problems of causal relationship and being lack of effective simulation, we combined it with the characteristics of the System Dynamics (SD). Basing on the background of manufacturing enterprises,through SD integrating with the BSC we established a new performance evaluation method-SD-BSC method to overcome the disadvantage of BSC. A performance evaluation model of SD-BSC is provided and the simulation results are analyzed which show different production policies will lead to different customer's satisfaction degrees. The SD-BSC dynamic performance evaluation method can reflect dynamic, complex causal feedback relationship and time delay, so it compensates for the disadvantage of traditional financial performance evaluation method, and at the same time makes the BSC perfect.

  7. Percutaneous sclerotherapy of foot venous malformations: Evaluation of clinical response

    International Nuclear Information System (INIS)

    Aim: To evaluate a single institutional experience with percutaneous sclerotherapy of venous malformations (VM) of the foot. Materials and methods: Sixteen patients (mean age 14.6 years; range 6–27.3 years), who underwent 34 sclerotherapy procedures were retrospectively analysed. Technical success, Puig classification, VM size reduction, and the complication rate were evaluated. In procedures in which C-arm computed tomography (CT) was performed, the VM-to-skin surface distance was measured. Additionally, an e-mail-based questionnaire to evaluate the response to sclerotherapy was answered by the patients. Results: Technical success was 97%. The mean number of procedures per patient was 2.1 (range 1–5). In all procedures, sodium tetradecyl sulphate foam was used. Appropriate follow-up was available for 29/33 procedures (88%). Post-procedural complications occurred after 6/29 procedures (21%), all of which were self-limited skin complications. C-arm CT was performed in 19/33 procedures (58%). The lesion-to-skin surface distance was significantly shorter in patients with skin post-procedural complications (p < 0.001). The e-mail-based questionnaire was completed by 13/16 patients (81%). Decrease in swelling, improvement of foot function and a significant decrease in pain (p = 0.003) was reported. No patient reported dis-improvement after sclerotherapy. Conclusion: Percutaneous sclerotherapy is an effective option for treating foot VMs. Skin complication rates are higher with shorter VM-to-skin surface distance. - Highlights: • Treatment of foot venous malformations is a challenge due to their diffuse nature. • Percutaneous sclerotherapy is an effective treatment option. • Patients reported decrease in swelling and pain, and improvement of foot function. • Self limited post-procedural skin complications occur after 21% of the procedures. • A shorter lesion to skin surface distance was related to higher complications

  8. Self-Evaluations and Performance: Evidence from Adolescence

    OpenAIRE

    Himmler, Oliver; Koenig, Tobias

    2012-01-01

    A positive view of the self is often portrayed as a valuable asset in the sense that it can have performance enhancing properties. Using data on self-esteem - the most fundamental manifestation of positive self evaluations - and high school grade point averages of American students we produce results in line with this idea and find a positive link between favorable self-evaluations and higher levels of educational performance. However, when we exploit exogenous variation in self-esteem due to...

  9. Blind Source Parameters for Performance Evaluation of Despeckling Filters

    OpenAIRE

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

    2016-01-01

    The speckle noise is inherent to transthoracic echocardiographic images. A standard noise-free reference echocardiographic image does not exist. The evaluation of filters based on the traditional parameters such as peak signal-to-noise ratio, mean square error, and structural similarity index may not reflect the true filter performance on echocardiographic images. Therefore, the performance of despeckling can be evaluated using blind assessment metrics like the speckle suppression index, spec...

  10. Evaluating performance of a Bluetooth-based classroom tool

    OpenAIRE

    Davidrajuh, Reggie

    2009-01-01

    This paper focuses on the performance evaluation of a Bluetooth wireless technology based classroom tool. The classroom tool is to help lecturers automate their assignment tests. First, a testing prototype of the tool is presented; the testing prototype uses one master device and two slave devices on Pico-net. As it will be expensive to build prototype for a large class, simulation study is done to evaluate performance of the tool for large classes. The simulation study reveals ...

  11. Performance Evaluation of Incremental K-means Clustering Algorithm

    OpenAIRE

    Chakraborty, Sanjay; Nagwani, N. K.

    2014-01-01

    The incremental K-means clustering algorithm has already been proposed and analysed in paper [Chakraborty and Nagwani, 2011]. It is a very innovative approach which is applicable in periodically incremental environment and dealing with a bulk of updates. In this paper the performance evaluation is done for this incremental K-means clustering algorithm using air pollution database. This paper also describes the comparison on the performance evaluations between existing K-means clustering and i...

  12. Model of service-oriented catering supply chain performance evaluation

    OpenAIRE

    Juanqiong Gou; Guguan Shen; Rui Chai

    2013-01-01

    Purpose: The aim of this paper is constructing a performance evaluation model for service-oriented catering supply chain. Design/methodology/approach: With the research on the current situation of catering industry, this paper summarized the characters of the catering supply chain, and then presents the service-oriented catering supply chain model based on the platform of logistics and information. At last, the fuzzy AHP method is used to evaluate the performance of service-oriented catering ...

  13. Performance Evaluation of Cutting Fluids Developed from Fixed Oils

    OpenAIRE

    Emmanuel Ogo ONCHE; Benjamin Iyenagbe UGHEOKE; Matthew Sunday ABOLARIN; Sunday Albert LAWAL

    2007-01-01

    In this work, different cutting fluid emulsions of about 10% concentration were developed from fixed oils and the performance of each of the developed cutting fluid was evaluated by a direct comparison with as purchased conventional cutting fluid (control sample), using the ability of each sample to effectively perform as coolant and lubricant during machining operation as determinant. In the evaluation process, straight turning operation on lathe machine at various speeds, but equal time int...

  14. The Effect of Noise on Human Performance: A Clinical Trial

    Directory of Open Access Journals (Sweden)

    K Azam

    2013-04-01

    Full Text Available Background: Noise is defined as unwanted or meaningless sound that apart from auditory adverse health effects may distract attention from cues that are important for task performance. Human performance is influenced by many job-related factors and workplace conditions including noise level.Objective: To study the effect of noise on human performance.Methods: The participants included 40 healthy male university students. The experimental design consisted of 3 (sound pressure level x 3 (noise schedule x 2 (noise type factors. To investigate occupational skill performance, some specific test batteries were used: 1 steadiness test, 2 Minnesota manual dexterity test, 3 hand tool dexterity test, and 4 two-arm coordination test. Time duration of test completion was measured as speed response; to determine error response, the time taken during committing an error by participants while performing a task was measured.Results: Speed response obtained from the 4 tests in combined conditions of noise schedule, harmonic index, and sound pressure level was highest for (intermittent, treble, 95 dB, (continuous, treble, 95 dB, (continuous, treble, 85 dB and (intermittent, treble, 95 dB, respectively.Conclusion: Treble noise was found significant in reducing human performance; also, intermittent noise, especially at high pressure levels, was responsible for worsening environmental conditions during performing a task.

  15. The clinical effectiveness of various adhesive systems: an 18-month evaluation.

    Science.gov (United States)

    Moosavi, H; Kimyai, S; Forghani, M; Khodadadi, R

    2013-01-01

    The aim of this clinical trial was to compare the clinical performance of three different adhesive systems over 18 months in noncarious cervical lesions (NCCLs). Thirty patients, with at least three noncarious cervical lesions, were enrolled in the study. One operator randomly restored a total of 90 lesions with resin composite (Herculite XRV). The restorations were bonded with either Optibond FL (OF), three-step total-etch; Optibond Solo Plus (OS), two-step total-etch; or Optibond All-In-One (OA), one step self-etch. The restorations were clinically evaluated at baseline and after six, 12, and 18 months using the eight United States Public Health Services criteria. Data were analyzed using Friedman and Wilcoxon signed ranks tests (padhesive systems for evaluated criteria were not observed in comparison of the mean Alfa score percentages. There was a significant increase in marginal discoloration for (OA) adhesive after 18 months compared with baseline (p=0.011). Other restoration criteria had no statistically significant differences among the three adhesives (p>0.05). With the exception of marginal discoloration, the clinical effectiveness of three types of adhesive systems in NCCLs was acceptable after 18 months. However, using the one-step self-etch adhesive may lead to some marginal discolorations. PMID:22917442

  16. Evaluating supplier quality performance using fuzzy analytical hierarchy process

    Science.gov (United States)

    Ahmad, Nazihah; Kasim, Maznah Mat; Rajoo, Shanmugam Sundram Kalimuthu

    2014-12-01

    Evaluating supplier quality performance is vital in ensuring continuous supply chain improvement, reducing the operational costs and risks towards meeting customer's expectation. This paper aims to illustrate an application of Fuzzy Analytical Hierarchy Process to prioritize the evaluation criteria in a context of automotive manufacturing in Malaysia. Five main criteria were identified which were quality, cost, delivery, customer serviceand technology support. These criteria had been arranged into hierarchical structure and evaluated by an expert. The relative importance of each criteria was determined by using linguistic variables which were represented as triangular fuzzy numbers. The Center of Gravity defuzzification method was used to convert the fuzzy evaluations into their corresponding crisps values. Such fuzzy evaluation can be used as a systematic tool to overcome the uncertainty evaluation of suppliers' performance which usually associated with human being subjective judgments.

  17. An immersive “simulation week” enhances clinical performance of incoming surgical interns improved performance persists at 6 months follow-up

    Science.gov (United States)

    Singh, Pritam; Aggarwal, Rajesh; Pucher, Philip H.; Hashimoto, Daniel A.; Beyer-Berjot, Laura; Bharathan, Rasiah; Middleton, Katherine E.; Jones, Joanne; Darzi, Ara

    2015-01-01

    Background The transition from student to intern can be challenging. The “August” or “July effect” describes increased errors and reduced patient safety during this transition. The study objectives were to develop, pilot, and evaluate clinical performance after an immersive simulation course for incoming interns. Methods Graduating students were recruited for a 1-week immersive simulation course. Controls received no simulation training. Primary outcome (at baseline, and 1 and 6 months) was clinical performance on Objective Structured Clinical Examinations (OSCE) of clinical procedures and surgical technical skills. Secondary outcomes were self-reported confidence and clinical procedure logbook data. Results Nineteen students were recruited. Sixteen completed the 6-month follow-up, 10 in the intervention group and 6 in the control group. No differences were demonstrated between interventions and controls at baseline (OSCE [median, 66 vs 78; P = .181], technical skills [48 vs 52.5; P = .381], and confidence [101 vs 96; P = .368]). Interventions outperformed controls at 1 month (OSCE [111 vs 82; P = .001], technical skills [78.5 vs 63; P = .030], and confidence [142 vs 119; P < .001]), and 6 months (OSCE [107 vs 93; P = .007], technical skills [92.5 vs 69; P = .044], and confidence [148 vs 129; P = .022]). No differences were observed in numbers of clinical procedures performed at 1 (P = .958), 4 (P = .093), or 6 months (P = .713). Conclusion The immersive simulation course objectively improved subjects’ clinical skills, technical skills, and confidence. Despite similar clinical experience as controls, the intervention group’s improved performance persisted at 6 months follow-up. This feasible and effective intervention to ease transition from student to intern could reduce errors and enhance patient safety. PMID:25633735

  18. Simulation-Based Mastery Learning with Deliberate Practice Improves Clinical Performance in Spinal Anesthesia

    Directory of Open Access Journals (Sweden)

    Ankeet D. Udani

    2014-01-01

    Full Text Available Introduction. Properly performing a subarachnoid block (SAB is a competency expected of anesthesiology residents. We aimed to determine if adding simulation-based deliberate practice to a base curriculum improved performance of a SAB. Methods. 21 anesthesia residents were enrolled. After baseline assessment of SAB on a task-trainer, all residents participated in a base curriculum. Residents were then randomized so that half received additional deliberate practice including repetition and expert-guided, real-time feedback. All residents were then retested for technique. SABs on all residents’ next three patients were evaluated in the operating room (OR. Results. Before completing the base curriculum, the control group completed 81% of a 16-item performance checklist on the task-trainer and this increased to 91% after finishing the base curriculum (P<0.02. The intervention group also increased the percentage of checklist tasks properly completed from 73% to 98%, which was a greater increase than observed in the control group (P<0.03. The OR time required to perform SAB was not different between groups. Conclusions. The base curriculum significantly improved resident SAB performance. Deliberate practice training added a significant, independent, incremental benefit. The clinical impact of the deliberate practice intervention in the OR on patient care is unclear.

  19. Are the outcomes of clinical pathways evidence-based? A critical appraisal of clinical pathway evaluation research

    OpenAIRE

    El Baz, N.; Middel, B.; van Dijk, J. P.; Oosterhof, A.; Boonstra, P.W.; Reijneveld, S.A.

    2007-01-01

    Aim and objective To evaluate the validity of study outcomes of published papers that report the effects of clinical pathways (CP). Method Systematic review based on two search strategies, including searching Medline, CINAHL, Embase, Psychinfo and Picarta from 1995 till 2005 and ISI Web of Knowledge (SM). We included randomized controlled or quasi-experimental studies evaluating the efficacy of clinical pathway application. Assessment of the methodological quality of the studies included rand...

  20. Clinical evaluation of a novel herbal dental cream in plaque formation: a double-blind, randomized, controlled clinical trial

    OpenAIRE

    amrutesh, sunita; Malini, J; Tandur, Prakash S; Pralhad S. Patki

    2010-01-01

    Background The aim of this study was to evaluate the efficacy and safety of herbal dental cream in comparison to fluoride dental cream. Objectives Clinical evaluation of a novel herbal dental cream in plaque formation: a double-blind, randomized, controlled clinical trial. Methods One hundred and two patients with established dental plaque were randomly assigned to either herbal dental group or fluoride dental group for six weeks in a double-blind design. Improvement in plaque index, oral hyg...

  1. Performance evaluation of six homocysteine cycle enzymatic detection systems

    Institute of Scientific and Technical Information of China (English)

    安崇文

    2014-01-01

    Objective To evaluate the performance of six homocysteine(Hcy)analysis systems.Methods This is a methodological evaluation study.We analyzed six cycle enzymatic systems,and their correlation and deviation compared with chemiluminescence microparticle immunoassay(CMIA)from Abbott Architect plus i2000 system,Precision,accuracy,anti-interference and analytical

  2. Reliability and Validity of the Professional Counseling Performance Evaluation

    Science.gov (United States)

    Shepherd, J. Brad; Britton, Paula J.; Kress, Victoria E.

    2008-01-01

    The definition and measurement of counsellor trainee competency is an issue that has received increased attention yet lacks quantitative study. This research evaluates item responses, scale reliability and intercorrelations, interrater agreement, and criterion-related validity of the Professional Performance Fitness Evaluation/Professional…

  3. Research Performance Evaluation: Some Critical Thoughts on Standard Bibliometric Indicators

    Science.gov (United States)

    Anninos, Loukas N.

    2014-01-01

    The bibliometric methodology is an established technique for research evaluation as it offers an objective determination and comparison of research performance. This paper aims to critically assess some standard bibliometric indicators commonly used (based on publication and citation counts) to evaluate academic units, and examine whether there…

  4. Comparative evaluation of maintenance performance using subsurvival functions

    DEFF Research Database (Denmark)

    Paulsen, J.L.; Cooke, R.; Nyman, R.

    1997-01-01

    Subsurvival functions are applied to operational data for the control rod drive systems of Nordic nuclear reactors to evaluate maintenance performance. Competing failure modes are preventive and corrective maintenance. Maintenance indicators are defined and evaluated for 8 plants. (C) 1997 Elsevier...

  5. Measuring agreement between rating interpretations and binary clinical interpretations of images: a simulation study of methods for quantifying the clinical relevance of an observer performance paradigm

    International Nuclear Information System (INIS)

    Laboratory receiver operating characteristic (ROC) studies, that are often used to evaluate medical imaging systems, differ from ‘live’ clinical interpretations in several respects which could compromise their clinical relevance. The aim was to develop methodology for quantifying the clinical relevance of a laboratory ROC study. A simulator was developed to generate ROC ratings data and binary clinical interpretations classified as correct or incorrect for a common set of images interpreted under clinical and laboratory conditions. The area under the trapezoidal ROC curve (AUC) was used as the laboratory figure-of-merit and the fraction of correct clinical decisions as the clinical figure-of-merit. Conventional agreement measures (Pearson, Spearman, Kendall and kappa) between the bootstrap-induced fluctuations of the two figures of merit were estimated. A jackknife pseudovalue transformation applied to the figures of merit was also investigated as a way to capture agreement existing at the individual image level that could be lost at the figure-of-merit level. It is shown that the pseudovalues define a relevance-ROC curve. The area under this curve (rAUC) measures the ability of the laboratory figure-of-merit-based pseudovalues to correctly classify incorrect versus correct clinical interpretations. Therefore, rAUC is a measure of the clinical relevance of an ROC study. The conventional measures and rAUC were compared under varying simulator conditions. It was found that design details of the ROC study, namely the number of bins, the difficulty level of the images, the ratio of disease-present to disease-absent images and the unavoidable difference between laboratory and clinical performance levels, can lead to serious underestimation of the agreement as indicated by conventional agreement measures, even for perfectly correlated data, while rAUC showed high agreement and was relatively immune to these details. At the same time rAUC was sensitive to factors such

  6. Evaluation of thermoluminescent dosimeters using water equivalent phantoms for application in clinical electrons beams dosimetry

    International Nuclear Information System (INIS)

    The dosimetry in Radiotherapy provides the calibration of the radiation beam as well as the quality control of the dose in the clinical routine. Its main objective is to determine with greater accuracy the dose absorbed by the tumor. This study aimed to evaluate the behavior of three thermoluminescent dosimeters for the clinical electron beam dosimetry. The performance of the calcium sulfate detector doped with dysprosium (CaSO4: Dy) produced by IPEN was compared with two dosimeters commercially available by Harshaw. Both are named TLD-100, however they differ in their dimensions. The dosimeters were evaluated using water, solid water (RMI-457) and PMMA phantoms in different exposure fields for 4, 6, 9, 12 and 16 MeV electron beam energies. It was also performed measurements in photon beams of 6 and 15 MV (2 and 5 MeV) only for comparison. The dose-response curves were obtained for the 60Co gamma radiation in air and under conditions of electronic equilibrium, both for clinical beam of photons and electrons in maximum dose depths. The sensitivity, reproducibility, intrinsic efficiency and energy dependence response of dosimeters were studied. The CaSO4: Dy showed the same behavior of TLD-100, demonstrating only an advantage in the sensitivity to the beams and radiation doses studied. Thus, the dosimeter produced by IPEN can be considered a new alternative for dosimetry in Radiotherapy departments. (author)

  7. Evaluation of the performance of the Family Health Support Center

    OpenAIRE

    Mara Dayane Alves Ribeiro; Euriene Maria Araújo Bezerra; Mariana Souza Costa; Carlos Eduardo Castelo Branco; João Dutra Araújo Neto; Ana Karine de Figueiredo Moreira; Marcelo de Carvalho Filgueiras

    2014-01-01

    Objective: To evaluate the performance of the Family Health Support Center (NASF) through the knowledge and evaluation of services by professionals of the Family Health Strategy (FHS). Methods: Quantitative descriptive study conducted in 2012 with 10 FHS linked to NASF, District 1, Parnaíba - PI - Brazil, where 76 professionals were interviewed using a questionnaire on the characterization of the professional, their knowledge regarding the NASF activities and the evaluation of services provid...

  8. Clinical evaluation of endodotic therapy on periodontal tissue healing in chronic advanced periodontitis

    Directory of Open Access Journals (Sweden)

    Sadeghi R.

    2004-08-01

    Full Text Available Statement of Problem: There is a controversy about the relationship between pulpal and periodontal diseases. The interrelationship between pulp and periodontium could have an important effect on the treatment plan of the tooth. Purpose: The aim of the present research is to evaluate root canal therapy effects on periodontal healing of teeth with chronic advanced periodontitis. Materials and Methods: In this randomized controlled clinical trial 32 single rooted teeth which had necrotic pulp or irreversible pulpitis in 7 patients with chronic advanced periodontitis were selected based on specific criteria. Using a split mouth design, teeth were randomly put in two groups of test and control. In the test group root canal therapy ,scaling & root planing were done.In the control group, only scaling & root planing were performed. Clinical parameters including Pocket Depth (PD, Clinical Attachment Level (CAL, mobility, pattern of bone destruction and plaque index (PI were evaluated in two groups at base line, 1 and 3 months after treatment. Appropriate tests such as paired Wilcoxon and Mann-Whitney were performed. Results: Statistically significant reductions were found in the test group when comparing baseline and one-month post treatment values for Clinical Attachment level (CAL but not after 3-months. In the control group the CAL reductions were not statistically significant between baseline and one month post-treatment, but a increase were observed between one month and three months after treatment. There was a statstically significant difference between the test and the control groups. Other parameters didn’t show any significant differences in each group and between two groups. Conclusion: Since clinical attachment level was the most important parameter we found it can high lighted the role of pathogene with pulpal origin in progression of periodeontal disease and it is concluded that beside periodontal treatment in some advanced periodontal

  9. Investigation of a portable performance measurement system for neurologic screening in clinics.

    Science.gov (United States)

    Kondraske, George V; Mulukutla, Rahul; Stewart, R Malcolm

    2006-01-01

    Motivated by the need for clinical screening for early detection of neurologic disease, a prototype portable instrument dubbed the human performance multimeter (HPMM) was developed. The HPMM is based on a set of lab-based performance capacity tests developed and evaluated over the last two decades. We attempted to integrate selected functionality of a set of modular lab-based instruments into a single, small package. In the present study, a 4th generation prototype was developed and evaluated for usability, measurement repeatability, and preliminary measurement validity. Five performance capacity tests (upper extremity coordination, isometric grip strength, simple response speed, rapid alternating movement, and steadiness/tremor) were administered to twenty healthy adult volunteers. Short-term reliability was investigated using a test-retest protocol. Most measures were found to possess good test-retest reliability (r>0.75). Preliminary validity was investigated by comparing results to those obtained with non-portable devices that served as models for the HPMM. Results were in good agreement with those instruments. It is concluded that measures of good fidelity can be obtained with this type of instrument. PMID:17946212

  10. Operator performance evaluation using multi criteria decision making methods

    Science.gov (United States)

    Rani, Ruzanita Mat; Ismail, Wan Rosmanira; Razali, Siti Fatihah

    2014-06-01

    Operator performance evaluation is a very important operation in labor-intensive manufacturing industry because the company's productivity depends on the performance of its operators. The aims of operator performance evaluation are to give feedback to operators on their performance, to increase company's productivity and to identify strengths and weaknesses of each operator. In this paper, six multi criteria decision making methods; Analytical Hierarchy Process (AHP), fuzzy AHP (FAHP), ELECTRE, PROMETHEE II, Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) and VlseKriterijumska Optimizacija I Kompromisno Resenje (VIKOR) are used to evaluate the operators' performance and to rank the operators. The performance evaluation is based on six main criteria; competency, experience and skill, teamwork and time punctuality, personal characteristics, capability and outcome. The study was conducted at one of the SME food manufacturing companies in Selangor. From the study, it is found that AHP and FAHP yielded the "outcome" criteria as the most important criteria. The results of operator performance evaluation showed that the same operator is ranked the first using all six methods.

  11. Clinical effects of pranayama on performance of rifle shooters

    Directory of Open Access Journals (Sweden)

    Amte Snehal Shekhar, Mistry Hetal M

    2014-07-01

    Full Text Available Background: Yoga has an enormous scientifically proven effect on man’s physical and psychological functioning. Pranayama constitute the most vital aspects of yoga. Various methods of pranayama have a sound scientific basis and are traditionally believed to produce equilibrium between psychic and somatic aspects of bodily functions. The link between body and mind is obligatory for the better performance of sports persons. Aim: The aim of the study is to find out the effect of pranayama on the performance of Rifle shooters by measuring the parameters like-breath holding time, lung functional capacity and shooting performance. Method: 52 state level shooters subjects were chosen from 2 centres between the age group of 15-30years. Out of them, 26 shooters were given training in the techniques of pranayama for 3weeks.The other 26 subjects served as control i.e. with out Pranayama training. Variables like shooting performance, breath holding time (BHT, peak expiratory flow rate (PEFR, respiratory rate (RR and pulse rate (PR were measured in both the groups. Results: The study showed highly significant improvement in all the five variables shooting performance (in mm, BHT, PEFR, RR and PR with p value of 3.62E-05, 2.78E-07, 1.31E-09, 0.013, 3.40E-04respectively. Conclusion: So it can be concluded that pranayama is efficacious for better performance of Rifle shooters and should be included in their training practice.

  12. The Impact of Self-Evaluation Instruction on Student Self-Evaluation, Music Performance, and Self-Evaluation Accuracy

    Science.gov (United States)

    Hewitt, Michael P.

    2011-01-01

    The author sought to determine whether self-evaluation instruction had an impact on student self-evaluation, music performance, and self-evaluation accuracy of music performance among middle school instrumentalists. Participants (N = 211) were students at a private middle school located in a metropolitan area of a mid-Atlantic state. Students in…

  13. Clinical evaluation of desensitizing treatments for cervical dentin hypersensitivity

    Directory of Open Access Journals (Sweden)

    Ana Cecilia Corrêa Aranha

    2009-09-01

    Full Text Available The aim of this study was to compare different treatments for dentin hypersensitivity in a 6-month follow-up. One hundred and one teeth exhibiting non carious cervical lesions were selected. The assessment method used to quantify sensitivity was the cold air syringe, recorded by the visual analogue scale (VAS, prior to treatment (baseline, immediately after topical treatment, after 1 week, 1, 3 and 6 months. Teeth were randomly assigned to five groups (n = 20: G1: Gluma Desensitizer (GD; G2: Seal&Protect (SP; G3: Oxa-gel (OG; G4: Fluoride (F; G5: Low intensity laser-LILT (660 nm/3.8 J/cm²/15 mW. Analysis was based on the non-parametric Kruskal-Wallis test that demonstrated statistical differences immediately after the treatment (p = 0.0165. To observe the individual effects of each treatment, data was submitted to Friedman test. It was observed that GD and SP showed immediate effect after application. Reduction in the pain level throughout the six-month follow-up was also observed. In contrast, LILT presented a gradual reduction of hypersensitivity. OG and F showed effects as of the first and third month respectively. It can be concluded that, after the 6-month clinical evaluation, all therapies showed lower VAS sensitivity values compared with baseline, independently of their different modes of action.

  14. CONTROL CLINICAL EVALUATION OF KULATTHADI YOGA AS ASHMARIBHEDAN IN MUTRASHMARI

    Directory of Open Access Journals (Sweden)

    Jangle Vidya Muralidhar

    2012-10-01

    Full Text Available Urolithiasis, a presence of calculi single or multiple in renal or urinary tracks is a clinical entity which has been universally accepted as problematic condition regarding its treatment in all systems of medical science. There is no known drug therapy at present which dissolves or fragments the calculi by changing lithogenic potential of particular person. Urinary calculi disease has been described in detail under the heading of Ashmari in Ayurvedic texts. Ashmari is one of the few surgical conditions which have been given very prominent place in Ayurveda by Acharya Sushruta and Various herbs like Kulattha (Dolicos Biflorus, Gokshura (Tribulus Terrestris, Apamarga (Achyranthes Aspera, Pashanbheda (Berginia Lingulata and Varuna (Crataeva Nurvela etc. and herbomineral compounds are described which are effective against urolithiasis by dissolving calculi thus facilitating their expulsion. This study was aimed to evaluate Ashmaribhedana property of “Kulatthadi yoga” in Mutrashmari to make an effective, long lasting, cost effective, authentic alternative & easily available conservative management of Mutrashmari. After observation, it was found that Kulatthadi Yoga is effective in Kapha-Vataja Mutrashmari & control group shows significant result in Mutrashmari.

  15. Clinical and Radiographic Evaluation of a Resin-Based Root Canal Sealer: 10-Year Recall Data

    Directory of Open Access Journals (Sweden)

    Osvaldo Zmener

    2012-01-01

    Full Text Available Objectives. This retrospective clinical and radiographical study evaluated the 10-year outcome of one-visit endodontic treatment with gutta-percha and a methacrylate resin-based sealer. Methods. From an initial sample size of 180 patients, 89 patients with 175 root canals responded to a recall. Treatment outcome was based on predetermined clinical and radiographic criteria. Results. Root canals had been adequately filled to the working length in 80 teeth (89.88%, short in 6 instances (6.74%, while 3 (3.37% with extrusion immediate postoperatively, showed no sealer in periradicular tissues. The difference in the outcomes of treatments with respect to age, gender, preoperative pulp or periapical status, the size of periapical lesions and the type of permanent restorations were not statistically significantly different (>0.05. Overall, 7 (7.86% cases were considered clinically and radiographically a failure. A life table analysis showed a cumulative probability of success of 92.13% after 10 years with a 95% confidence interval of 83.0 to 94.0. Conclusions. The results of this retrospective clinical and radiographical study suggest that the tested methacrylate-resin based sealer used with gutta-percha performed similarly to other root canal sealers over a period 10 years. Clinical Implications. Considering the success rate after 10 years of this methacrylate resin-based sealer can be recommended as an alternative to other commonly used root canal sealers.

  16. Five-year evaluation of a low-shrinkage Silorane resin composite material: A randomized clinical trial

    DEFF Research Database (Denmark)

    Schmidt, Malene; Dige, Irene; Kirkevang, Lise-Lotte;

    2015-01-01

    Objectives The aim of the present study was to investigate the clinical performance of a low-shrinkage silorane-based composite material (Filtek™ Silorane, 3 M-Espe) by comparing it with a methacrylate-based composite material (Ceram•X™, Dentsply DeTrey). Material and methods A number of 72patients...... caries was found in two teeth (Filtek™ Silorane). One tooth showed hypersensitivity (Ceram•X™). Conclusion Restorations of both materials were clinically acceptable after 5 years. This study did not find any advantage of the silorane-based composite over the methacrylate-based composite, which indicates...... that the low-shrinkage of Filtek™ Silorane may not be a determinant factor for clinical success in class II cavities. Clinical relevance This paper is the first to evaluate the 5-year clinical performance of a low-shrinkage composite material....

  17. Performance evaluation on aquatic product cold-chain logistics

    Directory of Open Access Journals (Sweden)

    Wenbing Wu

    2015-11-01

    Full Text Available Purpose: The requirements for high quality and diversification aquatic products are increasing with the improvement of Chinese living standard. However, the distribution between place of production and place of consumption are uneven, which results in large cold-chain logistics demand for aquatic products. At present, the low-level development of cold chain logistics has a bad impact on the circulation of aquatic products in China. So it is very urgent to develop cold-chain logistics in China. Design/methodology/approach: In order to do this, we apply performance evaluation, a well-known management tool, to study Chinese aquatic product cold-chain logistics. In this paper we first propose SISP(Subjects, Indexes, Standards, and Phases of performance evaluation model and ACSSN model(Aquatic product, Customer, Supply Chain, Society, and Node enterprises of supply chain for aquatic products cold-chain logistics performance evaluation. Then an ANP-Fuzzy method is proposed to evaluate the operational performance of Shandong Oriental Ocean Sci-Tech Co., Ltd. Furthermore, a system dynamic model is built to simulate the impact of temperature on the profits in aquatic products cold-chain sales section. Findings: We find out within a reasonable temperature range, lower temperature brings higher profit level. Also, performance improvement methods are proposed and the simulation of performance evaluation system is developed. Practical implications: Our findings can help to improve the level of aquatic product cold-chain logistics in China. Originality/value: The paper proposes the SISP (Subjects, Indexes, Standards, and Phases of performance evaluation model and ACSSN model (Aquatic product, Customer, Supply Chain, Society, and Node enterprises of supply chain for aquatic products cold-chain logistics performance evaluation.

  18. Communication Strategies and the Evaluation of Communicative Performance.

    Science.gov (United States)

    Ellis, Rod

    1984-01-01

    Discusses a way of evaluating communicative performance in a second language that focuses on communicative strategies instead of intelligibility, correctness, or style. Describes a study in which an attempt was made to assess communicative performance from this point of view. (EKN)

  19. Performance evaluation of communication systems via importance sampling

    NARCIS (Netherlands)

    Remondo Bueno, D.

    2000-01-01

    In the design and development of telecommunication systems, the preparation of experiments can be made more effective by predicting the system performance and its dependence on the different system parameters. This can be done by modeling the system and using performance evaluation methods. This dis

  20. Chinese Middle School Teachers' Preferences Regarding Performance Evaluation Measures

    Science.gov (United States)

    Liu, Shujie; Xu, Xianxuan; Stronge, James H.

    2016-01-01

    Teacher performance evaluation currently is receiving unprecedented attention from policy makers, scholars, and practitioners worldwide. This study is one of the few studies of teacher perceptions regarding teacher performance measures that focus on China. We employed a quantitative dominant mixed research design to investigate Chinese teachers'…

  1. Evaluating the Performance of an Integrated Navigation System.

    NARCIS (Netherlands)

    Lorga, J.F.M.; Chu, Q.P.; Mulder, J.A.; Halsema, D. van

    2005-01-01

    In this paper, the authors propose to introduce and describe a newly developed precise tightly-coupled integrated navigation system. The performed experiments with the purpose of evaluating the system performance are shown. A complete description of the integrated navigation system hardware, includi

  2. 48 CFR 3036.201 - Evaluation of contractor performance.

    Science.gov (United States)

    2010-10-01

    ...) 48 CFR 36.201. Access to reports is through the CPS or the government-wide system, Past Performance... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Evaluation of contractor performance. 3036.201 Section 3036.201 Federal Acquisition Regulations System DEPARTMENT OF HOMELAND...

  3. China Accomplishes International Evaluation on Science Funding and Management Performance

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    On the occasion of the 25th anniversary of National Natural Science Foundation of China(NSFC ), the International Evaluation on Science Funding and Management Performance,which is so far the largest comprehensive performance assessment on science funding and management of science and technology,is completed successfully.

  4. Development of ShakeAlert Performance Evaluation Software

    Science.gov (United States)

    Maechling, P. J.; Liukis, M.; Jordan, T. H.; CISN EEW Team

    2011-12-01

    The CISN Testing Center (CTC) is designed to provide automated and interactive performance evaluations of ShakeAlert earthquake early warning system performance. The CTC software consists of two main parts: (1) software programs that input ShakeAlert EEW performance reports, match ShakeAlert forecasts to observational data, and generate a variety of EEW system performance summaries, and (2) an automated testing framework that can input ShakeAlert EEW performance reports, retrieve ANSS observational data, and produce performance summaries on a daily, or event, basis. The interactive capabilities of the CTC software may be useful for offline testing of ShakeAlert system. The automated capabilities of the CTC software are designed to support ongoing ShakeAlert performance evaluations. The CTC software implements a number of standard EEW performance summaries including magnitude forecast error and location forecast error with evaluation of ShakeAlert ground motion forecasts such as peak velocity under development. The CTC software is distributed as open-source scientific software to support transparency in evaluation processing and to support testing software re-use within ShakeAlert development groups.

  5. Attractiveness Bias in the Evaluation of Young Pianist's Performances

    Science.gov (United States)

    Ryan, Charlene; Costa-Giomi, Eugenia

    2004-01-01

    The purpose of this study was to investigate how the attractiveness bias that influences the judgment of a variety of characteristics and behaviors in infants, children, and adults affects the evaluation of young pianists' performances. The assumption was that both the visual and the audio components of a videotaped musical performance influence…

  6. Psychometric validation of satisfaction with simulated clinical learning experience evaluation – corrections (SSCLEE-C

    Directory of Open Access Journals (Sweden)

    Desiree A. Díaz

    2016-03-01

    Originality/value: The Satisfaction with Simulated Clinical Learning Experience Evaluation – Corrections (SSCLEE-C is the only instrument available for ongoing assessment of correctional nurse satisfaction with simulated clinical learning experiences.

  7. Performance Evaluation of Marine Industries Based on Eco-economy

    Directory of Open Access Journals (Sweden)

    Minli Gong

    2013-03-01

    Full Text Available An assessment framework is made to evaluate the performance factors of marine industries from the perspective of eco-economics by means of the AHP and the Delphi methods. Results are as follows: Performance assessment index of marine industries is decided by ecological performance, economic performance and social performance with ecological index taking priority over economic index; the efficiency of economy output and value-creating are preferred in the pursuit of low energy-consuming and less polluting marine industries; and in the near future, marine industries will make the greatest contribution to employment.

  8. The balanced scorecard: an integrative approach to performance evaluation.

    Science.gov (United States)

    Oliveira, J

    2001-05-01

    In addition to strict financial outcomes, healthcare financial managers should assess intangible assets that affect the organization's bottom line, such as clinical processes, staff skills, and patient satisfaction and loyalty. The balanced scorecard, coupled with data-warehousing capabilities, offers a way to measure an organization's performance against its strategic objectives while focusing on building capabilities to achieve these objectives. The balanced scorecard examines performance related to finance, human resources, internal processes, and customers. Because the balanced scorecard requires substantial amounts of data, it is a necessity to establish an organizational data warehouse of clinical, operational, and financial data that can be used in decision support. Because it presents indicators that managers and staff can influence directly by their actions, the balanced-scorecard approach to performance measurement encourages behavioral changes aimed at achieving corporate strategies. PMID:11351809

  9. Building performance evaluation and certification in the UK

    OpenAIRE

    Kelly, Scott; Michael G. Pollitt; Crawford Brown, Doug

    2012-01-01

    Improving the efficiency and performance of the UK residential sector is now necessary for meeting future energy and climate change targets. Building Performance Evaluation and Certification (BPEC) tools are vital for estimating and recommending cost effective improvements to building energy efficiency and lowering overall emissions. In the UK, building performance is estimated using the Standard Assessment Procedure (SAP) for new dwellings and Reduced SAP (RdSAP) for existing dwellings. Usin...

  10. Performance Evaluation of Four Commercial Optical Particle Counters

    OpenAIRE

    Franco Belosi; Gianni Santachiara; Franco Prodi

    2013-01-01

    The performances of four optical particles counters, Aerosol Spectrometer (Grimm 1.108), Enviro Check (Grimm 1.107), DustMonit and ParticleScan, were evaluated in laboratory tests employing monodisperse aerosol particles. The study focused on how commercial instruments perform during routine measurements respect to OPC scientific understanding, because it is important for users of such instruments to be aware of their limitations. Measurements were performed using aerosol generated by a Mono...

  11. AIRPORTS PERFORMANCE AND EFFICIENCY EVALUATION BASED ON MULTIDIMENTIONAL TOOLS

    OpenAIRE

    Jardim, João Pedro; Baltazar, Maria; Silva, Jorge

    2012-01-01

    Airport benchmarking depends on airport operational performance and efficiency indicators, which are important issues for business, operational management, regulatory agencies, airlines and passengers. There are several sets of single and complex indicators to evaluate airports performance and efficiency as well as several techniques to benchmark such infrastructures. The general aim of this work is the development of airport performance and efficiency predictive models using robust but flexi...

  12. Subjective performance evaluations and reciprocity in principal-agent relations

    DEFF Research Database (Denmark)

    Sebald, Alexander Christopher; Walzl, Markus

    2014-01-01

    We conduct a laboratory experiment with agents working on, and principals benefiting from, a real effort task in which the agents' performance can only be evaluated subjectively. Principals give subjective performance feedback to agents, and agents have an opportunity to sanction principals. In...... contrast to existing models of reciprocity, we find that agents tend to sanction whenever the feedback of principals is below their subjective self-evaluations even if agents' pay-offs are independent of it. In turn, principals provide more positive feedback (relative to their actual performance assessment...

  13. EVALUATING THE PERFORMANCE OF LIBYAN BANKS USING RETURN ON INVESTMENT

    Directory of Open Access Journals (Sweden)

    Khalad M.S. Alrafadi

    2013-01-01

    Full Text Available Return on Investment (ROI is a financial ratio which commonly used to evaluate the overall performance of a company. Despite of the importance of ROI unfortunately not many Libyan banks use it to evaluate their performance. Most of Libyan banks use the result of income statements to evaluate their performance instead of other tools that use to evaluate performance of banks. This study will be focusing on the ROI. The objective of this research is to evaluate the performance of Libyan banks using ROI as a financial tool. The Libyan banks which involved in this research are: Alwahda bank, National Commercial bank, Commercial and Development bank, Mediterranean bank and Alejmaa Alarabi bank. In this research financial statements of the Libyan banks for period from 2005-2009 will be used to calculate the ROI. In general, the results of the ROI of the banks used in this research showed increase and then begin to decrease and then increase again. The results clearly indicate that the performance of Libyan banks is not stable depending on components of ROI.

  14. Performance Evaluation of CLIR and MLIR using Precision Metric Variants

    Directory of Open Access Journals (Sweden)

    Pothula Sujatha

    2012-07-01

    Full Text Available The performance evaluation of information retrieval systems has achieved a high momentum in the last few years. Basic performance measures of information retrieval systems include precision and recall. While these measures work well in monolingual web retrieval, they are not suitable for CLIR (Cross-lingual Information Retrieval and MLIR (Multilingual Information Retrieval where two or more languages are involved respectively. Many measures were proposed to improve over the precision-recall measures but they are inadequate to exhibit the language wise performance evaluations. Precision metric variants for evaluating the performance over the retrieval of the documents in various languages have been proposed in this research. This paper also identifies the major strengths and shortcomings of some of the existing IR performance evaluation measures. This paper concentrates on the metric based performance evaluation on two variants of IR. Experiments are conducted in two phases (CLIR and MLIR. These two phases of experiments have been done on practical web search systems and proved that the proposed measures are necessary to reveal the importance of language wise comparisons.

  15. Seeking value in Medicare: performance measurement for clinical professionals.

    Science.gov (United States)

    Sprague, Lisa

    2013-10-30

    The Medicare program, despite its reputation of being a bill payer with little regard to the worth of the services it buys, has begun to put in place a range of programs aimed at assessing quality and value, with more to come. Attention to resource use and cost is nascent. The issues are complex, and it is no surprise that there is a level of contention between providers and regulators, even though both profess commitment to improved quality. This paper summarizes the quality and value programs that apply to physicians and other clinical professionals, as well as programs designed to encourage the adoption of technology to support quality improvement. Participation in all is voluntary. However, a decision not to participate increasingly carries a financial penalty, as Congress (and, by extension, the U.S. Department of Health and Human Services, or HHS) tries to encourage behavior it cannot force. PMID:24312987

  16. Breast imaging with SoftVue: initial clinical evaluation

    Science.gov (United States)

    Duric, Neb; Littrup, Peter; Li, Cuiping; Roy, Olivier; Schmidt, Steven; Cheng, Xiaoyang; Seamans, John; Wallen, Andrea; Bey-Knight, Lisa

    2014-03-01

    We describe the clinical performance of SoftVue, a breast imaging device based on the principles of ultrasound tomography. Participants were enrolled in an IRB-approved study at Wayne State University, Detroit, MI. The main research findings indicate that SoftVue is able to image the whole uncompressed breast up to cup size H. Masses can be imaged in even the densest breasts with the ability to discern margins and mass shapes. Additionally, it is demonstrated that multi-focal disease can also be imaged. The system was also tested in its research mode for additional imaging capabilities. These tests demonstrated the potential for generating tissue stiffness information for the entire breast using through-transmission data. This research capability differentiates SoftVue from the other whole breast systems on the market. It is also shown that MRI-like images can be generated using alternative processing of the echo data. Ongoing research is focused on validating and quantifying these findings in a larger sample of study participants and quantifying SoftVue's ability to differentiate benign masses from cancer.

  17. Citation ranking versus peer evaluation of senior faculty research performance

    DEFF Research Database (Denmark)

    Meho, Lokman I.; Sonnenwald, Diane H.

    2000-01-01

    The purpose of this study is to analyze the relationship between citation ranking and peer evaluation in assessing senior faculty research performance. Other studies typically derive their peer evaluation data directly from referees, often in the form of ranking. This study uses two additional...... sources of peer evaluation data: citation content analysis and book review content analysis. Two main questions are investigated: (a) To what degree does citation ranking correlate with data from citation content analysis, book reviews, and peer ranking? (b) Is citation ranking a valid evaluative....... Analysis also shows that normalized citation ranking and citation content analysis, book reviews, and peer ranking perform similarly (i.e., are highly correlated) for high-ranked and low-ranked senior scholars. Additional evaluation methods and measures that take into account the context and content of...

  18. Performance improvement of software component with partial evaluation

    Institute of Scientific and Technical Information of China (English)

    MAO Hong-yan; HUANG Lin-peng; LI Ming-lu

    2008-01-01

    To avoid the complexity and inefficiency for specific applications of the current software architecture, a novel approach using partial evaluation is proposed to improve the running performance of components. The generic program was specialized into domain-specific realization for the known knowledge and environments. The syntax and semantic(adj.) were analyzed based on byte code instruction sequences, and partial evaluation rules depicted how to perform the specialization. The partial evaluation for object-oriented programs was imple-mented. The experimental results show that partial evaluation is effective to speed up the running efficiency. The more generality and scalability can be obtained by the integration of partial evaluation with the favorable de-sign mechanisms and compiler optimization technology.

  19. Reliable and Valid Assessment of Clinical Bronchoscopy Performance

    DEFF Research Database (Denmark)

    Konge, Lars; Larsen, Klaus Richter; Clementsen, Paul;

    2012-01-01

    interrater reliability was high, with Cronbach's a = 0.86. Assessment of 3 bronchoscopies by a single rater had a generalizability coefficient of 0.84. The correlation between experience and performance was good (Pearson correlation = 0.76). There were significant differences between the groups for all...

  20. Bilateral congenital pseudarthrosis of the clavicle report of a case with clinical, radiological and neurophysiological evaluation.

    Science.gov (United States)

    Padua, R; Romanini, E; Conti, C; Padua, L; Serra, F

    1999-09-01

    Congenital pseudarthrosis of the clavicle is a rare condition. Bilateral involvement is extremely rare: only seven cases have been reported in the literature. Although the anatomy of the thoracic outlet can be markedly altered by the hypermobility of the shoulder and although few cases with mild symptoms suggesting brachial plexus impairment have been reported, the neurological status of the brachial plexus in congenital pseudarthrosis of the clavicle has not been well assessed. We report a case of bilateral congenital pseudarthrosis of the clavicle in which clinical, neurophysiological and radiological evaluations were performed. PMID:10546362

  1. Clinical evaluation of marginal fracture of amalgam restorations: one-year report.

    Science.gov (United States)

    Osborne, J W; Friedman, S J

    1986-03-01

    Fourteen dental amalgam alloys were used in this study. After 1 year, amalgam restorations were evaluated for fracture at the margins. The clinical results indicated that Dispersalloy, Indiloy, a high-copper blend by Syntex, Cluster, and Unison had the least marginal failure. This was followed by Premalloy, Cupralloy, Tytin, Cupralloy ESP, and Contour. Velvalloy and Sybraloy and Orosphere II were the third major grouping with Summalloy having the most fracture at the margins. Different batches of the same alloy performed similarly. The correlation between creep and ridit means (fracture at the margins) was not found to be statistically significant. PMID:3457164

  2. Research on the Performance Evaluation of the SME Administrative Staff

    Directory of Open Access Journals (Sweden)

    Que Yongping

    2013-08-01

    Full Text Available Performance evaluation is the most central part of the enterprise performance management process. The nature of administrative staffs’ work and the work features are different. The results of their work are difficult to assess. Thus, how to assess their performance becomes the top priority of the enterprise management. In the study, data evaluation index determination, calculation of the process of design and evaluation criteria are discussed. The study also constructs a SME executive’s performance appraisal data model. A wide range of assessment methods are used in the design process of the model which comprehensive quantitative evaluates staffs’ work performance. The assessment information of the employee's basic performance is put in EXCEL spread sheet to performance sort which is simple and convenient and examination results are fair and impartial, easy to convince the public. In the model, no absolute values are set in assessment times, assess results fully consider the teamwork effect. Moreover, it’s easy for examiners to use for lateral longitudinal contrast, employees will find their own strengths and weaknesses and know the reasons timely which can improve their assessment scores as well as help their colleagues. In general, it easily gives accurate guidelines for future work.

  3. Do Primary Care Physician Perform Clinical Breast Exams Prior to Ordering a Mammogram?

    Science.gov (United States)

    Larson, Kelsey E; Cowher, Michael S; O'Rourke, Colin; Patel, Mita; Pratt, Debra

    2016-03-01

    Both the American Cancer Society and National Comprehensive Cancer Network recommend annual clinical breast examination (CBE) along with screening mammogram (SM) for patients starting at 40 years of age. However, patients with a palpable breast mass should have a diagnostic mammogram (DM) during workup. Review at our institution demonstrated that 11% of patients with newly diagnosed breast cancer and self-identified breast mass had SM instead of DM. This led us to question whether primary care physicians (PCP) perform CBE prior to ordering mammography. As part of the routine preimaging screening, patients were asked if they had undergone breast examination by a medical provider prior to mammogram order. Data on mammogram type, ordering physician specialty, and presence of symptoms on day of mammogram were recorded. Of 6,109 mammograms, 4,823 were ordered by PCPs. CBE was performed prior to 67.2% SM and 64.8% DM (p = 0.12). OB/GYN performed statistically significantly higher CBE (81.6%) compared to internal (45.4%) and family (50.5%) medicine physicians (p self-reported breast symptoms, 8.7% had SM ordered rather than DM. Despite recommendations, approximately 1/3 of women report not having CBE prior to mammogram. The chances of having a CBE varied significantly by PCP specialty. Lack of CBE can lead to incorrect type of mammogram, with possibly increased cost and delay in diagnosis. Further evaluation is needed to understand why CBE was not performed in some patients. PMID:26687763

  4. Clinical evaluation of diuretic renography in obstructive uropathy

    International Nuclear Information System (INIS)

    Diuretic renography assisted with Lasix was performed in 44 cases with obstructive uropathy. The procedure was done in four steps, (1) hydration with an intake of water 10 to 20 minutes before the examination, (2) non-diuretic (regular) dynamic renal scan with sup(99m)Tc-DTPA for 20 minutes. (3) Voiding and (4) post-voiding diuretic dynamic renal scan followed an i.v. injection of Lasix (0.4-0.5 mg/kg, Max 20 mg) at 2 minutes for 15 minutes. Quantitative analysis of the time-activity curves which were obtained from data stored as 64 x 64 matrix per frame of 10 seconds during imaging was simultanously performed on a computer system. Most of kidneys showed a prompt linear, mono-compartnental excretion in a semi-logarithmic scale after the administration of diuretics. Mean half time (D-Tl/2) and S.D. of diuretic excretion in normal Kidneys was 4.41 +- 2.73 minutes and reactive duration 2.04 +- 1.23. The excretion pattern of these diuretic renograms showed four different groups, (I) linear decrease with D-Tl/2 under 10 min., (II) linear with D-Tl/2 between 10 to 20 min. (III) linear with D-Tl/2 over 20 Min. and non-linear and (IV) flat or elevated excretion. All of preoperative obstructive kidneys urologically indicated of the operation showed excretion pattern of I, III and IV with decrease in a blood perfusion on non-diuretic dynamic images. This finding is appreciated of significance evaluating the indication of an operation to the affected kidney. However, many of the postoperative kidneys showed such decrease persisted. In those kidneys, diuretic Tl/2 and excretion patterns were useful for following-up the urodynamic change after the reconstration performed in urinary tracts (author)

  5. Clinical evaluation of diuretic renography in obstructive uropathy

    Energy Technology Data Exchange (ETDEWEB)

    Itoh, K.; Imanaka, K.; Nonomura, K.; Koyanagi, T. (Hokkaido Univ., Sapporo (Japan). School of Medicine)

    1982-06-01

    Diuretic renography assisted with Lasix was performed in 44 cases with obstructive uropathy. The procedure was done in four steps, (1) hydration with an intake of water 10 to 20 minutes before the examination, (2) non-diuretic (regular) dynamic renal scan with sup(99m)Tc-DTPA for 20 minutes. (3) Voiding and (4) post-voiding diuretic dynamic renal scan followed an i.v. injection of Lasix (0.4-0.5 mg/kg, Max 20 mg) at 2 minutes for 15 minutes. Quantitative analysis of the time-activity curves which were obtained from data stored as 64 x 64 matrix per frame of 10 seconds during imaging was simultanously performed on a computer system. Most of kidneys showed a prompt linear, mono-compartmental excretion in a semi-logarithmic scale after the administration of diuretics. Mean half time (D-Tl/2) and S.D. of diuretic excretion in normal Kidneys was 4.41 +- 2.73 minutes and reactive duration 2.04 +- 1.23. The excretion pattern of these diuretic renograms showed four different groups, (I) linear decrease with D-Tl/2 under 10 min., (II) linear with D-Tl/2 between 10 to 20 min. (III) linear with D-Tl/2 over 20 Min. and non-linear and (IV) flat or elevated excretion. All of preoperative obstructive kidneys urologically indicated of the operation showed excretion pattern of I, III and IV with decrease in a blood perfusion on non-diuretic dynamic images. This finding is appreciated of significance evaluating the indication of an operation to the affected kidney. However, many of the postoperative kidneys showed such decrease persisted. In those kidneys, diuretic Tl/2 and excretion patterns were useful for following-up the urodynamic change after the reconstruction performed in urinary tracts.

  6. Faculty verbal evaluations reveal strategies used to promote medical student performance

    Directory of Open Access Journals (Sweden)

    Lowell Tong

    2011-05-01

    Full Text Available Background: Preceptors rarely follow medical students’ developing clinical performance over time and across disciplines. This study analyzes preceptors’ descriptions of longitudinal integrated clerkship (LIC students’ clinical development and their identification of strategies to guide students’ progress. Methods: We used a common evaluation framework, reporter-interpreter-manager-educator, to guide multidisciplinary LIC preceptors’ discussions of students’ progress. We conducted thematic analysis of transcripts from preceptors’ (seven longitudinal ambulatory preceptors per student quarterly group discussions of 15 students’ performance over one year. Results: All students’ clinical development progressed, although most experienced obstacles. Lack of structure in the history and physical exam commonly obstructed progression. Preceptors used templates for data gathering, and modeling or experiences in the inpatient setting to provide time and solidify structure. To advance students’ knowledge acquisition, many preceptors identified focused learning topics with their students; to promote application of knowledge, preceptors used reasoning strategies to teach the steps involved in synthesizing clinical data. Preceptors shared accountability for helping students advance as the LIC allowed them to follow students’ response to teaching strategies. Discussion: These results depict preceptors’ perceptions of LIC students’ developmental continuum and illustrate how multidisciplinary preceptors can use a common evaluation framework to identify strategies to improve performance and follow students’ performance longitudinally.

  7. Seismic design and evaluation criteria based on target performance goals

    International Nuclear Information System (INIS)

    The Department of Energy utilizes deterministic seismic design/evaluation criteria developed to achieve probabilistic performance goals. These seismic design and evaluation criteria are intended to apply equally to the design of new facilities and to the evaluation of existing facilities. In addition, the criteria are intended to cover design and evaluation of buildings, equipment, piping, and other structures. Four separate sets of seismic design/evaluation criteria have been presented each with a different performance goal. In all these criteria, earthquake loading is selected from seismic hazard curves on a probabilistic basis but seismic response evaluation methods and acceptable behavior limits are deterministic approaches with which design engineers are familiar. For analytical evaluations, conservatism has been introduced through the use of conservative inelastic demand-capacity ratios combined with ductile detailing requirements, through the use of minimum specified material strengths and conservative code capacity equations, and through the use of a seismic scale factor. For evaluation by testing or by experience data, conservatism has been introduced through the use of an increase scale factor which is applied to the prescribed design/evaluation input motion

  8. Peri-operative warming devices: performance and clinical application.

    Science.gov (United States)

    John, M; Ford, J; Harper, M

    2014-06-01

    Since the adverse consequences of accidental peri-operative hypothermia have been recognised, there has been a rapid expansion in the development of new warming equipment designed to prevent it. This is a review of peri-operative warming devices and a critique of the evidence assessing their performance. Forced-air warming is a common and extensively tested warming modality that outperforms passive insulation and water mattresses, and is at least as effective as resistive heating. More recently developed devices include circulating water garments, which have shown promising results due to their ability to cover large surface areas, and negative pressure devices aimed at improving subcutaneous perfusion for warming. We also discuss the challenge of fluid warming, looking particularly at how devices' performance varies according to flow rate. Our ultimate aim is to provide a guide through the bewildering array of devices on the market so that clinicians can make informed and accurate choices for their particular hospital environment. PMID:24720346

  9. Development of polarization dental imaging modality and evaluation of its clinical feasibility

    Science.gov (United States)

    Kim, Eunji; Son, Taeyoon; Bae, Yunjin; Jung, Byungjo

    2011-03-01

    Recently, it has become more important to objectively analyze teeth color in terms of esthetical point of view. In the evaluation of tooth color, the specular reflection caused by saliva on tooth may cause artifacts in analysis. In this study, a polarization dental imaging modality (PDIM) was developed to address the specular reflection problems. Clinical validity was evaluated by performing three studies such as shade-guide selection for implant, plaque distribution detection, and evaluation of tooth whitening. In the selection of shade-guide, in-vivo human teeth and shade-guide color images were obtained. The minimum color difference between shade-guide and tooth was calculated using Euclidian distance. In the plaque distribution detection, teeth disclosing agent was used to differentiate plaque from teeth and images were taken. In the evaluation of whitening, whiteness indices were calculated using 29 shade-guide images. Results presented that the new imaging modality could provide reproducible images by effectively removing the specular reflection on teeth surface and therefore, minimize artifacts in the quantitatively analysis of shade-guide selection, plaque detection, and tooth whitening. In conclusion, the PDIM potentially proved its clinical efficacy as a new imaging modality.

  10. Neurofibromatosis: Evaluation of Clinical Features of 11 Cases

    OpenAIRE

    Gülşen Akoğlu; Ali Serhan Gazyağcı; İbrahim Kutluer

    2013-01-01

    Objective: Neurofibromatosis (NF) is one of the most commonly seen autosomal dominantly inherited neurocutaneous syndromes. The most common subtypes are NF1 and NF2. The clinical course of NF may be heterogeneous.In this study, clinical features of patients with NF and its rare manifestations were described. Methods: Records of 11 patients with NF diagnosed between May 2008 and August 2011 were retrospectively reviewed. Demographic and clinical features of patients were detailed. Result...

  11. Performance of thirteen clinical rules to distinguish bacterial and presumed viral meningitis in Vietnamese children.

    Directory of Open Access Journals (Sweden)

    Nguyen Tien Huy

    Full Text Available BACKGROUND AND PURPOSE: Successful outcomes from bacterial meningitis require rapid antibiotic treatment; however, unnecessary treatment of viral meningitis may lead to increased toxicities and expense. Thus, improved diagnostics are required to maximize treatment and minimize side effects and cost. Thirteen clinical decision rules have been reported to identify bacterial from viral meningitis. However, few rules have been tested and compared in a single study, while several rules are yet to be tested by independent researchers or in pediatric populations. Thus, simultaneous test and comparison of these rules are required to enable clinicians to select an optimal diagnostic rule for bacterial meningitis in settings and populations similar to ours. METHODS: A retrospective cross-sectional study was conducted at the Infectious Department of Pediatric Hospital Number 1, Ho Chi Minh City, Vietnam. The performance of the clinical rules was evaluated by area under a receiver operating characteristic curve (ROC-AUC using the method of DeLong and McNemar test for specificity comparison. RESULTS: Our study included 129 patients, of whom 80 had bacterial meningitis and 49 had presumed viral meningitis. Spanos's rule had the highest AUC at 0.938 but was not significantly greater than other rules. No rule provided 100% sensitivity with a specificity higher than 50%. Based on our calculation of theoretical sensitivity and specificity, we suggest that a perfect rule requires at least four independent variables that posses both sensitivity and specificity higher than 85-90%. CONCLUSIONS: No clinical decision rules provided an acceptable specificity (>50% with 100% sensitivity when applying our data set in children. More studies in Vietnam and developing countries are required to develop and/or validate clinical rules and more very good biomarkers are required to develop such a perfect rule.

  12. Quality of written narrative feedback and reflection in a modified mini-clinical evaluation exercise: an observational study

    NARCIS (Netherlands)

    Pelgrim, E.A.M.; Kramer, A.W.M.; Mokkink, H.G.A.; Vleuten, C.P.M. van der

    2012-01-01

    ABSTRACT: BACKGROUND: Research has shown that narrative feedback, (self) reflections and a plan to undertake and evaluate improvements are key factors for effective feedback on clinical performance. We investigated the quantity of narrative comments comprising feedback (by trainers), self-reflection

  13. FY 1997 performance evaluation and incentive fee agreement. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-04-01

    FY 1997 represents the second full year utilizing a results-oriented, performance-based contract. This document describes the critical outcomes, objectives, performance indicators, expected levels of performance, and the basis for the evaluation of PNNL performance for Oct. 1, 1996-Sept. 30, 1997, as required by Articles H-24 and H-25 of the contract. Section I provides the information regarding the determination of the overall performance rating for PNNL. In Section II, six critical outcomes were defined that serve as basis for overall management of PNNL: environmental molecular sciences laboratory, environmental technology, scientific excellence, environment/safety & health operations, leadership/management, and economic development (create new businesses). Section III describes the commitments for documenting and reporting PNNL self-evaluation. In Section IV, it is stated that discussions regarding FY97 fee are still ongoing.

  14. Performance management in the Slovak higher education system: preliminary evaluation

    Directory of Open Access Journals (Sweden)

    Juraj Nemec

    2007-10-01

    Full Text Available The aim of our paper is a preliminary evaluation of the introduction of performance management and performance financing arrangements in the Slovak higher education system – accreditation and formula based performance financing. This evaluation will be mainly based on the assessment of short-term impacts of the above mentioned instruments and is expected to invite further professional discussion. We feel that the data and brief analysis included are sufficient enough to show that the Slovak system represents a typical example of the potential of performance management and performance financing being significantly limited, if not destroyed. Not only because of improperly defined indicators, which are too much input and quantity orientated, but very much also due to a lack of resources (the ratio of public expenditures for higher education to the GDP in Slovakia is significantly below EU average, as well as the politicization of the system.

  15. Performance Modeling and Evaluation for Information-Driven Networks

    CERN Document Server

    Wu, Kui; Hu, Guoqiang

    2008-01-01

    Information-driven networks include a large category of networking systems, where network nodes are aware of information delivered and thus can not only forward data packets but may also perform information processing. In many situations, the quality of service (QoS) in information-driven networks is provisioned with the redundancy in information. Traditional performance models generally adopt evaluation measures suitable for packet-oriented service guarantee, such as packet delay, throughput, and packet loss rate. These performance measures, however, do not align well with the actual need of information-driven networks. New performance measures and models for information-driven networks, despite their importance, have been mainly blank, largely because information processing is clearly application dependent and cannot be easily captured within a generic framework. To fill the vacancy, we present a new performance evaluation framework particularly tailored for information-driven networks, based on the recent ...

  16. Policy Decomposition for Evaluation Performance Improvement of PDP

    Directory of Open Access Journals (Sweden)

    Fan Deng

    2014-01-01

    Full Text Available In conventional centralized authorization models, the evaluation performance of policy decision point (PDP decreases obviously with the growing numbers of rules embodied in a policy. Aiming to improve the evaluation performance of PDP, a distributed policy evaluation engine called XDPEE is presented. In this engine, the unicity of PDP in the centralized authorization model is changed by increasing the number of PDPs. A policy should be decomposed into multiple subpolicies each with fewer rules by using a decomposition method, which can have the advantage of balancing the cost of subpolicies deployed to each PDP. Policy decomposition is the key problem of the evaluation performance improvement of PDPs. A greedy algorithm with O(nlgn time complexity for policy decomposition is constructed. In experiments, the policy of the LMS, VMS, and ASMS in real applications is decomposed separately into multiple subpolicies based on the greedy algorithm. Policy decomposition guarantees that the cost of subpolicies deployed to each PDP is equal or approximately equal. Experimental results show that (1 the method of policy decomposition improves the evaluation performance of PDPs effectively and that (2 the evaluation time of PDPs reduces with the growing numbers of PDPs.

  17. Materials balance area Custodian Performance Evaluation Program at PNL

    International Nuclear Information System (INIS)

    The material balance area (MBA) custodian has primary responsibility for control and accountability of nuclear material within an MBA. In this role, the custodian operates as an extension of the facility material control and accountability (MC ampersand A) organization. To effectively meet administrative requirements and protection needs, the custodian must be fully trained in all aspects of MC ampersand A related to the MBA, and custodian performance must be periodically evaluated. DOE Policy requires that each facility provide for a program which assures that each facility provide for a program which assures that personnel performing MC ampersand A functions are (1) trained and/or qualified to perform their duties and responsibilities and (2) knowledgeable of requirements and procedures related to their functions. The MBA Custodian Performance Evaluation Program at PNL uses a variety of assessment techniques to meet this goal, including internal and independent MBA audits, periodic custodian testing, conduct of limited scope performance tests, daily monitoring of MC ampersand A documentation, and reviewing custodian performance during physical inventories. The data collected from these sources is analyzed and incorporated into an annual custodian performance evaluation document, given to each custodian and line management. Development of this program has resulted in significantly improved custodian performance and a marked decrease in finding and observations identified during MBA audits

  18. Evaluation of dermatologic emergeny patients: An unicentral prospective clinical study

    Directory of Open Access Journals (Sweden)

    Adem Köşlü

    2009-12-01

    Full Text Available Background and Design: The definition of emergent diseases includes potentially risky diseases that need urgent medical intervention. Diagnostic and therapeutic processes are managed mostly at ourpatient setting in dermatology. Therefore, it is unclear that which diseases are real emergencies and which patients apply urgently. There are a few studies assessing this topic. Our aim was to evaluate patients referred to our clinic urgently, and to review the concept of ‘‘real dermatologic emergency’’ by comparing dermatologic emergency patients and outpatients. Material and Method: A total of 800 patients (400 urgent patients, 400 outpatients were included. Demographic features, complaints, disease duration and severity, whether the disease occurs for the first time were questionned, application time and diagnosis were recorded. The opinions of patients and physicians were inquired about why they thought that the disease was emergent. Results: Most common skin diseases were acute urticaria-angioedema, contact dermatitis, and insect bite in emergency patients; acne vulgaris, verruca and tinea pedis in outpatients. Itching was more common in emergency patients. Emergency patients' complaints were more severe than those of outpatients. Patients who experience disease first time applied to emergency service more than others. Emergency patients had a shorter disease duration than outpatients. Patients and physicians revealed different reasons and criteria about the urgency of the diseases. 93.5% of patients and 49% of physicians thought that existing disease was emergent. Conclusion: Our data reveal that the concept of dermatologic emergency is unsettled. It changes according to socio-cultural, personal features and to the present health system. Determination of the main criteria of the definition of “dermatologic urgent”, and training of dermatologists, emergency centers’physicians and also of patients in this regard seem to be a necessity

  19. Synergism of clinical evaluation and penile sonographic imaging in diagnosis of penile fracture: a case report

    Directory of Open Access Journals (Sweden)

    Bello Jibril

    2012-09-01

    Full Text Available Abstract Introduction Penile fracture is an uncommon urologic emergency, and is the traumatic rupture of the tunica albuginea covering the corpus cavernosa. This usually occurs following blunt trauma sustained during coitus, masturbation or self-manipulations to hide or suppress an erection. Clinical diagnosis can often be easily made with typical history and examination findings. However, the patient may present atypically and/or with a suspicion of associated urethral injury. The roles of various diagnostic investigations are being evaluated in these situations. Case presentation We report the case of a 31-year-old African man with penile fracture and suspected associated urethral injury that occurred after self-manipulations to hide an erection. Conclusions Penile ultrasound and sonourethrography provide useful additional diagnostic information to supplement clinical history and physical examination findings and can be performed easily, at low cost and with no delays to surgery.

  20. Clinical evaluation of MR fluoroscopy on a low-field permanent magnet

    International Nuclear Information System (INIS)

    Clinical evaluation of MR fluoroscopy on a low-field permanent magnet MR unit was performed. The unit is open-type so that a patient can move even his shoulders and legs during the scanning. During the continuous scan, the scan-reconstruction-display array system produces real-time fluoroscopic imaging by using a part of the prior image data to reconstruct the current image. In the studies of needle biopsy under MR fluoroscopic guide, three dimensional real-time information was effectively available. MR dynamic studies applied to vocal cord, eye and knee movement offered us much additional information that was not obtained in static MR studies. MR fluoroscopy using open-typed apparatus showed the clinical potentiality in dynamic studies of various organs and conditions, and interventional procedures. (author)