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Sample records for decisional balance measure

  1. Validation of decisional balance and self-efficacy measures for HPV vaccination in college women.

    Science.gov (United States)

    Lipschitz, Jessica M; Fernandez, Anne C; Larson, H Elsa; Blaney, Cerissa L; Meier, Kathy S; Redding, Colleen A; Prochaska, James O; Paiva, Andrea L

    2013-01-01

    Women younger than 25 years are at greatest risk for human papillomavirus (HPV) infection, including high-risk strains associated with 70% of cervical cancers. Effective model-based measures that can lead to intervention development to increase HPV vaccination rates are necessary. This study validated Transtheoretical Model measures of Decisional Balance and Self-Efficacy for seeking the HPV vaccine in a sample of female college students. Cross-sectional measurement development. Setting. Online survey of undergraduate college students. A total of 340 female students ages 18 to 26 years. Stage of Change, Decisional Balance, and Self-Efficacy. The sample was randomly split into halves for exploratory principal components analyses (PCAs), followed by confirmatory factor analyses (CFAs) to test measurement models. Multivariate analyses examined relationships between constructs. For Decisional Balance, PCA indicated two 4-item factors (Pros -α = .90; and Cons -α = .66). CFA supported a two-factor correlated model, χ(2)(19) = 39.33; p Pros α = .90 and Cons α = .67. For Self-Efficacy, PCA indicated one 6-item factor (α = .84). CFA supported this structure, χ(2)(9) = 50.87; p Pros, Cons, and Self-Efficacy in expected directions. Findings support the internal and external validity of these measures and their use in Transtheoretical Model-tailored interventions. Stage-construct relationships suggest that reducing the Cons of vaccination may be more important for HPV than for behaviors with a true Maintenance stage.

  2. A brief decisional balance intervention increases motivation and behavior regarding condom use in high-risk heterosexual college men.

    Science.gov (United States)

    LaBrie, Joseph W; Pedersen, Eric R; Thompson, Alysha D; Earleywine, Mitch

    2008-04-01

    Male college students constitute one of a number of at-risk populations susceptible to receiving and transferring sexually transmitted infections. Interventions designed to increase condom use have produced mixed results, but increasing motivation to use condoms may decrease risky sexual behavior. The current study examined the decisional balance, a component of Motivational Interviewing (MI), as an intervention to promote condom use. A total of 41 college men at-risk for negative outcomes from both unsafe sex and drinking participated. They reported both infrequent condom use and heavy drinking. Immediately following a decisional balance on condom use, three separate measures of motivation to change condom use increased. Further, participants reported increases in actual condom use at a 30-day follow-up. Participants did not alter their drinking behavior or their motivation to decrease problematic alcohol use. The findings provide preliminary support for the efficacy of a brief decisional balance intervention to increase safer-sex motivation and behaviors, but similar designs with true control groups receiving assessment only and larger numbers of participants are required before they can be generalized to the greater population of college students. College health professionals might adopt similar brief motivational enhancement interventions with the decisional balance to promote safer sex among at-risk college students.

  3. Motivation for HPV Vaccination Among Young Adult Men: Validation of TTM Decisional Balance and Self-Efficacy Constructs.

    Science.gov (United States)

    Fernandez, Anne C; Amoyal, Nicole R; Paiva, Andrea L; Prochaska, James O

    2016-01-01

    In the United States, 36% of human papillomavirus (HPV)-related cancers occur among men. HPV vaccination can substantially reduce the risk of HPV infection; however, the vast majority of men are unvaccinated. This study developed and validated transtheoretical model-based measures for HPV vaccination in young adult men. Cross-sectional measurement development. Online survey of young adult men. Three hundred twenty-nine mostly college-attending men, ages 18 to 26. Stage of change, decisional balance (pros/cons), and self-efficacy. The sample was randomly split into halves for exploratory principal components analysis (PCA), followed by confirmatory factor analyses (CFA) to test measurement models. Multivariate analyses examined relationships between scales. For decisional balance, PCA revealed two uncorrelated five-item factors (pros α = .78; cons α = .83). For the self-efficacy scale, PCA revealed a single-factor solution (α = .83). CFA confirmed that the two-factor uncorrelated model for decisional balance and a single-factor model for self-efficacy. Follow-up analyses of variance supported the theoretically predicted relationships between stage of change, pros, and self-efficacy. This study resulted in reliable and valid measures of pros and self-efficacy for HPV vaccination that can be used in future clinical research.

  4. The Effects of Exercise Advertising on Self-efficacy and Decisional Balance

    Science.gov (United States)

    Berry, Tanya R.; Howe, Bruce L.

    2005-01-01

    Objectives: To investigate the effects of exercise advertising on self-efficacy and decisional balance for changing exercise behavior. Methods: One hundred seventy-four university students (females = 108; males = 66) watched a video that contained health, appearance, or control advertising and completed stage of change, exercise self-efficacy, and…

  5. The decisional balance sheet to promote healthy behavior among ethnically diverse older adults.

    Science.gov (United States)

    Geller, Karly S; Mendoza, Ilora D; Timbobolan, Jasah; Montjoy, Holly L; Nigg, Claudio R

    2012-01-01

    The rising health care costs and increasing older adult population in the United States make preventive medicine for this age group especially crucial. Regular physical activity and fruit and vegetable consumption may prevent or delay the onset of many chronic conditions that are common among older adults. The decisional balance sheet is a promotional tool targeting the perceived pros and cons of behavior adoption. The current study tested the efficiency and effectiveness of a single-day decisional balance sheet program, targeting increased physical activity and fruit and vegetable intake among older adults. Participating adults (N = 21, age = 72.2) who represented a diverse population in Hawaii (Japanese = 5, Filipino = 4, Caucasian = 4, Native American = 1, Native Hawaiian = 1, Hispanic = 1, and Others = 5) were recruited from housing communities and randomized to a decisional balance sheet program adapted for physical activity or fruit and vegetable consumption. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ) short form, and daily fruit and vegetable intake with the National Health and Nutrition Examination Survey single item instrument. Baseline and follow-up data were collected. Both programs were implemented efficiently, and participants in both groups improved their daily physical activity. The decisional balance sheet for fruit and vegetable consumption appeared less effective. Specific suggestions for similar programs are reported. © 2011 Wiley Periodicals, Inc.

  6. Motivational interviewing and the decisional balance procedure for cessation induction in smokers not intending to quit.

    Science.gov (United States)

    Krigel, Susan W; Grobe, James E; Goggin, Kathy; Harris, Kari Jo; Moreno, Jose L; Catley, Delwyn

    2017-01-01

    The decisional balance (DB) procedure examines the pros and cons of behavior change and was considered a component in early formulations of Motivational Interviewing (MI). However, there is controversy and conflicting findings regarding the use of a DB exercise within the treatment of addictions and a need to clarify the role of DB as a component of MI. College tobacco smokers (N=82) with no intentions on quitting were randomly assigned to receive a single counseling session of either Motivational Interviewing using only the decisional balance component (MIDB), or health education around smoking cessation (HE). Assessments were obtained at baseline, immediately post-treatment, 1week, and 4weeks. Compared to HE, the MIDB sessions scored significantly higher on the Motivational Interviewing Treatment Integrity (MITI) scale (all standardized differences d>1, pCons of smoking and therapeutic alliance were predictive of better cessation outcomes. The decisional balance exercise as formulated by earlier versions of MI may be counter-productive and cautions around its use are warranted. Instead, improved cessation outcomes appear associated with increasing perceived benefits of quitting and positive therapeutic alliance. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Advantages and disadvantages of college drinking in students' own words: content analysis of the decisional balance worksheet.

    Science.gov (United States)

    Collins, Susan E; Kirouac, Megan; Taylor, Emily; Spelman, Philip J; Grazioli, Véronique; Hoffman, Gail; Haelsig, Laura; Holttum, Jessica; Kanagawa, Ami; Nehru, Mayanka; Hicks, Jennifer

    2014-09-01

    The decisional balance worksheet (DBW), an open-ended measure of motivation to change, may be used to record the perceived advantages and disadvantages of substance use as well as alternative behaviors. Recent findings have indicated that the open-ended DBW can be quantified to validly reflect college students' level of motivation to reduce their drinking (Collins, Carey, & Otto, 2009). The goal of the current study was to enhance our understanding of college students' perceived advantages and disadvantages of drinking by qualitatively examining the content of their decisional balance. Participants were undergraduate college students at a 4-year university (N = 760) who participated in a randomized controlled trial of online brief motivational interventions. Using the DBW, participants recorded the advantages and disadvantages of their current drinking. Conventional content analysis methods were used to extract common themes. Social, enjoyment, and psychological reasons were the most commonly mentioned advantages of drinking, whereas physical side effects, expense and interference with goals were the most commonly mentioned disadvantages of drinking. These findings show that college students primarily use alcohol for enjoyment, particularly in social situations, as well as for coping with stress and social anxiety. On the other hand, many college students report having physical side effects from drinking as well as other kinds of concerns (e.g., expense, calories). Findings suggest that using the open-ended DBW may result in a more client-centered and accurate representation of what college students perceive as advantages and disadvantages to drinking than established, Likert-scale measures of decisional balance.

  8. Development and validation of green eating behaviors, stage of change, decisional balance, and self-efficacy scales in college students.

    Science.gov (United States)

    Weller, Kathryn E; Greene, Geoffrey W; Redding, Colleen A; Paiva, Andrea L; Lofgren, Ingrid; Nash, Jessica T; Kobayashi, Hisanori

    2014-01-01

    To develop and validate an instrument to assess environmentally conscious eating (Green Eating [GE]) behavior (BEH) and GE Transtheoretical Model constructs including Stage of Change (SOC), Decisional Balance (DB), and Self-efficacy (SE). Cross-sectional instrument development survey. Convenience sample (n = 954) of 18- to 24-year-old college students from a northeastern university. The sample was randomly split: (N1) and (N2). N1 was used for exploratory factor analyses using principal components analyses; N2 was used for confirmatory analyses (structural modeling) and reliability analyses (coefficient α). The full sample was used for measurement invariance (multi-group confirmatory analyses) and convergent validity (BEH) and known group validation (DB and SE) by SOC using analysis of variance. Reliable (α > .7), psychometrically sound, and stable measures included 2 correlated 5-item DB subscales (Pros and Cons), 2 correlated SE subscales (school [5 items] and home [3 items]), and a single 6-item BEH scale. Most students (66%) were in Precontemplation and Contemplation SOC. Behavior, DB, and SE scales differed significantly by SOC (P college students. Copyright © 2014 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  9. Relationships between transtheoretical model stages of change, decisional balance, self-efficacy, and physical activity level among Nigerian market vendors.

    Science.gov (United States)

    Maruf, Fatai Adesina; Ibikunle, Peter Olanrewaju; Raji, Najim Olanrewaju

    2014-01-01

    This study explored decisional balance, self-efficacy, and physical activity (PA) level in relation to stages of change (SoC) for PA among Nigerian vendors. The study explored associations among decisional balance, self-efficacy, and PA level, and examined differences, by stage, in decisional balance, self-efficacy, and PA level. Cross-sectional survey. Outdoor markets located in Eke Amobi, Nkwo, and Okpuno Egbu in Nnewi, southeastern Nigeria. Participants were 499 market vendors (98 males and 401 females). Self-efficacy, perceived barrier and benefit, PA level, and SoC for PA. Spearman rank-order and partial correlations; analysis of variance by gender with Bonferroni post hoc adjustment. Self-efficacy (r = 0.69; p = 0.000), perceived benefit (r = .12; p = .007), and perceived barrier (r = -.11; p = .017) for PA were related to the SoC. Adjusting for age, gender, and marital status, only self-efficacy (r = .48; p = .000) remained correlated with the SoC. In males, significant differences in perceived barrier (p = .003) and benefit (p = .003) lay between stages of contemplation and preparation and between stages of precontemplation and contemplation for self-efficacy (p = .006). In females, there were significance differences in self-efficacy across stages of precontemplation and contemplation (p = .000) and preparation and action (p = .007). When designing PA interventions, age, gender, and marital status should be considered in explaining the relationships between outcome constructs of transtheoretical model (TTM) and SoC in vendors. It is also important to note that the stages at which outcome constructs of TTM change during PA interventions vary in males and females.

  10. Mediation analysis of decisional balance, sun avoidance and sunscreen use in the precontemplation and preparation stages for sun protection.

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    Santiago-Rivas, Marimer; Velicer, Wayne F; Redding, Colleen

    2015-01-01

    Mediation analyses of sun protection were conducted testing structural equation models using longitudinal data with three waves. An effect was said to be mediated if the standardised path between processes of change, decisional balance and sun protection outcomes was significant. Longitudinal models of sun protection using data from individuals in the precontemplation (N = 964) and preparation (N = 463) stages who participated of an expert system intervention. Nine processes of change for sun protection, decisional balance constructs of sun protection (pros and cons), sun avoidance behaviour and sunscreen use. With the exception of two processes in the preparation stage, processes of change predicted the pros (r = .126-.614), and the pros predicted the outcomes (r = .181-.272). Three models with the cons as mediator in the preparation stage, and none in the precontemplation stage, showed a mediated relationship between processes and outcomes. In general, mediation analyses found both the process of change-to-pros and pros-to-behaviour paths significant for both precontemplation and preparation stages, and for both sun avoidance and sunscreen use outcomes. Findings provide support for the importance of assessing the role of underlying risk cognitions in improving sun protection adherence.

  11. Physical Activity Characteristics of Potential Participants in Nutrition and Fitness Programs Based on Stages of Change, Self-Efficacy, and Decisional Balance.

    Science.gov (United States)

    Cox, Ruby H.; Stimpson, Tara S.; Poole, Kathleen P.; Lambur, Michael T.

    2003-01-01

    Responses from 213 of 545 adults surveyed showed that physical activity rate was higher than in other studies. Stage of change was positively associated with education, self-efficacy, and decisional balance. Physical activity was positively correlated with educational level. A mailed questionnaire appeared to be a feasible means of collecting data…

  12. A Study of the Role of Decisional Balance in Exercise Status Among Yazd’s Staff Based on Transtheoretical Model

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    Mazloomy Mahmoudabad Saeid

    2009-06-01

    Full Text Available Background: According to statistical evidence put forward by WHO in 2003, lack of physical activity is the reason for 1.9 million deaths in the world. More than 60% of adults in the world and more than 80% of Iranian adults do not perform sufficient levels of physical activity. Despite the great advantages of exercise a huge portion of the population of many countries do not exercise adequately thus deprived of its benefits. Transtheoretical model is identified as a comprehensive model for behavior change and decision balance is regarded as a fundamental structure of the model which centers around positive and negative behavior change consequences. In this study decision was made to check the situation of sport change process in Yazd’s staff according to Transtheoretical Model and its relation with decision balance.Materials and Methods: In this cross-sectional study, 220 subjects were recruited. The subjects were selected through 2-stage cluster sampling-test; the instruments for data collection were a questionnaire that consisted of two parts (demographic variables and construct of TTM. Data analyzed by ANOVA and T-test through SPSS and P<0.05 was significant.Results: Results of the study on 152 males (69.1% and 68 females (30.9% with the average age of 34±8.68 indicated a significant relationship between pros and cons with stages of change (both P<0.0001 and between pros with age (P=0.004. Of 220 study group 44(20% were in pre-contemplation stage, 88 (40% in contemplation, 30(13.6% in preparation, 16(7.3% in action and 42(19.1% in maintenance stage.Conclusion: With regard to the fact that transtheoretical model has revealed a significant relationship between decisional balance and stage of change in exercise. It is proposed that accomplish educational class for employees, in order to increase pros and reduce cons of exercise.

  13. Cross-cultural validation of the stages of the tobacco acquisition questionnaire and the decisional balance scale.

    Science.gov (United States)

    Chen, Huey-Shys; Horner, Sharon D; Percy, Melanie S

    2003-06-01

    The first phase in a study of smoking behaviors of 11- to 14-year-old Taiwanese children was designed to ensure the reliability and validity of newly translated instruments. The stages of the tobacco acquisition questionnaire (STAQ) and the decisional balance scale (DBS) were translated into Chinese, then back-translated into English. The DBS was adapted based on input from a focus group with young adolescents, reviewed by a panel of experts and laypersons, and pilot-tested. The next step consisted of administering the instruments to 401 children (ages 11-14 years) for psychometric testing. Factor analysis yielded three components for the STAQ accounting for 57.8% of the total variance, with alphas of the subscales ranging from.85 to.92. The DBS had two components accounting for 59.3% of the total variance, with alphas of.87 and.90 for the subscales. Accuracy of the translated instruments was supported by the psychometric test results. Copyright 2003 Wiley Periodicals, Inc. Res Nurs Health 26: 233-243, 2003

  14. Energy balance measurement

    DEFF Research Database (Denmark)

    Dhurandhar, N V; Schoeller, D; Brown, A W

    2015-01-01

    Energy intake (EI) and physical activity energy expenditure (PAEE) are key modifiable determinants of energy balance, traditionally assessed by self-report despite its repeated demonstration of considerable inaccuracies. We argue here that it is time to move from the common view that self......-reports of EI and PAEE are imperfect, but nevertheless deserving of use, to a view commensurate with the evidence that self-reports of EI and PAEE are so poor that they are wholly unacceptable for scientific research on EI and PAEE. While new strategies for objectively determining energy balance...... of energy balance....

  15. Association of Self-efficacy and Decisional Balance with Stages of Change for Fiber Intake and Glycemic Control in Patients with Type 2 Diabetes

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    Parisa Keshani

    2015-09-01

    Full Text Available Background and Objectives: Constructs of behavioral models such as trans-theoretical model can be associated with healthy eating behaviors like increasing fiber intake. They can also be effective in improving these behaviors in patients with diabetes. This study aimed to assess the association of self-efficacy and decisional balance with stages of change for fiber intake and glycemic control in patients with type 2 diabetes. Materials and Methods: A cross-sectional study was conducted on 145 literate male and female patients with type 2 diabetes (aged 30 to 65 years they were randomly selected from the patients’ list of “Charity Foundation for Special Diseases” and ”Iranian Diabetes Society” in Tehran-Iran. Stages of change, self-efficacy, and decisional balance questionnaires were filled out, and three food records were used to assess their nutritional status. Blood samples were taken to assess fasting blood glucose, HbA1c, serum insulin, and insulin resistance. One-way ANOVA and logistic regression were used to analyze the data. The tests were done using the SPSS software (ver. 16. P<0.05 was considered significant. Results: 126 patients with type 2 diabetes completed the study. Participants’ mean age was 53.5±6.02 and 65% were men. Patients in post-action stages revealed higher self-efficacy than did those in pre-action stages (P=0.035. A relationship was observed between insulin resistance and self-efficacy (P=0.040. One unit increase in self-efficacy decreased the risk of insulin resistance by 12%, and each unit increase in decisional balance increased the chance of eating sufficient fiber by 2.2 times. There was also a significant relationship between the perceived cons (P<0.0001 and self-efficacy (P=0.037 with fiber intake after adjustment with confounders. Conclusions: This study suggests that there is a relationship between transtheoretical model constructs such as self-efficacy and decisional balance, especially cons, with

  16. Application of Bayesian Method in Validation of TTM Decisional Balance and Self-Efficacy Constructs to Improve Nutritional Behavior in Yazdian Prediabetes

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    Hossein Fallahzadeh

    2017-07-01

    Full Text Available Introduction: To introduce Bayesian method in validation of transtheoretical model’s Self-Efficacy and Decisional Balance for nutritional behavior improvement among Prediabetes with ordinal data. Methods: This is an Experimental trial with parallel design and sample was included 220 Prediabetes who Participated in screening program and had over 30 years old, fasting blood glucose ranged 100-125 and at least elementary Education. We used OpenBugs 3.2.3 to fit Bayesian ordinal factor analysis to achieve validation of TTM’s decisional balance and self-efficacy. Results: All of the factor loadings corresponded to mentioned constructs was significant at α= 0.05%. That support validation of the Constructs. Correlation between Pros and Cons was not significant(-0.076, 0.007.Furthermore a specific statistical model for ordinal data created that can estimate odds ratios and marginal Probabilities for each choice of any item in questionnaire. Conclusion: Thanks to benefits of Bayesian method in use of prior information such as Meta-analysis and other resources, In comparison to similar studies that used standard or other factor analysis for ordinal data, our results had good accuracy(with aspect to standard deviation even with lower sample size.so the results can be used  in future clinical researches.

  17. Dyadic validity of the Decisional Conflict Scale: common patient/physician measures of patient uncertainty were identified.

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    Turcotte, Stéphane; Guerrier, Mireille; Labrecque, Michel; Robitaille, Hubert; Rivest, Louis-Paul; Hess, Brian; Légaré, France

    2015-08-01

    We aimed to assess the dyadic validity of the Decisional Conflict Scale (DCS) for assessing shared decision making in clinical consultations. We applied dyadic criteria, which consider the patient and physician as an interactive dyad instead of as independent individuals, to identify common patient/physician measures of patient uncertainty. Patients and their physicians, participating in a randomized clustered trial, completed separately an adapted version of the DCS with five subscales. We performed factor analysis on the full DCS and each subscale independently. We defined a measure as dyadic when measurement invariance across patients and physicians was supported. We analyzed 332 paired responses (physicians with adults or with parents and children) at study entry and 339 at exit. Factor analysis showed that the full DCS is not a valid dyadic measure. However, independent analysis of each subscale showed measurement invariance for values clarity, support, and effective decision (comparative fit index range, 0.93-1; root mean square error of approximation range, 0-0.07; and P-value > 0.05). Application of our dyadic validation criterion indicated that the full DCS cannot be considered a dyadic measure. However, three of its subscales, values clarity, support and effective decision, are valid dyadic measures. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Validation of a Short Form of the Greek Version of the Decisional Balance Scale in the Exercise Domain. (Validación de la Versión Griega de la Escala Abreviada de Equilibrio Decisional en el Campo del Ejercicio Físico.

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    Konstantinos Karteroliotis

    2008-04-01

    Full Text Available AbstractAlthough the Decisional Balance Scale (DBS for exercise has been established to have sound psychometric properties, the factorial structure of this instrument has not been examined in other European countries. The purpose of this study was to test a short version of the decisional balance scale for exercise in Greek adults. The DBS was administered to 158 (61.2% women and 100 (38.8% men. An exploratory factor analysis yielded a positive (pros factor and a negative (cons factor. The results from confirmatory factor analysis indicated that the two-factor structure was the best fit for the DBS when it was used with Greek adults. The alpha coefficients were .84 for the positive factor and .81 for the negative factor. The findings are similar to those of the English original, and suggest that the revised DBS can be used in exercise and activity research with Greek adults. However, to expand the usefulness of this instrument across cultures, the DBS should continue to be tested with other Greek populations and settings.Resumen La escala del equilibrio decisional (DBS presenta unas sólidas propiedades psicométricas, no obstante la estructura factorial de dicho instrumento no se ha examinado en otros países europeos. Este estudio tiene como objetivo probar una versión corta de la escala decisional sobre ejercicio a una muestra de adultos griegos. La DBS revisada se administró a 158 (61.2% participantes mujeres y 100 (38.8% hombres. El análisis factorial exploratorio mostró la presencia de dos factores, uno positivo (los pros y uno negativo (los contras. Los resultados del análisis factorial confirmatorio indicaron que la mejor solución factorial para la versión griega de la escala DBS se componía de una doble estructura. Los coeficientes alpha fueron de .84 para el factor positivo y de .81 para el factor negativo. Los hallazgos de este estudio fueron similares a los de la versión original, indicando que la revisada DBS es adecuada

  19. On balanced minimal repeated measurements designs

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    Shakeel Ahmad Mir

    2014-10-01

    Full Text Available Repeated Measurements designs are concerned with scientific experiments in which each experimental unit is assigned more than once to a treatment either different or identical. This class of designs has the property that the unbiased estimators for elementary contrasts among direct and residual effects are obtainable. Afsarinejad (1983 provided a method of constructing balanced Minimal Repeated Measurements designs p < t , when t is an odd or prime power, one or more than one treatment may occur more than once in some sequences and  designs so constructed no longer remain uniform in periods. In this paper an attempt has been made to provide a new method to overcome this drawback. Specifically, two cases have been considered                RM[t,n=t(t-t/(p-1,p], λ2=1 for balanced minimal repeated measurements designs and  RM[t,n=2t(t-t/(p-1,p], λ2=2 for balanced  repeated measurements designs. In addition , a method has been provided for constructing              extra-balanced minimal designs for special case RM[t,n=t2/(p-1,p], λ2=1.

  20. Relevance of balance measurement tools and balance training for fall prevention in older adults

    OpenAIRE

    Noohu, Majumi M.; Dey, Aparajit B.; Hussain, Mohammed E.

    2014-01-01

    Approximately one in three older people fall each year owing to gait/balance disorder/weakness, the second leading cause of falls in older adults. This review evaluates the capability of different balance measurement tools to predict falls in the elderly, which are used routinely for assessing balance impairment. Balance measurement tools reviewed are the Timed Up and Go test, Berg Balance Scale, Tinetti Performance Oriented Mobility Assessment, Functional Reach Test, Clinical Test of Sensory...

  1. Balance Assessment Practices and Use of Standardized Balance Measures Among Ontario Physical Therapists

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    Sibley, Kathryn M.; Straus, Sharon E.; Inness, Elizabeth L.; Salbach, Nancy M.

    2011-01-01

    Background Balance impairment is a significant problem for older adults, as it can influence daily functioning. Treating balance impairment in this population is a major focus of physical therapist practice. Objective The purpose of this study was to document current practices in clinical balance assessment and compare components of balance assessed and measures used across practice areas among physical therapists. Design This was a cross-sectional study. Methods A survey questionnaire was mailed to 1,000 practicing physical therapists in Ontario, Canada. Results Three hundred sixty-nine individuals completed the survey questionnaire. More than 80% of respondents reported that they regularly (more than 60% of the time) assessed postural alignment, static and dynamic stability, functional balance, and underlying motor systems. Underlying sensory systems, cognitive contributions to balance, and reactive control were regularly assessed by 59.6%, 55.0%, and 41.2% of the respondents, respectively. The standardized measures regularly used by the most respondents were the single-leg stance test (79.1%), the Berg Balance Scale (45.0%), and the Timed “Up & Go” Test (27.6%). There was considerable variation in the components of balance assessed and measures used by respondents treating individuals in the orthopedic, neurologic, geriatric, and general rehabilitation populations. Limitations The survey provides quantitative data about what is done to assess balance, but does not explain the factors influencing current practice. Conclusions Many important components of balance and standardized measures are regularly used by physical therapists to assess balance. Further research, however, is needed to understand the factors contributing to the relatively lower rates of assessing reactive control, the component of balance most directly responsible for avoiding a fall. PMID:21868613

  2. 32 CFR 865.114 - Decisional document.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Decisional document. 865.114 Section 865.114...-GENERAL PERSONNEL REVIEW BOARDS Air Force Discharge Review Board § 865.114 Decisional document. (a) A decisional document shall be prepared for each review conducted by the DRB. (b) At a minimum, the decisional...

  3. Introducing the Balanced Scorecard: Creating Metrics to Measure Performance

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    Gumbus, Andra

    2005-01-01

    This experiential exercise presents the concept of the Balanced Scorecard (BSC) and applies it in a university setting. The Balanced Scorecard was developed 12 years ago and has grown in popularity and is used by more than 50% of the Fortune 500 companies as a performance measurement and strategic management tool. The BSC expands the traditional…

  4. Simulación de operaciones y línea de balance: herramientas integradas para la toma de decisiones Simulation operations and line of balance: integrated tools for

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    Harlem Acevedo

    2011-06-01

    Full Text Available Este artículo presenta la implementación conjunta de la simulación de operaciones y de las líneas de balance como herramientas que contribuyen a mejorarla eficiencia de la planeación de proyectos de la construcción, donde su integración ha sido escasa en el ámbito nacional e internacional. El artículo exponelos resultados de la simulación de las actividades asociadas a la etapa de estructura, armado y fundida de muros y losa, en una edificación en altura. Se modela el sistema de acuerdo con la forma como se ejecuta el proyecto por parte de los constructores y con la ayuda de las líneas de balance se generandos escenarios alternativos con el fin de comparar los tiempos y los costos promedios de terminación del proyecto. En el primer escenario se aprovechala holgura hallada en el sistema actual con relación a los tiempos de iniciación de actividades, sin cambiar la cantidad de recursos humanos y de equipo. Ensegundo escenario, se aumenta levemente la cantidad de recursos humanos y se incrementa en un 25% la cantidad de equipo de formaletería para muros y losa. A partir de los resultados, las empresas disponen de una metodología para la planeación y la selección del escenario adecuado, de acuerdo con suconveniencia.This paper presents the joint implementation of the simulation of operations and lines of balance, as tools that help to improve the efficiency in construction project planning, where the integration of these tools has been scarce in the national and international field. This paper expounds the simulation results of the activities associated with the construction works of structure, assembly and casting of walls and slab, in a multi–story building. The construction system is modeled, according to the way it is done by the company, and with the help of the lines of balance, generating two alternative scenarios in order to compare the times and the average costs of project completion. The first scenario takes advantage

  5. Measuring the Balance Control System – Review

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    Jitka Jančová

    2008-01-01

    Full Text Available Past studies of postural control during standing have employed wide range of procedures including the outcome measures use to quantify postural control, the duration of the sample collected, sampling frequency and methods for data processing. Due to these differences there remains little, if any, common grounds for comparisons between studies to establish a concrete understanding of the features and bouns which characterize normal healthy postural control. This article deals with terms such as reliability and repeatability of stabilometric measurements, stabilometric data quantification and analysis. To clear up those terms is suggested, by the author of this paper, very important. The stabilometric measurements remain, nevertheless, different when dealing with aging adults. Though, we notes some alterations of the aging systems, this article is not entirely dedicated to the seniors population. Measurements of COP and technical notes remain the main axis of present paper.

  6. Balanced score card: A measurement for effective library services in ...

    African Journals Online (AJOL)

    This study presented balanced scorecard as a measurement for effective library services in academic libraries for sustainable education development. A study of Imo State University library, Owerri. In every organization, the importance of internal measurement appraisal and/or evaluation is very imperative. This helps the ...

  7. 32 CFR 724.806 - Decisional issues.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Decisional issues. 724.806 Section 724.806... BOARD Procedures of Naval Discharge Review Board § 724.806 Decisional issues. (a) General. Under the guidance in this section, the decisional document shall discuss the issues that provide a basis for the...

  8. 32 CFR 865.112 - Decisional issues.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Decisional issues. 865.112 Section 865.112...-GENERAL PERSONNEL REVIEW BOARDS Air Force Discharge Review Board § 865.112 Decisional issues. (a) The decisional document shall discuss the issues that provide a basis for the decision whether there should be a...

  9. 32 CFR 724.121 - Decisional document.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Decisional document. 724.121 Section 724.121... BOARD Definitions § 724.121 Decisional document. The written recordation of the applicant's summary of... decisional document is promulgated by the “en bloc letter”. ...

  10. DESIGNING COMPANY PERFORMANCE MEASUREMENT SYSTEM USING BALANCE SCORECARD APPROACH

    Directory of Open Access Journals (Sweden)

    Cecep Mukti Soleh

    2015-05-01

    Full Text Available This research aimed to design how to measure company performance by using balance scorecard approach in coal transportation services industry. Depth interview was used to obtain qualitative data determination of strategic objectives, key performance indicators, strategic initiatives, and in charge units for each balanced scorecard perspectives while the quantitative data were obtained from weighting through questionnaires and analyzed using paired comparison to get a perspective what mostly affected the performance of the company. To measure the achievement of corporate performance, each KPI used (1 the scoring system with the methods that higher is better, lower is better and precise is better; (2 traffic light system with the help of green, yellow, red for identification of target achievement. This research result shows that in the balance scorecard perspective, the most influences on the overall performance of the company include the customer's perspective (31%, financial perspective (29%, internal business processes (21%, learning, and growth 19%. Keywords: balance scorecard, paired comparison, coal transportation serviceABSTRAKPenelitian ini bertujuan untuk merancang pengukuran kinerja perusahaan dengan menggunakan pendekatan balance scorecard di industri jasa pengangkutan batu bara. Data kualitatif diperoleh melalui indepth interview digunakan untuk menentukan sasaran strategik, indikator kinerja utama, inisiatif strategi dan penanggungjawab setiap divisi setiap perspektif balance scorecard, sedangkan data kuantitatif digunakan untuk pembobotan melalui kuesioner dan dianalisis dengan menggunakan metode paired comparisson untuk mendapatkan perspektif yang paling berpengaruh terhadap kinerja perusahaan. Ukuran pencapaian kinerja perusahaan dari setiap KPI menggunakan; (1 scoring system dengan bantuan metode higher is better, lower is better dan precise is better;(2 traffic light system dengan menggunakan bantuan warna hijau, kuning, merah

  11. BALANCE

    Science.gov (United States)

    Carmichael, H.

    1953-01-01

    A torsional-type analytical balance designed to arrive at its equilibrium point more quickly than previous balances is described. In order to prevent external heat sources creating air currents inside the balance casing that would reiard the attainment of equilibrium conditions, a relatively thick casing shaped as an inverted U is placed over the load support arms and the balance beam. This casing is of a metal of good thernnal conductivity characteristics, such as copper or aluminum, in order that heat applied to one portion of the balance is quickly conducted to all other sensitive areas, thus effectively preventing the fornnation of air currents caused by unequal heating of the balance.

  12. Balance measures for discriminating between functionally unstable and stable ankles.

    Science.gov (United States)

    Ross, Scott E; Guskiewicz, Kevin M; Gross, Michael T; Yu, Bing

    2009-02-01

    To identify force plate measures that discriminate between ankles with functional instability and stable ankles and to determine the most accurate force plate measure for enabling this distinction. Twenty-two subjects (177 +/- 10 cm, 77 +/- 16 kg, 21 +/- 2 yr) without a history of ankle injury and 22 subjects (177 +/- 10 cm, 77 +/- 16 kg, 20 +/- 2 yr) with functional ankle instability (FAI) performed a single-leg static balance test and a single-leg jump-landing dynamic balance test. Static force plate measures analyzed in both anterior/posterior (A/P) and medial/lateral (M/L) directions included the following: ground reaction force (GRF) SD; center-of-pressure (COP) SD; mean, maximum, and total COP excursion; and mean and maximum COP velocity. COP area was also analyzed for static balance. A/P and M/L time to stabilization quantified dynamic balance. Greater values of force plate measures indicated impaired balance. A stepwise discriminant function analysis examined group differences, group classification, and accuracy of force plate measures for discriminating between ankle groups. The FAI group had greater values than the stable ankle group for A/P GRF SD (P = 0.027), M/L GRF SD (P = 0.006), M/L COP SD (P = 0.046), A/P mean COP velocity (P = 0.015), M/L mean COP velocity (P = 0.016), A/P maximum COP velocity (P = 0.037), M/L mean COP excursion (P = 0.014), M/L total COP excursion (P = 0.016), A/P time to stabilization (P = 0.011), and M/L time to stabilization (P = 0.040). M/L GRF SD and A/P time to stabilization had the greatest accuracy scores of 0.73 and 0.72, respectively. Although 10 measures identified group differences, M/L GRF SD and A/P time to stabilization were the most accurate in discriminating between ankle groups. These results provide evidence for choosing these GRF measures for evaluating static and dynamic balance deficits associated with FAI.

  13. Model Engine Performance Measurement From Force Balance Instrumentation

    Science.gov (United States)

    Jeracki, Robert J.

    1998-01-01

    A large scale model representative of a low-noise, high bypass ratio turbofan engine was tested for acoustics and performance in the NASA Lewis 9- by 15-Foot Low-Speed Wind Tunnel. This test was part of NASA's continuing Advanced Subsonic Technology Noise Reduction Program. The low tip speed fan, nacelle, and an un-powered core passage (with core inlet guide vanes) were simulated. The fan blades and hub are mounted on a rotating thrust and torque balance. The nacelle, bypass duct stators, and core passage are attached to a six component force balance. The two balance forces, when corrected for internal pressure tares, measure the total thrust-minus-drag of the engine simulator. Corrected for scaling and other effects, it is basically the same force that the engine supports would feel, operating at similar conditions. A control volume is shown and discussed, identifying the various force components of the engine simulator thrust and definitions of net thrust. Several wind tunnel runs with nearly the same hardware installed are compared, to identify the repeatability of the measured thrust-minus-drag. Other wind tunnel runs, with hardware changes that affected fan performance, are compared to the baseline configuration, and the thrust and torque effects are shown. Finally, a thrust comparison between the force balance and nozzle gross thrust methods is shown, and both yield very similar results.

  14. Strategi Mengatasi Common Measures Bias dalam Balanced Scorecard

    Directory of Open Access Journals (Sweden)

    Sekar Akrom Faradiza

    2016-06-01

    Balanced Scorecard (BSC is a comprehensive performance measurement. BSC is not only used financial indicators but also non financial indicators there are customer, internal process business and learning and growth perspective. By using BSC, evaluators have common and unique measures. When evaluate manager performance, evaluator tends to only use common measures and ignore unique measures. This is called common measures bias. This study aims to investigate whether dissaggregated and aggregated BSC and management communication can overcome common measures bias and intent to BSC approach. This study also will evaluate whether these approach will affect evaluator decision when allocated compensation. We conduct 2x2x2 experiment of undergraduate accounting students. Participant act as a senior manager and evaluate the performance of two divisions and then allocated the bonus. ANOVA repeated measurement are used to conduct hypothesis test. The results showed that dissaggregated BSC and management communication could not overcome common measures bias but effected  management decision when allocated compensation.

  15. Agreement Between Instruments for Rating Treatment Decisional Capacity

    Science.gov (United States)

    Gurrera, Ronald J.; Karel, Michele J.; Azar, Armin R.; Moye, Jennifer

    2016-01-01

    Objective The objective of this study was to measure agreement between three treatment decisional capacity assessment instruments in mild to moderate dementia. Method Subjects (N = 79) were recruited from the community. Rating agreement was evaluated with kappa statistics. Results Three-way agreement was fair for overall capacity (κ = 0.451), very good for understanding (0.618), very poor for choice (0.158), and no better than chance for reasoning and appreciation. Pairwise agreement showed a similar pattern. Conclusions With the exception of understanding, current treatment decisional capacity assessment instruments do not consistently agree with one another in assessing treatment decision abilities. PMID:17272738

  16. Comparison of the balance accelerometer measure and balance error scoring system in adolescent concussions in sports.

    Science.gov (United States)

    Furman, Gabriel R; Lin, Chia-Cheng; Bellanca, Jennica L; Marchetti, Gregory F; Collins, Michael W; Whitney, Susan L

    2013-06-01

    High-technology methods demonstrate that balance problems may persist up to 30 days after a concussion, whereas with low-technology methods such as the Balance Error Scoring System (BESS), performance becomes normal after only 3 days based on previously published studies in collegiate and high school athletes. To compare the National Institutes of Health's Balance Accelerometer Measure (BAM) with the BESS regarding the ability to detect differences in postural sway between adolescents with sports concussions and age-matched controls. Cohort study (diagnosis); Level of evidence, 2. Forty-three patients with concussions and 27 control participants were tested with the standard BAM protocol, while sway was quantified using the normalized path length (mG/s) of pelvic accelerations in the anterior-posterior direction. The BESS was scored by experts using video recordings. The BAM was not able to discriminate between healthy and concussed adolescents, whereas the BESS, especially the tandem stance conditions, was good at discriminating between healthy and concussed adolescents. A total BESS score of 21 or more errors optimally identified patients in the acute concussion group versus healthy participants at 60% sensitivity and 82% specificity. The BAM is not as effective as the BESS in identifying abnormal postural control in adolescents with sports concussions. The BESS, a simple and economical method of assessing postural control, was effective in discriminating between young adults with acute concussions and young healthy people, suggesting that the test has value in the assessment of acute concussions.

  17. The Narrow Ridge Balance Test : A measure for one-leg lateral balance control

    NARCIS (Netherlands)

    Curtze, Carolin; Postema, Klaas; Akkermans, Hilda W.; Otten, Bert; Hof, At L.

    2010-01-01

    The assessment of balance capacity for people with widely different balance abilities is an important issue in clinical practice We propose the narrow ridge balance test as a sensitive tool to assess one-leg balance capacity In this test participants are asked to perform single-leg stance on ridges

  18. Automatización Fuzzy aplicado en la contabilidad decisional

    Directory of Open Access Journals (Sweden)

    Jaime Tinto Arandes

    2016-06-01

    Full Text Available El propósito de este trabajo es introducir la automatización en los instrumentos que la teoría de la incertidumbre contiene, dentro de las ciencias contables como herramienta fundamental para la toma de decisiones debido a la necesidad de darle al área contable una visión predictiva y dinámica. Con ello se pretende ir introduciendo los conceptos de la teoría de la incertidumbre para la construcción de los balances previsionales de situación y unos estados previsionales de resultados, donde quede atrapada toda la incertidumbre reinante en un horizonte de mediano y largo plazo para la correcta toma de decisiones. Para ello, es necesario partir del dato contable actual cierto, plasmado en los balances generales de la empresa y en los estados de resultados financieros, técnicas como el expertizaje y el contra-expertizaje, entre otras. Palabras clave: Modelo, contabilidad decisional, construcción.

  19. Measuring and monitoring IT using a balanced scorecard approach.

    Science.gov (United States)

    Gash, Deborah J; Hatton, Todd

    2007-01-01

    Ensuring that the information technology department is aligned with the overall health system strategy and is performing at a consistently high level is a priority at Saint Luke's Health System in Kansas City, Mo. The information technology department of Saint Luke's Health System has been using the balanced scorecard approach described in this article to measure and monitor its performance for four years. This article will review the structure of the IT department's scorecard; the categories and measures used; how benchmarks are determined; how linkage to the organizational scorecard is made; how results are reported; how changes are made to the scorecard; and tips for using a scorecard in other IT departments.

  20. Performance measurement of electricity suppliers using PROMETHEE and balance scorecard

    Directory of Open Access Journals (Sweden)

    Mona Osati

    2016-06-01

    Full Text Available Performance measurement in energy industry plays an important role on increasing the productivity. Electricity is also among the most essential components of energy in mega cities like Tehran. The lack of a good service in this city may result unpleasant consequences on most civilians who live in this city. This paper presents an empirical investigation to measure the performance of six major electricity contractors in city of Tehran, Iran. The study implements grey numbers to handle any uncertainty associated with numbers. The study has also adopted four main perspectives used in balanced scorecard as part of PROMETHEE method to rank different contractors.

  1. Fall prevention modulates decisional saccadic behavior in aging.

    Science.gov (United States)

    Coubard, Olivier A

    2012-01-01

    As society ages and frequency of falls increases in older adults, counteracting motor decline is a challenging issue for developed countries. Physical activity based on aerobic and strength training as well as motor activity based on skill learning both help benefit balance and reduce the risk of falls, as assessed by clinical or laboratory measures. However, how such programs influence motor control is a neglected issue. This study examined the effects of fall prevention (FP) training on saccadic control in older adults. Saccades were recorded in 12 participants aged 64-91 years before and after 2.5 months training in FP. Traditional analysis of saccade timing and dynamics was performed together with a quantitative analysis using the LATER model, enabling us to examine the underlying motor control processes. Results indicated that FP reduced the rate of anticipatory and express saccades in inappropriate directions and enhanced that of express saccades in the appropriate direction, resulting in decreased latency and higher left-right symmetry of motor responses. FP reduced within-participant variability of saccade duration, amplitude, and peak velocity. LATER analysis suggested that FP modulates decisional thresholds, extending our knowledge of motor training influence on central motor control. We introduce the Threshold Interval Modulation with Early Release-Rate of rIse Deviation with Early Release (TIMER-RIDER) model to account for the results.

  2. Research on measurement of aviation magneto ignition strength and balance

    Science.gov (United States)

    Gao, Feng; He, Zhixiang; Zhang, Dingpeng

    2017-12-01

    Aviation magneto ignition system failure accounted for two-thirds of the total fault aviation piston engine and above. At present the method used for this failure diagnosis is often depended on the visual inspections in the civil aviation maintenance field. Due to human factors, the visual inspections cannot provide ignition intensity value and ignition equilibrium deviation value among the different spark plugs in the different cylinder of aviation piston engine. So air magneto ignition strength and balance testing has become an aviation piston engine maintenance technical problem needed to resolve. In this paper, the ultraviolet sensor with detection wavelength of 185~260nm and driving voltage of 320V DC is used as the core of ultraviolet detection to detect the ignition intensity of Aviation magneto ignition system and the balance deviation of the ignition intensity of each cylinder. The experimental results show that the rotational speed within the range 0 to 3500 RPM test error less than 0.34%, ignition strength analysis and calculation error is less than 0.13%, and measured the visual inspection is hard to distinguish between high voltage wire leakage failure of deviation value of 200 pulse ignition strength balance/Sec. The method to detect aviation piston engine maintenance of magneto ignition system fault has a certain reference value.

  3. Decisiones compartidas en la enfermedad avanzada

    Directory of Open Access Journals (Sweden)

    Mª Aránzazu García Martínez

    2013-12-01

    Full Text Available Tomar decisiones es una práctica diaria de todo ser humano. Hay decisiones sencillas, con pocos valores en juego, con con secuencias poco importantes y en las que solo una persona está implicada y otras más complejas y con consecuencias irreversibles.

  4. Arid site water balance: evapotranspiration modeling and measurements

    International Nuclear Information System (INIS)

    Gee, G.W.; Kirkham, R.R.

    1984-09-01

    In order to evaluate the magnitude of radionuclide transport at an aird site, a field and modeling study was conducted to measure and predict water movement under vegetated and bare soil conditions. Significant quantities of water were found to move below the roo of a shallow-rooted grass-covered area during wet years at the Hanford site. The unsaturated water flow model, UNSAT-1D, was resonably successful in simulating the transient behavior of the water balance at this site. The effects of layered soils on water balance were demonstrated using the model. Models used to evaluate water balance in arid regions should not rely on annual averages and assume that all precipitation is removed by evapotranspiration. The potential for drainage at arid sites exists under conditions where shallow rooted plants grow on coarse textured soils. This condition was observed at our study site at Hanford. Neutron probe data collected on a cheatgrass community at the Hanford site during a wet year indicated that over 5 cm of water drained below the 3.5-m depth. The unsaturated water flow model, UNSAT-1D, predicted water drainage of about 5 cm (single layer, 10 months) and 3.5 cm (two layers, 12 months) for the same time period. Additional field measurements of hydraulic conductivity will likely improve the drainage estimate made by UNSAT-1D. Additional information describing cheatgrass growth and water use at the grass site could improve model predictions of sink terms and subsequent calculations of water storage within the rooting zone. In arid areas where the major part of the annual precipitation occurs during months with low average potential evapotranspiration and where soils are vegetated but are coarse textured and well drained, significant drainage can occur. 31 references, 18 figures, 1 table

  5. A performance measurement using balanced scorecard and structural equation modeling

    Directory of Open Access Journals (Sweden)

    Rosha Makvandi

    2014-02-01

    Full Text Available During the past few years, balanced scorecard (BSC has been widely used as a promising method for performance measurement. BSC studies organizations in terms of four perspectives including customer, internal processes, learning and growth and financial figures. This paper presents a hybrid of BSC and structural equation modeling (SEM to measure the performance of an Iranian university in province of Alborz, Iran. The proposed study of this paper uses this conceptual method, designs a questionnaire and distributes it among some university students and professors. Using SEM technique, the survey analyzes the data and the results indicate that the university did poorly in terms of all four perspectives. The survey extracts necessary target improvement by presenting necessary attributes for performance improvement.

  6. Temperature Measurements of Dense Plasmas by Detailed Balance

    International Nuclear Information System (INIS)

    Holl, A; Redmer, R; Ropke, G; Reinholz, H; Thiele, R; Fortmann, C; Forster, E; Cao, L; Tschentscher, T; Toleikis, S; Glenzer, S H

    2006-01-01

    Plasmas at high electron densities of n e = 10 20 - 10 26 cm -3 and moderate temperatures T e = 1 - 20 eV are important for laboratory astrophysics, high energy density science and inertial confinement fusion. These plasmas are usually referred to as Warm Dense Matter (WDM) and are characterized by a coupling parameter of Λ ∼> 1 where correlations become important. The characterization of such plasmas is still a challenging task due to the lack of direct measurement techniques for temperatures and densities. They propose to measure the Thomson scattering spectrum of vacuum-UV radiation off density fluctuations in the plasma. Collective Thomson scattering provides accurate data for the electron temperature applying first principles. Further, this method takes advantage of the spectral asymmetry resulting from detailed balance and is independent of collisional effects in these dense systems

  7. From Performance Measurement to Strategic Management Model: Balanced Scorecard

    Directory of Open Access Journals (Sweden)

    Cihat Savsar

    2015-03-01

    Full Text Available Abstract: In Today’s competitive markets, one of the main conditions of the surviving of enterprises is the necessity to have effective performance management systems. Decisions must be taken by the management according to the performance of assets. In the transition from industrial society to information society, the presence of business structures have changed and the values of non-financial assets have increased in this period. So some systems have emerged based on intangible assets and to measure them instead of tangible assets and their measurements. With economic and technological development multi-dimensional evaluation in the business couldn’t be sufficient.  Performance evaluation methods can be applied in business with an integrated approach by its accordance with business strategy, linking to reward system and cause effects link established between performance measures. Balanced scorecard is one of the commonly used in measurement methods. While it was used for the first time in 1992 as a performance measurement tool today it has been used as a strategic management model besides its conventional uses. BSC contains customer perspective, internal perspective and learning and growth perspective besides financial perspective. Learning and growth perspective is determinant of other perspectives. In order to achieve the objectives set out in the financial perspective in other dimensions that need to be accomplished, is emphasized. Establishing a causal link between performance measures and targets how to achieve specified goals with strategy maps are described.

  8. Performance Measurement of Management System Standards Using the Balanced Scorecard

    Directory of Open Access Journals (Sweden)

    Jan Kopia

    2017-11-01

    Full Text Available Management system standards (MSS, such as ISO standards, TQM, etc. are widely-used standards adopted by millions of organizations worldwide. It is still an unclear question whether these standards are beneficial for an organization, besides the fact that they might be required or expected by law or customers. The question, whether MSS increase the efficiency, the output, or the performance of an organization is still discussed in scientific research. One reason might be that performance measurement itself is not fully understood or in constant development ranging from pure financial evaluations over intellectual capital rating to calculating of levels of environmental, social or economic expectations known as the Trible Bottom Line. The Balanced Scorecard is one possible solution for performance measurement on a strategic and operational level and therefore useful for the measurement of the influence of MSS within organizations. This study summarized current research in the field of performance measurement in the context of MSS and IMS and the use of BSC and quantitatively and qualitatively tests the usefulness of BSC in measuring the effect of MSSs using the Execution Premium. It was found that BSC is often used, that an average number of companies integrate their measurement initiatives of their MSSs into the BSC-process, and that a high integration of MSS into the BSC improves the organizational performance. This research is useful for researchers and practitioners in order to understand the benefits of the usage of the BSC in the context of MSS or Integrated Management Systems.

  9. Surface energy balance measurements in the Mexico City: a review

    Energy Technology Data Exchange (ETDEWEB)

    Tejeda Martinez, A. [Universidad Veracruzana, Xalapa, Veracruz (Mexico); Jauregui Ostos, E. [Centro de Ciencias de la Atmosfera, Universidad Nacional Autonoma de Mexico, UNAM, Mexico, D.F. (Mexico)

    2005-01-01

    During the last decade of the 20th Century, diverse campaigns for measuring the atmospheric energy balance were performed in downtown Mexico City (School of Mines and Preparatory School No. 7), in the southern suburbs (University Reserve) and in the surrounding rural areas (Plan Texcoco), in addition to a campaign carried out in 1985 in the Tacubaya district, a suburban western peripheral site. The objective was to obtain data for a better understanding of the climatic alterations due to urbanization, particularly to describe the role that the modification of the natural ground cover has played as a result of paving and the construction of urban canyons. In this paper, a review of these campaigns is presented. Energy partitioning in some areas (Tacubaya and Preparatory School No.7) is similar to that observed in urban centers of middle latitudes, whereas the major contrast was observed between Texcoco, with maximum energy consumption through evaporation, and School of Mines, where the latent heat is as low as in a desert. From the values of the correlations among the different components of energy balance, it may be possible to attempt the modeling of the diverse components of energy balance by means of regression equations starting from the net radiation. Those same coefficients distinguish the type of environment: urban, suburban or rural. [Spanish] Las primeras mediciones de balance energetico en la Ciudad de Mexico se realizaron en 1985 en un suburbio al poniente de la ciudad (el observatorio de Tacubaya). Ya en la decada de los anos noventa del siglo XX, dichas observaciones se multiplicaron tanto en el centro historico (antigua Escuela de Minas y en el edificio de la Preparatoria No. 7), como en otros sitios al sur (en terrenos de Ciudad Universitaria) y en la periferia rural (Plan Texcoco). El proposito de estas mediciones ha sido tener un mejor entendimiento de las alteraciones climaticas debidas a la urbanizacion. En este trabajo se presenta una revision

  10. Benefits of balancing method for component RAW importance measure

    International Nuclear Information System (INIS)

    Kim, Kil Yoo; Yang, Joon Eon

    2005-01-01

    In the Risk Informed Regulation and Applications (RIR and A), the determination of risk significant Structure, System and Components (SSCs) plays an important role, and importance measures such as Fussell-Vesely (FV) and RAW (Risk Achievement Worth) are widely used in the determination of risk significant SSCs. For example, in the Maintenance Rule, Graded Quality Assurance(GQA) and Option 2, FV and RAW are used in the categorization of SSCs. Especially, in the GQA and Option 2, the number of SSCs to be categorized is too many to handle, so the FVs and RAWs of the components are practically derived in a convenient way with those of the basic events which have already been acquired as PSA (Probabilistic Safety Assessment) results instead of by reevaluating the fault tree/event tree of the PSA model. That is, the group FVs and RAWs for the components are derived from the FVs and RAWs of the basic events which consist of the group. Here, the basic events include random failure, Common Cause Failure (CCF), test and maintenance, etc. which make the system unavailable. A method called 'Balancing Method' which can practically and correctly derive the component RAW with the basic event FVs and RAWs even if CCFs exists as basic events was introduced in Ref.. However, 'Balancing Method' has other advantage, i.e., it can also fairly correctly derive component RAW using fault tree without using basic events FVs and RAWs

  11. INFORMACIÓN PARA LAS DECISIONES

    OpenAIRE

    Chávez Ackermann, Pascual; Facultad de Ciencias Contables, Universidad Nacional Mayor de San Marcos

    2014-01-01

    Todos tomamos decisiones. Casi siempre, y a menos que nuestra decisión sea puramente emotiva, usamos información que nos ayuda en nuestra decisión. La información incluye hechos, ideas y conceptos que nos ayudan a comprender el mundo. El uso apropiado de buena información trae consigo mejores decisiones. Al usar la información debemos interpretar y comprender sus limitaciones. La información inadecuada o el mal uso de la información a menudo conducen a decisiones equivocadas. La contabilidad...

  12. Effect of a patient decision aid (PDA) for type 2 diabetes on knowledge, decisional self-efficacy, and decisional conflict.

    Science.gov (United States)

    Bailey, Robert A; Pfeifer, Michael; Shillington, Alicia C; Harshaw, Qing; Funnell, Martha M; VanWingen, Jeffrey; Col, Nanada

    2016-01-14

    Patients with type 2 diabetes (T2DM) often have poor glycemic control on first-line pharmacologic therapy and require treatment intensification. Intensification decisions can be difficult because of many available options and their many benefits and risks. The American Diabetes Association recommends patient-centered, evidence-based tools supporting shared decision-making between patients and clinicians. We developed a patient decision aid (PDA) targeting decisions about treatment intensification for T2DM. Our objective was to determine the effectiveness of this PDA for patients with T2DM on metformin who require treatment intensification. This study was a pragmatic randomized controlled trial conducted in 27 US primary care and endocrinology clinics. Subjects were English-speaking adults with T2DM receiving metformin with persistent hyperglycemia who were recommended to consider medication intensification. Subjects were randomized to receive either the PDA or usual care (UC). Main outcome measures were change in knowledge, decisional self-efficacy, and decisional conflict. Of 225 subjects enrolled, 114 were randomized to the PDA and 111 to UC. Mean [SD] age was 52 [1] years, time since T2DM diagnosis was 6 [+/-6] years, 45.3% were male, and most (55.5%) were non-Caucasian. Compared to UC, PDA users had significantly larger knowledge gains (35.0% [22.3] vs 9.9% [22.2]; P conflict (-22.2 [20.6] vs-7.5 [16.6]; P knowledge, decisional conflict and decisional self-efficacy. Decisional conflict scores after PDA use were within the range that correlates with effective decision-making. This PDA has the potential to facilitate shared-decision-making for patients with T2DM. NCT02110979.

  13. Quality Measures for Dialysis: Time for a Balanced Scorecard.

    Science.gov (United States)

    Kliger, Alan S

    2016-02-05

    Recent federal legislation establishes a merit-based incentive payment system for physicians, with a scorecard for each professional. The Centers for Medicare and Medicaid Services evaluate quality of care with clinical performance measures and have used these metrics for public reporting and payment to dialysis facilities. Similar metrics may be used for the future merit-based incentive payment system. In nephrology, most clinical performance measures measure processes and intermediate outcomes of care. These metrics were developed from population studies of best practice and do not identify opportunities for individualizing care on the basis of patient characteristics and individual goals of treatment. The In-Center Hemodialysis (ICH) Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey examines patients' perception of care and has entered the arena to evaluate quality of care. A balanced scorecard of quality performance should include three elements: population-based best clinical practice, patient perceptions, and individually crafted patient goals of care. Copyright © 2016 by the American Society of Nephrology.

  14. Tecnología decisiones informadas

    OpenAIRE

    Sanchéz A., José

    2009-01-01

    La Tecnología Decisiones Informadas (TDI), esta basada en la generación de datos y uso de información de los factores determinantes de la desnutrición, tomados a través de una encuesta reciente a nivel distrital. Permite la toma de decisiones oportunas en la planificación de acciones dirigidas a reducir la desnutrición infantil, con la participación del gobierno local.

  15. Cognitive determinants of energy balance-related behaviours : measurement issues

    NARCIS (Netherlands)

    Kremers, Stef P J; Visscher, Tommy L S; Seidell, Jacob C; van Mechelen, Willem; Brug, Johannes

    2005-01-01

    The burden of disease as a result of overweight and obesity calls for in-depth examination of the main causes of behavioural actions responsible for weight gain. Since weight gain is the result of a positive energy balance, these behavioural actions are referred to as 'energy balance-related

  16. Clinical measures of balance in people with type two diabetes: A systematic literature review.

    Science.gov (United States)

    Dixon, C J; Knight, T; Binns, E; Ihaka, B; O'Brien, D

    2017-10-01

    Approximately 422 million people have diabetes mellitus worldwide, with the majority diagnosed with type 2 diabetes mellitus (T2DM). The complications of diabetes mellitus include diabetic peripheral neuropathy (DPN) and retinopathy, both of which can lead to balance impairments. Balance assessment is therefore an integral component of the clinical assessment of a person with T2DM. Although there are a variety of balance measures available, it is uncertain which measures are the most appropriate for this population. Therefore, the aim of this study was to conduct a systematic review on clinical balance measures used with people with T2DM and DPN. Databases searched included: CINAHL plus, MEDLINE, SPORTDiscus, Dentistry and Oral Sciences source, and SCOPUS. Key terms, inclusion and exclusion criteria were used to identify appropriate studies. Identified studies were critiqued using the Downs and Black appraisal tool. Eight studies were included, these studies incorporated a total of ten different clinical balance measures. The balance measures identified included the Dynamic Balance Test, balance walk, tandem and unipedal stance, Functional Reach Test, Clinical Test of Sensory Interaction and Balance, Berg Balance Scale, Tinetti Performance-Oriented Mobility Assessment, Activity-Specific Balance Confidence Scale, Timed Up and Go test, and the Dynamic Gait Index. Numerous clinical balance measures were used for people with T2DM. However, the identified balance measures did not assess all of the systems of balance, and most had not been validated in a T2DM population. Therefore, future research is needed to identify the validity of a balance measure that assesses these systems in people with T2DM. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  17. A Near Perfect Spin Balance (Measurement in Chaos)

    Science.gov (United States)

    Luntz, R. A.

    1997-01-01

    The stringent spin balance requirements arise from the predecessor of SSMIS, the SSMI. The SSMI sensor spinning portion weighed only 85 pounds and contained 7 channels of radiometric data. The Aerospace Corporation recommended to pass on the same requirements from the smaller SSMI to our larger SSMIS (with slight change for increased weight). The SSMIS spinning portion will weigh about 155 pounds and contain 24 channels of radiometeric data. The SSMIS, on orbit, spins a CCW direction at 31.6 RPM its own drive motor. The packaging of this SSMIS is unique, as it combines three sensor into one unit. This combination allows for concurrently reading data in one beam. The unit will have a polar orbit about 500 miles above the earths surface. One of the primary influences for our receipt of the follow-on contract for the next generation sensor, was the ability to package 24 channels of radiometeric data into about the some volume as its predecessor. The data from SSMIS will be used to measure the following: (1) Ocean surface wind speed, (2) Rain over land an ocean, (3) Cloud water over Ocean, (4) Soil moisture, (5) Ice Concentration, (6) Ice age, (7) Ice Edge and snow edge, (8) Water vapor over Ocean, (9) Surface type, (10) Snow water content, (11) Land surface Temperature, (12) Cloud amount over ocean.

  18. 26 CFR 801.1 - Balanced performance measurement system; in general.

    Science.gov (United States)

    2010-04-01

    ...: Customer Satisfaction Measures; Employee Satisfaction Measures; and Business Results Measures. The IRS is likewise required to establish a performance evaluation system for individual employees. (b) [Reserved] [T... (CONTINUED) INTERNAL REVENUE PRACTICE BALANCED SYSTEM FOR MEASURING ORGANIZATIONAL AND EMPLOYEE PERFORMANCE...

  19. Las decisiones de los hogares en Venezuela

    Directory of Open Access Journals (Sweden)

    Marakah Mancini

    2008-06-01

    Full Text Available Este artículo analiza quién toma las decisiones en los hogares y los factores que afectan la decisión. Esta investigación se condujo en Venezuela, donde se preguntó a las mujeres sobre las decisiones de los hogares en cuatro áreas. Los resultados indican que la mayoría de los hogares toman decisiones conjuntamente. Excluyendo esta categoría, la mayoría de las mujeres toman decisiones concernientes a la compra de bienes y la educación de los hijos, mientras que los hombres dominan las decisiones acerca de las finanzas del hogar y el cambio de residencia. También se encontró que la mayoría de las parejas que trabajan comparten los gastos del hogar. Además, se identifican factores que afectan el poder de decisión de las mujeres como la participación femenina en el mercado laboral y la edad, no obstante, el nivel de educación no afecta su poder decisión.

  20. Competitive Balance Measures in Sports Leagues: The Effects of Variation in Season Length

    OpenAIRE

    P Dorian Owen; Nicholas King

    2013-01-01

    Appropriate measurement of competitive balance is a cornerstone of the economic analysis of professional sports leagues. We examine the distributional properties of the ratio of standard deviations (RSD) of points percentages, the most widely used measure of competitive balance in the sports economics literature, in comparison with other standard-deviation-based measures. Simulation methods are used to evaluate the effects of changes in season length on the distributions of competitive balanc...

  1. Application of modern electronic balances to measure densities of solids and liquids by a hydrostatic method

    International Nuclear Information System (INIS)

    Prokic, D.

    1983-01-01

    Modern balances (analytical and microanalytical) operate on the electromagnetic principle, i.e. without arms and without the use of weights. Accordingly, this paper presents a method dealing with the application of modern electronic single-plan balances of the accuracy class I to measurements of the density of solids and liquids by a hydrostatic method. The proposed method has some advantages compared with conventional ones for density measurements with corresponding mechanical balances, such as for instance: improved measurement accuracy, automatic establishment of balance equilibrium, ready read-out of measurement results, and the possibility of computer processing and printing thereof. (orig.) [de

  2. The Role of Clinical and Instrumented Outcome Measures in Balance Control of Individuals with Multiple Sclerosis

    Directory of Open Access Journals (Sweden)

    Neeta Kanekar

    2013-01-01

    Full Text Available Purpose. The aim of the study was to investigate differences in balance control between individuals with multiple sclerosis (MS and healthy control subjects using clinical scales and instrumented measures of balance and determine relationships between balance measures, fatigue, and disability levels in individuals with MS with and without a history of falls. Method. Twelve individuals with MS and twelve healthy controls were evaluated using the Berg Balance and Activities-specific Balance Confidence Scales, Modified Clinical Test of Sensory Interaction on Balance, and Limits of Stability Tests as well as Fatigue Severity Scale and Barthel Index. Results. Mildly affected individuals with MS had significant balance performance deficits and poor balance confidence levels (P<0.05. MS group had higher sway velocities and diminished stability limits (P<0.05, significant sensory impairments, high fatigue and disability levels (P<0.05. Sway velocity was a significant predictor of balance performance and the ability to move towards stability limits for the MS group. For the MS-fallers group, those with lower disability levels had faster movement velocities and better balance performance. Conclusion. Implementation of both clinical and instrumented tests of balance is important for the planning and evaluation of treatment outcomes in balance rehabilitation of people with MS.

  3. Advance directives lessen the decisional burden of surrogate decision-making for the chronically critically ill.

    Science.gov (United States)

    Hickman, Ronald L; Pinto, Melissa D

    2014-03-01

    To identify the relationships between advance directive status, demographic characteristics and decisional burden (role stress and depressive symptoms) of surrogate decision-makers (SDMs) of patients with chronic critical illness. Although the prevalence of advance directives among Americans has increased, SDMs are ultimately responsible for complex medical decisions of the chronically critically ill patient. Decisional burden has lasting psychological effects on SDMs. There is insufficient evidence on the influence of advance directives on the decisional burden of surrogate decision-makers of patients with chronic critical illness. The study was a secondary data analysis of cross-sectional data. Data were obtained from 489 surrogate decision-makers of chronically critically ill patients at two academic medical centres in Northeast Ohio, United States, between September 2005-May 2008. Data were collected using demographic forms and questionnaires. A single-item measure of role stress and the Center for Epidemiological Studies Depression (CESD) scale were used to capture the SDM's decisional burden. Descriptive statistics, t-tests, chi-square and path analyses were performed. Surrogate decision-makers who were nonwhite, with low socioeconomic status and low education level were less likely to have advance directive documentation for their chronically critically ill patient. The presence of an advance directive mitigates the decisional burden by directly reducing the SDM's role stress and indirectly lessening the severity of depressive symptoms. Most SDMs of chronically critically ill patients will not have the benefit of knowing the patient's preferences for life-sustaining therapies and consequently be at risk of increased decisional burden. Study results are clinically useful for patient education on the influence of advance directives. Patients may be informed that SDMs without advance directives are at risk of increased decisional burden and will require

  4. Parental decision making in pediatric otoplasty: The role of shared decision making in parental decisional conflict and decisional regret.

    Science.gov (United States)

    Hong, Paul; Gorodzinsky, Ayala Y; Taylor, Benjamin A; Chorney, Jill MacLaren

    2016-07-01

    To date, there has been little research on shared decision making and decisional outcomes in pediatric surgery. The objectives of this study were to describe the level of decisional conflict and decisional regret experienced by parents considering otoplasty for their children, and to determine if they are related to perceptions of shared decision making. Prospective cohort clinical study. Sixty-five consecutive parents of children who underwent surgical consultation for otoplasty were prospectively enrolled. Participants completed the Demographic Form, the Decisional Conflict Scale, and the Shared Decision-Making Questionnaire after the consultation visit. The consulting surgeons completed the physician version of the Shared Decision-Making Questionnaire. Six months after surgery, parents completed the Decisional Regret Scale. The median decisional conflict was 15.63; 21 (32.8%) parents scored 25 or above, a previously defined cutoff indicating clinically significant decisional conflict. Parent ratings of shared decision making and decisional conflict were significantly negatively correlated (P decision making and parental decisional conflict. Significant decisional regret was reported in two (3.2%) participants. Decisional regret and parent and physician ratings of shared decision making were both significantly negatively correlated (P = 0.044 and P = 0.001, respectively). Decisional regret and decisional conflict scores were significantly positively correlated (P = 0.001). Parent and physician ratings of shared decision making were correlated (intraclass correlation = 0.625, P making decisions about their child's elective surgical treatment. Fewer parents experienced significant decisional regret after the procedure. Parents who perceived themselves as being more involved in the decision making process reported less decisional conflict and decisional regret. Parents and physicians had varied perceptions of the degree of shared decision making. Future research

  5. Las decisiones subrogadas en pacientes con esquizofrenia

    OpenAIRE

    Ramos Pozón, Sergio

    2015-01-01

    En este artículo analizamos el proceso de toma de decisiones por sustitución en pacientes con esquizofrenia. En primer lugar nos basamos en principios éticos que han de guiar las decisiones subrogadas. En segundo lugar analizamos la normativa jurídica referente a la tutela y al cargo tutelar. En tercer lugar exponemos unas normas de actuación para realizar el juicio por representación. En cuarto lugar desarrollamos unas normas de intervención que marcan límites a los sustitutos. Por último, r...

  6. Data Input, Processing and Presentation. [helicopter rotor balance measurement

    Science.gov (United States)

    Langer, H. J.

    1984-01-01

    The problems of data acquisition, processing and display are investigated in the case of a helicopter rotor balance. The types of sensors to be employed are discussed in addition to their placement and application in wind tunnel trials. Finally, the equipment for data processing, evaluation and storage are presented with a description of methods.

  7. Measuring balance confidence after spinal cord injury: the reliability and validity of the Activities-specific Balance Confidence Scale.

    Science.gov (United States)

    Shah, Garima; Oates, Alison R; Arora, Tarun; Lanovaz, Joel L; Musselman, Kristin E

    2017-11-01

    The study objectives were to evaluate the test-retest reliability, convergent validity, and discriminative validity of the Activities-specific Balance Confidence (ABC) scale in individuals with incomplete spinal cord injury (iSCI). Prospective, cross-sectional study. Laboratory. Twenty-six community-dwelling individuals with chronic iSCI (20 males, 59.7 + 18.9 years old) and 26 age- and sex-matched able-bodied (AB) individuals participated. None. Measures of balance and gait were collected over two days. Clinical measures included the ABC scale, Mini-Balance Evaluation System's Test, 10-meter Walk Test, SCI Functional Ambulation Profile, manual muscle testing of lower extremity muscles, and measures of lower extremity proprioception and cutaneous pressure sensitivity. Biomechanical measures included the velocity and sway area of centre of pressure (COP) movement during quiet standing. The ABC scale demonstrated high test-retest reliability (intraclass correlation coefficient = 0.93) among participants with iSCI. The minimal detectable change was 14.87%. ABC scale scores correlated with performance on all clinical measures (ρ=0.60-0.80, PCOP velocity (ρ=-0.69, PCOP velocity in the anterior-posterior direction (ρ=-0.71, Pbalance confidence in community-dwelling, ambulatory individuals with chronic iSCI.

  8. Instrumentos Fuzzy para la toma de decisiones en las ciencias contables

    Directory of Open Access Journals (Sweden)

    Jaime Tinto Arandes

    2015-06-01

    Full Text Available El propósito de este trabajo es introducir la teoría de la incertidumbre dentro de las Ciencias Contables como elemento fundamental para la toma de decisiones, donde surge la necesidad de dar una visión predictiva y dinámica al área contable. Se pretende partir del dato contable actual cierto, plasmado en los balances generales de la empresa y en los estados de resultados financieros, por medio de las técnicas del expertizaje y contra-expertizaje, Se ha logrado la construcción de unos balances provisionales de situación y unos estados provisionales de resultados, donde quede plasmada toda la incertidumbre reinante en un horizonte de mediano y largo plazo para la correcta toma de decisiones. Se busca que el contador sea capaz de crear modelos para la toma de decisiones a futuro, convirtiéndose en uno de los decisores indispensables que requieran las empresas en un mundo de continuos cambios. Palabras clave: Análisis, toma de decisiones, conocimiento, incertidumbre.

  9. Using posturography to measure balance control during seated tai chi.

    Science.gov (United States)

    Geib, Roy W; Li, Hongtao; Waite, Gabi N; Pagnacco, Guido; Oggero, Elena; Roberts, Beverly L

    2014-01-01

    Tai Chi for Arthritis (TCA) is recognized by the CDC as an evidenced-based program to prevent falls in older adults. Although seated Tai Chi is recommended for those unable to stand, little is known about balance control during seated TCA. To explore the use of posturography to assess differences between experts and non-expert practitioners of seated TCA. Twenty-three participants were recruited from those attending a Tai cChi workshop. While seated in a hard back chair centered on a force platform, participants performed selected forms from TCA and then did them in a continuous sequence. Center of pressure (CoP) indices to assess balance were normalized by height and then compared between expert and non-expert participants. Experts had significantly greater average velocity and path length (p = 0.02) for the entire sequence and open/close, but not for CoP 95% Confidence ellipse area. No significant differences in the CoP were found for commencement, wave hands, or single whip. A few differences in balance control while performing seated TCA movements were found. Future studies are needed to determine whether these can be accounted for by quality of the Tai Chi movements or factors associated with the seated position.

  10. Impaired decisional impulsivity in pathological videogamers.

    Directory of Open Access Journals (Sweden)

    Michael A Irvine

    Full Text Available Pathological gaming is an emerging and poorly understood problem. Impulsivity is commonly impaired in disorders of behavioural and substance addiction, hence we sought to systematically investigate the different subtypes of decisional and motor impulsivity in a well-defined pathological gaming cohort.Fifty-two pathological gaming subjects and age-, gender- and IQ-matched healthy volunteers were tested on decisional impulsivity (Information Sampling Task testing reflection impulsivity and delay discounting questionnaire testing impulsive choice, and motor impulsivity (Stop Signal Task testing motor response inhibition, and the premature responding task. We used stringent diagnostic criteria highlighting functional impairment.In the Information Sampling Task, pathological gaming participants sampled less evidence prior to making a decision and scored fewer points compared with healthy volunteers. Gaming severity was also negatively correlated with evidence gathered and positively correlated with sampling error and points acquired. In the delay discounting task, pathological gamers made more impulsive choices, preferring smaller immediate over larger delayed rewards. Pathological gamers made more premature responses related to comorbid nicotine use. Greater number of hours played also correlated with a Motivational Index. Greater frequency of role playing games was associated with impaired motor response inhibition and strategy games with faster Go reaction time.We show that pathological gaming is associated with impaired decisional impulsivity with negative consequences in task performance. Decisional impulsivity may be a potential target in therapeutic management.

  11. Feasibility of Wii Fit training to improve clinical measures of balance in older adults.

    Science.gov (United States)

    Bieryla, Kathleen A; Dold, Neil M

    2013-01-01

    Numerous interventions have been proposed to improve balance in older adults with varying degrees of success. A novel approach may be to use an off-the-shelf video game system utilizing real-time force feedback to train older adults. The purpose of this study is to investigate the feasibility of using Nintendo's Wii Fit for training to improve clinical measures of balance in older adults and to retain the improvements after a period of time. Twelve healthy older adults (aged >70 years) were randomly divided into two groups. The experimental group completed training using Nintendo's Wii Fit game three times a week for 3 weeks while the control group continued with normal activities. Four clinical measures of balance were assessed before training, 1 week after training, and 1 month after training: Berg Balance Scale (BBS), Fullerton Advanced Balance (FAB) scale, Functional Reach (FR), and Timed Up and Go (TUG). Friedman two-way analysis of variance by ranks was conducted on the control and experimental group to determine if training using the Wii Balance Board with Wii Fit had an influence on clinical measures of balance. Nine older adults completed the study (experimental group n = 4, control group n = 5). The experimental group significantly increased their BBS after training while the control group did not. There was no significant change for either group with FAB, FR, and TUG. Balance training with Nintendo's Wii Fit may be a novel way for older adults to improve balance as measured by the BBS.

  12. Components of Standing Postural Control Evaluated in Pediatric Balance Measures: A Scoping Review.

    Science.gov (United States)

    Sibley, Kathryn M; Beauchamp, Marla K; Van Ooteghem, Karen; Paterson, Marie; Wittmeier, Kristy D

    2017-10-01

    To identify measures of standing balance validated in pediatric populations, and to determine the components of postural control captured in each tool. Electronic searches of MEDLINE, Embase, and CINAHL databases using key word combinations of postural balance/equilibrium, psychometrics/reproducibility of results/predictive value of tests, and child/pediatrics; gray literature; and hand searches. Inclusion criteria were measures with a stated objective to assess balance, with pediatric (≤18y) populations, with at least 1 psychometric evaluation, with at least 1 standing task, with a standardized protocol and evaluation criteria, and published in English. Two reviewers independently identified studies for inclusion. There were 21 measures included. Two reviewers extracted descriptive characteristics, and 2 investigators independently coded components of balance in each measure using a systems perspective for postural control, an established framework for balance in pediatric populations. Components of balance evaluated in measures were underlying motor systems (100% of measures), anticipatory postural control (72%), static stability (62%), sensory integration (52%), dynamic stability (48%), functional stability limits (24%), cognitive influences (24%), verticality (9%), and reactive postural control (0%). Assessing children's balance with valid and comprehensive measures is important for ensuring development of safe mobility and independence with functional tasks. Balance measures validated in pediatric populations to date do not comprehensively assess standing postural control and omit some key components for safe mobility and independence. Existing balance measures, that have been validated in adult populations and address some of the existing gaps in pediatric measures, warrant consideration for validation in children. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  13. E-mail, decisional styles, and rest breaks.

    Science.gov (United States)

    Baker, James R; Phillips, James G

    2007-10-01

    E-mail is a common but problematic work application. A scale was created to measure tendencies to use e-mail to take breaks (e-breaking); and self-esteem and decisional style (vigilance, procrastination, buck-passing, hypervigilance) were used to predict the self-reported and actual e-mail behaviors of 133 participants (students and marketing employees). Individuals who were low in defensive avoidance (buck-passing) engaged in more e-mailing per week, both in time spent on e-mail and message volume. E-breakers were more likely to engage in behavioral procrastination and spent more time on personal e-mail.

  14. Measuring air-water interfacial area for soils using the mass balance surfactant-tracer method.

    Science.gov (United States)

    Araujo, Juliana B; Mainhagu, Jon; Brusseau, Mark L

    2015-09-01

    There are several methods for conducting interfacial partitioning tracer tests to measure air-water interfacial area in porous media. One such approach is the mass balance surfactant tracer method. An advantage of the mass-balance method compared to other tracer-based methods is that a single test can produce multiple interfacial area measurements over a wide range of water saturations. The mass-balance method has been used to date only for glass beads or treated quartz sand. The purpose of this research is to investigate the effectiveness and implementability of the mass-balance method for application to more complex porous media. The results indicate that interfacial areas measured with the mass-balance method are consistent with values obtained with the miscible-displacement method. This includes results for a soil, for which solid-phase adsorption was a significant component of total tracer retention. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. Ultrasound power measurements of HITU transducer with a more stable radiation force balance

    International Nuclear Information System (INIS)

    Karaboece, B; Sadiko'lu, E; Bilgic, E

    2011-01-01

    A new radiation force balance (RFB) system was established at Turkish National Metrology Institute (UME) Ultrasonics Laboratory for High intensity therapeutic ultrasound (HITU) power measurements. The new system is highly stable at high power levels up to 500 Watts. The measurement system consists of a Plexiglas cylindrical balance arm, target mounting scale disks, conical reflecting and absorbing targets, adjustment nuts, and a hanging wire. Both of the two sides of balance were mounted similar size and weight targets. The equilibrium of the balance arm can be adjusted with nuts on screws located at both sides of the balance arm. Transducer was mounted to bottom of water tank. Absorbers in the bottom and the near walls of the tank were used for reflecting target case. Ultrasound power was applied to one scale of the balance where the reflecting/absorbing target was mounted and corresponding force was measured on the other scale of balance where was connected to a balance with a thin wire while the thin rest standing on a support. Ultrasound power of two HITU transducers at frequencies 0.93 MHz, 1.1 MHz and 3.3 MHz were measured with conventional and new system, the values were compared and uncertainty components were assessed in this paper.

  16. Ultrasound power measurements of HITU transducer with a more stable radiation force balance

    Energy Technology Data Exchange (ETDEWEB)

    Karaboece, B; Sadiko' lu, E; Bilgic, E, E-mail: baki.karaboce@ume.tubitak.gov.t [Tuebitak Ulusal Metroloji Enstituesue (UME), P.K. 54 41470 Gebze-Kocaeli (Turkey)

    2011-02-01

    A new radiation force balance (RFB) system was established at Turkish National Metrology Institute (UME) Ultrasonics Laboratory for High intensity therapeutic ultrasound (HITU) power measurements. The new system is highly stable at high power levels up to 500 Watts. The measurement system consists of a Plexiglas cylindrical balance arm, target mounting scale disks, conical reflecting and absorbing targets, adjustment nuts, and a hanging wire. Both of the two sides of balance were mounted similar size and weight targets. The equilibrium of the balance arm can be adjusted with nuts on screws located at both sides of the balance arm. Transducer was mounted to bottom of water tank. Absorbers in the bottom and the near walls of the tank were used for reflecting target case. Ultrasound power was applied to one scale of the balance where the reflecting/absorbing target was mounted and corresponding force was measured on the other scale of balance where was connected to a balance with a thin wire while the thin rest standing on a support. Ultrasound power of two HITU transducers at frequencies 0.93 MHz, 1.1 MHz and 3.3 MHz were measured with conventional and new system, the values were compared and uncertainty components were assessed in this paper.

  17. An ultrasound mini-balance for measurement of therapy level ultrasound

    International Nuclear Information System (INIS)

    Sutton, Yvonne; McBride, Karne; Pye, Stephen

    2006-01-01

    This paper describes a cost-effective method for measuring acoustic power using a radiation force balance. The device is based around a long established balance design with a gantry arrangement fitted with an absorbing target. The notion of this balance design is that it can easily be constructed from materials that would be readily available within a clinical or industrial environment. The mini-balance was calibrated using a transfer standard against an NPL Reference balance, so a comparison of the performance between the two systems could be assessed. The measurements were completed at 1 MHz and 3 MHz and over the acoustic power range of 1 W to 15 W. The results show the acoustic power measured on the mini-balance to be within 5% of the reference measurements made on the NPL Balance. A separate systematic uncertainty budget is also presented based on studies made on the balance and on similar systems. The overall expanded uncertainty was calculated to be within 14% at 1 W level, decreasing with increasing power level to 7.4% above 5 W

  18. Tecnología de decisiones informadas

    OpenAIRE

    Miranda Cipriano, Oscar Roy

    2012-01-01

    La Tecnología de Decisiones Informadas, es un instrumento que contribuye y fortalece las capacidades y responsabilidades para el desarrollo integral y sostenible del país, sobre todo en los procesos de descentralización, gestión municipal de la atención primaria de la salud y la gestión de presupuesto por resultado; en el marco de los Lineamientos de Política Nacional.

  19. Balanced Scorecard Based Performance Measurement & Strategic Management System

    OpenAIRE

    Permatasari, Paulina

    2006-01-01

    Developing strategy and performance measurement are an integral part of management control system. Making strategic decision about planning and controlling require information regarding how different subunits in organization work. To be effective, performance measurement, both financial and non-financial must motivate manager and employees at different levels to force goal accomplishment and organization strategic. An organization's measurement system strongly affects the behavior of people b...

  20. Feasibility of Wii Fit training to improve clinical measures of balance in older adults

    Directory of Open Access Journals (Sweden)

    Bieryla KA

    2013-06-01

    Full Text Available Kathleen A Bieryla, Neil M DoldBiomedical Engineering Department, Bucknell University, Lewisburg, PA, USABackground and purpose: Numerous interventions have been proposed to improve balance in older adults with varying degrees of success. A novel approach may be to use an off-the-shelf video game system utilizing real-time force feedback to train older adults. The purpose of this study is to investigate the feasibility of using Nintendo's Wii Fit for training to improve clinical measures of balance in older adults and to retain the improvements after a period of time.Methods: Twelve healthy older adults (aged >70 years were randomly divided into two groups. The experimental group completed training using Nintendo's Wii Fit game three times a week for 3 weeks while the control group continued with normal activities. Four clinical measures of balance were assessed before training, 1 week after training, and 1 month after training: Berg Balance Scale (BBS, Fullerton Advanced Balance (FAB scale, Functional Reach (FR, and Timed Up and Go (TUG. Friedman two-way analysis of variance by ranks was conducted on the control and experimental group to determine if training using the Wii Balance Board with Wii Fit had an influence on clinical measures of balance.Results: Nine older adults completed the study (experimental group n = 4, control group n = 5. The experimental group significantly increased their BBS after training while the control group did not. There was no significant change for either group with FAB, FR, and TUG.Conclusion: Balance training with Nintendo's Wii Fit may be a novel way for older adults to improve balance as measured by the BBS.Keywords: older adults, balance, training

  1. Differences between Subjective Balanced Occlusion and Measurements Reported With T-Scan III

    Directory of Open Access Journals (Sweden)

    Zana Lila-Krasniqi

    2017-08-01

    CONCLUSION: In our study, it was concluded that there were statistically significant differences of balanced occlusion in all three groups. Also it was concluded that subjective data are not exact with measurements reported with electronic device T-scan III.

  2. Content-balancing strategy in bifactor computerized adaptive patient-reported outcome measurement.

    Science.gov (United States)

    Zheng, Yi; Chang, Chih-Hung; Chang, Hua-Hua

    2013-04-01

    Most multidimensional patient-reported outcomes (PRO) measures are lengthy to complete. Computerized adaptive testing (CAT) that selects the most informative items can potentially reduce respondent burden without sacrificing measurement accuracy. The commonly used maximum Fisher information item selection method has been reported to lead to highly unbalanced item bank usage and potentially imprecise trait estimation. This study employs the content-balancing strategy in a bifactor-modeled CAT item selection and examines its impact on measurement accuracy and item bank usage. Item responses from a population-based SF-36 survey were first calibrated using the bifactor graded response model. Four post hoc CATs using items and responses from the SF-36 data set were then created. The content-balancing strategy was adopted in the item selection procedure of the bifactor-modeled CAT. The measurement accuracy and usage of items of the CAT were compared between the tests with and without the content-balancing strategy. The results indicate that the CAT implemented with the content-balancing strategy offers a better overall measurement accuracy of both the general health status and the two health domains (physical and mental) of the SF-36. The content-balancing strategy helps the CAT-PRO to balance the selection of items and achieve improved measurement accuracy. Its implementation in real-time CAT administration to measure multidimensional PRO traits merits further studies.

  3. Comparison of a laboratory grade force platform with a Nintendo Wii balance board in measurement of postural control in single-legged stance balance tasks

    OpenAIRE

    Huurnink, A.; Fransz, D.P.; Kingma, I.; van Dieen, J.H.

    2013-01-01

    Training and testing of balance have potential applications in sports and medicine. Laboratory grade force plates (FP) are considered the gold standard for the measurement of balance performance. Measurements in these systems are based on the parameterization of center of pressure (CoP) trajectories. Previous research validated the inexpensive, widely available and portable Nintendo Wii Balance Board (WBB). The novelty of the present study is that FP and WBB are compared on CoP data that was ...

  4. Mapping the Decision-Making Process for Adjuvant Endocrine Therapy for Breast Cancer: The Role of Decisional Resolve.

    Science.gov (United States)

    Beryl, Louise L; Rendle, Katharine A S; Halley, Meghan C; Gillespie, Katherine A; May, Suepattra G; Glover, Jennifer; Yu, Peter; Chattopadhyay, Runi; Frosch, Dominick L

    2017-01-01

    Studies show adjuvant endocrine therapy increases survival and decreases risk of breast cancer recurrence for hormone receptor-positive tumors. Yet studies also suggest that adherence rates among women taking this therapy may be as low as 50% owing largely to adverse side effects. Despite these rates, research on longitudinal patient decision making regarding this therapy is scant. We sought to map the decision-making process for women considering and initiating adjuvant endocrine therapy, paying particular attention to patterns of uncertainty and decisional change over time. A longitudinal series of semistructured interviews conducted at a multispecialty health care organization in Northern California with 35 newly diagnosed patients eligible for adjuvant endocrine therapy were analyzed. Analysis led to the identification and indexing of 3 new decision-making constructs-decisional phase, decisional direction, and decisional resolve-which were then organized using a visual matrix and examined for patterns characterizing the decision-making process. Our data reveal that most patients do not make a single, discrete decision to take or not take hormone therapy but rather traverse multiple decisional states, characterized by 1) phase, 2) direction, and 3) strength of resolve. Our analysis tracks these decisional states longitudinally using a grayscale-coded matrix. Our data show that decisional resolve wavers not just when considering therapy, as the existing concept of decisional conflict suggests, but even after initiating it, which may signal future decisions to forgo therapy. Adjuvant endocrine therapy, like other chronic care decisions, has a longer decision-making process and implementation period. Thus, theoretical, empirical, and clinical approaches should consider further exploring the new concept and measurement of decisional resolve, as it may help to improve subsequent medication adherence. © The Author(s) 2016.

  5. Performance measurement of electricity suppliers using PROMETHEE and balance scorecard

    OpenAIRE

    Mona Osati; Manouchehr Omidvari

    2016-01-01

    Performance measurement in energy industry plays an important role on increasing the productivity. Electricity is also among the most essential components of energy in mega cities like Tehran. The lack of a good service in this city may result unpleasant consequences on most civilians who live in this city. This paper presents an empirical investigation to measure the performance of six major electricity contractors in city of Tehran, Iran. The study implements grey numbers to handle any unce...

  6. Mass-balance measurements in Alaska and suggestions for simplified observation programs

    Science.gov (United States)

    Trabant, D.C.; March, R.S.

    1999-01-01

    US Geological Survey glacier fieldwork in Alaska includes repetitious measurements, corrections for leaning or bending stakes, an ability to reliably measure seasonal snow as deep as 10 m, absolute identification of summer surfaces in the accumulation area, and annual evaluation of internal accumulation, internal ablation, and glacier-thickness changes. Prescribed field measurement and note-taking techniques help eliminate field errors and expedite the interpretative process. In the office, field notes are transferred to computerized spread-sheets for analysis, release on the World Wide Web, and archival storage. The spreadsheets have error traps to help eliminate note-taking and transcription errors. Rigorous error analysis ends when mass-balance measurements are extrapolated and integrated with area to determine glacier and basin mass balances. Unassessable errors in the glacier and basin mass-balance data reduce the value of the data set for correlations with climate change indices. The minimum glacier mass-balance program has at least three measurement sites on a glacier and the measurements must include the seasonal components of mass balance as well as the annual balance.

  7. Reliability and Validity of Computerized Force Platform Measures of Balance Function in Healthy Older Adults.

    Science.gov (United States)

    Harro, Cathy C; Garascia, Chelsea

    2018-01-10

    Postural control declines with aging and is an independent risk factor for falls in older adults. Objective examination of balance function is warranted to direct fall prevention strategies. Force platform (FP) systems provide quantitative measures of postural control and analysis of different aspects of balance. The purpose of this study was to examine the reliability and validity of FP measures in healthy older adults. This study enrolled 46 healthy elderly adults, mean age 67.67 (5.1) years, who had no history of falls. They were assessed on 3 standardized tests on the NeuroCom Equitest FP system: limits of stability (LOS), motor control test (MCT), and sensory organization test (SOT). The test battery was administered twice within a 10-day period for test-retest reliability; intraclass correlation coefficients (ICCs), standard error of measurement (SEM), and minimal detectable change based on a 95% confidence interval (MDC95) were calculated. FP measures were compared with criterion clinical balance (Mini-BESTest and Functional Gait Assessment) and gait (10-m walk and 6-minute walk) measures to examine concurrent validity using Pearson correlation coefficients. Multiple linear regression analysis examined whether age and activity level were associated with FP performance. The α level was set at P Fair correlations were found between LOS end point excursion and clinical balance and gait measures (r = 0.31-0.49), and between MCT average latency and gait measures only (r = -0.32). No correlations were found between SOT measures and clinical balance and gait measures. Age was only marginally significantly (P = .055) associated with LOS end point excursion but was not associated with SOT or MCT measures, and activity level was not associated with any of the FP measures. FP measures provided reliable information on balance function in healthy older adults; however, small learning effects were evident, particularly for the SOT. The SEM and MDC95 for the LOS and SOT

  8. Comparison of a laboratory grade force platform with a Nintendo Wii balance board in measurement of postural control in single-legged stance balance tasks

    NARCIS (Netherlands)

    Huurnink, A.; Fransz, D.P.; Kingma, I.; van Dieen, J.H.

    2013-01-01

    Training and testing of balance have potential applications in sports and medicine. Laboratory grade force plates (FP) are considered the gold standard for the measurement of balance performance. Measurements in these systems are based on the parameterization of center of pressure (CoP)

  9. Unified Balance Scale: an activity-based, bed to community, and aetiology-independent measure of balance calibrated with Rasch analysis.

    Science.gov (United States)

    La Porta, Fabio; Franceschini, Marco; Caselli, Serena; Cavallini, Paola; Susassi, Sonia; Tennant, Alan

    2011-04-01

    To build a new activity-based, "bed to community", aetiology-independent measure of balance within the neurological rehabilitation setting by merging some existing scales. Balance scales were selected using a conceptual framework and subsequently administered to a convenience sample of adult patients with balance problems due to different neurological aetiologies. Data were then processed using classical psychometric analyses and Rasch analysis in order to construct a new balance measurement tool. The Berg Balance Scale, the Tinetti Scales and the Fullerton Advanced Balance Scale were selected and administered to a sample of patients, giving 302 observations. Classical psychometric analyses (item and scale analysis; confirmatory factor analysis) were undertaken on the pooled 40-item set with confirmation of unidimensionality. The subsequent Rasch analysis allowed the identification of a 27-item set satisfying the Rasch Model's requirements for fundamental measurement, with further confirmation of unidimensionality by post-hoc confirmatory factor analysis. The new scale (Unified Balance Scale) holds proven measurement properties and may be a candidate tool for "bed to community" balance measurement for patients with balance problems within the neuro-rehabilitation setting. Future studies are warranted to explore further its external validity and other clinical properties, as well as to improve its usability.

  10. Reliability and Validity of Force Platform Measures of Balance Impairment in Individuals With Parkinson Disease.

    Science.gov (United States)

    Harro, Cathy C; Marquis, Alicia; Piper, Natasha; Burdis, Chris

    2016-12-01

    Complex movement and balance impairments in people with Parkinson disease (PD) contribute to high fall risk. Comprehensive balance assessment is warranted to identify intrinsic fall risk factors and direct interventions. The purpose of this study was to examine the psychometric properties of 3 balance measures of a force platform (FP) system in people with PD. Forty-two community-dwelling individuals with idiopathic PD completed the testing protocol. Test-retest reliability was assessed for the Limits of Stability Test (LOS), Motor Control Test (MCT), and Sensory Organization Test (SOT). Intraclass correlation coefficients (ICC [2,1]) were calculated to determine test-retest reliability and minimal detectable change. Validity was assessed by comparing the FP measures with criterion gait and balance measures using Pearson product moment correlations. Multiple regression analyses examined the contribution of PD characteristics to FP measures. All primary FP variables demonstrated excellent test-retest reliability (ICC=.78-.92). The SOT and LOS demonstrated fair to good correlations with criterion measures, whereas the MCT had fair correlations to balance measures only. Both SOT composite equilibrium and MCT average latency were moderately associated with disease severity. This study's sample had a relatively small number of participants with a positive fall history, which may limit the generalizability of the findings. This study's findings provide support that FP measures are reliable and valid tests of balance impairment in people with PD. Disease severity was significantly associated with SOT and MCT measures, perhaps reflecting that these tests are meaningful indicators of decline in postural control with disease progression. Force platform measures may provide valuable quantitative information about underlying balance impairments in people with PD to guide therapeutic interventions for fall risk reduction. © 2016 American Physical Therapy Association.

  11. Perception and use of balance measures for stroke patients among physical therapists in South Korea.

    Science.gov (United States)

    Jang, Ho Young; Kim, You Lim; Lee, Suk Min

    2017-02-01

    [Purpose] The purpose of this study looked into physical therapists' perception and use of balance measures for stroke patients. [Subjects and Methods] Three hundred eighty two physical therapists who understood the purpose of this study, agreed on their participation in this study, were treating or treated stroke patients. A Cross-sectional study based on self-administered questionnaire that had a total of 41 questions was performed in South Korea. 382 questionnaires were used for analysis. [Results] Regarding the questions about their perception and of personal measures, 287 persons (75.1 % ) replied that Single Leg Stance test was the most useful. According to the data analysis on their use of balance measures, Single Leg Stance Test was used by 254 persons (66.5 % , the highest percentage), Functional Reach Test by 199 (52.1 % ). Also, stepwise multiple regression analysis was conducted. As a result, the most influential factor was physical therapists' perception of personal measures, and their use was also influenced by their comprehensive perception of measurement and their perception of balance factors. [Conclusion] This study revealed physical therapists' perception and use of balance measures for stroke patients and showed that their perception of balance measures for stroke patients affected their use of personal measures.

  12. 1st International Symposium on Gait and Balance in MS: Gait and Balance Measures in the Evaluation of People with MS

    Directory of Open Access Journals (Sweden)

    Michelle Cameron

    2012-01-01

    Full Text Available Gait and balance measures have particular potential as outcome measures in Multiple Sclerosis (MS because, of the many hallmarks of MS disability, gait and balance dysfunction are present throughout the course of the disease, impact many aspects of a person’s life, and progress over time. To highlight the importance and relevance of gait and balance measures in MS, explore novel measurements of gait and balance in MS, and discuss how gait, balance, and fall measures can best be used and developed in clinical and research settings, the 1st International Symposium on Gait and Balance in Multiple Sclerosis was held in Portland, Oregon, USA on October 1, 2011. This meeting brought together nearly 100 neurologists, physiatrists, physical therapists, occupational therapists, nurses, engineers, and others to discuss the current status and recent advances in the measurement of gait and balance in MS. Presentations focused on clinician-administered, self-administered, and instrumented measures of gait, balance, and falls in MS.

  13. Socioecological correlates of energy balance using urinary C-peptide measurements in wild female mountain gorillas.

    Science.gov (United States)

    Grueter, Cyril C; Deschner, Tobias; Behringer, Verena; Fawcett, Katie; Robbins, Martha M

    2014-03-29

    Maintaining a balanced energy budget is important for survival and reproduction, but measuring energy balance in wild animals has been fraught with difficulties. Female mountain gorillas are interesting subjects to examine environmental correlates of energy balance because their diet is primarily herbaceous vegetation, their food supply shows little seasonal variation and is abundant, yet they live in cooler, high-altitude habitats that may bring about energetic challenges. Social and reproductive parameters may also influence energy balance. Urinary C-peptide (UCP) has emerged as a valuable non-invasive biomarker of energy balance in primates. Here we use this method to investigate factors influencing energy balance in mountain gorillas of the Virunga Volcanoes, Rwanda. We examined a range of socioecological variables on energy balance in adult females in three groups monitored by the Karisoke Research Center over nine months. Three variables had significant effects on UCP levels: habitat (highest levels in the bamboo zone), season (highest levels in November during peak of the bamboo shoot availability) and day time (gradually increasing from early morning to early afternoon). There was no significant effect of reproductive state and dominance rank. Our study indicates that even in species that inhabit an area with a seemingly steady food supply, ecological variability can have pronounced effects on female energy balance. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. Xbox Kinect training to improve clinical measures of balance in older adults: a pilot study.

    Science.gov (United States)

    Bieryla, Kathleen A

    2016-06-01

    Falls are a leading cause of injury and death for old adults, with one risk factor for falls being balance deficits. The low cost (balance intervention tools. To investigate the feasibility of using the Xbox Kinect for training to improve clinical measures of balance in old adults and retain improvements after a period of time. Thirteen healthy old adults (aged 70+ years) were randomly divided into two groups. The experimental group completed Kinect training three times a week for 3 weeks while the control group continued with normal activities. Four clinical measures of balance were assessed before training, 1 week and 1 month after training: Berg balance scale (BBS), Fullerton advanced balance (FAB) scale, functional reach (FR), and timed up and go (TUG). The ability to implement the training program was successful. The experimental group significantly increased their BBS and FAB after training while the control group did not. There was no significant change for either groups with FR and TUG. A training program using the Kinect with commercially available games was feasible with old adults. Kinect training may be an inexpensive way for old adults to receive helpful feedback encouraging them to continue with balance training program in their home.

  15. Capacitor Voltages Measurement and Balancing in Flying Capacitor Multilevel Converters Utilizing a Single Voltage Sensor

    DEFF Research Database (Denmark)

    Farivar, Glen; Ghias, Amer M. Y. M.; Hredzak, Branislav

    2017-01-01

    This paper proposes a new method for measuring capacitor voltages in multilevel flying capacitor (FC) converters that requires only one voltage sensor per phase leg. Multiple dc voltage sensors traditionally used to measure the capacitor voltages are replaced with a single voltage sensor at the ac...... side of the phase leg. The proposed method is subsequently used to balance the capacitor voltages using only the measured ac voltage. The operation of the proposed measurement and balancing method is independent of the number of the converter levels. Experimental results presented for a five-level FC...

  16. Munition Mass Properties Measurement Procedures Using a Spin Balance Machine

    Science.gov (United States)

    2015-03-09

    climatic adjustments made. For example, the heating, ventilation, and air conditioning ( HVAC ) may need to be turned off to reduce air flow around the...machine’s mass properties computer is programmed to average moment readings at each of the quadrant positions (0°, 90°, 180° and 270°). The motor drive...2 I1 = MOI of Control Surface I2 = MOI of Machine Motor I3 = MOI of Fixture Tare Measurement Eq. 2 MOI = I2 + I3 = (KT2 )2

  17. Relationship Between Cognitive Assessment and Balance Measures in Adolescents Referred for Vestibular Physical Therapy After Concussion.

    Science.gov (United States)

    Alsalaheen, Bara A; Whitney, Susan L; Marchetti, Gregory F; Furman, Joseph M; Kontos, Anthony P; Collins, Michael W; Sparto, Patrick J

    2016-01-01

    To examine the relationship between cognitive and balance performance in adolescents with concussion. Retrospective case series. Tertiary. Sixty patients. Correlation analyses were performed to describe the relationship between symptoms, cognitive measure, and balance measure at the time of initiation of vestibular physical therapy. Cognitive performance was assessed using the Immediate Post-concussion Assessment and Cognitive Testing (ImPACT). The dizziness and balance function measures included dizziness severity rating, Activities-specific Balance Confidence scale (ABC), Dizziness Handicap Inventory (DHI), Functional Gait Assessment, gait speed, Timed "UP and GO," Five Times Sit to Stand, and Sensory Organization Test (SOT). To account for multiple comparisons, the False Discovery Rate method was used. Performance measures of balance were significantly correlated with cognitive measures. Greater total symptom scores were related to greater impairment in the ABC and DHI (r = 0.35-0.39, P ≤ 0.008) and worse performance in condition 2 of the SOT (r = -0.48, P = 0.004). Among the ImPACT composite scores, lower memory scores were correlated with impaired balance performance measures (r = 0.37-0.59, P ≤ 0.012). Lower visual memory was also correlated with worse ABC scores. The significant relationships reported between the cognitive performance scores and balance measures may reflect that similar levels of functioning exist across domains in individuals with protracted recovery who receive vestibular physical therapy. The weak-to-moderate relationships warrant the continuous use of multiple domains of assessment. A better understanding to the relationships between the domains of functioning after concussion may improve the overall management approach for adolescents with concussion.

  18. Mass balance re-analysis of Findelengletscher, Switzerland; benefits of extensive snow accumulation measurements

    Directory of Open Access Journals (Sweden)

    Leo eSold

    2016-02-01

    Full Text Available A re-analysis is presented here of a 10-year mass balance series at Findelengletscher, a temperate mountain glacier in Switzerland. Calculating glacier-wide mass balance from the set of glaciological point balance observations using conventional approaches, such as the profile or contour method, resulted in significant deviations from the reference value given by the geodetic mass change over a five-year period. This is attributed to the sparsity of observations at high elevations and to the inability of the evaluation schemes to adequately estimate accumulation in unmeasured areas. However, measurements of winter mass balance were available for large parts of the study period from snow probings and density pits. Complementary surveys by helicopter-borne ground-penetrating radar (GPR were conducted in three consecutive years. The complete set of seasonal observations was assimilated using a distributed mass balance model. This model-based extrapolation revealed a substantial mass loss at Findelengletscher of -0.43m w.e. a^-1 between 2004 and 2014, while the loss was less pronounced for its former tributary, Adlergletscher (-0.30m w.e. a^-1. For both glaciers, the resulting time series were within the uncertainty bounds of the geodetic mass change. We show that the model benefited strongly from the ability to integrate seasonal observations. If no winter mass balance measurements were available and snow cover was represented by a linear precipitation gradient, the geodetic mass balance was not matched. If winter balance measurements by snow probings and snow density pits were taken into account, the model performance was substantially improved but still showed a significant bias relative to the geodetic mass change. Thus the excellent agreement of the model-based extrapolation with the geodetic mass change was owed to an adequate representation of winter accumulation distribution by means of extensive GPR measurements.

  19. Between-day reliability of centre of pressure measures for balance assessment in hemiplegic stroke patients.

    OpenAIRE

    Gasq , David; Labrunée , Marc; Amarantini , David; Dupui , Philippe; Montoya , Richard; Marque , Philippe

    2014-01-01

    International audience; BACKGROUND: Stroke patients have impaired postural balance that increases the risk of falls and impairs their mobility. Assessment of postural balance is commonly carried out by recording centre of pressure (CoP) displacements, but the lack of data concerning reliability of these measures compromises their interpretation. The purpose of this study was to investigate the between-day reliability of six CoP-based variables, in order to provide i) reliability data for moni...

  20. Relationship between balance and physical activity measured by an activity monitor in elderly COPD patients

    OpenAIRE

    Iwakura, Masahiro; Okura, Kazuki; Shibata, Kazuyuki; Kawagoshi, Atsuyoshi; Sugawara, Keiyu; Takahashi, Hitomi; Shioya, Takanobu

    2016-01-01

    Masahiro Iwakura,1,2 Kazuki Okura,2 Kazuyuki Shibata,1,2 Atsuyoshi Kawagoshi,2 Keiyu Sugawara,2 Hitomi Takahashi,2 Takanobu Shioya1 1Department of Rehabilitation, Akita City Hospital, 2Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Japan Background: Little is known regarding the relationship between balance impairments and physical activity in COPD. There has been no study investigating the relationship between balance and objectively measured ph...

  1. Relationship of the Functional Movement Screen In-Line Lunge to Power, Speed, and Balance Measures

    OpenAIRE

    Hartigan, Erin H.; Lawrence, Michael; Bisson, Brian M.; Torgerson, Erik; Knight, Ryan C.

    2014-01-01

    Background: The in-line lunge of the Functional Movement Screen (FMS) evaluates lateral stability, balance, and movement asymmetries. Athletes who score poorly on the in-line lunge should avoid activities requiring power or speed until scores are improved, yet relationships between the in-line lunge scores and other measures of balance, power, and speed are unknown. Hypothesis: (1) Lunge scores will correlate with center of pressure (COP), maximum jump height (MJH), and 36.6-meter sprint time...

  2. German version of the Community Balance and Mobility Scale : Translation and evaluation of measurement properties.

    Science.gov (United States)

    Gordt, Katharina; Mikolaizak, A Stefanie; Nerz, Corinna; Barz, Carolin; Gerhardy, Thomas; Weber, Michaela; Becker, Clemens; Schwenk, Michael

    2018-02-12

    Tools to detect subtle balance deficits in high-functioning community-dwelling older adults are lacking. The Community Balance and Mobility Scale (CBM) is a valuable tool to measure balance deficits in this group; however, it is not yet available in the German language. The aim was 1) to translate and cross-culturally adapt the CBM into the German language and 2) to investigate the measurement properties of the German CBM (G-CBM). The original CBM was translated into the German language according to established guidelines. A total of 51 older adults (mean age 69.9 ± 7.1 years) were recruited to measure construct validity by comparing the G‑CBM against standardized balance and/or mobility assessments including the Fullerton Advanced Balance Scale (FAB), Berg Balance Scale (BBS), 3 m Tandem Walk (3MTW), 8 Level Balance Scale (8LBS), 30 s Chair Stand Test (30CST), Timed Up and Go (TUG) test, gait speed, and the Falls Efficacy Scale International (FES-I). Intrarater and interrater reliability and internal consistency reliability were estimated using intraclass correlations (ICC) and Cronbach's alpha, respectively. Ceiling effects were calculated as the percentage of the sample scoring the maximum score. The G‑CBM correlated excellently with FAB and BBS (ρ = 0.78-0.85; P balance deficits in older high-functioning adults. The absence of ceiling effects emphasizes the use of this scale in this cohort. The G‑CBM can now be utilized in clinical practice.

  3. The energy balance experiment EBEX-2000. Part III: Behaviour and quality of the radiation measurements

    NARCIS (Netherlands)

    Kohsiek, W.; Liebethal, C.; Foken, T.; Vogt, R.; Oncley, S.P.; Bernhofer, C.; Debruin, H.A.R.

    2007-01-01

    An important part of the Energy Balance Experiment (EBEX-2000) was the measurement of the net radiation and its components. Since the terrain, an irrigated cotton field, could not be considered homogeneous, radiation measurements were made at nine sites using a variety of radiation instruments,

  4. Applying graph partitioning methods in measurement-based dynamic load balancing

    Energy Technology Data Exchange (ETDEWEB)

    Bhatele, Abhinav [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Fourestier, Sebastien [Univ. of Bordeaux (France). Bordeaux Lab. for Research in Computer Science; Menon, Harshitha [Univ. of Illinois, Urbana-Champaign, IL (United States); Kale, Laxmikant V. [Univ. of Illinois, Urbana-Champaign, IL (United States); Pellegrini, Francois [Univ. of Bordeaux (France). Bordeaux Lab. for Research in Computer Science

    2011-09-26

    Load imbalance leads to an increasing waste of resources as an application is scaled to more and more processors. Achieving the best parallel efficiency for a program requires optimal load balancing which is a NP-hard problem. However, finding near-optimal solutions to this problem for complex computational science and engineering applications is becoming increasingly important. Charm++, a migratable objects based programming model, provides a measurement-based dynamic load balancing framework. This framework instruments and then migrates over-decomposed objects to balance computational load and communication at runtime. This paper explores the use of graph partitioning algorithms, traditionally used for partitioning physical domains/meshes, for measurement-based dynamic load balancing of parallel applications. In particular, we present repartitioning methods developed in a graph partitioning toolbox called SCOTCH that consider the previous mapping to minimize migration costs. We also discuss a new imbalance reduction algorithm for graphs with irregular load distributions. We compare several load balancing algorithms using microbenchmarks on Intrepid and Ranger and evaluate the effect of communication, number of cores and number of objects on the benefit achieved from load balancing. New algorithms developed in SCOTCH lead to better performance compared to the METIS partitioners for several cases, both in terms of the application execution time and fewer number of objects migrated.

  5. Coil-current effect in Kibble balances: analysis, measurement, and optimization

    Science.gov (United States)

    Li, S.; Bielsa, F.; Stock, M.; Kiss, A.; Fang, H.

    2018-02-01

    The Kibble balance is expected to become an important instrument in the near future for realizing the unit of mass, the kilogram, in the revised international system of units (SI). The Kibble balance assumes an equality of two magnetic profiles measured in the weighing and velocity phases. A recent study conducted in the Kibble balance group at the Bureau International des Poids et Mesures (BIPM) showed that the coil current could significantly affect the magnetic profile, which should be carefully taken into account in the Kibble balance experiment. This paper gives a deeper understanding and investigation of the effect, and discusses the magnetic profile change due to the coil current, for both the classical two-mode and the one-mode Kibble balances. The coil current effect has been theoretically and experimentally investigated based on a typical magnet design with an air gap. One important conclusion found in the one-mode Kibble balance is that the magnetic profile change measured in the velocity phase is twice the change in the weighing phase. A compensation suggestion, to minimize the profile change due to the coil current in a BIPM-type magnet, is presented.

  6. Glaciological measurements and mass balances from Sperry Glacier, Montana, USA, years 2005–2015

    Science.gov (United States)

    Clark, Adam; Fagre, Daniel B.; Peitzsch, Erich H.; Reardon, Blase A.; Harper, Joel T.

    2017-01-01

    Glacier mass balance measurements help to provide an understanding of the behavior of glaciers and their response to local and regional climate. In 2005 the United States Geological Survey established a surface mass balance monitoring program on Sperry Glacier, Montana, USA. This project is the first quantitative study of mass changes of a glacier in the US northern Rocky Mountains and continues to the present. The following paper describes the methods used during the first 11 years of measurements and reports the associated results. From 2005 to 2015, Sperry Glacier had a cumulative mean mass balance loss of 4.37 m w.e. (water equivalent). The mean winter, summer, and annual glacier-wide mass balances were 2.92, −3.41, and −0.40 m w.e. yr−1 respectively. We derive these cumulative and mean results from an expansive data set of snow depth, snow density, and ablation measurements taken at selected points on the glacier. These data allow for the determination of mass balance point values and a time series of seasonal and annual glacier-wide mass balances for all 11 measurement years. We also provide measurements of glacier extent and accumulation areas for select years. All data have been submitted to the World Glacier Monitoring Service and are available at doi:10.5904/wgms-fog-2016-08. This foundational work provides valuable insight about Sperry Glacier and supplies additional data to the worldwide record of glaciers measured using the glaciological method. Future research will focus on the processes that control accumulation and ablation patterns across the glacier. Also we plan to examine the uncertainties related to our methods and eventually quantify a more robust estimate of error associated with our results.

  7. Glaciological measurements and mass balances from Sperry Glacier, Montana, USA, years 2005-2015

    Science.gov (United States)

    Clark, Adam M.; Fagre, Daniel B.; Peitzsch, Erich H.; Reardon, Blase A.; Harper, Joel T.

    2017-01-01

    Glacier mass balance measurements help to provide an understanding of the behavior of glaciers and their response to local and regional climate. In 2005 the United States Geological Survey established a surface mass balance monitoring program on Sperry Glacier, Montana, USA. This project is the first quantitative study of mass changes of a glacier in the US northern Rocky Mountains and continues to the present. The following paper describes the methods used during the first 11 years of measurements and reports the associated results. From 2005 to 2015, Sperry Glacier had a cumulative mean mass balance loss of 4.37 m w.e. (water equivalent). The mean winter, summer, and annual glacier-wide mass balances were 2.92, -3.41, and -0.40 m w.e. yr-1 respectively. We derive these cumulative and mean results from an expansive data set of snow depth, snow density, and ablation measurements taken at selected points on the glacier. These data allow for the determination of mass balance point values and a time series of seasonal and annual glacier-wide mass balances for all 11 measurement years. We also provide measurements of glacier extent and accumulation areas for select years. All data have been submitted to the World Glacier Monitoring Service and are available at fog-2016-08" target="_blank">doi:10.5904/wgms-fog-2016-08. This foundational work provides valuable insight about Sperry Glacier and supplies additional data to the worldwide record of glaciers measured using the glaciological method. Future research will focus on the processes that control accumulation and ablation patterns across the glacier. Also we plan to examine the uncertainties related to our methods and eventually quantify a more robust estimate of error associated with our results.

  8. Hypersonic force measurements using internal balance based on optical micromachined Fabry-Perot interferometry

    Science.gov (United States)

    Qiu, Huacheng; Min, Fu; Zhong, Shaolong; Song, Xin; Yang, Yanguang

    2018-03-01

    Force measurements using wind tunnel balance are necessary for determining a variety of aerodynamic performance parameters, while the harsh environment in hypersonic flows requires that the measurement instrument should be reliable and robust, in against strong electromagnetic interference, high vacuum, or metal (oxide) dusts. In this paper, we demonstrated a three-component internal balance for hypersonic aerodynamic force measurements, using novel optical micromachined Fabry-Perot interferometric (FPI) strain gauges as sensing elements. The FPI gauges were fabricated using Micro-Opto-Electro-Mechanical Systems (MOEMS) surface and bulk fabrication techniques. High-reflectivity coatings are used to form a high-finesse Fabry-Perot cavity, which benefits a high resolution. Antireflective and passivation coatings are used to reduce unwanted interferences. The FPI strain gauge based balance has been calibrated and evaluated in a Mach 5 hypersonic flow. The results are compared with the traditional technique using the foil resistive strain gauge balance, indicating that the proposed balance based on the MOEMS FPI strain gauge is reliable and robust and is potentially suitable for the hypersonic wind tunnel harsh environment.

  9. The Effect of Counseling on Cataract Patient Knowledge, Decisional Conflict, and Satisfaction.

    Science.gov (United States)

    Newman-Casey, Paula Anne; Ravilla, Sathya; Haripriya, Aravind; Palanichamy, Vinoth; Pillai, Manju; Balakrishnan, Vijayakumar; Robin, Alan L

    2015-01-01

    Cataract is the leading cause of non-refractive preventable blindness, and comprehensive strategies to increase cataract surgery rates are imperative, including high-quality supportive patient education. We evaluated the effectiveness of non-physician pre-surgical counselors teaching patients about cataract and cataract surgery in improving patient knowledge, decisional conflict, and satisfaction. A survey was given before and after 61 newly-diagnosed cataract patients underwent pre-surgical counseling at the Aravind Eye Hospital, Madurai, India. The survey measured change in cataract knowledge and decisional conflict, a measure of anxiety surrounding the decision to undergo surgery, along with patient satisfaction. Multiple regression was used to identify factors that influenced change in knowledge. Both patient knowledge scores and decisional conflict scores improved following counseling (mean difference +2.0, p = 0.004 and +8.4, p counseling. Counseling both improved knowledge and reduced decisional conflict about cataract surgery, particularly among patients who had traditionally had more limited access to healthcare such as women and illiterate patients. Increased use of high quality counseling might help to further reduce the global burden of cataract and other forms of blindness.

  10. Towards a balanced performance measurement system in a public health care organization.

    Science.gov (United States)

    Yuen, Peter P; Ng, Artie W

    2012-01-01

    This article attempts to devise an integrated performance measurement framework to assess the Hong Kong Hospital Authority (HA) management system by harnessing previous performance measurement systems. An integrated evaluative framework based on the balanced score card (BSC) was developed and applied using the case study method and longitudinal data to evaluate the HA's performance management system. The authors unveil evolving HA performance indicators (P1). Despite the HA staffs explicit quality emphasis, cost control remains the primary focus in their performance measurements. RESEARCH LHNITATIONS/IMPLICATIONS: Data used in this study are from secondary sources, disclosed mostly by HA staff. This study shows public sector staff often attach too much importance to cost control and easily measurable activities at the expense of quality and other less easily measurable attributes'. A balanced performance measurement system, linked to health targets, with a complementary budgeting process that supports pertinent resource allocation is yet to be implemented in Hong Kong's public hospitals.

  11. A modified Wheeler cap method for radiation efficiency measurement of balanced electrically small antennas

    DEFF Research Database (Denmark)

    Zhang, Jiaying; Pivnenko, Sergey; Breinbjerg, Olav

    2010-01-01

    Measurement of radiation efficiency for ultra small antennas represents a great challenge due to influence of the feeding cable. The Wheeler cap method is often used to measure the radiation efficiency of small antennas. However, it is well applicable for antennas on a ground plane......, but not for balanced antennas like loops or dipoles. In this paper, a modified Wheeler cap method is proposed for the radiation efficiency measurement of balanced electrically small antennas and a three-port network model of the Wheeler cap measurement is introduced. The advantage of the modified method...... is that it is wideband, thus does not require any balun, and both the antenna input impedance and radiation efficiency can be obtained. An electrically small loop antenna and a wideband dipole were simulated and measured according to the proposed method and the results of measurements and simulations are presented...

  12. Translation balance for measuring magnetic susceptibilities at high or low temperatures (1962)

    International Nuclear Information System (INIS)

    Blaise, A.; Peuch, M.A.

    1962-01-01

    A translation balance is described for the measurement of the magnetic susceptibilities of liquids or solids in the temperature range from 1.7 to 1400 deg. K. Measurements are made within a magnetic field adjustable from 3400 to 16000 oersteds, in any desired atmosphere. Susceptibilities between 10 -8 and 10 -4 u.e.m. C.G.S., can be measured. (authors) [fr

  13. Relationship between balance and physical activity measured by an activity monitor in elderly COPD patients

    Directory of Open Access Journals (Sweden)

    Iwakura M

    2016-07-01

    Full Text Available Masahiro Iwakura,1,2 Kazuki Okura,2 Kazuyuki Shibata,1,2 Atsuyoshi Kawagoshi,2 Keiyu Sugawara,2 Hitomi Takahashi,2 Takanobu Shioya1 1Department of Rehabilitation, Akita City Hospital, 2Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Japan Background: Little is known regarding the relationship between balance impairments and physical activity in COPD. There has been no study investigating the relationship between balance and objectively measured physical activity. Here we investigated the association between balance and physical activity measured by an activity monitor in elderly COPD patients. Materials and methods: Twenty-two outpatients with COPD (mean age, 72±7 years; forced expiratory volume in 1 second, 53%±21% predicted and 13 age-matched healthy control subjects (mean age, 72±6 years participated in the study. We assessed all 35 subjects’ balance (one-leg standing test [OLST] times, Short Physical Performance Battery total scores, standing balance test scores, 4 m gait speed, and five-times sit-to-stand test [5STST] and physical activity (daily steps and time spent in moderate-to-vigorous physical activity per day [MV-PA]. Possible confounders were assessed in the COPD group. The between-group differences in balance test scores and physical activity were analyzed. A correlation analysis and multivariate regression analysis were conducted in the COPD group. Results: The COPD patients exhibited significant reductions in OLST times (P=0.033, Short Physical Performance Battery scores (P=0.013, 4 m gait speed (P<0.001, five-times sit-to-stand times (P=0.002, daily steps (P=0.003, and MV-PA (P=0.022 compared to the controls; the exception was the standing balance test scores. The correlation and multivariate regression analyses revealed significant independent associations between OLST times and daily steps (P<0.001 and between OLST times and MV-PA (P=0.014 in the COPD group after adjusting for

  14. THE DECISIONAL TRANSPARENCY IN PUBLIC ADMINISTRATION

    Directory of Open Access Journals (Sweden)

    OCTAVIA MARIA CILIBIU

    2011-04-01

    Full Text Available The principle of decisional transparency is one of the principles of good administration, fundamental principles of public administration and it is enshrined in the law of many European Union member states, including our country. In their work the public authorities must show transparency reflected by the active involvement of citizens in administrative decision as its primary beneficiary. The citizen information, consultation and his stimulation to participate actively in the elaboration of draft normative acts for their preparation and before that by bringing them to public knowledge, are tasks of the public authorities which exceed the limit of the obligations imposed by internal rules and are significant efforts to modernize the public administration and rallying to the administrative structures.

  15. Accuracy of force and center of pressure measures of the Wii Balance Board.

    Science.gov (United States)

    Bartlett, Harrison L; Ting, Lena H; Bingham, Jeffrey T

    2014-01-01

    The Nintendo Wii Balance Board (WBB) is increasingly used as an inexpensive force plate for assessment of postural control; however, no documentation of force and COP accuracy and reliability is publicly available. Therefore, we performed a standard measurement uncertainty analysis on 3 lightly and 6 heavily used WBBs to provide future users with information about the repeatability and accuracy of the WBB force and COP measurements. Across WBBs, we found the total uncertainty of force measurements to be within ± 9.1N, and of COP location within ± 4.1mm. However, repeatability of a single measurement within a board was better (4.5 N, 1.5mm), suggesting that the WBB is best used for relative measures using the same device, rather than absolute measurement across devices. Internally stored calibration values were comparable to those determined experimentally. Further, heavy wear did not significantly degrade performance. In combination with prior evaluation of WBB performance and published standards for measuring human balance, our study provides necessary information to evaluate the use of the WBB for analysis of human balance control. We suggest the WBB may be useful for low-resolution measurements, but should not be considered as a replacement for laboratory-grade force plates. Published by Elsevier B.V.

  16. Cultural Change and a Balanced Scorecard. Does Your Organization Measure Up?

    Science.gov (United States)

    McAlary, Chris K.

    2001-01-01

    Discusses the balanced scorecard concept, a customer-based planning and process improvement system for measuring the success of campus business enterprises and helping to better achieve organizational goals. Scorecard design and implementation are described as are selected success stories. (GR)

  17. Sensible heat balance measurements of soil water evaporation beneath a maize canopy

    Science.gov (United States)

    Soil water evaporation is an important component of the water budget in a cropped field. Few methods are available for continuous and independent measurement of soil water evaporation. A sensible heat balance (SHB) approach has recently been demonstrated for continuously determining soil water evapo...

  18. The E-Balanced Scorecard (e-BSC) for Measuring Academic Staff Performance Excellence

    Science.gov (United States)

    Yu, May Leen; Hamid, Suraya; Ijab, Mohamad Taha; Soo, Hsaio Pei

    2009-01-01

    This research paper is a pilot study that investigated the suitability of adopting an automated balanced scorecard for managing and measuring the performance excellence of academic staffs in the higher education setting. A comprehensive study of related literature with requirements elicited from the target population in a selected premier…

  19. Self-balancing line-reversal pyrometer automatically measures gas temperatures

    Science.gov (United States)

    Buchele, D.

    1967-01-01

    Automatic line-reversal pyrometer measures gas temperatures from 2900 degrees to 4500 degrees R. The self-balancing device uses the sodium D-line but replaces the two conventional manual operations of the line-reversal method and can be used by semiskilled personnel.

  20. The effect of hemodialysis on balance measurements and risk of fall.

    Science.gov (United States)

    Erken, Ertugrul; Ozelsancak, Ruya; Sahin, Safak; Yılmaz, Emine Ece; Torun, Dilek; Leblebici, Berrin; Kuyucu, Yunus Emre; Sezer, Siren

    2016-10-01

    Patients with end-stage renal disease (ESRD) have increased risk of falls and fall-related complications. Other than aging and factors related to chronic kidney disease, treatment of hemodialysis may also contribute to this increased risk. The aim of this study was to demonstrate the impairment of balance after a session of hemodialysis with a quantitative assessment and reveal an increased fall risk that would possibly be related to treatment of hemodialysis for patients on maintenance hemodialysis. Fifty-six patients with ESRD on chronic hemodialysis program and 53 healthy individuals were involved in this study. Fall Index percentages were calculated, and fall risk categories were determined for all patients and healthy controls using Tetrax posturography device (Sunlight Medical Ltd Israel). The patient group was evaluated twice for balance, before and after a routine session of hemodialysis. Fall Index scores of healthy controls were lower than that of ESRD patients (p = 0.001). In the patient group, we found the mean Fall Index to be significantly higher at the post-dialysis assessment compared to the pre-dialysis assessment (p = 0.003). The number of patients with high risk of falling also increased at the post-dialysis assessment yet the difference did not reach significance. Fall Index was correlated with the increase in age only at the pre-dialysis balance measurement (p = 0.038). Patients with better dialysis adequacy had significantly lower Fall Index scores than the others at the pre-dialysis balance measurement (p = 0.004). The difference was not significant at the post-dialysis measurement. In the current study, we evaluated the balance of ESRD patients before and after a routine session of hemodialysis treatment. This is the first study to investigate the effect of hemodialysis on balance, using an electronic posturographic balance system. We found the Fall Index score to be significantly higher after hemodialysis, indicating a negative

  1. ASSESSING AND MEASURING TEAM ROLES BALANCE - IMPROVING TEAM MOTIVATION AND PERFORMANCE

    OpenAIRE

    Simona, LUPULEAC; Zenica-Livia, LUPULEAC

    2013-01-01

    Purpose – The purpose of this study is to design a model for assessing and measuring team roles balance and to test the model analyzing the relationship between team roles balance and team motivation. Design/methodology/approach – Data were collected from a sample of 32 project management teams on POS DRU program, out of a population of 145 members. Team roles were identified applying BTRSPI. To assess team current level of motivation was used a tool proposed by Woodcoock and Francis (2008). ...

  2. Gap-Balancing versus Measured Resection Technique in Total Knee Arthroplasty: A Comparison Study.

    Science.gov (United States)

    Churchill, Jessica L; Khlopas, Anton; Sultan, Assem A; Harwin, Steven F; Mont, Michael A

    2018-01-01

    Proper femoral component alignment in the axial plane during total knee arthroplasty (TKA) depends on accurate bone cuts and soft tissue balancing. Two methods that are used to achieve this are "measured resection" and "gap balancing." However, a controversy exists as to which method is more accurate and leads to better outcomes. Therefore, the purpose of this study was to evaluate: (1) implant survivorship, (2) patient outcomes, (3) complications, and (4) radiographic analysis comparing patients who underwent TKA with either gap-balancing or measured resection techniques. A total of 214 consecutive patients (221 knees) underwent primary TKA by a single surgeon between 2011 and 2012. Component alignment was achieved by using measured resection in 116 knees and gap balancing was used in 105 knees. The patients had a mean age of 66 years (range, 44-86 years) and a mean body mass index of 32 kg/m 2 (range, 22-52 kg/m 2 ). Patient range-of-motion (ROM) and Knee Society (KS) function and pain scores, and radiographic assessment, were assessed preoperatively and postoperatively at ∼6 weeks, 3 months, 1 year, and then annually. The mean follow-up time was 3 years. A Kaplan-Meier's analysis was performed to calculate the survivorship. The aseptic survivorship was 98% in both the measured resection and gap-balancing groups. The mean ROM was not significantly different between the measured resection and gap-balancing groups (123 vs. 123 degrees, p  = 0.990). There were no significant differences between the two groups in terms of the KS function scores (86 vs. 85 points, p  = 0.829) or the KS pain scores (93 vs. 92 points, p  = 0.425). Otherwise, the radiographic evaluation at latest follow-up did not demonstrate any evidence of progressive radiolucencies or loosening, of any prosthesis. The results of this study found that at a mean follow-up of 3 years, both the measured resection and gap-balancing techniques achieved excellent survivorship and

  3. Design of a low temperature translation balance for the measurement of paramagnetic and diamagnetic susceptibilities

    Energy Technology Data Exchange (ETDEWEB)

    Mowry, G.S.

    1979-05-01

    A modified Foex and Forrer Translation Balance has been designed for measuring the paramagnetic and diamagnetic properties of materials over the temperature range 77-300/sup 0/K. The systems' temperature range can eventually be extended to 4.2/sup 0/K. The apparatus incorporates a vertical Dewar of Standard variety in addition to a horizontal Dewar for cooling the sample holder and adjacent horizontal supports. The design also allows for the placement of a thermocouple junction in direct contact with a sample. The balance sensitivity, defined as the change in displacement per unit applied force, is 0.0044 cm/dyne. The precision of the balance is +- .5% with an accuracy of 1.5%.

  4. Limits to prediction of energy balance from milk composition measures at individual cow level

    DEFF Research Database (Denmark)

    Løvendahl, P; Ridder, C; Friggens, N C

    2010-01-01

    at each milking. Three breeds (Danish Red, Holstein-Friesian, and Jersey) of cows (299 cows, 623 lactations) in parities 1 to 4 were used. Milk data were smoothed using a rolling local regression. Energy balance based on milk composition was calculated using a partial least squares (PLS) model based......Frequently updated energy balance (EB) estimates for individual cows are especially useful for dairy herd management, and individual-level estimates form the basis for group-level EB estimates. The accuracy of EB estimates determines the value of this information for management decision support....... This study aimed to assess EB accuracy through ANOVA components and by comparing EB estimates based either on milk composition (EBalMilk) or on body condition score (BCS) and body weight (BW) (EBalBody). Energy balance based on milk composition was evaluated using data in which milk composition was measured...

  5. Balanced performance measurement in research hospitals: the participative case study of a haematology department.

    Science.gov (United States)

    Catuogno, Simona; Arena, Claudia; Saggese, Sara; Sarto, Fabrizia

    2017-08-03

    The paper aims to review, design and implement a multidimensional performance measurement system for a public research hospital in order to address the complexity of its multifaceted stakeholder requirements and its double institutional aim of care and research. The methodology relies on a participative case study performed by external researchers in close collaboration with the staff of an Italian research hospital. The paper develops and applies a customized version of balanced scorecard based on a new set of performance measures. Our findings suggest that it can be considered an effective framework for measuring the research hospital performance, thanks to a combination of generalizable and context-specific factors. By showing how the balanced scorecard framework can be customized to research hospitals, the paper is especially of interest for complex healthcare organizations that are implementing management accounting practices. The paper contributes to the body of literature on the application of the balanced scorecard in healthcare through an examination of the challenges in designing and implementing this multidimensional performance tool. This is one of the first papers that show how the balanced scorecard model can be adapted to fit the specific requirements of public research hospitals.

  6. A critical review of financial measures as reported in the Ontario hospital balanced scorecard.

    Science.gov (United States)

    Parkinson, John; Tsasis, Peter; Porporato, Marcela

    2007-01-01

    For Ontario hospitals in Canada, the Financial Performance and Condition measures in the Ontario hospital balanced scorecard are especially of interest since in the foreseeable future, they may be linked to provincial government funding decisions. However, we find that these measures lack valuable information on key attributes that affect organizational performance. We suggest changes that focus on key drivers of performance and reflect the operational realities of Ontario hospitals.

  7. Validating and Calibrating the Nintendo Wii Balance Board to Derive Reliable Center of Pressure Measures

    OpenAIRE

    Leach, Julia; Mancini, Martina; Peterka, Robert; Hayes, Tamara; Horak, Fay

    2014-01-01

    The Nintendo Wii balance board (WBB) has generated significant interest in its application as a postural control measurement device in both the clinical and (basic, clinical, and rehabilitation) research domains. Although the WBB has been proposed as an alternative to the “gold standard” laboratory-grade force plate, additional research is necessary before the WBB can be considered a valid and reliable center of pressure (CoP) measurement device. In this study, we used the WBB and a laborator...

  8. Overview of Ice-Sheet Mass Balance and Dynamics from ICESat Measurements

    Science.gov (United States)

    Zwally, H. Jay

    2010-01-01

    The primary purpose of the ICESat mission was to determine the present-day mass balance of the Greenland and Antarctic ice sheets, identify changes that may be occurring in the surface-mass flux and ice dynamics, and estimate their contributions to global sea-level rise. Although ICESat's three lasers were planned to make continuous measurements for 3 to 5 years, the mission was re-planned to operate in 33-day campaigns 2 to 3 times each year following failure of the first laser after 36 days. Seventeen campaigns were conducted with the last one in the Fall of 2009. Mass balance maps derived from measured ice-sheet elevation changes show that the mass loss from Greenland has increased significantly to about 170 Gt/yr for 2003 to 2007 from a state of near balance in the 1990's. Increased losses (189 Gt/yr) from melting and dynamic thinning are over seven times larger'than increased gains (25 gt/yr) from precipitation. Parts of the West Antarctic ice sheet and the Antarctic Peninsula are losing mass at an increasing rate, but other parts of West Antarctica and the East Antarctic ice sheet are gaining mass at an increasing rate. Increased losses of 35 Gt/yr in Pine Island, Thwaites-Smith, and Marie-Bryd.Coast are more than balanced by gains in base of Peninsula and ice stream C, D, & E systems. From the 1992-2002 to 2003-2007 period, the overall mass balance for Antarctica changed from a loss of about 60 Gt/yr to near balance or slightly positive.

  9. Decisional conflict in asthma patients: a cross sectional study.

    Science.gov (United States)

    Des Cormiers, Annick; Légaré, France; Simard, Serge; Boulet, Louis-Philippe

    2015-01-01

    This study aimed at determining the level of decisional conflict in asthmatic individuals facing recommendation-based decisions provided to improve asthma control. This was a cross-sectional study performed on a convenience sample of 50 adults aged between 18 and 65 years with a diagnosis of asthma. They completed a decisional conflict scale (possible range of 0-100%), asthma knowledge and control questionnaires (both 0% and 100%), and a general questionnaire on socio-demographic characteristics. A decisional conflict was considered clinically significant with a score greater than 37.5%. Simple descriptive statistics were used to investigate associations with decisional conflict. Participants were mainly women (76%) and diagnosed with mild asthma (72%). The median age (1st and 3rd quartile) was 25 years (22 and 42). The median score (1st and 3rd quartile) of decisional conflict was 33% (24 and 44). A clinically significant score (>37.5%) was obtained in 36% of subjects. A statistically significant negative correlation between the knowledge score and the decisional conflict score (r(p) = -0.38; p = 0.006) was observed. The level of knowledge was the only statistically independent variable associated with the decisional conflict score (p = 0.0043). A considerable proportion of patients with asthma have a clinically significant level of decisional conflict when facing decisions aimed at improving asthma control. Patients with poor knowledge of asthma are more at risk of clinically significant level of decisional conflict. These findings support the relevance of providing asthmatic patients with relevant information in decision aids.

  10. Parental decision making involvement and decisional conflict: a descriptive study.

    Science.gov (United States)

    Boland, Laura; Kryworuchko, Jennifer; Saarimaki, Anton; Lawson, Margaret L

    2017-06-13

    Decisional conflict is a state of uncertainty about the best treatment option among competing alternatives and is common among adult patients who are inadequately involved in the health decision making process. In pediatrics, research shows that many parents are insufficiently involved in decisions about their child's health. However, little is known about parents' experience of decisional conflict. We explored parents' perceived decision making involvement and its association with parents' decisional conflict. We conducted a descriptive survey study in a pediatric tertiary care hospital. Our survey was guided by validated decisional conflict screening items (i.e., the SURE test). We administered the survey to eligible parents after an ambulatory care or emergency department consultation for their child. Four hundred twenty-nine respondents were included in the analysis. Forty-eight percent of parents reported not being offered treatment options and 23% screened positive for decisional conflict. Parents who reported being offered options experienced less decisional conflict than parents who reported not being offered options (5% vs. 42%, p decision (RR 1.08, 95% CI 1.02-1.15); understand the information (RR 1.92, 95% CI 1.63-2.28); be clear about the risks and benefits (RR 1.12, 95% CI 1.05-1.20); and, have sufficient support and advice to make a choice (RR 1.07, 95% CI 1.03-1.11). Many parents in our sample experienced decisional conflict after their clinical consultation. Involving parents in the decision making process might reduce their risk of decisional conflict. Evidence based interventions that support parent decision making involvement, such as shared decision making, should be evaluated and implemented in pediatrics as a strategy to reduce parents' decisional conflict.

  11. The choice of nuclear material measurement strategy in bulk-form in material balance area

    International Nuclear Information System (INIS)

    Smirnov, V.M.; Sergeev, S.A.; Kirsanov, V.S.

    1999-01-01

    Concepts have been defined such as Shipment batch, Technological batch, and Accounting batch, it has been found that Shipment and Technological batches should be formed through the arrangement of group of measured Accounting batches. The strategy for nuclear material (NM) measurement based on the Accounting batch is shown to give a possibility to use the advantages for the accounting purposes: ensure safeguards of non-diversion of NM at quantitative (numerical) level, which is a higher grade of safeguards compared to the systems of accounting and control now in force of the US and EURATOM; ensure a guaranteed accuracy and reliability (confidence level) when making up NM balance in Material Balance Area (MBA) and at Federal level, which has been realized only in part in the NM control and accounting systems. Strategy of NM measurement for MBAs counting NM in bulk form has been proposed [ru

  12. A compact wideband precision impedance measurement system based on digital auto-balancing bridge

    International Nuclear Information System (INIS)

    Hu, Binxin; Wang, Jinyu; Song, Guangdong; Zhang, Faxiang

    2016-01-01

    The ac impedance spectroscopy measurements are predominantly taken by using impedance analyzers based on analog auto-balancing bridge. However, those bench-top analyzers are generally complicated, bulky and expensive, thus limiting their usage in industrial field applications. This paper presents the development of a compact wideband precision measurement system based on digital auto-balancing bridge. The methods of digital auto-balancing bridge and digital lock-in amplifier are analyzed theoretically. The overall design and several key sections including null detector, direct digital synthesizer-based sampling clock, and digital control unit are introduced in detail. The results show that the system achieves a basic measurement accuracy of 0.05% with a frequency range of 20 Hz–2 MHz. The advantages of versatile measurement capacity, fast measurement speed, small size and low cost make it quite suitable for industrial field applications. It is demonstrated that this system is practical and effective by applying in determining the impedance-temperature characteristic of a motor starter PTC thermistor. (paper)

  13. Comparison of the Wii Balance Board and the BESS tool measuring postural stability in collegiate athletes.

    Science.gov (United States)

    Guzman, Jill; Aktan, Nadine

    2016-02-01

    Concussions are a major health concern for athletes given the potential for these injuries in a wide range of sport activities. The leading concern for clinicians is that athletes are at risk for devastating consequences if they are not evaluated properly and cleared too early to return to play or competition. The evaluation of postural stability has been identified as an important aspect to the comprehensive management of such injuries. Clinicians are in need of a portable tool they can use in various settings to aid in decision making and health care delivery for concussed athletes. The Nintendo Wii Balance Board (Nintendo of America Inc., Redmond, Washington) is a portable, cost-effective tool that has the potential to aid in the evaluation of postural stability in concussed individuals. The purpose of this study was to evaluate the Wii Balance Board as an objective, user-friendly, cost effective, valid alternative tool for the measurement of postural stability in college athletes. This study questioned whether the Wii Balance Board, when compared to the Balance Error Scoring System (BESS), is an objective tool that can be used as an acceptable measurement of postural stability in college athletes. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. Gulkana Glacier, Alaska-Mass balance, meteorology, and water measurements, 1997-2001

    Science.gov (United States)

    March, Rod S.; O'Neel, Shad

    2011-01-01

    The measured winter snow, maximum winter snow, net, and annual balances for 1997-2001 in the Gulkana Glacier basin are determined at specific points and over the entire glacier area using the meteorological, hydrological, and glaciological data. We provide descriptions of glacier geometry to aid in estimation of conventional and reference surface mass balances and descriptions of ice motion to aid in the understanding of the glacier's response to its changing geometry. These data provide annual estimates for area altitude distribution, equilibrium line altitude, and accumulation area ratio during the study interval. New determinations of historical area altitude distributions are given for 1900 and annually from 1966 to 2001. As original weather instrumentation is nearing the end of its deployment lifespan, we provide new estimates of overlap comparisons and precipitation catch efficiency. During 1997-2001, Gulkana Glacier showed a continued and accelerated negative mass balance trend, especially below the equilibrium line altitude where thinning was pronounced. Ice motion also slowed, which combined with the negative mass balance, resulted in glacier retreat under a warming climate. Average annual runoff augmentation by glacier shrinkage for 1997-2001 was 25 percent compared to the previous average of 13 percent, in accordance with the measured glacier volume reductions.

  15. The impact of previous knee injury on force plate and field-based measures of balance.

    Science.gov (United States)

    Baltich, Jennifer; Whittaker, Jackie; Von Tscharner, Vinzenz; Nettel-Aguirre, Alberto; Nigg, Benno M; Emery, Carolyn

    2015-10-01

    Individuals with post-traumatic osteoarthritis demonstrate increased sway during quiet stance. The prospective association between balance and disease onset is unknown. Improved understanding of balance in the period between joint injury and disease onset could inform secondary prevention strategies to prevent or delay the disease. This study examines the association between youth sport-related knee injury and balance, 3-10years post-injury. Participants included 50 individuals (ages 15-26years) with a sport-related intra-articular knee injury sustained 3-10years previously and 50 uninjured age-, sex- and sport-matched controls. Force-plate measures during single-limb stance (center-of-pressure 95% ellipse-area, path length, excursion, entropic half-life) and field-based balance scores (triple single-leg hop, star-excursion, unipedal dynamic balance) were collected. Descriptive statistics (mean within-pair difference; 95% confidence intervals) were used to compare groups. Linear regression (adjusted for injury history) was used to assess the relationship between ellipse-area and field-based scores. Injured participants on average demonstrated greater medio-lateral excursion [mean within-pair difference (95% confidence interval); 2.8mm (1.0, 4.5)], more regular medio-lateral position [10ms (2, 18)], and shorter triple single-leg hop distances [-30.9% (-8.1, -53.7)] than controls, while no between group differences existed for the remaining outcomes. After taking into consideration injury history, triple single leg hop scores demonstrated a linear association with ellipse area (β=0.52, 95% confidence interval 0.01, 1.01). On average the injured participants adjusted their position less frequently and demonstrated a larger magnitude of movement during single-limb stance compared to controls. These findings support the evaluation of balance outcomes in the period between knee injury and post-traumatic osteoarthritis onset. Copyright © 2015 Elsevier Ltd. All rights

  16. Exercise, energy expenditure and energy balance, as measured with doubly labelled water.

    Science.gov (United States)

    Westerterp, Klaas R

    2018-02-01

    The doubly labelled water method for the measurement of total daily energy expenditure (TDEE) over 1-3 weeks under daily living conditions is the indicated method to study effects of exercise and extreme environments on energy balance. Subjects consume a measured amount of doubly labelled water (2H2 18O) to increase background enrichment of body water for 18O and 2H, and the subsequent difference in elimination rate between 18O and 2H, as measured in urine, saliva or blood samples, is a measure for carbon dioxide production and thus allows calculation of TDEE. The present review describes research showing that physical activity level (PAL), calculated as TDEE (assessed with doubly labelled water) divided by resting energy expenditure (REE, PAL = TDEE/REE), reaches a maximum value of 2·00-2·40 in subjects with a vigorously active lifestyle. Higher PAL values, while maintaining energy balance, are observed in professional athletes consuming additional energy dense foods to compete at top level. Exercise training can increase TDEE/REE in young adults to a value of 2·00-2·40, when energy intake is unrestricted. Furthermore, the review shows an exercise induced increase in activity energy expenditure can be compensated by a reduction in REE and by a reduction in non-exercise physical activity, especially at a negative energy balance. Additionally, in untrained subjects, an exercise-induced increase in activity energy expenditure is compensated by a training-induced increase in exercise efficiency.

  17. Validating Center-of-Pressure Balance Measurements Using the MatScan® Pressure Mat.

    Science.gov (United States)

    Goetschius, John; Feger, Mark A; Hertel, Jay; Hart, Joseph M

    2018-01-24

    Measurements of center-of-pressure (COP) excursions during balance are common practice in clinical and research settings to evaluate adaptations in postural control due to pathological or environmental conditions. Traditionally measured using laboratory force plates, pressure-mat devices may be a suitable option for clinicians and scientist to measure COP excursions. Compare COP measures and changes during balance between MatScan® pressure mat and force plate. Validation study. Laboratory. 30 healthy, young adults (19 female, 11 male, 22.7 ± 3.4 y, 70.3 ± SD kg, 1.71 ± 0.09 m). COP excursions were simultaneously measured using pressure-mat and force-plate devices. Participants completed 3 eyes-open and 3 eyes-closed single-leg balance trials (10 s). Mean of the 3 trials was used to calculate 4 COP variables: medial-lateral and anterior-posterior excursion, total distance, and area with eyes open and eyes closed. Percent change and effect sizes were calculated between eyes-open to eyes-closed conditions for each variable and for both devices. All COP variables were highly correlated between devices for eyes-open and eyes-closed conditions (all r > .92, P COP measurements were smaller than those of the force-plate, and the differences between devices appeared to increase as the measurement magnitude increased. Percent change in COP variables was highly correlated between devices (r > .85, P  2.25) and similar in magnitude between devices. COP measures were correlated between devices, but values tended to be smaller using the pressure mat. The pressure mat and force plate detected comparable magnitude changes in COP measurements between eyes-open and eyes-closed. Pressure mats may provide a viable option for detecting large magnitude changes in postural control during short-duration testing.

  18. Performance Measurement Implementation Of Minimum Service Standards For Basic Education Based On The Balanced Scorecard

    Directory of Open Access Journals (Sweden)

    Budiman Rusli

    2015-08-01

    Full Text Available Policies Minimum Service Standards for Basic Education has rolled out since 2002 by the minister in accordance with the Decree No. 129a U 2004 About Minimum Service Standards Education is continually updated and lastly Regulation of the Minister of Education and Culture No. 23 of 2013. All of the district government town should achieve the target of achieving 100 per cent in each of the indicators listed in the minimum service standards for the end of 2014. achievement pad on each indicator is just one measure of the performance of the local government department of education. Unfortunately from the announced target for 27 indicators that exist almost all regions including local governments do not reach Tangerang Regency. It is necessary for measuring the performance of local authorities particularly the education department. One performance measure modern enough that measurements can be done that The Balance Scorecard BSc. In the Balanced Scorecard is a management tool contemporare complete measure company performance not only of the financial perspective but also non-financial performance such as Customer Perspective Internal Business Processes and Learning and Growth. This approach is actually ideally suited for multinational companies because this approach requires very expensive but can be used to measure the profit performance of the company in addition to the combination of a long-term strategic and short-strategic. Balanced Scorecard it can also be done in measuring the performance of public sector services as well by modifying a few things so it can be used to measure the performance of the public sector including the Performance Measurement Minimum Service Standards for Basic Education.

  19. Balancing measures or a balanced accounting of improvement impact: a qualitative analysis of individual and focus group interviews with improvement experts in Scotland.

    Science.gov (United States)

    Toma, Madalina; Dreischulte, Tobias; Gray, Nicola M; Campbell, Diane; Guthrie, Bruce

    2017-10-21

    As quality improvement (QI) programmes have become progressively larger scale, the risks of implementation having unintended consequences are increasingly recognised. More routine use of balancing measures to monitor unintended consequences has been proposed to evaluate overall effectiveness, but in practice published improvement interventions hardly ever report identification or measurement of consequences other than intended goals of improvement. We conducted 15 semistructured interviews and two focus groups with 24 improvement experts to explore the current understanding of balancing measures in QI and inform a more balanced accounting of the overall impact of improvement interventions. Data were analysed iteratively using the framework approach. Participants described the consequences of improvement in terms of desirability/undesirability and the extent to which they were expected/unexpected when planning improvement. Four types of consequences were defined: expected desirable consequences ( goals ); expected undesirable consequences ( trade-offs ); unexpected undesirable consequences ( unpleasant surprises ); and unexpected desirable consequences ( pleasant surprises ). Unexpected consequences were considered important but rarely measured in existing programmes, and an improvement pause to take stock after implementation would allow these to be more actively identified and managed. A balanced accounting of all consequences of improvement interventions can facilitate staff engagement and reduce resistance to change, but has to be offset against the cost of additional data collection. Improvement measurement is usually focused on measuring intended goals , with minimal use of balancing measures which when used, typically monitor trade-offs expected before implementation. This paper proposes that improvers and leaders should seek a balanced accounting of all consequences of improvement across the life of an improvement programme, including deliberately pausing

  20. Wisdom, Bias, and Balance: Toward a Process-Sensitive Measurement of Wisdom-Related Cognition.

    Science.gov (United States)

    Brienza, Justin P; Kung, Franki Y H; Santos, Henri C; Bobocel, D Ramona; Grossmann, Igor

    2017-09-21

    Philosophers and behavioral scientists refer to wisdom as unbiased reasoning that guides one toward a balance of interests and promotes a good life. However, major instruments developed to test wisdom appear biased, and it is unclear whether they capture balance-related tendencies. We examined whether shifting from global, de-contextualized reports to state-level reports about concrete situations provides a less biased method to assess wise reasoning (e.g., intellectual humility, recognition of uncertainty and change, consideration of the broader context at hand and perspectives of others, integration of these perspectives or compromise), which may be aligned with the notion of balancing interests. Results of a large-scale psychometric investigation (N = 4,463) revealed that the novel Situated WIse Reasoning Scale (SWIS) is reliable and appears independent of psychological biases (attribution bias, bias blind spot, self-deception, and impression management), whereas global wisdom reports are subject to such biases. Moreover, SWIS scores were positively related to indices of living well (e.g., adaptive emotion regulation, mindfulness), and balancing of cooperative and self-protective interests, goals (influence-vs.-adjustment), and causal inferences about conflict (attribution to the self-vs.-other party). In contrast, global wisdom reports were unrelated or negatively related to balance-related measures. Notably, people showed modest within-person consistency in wise reasoning across situations or over time, suggesting that a single-shot measurement may be insufficient for whole understanding of trait-level wisdom. We discuss theoretical and practical implications for research on wisdom, judgment and decision making, well-being, and prosociality. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  1. Balance measured by the sway balance smart-device application does not discriminate between older persons with and without a fall history.

    Science.gov (United States)

    Vincenzo, Jennifer L; Glenn, Jordan M; Gray, Stephanie M; Gray, Michelle

    2016-08-01

    Clinical functional assessments of balance often lack specificity and sensitivity in discriminating and predicting falls among community-dwelling older adults. We determined the feasibility of using a smart-device application measuring balance to discriminate fall status among older adults. We also evaluated differences between smart-device balance measurements when secured with or without a harness. A cross-sectional study design to determine the ability of the Sway Balance smart-device application (SWAY) to discriminate older adults based on fall history. The Berg Balance Scale (BBS) and Activities-Specific Balance Confidence Scale (ABC) were used as comparative, clinically based assessments. Community-dwelling older adults with (n = 25) and without (n = 32) a history of fall(s) participated. Multivariate analysis of variance was used to determine differences among assessments based on fall history. Logistic regression models determined the ability of each assessment to discriminate fall history. Older adults with and without a history of falls were not significantly different on SWAY (P = 0.92) but were different on BBS (P = 0.01), and ABC (P fall history (P = 0.92), while BBS and ABC both discriminated fall history (P older adults studied, the BBS and ABC measures discriminated groups defined by fall history, while the SWAY smart-device balance application did not. Modifications to the application may improve the discriminating ability of the measure in the recognition of fall status in older adults.

  2. territorial previa a la toma de decisiones

    Directory of Open Access Journals (Sweden)

    Ángel Raúl Ruiz Pulpón

    2006-01-01

    Full Text Available La expansión de la agricultura de regadío ha ocasionado una signifi cativa confl ictividad ecológica, económica y social concerniente al uso del agua en la cuenca del Guadiana. Ante la ausencia, en estos últimos treinta años, de enfoques territoriales y sistémicos para la resolución de la problemática, se propone una metodología que permite la clasifi cación territorial de los municipios de la cuenca hidrográfi ca del Guadiana que presenten unas características similares de sus regadíos, con el objeto de plantear un modelo espacial previo a la toma de decisiones sobre la gestión de los recursos hídricos, agrarios y ambientales en Castilla-La Mancha, en consonancia con los preceptos estipulados por la Directiva Marco de Aguas y la Estrategia Territorial Europea

  3. TOMA DE DECISIONES EMPRESARIALES: UN ENFOQUE MULTICRITERIO MULTIEXPERTO

    Directory of Open Access Journals (Sweden)

    Eivis Salinas Gómez

    2007-05-01

    Full Text Available

     

    Para resolver los problemas empresariales de toma de decisiones se ha venido desarrollando un conjunto de herramientas matemáticas, que garantizan una toma de decisiones rápida y eficiente, proporcionando una ayuda para los empresarios actuales.Es por esto, que en el presente trabajo se muestra un procedimiento para la toma de decisiones multicriterio multiexperto, el cual permite facilitar el consenso, una toma de decisiones en menor tiempo, garantizando el incremento de la eficiencia, eficacia y competitividad empresarial.

  4. Decisiones sobre Crianza de los Hijos en Familias Reconstituidas

    Directory of Open Access Journals (Sweden)

    Karen Ripoll-Núñez

    2013-01-01

    Full Text Available Con el propósito de identificar las experiencias de padres y madres en familias reconstituidas sobre la toma de decisiones referentes a la crianza de los hijos, se entrevistó a nueve mujeres y tres hombres con segunda o tercera unión marital. El análisis de las temáticas identificadas indicó que padres y madres perciben mayor autonomía en decisiones relacionadas con la crianza de sus hijos. Sin embargo, los participantes coinciden en que su pareja actual se involucra en la crianza y participa en las decisiones sobre sus hijos. Se discuten los resultados con base en la literatura existente acerca de la toma de decisiones y la crianza en familias reconstituidas.

  5. Hourly mass and snow energy balance measurements from Mammoth Mountain, CA USA, 2011-2017

    Science.gov (United States)

    Bair, Edward H.; Davis, Robert E.; Dozier, Jeff

    2018-03-01

    The mass and energy balance of the snowpack govern its evolution. Direct measurement of these fluxes is essential for modeling the snowpack, yet there are few sites where all the relevant measurements are taken. Mammoth Mountain, CA USA, is home to the Cold Regions Research and Engineering Laboratory and University of California - Santa Barbara Energy Site (CUES), one of five energy balance monitoring sites in the western US. There is a ski patrol study site on Mammoth Mountain, called the Sesame Street Snow Study Plot, with automated snow and meteorological instruments where new snow is hand-weighed to measure its water content. There is also a site at Mammoth Pass with automated precipitation instruments. For this dataset, we present a clean and continuous hourly record of selected measurements from the three sites covering the 2011-2017 water years. Then, we model the snow mass balance at CUES and compare model runs to snow pillow measurements. The 2011-2017 period was marked by exceptional variability in precipitation, even for an area that has high year-to-year variability. The driest year on record, and one of the wettest years, occurred during this time period, making it ideal for studying climatic extremes. This dataset complements a previously published dataset from CUES containing a smaller subset of daily measurements. In addition to the hand-weighed SWE, novel measurements include hourly broadband snow albedo corrected for terrain and other measurement biases. This dataset is available with a digital object identifier: https://doi.org/10.21424/R4159Q" target="_blank">https://doi.org/10.21424/R4159Q.

  6. Feedback control of torsion balance in measurement of gravitational constant G with angular acceleration method.

    Science.gov (United States)

    Quan, Li-Di; Xue, Chao; Shao, Cheng-Gang; Yang, Shan-Qing; Tu, Liang-Cheng; Wang, Yong-Ji; Luo, Jun

    2014-01-01

    The performance of the feedback control system is of central importance in the measurement of the Newton's gravitational constant G with angular acceleration method. In this paper, a PID (Proportion-Integration-Differentiation) feedback loop is discussed in detail. Experimental results show that, with the feedback control activated, the twist angle of the torsion balance is limited to [Formula: see text] at the signal frequency of 2 mHz, which contributes a [Formula: see text] uncertainty to the G value.

  7. Relationship of the functional movement screen in-line lunge to power, speed, and balance measures.

    Science.gov (United States)

    Hartigan, Erin H; Lawrence, Michael; Bisson, Brian M; Torgerson, Erik; Knight, Ryan C

    2014-05-01

    The in-line lunge of the Functional Movement Screen (FMS) evaluates lateral stability, balance, and movement asymmetries. Athletes who score poorly on the in-line lunge should avoid activities requiring power or speed until scores are improved, yet relationships between the in-line lunge scores and other measures of balance, power, and speed are unknown. (1) Lunge scores will correlate with center of pressure (COP), maximum jump height (MJH), and 36.6-meter sprint time and (2) there will be no differences between limbs on lunge scores, MJH, or COP. Descriptive laboratory study. Level 3. Thirty-seven healthy, active participants completed the first 3 tasks of the FMS (eg, deep squat, hurdle step, in-line lunge), unilateral drop jumps, and 36.6-meter sprints. A 3-dimensional motion analysis system captured MJH. Force platforms measured COP excursion. A laser timing system measured 36.6-m sprint time. Statistical analyses were used to determine whether a relationship existed between lunge scores and COP, MJH, and 36.6-m speed (Spearman rho tests) and whether differences existed between limbs in lunge scores (Wilcoxon signed-rank test), MJH, and COP (paired t tests). Lunge scores were not significantly correlated with COP, MJH, or 36.6-m sprint time. Lunge scores, COP excursion, and MJH were not statistically different between limbs. Performance on the FMS in-line lunge was not related to balance, power, or speed. Healthy participants were symmetrical in lunging measures and MJH. Scores on the FMS in-line lunge should not be attributed to power, speed, or balance performance without further examination. However, assessing limb symmetry appears to be clinically relevant.

  8. Relationship of the Functional Movement Screen In-Line Lunge to Power, Speed, and Balance Measures

    Science.gov (United States)

    Hartigan, Erin H.; Lawrence, Michael; Bisson, Brian M.; Torgerson, Erik; Knight, Ryan C.

    2014-01-01

    Background: The in-line lunge of the Functional Movement Screen (FMS) evaluates lateral stability, balance, and movement asymmetries. Athletes who score poorly on the in-line lunge should avoid activities requiring power or speed until scores are improved, yet relationships between the in-line lunge scores and other measures of balance, power, and speed are unknown. Hypothesis: (1) Lunge scores will correlate with center of pressure (COP), maximum jump height (MJH), and 36.6-meter sprint time and (2) there will be no differences between limbs on lunge scores, MJH, or COP. Study Design: Descriptive laboratory study. Level of Evidence: Level 3. Methods: Thirty-seven healthy, active participants completed the first 3 tasks of the FMS (eg, deep squat, hurdle step, in-line lunge), unilateral drop jumps, and 36.6-meter sprints. A 3-dimensional motion analysis system captured MJH. Force platforms measured COP excursion. A laser timing system measured 36.6-m sprint time. Statistical analyses were used to determine whether a relationship existed between lunge scores and COP, MJH, and 36.6-m speed (Spearman rho tests) and whether differences existed between limbs in lunge scores (Wilcoxon signed-rank test), MJH, and COP (paired t tests). Results: Lunge scores were not significantly correlated with COP, MJH, or 36.6-m sprint time. Lunge scores, COP excursion, and MJH were not statistically different between limbs. Conclusion: Performance on the FMS in-line lunge was not related to balance, power, or speed. Healthy participants were symmetrical in lunging measures and MJH. Clinical Relevance: Scores on the FMS in-line lunge should not be attributed to power, speed, or balance performance without further examination. However, assessing limb symmetry appears to be clinically relevant. PMID:24790688

  9. Thermophoretic forces on DNA measured with a single-molecule spring balance

    DEFF Research Database (Denmark)

    Pedersen, Jonas Nyvold; Lüscher, Christopher James; Marie, Rodolphe

    2014-01-01

    of the thermophoretic force in a static configuration finds forces up to 130 fN. This is eleven times stronger than the force experienced by the same molecule in the same thermal gradient in bulk, where the molecule shields itself. Our stronger forces stretch the middle of the molecule up to 80% of its contour length......We stretch a single DNA molecule with thermophoretic forces and measure these forces with a spring balance: the DNA molecule itself. It is an entropic spring which we calibrate, using as a benchmark its Brownian motion in the nanochannel that contains and prestretches it. This direct measurement...

  10. The Global Energy Balance Archive (GEBA): A database for the worldwide measured surface energy fluxes

    Science.gov (United States)

    Wild, Martin; Ohmura, Atsumu; Schär, Christoph; Müller, Guido; Hakuba, Maria Z.; Mystakidis, Stefanos; Arsenovic, Pavle; Sanchez-Lorenzo, Arturo

    2017-02-01

    The Global Energy Balance Archive (GEBA) is a database for the worldwide measured energy fluxes at the Earth's surface. GEBA is maintained at ETH Zurich (Switzerland) and has been founded in the 1980s by Prof. Atsumu Ohmura. It has continuously been updated and currently contains around 2500 stations with 500`000 monthly mean entries of various surface energy balance components. Many of the records extend over several decades. The most widely measured quantity available in GEBA is the solar radiation incident at the Earth's surface ("global radiation"). The data sources include, in addition to the World Radiation Data Centre (WRDC) in St. Petersburg, data reports from National Weather Services, data from different research networks (BSRN, ARM, SURFRAD), data published in peer-reviewed publications and data obtained through personal communications. Different quality checks are applied to check for gross errors in the dataset. GEBA is used in various research applications, such as for the quantification of the global energy balance and its spatiotemporal variation, or for the estimation of long-term trends in the surface fluxes, which enabled the detection of multi-decadal variations in surface solar radiation, known as "global dimming" and "brightening". GEBA is further extensively used for the evaluation of climate models and satellite-derived surface flux products. On a more applied level, GEBA provides the basis for engineering applications in the context of solar power generation, water management, agricultural production and tourism. GEBA is publicly accessible over the internet via www.geba.ethz.ch.

  11. Laboratory-based measurement of standing balance in individuals with knee osteoarthritis: a systematic review.

    Science.gov (United States)

    Lawson, Tyler; Morrison, Adam; Blaxland, Stephen; Wenman, Matthew; Schmidt, Curtis G; Hunt, Michael A

    2015-05-01

    Laboratory-based measurement of standing balance is used to assess postural control in people with and without pathology, including knee osteoarthritis. However, no summary of available data has been reported in this patient population. This study aimed to summarize available data and testing methods for individuals with knee osteoarthritis. Medline (OvidSP and PubMed), Embase, CINAHL, and Web of Science were searched from 1994 to October 25, 2014 to identify studies containing a quantifiable measure of standing balance. Methodological quality was assessed using a modified 17-item Downs & Black quality index. Studies scoring COP) velocity, mediolateral COP velocity, mean COP velocity, anteroposterior range of COP, mediolateral range of COP, anteroposterior COP standard deviation, mediolateral COP standard deviation, COP path length, COP area, Biodex anteroposterior score, Biodex mediolateral score, and overall Biodex score. In general, people with knee osteoarthritis exhibited worse standing balance compared to healthy controls. However, there remained much discrepancy in testing procedures across studies. These findings indicate that people with knee osteoarthritis exhibit altered postural control. However, no conclusions could be made on the differences between radiographic severities. That said, these findings provide an opportunity for future researchers and clinicians to compare their findings with the currently published data. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. LA PREDECIBILIDAD DE LAS DECISIONES JUDICIALES

    Directory of Open Access Journals (Sweden)

    María Isabel Garrido Gómez

    2009-01-01

    Full Text Available El tema que estudio es la predecibilidad de las decisiones judiciales, ligada a los valores de la libertad, la seguridad y la igualdad. El punto de partida es el de que el principio jurisdiccional que guía la actividad de los jueces es ejercer la garantía de cierre del sistema mediante la corrección de los márgenes de desviación e ilegitimidad jurídicas en las que se hubiera podido incurrir. Desde esta perspectiva, me ocupo del marco en el que se ha de construir la teoría y la práctica de la predecibilidad de tales decisiones dentro de un Estado de Derecho, y del juego concatenado de los valores indicados. Para analizar el juego, me adentro en la cuestión de la motivación de las sentencias, la discrecionalidad judicial, los elementos y significados de la seguridad jurídica y los precedentes; profundizando en el tratamiento dado a la predecibilidad del Derecho por el realismo jurídico norteamericano, especialmente por Frank y Llewellyn. En general, se advierte que los cambios que sufre el modelo aplicativo del Derecho rompen con la concepción del estricto formalismo, creándose espacios relacionados con fines y estrategias no jurídicas. Por consiguiente, se comprende que tenía razón el realismo jurídico norteamericano a la hora de conceptuar el Derecho como realidad que sufre un cambio incesante, apoyado en la actividad judicial creativa. En este sentido, queda patente que no se produce sólo por el legislador, sino que también toma parte el juez. Su creación se reenvía a la interpretación de la norma aplicable y a que la norma particular en la que deriva la decisión no es efecto de la lógica.The issue addressed in this study is the predictability of judicial decisions, linked to the values of liberty, the feeling of security it affords people, and equality. The jurisdictional principal guiding judges is to exercise the guarantee of closure of the system by correcting the margins of legal deviation and illegitimacy that

  13. CUES – A Study Site for Measuring Snowpack Energy Balance in the Sierra Nevada

    Directory of Open Access Journals (Sweden)

    Edward H. Bair

    2015-09-01

    Full Text Available Accurate measurement and modeling of the snowpack energy balance are critical to understanding the terrestrial water cycle. Most of the water resources in the western US come from snowmelt, yet statistical runoff models that rely on the historical record are becoming less reliable because of a changing climate. For physically based snow melt models that do not depend on past conditions, ground based measurements of the energy balance components are imperative for verification. For this purpose, the US Army Corps of Engineers Cold Regions Research and Engineering Laboratory (CRREL and the University of California, Santa Barbara (UCSB established the CUES snow study site (CRREL/UCSB Energy Site, http://www.snow.ucsb.edu/ at 2940 m elevation on Mammoth Mountain, California. We describe CUES, provide an overview of research, share our experience with scientific measurements, and encourage future collaborative research. Snow measurements began near the current CUES site for ski area operations in 1969. In the 1970s, researchers began taking scientific measurements. Today, CUES benefits from year round gondola access and a fiber optic internet connection. Data loggers and computers automatically record and store over 100 measurements from more than 50 instruments each minute. CUES is one of only five high altitude mountain sites in the Western US where a full suite of energy balance components are measured. In addition to measuring snow on the ground at multiple locations, extensive radiometric and meteorological measurements are recorded. Some of the more novel measurements include scans by an automated terrestrial LiDAR, passive and active microwave imaging of snow stratigraphy, microscopic imaging of snow grains, snowflake imaging with a multi-angle camera, fluxes from upward and downward looking radiometers, snow water equivalent from different types of snow pillows, snowmelt from lysimeters, and concentration of impurities in the snowpack. We

  14. A Balanced Scorecard for Open Innovation: Measuring the Impact of Industry-University Collaboration

    Science.gov (United States)

    Flores, Myrna; Al-Ashaab, Ahmed; Magyar, Andrea

    The Balanced Scorecard (BSC) can be considered as a strategic measurement tool. Since its first publication by Norton and Kaplan in the early 1990’s, many companies have applied it to measure four key aspects of their organisations’ performance: Financial, Customer, Internal Business Process, Learning and Growth. Although it is widely used in the business arena, this original BSC was not developed to assess the impact of collaborative research projects under an open innovation strategy, where the outputs of research and development (R&D) developed by collaborative projects undertaken by industry and universities should be measured in a different way. In fact, many companies are losing important opportunities to spur their R&D results by not being able to quantify the results of such collaborations. Therefore, this paper will propose a Scorecard to measure the outcomes of collaborative research. It is important to recall that this scorecard has been developed during a collaborative research project by CEMEX Research Group AG (Switzerland) and Cranfield University (UK). During such project, a survey was developed to carry out eleven face-to-face interviews in a sample of ten companies in UK, which provided important inputs to design such strategic scorecard. It was confirmed that a collaborative balanced scorecard is a very useful tool to measure, track and improve the impact of conducting collaborative projects with universities.

  15. The Correlation between Dynamic Balance Measures and Stance Sub-phase COP Displacement Time in Older Adults during Obstacle Crossing.

    Science.gov (United States)

    Park, Seol; Ko, Yu-Min; Park, Ji-Won

    2013-09-01

    [Purpose] This study examined the relationship between the center of pressure (COP) displacement time during the stance subphases and dynamic balance ability when elderly cross obstacles 0, 10, and 40 cm in height. [Subjects] Fifteen older adults were enrolled in this study (≥65 years of age). [Methods] An F-Scan System was used to measure the COP displacement time when subjects crossed obstacles 0, 10, and 40 cm in height, and the Dynamic Gait Index, Berg Balance Scale, and Four Square Step Test were used to measure dynamic balance ability. [Results] The Dynamic Gait Index, Berg Balance Scale, and Four Square Step Test were correlated with each other. Dynamic balance tests were correlated with the COP displacement time during the stance phase. At obstacle heights of 10 and 40 cm during loading response and at all heights during pre-swing, there were correlations with dynamic balance ability. However, dynamic balance ability did not affect the COP displacement time during mid-stance and terminal stance. [Conclusion] People with a lower dynamic balance ability show a larger COP displacement time during loading response and pre-swing. Therefore, dynamic balance ability can be predicted by measuring the COP displacement time.

  16. Electrical measurement system in milling balance machine based on embedded optimization

    Science.gov (United States)

    Wang, Yijun; Mei, Yushan

    2015-12-01

    Electrical measurement system in milling balance machine currently consists of micro-controller and peripheral devices. The structure has the problems which include low integration, single signal processing algorithms and great measurement error. Therefore, electrical measurement system in milling balance machine based on embedded optimization is presented in the paper. Firstly, the device control electrical measuring system by ARM subsystem of OMAP dual-core architecture and DSP subsystem realizes digital signal processing and unbalance computing. Also, the low-pass filtering circuit is designed for solving frequency interference. Secondly, the system implement digital band-pass tracking filter based on harmonic wavelet packet. Thirdly, the system extracts any period of weak signal characteristics using the unlimited segmentation features harmonic for wavelet packet signal in the frequency domain. Simulation results show that the system effectively inhibits nearly frequency signal interference, improves signal to noise ratio, and reduces the initial imbalance signal characteristics. And test results improve that precision indexes and technical specifications could meet the design goals.

  17. THE IMPORTANCE OF THE ACCOUNTING INFORMATION FOR THE DECISIONAL PROCESS

    Directory of Open Access Journals (Sweden)

    Chiriac Silviu

    2014-07-01

    Full Text Available The contemporary evolution of accounting led to the elaboration of an information system which connects all the organizational structures of a company, in which the accounting information system is the basic component of the information system. It responds to information requirements of other departments as well as to external factors. This study is meant to show the importance that we have to give to accounting information, addressing it according to the sources where found and its areas of application. The following study reviews the main articles and books that have approached the study of the „accounting information” from a decisional view. Our research is a qualitative approach, by a theoretical point of view. A review of the local and foreign literature has been made. The starting point of this work relates to the fact that that the main source for the informational sistem is accountancy, without it the system could not exist. In the first part of this study, we have reviewed the actual level of knowledge about accountancy presented by a selection of authors that have studied this subject. After presenting the authors, we have reviewed the way in which the national and international regulators have referred to the subject. The informational needs of the internal users depend on a large scale on the size of the entity; as an example, the management of a smaller company will give a high level of importance for any accounting information, while a larger company’s informational needs are more diverse and are usually grouped according to the organization chart. Based on the accounting information, you cand realise a measurement system of economic performance. To exemplify the importance that the accounting information requires, we have presented the areas of use required. At the entity’s level we have graphically presented possibilities of capitalisation of the accounting information concluding that this represents the key to the

  18. Optimization of field homogeneity of Helmholtz-like coils for measuring the balance of planar gradiometers

    International Nuclear Information System (INIS)

    Nordahn, M.A.; Holst, T.; Shen, Y.Q.

    1999-01-01

    Measuring the balance of planar SQUID gradiometers using a relatively small Helmholtz-like coil system requires a careful design of the coils in order to have a high degree of field uniformity along the radial direction. The level to which planar gradiometers can be balanced will be affected by any misalignment of the gradiometer relative to the ideal central position. Therefore, the maximum degree of balancing possible is calculated numerically for the Helmholtz geometry under various perturbations, including misalignment of the gradiometer along the cylindrical and the radial axis, and angular tilting relative to the normal plane. Furthermore, if the ratio between the coil separation and coil radius is chosen to be less than unity, calculations show that the expected radial uniformity of the field can be improved considerably compared to the traditional Helmholtz geometry. The optimized coil geometry is compared to the Helmholtz geometry and is found to yield up to an order of magnitude improvement of the worst case error signal within a volume spanned by the uncertainty in the alignment. (author)

  19. Sensitivity of trunk variability and stability measures to balance impairments induced by galvanic vestibular stimulation during gait.

    NARCIS (Netherlands)

    van Schooten, K.S.; Sloot, L.H.; Bruijn, S.M.; Kingma, H; Meijer, O.G.; Pijnappels, M.A.G.M.; van Dieen, J.H.

    2011-01-01

    For targeted prevention of falls, it is necessary to identify individuals with balance impairments. To test the sensitivity of measures of variability, local stability and orbital stability of trunk kinematics to balance impairments during gait, we used galvanic vestibular stimulation (GVS) to

  20. The Global Energy Balance Archive (GEBA) version 2017: a database for worldwide measured surface energy fluxes

    Science.gov (United States)

    Wild, Martin; Ohmura, Atsumu; Schär, Christoph; Müller, Guido; Folini, Doris; Schwarz, Matthias; Zyta Hakuba, Maria; Sanchez-Lorenzo, Arturo

    2017-08-01

    The Global Energy Balance Archive (GEBA) is a database for the central storage of the worldwide measured energy fluxes at the Earth's surface, maintained at ETH Zurich (Switzerland). This paper documents the status of the GEBA version 2017 dataset, presents the new web interface and user access, and reviews the scientific impact that GEBA data had in various applications. GEBA has continuously been expanded and updated and contains in its 2017 version around 500 000 monthly mean entries of various surface energy balance components measured at 2500 locations. The database contains observations from 15 surface energy flux components, with the most widely measured quantity available in GEBA being the shortwave radiation incident at the Earth's surface (global radiation). Many of the historic records extend over several decades. GEBA contains monthly data from a variety of sources, namely from the World Radiation Data Centre (WRDC) in St. Petersburg, from national weather services, from different research networks (BSRN, ARM, SURFRAD), from peer-reviewed publications, project and data reports, and from personal communications. Quality checks are applied to test for gross errors in the dataset. GEBA has played a key role in various research applications, such as in the quantification of the global energy balance, in the discussion of the anomalous atmospheric shortwave absorption, and in the detection of multi-decadal variations in global radiation, known as global dimming and brightening. GEBA is further extensively used for the evaluation of climate models and satellite-derived surface flux products. On a more applied level, GEBA provides the basis for engineering applications in the context of solar power generation, water management, agricultural production and tourism. GEBA is publicly accessible through the internet via http://www.geba.ethz.ch. Supplementary data are available at https://doi.org/10.1594/PANGAEA.873078.

  1. Automating data acquisition for the Cavendish balance to improve the measurement of G

    Science.gov (United States)

    Fitch, Noah; Bliven, Wesley; Mitchell, Tyler

    2007-04-01

    The Leybold-Heraeus gravitational torsion balance is commonly used in undergraduate laboratories to measure the gravitational attraction between known masses to find the gravitational constant G. Because the difficult task of data acquisition reduces its usefulness, we have implemented a simple design that minimizes this task and achieves more accurate results. This design features a small car that tracks the oscillating laser with the use of a stepper motor and some simple control circuitry. Step counting yields the location of the reflected laser in time.

  2. [Balanced scorecard for performance measurement of a nursing organization in a Korean hospital].

    Science.gov (United States)

    Hong, Yoonmi; Hwang, Kyung Ja; Kim, Mi Ja; Park, Chang Gi

    2008-02-01

    The purpose of this study was to develop a balanced scorecard (BSC) for performance measurement of a Korean hospital nursing organization and to evaluate the validity and reliability of performance measurement indicators. Two hundred fifty-nine nurses in a Korean hospital participated in a survey questionnaire that included 29-item performance evaluation indicators developed by investigators of this study based on the Kaplan and Norton's BSC (1992). Cronbach's alpha was used to test the reliability of the BSC. Exploratory and confirmatory factor analysis with a structure equation model (SEM) was applied to assess the construct validity of the BSC. Cronbach's alpha of 29 items was .948. Factor analysis of the BSC showed 5 principal components (eigen value >1.0) which explained 62.7% of the total variance, and it included a new one, community service. The SEM analysis results showed that 5 components were significant for the hospital BSC tool. High degree of reliability and validity of this BSC suggests that it may be used for performance measurements of a Korean hospital nursing organization. Future studies may consider including a balanced number of nurse managers and staff nurses in the study. Further data analysis on the relationships among factors is recommended.

  3. Emotional vulnerability and coping styles for resolving decisional conflict.

    Science.gov (United States)

    Umeh, Kanayo; Omari-Asor, Lorraine

    2011-01-01

    This investigation supplements the study by D. Bouckenooghe, K. Vanderheyden, S. Mestdagh, and S. van Laethem (2007) on the role of cognitive dispositions in coping patterns for resolving decisional conflict. Literature suggests emotional vulnerabilities may significantly affect decision making. Thus, the present authors assessed the role of trait anxiety and depression in decision coping styles as specified by I. L. Janis and L. Mann's (1977) conflict-theory model. The participants--100 young adults--completed the Taylor Manifest Anxiety Scale (J. A. Taylor, 1953), Beck's Depression Inventory (A. T. Beck, R. A. Steer, & G. M. Garbin, 1988), and the Melbourne Decision-Making Questionnaire (L. Mann et al., 1998), which measures 4 coping strategies: vigilance, buck-passing, procrastination, and hypervigilance. Hierarchical multiple regression analysis, controlling for demographic and lifestyle factors, revealed trait anxiety and depression as significant predictors of procrastination and hypervigilance. Depression failed to predict buck-passing but functioned as an important moderator variable whereby trait anxiety better predicted hypervigilance in nondepressed participants. Consistent with past research, emotional dispositions failed to predict vigilance. Overall, these findings implicate emotional vulnerabilities in the quality of decision making but raise important questions about their unique and conditional effects.

  4. Decisional conflict among women considering antidepressant medication use in pregnancy.

    Science.gov (United States)

    Walton, Georgia D; Ross, Lori E; Stewart, Donna E; Grigoriadis, Sophie; Dennis, Cindy-Lee; Vigod, Simone

    2014-12-01

    The purpose of this study was to examine decision-making among women considering antidepressant medication use in pregnancy. Decisional conflict was assessed using the Decisional Conflict Scale (DCS) among pregnant women considering antidepressant medication treatment (N = 40). Overall DCS and subscale scores were compared between women who were antidepressant users and non-users. Semi-structured interviews (N = 10) explored barriers and facilitators of decision-making. Twenty-one women (52 %) had moderate or high decisional conflict (DCS ≥ 25). Overall DCS scores did not differ between groups, but antidepressant use was associated with feeling more adequately informed (subscale mean 17.5, SD 17.9 vs. 42.1, SD 23.8, p = 0.001) and clear about values (subscale mean 16.7, SD 15.1 vs. 29.8, SD 24.0, p = 0.043). Barriers to decision-making were (1) difficulty weighing maternal versus infant health, (2) lack of high quality information, (3) negative external influences, and (4) emotional reactions to decision-making. Facilitators were (1) interpersonal supports, (2) accessible subspecialty care, and (3) severe depressive symptoms. Many pregnant women facing decisions regarding antidepressant medication use experience decisional conflict. Interventions that provide accurate information, assistance with weighing risks and benefits of treatment, management of problematic external influences, and emotional support may reduce decisional conflict and facilitate the decision-making process.

  5. Formative versus reflective measurement: an illustration using work-family balance.

    Science.gov (United States)

    Ellwart, Thomas; Konradt, Udo

    2011-01-01

    The aim of this article is to propose the formative measurement approach that can be used in various constructs of applied psychology. To illustrate this approach, the authors will (a) discuss the distinction between commonly used principal-factor (reflective) measures in comparison to the composite (formative) latent variable model, which is often applied in other disciplines such as marketing or engineering, and (b) point out the advantages and limitations of formative specifications using the example of the work-family balance (WFB) construct. Data collected from 2 large cross-sectional field studies confirm the reliability and validity of formative WFB measures as well as its predictive value regarding criteria of WFB (i.e., job satisfaction, family satisfaction, and life satisfaction). Last, the specific informational value of each formative indicator will be demonstrated and discussed in terms of practical implications for the assessment in different psychological fields.

  6. Clinical balance assessment: perceptions of commonly-used standardized measures and current practices among physiotherapists in Ontario, Canada.

    Science.gov (United States)

    Sibley, Kathryn M; Straus, Sharon E; Inness, Elizabeth L; Salbach, Nancy M; Jaglal, Susan B

    2013-03-20

    Balance impairment is common in multiple clinical populations, and comprehensive assessment is important for identifying impairments, planning individualized treatment programs, and evaluating change over time. However, little information is available regarding whether clinicians who treat balance are satisfied with existing assessment tools. In 2010 we conducted a cross-sectional survey of balance assessment practices among physiotherapists in Ontario, Canada, and reported on the use of standardized balance measures (Sibley et al. 2011 Physical Therapy; 91: 1583-91). The purpose of this study was to analyse additional survey data and i) evaluate satisfaction with current balance assessment practices and standardized measures among physiotherapists who treat adult or geriatric populations with balance impairment, and ii) identify factors associated with satisfaction. The questionnaire was distributed to 1000 practicing physiotherapists. This analysis focuses on questions in which respondents were asked to rate their general perceptions about balance assessment, the perceived utility of individual standardized balance measures, whether they wanted to improve balance assessment practices, and why. Data were summarized with descriptive statistics and utility of individual measures was compared across clinical practice areas (orthopaedic, neurological, geriatric or general rehabilitation). The questionnaire was completed by 369 respondents, of which 43.4% of respondents agreed that existing standardized measures of balance meet their needs. In ratings of individual measures, the Single Leg Stance test and Berg Balance Scale were perceived as useful for clinical decision-making and evaluating change over time by over 70% of respondents, and the Timed Up-and-Go test was perceived as useful for decision-making by 56.9% of respondents and useful for evaluating change over time by 62.9% of respondents, but there were significant differences across practice groups. Seventy

  7. Balancing autonomy and protection: A qualitative analysis of court hearings dealing with protective measures.

    Science.gov (United States)

    Fallon-Kund, Marie; Coenen, Michaela; Bickenbach, Jerome E

    Respect for individual autonomy is at the core of the Convention on the Rights of Persons with Disabilities (CRPD). However, the need to protect persons with disabilities, especially those with cognitive impairments and psychosocial conditions, from outright exploitation, violence and abuse is explicitly provided for in article 16. Legal authorities still decide on a daily basis upon the institution of measures, which aim to protect vulnerable persons and unavoidably impact on the autonomy of persons concerned, known as guardianship, curatorship or administration. Observations of court hearings, interviews with judges and analysis of written materials from the cantons of Geneva and Vaud in Switzerland as well as from Belgium - which all have differently composed authorities - were carried out in order to identify what influences authorities in decision-making processes regarding protective measures, and to explore how autonomy and protection can be balanced. We suggest pragmatic considerations that should not be ignored when trying to reach a balance between autonomy and protection from abuse, in line with the CRPD. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Strategic Performance Measurement Using Balanced Scorecard: A Case of Machine Tool Industry

    Directory of Open Access Journals (Sweden)

    Kshatriya Anil

    2017-02-01

    Full Text Available This paper focuses on implementation, monitoring, and application of balanced scorecard (BSC techniques in an organization involved in providing machine tool solutions to the industrial sector. The growth of the company considered in real time constituted improvements of both top and bottom lines. In the industry under consideration, it was observed that in our company, the top line was steadily growing but not the bottom line. This is when we started getting down to brass tacks and strategically focusing on growth in overall profits of the company. This included growing revenues by improving of EBITDA (earnings before interests, taxes, depreciation, and amortization and by increasing efficiency (i.e., cutting costs. These improvements were implemented by chalking out a comprehensive BSC designed to suit the machine tool industry. The four perspectives of the management, namely, internal business process, organizational learning, financial perspective, and customer perspective, have been considered lucidly and enunciate the parameters that affect the BSC very aptly. The BSC designed considered 9 objectives and 27 relative measures of these factors to quantify the various quantitative and qualitative dimensions that affect the company’s performance. A Balanced Lean Index (BL Score was used to measure the results for company X.

  9. Apparatus for accurate density measurements of fluids based on a magnetic suspension balance

    Science.gov (United States)

    Gong, Maoqiong; Li, Huiya; Guo, Hao; Dong, Xueqiang; Wu, J. F.

    2012-06-01

    A new apparatus for accurate pressure, density and temperature (p, ρ, T) measurements over wide ranges of (p, ρ, T) (90 K to 290 K; 0 MPa to 3 MPa; 0 kg/m3 to 2000 kg/m3) is described. This apparatus is based on a magnetic suspension balance which applies the Archimedes' buoyancy principle. In order to verify the new apparatus, comprehensive (p, ρ, T) measurements on pure nitrogen were carried out. The maximum relative standard uncertainty is 0.09% in density. The maximum standard uncertainty in temperature is 5 mK, and that in pressure is 250 Pa for 1.5 MPa and 390 Pa for 3MPa full scale range respectively. The experimental data were compared with selected literature data and good agreements were found.

  10. Identifying measures to balance the risk profile of the Tihange 2 NPP

    International Nuclear Information System (INIS)

    D'Eer, A.M.; Monniez, J.J.

    2001-01-01

    In Belgium, each Nuclear Power Plant is subject to a periodic safety reassessment. In this context, it was found to be desirable to perform a Probabilistic Safety Assessment (PSA) in support of the ten yearly back-fitting process. The Tihange 2 NPP is a 3-loop PWR having a thermal capacity of 2905 MW. Analysis of the plant's risk profile shows that implementing feasible measures for improvement of the shutdown risk, would be beneficial. This is because a configuration leading to significant risk, namely cold pressurization when the residual heat removal system is lost during reduced primary inventory, thus can be avoided. As a result the risk between reactor shutdown and power operation will be balanced. The presentation describes the lessons learnt regarding the Tihange 2 shutdown PSA model and the expected benefits following implementation of one of the proposed measures. (author)

  11. Influencia de las emociones en la toma de decisiones organizacionales

    OpenAIRE

    Albán Yánez, Paola Margarita

    2013-01-01

    En el ámbito organizacional, específicamente en el proceso de toma de decisiones, se conjuga lo racional con lo emocional, es decir que se aprovecha los diferentes modelos racionales para tomar una decisión pero se incluyen a las emociones y los instintos como procesos fisiológicos que se encuentran presentes ante la decisión; concluyendo que las decisiones tomadas emocionalmente dan mayor seguridad y mejores resultados. En este trabajo se expone a las emociones como parte d...

  12. Decisiones sobre Crianza de los Hijos en Familias Reconstituidas

    OpenAIRE

    Karen Ripoll-Núñez; Karen Martínez Arrieta; Ángela María Giraldo Gallo

    2013-01-01

    Con el propósito de identificar las experiencias de padres y madres en familias reconstituidas sobre la toma de decisiones referentes a la crianza de los hijos, se entrevistó a nueve mujeres y tres hombres con segunda o tercera unión marital. El análisis de las temáticas identificadas indicó que padres y madres perciben mayor autonomía en decisiones relacionadas con la crianza de sus hijos. Sin embargo, los participantes coinciden en que su pareja actual se involucra en la crianza y participa...

  13. Decisiones de inversión de los caficultores colombianos

    OpenAIRE

    Acevedo Sánchez, Yuliana

    2015-01-01

    Resumen: En esta investigación se realizan experimentos de campo contextualizado para analizar el efecto de la disponibilidad de dinero y los retardos en la toma de decisiones de inversión de pequeños caficultores colombianos. En el experimento, los sujetos desempeñan el papel de un productor de café cuyo objetivo es maximizar las utilidades. El experimento es individual y solo tienen que decidir cuánto invertir en nuevas plantaciones de café en función del efectivo disponible. Las decisiones...

  14. Geodetic mass balance measurements on debris and clean-ice tropical glaciers in Ecuador

    Science.gov (United States)

    La Frenierre, J.; Decker, C. R.; Jordan, E.; Wigmore, O.; Hodge, B. E.; Niederriter, C.; Michels, A.

    2017-12-01

    Glaciers are recognized as highly sensitive indicators of climate change in high altitude, low latitude environments. In the tropical Andes, various analyses of glacier surface area change have helped illuminate the manifestation of climate change in this region, however, information about actual glacier mass balance behavior is much more limited given the relatively small glaciers, difficult access, poor weather, and/or limited local resources common here. Several new technologies, including aerial and terrestrial LIDAR and structure-from-motion photogrammetry using small unmanned aerial vehicles (UAVs), make mass balance measurements using geodetic approaches increasingly feasible in remote mountain locations, which can both further our understanding of changing climatic conditions, and improve our ability to evaluate the downstream hydrologic impacts of ice loss. At Volcán Chimborazo, Ecuador, these new technologies, combined with a unique, 5-meter resolution digital elevation model derived from 1997 aerial imagery, make possible an analysis of the magnitude and spatial patterns of mass balance behavior over the past two decades. Here, we evaluate ice loss between 1997 and 2017 at the tongues of two adjacent glaciers, one debris-covered and detached from its accumulation area (Reschreiter Glacier), and one debris-free and intact (Hans Meyer Glacier). Additionally, we incorporate data from 2012 and 2013 terrestrial LIDAR surveys to evaluate the behavior of the Reschreiter at a finer temporal resolution. We find that on the Hans Meyer, the mean surface deflation rate since 1997 at the present-day tongue has been nearly 3 m yr-1, while on the lower-elevation Reschreiter, the mean deflation rate has been approximately 1 m yr-1. However, the processes by which debris-covered ice becomes exposed results in highly heterogeneous patterns of ice loss, with some areas experiencing surface deflation rates approaching 15 m yr-1 when energy absorption is unimpeded.

  15. Between-day reliability of centre of pressure measures for balance assessment in hemiplegic stroke patients.

    Science.gov (United States)

    Gasq, David; Labrunée, Marc; Amarantini, David; Dupui, Philippe; Montoya, Richard; Marque, Philippe

    2014-03-21

    Stroke patients have impaired postural balance that increases the risk of falls and impairs their mobility. Assessment of postural balance is commonly carried out by recording centre of pressure (CoP) displacements, but the lack of data concerning reliability of these measures compromises their interpretation. The purpose of this study was to investigate the between-day reliability of six CoP-based variables, in order to provide i) reliability data for monitoring postural sway and weight-bearing asymmetry of stroke patients in clinical practice and ii) consistent assessment method of measurement error for applications in physical medicine and rehabilitation. Postural balance of 20 stroke patients was assessed in quiet standing on a force platform, in two sessions, 7 days apart. Six CoP-based variables were collected in eyes open and eyes closed conditions: postural sway was assessed with mean and standart deviation of CoP-velocity, CoP-velocity along the mediolateral and anteroposterior axes, and confidence ellipse area (CE(AREA)); weight-bearing asymmetry was assessed with mean CoP position along the mediolateral axis (CoP(ML)). The intraclass correlation coefficient (ICC) was used to determine the level of agreement between test-retest. Small real difference (SRD), corresponding to the smallest change that indicates a real improvement for a single individual, was used to determine the extent of measurement error. ICCs were satisfactory (>0.9) for all CoP-based variables, except for CE(AREA) in eyes open condition and CoP(ML) (CoP-velocity; 3.6/5.5 mm.s(-1) and 4.9/7.3 mm.s(-1) for CoP-velocity in mediolateral and anteroposterior axes, respectively; 17.4/21.4 mm for CoP(ML). Because CE(AREA) showed heteroscedasticity of measurement error distribution, SRD (eyes open/closed conditions) was expressed as a percentage (121/75%) and a ratio (3.68/2.16) obtained after log-antilog procedure. In clinical practice, the CoP-based velocity variables should be prefer to CE

  16. On-farm estimation of energy balance in dairy cows using only frequent body weight measurements and body condition score

    DEFF Research Database (Denmark)

    Thorup, Vivi Mørkøre; Edwards, David; Friggens, N C

    2012-01-01

    , the FEC profile did not suggest any systematic bias in EBalbody with stage of lactation. Moreover we successfully modeled EBalbody differences between breeds, parities and diets. For the farmer, the ability to predict energy balance for individual cows on-farm without having to measure feed intake would......Precise energy balance estimates for individual cows are of great importance to health, reproduction and feed management. Energy balance is usually calculated as energy input minus output (EBalinout), requiring measurements of feed intake and energy output sources (milk, maintenance, activity......, growth and pregnancy). Except milk yield, direct measurements of these are difficult to obtain in practice, and estimates involve considerable error sources, so limiting on-farm use. Alternatively, energy balance can be estimated from body reserve changes (EBalbody) using body weight (BW) and body...

  17. Measuring practical knowledge about balanced meals: development and validation of the brief PKB-7 scale.

    Science.gov (United States)

    Mötteli, S; Barbey, J; Keller, C; Bucher, T; Siegrist, M

    2016-04-01

    As a high-quality diet is associated with a lower risk for several diseases and all-cause mortality, current nutrition education tools provide people with information regarding how to build a healthy and a balanced meal. To assess this basic nutrition knowledge, the research aim was to develop and validate a brief scale to measure the Practical Knowledge about Balanced meals (PKB-7). A pool of 25 items was pretested with experts and laypeople before being tested on a random sample in Switzerland (n=517). For item selection, a Rasch model analysis was applied. The validity and reliability of the new scale were assessed by three additional studies including laypeople (n=597; n=145) and nutrition experts (n=59). The final scale consists of seven multiple-choice items, which met the assumptions of the Rasch model. The validity of the new scale was shown by several aspects: the Rasch model was replicated in a second study, and nutrition experts achieved significantly higher scores than laypeople (t(148)=20.27, Pbalanced meals based on current dietary guidelines. This brief and easy-to-use scale is intended for application in both research and practice.

  18. Should One Measure Balance or Gait to Best Predict Falls among People with Parkinson Disease?

    Directory of Open Access Journals (Sweden)

    Ryan P. Duncan

    2012-01-01

    Full Text Available Introduction. We aimed to determine whether gait velocity is as useful as a balance test, a self-report measure of freezing of gait (FOG, and/or a measure of motor symptom severity for predicting falls among people with Parkinson Disease (PD. Methods. Fifty-six individuals with idiopathic PD completed a baseline assessment consisting of these measures: (1 MDS-UPDRS III, (2 Mini-BESTest, (3 gait velocity (forward, backward, dual task, and fast, and (4 FOGQ. Retrospective fall history was collected at baseline and six months later. Participants were considered fallers if they had two or more falls in the surveillance period. Ability of the tests to discriminate between fallers and nonfallers was determined using ROC curves followed by pairwise statistical noninferiority comparisons (P=.05 of the area under the ROC curve (AUC for each test. Results. At six months, 22% (n=21 of the sample were fallers. Fallers differed significantly from nonfallers on the MDS-UPDRS III, Mini-BESTest, backward gait velocity, and FOGQ. The Mini-BESTest had the highest AUC and was superior to all gait velocity measures at identifying fallers. Conclusion. A single measure of gait velocity, even in a challenging condition, may not be as effective as the Mini-BESTest in identifying fallers among people with PD.

  19. Non-radiographic methods of measuring global sagittal balance: a systematic review.

    Science.gov (United States)

    Cohen, Larry; Kobayashi, Sarah; Simic, Milena; Dennis, Sarah; Refshauge, Kathryn; Pappas, Evangelos

    2017-01-01

    Global sagittal balance, describing the vertical alignment of the spine, is an important factor in the non-operative and operative management of back pain. However, the typical gold standard method of assessment, radiography, requires exposure to radiation and increased cost, making it unsuitable for repeated use. Non-radiologic methods of assessment are available, but their reliability and validity in the current literature have not been systematically assessed. Therefore, the aim of this systematic review was to synthesise and evaluate the reliability and validity of non-radiographic methods of assessing global sagittal balance. Five electronic databases were searched and methodology evaluated by two independent reviewers using the13-item, reliability and validity, Brink and Louw critical appraisal tool. Fourteen articles describing six methodologies were identified from 3940 records. The six non-radiographic methodologies were biophotogrammetry, plumbline, surface topography, infra-red motion analysis, spinal mouse and ultrasound. Construct validity was evaluated for surface topography ( R  = 0.49 and R  = 0.68, p  infra-red motion-analysis (ICC = 0.81) and plumbline testing (ICC = 0.83). Reliability ranged from moderate (ICC = 0.67) for spinal mouse to very high for surface topography (Cronbach α = 0.985). Measures of agreement ranged from 0.9 mm (plumbline) to 22.94 mm (infra-red motion-analysis). Variability in study populations, reporting parameters and statistics prevented a meta-analysis. The reliability and validity of the non-radiographic methods of measuring global sagittal balance was reported within 14 identified articles. Based on this limited evidence, non-radiographic methods appear to have moderate to very high reliability and limited to three methodologies, moderate to high validity. The overall quality and methodological approaches of the included articles were highly variable. Further research should focus on the

  20. A personality measure of Erikson's life stages: the Inventory of Psychosocial Balance.

    Science.gov (United States)

    Domino, G; Affonso, D D

    1990-01-01

    The development and initial validation of the Inventory of Psychosocial Balance (IPB), designed to assess all eight Eriksonian psychosocial stages, is described. A pool of 208 items that survived a clinical analysis was administered to 528 subjects and then factor analyzed. The resulting eight factors parallel the eight stages and account for 72.34% of the total variance. Subsequent administrations of the IPB to various samples indicate adequate internal consistency and high test-retest reliability; significant correlations with the California Psychological Inventory (CPI) Social Maturity Index; consistent Q-sort portraits of high-scoring and low-scoring women; negligible correlations with test taking response styles, intelligence, and measures of psychopathology; and moderate developmental trends.

  1. Performance measurement of administration services using balance scorecard and Kano model

    Directory of Open Access Journals (Sweden)

    Abolfazl Danaei

    2014-04-01

    Full Text Available This paper performs a survey to measure the performance of an administration unit in Iran based on a popular technique of balance scorecard. The study also uses Kano model to prioritize various factors and to provide necessary recommendation to improve the performance of different units. The survey has indicated that while these offices do well in terms of financial figures as well as customer perspective, they perform poorly in terms of learning and growth. According to our survey, it is essential to use information technology in general service offices, properly. In addition, these administrative agencies need to use hardware and software packages, more efficiently and these two basic items have received much attraction.

  2. Using a nursing balanced scorecard approach to measure and optimize nursing performance.

    Science.gov (United States)

    Jeffs, Lianne; Merkley, Jane; Richardson, Sandy; Eli, Jackie; McAllister, Mary

    2011-04-01

    The authors give an overview of one healthcare organization's experience in developing a nursing strategic plan and nursing balanced scorecard (NBS) using a focused planning process involving strategy mapping. The NBS is being used at this organization to manage the nursing strategic plan by leveraging and improving nursing processes and organizational capabilities as required, based on data and transparent communication of performance results to key stakeholders. Key strategies and insights may help other nurse leaders in developing or refining strategic approaches to measuring nursing performance. Vital to the success of an organization's strategic plan are ongoing endorsement, engagement and visibility of senior leaders. Quality of decisions made depends on the organization's ability to collect data from multiple sources using standardized definitions, mine data and extract them for statistical analysis and effectively present them in a compelling and understandable way to users and decision-makers.

  3. Intra-rater reliability of hallux flexor strength measures using the Nintendo Wii Balance Board.

    Science.gov (United States)

    Quek, June; Treleaven, Julia; Brauer, Sandra G; O'Leary, Shaun; Clark, Ross A

    2015-01-01

    The purpose of this study was to investigate the intra-rater reliability of a new method in combination with the Nintendo Wii Balance Board (NWBB) to measure the strength of hallux flexor muscle. Thirty healthy individuals (age: 34.9 ± 12.9 years, height: 170.4 ± 10.5 cm, weight: 69.3 ± 15.3 kg, female = 15) participated. Repeated testing was completed within 7 days. Participants performed strength testing in sitting using a wooden platform in combination with the NWBB. This new method was set up to selectively recruit an intrinsic muscle of the foot, specifically the flexor hallucis brevis muscle. Statistical analysis was performed using intra-class coefficients and ordinary least product analysis. To estimate measurement error, standard error of measurement (SEM), minimal detectable change (MDC) and percentage error were calculated. Results indicate excellent intra-rater reliability (ICC = 0.982, CI = 0.96-0.99) with an absence of systematic bias. SEM, MDC and percentage error value were 0.5, 1.4 and 12 % respectively. This study demonstrates that a new method in combination with the NWBB application is reliable to measure hallux flexor strength and has potential to be used for future research and clinical application.

  4. Formulating A Performance Measurement System using Balanced Score Card in Islamic Philanthropy Institutions

    Directory of Open Access Journals (Sweden)

    Sani A’ieshah Abdullah

    2017-01-01

    Full Text Available The introduction of Balanced Score Card (BSC as one of the management accounting tool to measure the performance of companies in both aspect of financial and non-financial position has been predominantly used since 1992 and had resulted positive energies for the profit making companies. Hence, the extension of the BSC is also required to help the social business organisation in delivering their multiple bottom lines in the most effective ways and provide organisations a mechanism to track their performance holistically through both quantitative and qualitative information. The growing of Islamic Philanthropy Institutions (IPI especially in Malaysia with the objective to promote social development based on the charitable activities has been acknowledged by the society. Therefore, in order to ensure the sustainability of these institutions, a proper measurement system is required to ensure the final goal of the institutions is achievable and successful. Thus, the objective of this paper is to formulate the main indicators and variables that are suitable to measure the IPIs based on BSC system in four main perspectives which are financial perspective, stakeholder’s perspective, internal process perspective and learning and growth perspective. The uniqueness of the establishment of IPIs would require different indicators and variables which are more appropriate as compared with the profit sector organisations. The outcome of this study could provide clear picture and guidelines in designing a proper performance measurement system to be implemented by current IPIs in Malaysia in order to maintain the sustainability and competitiveness of this institutions in future.

  5. Consumer control in service recovery: beyond decisional control

    NARCIS (Netherlands)

    Joosten, H.W.M.; Bloemer, J.M.M.; Hillebrand, B.

    2017-01-01

    PURPOSE - Focusing on decisional control of the outcome provides only a partial picture of how firms may handle customer complaints and ignores many (alternative) opportunities to recover the relationship with the customer when service delivery fails. The purpose of this paper is to introduce other

  6. Natural Ca Isotope Composition of Urine as a Rapid Measure of Bone Mineral Balance

    Science.gov (United States)

    Skulan, J.; Gordon, G. W.; Morgan, J.; Romaniello, S. J.; Smith, S. M.; Anbar, A. D.

    2011-12-01

    Naturally occurring stable Ca isotope variations in urine are emerging as a powerful tool to detect changes in bone mineral balance. Bone formation depletes soft tissue of light Ca isotopes while bone resorption releases isotopically light Ca into soft tissue. Previously published work found that variations in Ca isotope composition could be detected at 4 weeks of bed rest in a 90-day bed rest study (data collected at 4, 8 and 12 weeks). A new 30-day bed rest study involved 12 patients on a controlled diet, monitored for 7 days prior to bed rest and 7 days post bed rest. Samples of urine, blood and food were collected throughout the study. Four times daily blood samples and per void urine samples were collected to monitor diurnal or high frequency variations. An improved chemical purification protocol, followed by measurement using multiple collector inductively coupled plasma mass spectrometry (MC-ICP-MS) allowed accurate and precise determinations of mass-dependent Ca isotope variations in these biological samples to better than ±0.2% (δ44/42Ca) on biomarker. Bone-specific alkaline phosphatase, a bone formation biomarker, is unchanged over this period. Ca isotopes can in principle be used to quantify net changes in bone mass. Using a mass-balance model, our results indicate an average loss of 0.62 ± 0.16 % in bone mass over the course of this 30-day study. This is consistent with the rate of bone loss in longer-term studies as seen by X-ray measurements. This Ca isotope technique should accelerate the pace of discovery of new treatments for bone disease and provide novel insights into the dynamics of bone metabolism.

  7. Validating and calibrating the Nintendo Wii balance board to derive reliable center of pressure measures.

    Science.gov (United States)

    Leach, Julia M; Mancini, Martina; Peterka, Robert J; Hayes, Tamara L; Horak, Fay B

    2014-09-29

    The Nintendo Wii balance board (WBB) has generated significant interest in its application as a postural control measurement device in both the clinical and (basic, clinical, and rehabilitation) research domains. Although the WBB has been proposed as an alternative to the "gold standard" laboratory-grade force plate, additional research is necessary before the WBB can be considered a valid and reliable center of pressure (CoP) measurement device. In this study, we used the WBB and a laboratory-grade AMTI force plate (AFP) to simultaneously measure the CoP displacement of a controlled dynamic load, which has not been done before. A one-dimensional inverted pendulum was displaced at several different displacement angles and load heights to simulate a variety of postural sway amplitudes and frequencies (CoP measurement error, with an increase in error as both sway amplitude and frequency increased and a significantly greater error in the mediolateral (ML) (compared to the anteroposterior (AP)) sway direction. There was no difference in error across the 12 WBB's, supporting low inter-device variability. A linear calibration procedure was then implemented to correct the WBB's CoP signals and reduce measurement error. There was a significant effect of calibration on the WBB's CoP signal accuracy, with a significant reduction in CoP measurement error (quantified by root-mean-squared error) from 2-6 mm (before calibration) to 0.5-2 mm (after calibration). WBB-based CoP signal calibration also significantly reduced the percent error in derived (time-domain) CoP sway measures, from -10.5% (before calibration) to -0.05% (after calibration) (percent errors averaged across all sway measures and in both sway directions). In this study, we characterized the WBB's CoP measurement error under controlled, dynamic conditions and implemented a linear calibration procedure for WBB CoP signals that is recommended to reduce CoP measurement error and provide more reliable estimates of

  8. Functional measures show improvements after a home exercise program following supervised balance training in older adults with elevated fall risk.

    Science.gov (United States)

    Tisher, Kristen; Mann, Kimberly; VanDyke, Sarah; Johansson, Charity; Vallabhajosula, Srikant

    2018-03-05

    Supervised balance training shows immediate benefit for older adults at fall risk. The long-term effectiveness of such training can be enhanced by implementing a safe and simple home exercise program (HEP). We investigated the effects of a12-week unsupervised HEP following supervised clinic-based balance training on functional mobility, balance, fall risk, and gait. Six older adults with an elevated fall risk obtained an HEP and comprised the HEP group (HEPG) and five older adults who were not given an HEP comprised the no HEP group (NoHEPG). The HEP consisted of three static balance exercises: feet-together, single-leg stance, and tandem. Each exercise was to be performed twice for 30-60 s, once per day, 3 days per week for 12 weeks. Participants were educated on proper form, safety, and progression of exercises. Pre- and post-HEP testing included Berg Balance Scale (BBS), Timed Up and Go, Short Physical Performance Battery (SPPB) assessments, Activities-Balance Confidence, Late-Life Functional Disability Instrument and instrumented assessments of balance and gait (Limits of Stability, modified Clinical Test of Sensory Interaction on Balance, Gait). A healthy control group (HCG; n = 11) was also tested. For most of the measures, the HEPG improved to the level of HCG. Though task-specific improvements like BBS and SPPB components were seen, the results did not carry over to more dynamic assessments. Results provide proof of concept that a simple HEP can be independently implemented and effective for sustaining and/or improving balance in older adults at elevated fall-risk after they have undergone a clinic-based balance intervention.

  9. Drag balance Cubesat attitude motion effects on in-situ thermosphere density measurements

    Science.gov (United States)

    Felicetti, Leonard; Santoni, Fabio

    2014-08-01

    The dynamics of Cubesats carrying a drag balance instrument (DBI) for in situ atmosphere density measurements is analyzed. Atmospheric drag force is measured by the displacement of two light plates exposed to the incoming particle flow. This system is well suited for a distributed sensor network in orbit, to get simultaneous in situ local (non orbit averaged) measurements in multiple positions and orbit heights, contributing to the development and validation of global atmosphere models. The implementation of the DBI leads to orbit normal pointing spinning two body system. The use of a spin-magnetic attitude control system is suggested, based only on magnetometer readings, contributing to making the system simple, inexpensive, and reliable. It is shown, by an averaging technique, that this system provides for orbit normal spin axis pointing. The effect of the coupling between the attitude dynamics and the DBI is evaluated, analyzing its frequency content and showing that no frequency components arise, affecting the DBI performance. The analysis is confirmed by Monte Carlo numerical simulation results.

  10. The ability of clinical balance measures to identify falls risk in multiple sclerosis: a systematic review and meta-analysis.

    Science.gov (United States)

    Quinn, Gillian; Comber, Laura; Galvin, Rose; Coote, Susan

    2017-12-01

    To determine the ability of clinical measures of balance to distinguish fallers from non-fallers and to determine their predictive validity in identifying those at risk of falls. AMED, CINAHL, Medline, Scopus, PubMed Central and Google Scholar. First search: July 2015. Final search: October 2017. Inclusion criteria were studies of adults with a definite multiple sclerosis diagnosis, a clinical balance assessment and method of falls recording. Data were extracted independently by two reviewers. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 scale and the modified Newcastle-Ottawa Quality Assessment Scale. Statistical analysis was conducted for the cross-sectional studies using Review Manager 5. The mean difference with 95% confidence interval in balance outcomes between fallers and non-fallers was used as the mode of analysis. We included 33 studies (19 cross-sectional, 5 randomised controlled trials, 9 prospective) with a total of 3901 participants, of which 1917 (49%) were classified as fallers. The balance measures most commonly reported were the Berg Balance Scale, Timed Up and Go and Falls Efficacy Scale International. Meta-analysis demonstrated fallers perform significantly worse than non-fallers on all measures analysed except the Timed Up and Go Cognitive ( p Balance Confidence Scale had the highest area under the receiver operating characteristic curve value (0.92), but without reporting corresponding measures of clinical utility. Clinical measures of balance differ significantly between fallers and non-fallers but have poor predictive ability for falls risk in people with multiple sclerosis.

  11. The role of task constraints in relating laboratory and clinical measures of balance.

    Science.gov (United States)

    Kuznetsov, Nikita A; Riley, Michael A

    2015-09-01

    This study tested the hypothesis that age-related postural control deficits are more clearly detected from force plate recordings when using postural control tasks with an explicitly defined goal as opposed to the frequently used quiet stance task. Eighteen older adults (over 65) and seventeen younger adults (under 30) stood on a force plate with visual feedback (VFB) of the center of pressure (COP) and without such visual feedback with eyes open (NVFB). In the VFB condition, online visual feedback about the COP was provided and participants maintained that feedback on a stationary visual target for 80s. We hypothesized that age-related difference in COP variability (standard deviation of COP position and average absolute maximum COP velocity; AAMV) would be more pronounced in the VFB than in the NVFB condition. In addition, we hypothesized that Berg balance scale (BBS) scores for older adults would correlate more strongly with the COP measures in the VFB condition than in the NVFB condition. Results showed that VFB enhanced age-related differences only for AAMV in anterior-posterior direction. Both age groups decreased postural sway when using VFB. Older adults increased AAMV with VFB while young adults did not, indicating that the task modified their postural control strategy stronger than in younger adults. BBS scores were correlated with the AAMV in both feedback conditions, while COP position variability was more clearly correlated with BBS in the VFB condition. These results suggest that the quiet stance task is sufficient to index balance function if velocity-based COP variables are utilized in the analysis. Copyright © 2015 Elsevier B.V. All rights reserved.

  12. Isometric hand grip strength measured by the Nintendo Wii Balance Board - a reliable new method.

    Science.gov (United States)

    Blomkvist, A W; Andersen, S; de Bruin, E D; Jorgensen, M G

    2016-02-03

    Low hand grip strength is a strong predictor for both long-term and short-term disability and mortality. The Nintendo Wii Balance Board (WBB) is an inexpensive, portable, wide-spread instrument with the potential for multiple purposes in assessing clinically relevant measures including muscle strength. The purpose of the study was to explore intrarater reliability and concurrent validity of the WBB by comparing it to the Jamar hand dynamometer. Intra-rater test-retest cohort design with randomized validity testing on the first session. Using custom WBB software, thirty old adults (69.0 ± 4.2 years of age) were studied for reproducibility and concurrent validity compared to the Jamar hand dynamometer. Reproducibility was tested for dominant and non-dominant hands during the same time-of-day, one week apart. Intraclass correlation coefficient (ICC) and standard error of measurement (SEM) and limits of agreement (LOA) were calculated to describe relative and absolute reproducibility respectively. To describe concurrent validity, Pearson's product-moment correlation and ICC was calculated. Reproducibility was high with ICC values of >0.948 across all measures. Both SEM and LOA were low (0.2-0.5 kg and 2.7-4.2 kg, respectively) in both the dominant and non-dominant hand. For validity, Pearson correlations were high (0.80-0.88) and ICC values were fair to good (0.763-0.803). Reproducibility for WBB was high for relative measures and acceptable for absolute measures. In addition, concurrent validity between the Jamar hand dynamometer and the WBB was acceptable. Thus, the WBB may be a valid instrument to assess hand grip strength in older adults.

  13. Application of the modified Wheeler cap method for radiation efficiency measurement of balanced electrically small antennas in complex environment

    DEFF Research Database (Denmark)

    Zhang, Jiaying; Pivnenko, Sergey; Breinbjerg, Olav

    2010-01-01

    In this paper, application of a modified Wheeler cap method for the radiation efficiency measurement of balanced electrically small antennas is presented. It is shown that the limitations on the cavity dimension can be overcome and thus measurement in a large cavity is possible. The cavity loss...

  14. Employing Hot Wire Anemometry to Directly Measure the Water Balance in a Proton Exchange membrane Fuel Cell

    DEFF Research Database (Denmark)

    Shakhshir, Saher Al; Hussain, Nabeel; Berning, Torsten

    2015-01-01

    Water management in proton exchange membrane fuel cells (PEMFC’s) remains a critical problem for their durability, cost, and performance. Because the anode side of this fuel cell has the tendency to become dehydrated, measuring the water balance can be an important diagnosis tool during fuel cell...... operation. The water balance indicates how much of the product water leaves at the anode side versus the cathode side. Previous methods of determining the fuel cell water balance often relied on condensing the water in the exhaust gas streams and weighing the accumulated mass which is a time consuming...... can be directly converted into the fuel cell water balance. In this work, experimental ex-situ results are presented and the elegance and usefulness of this method is demonstrated....

  15. Thermal substitution and aerobic efficiency: measuring and predicting effects of heat balance on endotherm diving energetics.

    Science.gov (United States)

    Lovvorn, J R

    2007-11-29

    For diving endotherms, modelling costs of locomotion as a function of prey dispersion requires estimates of the costs of diving to different depths. One approach is to estimate the physical costs of locomotion (Pmech) with biomechanical models and to convert those estimates to chemical energy needs by an aerobic efficiency (eta=Pmech/Vo2) based on oxygen consumption (Vo2) in captive animals. Variations in eta with temperature depend partly on thermal substitution, whereby heat from the inefficiency of exercising muscles or the heat increment of feeding (HIF) can substitute for thermogenesis. However, measurements of substitution have ranged from lack of detection to nearly complete use of exercise heat or HIF. This inconsistency may reflect (i) problems in methods of calculating substitution, (ii) confounding mechanisms of thermoregulatory control, or (iii) varying conditions that affect heat balance and allow substitution to be expressed. At present, understanding of how heat generation is regulated, and how heat is transported among tissues during exercise, digestion, thermal challenge and breath holding, is inadequate for predicting substitution and aerobic efficiencies without direct measurements for conditions of interest. Confirming that work rates during exercise are generally conserved, and identifying temperatures at those work rates below which shivering begins, may allow better prediction of aerobic efficiencies for ecological models.

  16. Using the balanced scorecard to measure Chinese and Japanese hospital performance.

    Science.gov (United States)

    Chen, Xiao-yun; Yamauchi, Kazunobu; Kato, Ken; Nishimura, Akio; Ito, Katuski

    2006-01-01

    The objective of the paper is to confirm the feasibility and value of using the balanced scorecard (BSC) to measure performance in two hospitals in different countries. One hospital from China and another from Japan were chosen and key indicators were selected according to the BSC framework. A comparative hospital performance measurement model was set up using the BSC framework to comprehensively compare hospital performance in two countries. The BSC was found to be effective for underlining existing problems and identifying opportunities for improvements. The BSC also revealed the hospitals' contribution to performance improvement of each country's total health system. Hospital performance comparisons between countries using the BSC depend on the selection of feasible and appropriate key performance indicators, which is occasionally limited by data collection problems. The first use of the BSC to compare hospital performance between China and Japan shows benefits that not only suggests performance improvements in individual hospitals but also reveals effective health factors allowing implementation of valid national health policies.

  17. Configuring Balanced Scorecards for Measuring Health System Performance: Evidence from 5 Years' Evaluation in Afghanistan

    Science.gov (United States)

    Edward, Anbrasi; Kumar, Binay; Kakar, Faizullah; Salehi, Ahmad Shah; Burnham, Gilbert; Peters, David H.

    2011-01-01

    Background In 2004, Afghanistan pioneered a balanced scorecard (BSC) performance system to manage the delivery of primary health care services. This study examines the trends of 29 key performance indicators over a 5-year period between 2004 and 2008. Methods and Findings Independent evaluations of performance in six domains were conducted annually through 5,500 patient observations and exit interviews and 1,500 provider interviews in >600 facilities selected by stratified random sampling in each province. Generalized estimating equation (GEE) models were used to assess trends in BSC parameters. There was a progressive improvement in the national median scores scaled from 0–100 between 2004 and 2008 in all six domains: patient and community satisfaction of services (65.3–84.5, pscorecard reconfigurations are needed to integrate effectiveness and efficiency measures and accommodate changes in health systems policy and strategy architecture to ensure its continued relevance and effectiveness as a comprehensive health system performance measure. The process of BSC design and implementation can serve as a valuable prototype for health policy planners managing performance in similar health care contexts. Please see later in the article for the Editors' Summary PMID:21814499

  18. Applying the balanced scorecard to local public health performance measurement: deliberations and decisions.

    Science.gov (United States)

    Weir, Erica; d'Entremont, Nadine; Stalker, Shelley; Kurji, Karim; Robinson, Victoria

    2009-05-08

    All aspects of the heath care sector are being asked to account for their performance. This poses unique challenges for local public health units with their traditional focus on population health and their emphasis on disease prevention, health promotion and protection. Reliance on measures of health status provides an imprecise and partial picture of the performance of a health unit. In 2004 the provincial Institute for Clinical Evaluative Sciences based in Ontario, Canada introduced a public-health specific balanced scorecard framework. We present the conceptual deliberations and decisions undertaken by a health unit while adopting the framework. Posing, pondering and answering key questions assisted in applying the framework and developing indicators. Questions such as: Who should be involved in developing performance indicators? What level of performance should be measured? Who is the primary intended audience? Where and how do we begin? What types of indicators should populate the health status and determinants quadrant? What types of indicators should populate the resources and services quadrant? What type of indicators should populate the community engagement quadrant? What types of indicators should populate the integration and responsiveness quadrants? Should we try to link the quadrants? What comparators do we use? How do we move from a baseline report card to a continuous quality improvement management tool? An inclusive, participatory process was chosen for defining and creating indicators to populate the four quadrants. Examples of indicators that populate the four quadrants of the scorecard are presented and key decisions are highlighted that facilitated the process.

  19. Comparisons of Satellite Soil Moisture, an Energy Balance Model Driven by LST Data and Point Measurements

    Science.gov (United States)

    Laiolo, Paola; Gabellani, Simone; Rudari, Roberto; Boni, Giorgio; Puca, Silvia

    2013-04-01

    Soil moisture plays a fundamental role in the partitioning of mass and energy fluxes between land surface and atmosphere, thereby influencing climate and weather, and it is important in determining the rainfall-runoff response of catchments; moreover, in hydrological modelling and flood forecasting, a correct definition of moisture conditions is a key factor for accurate predictions. Different sources of information for the estimation of the soil moisture state are currently available: satellite data, point measurements and model predictions. All are affected by intrinsic uncertainty. Among different satellite sensors that can be used for soil moisture estimation three major groups can be distinguished: passive microwave sensors (e.g., SSMI), active sensors (e.g. SAR, Scatterometers), and optical sensors (e.g. Spectroradiometers). The last two families, mainly because of their temporal and spatial resolution seem the most suitable for hydrological applications In this work soil moisture point measurements from 10 sensors in the Italian territory are compared of with the satellite products both from the HSAF project SM-OBS-2, derived from the ASCAT scatterometer, and from ACHAB, an operative energy balance model that assimilate LST data derived from MSG and furnishes daily an evaporative fraction index related to soil moisture content for all the Italian region. Distributed comparison of the ACHAB and SM-OBS-2 on the whole Italian territory are performed too.

  20. Analysis of performance measurement at HR-GR Department using the balance scorecard method

    Science.gov (United States)

    Vienni; Bachtiar, M.

    2017-12-01

    PT. X is a company engaged in logistics service in Indonesia. Every company will certainly face a dynamic business environment. Competitors not only from domestic but also from overseas. To be successful in achieving its objectives, company should have a comprehensive measurement system as a strategy feedback that will drive the performance of company. HR-GA department is department that coordinate directly with company’s management. Company through departments expect development goals in individual and also support of infrastructure will run smoothly. In 2015, company has taken steps to conduct a balanced scorecard as performance measurement. Nevertheless, a number of factors so it cannot run optimally. This study aims to analyse the current system and provided suggestions in order to give an overview to department related to its current performance. The results of data processing show that there are 8 objective strategies that have been formulated with 9 key performance indicators. Based on the results of scorecard, obtained values of 4.44 for customer perspective, 4.32 for internal business process perspective & 5.00 for learning and growth perspective. It concludes that performance based on perspectives are categorized very well

  1. A HYBRID BALANCED SCORECARD AND SYSTEM DYNAMICS FOR MEASURING PUBLIC SECTOR PERFORMANCE

    Directory of Open Access Journals (Sweden)

    TRI GUNARSIH

    2016-04-01

    Full Text Available Performance measurement on an organization whether it is a profit or nonprofit, has to be conducted in order to evaluate plan attainment. This measurement is considered incomplete as the performance of a company is not only based on financial perspective, but also other perspectives. Balanced Score Card (BSC is a performance measurement method using four perspectives: financial, customers, internal business processes and learning and growth. BSC measurement can be applied on profit and non-profit organizations. BSC focuses on causality (cause and effect which is based only on linear correlation. This situation is the weakness on BSC because it cannot continue to the specific forward step that can predict the future activities. In this study, BSC is combined with System Dynamics (SD that can identify the interaction among four perspectives and also related variable through a causal loop design model. Hybrid modelling design between BSC and SD gives an effective and interesting contemporary study. Then, the model performed with 2012 data input and performance forecasting until 2017. The result obtained for the financial perspectives related to fund absorption from 2013 until 2017 consecutively 100%, 100%, 85%, 72% and 100% with the most influential variable of tax and non-tax by 44.3% and the smallest variable effect is levies variable with 0,08%.Perspectives toward customers related to the efficiency and effective value by 50%, 43%, 43%, 48%, 49 % to customer dissatisfaction variable 48.09%, and 12.03% of customer's satisfaction. Internal business process perspective relates to the value of the total effective capacity by 80%, 71%, 69%, 71%, and 70%. With the most influential variable is the productivity and innovation for 50.77% and 1.94% variable staff morale. The last perspectives is learning and growth effective value for 50%, 44%, 56%, 47%, 46% with the most influential variable is the skill level of workers 27.98% and the smallest effect is

  2. LA GESTIÓN DE INDICADORES EMPRESARIALES CON LÓGICA DIFUSA PARA LA TOMA DE DECISIONES

    Directory of Open Access Journals (Sweden)

    MARTÍN DARÍO ARANGO SERNA

    2012-12-01

    Full Text Available En las organizaciones actuales la tomade decisiones está acompañada de cierto grado deincertidumbre, lo que no permite planificar sobre resultadosciertos. En algunas ocasiones medir estosresultados también implica incertidumbre asociadacon la ambigüedad o subjetividad del instrumentoutilizado. Como solución para este problema, sepropone un sistema de medición y análisis basadoen el Balance Scorecard que incorpora técnicas delógicas difusas para disminuir la incidencia de estaincertidumbre en los procesos de toma y análisis dedecisiones.

  3. Validating and Calibrating the Nintendo Wii Balance Board to Derive Reliable Center of Pressure Measures

    Directory of Open Access Journals (Sweden)

    Julia M. Leach

    2014-09-01

    Full Text Available The Nintendo Wii balance board (WBB has generated significant interest in its application as a postural control measurement device in both the clinical and (basic, clinical, and rehabilitation research domains. Although the WBB has been proposed as an alternative to the “gold standard” laboratory-grade force plate, additional research is necessary before the WBB can be considered a valid and reliable center of pressure (CoP measurement device. In this study, we used the WBB and a laboratory-grade AMTI force plate (AFP to simultaneously measure the CoP displacement of a controlled dynamic load, which has not been done before. A one-dimensional inverted pendulum was displaced at several different displacement angles and load heights to simulate a variety of postural sway amplitudes and frequencies (<1 Hz. Twelve WBBs were tested to address the issue of inter-device variability. There was a significant effect of sway amplitude, frequency, and direction on the WBB’s CoP measurement error, with an increase in error as both sway amplitude and frequency increased and a significantly greater error in the mediolateral (ML (compared to the anteroposterior (AP sway direction. There was no difference in error across the 12 WBB’s, supporting low inter-device variability. A linear calibration procedure was then implemented to correct the WBB’s CoP signals and reduce measurement error. There was a significant effect of calibration on the WBB’s CoP signal accuracy, with a significant reduction in CoP measurement error (quantified by root-mean-squared error from 2–6 mm (before calibration to 0.5–2 mm (after calibration. WBB-based CoP signal calibration also significantly reduced the percent error in derived (time-domain CoP sway measures, from −10.5% (before calibration to −0.05% (after calibration (percent errors averaged across all sway measures and in both sway directions. In this study, we characterized the WBB’s CoP measurement error

  4. Personalidad y toma de decisiones vocacionales en universitarios

    Directory of Open Access Journals (Sweden)

    Cabrera, Lidia

    2011-06-01

    Full Text Available En este trabajo se analizan las relaciones entre la personalidad y la toma de decisiones vocacionales en estudiantes universitarios. La hipótesis de partida es que la personalidad eficaz está asociada a un proceso de toma de decisiones vocacionales más maduro. Para ello se administró el Cuestionario de Personalidad Eficiente y el Inventario de Factores Vocacionales a 497 estudiantes de último y penúltimo curso de carrera. Se encontraron diferencias significativas en las dimensiones constitutivas de la decisión vocacional en grupos extremos de alta y baja personalidad eficiente. Los resultados confirman que la personalidad eficaz está vinculada a una toma de decisión vocacional más basada en el conocimiento óptimo tanto de sí mismo como del mercado laboral.

  5. Comparison of a laboratory grade force platform with a Nintendo Wii Balance Board on measurement of postural control in single-leg stance balance tasks.

    Science.gov (United States)

    Huurnink, Arnold; Fransz, Duncan P; Kingma, Idsart; van Dieën, Jaap H

    2013-04-26

    Training and testing of balance have potential applications in sports and medicine. Laboratory grade force plates (FP) are considered the gold standard for the measurement of balance performance. Measurements in these systems are based on the parameterization of center of pressure (CoP) trajectories. Previous research validated the inexpensive, widely available and portable Nintendo Wii Balance Board (WBB). The novelty of the present study is that FP and WBB are compared on CoP data that was collected simultaneously, by placing the WBB on the FP. Fourteen healthy participants performed ten sequences of single-leg stance tasks with eyes open (EO), eyes closed (EC) and after a sideways hop (HOP). Within trial comparison of the two systems showed small root-mean-square differences for the CoP trajectories in the x and y direction during the three tasks (mean±SD; EO: 0.33±0.10 and 0.31±0.16 mm; EC: 0.58±0.17 and 0.63±0.19 mm; HOP: 0.74±0.34 and 0.74±0.27 mm, respectively). Additionally, during all 420 trials, comparison of FP and WBB revealed very high Pearson's correlation coefficients (r) of the CoP trajectories (x: 0.999±0.002; y: 0.998±0.003). A general overestimation was found on the WBB compared to the FP for 'CoP path velocity' (EO: 5.3±1.9%; EC: 4.0±1.4%; HOP: 4.6±1.6%) and 'mean absolute CoP sway' (EO: 3.5±0.7%; EC: 3.7±0.5%; HOP: 3.6±1.0%). This overestimation was highly consistent over the 140 trials per task (r>0.996). The present findings demonstrate that WBB is sufficiently accurate in quantifying CoP trajectory, and overall amplitude and velocity during single-leg stance balance tasks. Copyright © 2013 Elsevier Ltd. All rights reserved.

  6. The influence of anthropometric factors on postural balance: the relationship between body composition and posturographic measurements in young adults

    Directory of Open Access Journals (Sweden)

    Angélica Castilho Alonso

    2012-12-01

    Full Text Available OBJECTIVE: The aim of the present study was to evaluate the influence of anthropometric characteristics and gender on postural balance in adults. One hundred individuals were examined (50 males, 50 females; age range 20-40 years. METHODS: The following body composition measurements were collected (using bone densitometry measurements: fat percentage (% fat, tissue (g, fat (g, lean mass (g, bone mineral content (g, and bone mineral density (g/cm2. In addition, the following anthropometric measurements were collected: body mass (kg, height (cm, length of the trunk-cephalic region (cm, length of the lower limbs (cm and length of the upper limbs (cm. The following indices were calculated: body mass index (kg/m², waist-hip ratio and the support base (cm². Also, a postural balance test was performed using posturography variables with open and closed eyes. RESULTS: The analysis revealed poor correlations between postural balance and the anthropometric variables. A multiple linear regression analysis demonstrated that the whole group (female and male height explained 12% of the medial-lateral displacement, 10% of the speed of oscillation, and 11% of the displacement area. The length of the trunk-cephalic length explained 6% of the displacement in the anteroposterior direction. With eyes closed, the support base and height explained 18% of the medial displacement, and the lateral height explained 10% of the displacement speed and 5% of the scroll area. CONCLUSION: Measured using posturography, the postural balance was only slightly influenced by the anthropometric variables, both with open and closed eyes. Height was the anthropometric variable that most influenced postural balance, both in the whole group and separately for each gender. Postural balance was more influenced by anthropometric factors in males than females.

  7. Decisiones estratégicas desde una perspectiva empresarial

    Directory of Open Access Journals (Sweden)

    Argelio Antonio Hidalgo Ávila

    2015-12-01

    Full Text Available La toma de decisiones es la actividad fundamental que desempeñan los administradores de empresas y en la actualidad se enfrentan a retos constantes y cambios del entorno. El objetivo de la investigación es mostrar el uso de herramientas cuantitativas, como el principio de Pareto y el análisis del umbral de rentabilidad, en la toma de decisiones empresariales, partiendo del conocimiento de los diferentes tipos de decisiones y sus elementos constitutivos. Se utilizó el enfoque basado en el método científico de problemas de gestión y decisión en la empresa. Los resultados obtenidos muestran cómo, a través de la aplicación de estas dos herramientas, se pueden establecer las diferentes estrategias de comercialización, distribución, control de inventarios, planes de ventas, que contribuyen al desarrollo del pensamiento estratégico, de capacidades y ventajas competitivas que garantizan el éxito y la supervivencia de la empresa a largo plazo.

  8. Glacier Mass Balance and Regime Measurements and Analysis, 1945-2003, Version 1

    Data.gov (United States)

    National Aeronautics and Space Administration — This data set consists of glacier regime parameters observed between 1945 and 2003. Data include annual mass balances, ablation, accumulation, and equilibrium-line...

  9. A Balanced Scorecard With Strategy Map: Measuring the Value of a Nursing Sabbatical.

    Science.gov (United States)

    Embree, Jennifer L; Swenty, Constance F; Schaar, Gina

    2015-01-01

    Seasoned nurses frequently resign from their positions due to burnout. An innovative idea that could support nurse retention is nurse sabbaticals. Balanced scorecards with strategy maps can display financial benefit, positive customer experience, and operational and human capital development required to initiate and sustain a professional nurse sabbatical. A balanced scorecard with strategy map is an effective tool that demonstrates connection between the organizational mission and the outcomes of a nurse sabbatical program.

  10. Applying hot-wire anemometry to directly measure the water balance in a proton exchange membrane fuel cell

    DEFF Research Database (Denmark)

    Al Shakhshir, Saher; Andreasen, Søren Juhl; Berning, Torsten

    2016-01-01

    In order to better understand and more accurately measure the water balance in a proton exchange membrane fuel cell, our group has recently proposed to apply hot wire anemometry in the fuel cell's anode outlet. It was theoretically shown that the electrical signal obtained from the hot wire senso...

  11. Difference in balance measures between patients with chronic ankle instability and patients after an acute ankle inversion trauma

    NARCIS (Netherlands)

    de Vries, J. S.; Kingma, I.; Blankevoort, L.; van Dijk, C. N.

    2010-01-01

    Neuromuscular control of the ankle is disturbed in patients with chronic ankle instability due to an initial ankle inversion trauma. Static balance is assumed to be a measure for this disturbance. Functional (ankle) scores are another way to evaluate ankle impairment. The hypothesis was that there

  12. Measurement of the Strategic Performance of Hospitality in the Kingdom of Saudi Arabia: a balanced scorecard Approach (BSC

    Directory of Open Access Journals (Sweden)

    Mohamed A.M. El-Hindawy, Dr.

    2014-06-01

    Full Text Available In this paper, we planned to realize the marketing managers’ perceptions through their perception of Strategic Performance Dimension of view and the Balanced scorecard (BSC technique for the Measurement of the Strategic Performance.The respondents in this study were a group of Marketing managers working in the Hospitality Sector (Experiences in number of years of Madina, Saudi Arabia Hospitality. It has been observed trough literature and a limited Marketing Managers’ survey that only financial perspective measures are used with objectives. Balanced Score Card (BSC enables to measure objectives across four perspectives: (1 the financial perspective, (2 the customer perspective, (3 the internal business process perspective, and (4 the learning and growth perspective. Hypothesis is formulated about the relationship between perception of managers about the Dimension of view and the Balanced Score Card (BSC and the years of Experience. We also designed a questionnaire that was distributed to a population of 130 Marketing managers in the field of Hospitality. The year of study was 2011, with Marketing managers’ survey instruments that measure Balanced Score Card Dimension. The result of the study shows that there are significant differences between the three types of Hospitality Marketing managers’ (Experience in number of years:1-3years, 3-6years, more than 6years. After discussing the findings, some policy implications are suggested for the Hospitality, as well to practitioners seeking an understanding of a practical managerial tool. Limitations of the study are highlighted and further research discussions are suggested.

  13. QUALITY OF ACCOUNTING INFORMATION TO OPTIMIZE THE DECISIONAL PROCESS

    Directory of Open Access Journals (Sweden)

    Miculescu Marius Nicolae

    2012-12-01

    Full Text Available This article provides information on business and therefore need managers to obtain information relevant accounting, reliable, clear, accurate and lowest costs to optimize decision making. This need derives from the current economic environment. The survival of organizations in a competitive environment, to which they must adapt, is conditioned by obtaining accounting information which should be qualitative, opportune, vital, and in a short time. This information is related to patrimony, analytical results, the market (dynamics, dimensions, and structure, and relationships with business partners, competitors, suppliers. Therefore focus more intensely on the quality of accounting information. Definition of quality of accounting information but leave the boundaries and features of accounting communication process and aims to determine \\\\\\"quality criteria\\\\\\" or \\\\\\"qualitative characteristics\\\\\\" to develop a measurement tool. Note that the reviewliterature was found that the normalization and accounting dotrine, criteria for definition of quality of accounting infornation are not identical, their selection and ranking is different. Theory and practice also identifies the fact that information itself is worthless. Instead it is valuable once it is used in a decisional process. Thus, the economic value of the accounting information depends on the earnings obtained after making a decision, diminished by information cost. To be more specific, it depends on the table or on the implemented decision tree, on the informational cost and on the optimal condition established by the decision maker (due to the fact that producing accounting information implies costs which are often considerable and profits arise only form shares. The problem of convergence between content and interpretation of information sent by users also take, and the quality of information to be intelligible. In this case, those who use, say users should have sufficient

  14. The Implementation of Balance Score Card for Performance Measurement in Small and Medium Enterprises: Evidence From Malaysian Health Care Services

    OpenAIRE

    Suprapto, Budi; Abdul Wahab, Hasnida; Jatmiko Wibowo, Alexander

    2009-01-01

    The needs for SMEs to measure their performance is to improve their service to customers, employees, societies and stakeholders. The purpose of the study was to investigate the implementation of Balance Score Card as the performance measurement system in SMEs. In this study, 1000 mailed questionnaires were sent to health care services in Malaysia. Out of this, only 105 responded and data collected were analyzed. Using factor analysis with varimax rotation technique, the study found four facto...

  15. Alcohol influences the use of decisional support.

    Science.gov (United States)

    Phillips, James G; Ogeil, Rowan P

    2010-03-01

    Excess consumption of alcohol leads to impaired cognition and decision making; hence, alcohol-containing products and advertising contain warning messages about the adverse effects of excess drinking. However, there is a need to understand how alcohol influences the processing of advisory messages. The current study used a computerised gambling simulation and investigated whether intoxication would affect the use of a decision aid. Using a double-blind repeated measures design, 16 adult males (aged 18-29) completed the Alcohol Use Disorders Identification Test and the South Oaks Gambling Screen and played a computer blackjack program on two separate occasions, under differing doses of alcohol. On certain conditions, the computerised decision aid gave advice to participants as to whether the odds were in their favour. Participants were found to take longer to respond to the decision aid under higher risk conditions when they were losing. Alcohol intoxication may lead to problems evaluating information pertaining to risk, and this has implications for the use of other decision aids designed to assist intoxicated individuals. The problems processing warning information were consistent with alcohol induced 'myopia' where intoxicated individuals had problems processing less salient cues.

  16. The use of a running wheel to measure activity in rodents: relationship to energy balance, general activity, and reward.

    Science.gov (United States)

    Novak, Colleen M; Burghardt, Paul R; Levine, James A

    2012-03-01

    Running wheels are commonly employed to measure rodent physical activity in a variety of contexts, including studies of energy balance and obesity. There is no consensus on the nature of wheel-running activity or its underlying causes, however. Here, we will begin by systematically reviewing how running wheel availability affects physical activity and other aspects of energy balance in laboratory rodents. While wheel running and physical activity in the absence of a wheel commonly correlate in a general sense, in many specific aspects the two do not correspond. In fact, the presence of running wheels alters several aspects of energy balance, including body weight and composition, food intake, and energy expenditure of activity. We contend that wheel-running activity should be considered a behavior in and of itself, reflecting several underlying behavioral processes in addition to a rodent's general, spontaneous activity. These behavioral processes include defensive behavior, predatory aggression, and depression- and anxiety-like behaviors. As it relates to energy balance, wheel running engages several brain systems-including those related to the stress response, mood, and reward, and those responsive to growth factors-that influence energy balance indirectly. We contend that wheel-running behavior represents factors in addition to rodents' tendency to be physically active, engaging additional neural and physiological mechanisms which can then independently alter energy balance and behavior. Given the impact of wheel-running behavior on numerous overlapping systems that influence behavior and physiology, this review outlines the need for careful design and interpretation of studies that utilize running wheels as a means for exercise or as a measurement of general physical activity. Copyright © 2012 Elsevier Ltd. All rights reserved.

  17. Eddy Covariance Measurements Over a Maize Field: The Contribution of Minor Flux Terms to the Energy Balance Gap

    Science.gov (United States)

    Smidt, J.; Ingwersen, J.; Streck, T.

    2015-12-01

    The lack of energy balance closure is a long-standing problem in eddy covariance (EC) measurements. The energy balance equation is defined as Rn - G = H + λE, where Rn is net radiation, G is the ground heat flux, H is the sensible heat flux and λE is the latent heat flux. In most cases of energy imbalance, either Rn is overestimated or the ground heat and turbulent fluxes are underestimated. Multiple studies have shown that calculations, incorrect instrument installation/calibration and measurement errors alone do not entirely account for this imbalance. Rather, research is now focused on previously neglected sources of heat storage in the soil, biomass and air beneath the EC station. This project examined the potential of five "minor flux terms" - soil heat storage, biomass heat storage, energy consumption by photosynthesis, air heat storage and atmospheric moisture change, to further close the energy balance gap. Eddy covariance measurements were conducted at a maize (Zea mays) field in southwest Germany during summer 2014. Soil heat storage was measured for six weeks at 11 sites around the field footprint. Biomass and air heat storage were measured for six subsequent weeks at seven sites around the field footprint. Energy consumption by photosynthesis was calculated using the CO2 flux data. Evapotranspiration was calculated using the water balance method and then compared to the flux data processed with three post-closure methods: the sensible heat flux, the latent heat flux and the Bowen ratio post-closure methods. An energy balance closure of 66% was achieved by the EC station measurements over the entire investigation period. During the soil heat flux campaign, EC station closure was 74.1%, and the field footprint soil heat storage contributed 3.3% additional closure. During the second minor flux term measurement period, closure with the EC station data was 91%. Biomass heat storage resulted in 1.1% additional closure, the photosynthesis flux closed the gap

  18. Decisional impairments in cocaine addiction, reward bias, and cortical oscillation “unbalance”

    Directory of Open Access Journals (Sweden)

    Balconi M

    2015-03-01

    Full Text Available Michela Balconi, Roberta Finocchiaro Research Unit in Affective and Social Neuroscience, Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy Abstract: A vast amount of research has suggested that subjects with substance use disorder (SUD might have difficulty making advantageous decisions that opt in favor of a longer-term, larger reward than an immediate, smaller reward. The current research explored the impact of reward bias and cortical frontal asymmetry (left lateralization effect in SUD in response to a decisional task (Iowa Gambling Task. Fifty SUD participants and 40 controls (CG were tested using the Iowa Gambling Task. Electrophysiology (electroencephalography recording was performed during task execution. We measured left and right dorsolateral prefrontal cortex power activity. Behavioral responses (gain/loss options; frequency band modulation (asymmetry index for delta, theta, alpha, and beta band; and cortical source localization (standardized low-resolution brain electromagnetic tomography were considered. The SUD group opted in favor of the immediate reward option (loss more frequently than the long-term option (gain when compared to the CG. Secondly, SUD showed increased left-hemisphere activation in response to losing (with immediate reward choices in comparison with the CG. The left hemispheric unbalance effect and the “reward bias” were adduced to explain the decisional impairment in SUD. Keywords: drug addiction, cortical brain oscillations, left lateralization effect, reward mechanism, Iowa Gambling Task

  19. The Implementation of Balance Score Card for Performance Measurement in Small and Medium Enterprises: Evidence from Malaysian Health Care Services

    Directory of Open Access Journals (Sweden)

    Budi Suprapto

    2012-01-01

    Full Text Available The needs for SMEs to measure their performance is to improve their service to customers, employees, societies and stakeholders. The purpose of the study was to investigate the implementation of Balance Score Card as the performance measurement system in SMEs. In this study, 1000 mailed questionnaires were sent to health care services in Malaysia. Out of this, only 105 responded and data collected were analyzed. Using factor analysis with varimax rotation technique, the study found four factors with eigenvalue value more than 1.0. Those factors that explained total variance of 69.346 percent, indicated the four components of BSC implemented by SMEs in Malaysian Health Care Services. Those components are as follows: learning and growth, mission and vision, customer and internal business perspective.Key words: Balance Score Card, Performance Measurement, Small and Medium Enterprise

  20. Carbon Balance at Landscape Level inferred fromTower CO2 Concentration Measurements

    Science.gov (United States)

    Chen, J. M.; Chen, B.; Higuchi, K.; Chan, D.; Shashkov, A.; Lin, H.; Liu, J.

    2003-04-01

    Terrestrial carbon sinks are considerable in the global carbon budget, but the accumulation of carbon in terrestrial ecosystems is very small (~0.2% per year) relative to the total carbon stocks in forests. Currently, eddy-covariance instruments mounted on towers are the only reliable means to measure carbon balance of a land surface, albeit limited to small areas and not free of caveats. In our quest of understanding the collective performance of ecosystems under the changing climate, it is highly desirable to have the ability to acquire carbon cycle information for large areas (landscape) consisting of patches of different ecosystems. For this purpose we explored methodologies of inferring carbon cycle information from tower CO2 concentration measurements affected by large areas (100-10000 km2). An ecosystem model named Boreal Ecosystem Productivity Simulator (BEPS) is coupled with a carbon-specific Vertical Diffusion Scheme (VDS) in order to decipher temporal variations in CO2 for landscape-level photosynthesis and respiration information. The coupled BEPS-VDS is applied to a unique 9-year (1990-2000 with 1997-8 missing data) 5-minute CO2 record measured on a 40-m tower over boreal forests near Fraserdale, Ontario, Canada. Over the period, the mean diurnal amplitude of the measured CO2 at 40 m increased by 5.58 ppmv, or 28% in the growing season. The increase in nighttime ecosystem respiration, causing the increase in the daily maximum CO2 concentration, was responsible for 65% of the increase in the diurnal amplitude, i.e., 3.61 ppmv, corresponding to an increase in the mean daily air temperature by about 2.77 degC and precipitation by 5% over the same period. The rest (35%) is explained by the increase in ecosystem daytime photosynthesis, causing the decrease in the daily minimum CO2 concentration. As the nighttime stable boundary layer (SBL) (270-560 m) was much shallower than the daytime convective boundary layer (CBL) (1000-1600 m), the increase in

  1. Measurement of Intestinal and Peripheral Cholesterol Fluxes by a Dual-Tracer Balance Method

    NARCIS (Netherlands)

    Ronda, Onne A H O; van Dijk, Theo H; Verkade, H J; Groen, Albert K

    2016-01-01

    Long-term elevated plasma cholesterol levels put individuals at risk for developing atherosclerosis. Plasma cholesterol levels are determined by the balance between cholesterol input and output fluxes. Here we describe in detail the methodology to determine the different cholesterol fluxes in mice.

  2. The Impact of Multi-Year Math Response to Intervention as Measured by Smarter Balanced Assessments

    Science.gov (United States)

    Park, Maysoon Mohamad

    2017-01-01

    This quantitative study evaluated how two consecutive years of math Response to Intervention (RtI) demonstrated its effectiveness on 995 fifth grade students within the School District A (SDA) on Smarter Balanced (SB) assessments. Research questions: "What is the relationship between the duration of math RtI implementation and math…

  3. Test-Retest Reproducibility of Two Short-Form Balance Measures Used in Individuals with Stroke

    Science.gov (United States)

    Liaw, Lih-Jiun; Hsieh, Ching-Lin; Hsu, Miao-Ju; Chen, Hui-Mei; Lin, Jau-Hong; Lo, Sing-Kai

    2012-01-01

    The aim of this study is to determine the test-retest reproducibility of the seven-item Short-Form Berg Balance Scale (SFBBS) and the five-item Short-Form Postural Assessment Scale for Stroke Patients (SFPASS) in individuals with chronic stroke. Fifty-two chronic stroke patients from two rehabilitation departments were included in the study. Both…

  4. Measurement Results of the Caltech Submillimeter Observatory 230 GHz and 460 GHz Balanced Receivers

    Science.gov (United States)

    Kooi, J. W.; Monje, R. R.; Force, B. L.; Rice, F.; Miller, D.; Phillips, T. G.

    2010-03-01

    The Caltech Submillimeter observatory (CSO) is located on top of Mauna Kea, Hawaii, at an altitude of 4.2km. The existing suite of heterodyne receivers covering the submillimeter band is rapidly aging, and in need of replacement. To this extend we have developed a family of balanced receivers covering the astrophysical important 180-720 GHz atmospheric windows. For the CSO, wide IF bandwidth receivers are implemented in a balanced receiver configuration with dual frequency observation capability. This arrangement was opted to be an optimal compromise between scientific merit and finite funding. In principle, the balanced receiver configuration has the advantage that common mode amplitude noise in the LO system is canceled, while at the same time utilizing all available LO power. Both of these features facilitate the use of commercially available synthesized LO system. In combination with a 4 GHz IF bandwidth, the described receiver layout allows for rapid high resolution spectral line surveys. Dual frequency observation is another important mode of operation offered by the new facility instrumentation. Two band observations are accomplished by separating the H and V polarizations of the incoming signal and routing them via folded optics to the appropriate polarization sensitive balanced mixer. Scientifically this observation mode facilitates pointing for the higher receiver band under mediocre weather conditions and a doubling of scientific throughput (2 x 4 GHz) under good weather conditions. Not only do these changes greatly enhance the spectroscopic capabilities of the CSO, they also enable the observatory to be integrated into the Harvard-Smithsonian Submillimeter Array (eSMA) as an additional baseline. The upgrade of the 345 GHz/650 GHz dual band balanced receivers is not far behind. All the needed hardware has been procured, and commissioning is expected the summer of 2010. The SIS junctions are capable of a 2-12 GHz bandwidth.

  5. Flexed Truncal Posture in Parkinson Disease: Measurement Reliability and Relationship With Physical and Cognitive Impairments, Mobility, and Balance.

    Science.gov (United States)

    Forsyth, Aimi L; Paul, Serene S; Allen, Natalie E; Sherrington, Catherine; Fung, Victor S C; Canning, Colleen G

    2017-04-01

    Flexed truncal posture is common in people with Parkinson disease (PD); however, little is known about the mechanisms responsible or its effect on physical performance. This cross-sectional study aimed to establish the reliability of a truncal posture measurement and explore relationships between PD impairments and truncal posture, as well as truncal posture and balance and mobility. A total of 82 people with PD participated. Truncal posture was measured in standing as the distance between vertebra C7 and a wall. Univariate and multivariate regression analyses were performed with truncal posture and impairments, including global axial symptoms, tremor, bradykinesia, rigidity, freezing of gait (FOG), reactive stepping and executive function, as well as truncal posture with balance and mobility measures. The truncal posture measure had excellent test-retest reliability (ICC3,1 0.79, 95% CI 0.60-0.89, P < 0.001). Global axial symptoms had the strongest association with truncal posture (adjusted R = 0.08, P = 0.01), although the majority of the variance remains unexplained. Post hoc analysis revealed that several impairments were associated with truncal posture only in those who did not report FOG. Flexed truncal posture was associated with poorer performance of most balance and mobility tasks after adjustment for age, gender, disease severity, and duration (adjusted R = 0.24-0.33, P < 0.001-0.03). The C7 to wall measurement is highly reliable in people with PD. Global axial symptoms were independently associated with truncal posture. Greater flexed truncal posture was associated with poorer balance and mobility. Further studies are required to elucidate the mechanisms responsible for flexed truncal posture and the impact on activity.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A164).

  6. Balance ability measured with the Berg balance scale: a determinant of fall history in community-dwelling adults with leg amputation.

    Science.gov (United States)

    Wong, Christopher Kevin; Chen, Christine C; Blackwell, Wren M; Rahal, Rana T; Benoy, Stephany A

    2015-01-01

    Falls are common among adults with leg amputations and associated with balance confidence. But subjective confidence is not equivalent with physical ability. This multivariate analyses of community-dwelling adults with leg amputations examined relationships among individual characteristics, falls, balance ability and balance confidence. Cross-sectional study. Community-dwelling adults with leg amputations recruited from a support group and prosthetic clinic. Subjects provided self-reported medical/fall history, prosthetic functional use, and Activities-specific Balance Confidence (ABC) questionnaire data. Balance ability was assessed with the Berg Balance Scale (BBS). Fall incidence was categorized as any fall (one or more) and recurrent falls (more than one). Multivariate logistic regression analyzed relationships within the two fall categories. Cross tabulations and ANOVA analyzed differences among subcategories. Fifty-four subjects (mean age 56.8) with various etiologies, amputation levels, and balance abilities participated. 53.7% had any fall; 25.9% had recurrent falls. Models for both fall categories correctly classified fall history in > 70% of subjects with combinations of the variables ABC, BBS, body-mass-index, and amputation level. Falls occurred regardless of clinical characteristics. Total BBS and select item scores were independent determinants of fall history. Unlike other balance-impaired populations, adults with leg amputation and better balance ability had greater odds of falling.

  7. Guarantee of Criminal Policy as Limited to Criminal Decisionism

    Directory of Open Access Journals (Sweden)

    María Belén Bonilla Albán

    2016-06-01

    Full Text Available The essay explains how the inclusion of the security of public policy in the 2008 Constitution of Ecuador as part of the constitutional state of law and justice or “guarantor state” can become a substantial limit for criminal decisionism, which is usually behind the penal policy in Latin America. Thus, the function of this collateral is to eliminate the huge space of discretion in the management of the most sensitive policy of modern state penal policy. However, the guarantee of public policy is not clear in determining the limits of punitive power; therefore, this paper seeks to explore some of the international human rights.

  8. Guarantee of Criminal Policy as Limited to Criminal Decisionism

    OpenAIRE

    María Belén Bonilla Albán

    2016-01-01

    The essay explains how the inclusion of the security of public policy in the 2008 Constitution of Ecuador as part of the constitutional state of law and justice or “guarantor state” can become a substantial limit for criminal decisionism, which is usually behind the penal policy in Latin America. Thus, the function of this collateral is to eliminate the huge space of discretion in the management of the most sensitive policy of modern state penal policy. However, the guarantee of public policy...

  9. La inteligencia emocional en la toma de decisiones

    OpenAIRE

    Uribe Chinkovsky, Sebastián; Henao Cadavid, Natalia

    2015-01-01

    El objetivo del presente artículo es revisar en un principio el concepto de toma de decisiones a partir de los estudios realizados por Antonio Damasio (1994/2010), los cuales nos permiten comprender que este es un proceso que está altamente influenciado por las emociones y los sentimientos -- Más adelante, y siguiendo esta línea de argumentación, se realiza una revisión del concepto de inteligencia emocional a partir de Daniel Goleman (1996) -- La inteligencia emocional nos permite comprender...

  10. Toma de decisiones : análisis y entorno organizativo

    OpenAIRE

    Cañabate Carmona, Antonio

    1997-01-01

    Este libro está orientado a estudiantes universitarios de Administración de Empresas, Economía de la Empresa y otras materias afines. Por su enfoque práctico, que rehuye las exposiciones teóricas y persigue la aplicabilidad, puede ser también de gran utilidad a aquellos directivos y profesionales que deseen mejorar su conocimiento sobre la toma de decisiones a nivel humano, de grupo y organizativo, así como adquirir el uso de técnicas y métodos sencillos de análisis y mejora aplicables a un g...

  11. El ethos de las decisiones penales: verdad real y consenso

    Directory of Open Access Journals (Sweden)

    Gabriela Rodríguez Fernández

    2005-11-01

    Full Text Available El presente artículo es una reflexión profunda sobre los principales fundamentos del Derecho penal. En concreto, se ocupa de esclarecer los criterios de verdad sobre los que se apoyan las decisiones de los jueces. Ello supone cuestionar las bases filosóficas y científicas más rígidas del mundo jurídico, que postulan su carácter objetivo, y exponerlas a la crítica sociológica y política.

  12. Aporte de enfermería a la toma de decisiones en salud

    OpenAIRE

    Mosqueda-Díaz, Angélica; Mendoza-Parra, Sara; Jofré-Aravena, Viviane

    2014-01-01

    En el ámbito sanitario tomar decisiones es una situación frecuente, aunque potencialmente difícil, ya sea por las características del(la) usuario(a), del contexto o de la situación de salud. Esto provoca conflicto decisional en los(as) usuarios(as). El presente artículo se propone analizar conceptualmente la toma de decisiones en salud y los aportes realizados desde enfermería para comprender y enfrentar el fenómeno. Así, el Modelo de Toma de Decisiones en Salud de Ottawa, propuesto por la en...

  13. Measuring standing balance in multiple sclerosis: Further progress towards an automatic and reliable method in clinical practice.

    Science.gov (United States)

    Keune, Philipp M; Young, William R; Paraskevopoulos, Ioannis T; Hansen, Sascha; Muenssinger, Jana; Oschmann, Patrick; Müller, Roy

    2017-08-15

    Balance deficits in multiple sclerosis (MS) are often monitored by means of observer-rated tests. These may provide reliable data, but may also be time-consuming, subject to inter-rater variability, and potentially insensitive to mild fluctuations throughout the clinical course. On the other hand, laboratory assessments are often not available. The Nintendo Wii Balance Board (WBB) may represent a low-cost solution. The purpose of the current study was to examine the methodological quality of WBB data in MS (internal consistency, test-retest reliability), convergent validity with observer-rated tests (Berg Balance Scale, BBS; Timed-Up and Go Test, TUG), and discriminative validity concerning clinical status (Expanded Disability Status Scale, EDSS). Standing balance was assessed with the WBB for 4min in 63 MS patients at two assessment points, four months apart. Additionally, patients were examined with the BBS, TUG and the EDSS. A period of 4min on the WBB provided data characterized by excellent internal consistency and test-retest reliability. Significant correlations between WBB data and results of the BBS and TUG were obtained after merely 2min on the board. An EDSS median-split revealed that higher EDSS values (>3) were associated with significantly increased postural sway on the WBB. WBB measures reflecting postural sway are methodologically robust in MS, involving excellent internal consistency and test-retest reliability. They are also characterized by convergent validity with other considerably lengthier observer-rated balance measures (BBS) and sensitive to broader clinical characteristics (EDSS). The WBB may hence represent an effective, easy-to-use monitoring tool for MS patients in clinical practice. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Feasibility of Wii Fit training to improve clinical measures of balance in older adults

    OpenAIRE

    Bieryla KA; Dold NM

    2013-01-01

    Kathleen A Bieryla, Neil M DoldBiomedical Engineering Department, Bucknell University, Lewisburg, PA, USABackground and purpose: Numerous interventions have been proposed to improve balance in older adults with varying degrees of success. A novel approach may be to use an off-the-shelf video game system utilizing real-time force feedback to train older adults. The purpose of this study is to investigate the feasibility of using Nintendo's Wii Fit for training to improve clinical measu...

  15. Comparisons of clinically based outcome measures and laboratory-based outcome measure for balance in patients following total hip and knee arthroplasty

    Directory of Open Access Journals (Sweden)

    Jogi P

    2017-04-01

    Full Text Available Pankaj Jogi, Tom Overend, John Kramer School of Physical Therapy, University of Western Ontario, London, ON, Canada Background: Information available in the literature on clinically based and laboratory-based outcome measures of balance is limited. How much information is provided by clinically based outcome measures compared to laboratory-based measure in patients with total hip (THA and knee arthroplasty (TKA is not known. Aim: The purpose of this study was to determine the relationship between selected clinically based outcome measures and laboratory-based force platform measure in patients following THA and TKA. Methods: Patients who underwent THA (n = 26 and TKA (n = 28 were evaluated at about 5–7 weeks following surgery. Participants were assessed using four clinically based outcome measures – 1 the Berg Balance Scale (BBS, 2 the Timed Up and Go test (TUG, 3 the Activities-specific Balance Confidence Scale (ABC, and 4 the Western Ontario McMaster Universities Osteoarthritis Index-function subscale (WOMAC-function – and one laboratory-based force plate measure (95% ellipse area. Results: Moderate correlations were observed between the BBS and the 95% ellipse area of force plate (r = 0.46–0.51 for the two-legged stance, the anterior lean stance, and the posterior lean stance. Fair correlations were observed between TUG and the 95% ellipse area of force plate (r = 0.31–0.37 for all the three test conditions. Low correlations were observed for the ABC and the WOMAC-function with the 95% ellipse area of force plate (r = 0.11–0.25 for all the three test conditions. Conclusion: The BBS demonstrated the greatest correlations with the 95% ellipse area of the force plate measure and should be preferred by physical therapists over the TUG, the ABC, and the WOMAC-function to assess balance in patients with THA and TKA. Keywords: total knee arthroplasty, total hip arthroplasty, force plate, clinical measures, balance

  16. Subjective and objective knowledge and decisional role preferences in cerebrovascular patients compared to controls

    Directory of Open Access Journals (Sweden)

    Riechel C

    2016-08-01

    Full Text Available Christina Riechel,1,* Anna Christina Alegiani,1,* Sascha Köpke,2 Jürgen Kasper,3,4 Michael Rosenkranz,1,5 Götz Thomalla,1 Christoph Heesen1,4 1Department of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; 2Nursing Research Unit, Institute of Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany; 3Department of Health and Caring Sciences, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway; 4Institute of Neuroimmunology and Multiple Sclerosis, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; 5Department of Neurology, Albertinen-Krankenhaus, Hamburg, Germany *These authors contributed equally to this work Background: Risk knowledge and active role preferences are important for patient involvement in treatment decision-making and adherence. Although knowledge about stroke warning signs and risk factors has received considerable attention, objective knowledge on secondary prevention and further self-esteem subjective knowledge have rarely been studied. The aim of our study was to investigate knowledge and treatment decisional role preferences in cerebrovascular patients compared to controls. Methods: We performed a survey on subjective and objective stroke risk knowledge and autonomy preferences in cerebrovascular patients from our stroke outpatient clinic (n=262 and from pedestrians on the street taken as controls during a “World Stroke Day” (n=274. The questionnaire includes measures for knowledge and decisional role preferences from previously published questionnaires and newly developed measures, for example, subjective knowledge, revealed on a visual analog scale. Results: The overall stroke knowledge was low to moderate, with no differences between patients and controls. Knowledge about secondary prevention was particularly low. Only 10%–15% of participants correctly estimated the stroke absolute risk reduction potential of aspirin. The medical data

  17. WATER SUPPLY MEASUREMENTS IN MULTI-FAMILY BULDINGS AND DISCREPANCIES IN A WATER BALANCE

    Directory of Open Access Journals (Sweden)

    Tomasz Cichoń

    2016-06-01

    Full Text Available A large-scale implementation of individual water meters in water charging systems has created problems with a water shortage that have to be settled between real estate managers and water and sewage utilities. The article presents the observations and experiences from operation of a water metering system at the Krakow agglomeration. The studies have confirmed that many small leaks in installations, taps, faucets, flush toilets as well as system failures and the incidences of water stealing are still the factors responsible for significant differences in the water balance in the apartment buildings.

  18. Collective Excitations in Protein as a Measure of Balance Between its Softness and Rigidity

    International Nuclear Information System (INIS)

    Shrestha, Utsab R.; Bhowmik, Debsindhu; Van Delinder, Kurt W.; Mamontov, Eugene; O’Neill, Hugh

    2017-01-01

    Here, we elucidate the protein activity from the perspective of protein softness and flexibility by studying the collective phonon-like excitations in a globular protein, human serum albumin (HSA), and taking advantage of the state-of-the-art inelastic X-ray scattering (IXS) technique. Such excitations demonstrate that the protein becomes softer upon thermal denaturation due to disruption of weak noncovalent bonds. On the other hand, no significant change in the local excitations is detected in ligand- (drugs) bound HSA compared to the ligand-free HSA. These results clearly suggest that the protein conformational flexibility and rigidity are balanced by the native protein structure for biological activity.

  19. ICT support for measuring customer metrics defined by the Balanced Scorecard method

    Directory of Open Access Journals (Sweden)

    František Dařena

    2006-01-01

    Full Text Available In the paper an approach to support of strategic management process using the Balanced Scorecard method is discussed. The main focus is primarily directed to the customer perspective as the most important determining factor of today‘s strategic management. The article suggests general framework for construction of individual performance indicators from this field independently on particular implementation of existing information system in the organization. Methods of gaining necessary information from organization‘s database and from organization‘s environment using customer research are considered.

  20. Measuring Knowledge Management Performance in Organizations: An Integrative Framework of Balanced Scorecard and Fuzzy Evaluation

    Directory of Open Access Journals (Sweden)

    Hongbo Lyu

    2016-05-01

    Full Text Available As an important part of knowledge management (KM, the KM performance evaluation tries to find out the key factors restraining the enhancement of the enterprises' performance. This paper investigates the feasibility of the balanced scorecard (BSC method in enterprise knowledge management and then proposes a simplified and applicable performance evaluation model based on the BSC approach. Finally, fuzzy comprehensive evaluation (FCE is used to evaluate the effectiveness and applicability of the proposed model. The result shows that the model is useful for evaluating the performance of KM in enterprises.

  1. Collective Excitations in Protein as a Measure of Balance Between its Softness and Rigidity

    Energy Technology Data Exchange (ETDEWEB)

    Shrestha, Utsab R. [Wayne State Univ., Detroit, MI (United States). Dept. of Physics and Astronomy; Bhowmik, Debsindhu [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States). Computational Science and Engineering Division; Van Delinder, Kurt W. [Wayne State Univ., Detroit, MI (United States). Dept. of Physics and Astronomy; Mamontov, Eugene [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States). Chemical and Engineering Materials Division; O’Neill, Hugh [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States). Biology and Soft Matter Division; Zhang, Qiu [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States). Biology and Soft Matter Division; Alatas, Ahmet [Argonne National Lab. (ANL), Argonne, IL (United States). Advanced Photon Source; Chu, Xiang-Qiang [Wayne State Univ., Detroit, MI (United States). Dept. of Physics and Astronomy

    2017-01-12

    Here, we elucidate the protein activity from the perspective of protein softness and flexibility by studying the collective phonon-like excitations in a globular protein, human serum albumin (HSA), and taking advantage of the state-of-the-art inelastic X-ray scattering (IXS) technique. Such excitations demonstrate that the protein becomes softer upon thermal denaturation due to disruption of weak noncovalent bonds. On the other hand, no significant change in the local excitations is detected in ligand- (drugs) bound HSA compared to the ligand-free HSA. These results clearly suggest that the protein conformational flexibility and rigidity are balanced by the native protein structure for biological activity.

  2. Physical Aspects of Healthy Aging: Assessments of Three Measures of Balance for Studies in Middle-Aged and Older Adults

    Directory of Open Access Journals (Sweden)

    Clementina D. Ceria-Ulep

    2010-01-01

    Results. The EPESE and NHANES batteries of tests were not sufficiently challenging to allow successful discrimination among subjects in good health, even older subjects. The GBPS allowed objective quantitative measurements, but the test-retest correlations generally were not high. The GBPS variables correlated with age only when subjects stood on a foam pad; they also were correlated with anthropometric variables. Conclusion. Both EPESE and NHANES balance tests were too easy for healthy subjects. The GBPS had generally low reliability coefficients except for the most difficult testing condition (foam pad, eyes closed. Both height and body fat were associated with GBPS scores, necessitating adjusting for these variables if using balance as a predictor of future health.

  3. Decisional conflict in mental health care : A cross-sectional study

    NARCIS (Netherlands)

    Metz, M.J.; Verbeek, M.A.; van der Feltz-Cornelis, C.M.; de Beurs, E.; Beekman, A.T.F.

    2018-01-01

    Purpose: Decisional conflict refers to the degree to which patients are engaged in and feel comfortable about important clinical decisions. Until now, the concept has received little attention in mental health care. We investigate the level of decisional conflict in mental health care and whether

  4. Decision making in depression: differences in decisional conflict between healthy and depressed individuals.

    Science.gov (United States)

    van Randenborgh, Annette; de Jong-Meyer, Renate; Hüffmeier, Joachim

    2010-01-01

    This study investigated differences in the emergence of decisional conflict in healthy and depressed participants. The two groups of interest were questioned about their experience of decisional conflict and ongoing thoughts and impressions during decision making. As predicted, depressed participants experienced more decisional conflict than healthy participants. Furthermore, the diverse processes hypothesis was supported: In healthy participants, preoccupation with the task was the only predictor of decisional conflict. In depressed participants, decisional conflict was predicted by a combination of depression-related processes (e.g., low self-efficacy, lack of concentration, rumination, etc.). This research reduces the gap between the relevance of the symptom of indecisiveness (e.g., for diagnostic purposes) and the lack of knowledge in this realm of psychopathology. (c) 2009 John Wiley & Sons, Ltd.

  5. Evaluation of Nintendo Wii Balance Board as a Tool for Measuring Postural Stability After Sport-Related Concussion.

    Science.gov (United States)

    Merchant-Borna, Kian; Jones, Courtney Marie Cora; Janigro, Mattia; Wasserman, Erin B; Clark, Ross A; Bazarian, Jeffrey J

    2017-03-01

    Recent changes to postconcussion guidelines indicate that postural-stability assessment may augment traditional neurocognitive testing when making return-to-participation decisions. The Balance Error Scoring System (BESS) has been proposed as 1 measure of balance assessment. A new, freely available software program to accompany the Nintendo Wii Balance Board (WBB) system has recently been developed but has not been tested in concussed patients. To evaluate the feasibility of using the WBB to assess postural stability across 3 time points (baseline and postconcussion days 3 and 7) and to assess concurrent and convergent validity of the WBB with other traditional measures (BESS and Immediate Post-Concussion Assessment and Cognitive Test [ImPACT] battery) of assessing concussion recovery. Cohort study. Athletic training room and collegiate sports arena. We collected preseason baseline data from 403 National Collegiate Athletic Association Division I and III student-athletes participating in contact sports and studied 19 participants (age = 19.2 ± 1.2 years, height = 177.7 ± 8.0 cm, mass = 75.3 ± 16.6 kg, time from baseline to day 3 postconcussion = 27.1 ± 36.6 weeks) who sustained concussions. We assessed balance using single-legged and double-legged stances for both the BESS and WBB, focusing on the double-legged, eyes-closed stance for the WBB, and used ImPACT to assess neurocognition at 3 time points. Descriptive statistics were used to characterize the sample. Mean differences and Spearman rank correlation coefficients were used to determine differences within and between metrics over the 3 time points. Individual-level changes over time were also assessed graphically. The WBB demonstrated mean changes between baseline and day 3 postconcussion and between days 3 and 7 postconcussion. It was correlated with the BESS and ImPACT for several measures and identified 2 cases of abnormal balance postconcussion that would not have been identified via the BESS. When

  6. Methodological possibilities for using the electron and ion energy balance in thermospheric complex measurements

    International Nuclear Information System (INIS)

    Serafimov, K.B.; Serafimova, M.K.

    1991-01-01

    Combination of ground based measurements for determination of basic thermospheric characteristics is proposed . An expression for the energy transport between components of space plasma is also derived and discussed within the framework of the presented methodology which could be devided into the folowing major sections: 1) application of ionosonde, absorption measurements, TEC-measurements using Faradey radiation or the differential Doppler effect; 2) ground-based airglow measurements; 3) airglow and palsma satelite measurements. 9 refs

  7. An economic model of friendship and enmity for measuring social balance in networks

    Science.gov (United States)

    Lee, Kyu-Min; Shin, Euncheol; You, Seungil

    2017-12-01

    We propose a dynamic economic model of networks where agents can be friends or enemies with one another. This is a decentralized relationship model in that agents decide whether to change their relationships so as to minimize their imbalanced triads. In this model, there is a single parameter, which we call social temperature, that captures the degree to which agents care about social balance in their relationships. We show that the global structure of relationship configuration converges to a unique stationary distribution. Using this stationary distribution, we characterize the maximum likelihood estimator of the social temperature parameter. Since the estimator is computationally challenging to calculate from real social network datasets, we provide a simple simulation algorithm and verify its performance with real social network datasets.

  8. Mass Balance of the West Antarctic Ice-Sheet from ICESat Measurements

    Science.gov (United States)

    Zwally, H. Jay; Li, Jun; Robins, John; Saba, Jack L.; Yi, Donghui

    2011-01-01

    Mass balance estimates for 2003-2008 are derived from ICESat laser altimetry and compared with estimates for 1992-2002 derived from ERS radar altimetry. The net mass balance of 3 drainage systems (Pine Island, Thwaites/Smith, and the coast of Marie Bryd) for 2003-2008 is a loss of 100 Gt/yr, which increased from a loss of 70 Gt/yr for the earlier period. The DS including the Bindschadler and MacAyeal ice streams draining into the Ross Ice Shelf has a mass gain of 11 Gt/yr for 2003-2008, compared to an earlier loss of 70 Gt/yr. The DS including the Whillans and Kamb ice streams has a mass gain of 12 Gt/yr, including a significant thickening on the upper part of the Kamb DS, compared to a earlier gain of 6 Gt/yr (includes interpolation for a large portion of the DS). The other two DS discharging into the Ronne Ice Shelf and the northern Ellsworth Coast have a mass gain of 39 Gt/yr, compared to a gain of 4 Gt/yr for the earlier period. Overall, the increased losses of 30 Gt/yr in the Pine Island, Thwaites/Smith, and the coast of Marie Bryd DSs are exceeded by increased gains of 59 Gt/yr in the other 4 DS. Overall, the mass loss from the West Antarctic ice sheet has decreased to 38 Gt/yr from the earlier loss of 67 Gt/yr, reducing the contribution to sea level rise to 0.11 mm/yr from 0.19 mm/yr

  9. Archibald Cochrane: evidencia, efectividad y toma de decisiones en salud

    Directory of Open Access Journals (Sweden)

    Arantxa Fátima Hortiales González

    2017-09-01

    Full Text Available Actualmente, la Medicina Basada en Evidencia tiene un papel fundamental en la toma de decisiones médicas, ya que intenta, a través de los métodos de la ciencia, justificar las diferentes alternativas que se le pueden ofrecer a un paciente. Para entender la evolución histórica de esta forma de practicar la medicina, es necesario revisar la contribución de uno de los principales participantes en este movimiento cultural: Archibald Leman Cochrane, quien ayudó a definir el marco teórico que ha permitido incorporar la ciencia a la práctica de la medicina. Su papel, al insistir en la necesidad de integrar la evidencia científica y conjuntarla con la experiencia clínica, constituyó un elemento fundamental y decisivo en el desarrollo de una nueva disciplina, la Medicina Basada en Evidencia.

  10. Decisiones al final de la vida en México

    Directory of Open Access Journals (Sweden)

    Edith González Moreno

    2015-01-01

    Full Text Available El presente ensayo aborda el tema de las decisiones al final de la vida en México (incluyendo el tema de la muerte medi - camente asistida. 2 Las reflexiones parten de algunos indicadores nacionales de mortalidad en nuestro país, donde el fenómeno de muerte en hospitales está apenas siendo igualado al número de muertes que venían ocurriendo fuera de ellos. Por lo anterior y a diferencia de otros países, el foco de atención en las cuestiones relacionadas con el final de la vida no deberá centrarse exclusivamente en el ámbito hospitalario. También se presentan algunos argumentos internacionales, elementos de la legislación vigente, así como la influencia de los paternalismos médico y jurídico en México.

  11. Dual-energy approach to contrast-enhanced mammography using the balanced filter method: Spectral optimization and preliminary phantom measurement

    International Nuclear Information System (INIS)

    Saito, Masatoshi

    2007-01-01

    Dual-energy contrast agent-enhanced mammography is a technique of demonstrating breast cancers obscured by a cluttered background resulting from the contrast between soft tissues in the breast. The technique has usually been implemented by exploiting two exposures to different x-ray tube voltages. In this article, another dual-energy approach using the balanced filter method without switching the tube voltages is described. For the spectral optimization of dual-energy mammography using the balanced filters, we applied a theoretical framework reported by Lemacks et al. [Med. Phys. 29, 1739-1751 (2002)] to calculate the signal-to-noise ratio (SNR) in an iodinated contrast agent subtraction image. This permits the selection of beam parameters such as tube voltage and balanced filter material, and the optimization of the latter's thickness with respect to some critical quantity--in this case, mean glandular dose. For an imaging system with a 0.1 mm thick CsI:Tl scintillator, we predict that the optimal tube voltage would be 45 kVp for a tungsten anode using zirconium, iodine, and neodymium balanced filters. A mean glandular dose of 1.0 mGy is required to obtain an SNR of 5 in order to detect 1.0 mg/cm 2 iodine in the resulting clutter-free image of a 5 cm thick breast composed of 50% adipose and 50% glandular tissue. In addition to spectral optimization, we carried out phantom measurements to demonstrate the present dual-energy approach for obtaining a clutter-free image, which preferentially shows iodine, of a breast phantom comprising three major components - acrylic spheres, olive oil, and an iodinated contrast agent. The detection of iodine details on the cluttered background originating from the contrast between acrylic spheres and olive oil is analogous to the task of distinguishing contrast agents in a mixture of glandular and adipose tissues

  12. Battery Storage Systems as Grid-Balancing Measure in Low-Voltage Distribution Grids with Distributed Generation

    Directory of Open Access Journals (Sweden)

    Bernhard Faessler

    2017-12-01

    Full Text Available Due to the promoted integration of renewable sources, a further growth of strongly transient, distributed generation is expected. Thus, the existing electrical grid may reach its physical limits. To counteract this, and to fully exploit the viable potential of renewables, grid-balancing measures are crucial. In this work, battery storage systems are embedded in a grid simulation to evaluate their potential for grid balancing. The overall setup is based on a real, low-voltage distribution grid topology, real smart meter household load profiles, and real photovoltaics load data. An autonomous optimization routine, driven by a one-way communicated incentive, determines the prospective battery operation mode. Different battery positions and incentives are compared to evaluate their impact. The configurations incorporate a baseline simulation without storage, a single, central battery storage or multiple, distributed battery storages which together have the same power and capacity. The incentives address either market conditions, grid balancing, optimal photovoltaic utilization, load shifting, or self-consumption. Simulations show that grid-balancing incentives result in lowest peak-to-average power ratios, while maintaining negligible voltage changes in comparison to a reference case. Incentives reflecting market conditions for electricity generation, such as real-time pricing, negatively influence the power quality, especially with respect to the peak-to-average power ratio. A central, feed-in-tied storage performs better in terms of minimizing the voltage drop/rise and shows lower distribution losses, while distributed storages attached at nodes with electricity generation by photovoltaics achieve lower peak-to-average power ratios.

  13. Reliability and validity of a novel Kinect-based software program for measuring posture, balance and side-bending.

    Science.gov (United States)

    Grooten, Wilhelmus Johannes Andreas; Sandberg, Lisa; Ressman, John; Diamantoglou, Nicolas; Johansson, Elin; Rasmussen-Barr, Eva

    2018-01-08

    Clinical examinations are subjective and often show a low validity and reliability. Objective and highly reliable quantitative assessments are available in laboratory settings using 3D motion analysis, but these systems are too expensive to use for simple clinical examinations. Qinematic™ is an interactive movement analyses system based on the Kinect camera and is an easy-to-use clinical measurement system for assessing posture, balance and side-bending. The aim of the study was to test the test-retest the reliability and construct validity of Qinematic™ in a healthy population, and to calculate the minimal clinical differences for the variables of interest. A further aim was to identify the discriminative validity of Qinematic™ in people with low-back pain (LBP). We performed a test-retest reliability study (n = 37) with around 1 week between the occasions, a construct validity study (n = 30) in which Qinematic™ was tested against a 3D motion capture system, and a discriminative validity study, in which a group of people with LBP (n = 20) was compared to healthy controls (n = 17). We tested a large range of psychometric properties of 18 variables in three sections: posture (head and pelvic position, weight distribution), balance (sway area and velocity in single- and double-leg stance), and side-bending. The majority of the variables in the posture and balance sections, showed poor/fair reliability (ICC < 0.4) and poor/fair validity (Spearman <0.4), with significant differences between occasions, between Qinematic™ and the 3D-motion capture system. In the clinical study, Qinematic™ did not differ between people with LPB and healthy for these variables. For one variable, side-bending to the left, there was excellent reliability (ICC =0.898), excellent validity (r = 0.943), and Qinematic™ could differentiate between LPB and healthy individuals (p = 0.012). This paper shows that a novel software program (Qinematic™) based

  14. The balancing of existing space heating systems using temperature measurements; L'equilibrage des installations de chauffage existantes par mesure des temperatures

    Energy Technology Data Exchange (ETDEWEB)

    Didier, G.

    2004-03-01

    The balancing of space heating systems using the measurements of water temperature or of the ambient temperature is a method used since several decades. However, the results obtained with this method have been very often disappointing. Today, the improvements made in the metrology of surface temperatures allow to reconsider this approach. This technical paper describes: the progresses made in surface temperature measurements, the balancing principle using water temperature measurements, a numerical example and the study of a concrete case (relation between temperature drop and flow rate), and the choice of a balancing method. (J.S.)

  15. Do Performance Measures of Strength, Balance, and Mobility Predict Quality of Life and Community Reintegration After Stroke?

    Science.gov (United States)

    Cohen, Joshua W; Ivanova, Tanya D; Brouwer, Brenda; Miller, Kimberly J; Bryant, Dianne; Garland, S Jayne

    2018-04-01

    To investigate the extent to which physical performance measures of strength, balance, and mobility taken at discharge from inpatient stroke rehabilitation can predict health-related quality of life (HRQoL) and community reintegration after 6 months. Longitudinal study. University laboratory. Adults (N=75) recruited within 1 month of discharge home from inpatient stroke rehabilitation. Not applicable. 36-Item Short Form Health Survey (SF-36) for HRQoL and Subjective Index of Physical and Social Outcome (SIPSO) for community reintegration. Physical performance measures were the 6-minute walk test, timed Up and Go (TUG) test, Berg Balance Scale, Community Balance and Mobility Scale, and isokinetic torque and power of hip, knee, and ankle on the paretic and nonparetic sides. Other prognostic variables included age, sex, stroke type and location, comorbidities, and motor FIM score. Separate stepwise linear regressions were performed using the SF-36 and SIPSO as dependent variables. The total paretic lower limb torque and 6-minute walk test predicted the SF-36 Physical Component Summary (adjusted R 2 =.30). The total paretic lower limb torque and TUG test predicted the SIPSO physical component (adjusted R 2 =.47). The total paretic lower limb torque significantly predicted the SF-36 Mental Component Summary, but the adjusted R 2 was low (.06). Similarly, the TUG test significantly predicted the SIPSO social component, but again the adjusted R 2 was low (.09). Measures of physical performance including muscle strength and mobility at discharge can partially predict HRQoL and community reintegration 6 months later. Further research is necessary for more accurate predictions. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  16. The Global Energy Balance Archive (GEBA version 2017: a database for worldwide measured surface energy fluxes

    Directory of Open Access Journals (Sweden)

    M. Wild

    2017-08-01

    Full Text Available The Global Energy Balance Archive (GEBA is a database for the central storage of the worldwide measured energy fluxes at the Earth's surface, maintained at ETH Zurich (Switzerland. This paper documents the status of the GEBA version 2017 dataset, presents the new web interface and user access, and reviews the scientific impact that GEBA data had in various applications. GEBA has continuously been expanded and updated and contains in its 2017 version around 500 000 monthly mean entries of various surface energy balance components measured at 2500 locations. The database contains observations from 15 surface energy flux components, with the most widely measured quantity available in GEBA being the shortwave radiation incident at the Earth's surface (global radiation. Many of the historic records extend over several decades. GEBA contains monthly data from a variety of sources, namely from the World Radiation Data Centre (WRDC in St. Petersburg, from national weather services, from different research networks (BSRN, ARM, SURFRAD, from peer-reviewed publications, project and data reports, and from personal communications. Quality checks are applied to test for gross errors in the dataset. GEBA has played a key role in various research applications, such as in the quantification of the global energy balance, in the discussion of the anomalous atmospheric shortwave absorption, and in the detection of multi-decadal variations in global radiation, known as global dimming and brightening. GEBA is further extensively used for the evaluation of climate models and satellite-derived surface flux products. On a more applied level, GEBA provides the basis for engineering applications in the context of solar power generation, water management, agricultural production and tourism. GEBA is publicly accessible through the internet via http://www.geba.ethz.ch. Supplementary data are available at https://doi.org/10.1594/PANGAEA.873078.

  17. A modified Wheeler cap method for radiation efficiency measurement of balanced electrically small antennas

    DEFF Research Database (Denmark)

    Zhang, Jiaying; Pivnenko, Sergey; Breinbjerg, Olav

    2010-01-01

    Measurement of radiation efficiency for ultra small antennas represents a great challenge due to influence of the feeding cable. The Wheeler cap method is often used to measure the radiation efficiency of small antennas. However, it is well applicable for antennas on a ground plane, but not for b......Measurement of radiation efficiency for ultra small antennas represents a great challenge due to influence of the feeding cable. The Wheeler cap method is often used to measure the radiation efficiency of small antennas. However, it is well applicable for antennas on a ground plane...... is that it is wideband, thus does not require any balun, and both the antenna input impedance and radiation efficiency can be obtained. An electrically small loop antenna and a wideband dipole were simulated and measured according to the proposed method and the results of measurements and simulations are presented...

  18. Use of Balanced Scorecard Methodology for Performance Measurement of the Health Extension Program in Ethiopia.

    Science.gov (United States)

    Teklehaimanot, Hailay D; Teklehaimanot, Awash; Tedella, Aregawi A; Abdella, Mustofa

    2016-05-04

    In 2004, Ethiopia introduced a community-based Health Extension Program to deliver basic and essential health services. We developed a comprehensive performance scoring methodology to assess the performance of the program. A balanced scorecard with six domains and 32 indicators was developed. Data collected from 1,014 service providers, 433 health facilities, and 10,068 community members sampled from 298 villages were used to generate weighted national, regional, and agroecological zone scores for each indicator. The national median indicator scores ranged from 37% to 98% with poor performance in commodity availability, workforce motivation, referral linkage, infection prevention, and quality of care. Indicator scores showed significant difference by region (P < 0.001). Regional performance varied across indicators suggesting that each region had specific areas of strength and deficiency, with Tigray and the Southern Nations, Nationalities and Peoples Region being the best performers while the mainly pastoral regions of Gambela, Afar, and Benishangul-Gumuz were the worst. The findings of this study suggest the need for strategies aimed at improving specific elements of the program and its performance in specific regions to achieve quality and equitable health services. © The American Society of Tropical Medicine and Hygiene.

  19. Performance measurement using balanced scorecard: A case study of pipe industry

    Directory of Open Access Journals (Sweden)

    Amer Hosseini

    2013-05-01

    Full Text Available Strategic assessment of the organizational performance in the industrial environment is one of the primary and essential prerequisites for developing improvement plans in organizations. This issue is so crucial that one of the on-going affairs in the organizations is to identify the weakness and strength points. One of the effective models for assessing the organizations performance is balance scorecard (BSC model, which examines all the aspects of an organization. The proposed study of this paper investigates the existing strategic objectives in the strategy map of a pipe company located in city of Shiraz, Iran. The proposed study of this paper designs a questionnaire and distributes it among 31 managers, 94 regular employees and 110 customers of this firm for the fiscal year ended 2011. The results of our study indicate that the firm could reach 41.4% of its financial objectives, 87.38% of its customers’ requirements, 66.13% of internal processes and 70.94% of its learning necessities according to four major BSC requirements. In summary, the firm could reach 66.45 % of its requirements during the fiscal year of 2011.

  20. Electron Pitch-Angle Distribution in Pressure Balance Structures Measured by Ulysses/SWOOPS

    Science.gov (United States)

    Yamauchi, Yohei; Suess, Steven T.; Sakurai, Takashi; Six, N. Frank (Technical Monitor)

    2002-01-01

    Pressure balance structures (PBSs) are a common feature in the high-latitude solar wind near solar minimum. From previous studies, PBSs are believed to be remnants of coronal plumes. Yamauchi et al [2002] investigated the magnetic structures of the PBSs, applying a minimum variance analysis to Ulysses/Magnetometer data. They found that PBSs contain structures like current sheets or plasmoids, and suggested that PBSs are associated with network activity such as magnetic reconnection in the photosphere at the base of polar plumes. We have investigated energetic electron data from Ulysses/SWOOPS to see whether bi-directional electron flow exists and we have found evidence supporting the earlier conclusions. We find that 45 ot of 53 PBSs show local bi-directional or isotopic electron flux or flux associated with current-sheet structure. Only five events show the pitch-angle distribution expected for Alfvenic fluctuations. We conclude that PBSs do contain magnetic structures such as current sheets or plasmoids that are expected as a result of network activity at the base of polar plumes.

  1. Applications of the balanced scorecard for strategic management and performance measurement in the health sector.

    Science.gov (United States)

    Behrouzi, Farshad; Shaharoun, Awaluddin Mohamed; Ma'aram, Azanizawati

    2014-05-01

    In order to attain a useful balanced scorecard (BSC), appropriate performance perspectives and indicators are crucial to reflect all strategies of the organisation. The objectives of this survey were to give an insight regarding the situation of the BSC in the health sector over the past decade, and to afford a generic approach of the BSC development for health settings with specific focus on performance perspectives, performance indicators and BSC generation. After an extensive search based on publication date and research content, 29 articles published since 2002 were identified, categorised and analysed. Four critical attributes of each article were analysed, including BSC generation, performance perspectives, performance indicators and auxiliary tools. The results showed that 'internal business process' was the most notable BSC perspective as it was included in all reviewed articles. After investigating the literature, it was concluded that its comprehensiveness is the reason for the importance and high usage of this perspective. The findings showed that 12 cases out of 29 reviewed articles (41%) exceeded the maximum number of key performance indicators (KPI) suggested in a previous study. It was found that all 12 cases were large organisations with numerous departments (e.g. national health organisations). Such organisations require numerous KPI to cover all of their strategic objectives. It was recommended to utilise the cascaded BSC within such organisations to avoid complexity and difficulty in gathering, analysing and interpreting performance data. Meanwhile it requires more medical staff to contribute in BSC development, which will result in greater reliability of the BSC.

  2. DETAILED FIT OF 'CRITICAL BALANCE' THEORY TO SOLAR WIND TURBULENCE MEASUREMENTS

    International Nuclear Information System (INIS)

    Forman, Miriam A.; Wicks, Robert T.; Horbury, Timothy S.

    2011-01-01

    We derive the reduced spectrum of turbulent magnetic fluctuations at different frequencies f which would be observed by a single spacecraft in the solar wind when the magnetic field was at an angle θ B to the solar wind flow, if the wavevector spectrum in the solar wind frame were in anisotropic 'critical balance' (CB) as proposed by Goldreich and Sridhar in 1995 (GS95). The anisotropic power spectrum in the inertial range, P(f, θ B ), is scaled onto one curve with f- 5/3 behavior at θ B near 90 0 and f -2 behavior at small θ B . The transition between the two limiting spectra depends on the form of the GS95 wavevector spectrum and the CB scaling parameter L. Using wavelet analysis of Ulysses magnetic field data in three 30-day periods in the high-latitude solar wind in 1995, we verify that the scaling of power with angle and frequency is qualitatively consistent with GS95 theory. However, the scale length L required to fit the observed P(f, θ B ) to the original CB theory is rather less than the scale predicted by that theory for the solar wind. Part, possibly all, of this discrepancy is removed when the GS95 theory modified for imbalanced turbulence is used.

  3. The privatisation of non-custodial measures: an uneasy balance between legitimacy and immediacy

    OpenAIRE

    Alison Hogg

    2012-01-01

    All developed countries with few exceptions are facing problems related to prison overpopulation and non-custodial measures are marketed as the solution. The public’s involvement and endorsement of non-custodial measures is imperative and the success of these measures will depend upon the contribution of the private sector. The private for-profit and non-profit sectors’ involvement in this area is not new and unlikely to decrease; however, the public sector must be the one to iden...

  4. Reproducibility of Dynamic Body Balance Measurement by Center of Foot Pressure Analysis Immediately after Single-Leg Hop Landing.

    Science.gov (United States)

    Kawakami, Yukiko; Yonetani, Yasukazu; Takao, Rikio; Ogasawara, Issei; Mae, Tatsuo; Nakata, Ken; Horibe, Shuji

    2016-01-01

    Dynamic balance was evaluated using the trajectory length of the center of foot pressure (COP) in the early phase from immediately after landing to the time of pastoral maintenance. Ten young volunteers with an average age of 23.8 years were asked to stand on one foot on a horizontal floor, hop forward half a step and land on one foot 10 times on each of 3 non-consecutive days. The peak of the vertical component of the floor reaction force (Fz), and the initiation time of the maximum value (tz) and COP trajectory length were measured by a force plate (AMTI, Ltd.). None of the subjects complained of any feeling of fear or loss of balance during the 3 days.The interclass correlation coefficient values of Fz and tz over the three days were 0.75 or higher. Single-leg hop for half a step as a motor task enabled safe measurement of COP trajectory length with high reproducibility. Fz reached its peak within 200 ms after landing and the COP trajectory length within 200 ms after landing accounted for approximately 50% of the total COP trajectory length at one second. Although the length differed in each subject, the interclass correlation coefficients for COP up to 100 ms and 200 ms were 0.68 and 0.80, respectively.The COP trajectory length within 200 ms after landing was considered to be useful as an objective criteria for the evaluation of dynamic balance in the early phase after landing.

  5. Decisional enhancement and autonomy: public attitudes towards overt and covert nudges

    Directory of Open Access Journals (Sweden)

    Gidon Felsen

    2013-05-01

    Full Text Available Ubiquitous cognitive biases hinder optimal decision making. Recent calls to assist decision makers in mitigating these biases---via interventions commonly called ``nudges''---have been criticized as infringing upon individual autonomy. We tested the hypothesis that such ``decisional enhancement'' programs that target overt decision making---i.e., conscious, higher-order cognitive processes---would be more acceptable than similar programs that affect covert decision making---i.e., subconscious, lower-order processes. We presented respondents with vignettes in which they chose between an option that included a decisional enhancement program and a neutral option. In order to assess preferences for overt or covert decisional enhancement, we used the contrastive vignette technique in which different groups of respondents were presented with one of a pair of vignettes that targeted either conscious or subconscious processes. Other than the nature of the decisional enhancement, the vignettes were identical, allowing us to isolate the influence of the type of decisional enhancement on preferences. Overall, we found support for the hypothesis that people prefer conscious decisional enhancement. Further, respondents who perceived the influence of the program as more conscious than subconscious reported that their decisions under the program would be more ``authentic''. However, this relative favorability was somewhat contingent upon context. We discuss our results with respect to the implementation and ethics of decisional enhancement.

  6. A balancing act? The implications of mixed strategies for performance measurement system design

    NARCIS (Netherlands)

    Dekker, H.C.; Groot, T.L.C.M.; Schoute, M.

    2013-01-01

    This paper examines how firms design performance measurement systems (PMSs) to support the pursuit of mixed strategies. In particular, we examine the implications of firms' joint strategic emphasis on both low cost and differentiation for their use of performance measurement and incentive

  7. A Vibrotactile and Plantar Force Measurement-Based Biofeedback System: Paving the Way towards Wearable Balance-Improving Devices.

    Science.gov (United States)

    Ma, Christina Zong-Hao; Wan, Anson Hong-Ping; Wong, Duo Wai-Chi; Zheng, Yong-Ping; Lee, Winson Chiu-Chun

    2015-12-15

    Although biofeedback systems have been used to improve balance with success, they were confined to hospital training applications. Little attempt has been made to investigate the use of in-shoe plantar force measurement and wireless technology to turn hospital training biofeedback systems into wearable devices. This research developed a wearable biofeedback system which detects body sway by analyzing the plantar force and provides users with the corresponding haptic cues. The effects of this system were evaluated in thirty young and elderly subjects with simulated reduced foot sensation. Subjects performed a Romberg test under three conditions: (1) no socks, system turned-off; (2) wearing five layers of socks, system turned-off; (3) wearing five layers of socks, and system turned-on. Degree of body sway was investigated by computing the center of pressure (COP) movement measured by a floor-mounted force platform. Plantar tactile sensation was evaluated using a monofilament test. Wearing multiple socks significantly decreased the plantar tactile sensory input (p < 0.05), and increased the COP parameters (p < 0.017), indicating increased postural sway. After turning on the biofeedback system, the COP parameters decreased significantly (p < 0.017). The positive results of this study should inspire future development of wearable plantar force-based biofeedback systems for improving balance in people with sensory deficits.

  8. Urban outdoor water use and response to drought assessed through mobile energy balance and vegetation greenness measurements

    Science.gov (United States)

    Liang, L. L.; Anderson, R. G.; Shiflett, S. A.; Jenerette, G. D.

    2017-08-01

    Urban vegetation provides many highly valued ecosystem services but also requires extensive urban water resources. Increasingly, cities are experiencing water limitations and managing outdoor urban water use is an important concern. Quantifying the water lost via evapotranspiration (ET) is critical for urban water management and conservation, especially in arid or semi-arid regions. In this study, we deployed a mobile energy balance platform to measure evaporative fraction throughout Riverside, California, a warm, semi-arid, city. We observed the relationship between evaporative fraction and satellite derived vegetation index across 29 sites, which was then used to map whole-city ET for a representative mid-summer period. Resulting ET distributions were strongly associated with both neighborhood population density and income. By comparing 2014 and 2015 summer-period water uses, our results show 7.8% reductions in evapotranspiration, which were also correlated with neighborhood demographic characteristics. Our findings suggest a mobile energy balance measurement platform coupled with satellite imagery could serve as an effective tool in assessing the outdoor water use at neighborhood to whole city scales.

  9. Measuring and managing progress in the establishment of basic health services: the Afghanistan health sector balanced scorecard.

    Science.gov (United States)

    Hansen, Peter M; Peters, David H; Niayesh, Haseebullah; Singh, Lakhwinder P; Dwivedi, Vikas; Burnham, Gilbert

    2008-01-01

    The Ministry of Public Health (MOPH) of Afghanistan has adopted the Balanced Scorecard (BSC) as a tool to measure and manage performance in delivery of a Basic Package of Health Services. Based on results from the 2004 baseline round, the MOPH identified eight of the 29 indicators on the BSC as priority areas for improvement. Like the 2004 round, the 2005 and 2006 BSCs involved a random selection of more than 600 health facilities, 1700 health workers and 5800 patient-provider interactions. The 2005 and 2006 BSCs demonstrated substantial improvements in all eight of the priority areas compared to 2004 baseline levels, with increases in median provincial scores for presence of active village health councils, availability of essential drugs, functional laboratories, provider knowledge, health worker training, use of clinical guidelines, monitoring of tuberculosis treatment, and provision of delivery care. For three of the priority indicators-drug availability, health worker training and provider knowledge-scores remained unchanged or decreased between 2005 and 2006. This highlights the need to ensure that early gains achieved in establishment of health services in Afghanistan are maintained over time. The use of a coherent and balanced monitoring framework to identify priority areas for improvement and measure performance over time reflects an objectives-based approach to management of health services that is proving to be effective in a difficult environment. 2007 John Wiley & Sons, Ltd

  10. A Vibrotactile and Plantar Force Measurement-Based Biofeedback System: Paving the Way towards Wearable Balance-Improving Devices

    Directory of Open Access Journals (Sweden)

    Christina Zong-Hao Ma

    2015-12-01

    Full Text Available Although biofeedback systems have been used to improve balance with success, they were confined to hospital training applications. Little attempt has been made to investigate the use of in-shoe plantar force measurement and wireless technology to turn hospital training biofeedback systems into wearable devices. This research developed a wearable biofeedback system which detects body sway by analyzing the plantar force and provides users with the corresponding haptic cues. The effects of this system were evaluated in thirty young and elderly subjects with simulated reduced foot sensation. Subjects performed a Romberg test under three conditions: (1 no socks, system turned-off; (2 wearing five layers of socks, system turned-off; (3 wearing five layers of socks, and system turned-on. Degree of body sway was investigated by computing the center of pressure (COP movement measured by a floor-mounted force platform. Plantar tactile sensation was evaluated using a monofilament test. Wearing multiple socks significantly decreased the plantar tactile sensory input (p < 0.05, and increased the COP parameters (p < 0.017, indicating increased postural sway. After turning on the biofeedback system, the COP parameters decreased significantly (p < 0.017. The positive results of this study should inspire future development of wearable plantar force-based biofeedback systems for improving balance in people with sensory deficits.

  11. MEMS Technology Sensors as a More Advantageous Technique for Measuring Foot Plantar Pressure and Balance in Humans

    Directory of Open Access Journals (Sweden)

    Clara Sanz Morère

    2016-01-01

    Full Text Available Locomotor activities are part and parcel of daily human life. During walking or running, feet are subjected to high plantar pressure, leading sometimes to limb problems, pain, or foot ulceration. A current objective in foot plantar pressure measurements is developing sensors that are small in size, lightweight, and energy efficient, while enabling high mobility, particularly for wearable applications. Moreover, improvements in spatial resolution, accuracy, and sensitivity are of interest. Sensors with improved sensing techniques can be applied to a variety of research problems: diagnosing limb problems, footwear design, or injury prevention. This paper reviews commercially available sensors used in foot plantar pressure measurements and proposes the utilization of pressure sensors based on the MEMS (microelectromechanical systems technique. Pressure sensors based on this technique have the capacity to measure pressure with high accuracy and linearity up to high pressure levels. Moreover, being small in size, they are highly suitable for this type of measurement. We present two MEMS sensor models and study their suitability for the intended purpose by performing several experiments. Preliminary results indicate that the sensors are indeed suitable for measuring foot plantar pressure. Importantly, by measuring pressure continuously, they can also be utilized for body balance measurements.

  12. Management under Limited Information – The Measurement of Off-Balance Sheet Assets at Hungarian firms

    Directory of Open Access Journals (Sweden)

    Peter Juhasz

    2016-12-01

    Full Text Available Relying on three questionnaire-based surveys from 2004, 2009 and 2013, each covering around 300 top financial managers of different Hungarian manufacturing and service companies, this article analyzes how the perception and measurement of intellectual capital (IC elements has changed. Instead of focusing on stock exchange prices or case studies of individual firms, this research is unique for using a database on the opinion of top managers over a decade. After the managers, IC has slightly gained importance giving 48-51 percent of the firm value during the years analyzed, still, most companies give little attention to measuring these items correctly. This is dangerous, as by just focusing on traditional accounting measures or relying on outdated methods, top managers are less likely to take shareholder value maximizing decisions. Encouragingly, those who measure do it better: book value has lost popularity while more appropriate market value based estimates have gained importance.

  13. Aporte de enfermería a la toma de decisiones en salud

    OpenAIRE

    Angélica Mosqueda-Díaz; Sara Mendoza-Parra; Viviane Jofré-Aravena

    2014-01-01

    En el ámbito sanitario tomar decisiones es una situación frecuente, aunque potencialmente difícil, ya sea por las características del(la) usuario(a), del contexto o de la situación de salud. Esto provoca conflicto decisional en los(as) usuarios(as). El presente artículo se propone analizar conceptualmente la toma de decisiones en salud y los aportes realizados desde enfermería para comprender y enfrentar el fenómeno. Así, el Modelo de Toma de Decis...

  14. Diagnostic system for measurement of particle balance in TMX-U

    International Nuclear Information System (INIS)

    Allen, S.L.; Correll, D.L.; Hill, D.N.; Wood, R.D.; Brown, M.D.

    1986-01-01

    Several diagnostics measure the particle sources and losses in the Tandem Mirror Experiment-Upgrade (TMX-U) plasma. An absolutely calibrated high-speed (0.5 ms per frame) filtered (6561 A) video camera measures the total ionization source as a function of radius. An axial view of the plasma automatically integrates the axial variations within the depth of field of the system. Another camera, viewing the plasma radially, measures the axial source variations near the deuterium fueling source. Axial ion losses are measured by an array of Faraday cups that are equipped with grids for repelling electrons and are mounted at each end of the experiment. Unequal ion and electron (nonambipolar) radial losses are inferred from net current measurements on an array of grounded plates at each end. Any differences between the measured particle losses and sources may be attributed to ambipolar radial losses and/or azimuthal asymmetries in the particle-loss profiles. Methods of system calibration, along with details of computer data acquisition and processing of this relatively large set of data, are also presented. 6 refs., 1 fig

  15. Contributions of Organizational Performance Measurement Model Performance Prism to the Balanced Scorecard: a study from the stakeholder’s perspective

    Directory of Open Access Journals (Sweden)

    Sady Darcy da Silva Jr

    2013-12-01

    Full Text Available Measuring the organizational performance is a big challenge to companies. Thus, we should highlight the organizational performance measurement model Balanced Scorecard (BSC. However, the Performance Prism (PP model emphasizes the organizational stakeholders and states that BSC treats them in a superficial way, giving more importance to the shareholders and the customers. The objective of this research is to identify the PP contributions to the BSC, from the stakeholders perspective. With this objective, a semi-structured script to the interviews was applied to professionals of the strategic area. In parallel, the structure of the models was compared to enrich the results, as well as to complement the analysis of the perceptions of respondents. The results were very relevant given important contributions of the PP to the BSC, opposing the original criticisms of the PP. These criticisms became questionable through the perception of respondents and the comparison between the models.

  16. Boundary-layer isotope dilution/mass balance methods for measurement of nocturnal methane emissions from grazing sheep

    Science.gov (United States)

    Harvey, M. J.; Brailsford, G. W.; Bromley, A. M.; Lassey, K. R.; Mei, Z.; Kristament, I. S.; Reisinger, A. R.; Walker, C. F.; Kelliher, F. M.

    Following advances with methods for 13C/ 12C isotopic analysis of methane in small (⩽4 L) air samples, new isotope dilution techniques are proposed for measurement of methane emissions at the paddock scale from grazing ruminant animals. These techniques combine measurement of the isotopic δ13CH 4 composition of air samples with a non-intrusive mass balance method applied in the nocturnal boundary layer. Flux estimates from trials using the isotope dilution techniques are compared with estimates based on scaling up individual animal emission measurements using a rumen gas tracer technique. The methane flux assessed by the latter technique ranged from 35 to 70 mg (CH 4) m -2 d -1 with a stocking density between 10 and 20 sheep ha -1. The isotope dilution based nocturnal boundary-layer estimates generally agreed to better than a factor of 2 and usually to within 20% of the average of individual animal emission rate per unit area of paddock. Both static and advecting mass balance methods are developed. In the advecting case, the upwind/downwind contrast in δ13C was typically 0.2-0.5‰. Care was necessary with air sampling to avoid error in this small contrast contributing to error in the flux. Agreement between concentration- and isotope-based nocturnal boundary layer methods and the sheep breath measurements indicated that sample representativeness was generally good. Factors which affect the accuracy of the method are examined and include variability in nocturnal mixing height, the assumed δ13CH 4 composition of the source sheep breath and diurnal patterns in sheep emission. This paper establishes new techniques useful in the paddock to landscape scale although widespread application awaits further development of technology for rapid and repeatable field analysis of δ13CH 4 in small samples.

  17. A Bistable View of Single Constructs Measured Using Balanced Questionnaires: Application to Trait Anxiety

    Science.gov (United States)

    Vautier, Stephane; Callahan, Stacey; Moncany, Delphine; Sztulman, Henri

    2004-01-01

    Single constructs measured using positively and negatively worded items are often incompatible with a congeneric model, but require 2 correlated factors. Imperfect correlation entails that 2 independent dimensions are required for representing the true variance. If 2 dimensions are sought, how can they be interpreted? This study shows how to…

  18. Un-"Chartered" Waters: Balancing Montessori Curriculum and Accountability Measures in a Charter School

    Science.gov (United States)

    Scott, Catherine M.

    2017-01-01

    More than 6,000 charter schools exist in the United States, and of these 120 are Montessori charter schools. When studying charter school practices, researchers often examine issues such as performance accountability measures and effectiveness of charter school curricula. In doing so, the outcomes often overlook the challenges for teachers as they…

  19. Balanced leadership, professinalism, and team trust preduct positive attitudes toward performance measurement

    NARCIS (Netherlands)

    Wilderom, Celeste P.M.; Wouters, Marc; van Brussel, Jerrick

    2007-01-01

    In our four-year study, we advised the Logistics unit of a medium-sized Dutch firm during their development of their unit’s performance measurement system (PMS). We gathered four sets of quantitative survey data, involving a panel of 42 Logistics employees. At the end of this time frame, we found

  20. The Energy Balance and Energy-Saving Measures in Greenhouse Tomato Cultivation

    NARCIS (Netherlands)

    Elings, A.; Kempkes, F.L.K.; Kaarsemaker, R.C.; Ruijs, M.N.A.; Braak, van de N.J.; Dueck, T.A.

    2005-01-01

    Reliable and quick assessment of energy conservation measures in greenhouse cultivation supports growers in their operations. Such an overview should quantify the consequences of changes in energy flows for total energy consumption, amount and quality of production, and farm economy. Using tomato as

  1. Carbon balance of China constrained by CONTRAIL aircraft CO2 measurements

    Science.gov (United States)

    Jiang, F.; Wang, H. M.; Chen, J. M.; Machida, T.; Zhou, L. X.; Ju, W. M.; Matsueda, H.; Sawa, Y.

    2014-09-01

    Terrestrial carbon dioxide (CO2) flux estimates in China using atmospheric inversion method are beset with considerable uncertainties because very few atmospheric CO2 concentration measurements are available. In order to improve these estimates, nested atmospheric CO2 inversion during 2002-2008 is performed in this study using passenger aircraft-based CO2 measurements over Eurasia from the Comprehensive Observation Network for Trace gases by Airliner (CONTRAIL) project. The inversion system includes 43 regions with a focus on China, and is based on the Bayesian synthesis approach and the TM5 transport model. The terrestrial ecosystem carbon flux modeled by the Boreal Ecosystems Productivity Simulator (BEPS) model and the ocean exchange simulated by the OPA-PISCES-T model are considered as the prior fluxes. The impacts of CONTRAIL CO2 data on inverted China terrestrial carbon fluxes are quantified, the improvement of the inverted fluxes after adding CONTRAIL CO2 data are rationed against climate factors and evaluated by comparing the simulated atmospheric CO2 concentrations with three independent surface CO2 measurements in China. Results show that with the addition of CONTRAIL CO2 data, the inverted carbon sink in China increases while those in South and Southeast Asia decrease. Meanwhile, the posterior uncertainties over these regions are all reduced (2-12%). CONTRAIL CO2 data also have a large effect on the inter-annual variation of carbon sinks in China, leading to a better correlation between the carbon sink and the annual mean climate factors. Evaluations against the CO2 measurements at three sites in China also show that the CONTRAIL CO2 measurements may have improved the inversion results.

  2. Measuring Center of Pressure Signals to Quantify Human Balance Using Multivariate Multiscale Entropy by Designing a Force Platform

    Directory of Open Access Journals (Sweden)

    Cheng-Wei Huang

    2013-08-01

    Full Text Available To assess the improvement of human body balance, a low cost and portable measuring device of center of pressure (COP, known as center of pressure and complexity monitoring system (CPCMS, has been developed for data logging and analysis. In order to prove that the system can estimate the different magnitude of different sways in comparison with the commercial Advanced Mechanical Technology Incorporation (AMTI system, four sway tests have been developed (i.e., eyes open, eyes closed, eyes open with water pad, and eyes closed with water pad to produce different sway displacements. Firstly, static and dynamic tests were conducted to investigate the feasibility of the system. Then, correlation tests of the CPCMS and AMTI systems have been compared with four sway tests. The results are within the acceptable range. Furthermore, multivariate empirical mode decomposition (MEMD and enhanced multivariate multiscale entropy (MMSE analysis methods have been used to analyze COP data reported by the CPCMS and compare it with the AMTI system. The improvements of the CPCMS are 35% to 70% (open eyes test and 60% to 70% (eyes closed test with and without water pad. The AMTI system has shown an improvement of 40% to 80% (open eyes test and 65% to 75% (closed eyes test. The results indicate that the CPCMS system can achieve similar results to the commercial product so it can determine the balance.

  3. Measuring Center of Pressure Signals to Quantify Human Balance Using Multivariate Multiscale Entropy by Designing a Force Platform

    Science.gov (United States)

    Huang, Cheng-Wei; Sue, Pei-Der; Abbod, Maysam F.; Jiang, Bernard C.; Shieh, Jiann-Shing

    2013-01-01

    To assess the improvement of human body balance, a low cost and portable measuring device of center of pressure (COP), known as center of pressure and complexity monitoring system (CPCMS), has been developed for data logging and analysis. In order to prove that the system can estimate the different magnitude of different sways in comparison with the commercial Advanced Mechanical Technology Incorporation (AMTI) system, four sway tests have been developed (i.e., eyes open, eyes closed, eyes open with water pad, and eyes closed with water pad) to produce different sway displacements. Firstly, static and dynamic tests were conducted to investigate the feasibility of the system. Then, correlation tests of the CPCMS and AMTI systems have been compared with four sway tests. The results are within the acceptable range. Furthermore, multivariate empirical mode decomposition (MEMD) and enhanced multivariate multiscale entropy (MMSE) analysis methods have been used to analyze COP data reported by the CPCMS and compare it with the AMTI system. The improvements of the CPCMS are 35% to 70% (open eyes test) and 60% to 70% (eyes closed test) with and without water pad. The AMTI system has shown an improvement of 40% to 80% (open eyes test) and 65% to 75% (closed eyes test). The results indicate that the CPCMS system can achieve similar results to the commercial product so it can determine the balance. PMID:23966184

  4. Measuring center of pressure signals to quantify human balance using multivariate multiscale entropy by designing a force platform.

    Science.gov (United States)

    Huang, Cheng-Wei; Sue, Pei-Der; Abbod, Maysam F; Jiang, Bernard C; Shieh, Jiann-Shing

    2013-08-08

    To assess the improvement of human body balance, a low cost and portable measuring device of center of pressure (COP), known as center of pressure and complexity monitoring system (CPCMS), has been developed for data logging and analysis. In order to prove that the system can estimate the different magnitude of different sways in comparison with the commercial Advanced Mechanical Technology Incorporation (AMTI) system, four sway tests have been developed (i.e., eyes open, eyes closed, eyes open with water pad, and eyes closed with water pad) to produce different sway displacements. Firstly, static and dynamic tests were conducted to investigate the feasibility of the system. Then, correlation tests of the CPCMS and AMTI systems have been compared with four sway tests. The results are within the acceptable range. Furthermore, multivariate empirical mode decomposition (MEMD) and enhanced multivariate multiscale entropy (MMSE) analysis methods have been used to analyze COP data reported by the CPCMS and compare it with the AMTI system. The improvements of the CPCMS are 35% to 70% (open eyes test) and 60% to 70% (eyes closed test) with and without water pad. The AMTI system has shown an improvement of 40% to 80% (open eyes test) and 65% to 75% (closed eyes test). The results indicate that the CPCMS system can achieve similar results to the commercial product so it can determine the balance.

  5. Annual balances of CH4 and N2O from a managed fen meadow using eddy covariance flux measurements

    International Nuclear Information System (INIS)

    Schrier-Uijl, A.P.; Veenendaal, E.M.; Kroon, P.S.; Hensen, A.; Jonker, H.J.J.

    2010-10-01

    Annual terrestrial balances of methane (CH4) and nitrous oxide (N2O) are presented for a managed fen meadow in the Netherlands for 2006, 2007 and 2008, using eddy covariance (EC) flux measurements. Annual emissions derived from different methods are compared. The most accurate annual CH4 flux is achieved by gap filling EC fluxes with an empirical multivariate regression model, with soil temperature and mean wind velocity as driving variables. This model explains about 60% of the variability in observed daily CH4 fluxes. Annual N2O emissions can be separated into background emissions and event emissions due to fertilization. The background emission is estimated using a multivariate regression model also based on EC flux data, with soil temperature and mean wind velocity as driving variables. The event emissions are estimated using emission factors. The minimum direct emission factor is derived for six fertilization events by subtracting the background emission, and the IPCC default emission factor of 1% is used for the other events. In addition, the maximum direct emission factors are determined for the six events without subtracting the background emission. The average direct emission factor ranges from 1.2 to 2.8%, which is larger than the IPCC default value. Finally, the total terrestrial greenhouse gas balance is estimated at 16 Mg ha -1 year -1 in CO2-equivalents with contributions of 30, 25 and 45% by CO2, CH4 and N2O, respectively.

  6. Decisional equipoise is not decisional conflict: avoiding the false clarity bias in the evaluation of decision aids and Shared Decision Making processes

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer; Salkeld, Glenn; Cunich, Michelle

    2014-01-01

    that should not affect an evaluation of decision quality or decision support. To investigate the empirical extent of equipoise in a decision aid trial and explore the relationship between degree of equipoise and decision quality as self-assessed by MyDecisionQuality, a dually-personalised instrument that does......Purposes: To question the use of criteria related to decisional ‘sureness’ in evaluating decision aids and Shared Decision Making processes,- as occurs in the Decisional Conflict Scale (items 10-12) and its reduced form SURE (item 1) - on the ground that decisional equipoise is a legitimate outcome...... not include such ‘sureness’ criteria. Methods: In the fixed criteria arm of an Australian trial of decision aids relating to PSA testing for prostate cancer 727 respondents supplied their importance weights for 5 criteria (loss of lifetime, needless biopsy, and bowel, urinary and sexual problems). Combining...

  7. Estimating postural control with the balance rehabilitation unit: measurement consistency, accuracy, validity, and comparison with dynamic posturography.

    Science.gov (United States)

    Alahmari, Khalid A; Marchetti, Gregory F; Sparto, Patrick J; Furman, Joseph M; Whitney, Susan L

    2014-01-01

    To examine the psychometric properties (test-retest reliability, concurrent validity, construct validity) of the Balance Rehabilitation Unit (BRU) during testing of sensory integration processes in healthy adults and individuals with vestibular disorders. Experimental cross-sectional design. Clinic. Participants (N=90) included 30 subjects with vestibular disorders (age range, 18-85y), 30 young healthy adults (age range, 18-50y), and 30 older healthy adults (age range, 60-85y). Not applicable. Participants were tested twice with the BRU and once with the SMART EquiTest Sensory Organization Test (SOT). The center of pressure (COP) in the anteroposterior direction (COPap) and the COP in the mediolateral direction (COPml) were recorded. The COPap and COPml time series were used to estimate the area and velocity of the COP. The intraclass correlation coefficient of the COP area and velocity measures for the BRU for all subjects was at least .76 in all sensory organization conditions (PCOP area and from .44 to .76 for COP velocity. The older control group had significantly greater COP area and velocity compared with younger controls for the BRU and the SOT. The COP (area, velocity) was significantly higher for the younger individuals in the vestibular group than the younger controls. The reliability and validity of COP measurements obtained during testing of the sensory integration processes were demonstrated using the BRU. Future work should examine the responsiveness of these measures when individuals with balance disorders participate in rehabilitation. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  8. Assessing the optimized precision of the aircraft mass balance method for measurement of urban greenhouse gas emission rates through averaging

    Directory of Open Access Journals (Sweden)

    Alexie M. F. Heimburger

    2017-06-01

    Full Text Available To effectively address climate change, aggressive mitigation policies need to be implemented to reduce greenhouse gas emissions. Anthropogenic carbon emissions are mostly generated from urban environments, where human activities are spatially concentrated. Improvements in uncertainty determinations and precision of measurement techniques are critical to permit accurate and precise tracking of emissions changes relative to the reduction targets. As part of the INFLUX project, we quantified carbon dioxide (CO2, carbon monoxide (CO and methane (CH4 emission rates for the city of Indianapolis by averaging results from nine aircraft-based mass balance experiments performed in November-December 2014. Our goal was to assess the achievable precision of the aircraft-based mass balance method through averaging, assuming constant CO2, CH4 and CO emissions during a three-week field campaign in late fall. The averaging method leads to an emission rate of 14,600 mol/s for CO2, assumed to be largely fossil-derived for this period of the year, and 108 mol/s for CO. The relative standard error of the mean is 17% and 16%, for CO2 and CO, respectively, at the 95% confidence level (CL, i.e. a more than 2-fold improvement from the previous estimate of ~40% for single-flight measurements for Indianapolis. For CH4, the averaged emission rate is 67 mol/s, while the standard error of the mean at 95% CL is large, i.e. ±60%. Given the results for CO2 and CO for the same flight data, we conclude that this much larger scatter in the observed CH4 emission rate is most likely due to variability of CH4 emissions, suggesting that the assumption of constant daily emissions is not correct for CH4 sources. This work shows that repeated measurements using aircraft-based mass balance methods can yield sufficient precision of the mean to inform emissions reduction efforts by detecting changes over time in urban emissions.

  9. Directional measures of postural sway as predictors of balance instability and accidental falls

    Directory of Open Access Journals (Sweden)

    Janusz Błaszczyk W.

    2016-09-01

    Full Text Available Despite the obvious advantages and popularity of static posturography, universal standards for posturographic tests have not been developed thus far. Most of the center-of-foot pressure (COP indices are strongly dependent on an individual experimental design, and are susceptible to distortions, which makes results of their analysis incomparable. In this research, we present a novel approach to the analysis of the COP trajectory based on the directional features of postural sway. Our novel output measures: the sway directional indices (DI and sway vector (SV were applied to assess the postural stability in the group of young able-bodied subjects. Towards this aim, the COP trajectories were recorded in 100 students standing still for 60 s, with eyes open (EO and then, with eyes closed (EC. Each record was subdivided then into 20, 30 and 60 s samples. Interclass correlation coefficients were calculated from the samples. The controlled variables (visual conditions uniquely affected the output measures, but only in case of proper signal pretreatment (low-pass filtering. In filtering below 6 Hz, the DI and SV provided a unique set of descriptors for postural control. Both sway measures were highly independent of the trial length and the sampling frequency, and were unaffected by the sampling noise. Directional indices of COP filtered at 6 Hz showed high to very high reliability, with ICC range of 0.7-0.9. Results of a single 60 s trial are sufficient to reach acceptable reliability for both DI and SV. In conclusion, the directional sway measures may be recommended as the primary standard in static posturography.

  10. Balanced performance measurement in research hospitals: the participative case study of a haematology department

    OpenAIRE

    Catuogno, Simona; Arena, Claudia; Saggese, Sara; Sarto, Fabrizia

    2017-01-01

    Background The paper aims to review, design and implement a multidimensional performance measurement system for a public research hospital in order to address the complexity of its multifaceted stakeholder requirements and its double institutional aim of care and research. Method The methodology relies on a participative case study performed by external researchers in close collaboration with the staff of an Italian research hospital. Results The paper develops and applies a customized versio...

  11. Comparison the effects of two types of therapeutic exercises Frenkele vs. Swiss ball on the clinical balance measures in patients with type II diabetic neuropathy.

    Science.gov (United States)

    Rojhani-Shirazi, Zahra; Barzintaj, Fatemeh; Salimifard, Mohamad Reza

    2017-11-01

    The number of diabetic patients is increasing in the world. Peripheral neuropathy is the most important problem of diabetes. Neuropathy eventually leads to balance impairment which is the main cause of falling down in these patients However, not sufficient evidences available to compare different protocols for improving balance in diabetic patients. This study aimed to compare the effects of two therapeutic exercises on clinical balance measures in patients with type II diabetic peripheral neuropathy. The study was performed on 60 patients with diabetes categorized randomly into three groups: an intervention group (N=20) that received ball training exercise, another intervention group (N=20) that received Frenkel exercise and a control group (N=20) that received no interventions. Exercise training session was performed for 3 weeks. Then, clinical balance measures were computed in the three groups. Paired t-test and one-way ANOVA were used to analyze the collected data. Both types of therapeutic exercise programs significantly improved balance in single leg stance, star excursion test, and Berg balance scale test (P˂0.05) compared to the control group. Besides, this was more significant in the ball training group (P˂0.05). To improve balance in diabetic neuropathy, Swiss ball exercise is preferred compared to Frenkel training. Copyright © 2016. Published by Elsevier Ltd.

  12. Be-10 measurements of soil balance and landscape stability in the Pacific Northwest

    Science.gov (United States)

    Balco, G.; Anders, A. M.; Finnegan, N. J.; Gran, K. B.; Mitchell, S. G.; Stone, J. O.

    2002-12-01

    We measured meteoric Be-10 in sediment from seven rivers in the Cascade and Olympic Mountains of Washington State, USA. Be-10 is produced in the atmosphere by cosmic-ray bombardment at an approximately known rate, and delivered to the soil surface by precipitation. Because it remains tightly bound to soil particles under near-neutral pH conditions, the amount of Be-10 leaving a catchment is equal to the average Be-10 concentration in stream sediment times the sediment flux. The ratio of the amount of Be-10 leaving a watershed to that delivered by rainfall thus provides a measure of whether soils in the catchment are accumulating or being depleted (the 'Erosion Index' of Brown, 1988). Sediment in these rivers has Be-10 concentrations of 1-10 x 107 atoms/g. Corresponding sediment yields, calculated by developing sediment rating curves from 20-40 yr. of discharge and sediment-concentration data, are 0.001-0.03 g/cm2/yr (equal to erosion rates of 6-150 m/Myr). Be-10 export/import ratios for all rivers are 0.2 +/- 0.1, indicating that Be-10, and by implication soils, have been accumulating in all basins over the time period represented by our gauge measurements. These values are exceptionally low relative to other basins worldwide. Taken with the observation that gauged sediment yields are lower than thermochronologic exhumation rates (125-500 m/Myr), they indicate that the landscape is currently re-establishing soil cover during a period of lower-than-average erosion rates. This suggests that erosion rates were likely much higher during glacial periods. Furthermore, we find no evidence that present land use is causing large-scale soil depletion in any of our river basins.

  13. Decisional procrastination in academic settings: The role of metacognitions and learning strategies

    OpenAIRE

    De Palo, V.; Monacis, L.; Miceli, S.; Sinatra, M.; Di Nuovo, S.

    2017-01-01

    Nowadays, university students suffer from a broad range of problems, such as educational underachievement or the inability to control themselves, that lead to procrastination as a consequence. The present research aimed at analyzing the determinants of decisional procrastination among undergraduate students and at assessing a path model in which self regulated learning strategies mediated the relationship between metacognitive beliefs about procrastination and decisional procrastination. 273 ...

  14. Strategic planning and performance measurement using balanced scorecard: A case study of Iran Kaolin and Barite company

    Directory of Open Access Journals (Sweden)

    A. Danaei

    2013-06-01

    Full Text Available This paper presents an empirical investigation to measure the performance of a mining firm in province of Semnan, Iran based on balanced scorecard (BSC. The proposed study investigates the present status of the case study in terms of four BSC perspectives including internal process, learning and growth, customer and financial figures. The firm uses BSC for one year and after that, we compared the performance of the firm prior and after BSC implementation. The preliminary results indicate that the firm was able to make a 30% improvement on its performance after one-year implementation of BSC. In other words, the firm was able to make 59% improvement on learning and growth, 33% growth on internal process, 32% growth on customer and 21% improvement on financial figures.

  15. Reproducibility and validity of the Nintendo Wii Balance Board for measuring shoulder sensorimotor control in prone lying.

    Science.gov (United States)

    Eshoj, H; Juul-Kristensen, Birgit; Jørgensen, Rene Gam Bender; Søgaard, Karen

    2017-02-01

    For the lower limbs, the Nintendo Wii Balance Board (NWBB) has been widely used to measure postural control. However, this has not been performed for upper limb measurements. Further, the NWBB has shown to produce more background noise with decreasing loads, which may be of concern when used for upper limb testing. The aim was to investigate reproducibility and validity of the NWBB. A test-retest design was performed with 68 subjects completing three different prone lying, upper limb weight-bearing balance tasks on a NWBB: two-arms, eyes closed (1) one-arm, non-dominant/non-injured (2) and one-arm, dominant/injured (3). Each task was repeated three times over the course of two test sessions with a 30-min break in between. Further, the level of background noise from a NWBB was compared with a force platform through systematic loading of both boards with increasing deadweights ranging from 5 to 90kg. Test-retest reproducibility was high with ICCs ranging from 0.95 to 0.97 (95% CI 0.92 to 0.98). However, systematic bias and tendencies for funnel effects in the Bland Altman plots for both one-armed tests were present. The concurrent validity of the NWBB was low (CCC 0.17 (95% CI 0.12-0.22)) due to large differences between the NWBB and force platform in noise sensitivity at low deadweights (especially below 50kg). The NWBB prone lying, shoulder sensorimotor control test was highly reproducible. Though, concurrent validity of the NWBB was poor compared to a force platform. Further investigation of the impact of the background noise, especially at low loads, is needed. Copyright © 2016 Elsevier B.V. All rights reserved.

  16. Soil nitrogen balance under wastewater management: Field measurements and simulation results

    Science.gov (United States)

    Sophocleous, M.; Townsend, M.A.; Vocasek, F.; Ma, Liwang; KC, A.

    2009-01-01

    The use of treated wastewater for irrigation of crops could result in high nitrate-nitrogen (NO3-N) concentrations in the vadose zone and ground water. The goal of this 2-yr field-monitoring study in the deep silty clay loam soils south of Dodge City, Kansas, was to assess how and under what circumstances N from the secondary-treated, wastewater-irrigated corn reached the deep (20-45 m) water table of the underlying High Plains aquifer and what could be done to minimize this problem. We collected 15.2-m-deep soil cores for characterization of physical and chemical properties; installed neutron probe access tubes to measure soil-water content and suction lysimeters to sample soil water periodically; sampled monitoring, irrigation, and domestic wells in the area; and obtained climatic, crop, irrigation, and N application rate records for two wastewater-irrigated study sites. These data and additional information were used to run the Root Zone Water Quality Model to identify key parameters and processes that influence N losses in the study area. We demonstrated that NO3-N transport processes result in significant accumulations of N in the vadose zone and that NO3-N in the underlying ground water is increasing with time. Root Zone Water Quality Model simulations for two wastewater-irrigated study sites indicated that reducing levels of corn N fertilization by more than half to 170 kg ha-1 substantially increases N-use efficiency and achieves near-maximum crop yield. Combining such measures with a crop rotation that includes alfalfa should further reduce the accumulation and downward movement of NO3-N in the soil profile. Copyright ?? 2009 by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America. All rights reserved.

  17. CONOCIMIENTO PROCEDIMENTAL Y PERFIL DECISIONAL DE JUGADORES DE VOLEIBOL DE CATEGORÍA INFANTIL

    Directory of Open Access Journals (Sweden)

    Fernando Claver Rabaz

    2015-05-01

    Full Text Available El proceso de toma de decisiones ha sido explicado desde diversas perspectivas. Desde la psicología cognitiva se ha enfatizado la importancia de los procesos cognitivos y decisionales durante la acción deportiva, en tareas, fundamentalmente, de alta complejidad táctica, señalando al conocimiento táctico como elemento que orienta el proceso y que posibilita la adecuación de los planes de acción a la situación de juego.El proceso de toma de decisiones no solamente debe ser estudiado desde un punto de vista cognitivo, sino también desde una perspectiva afectiva. Al tomar una decisión, influirá tanto el conocimiento o la capacidad de captar lo más relevante de la situación en la que se encuentra el jugador, como el factor emocional, la fase de competición o las consecuencias de las decisiones, ya que la mayoría de las decisiones suponen riesgo. Se considera necesario analizar la toma de decisiones no como simple selección de la respuesta, sino atendiendo también a la complejidad e incertidumbre que genera la propia decisión en cada sujeto (Becker, 2001.Objetivo: Determinar el conocimiento procedimental y el perfil decisional de jugadores del voleibol de categoría infantil.

  18. The privatisation of non-custodial measures: an uneasy balance between legitimacy and immediacy

    Directory of Open Access Journals (Sweden)

    Alison Hogg

    2012-06-01

    Full Text Available All developed countries with few exceptions are facing problems related to prison overpopulation and non-custodial measures are marketed as the solution. The public’s involvement and endorsement of non-custodial measures is imperative and the success of these measures will depend upon the contribution of the private sector. The private for-profit and non-profit sectors’ involvement in this area is not new and unlikely to decrease; however, the public sector must be the one to identify the needs and not fall victim to the courting of the private for-profit sector, which prioritises profit and for who the offender in this context has become a commodity. The non-profit sector can counter the effects of risk management and its plethora of requirements, which are partly responsible for increasing technical violations and obliging probation to take on a more adversarial role. Up until our expectations of probation and offenders in the community become more attainable and reflexive, the non-profit sector can temper the depersonalised and automatic feedback.The legitimacy of non-custodial measures depends upon them being cost-effective, efficient, socially acceptable and reflexive. This paper focuses on three genres of non-custodial sentences, which are characteristic of retribution, coercive treatment and restorative justice. The use of these in the United States, Canada, England and Wales, Sweden and Spain is briefly overviewed as well as the contribution of the private sector. Non-custodial measures aren’t the panacea for all offending in all cultures but surely are a step in the right direction. La mayoría de los países desarrollados se enfrentan a problemas relacionados con la sobrepoblación de las cárceles. Las medidas no privativas de libertad se presentan como una solución a este problema. Es necesario que la opinión pública participe y apruebe las medidas no privativas; el éxito de estas medidas dependerá también de la aportaci

  19. Line-averaging measurement methods to estimate the gap in the CO2 balance closure - possibilities, challenges, and uncertainties

    Science.gov (United States)

    Ziemann, Astrid; Starke, Manuela; Schütze, Claudia

    2017-11-01

    An imbalance of surface energy fluxes using the eddy covariance (EC) method is observed in global measurement networks although all necessary corrections and conversions are applied to the raw data. Mainly during nighttime, advection can occur, resulting in a closing gap that consequently should also affect the CO2 balances. There is the crucial need for representative concentration and wind data to measure advective fluxes. Ground-based remote sensing techniques are an ideal tool as they provide the spatially representative CO2 concentration together with wind components within the same voxel structure. For this purpose, the presented SQuAd (Spatially resolved Quantification of the Advection influence on the balance closure of greenhouse gases) approach applies an integrated method combination of acoustic and optical remote sensing. The innovative combination of acoustic travel-time tomography (A-TOM) and open-path Fourier-transform infrared spectroscopy (OP-FTIR) will enable an upscaling and enhancement of EC measurements. OP-FTIR instrumentation offers the significant advantage of real-time simultaneous measurements of line-averaged concentrations for CO2 and other greenhouse gases (GHGs). A-TOM is a scalable method to remotely resolve 3-D wind and temperature fields. The paper will give an overview about the proposed SQuAd approach and first results of experimental tests at the FLUXNET site Grillenburg in Germany. Preliminary results of the comprehensive experiments reveal a mean nighttime horizontal advection of CO2 of about 10 µmol m-2 s-1 estimated by the spatially integrating and representative SQuAd method. Additionally, uncertainties in determining CO2 concentrations using passive OP-FTIR and wind speed applying A-TOM are systematically quantified. The maximum uncertainty for CO2 concentration was estimated due to environmental parameters, instrumental characteristics, and retrieval procedure with a total amount of approximately 30 % for a single

  20. Line-averaging measurement methods to estimate the gap in the CO2 balance closure – possibilities, challenges, and uncertainties

    Directory of Open Access Journals (Sweden)

    A. Ziemann

    2017-11-01

    Full Text Available An imbalance of surface energy fluxes using the eddy covariance (EC method is observed in global measurement networks although all necessary corrections and conversions are applied to the raw data. Mainly during nighttime, advection can occur, resulting in a closing gap that consequently should also affect the CO2 balances. There is the crucial need for representative concentration and wind data to measure advective fluxes. Ground-based remote sensing techniques are an ideal tool as they provide the spatially representative CO2 concentration together with wind components within the same voxel structure. For this purpose, the presented SQuAd (Spatially resolved Quantification of the Advection influence on the balance closure of greenhouse gases approach applies an integrated method combination of acoustic and optical remote sensing. The innovative combination of acoustic travel-time tomography (A-TOM and open-path Fourier-transform infrared spectroscopy (OP-FTIR will enable an upscaling and enhancement of EC measurements. OP-FTIR instrumentation offers the significant advantage of real-time simultaneous measurements of line-averaged concentrations for CO2 and other greenhouse gases (GHGs. A-TOM is a scalable method to remotely resolve 3-D wind and temperature fields. The paper will give an overview about the proposed SQuAd approach and first results of experimental tests at the FLUXNET site Grillenburg in Germany. Preliminary results of the comprehensive experiments reveal a mean nighttime horizontal advection of CO2 of about 10 µmol m−2 s−1 estimated by the spatially integrating and representative SQuAd method. Additionally, uncertainties in determining CO2 concentrations using passive OP-FTIR and wind speed applying A-TOM are systematically quantified. The maximum uncertainty for CO2 concentration was estimated due to environmental parameters, instrumental characteristics, and retrieval procedure with a total amount of approximately

  1. Measurements of Weight Bearing Asymmetry Using the Nintendo Wii Fit Balance Board Are Not Reliable for Older Adults and Individuals With Stroke.

    Science.gov (United States)

    Liuzzo, Derek M; Peters, Denise M; Middleton, Addie; Lanier, Wes; Chain, Rebecca; Barksdale, Brittany; Fritz, Stacy L

    Clinicians and researchers have used bathroom scales, balance performance monitors with feedback, postural scale analysis, and force platforms to evaluate weight bearing asymmetry (WBA). Now video game consoles offer a novel alternative for assessing this construct. By using specialized software, the Nintendo Wii Fit balance board can provide reliable measurements of WBA in healthy, young adults. However, reliability of measurements obtained using only the factory settings to assess WBA in older adults and individuals with stroke has not been established. To determine whether measurements of WBA obtained using the Nintendo Wii Fit balance board and default settings are reliable in older adults and individuals with stroke. Weight bearing asymmetry was assessed using the Nintendo Wii Fit balance board in 2 groups of participants-individuals older than 65 years (n = 41) and individuals with stroke (n = 41). Participants were given a standardized set of instructions and were not provided auditory or visual feedback. Two trials were performed. Intraclass correlation coefficients (ICC), standard error of measure (SEM), and minimal detectable change (MDC) scores were determined for each group. The ICC for the older adults sample was 0.59 (0.35-0.76) with SEM95 = 6.2% and MDC95 = 8.8%. The ICC for the sample including individuals with stroke was 0.60 (0.47-0.70) with SEM95 = 9.6% and MDC95 = 13.6%. Although measurements of WBA obtained using the Nintendo Wii Fit balance board, and its default factory settings, demonstrate moderate reliability in older adults and individuals with stroke, the relatively high associated SEM and MDC values substantially reduce the clinical utility of the Nintendo Wii Fit balance board as an assessment tool for WBA. Weight bearing asymmetry cannot be measured reliably in older adults and individuals with stroke using the Nintendo Wii Fit balance board without the use of specialized software.

  2. Data Security Measures in the IT Service Industry: A Balance between Knowledge & Action

    Directory of Open Access Journals (Sweden)

    N. Mlitwa

    2008-12-01

    Full Text Available That knowledge is power is fast becoming a cliche within the intelligentsia. Such power however, depends largely on how knowledge itself is exchanged and used, which says a lot about the tools of its transmission, exchange, and storage. Information and communication technology (ICT plays a significant role in this respect. As a networked tool, it enables efficient exchanges of video, audio and text data beyond geographical and time constraints. Since this data is exchanged over the worldwide web (www, it can be accessible by anyone in the world using the internet. The risk of unauthorised access, interception, modification, or even theft of confidential information, leading to financial losses in information dependant competitive institutions is therefore high. Improving efficiencies through ICT therefore, comes with security responsibilities. The problem however is that most organizations tend to focus on task-enhancing efficiencies and neglect security. Possibly due to limited awareness about security, underestimating the problem, concerns about security costs, or through plain negligence. The activity theory of Engestrm and the activity analysis development framework of Mursu et al are used as analytical lenses to the cybercrime challenge in this paper. A practical case study of Company X, an IT service provider in Malawi is then used to understand the extent to which organisations that offer electronic data solutions prioritise security in their operations. It is found that even better informed organisations fall short in taking adequate data security measures. A recommendation for all organisations is that they should not only have a clear policy, but also ensure that it is routinely and consistently implemented throughout the operations if information capital is to be secured. A framework towards a holistic approach to thinking about, and in addressing cybercrime is suggested, and recommended in the paper.

  3. Designing Performance Measurement For Supply Chain's Actors And Regulator Using Scale Balanced Scorecard And Data Envelopment Analysis

    Science.gov (United States)

    Kusrini, Elisa; Subagyo; Aini Masruroh, Nur

    2016-01-01

    This research is a sequel of the author's earlier conducted researches in the fields of designing of integrated performance measurement between supply chain's actors and regulator. In the previous paper, the design of performance measurement is done by combining Balanced Scorecard - Supply Chain Operation Reference - Regulator Contribution model and Data Envelopment Analysis. This model referred as B-S-Rc-DEA model. The combination has the disadvantage that all the performance variables have the same weight. This paper investigates whether by giving weight to performance variables will produce more sensitive performance measurement in detecting performance improvement. Therefore, this paper discusses the development of the model B-S-Rc-DEA by giving weight to its performance'variables. This model referred as Scale B-S-Rc-DEA model. To illustrate the model of development, some samples from small medium enterprises of leather craft industry supply chain in province of Yogyakarta, Indonesia are used in this research. It is found that Scale B-S-Rc-DEA model is more sensitive to detecting performance improvement than B-S- Rc-DEA model.

  4. Assessing the precision of a time-sampling-based study among GPs: balancing sample size and measurement frequency.

    Science.gov (United States)

    van Hassel, Daniël; van der Velden, Lud; de Bakker, Dinny; van der Hoek, Lucas; Batenburg, Ronald

    2017-12-04

    measurement of hours worked each week by GPs strongly varied according to the number of GPs included and the frequency of measurements per GP during the week measured. The best balance between both dimensions will depend upon different circumstances, such as the target group and the budget available.

  5. Parental Decisional Regret after Primary Distal Hypospadias Repair: Family and Surgery Variables, and Repair Outcomes.

    Science.gov (United States)

    Ghidini, Filippo; Sekulovic, Sasa; Castagnetti, Marco

    2016-03-01

    Decisional regret is defined as distress after making a health care choice and can be an issue for parents electing distal hypospadias repair for their sons. We assessed the influence on decisional regret of variables related to the family, surgery and outcomes. Charts for 372 patients undergoing primary distal hypospadias repair between 2005 and 2012 were reviewed, and validated questionnaires, including the Decisional Regret Scale, Pediatric Penile Perception Score and Dysfunctional Voiding and Incontinence Scoring System, were administered to parents. Data were available for 172 of 372 families (response rate 46.2%). Of 323 parents 128 (39.6%) presented with moderately strong decisional regret, with good agreement within couples. Predictors of decisional regret included intermediate parental educational level (OR 3.19, 95% CI 1.52-6.69), patient not being the first born (OR 2.01, 95% CI 1.07-3.78), family history of hypospadias (OR 4.42, 95% CI 1.96-9.97), initial desire to avoid surgery (OR 2.07, 95% CI 1.04-4.12), younger age at followup (OR 0.81, 95% CI 0.72-0.91), presence of lower urinary tract symptoms (OR 4.92, 95% CI 1.53-15.81) and lower Pediatric Penile Perception Score (OR 0.86, 95% CI 0.75-0.99). Decisional regret was unrelated to parental desire to avoid circumcision, surgical variables, development of complications and duration of followup. Decisional regret is a problem in a significant proportion of parents electing distal hypospadias repair for their sons. In our experience family variables seemed to be predictors of decisional regret, while surgical variables did not. Predictors of decisional regret included worse parental perception of penile appearance and the presence of lower urinary tract symptoms. However, the latter could be unrelated to surgery. Irrespective of the duration of followup, decisional regret seems decreased in parents of older patients. Copyright © 2016 American Urological Association Education and Research, Inc

  6. The Effect of Nitrogen Cross-Over on Water Balance Measurements in Proton Exchange Membrane Fuel Cell Using Constant Temperature Anemometry

    DEFF Research Database (Denmark)

    Al Shakhshir, Saher; Berning, Torsten; Kær, Søren Knudsen

    2016-01-01

    by introducing 1% of nitrogen concentration to the dry and humidified hydrogen flow simulating the PEMFC anode outlet. The hot wire voltage is measured with and without nitrogen and it was slightly lower with the presence of nitrogen. The effect of the voltage reduction on the measured water balance is small...

  7. Balance Problems

    Science.gov (United States)

    ... often, it could be a sign of a balance problem. Balance problems can make you feel unsteady. You may ... related injuries, such as a hip fracture. Some balance problems are due to problems in the inner ...

  8. STATIC BALANCE MEASUREMENTS IN STABLE AND UNSTABLE CONDITIONS DO NOT DISCRIMINATE GROUPS OF YOUNG ADULTS ASSESSED BY THE FUNCTIONAL MOVEMENT SCREEN™ (FMS™).

    Science.gov (United States)

    Trindade, Matheus A; de Toledo, Aline Martins; Cardoso, Jefferson Rosa; Souza, Igor Eduardo; Dos Santos Mendes, Felipe Augusto; Santana, Luisiane A; Carregaro, Rodrigo Luiz

    2017-11-01

    The Functional Movement Screen™ (FMS™) has been the focus of recent research related to movement profiling and injury prediction. However, there is a paucity of studies examining the associations between physical performance tasks such as balance and the FMS™ screening system. The purpose of this study was to compare measures of static balance in stable and unstable conditions between different groups divided by FMS™ scores. A secondary purpose was to discern if balance indices discriminate the groups divided by FMS™ scores. Cross-sectional study. Fifty-seven physically active subjects (25 men and 32 women; mean age of 22.9 ± 3.1 yrs) participated. The outcome was unilateral stance balance indices, composed by: Anteroposterior Index; Medial-lateral Index, and Overall Balance Index in stable and unstable conditions, as provided by the Biodex balance platform. Subjects were dichotomized into two groups, according to a FMS™ cut-off score of 14: FMS1 (score > 14) and FMS2 (score ≤ 14). The independent Students t-test was used to verify differences in balance indices between FMS1 and FMS2 groups. A discriminant analysis was applied in order to identify which of the balance indices would adequately discriminate the FMS™ groups. Comparisons between FMS1 and FMS2 groups in the stable and unstable conditions demonstrated a higher unstable Anteroposterior index for FMS2 (p=0.017). No significant differences were found for other comparisons (p>0.05). The indices did not discriminate the FMS™ groups ( p  > 0.05). The balance indices adopted in this study were not useful as a parameter for identification and discrimination of healthy subjects assessed by the FMS™. 2c.

  9. Establishment of a force balanced piston gauge for very low gauge and absolute pressure measurements at NPL, India

    International Nuclear Information System (INIS)

    Vijayakumar, D Arun; Prakash, Om; Sharma, R K

    2012-01-01

    National Physical Laboratory, the National Metrology Institute (NMI) of India is maintaining Primary standards of pressure that cover several decades of pressure, starting from 3.0E-06 Pa to 1.0 GPa. Among which a recent addition is a Force Balanced Piston Gauge, the non-rotating piston type, having better resolution and zero stability compared to any other primary pressure standards commercially available in the range 1.0 Pa to 15.0 kPa (abs and gauge). The characterization of this FPG is done against Ultrasonic Interferometer Manometer (UIM), the National Primary pressure standard, working in the range 1.0 Pa to 130.0 kPa (abs and diff) and Air Piston Gauge (APG), a Transfer Pressure Standard, working in the range 6.5 kPa to 360 kPa (abs and gauge), in their overlapping pressure regions covering both absolute and gauge pressures. As NPL being one of the signatories to the CIPM MRA, the Calibration and Measurement Capabilities (CMC) of both the reference standards (UIM and APG), are Peer reviewed and notified in the Key Comparison Data Base (KCDB) of BIPM. The estimated mean effective area of the Piston Cylinder assembly of this FPG against UIM (980.457 mm 2 ) and APG (980.463 mm 2 ) are well within 4 ppm and 10 ppm agreement respectively, with the manufacturer's reported value (980.453 mm 2 ). The expanded uncertainty of this FPG, Q(0.012 Pa, 0.0025% of reading), evaluated against UIM as reference standard, is well within the reported value of the manufacturer, Q(0.008 Pa, 0.003% of reading) at k = 2. The results of the characterization along with experimental setup and measurement conditions (for gauge and absolute pressure measurements), uncertainty budget preparation and evaluation of measurement uncertainty are discussed in detail in this paper.

  10. Establishment of a force balanced piston gauge for very low gauge and absolute pressure measurements at NPL, India

    Science.gov (United States)

    Vijayakumar, D. Arun; Prakash, Om; Sharma, R. K.

    2012-11-01

    National Physical Laboratory, the National Metrology Institute (NMI) of India is maintaining Primary standards of pressure that cover several decades of pressure, starting from 3.0E-06 Pa to 1.0 GPa. Among which a recent addition is a Force Balanced Piston Gauge, the non-rotating piston type, having better resolution and zero stability compared to any other primary pressure standards commercially available in the range 1.0 Pa to 15.0 kPa (abs and gauge). The characterization of this FPG is done against Ultrasonic Interferometer Manometer (UIM), the National Primary pressure standard, working in the range 1.0 Pa to 130.0 kPa (abs and diff) and Air Piston Gauge (APG), a Transfer Pressure Standard, working in the range 6.5 kPa to 360 kPa (abs and gauge), in their overlapping pressure regions covering both absolute and gauge pressures. As NPL being one of the signatories to the CIPM MRA, the Calibration and Measurement Capabilities (CMC) of both the reference standards (UIM & APG), are Peer reviewed and notified in the Key Comparison Data Base (KCDB) of BIPM. The estimated mean effective area of the Piston Cylinder assembly of this FPG against UIM (980.457 mm2) and APG (980.463 mm2) are well within 4 ppm and 10 ppm agreement respectively, with the manufacturer's reported value (980.453 mm2). The expanded uncertainty of this FPG, Q(0.012 Pa, 0.0025% of reading), evaluated against UIM as reference standard, is well within the reported value of the manufacturer, Q(0.008 Pa, 0.003% of reading) at k = 2. The results of the characterization along with experimental setup & measurement conditions (for gauge and absolute pressure measurements), uncertainty budget preparation and evaluation of measurement uncertainty are discussed in detail in this paper.

  11. Emociones, toma de decisiones y consumo de alcohol en jóvenes universitarios

    Directory of Open Access Journals (Sweden)

    Yanina Michelini

    2016-01-01

    Full Text Available Según la hipótesis del marcador somático, la toma de decisiones resulta adaptativa cuando los procesos emocionales se integran a la actividad cognitiva. La primacía del sistema afectivo sobre el control cognitivo en los jóvenes se relaciona con una toma de decisiones en función de la gratificación inmediata, sin tener en cuenta posibles consecuencias perjudiciales futuras. El consumo intensivo de alcohol, muy frecuente en los jóvenes, se asocia a una acrecentada toma de decisiones desadaptativa. El objetivo del presente estudio fue evaluar la toma de decisiones en jóvenes de ambos sexos consumidores moderados e intensivos de alcohol, según el tipo de inducción emocional a la que fueron expuestos. Mediante un diseño factorial con pre- y postest, se estudió la toma de decisiones en 79 participantes de 18 a 29 años, antes y después de la inducción emocional positiva o negativa. Para evaluar la toma de decisiones, se administraron las pruebas Iowa Gambling Task y Cognitive Bias Task. Para inducir emociones se utilizaron fragmentos de películas. Además, se registró la frecuencia cardíaca durante la experimentación. Como resultado, se encontró que las mujeres inducidas negativamente y los hombres inducidos positivamente obtuvieron peor rendimiento en la Iowa Gambling Task. La frecuencia cardíaca disminuyó durante las sesiones experimentales respecto del periodo basal. Los consumidores intensivos tuvieron peor rendimiento en la Cognitive Bias Task respecto de los consumidores moderados. Se concluye que la experiencia emocional y el tipo de consumo de alcohol influyen sobre la toma de decisiones en los jóvenes universitarios.

  12. Quantifying the decisional satisfaction to accept or reject the Human Papillomavirus (HPV vaccine: a preference for cervical cancer prevention.

    Directory of Open Access Journals (Sweden)

    Diane M Harper

    Full Text Available OBJECTIVE: Only a portion of the US population is willing to consider HPV vaccination to date. The primary aim of this study is to determine the decisional satisfaction associated with HPV vaccination. STUDY DESIGN: This is a prospective survey conducted at an urban college where women 18-26 years old completed a decisional satisfaction survey about their HPV vaccine experience. RESULTS: Regardless of the decision to accept or reject HPV vaccination, the decisional satisfaction was very high (mean 5-item score = 21.2 (SD 3.8. Women without HPV vaccination were decisionally neutral significantly more often than those already vaccinated; 22% were decisionally neutral for the option to accept HPV vaccination at that visit. Cervical cancer prevention was preferred significantly more often than genital wart prevention in all analyses. CONCLUSIONS: Targeting those who are decisionally neutral about HPV vaccination may result in a higher uptake of HPV vaccination.

  13. A comparison of face to face and group education on informed choice and decisional conflict of pregnant women about screening tests of fetal abnormalities.

    Science.gov (United States)

    Kordi, Masoumeh; Riyazi, Sahar; Lotfalizade, Marziyeh; Shakeri, Mohammad Taghi; Suny, Hoseyn Jafari

    2018-01-01

    Screening of fetal anomalies is assumed as a necessary measurement in antenatal cares. The screening plans aim at empowerment of individuals to make the informed choice. This study was conducted in order to compare the effect of group and face-to-face education and decisional conflicts among the pregnant females regarding screening of fetal abnormalities. This study of the clinical trial was carried out on 240 pregnant women at education course were held in two weekly sessions for intervention groups during two consecutive weeks, and the usual care was conducted for the control group. The rate of informed choice and decisional conflict was measured in pregnant women before education and also at weeks 20-22 of pregnancy in three groups. The data analysis was executed using SPSS statistical software (version 16), and statistical tests were implemented including Chi-square test, Kruskal-Wallis test, Wilcoxon test, Mann-Whitney U-test, one-way analysis of variance test, and Tukey's range test. The P education group, 64 members (80%) in group education class, and 20 persons (25%) in control group had the informed choice regarding screening tests, but there was no statistically significant difference between two individual and group education classes. Similarly, during the postintervention phase, there was a statistically significant difference in mean score of decisional conflict scale among pregnant women regarding screening tests in three groups ( P = 0.001). With respect to effectiveness of group and face-to-face education methods in increasing the informed choice and reduced decisional conflict in pregnant women regarding screening tests, each of these education methods may be employed according to the clinical environment conditions and requirement to encourage the women for conducting the screening tests.

  14. Influence of a patient decision aid on decisional conflict related to PSA testing: a structural equation model.

    Science.gov (United States)

    Stephens, Robert L; Xu, Ye; Volk, Robert J; Scholl, Lawrence E; Kamin, Stephanie L; Holden, E Wayne; Stroud, Leonardo A

    2008-11-01

    To examine the impact of a decision aid (DA) designed to promote informed decision making for screening with the prostate-specific antigen (PSA) test and to test a theoretical model of factors influencing decisional conflict. Structural equation modeling examined pathways between DA exposure, knowledge, schema, prostate cancer risk perceptions, decisional anxiety, and decisional conflict. Sample participants included 200 men from the general population (exclusive of African Americans) and 200 African American men. Half of the men in each subsample were randomly assigned to receive the DA. Decisional conflict regarding prostate cancer screening. The DA influences level of decisional conflict by increasing patient knowledge. This effect of knowledge on decisional conflict is indirect, however, through an association with greater perceived risk and lower decisional anxiety. Also, positive PSA schema was associated with lower decisional anxiety and decisional conflict. It is important that exposure to the DA had no impact on PSA schema. Schemas about testing must be considered in developing messages about the risks and benefits of testing. If schemas are counter to message content, mechanisms for modifying schemas must be incorporated into interventions.

  15. Sesgos presentes en la toma de decisiones de los gerentes y equipos gerenciales en Lima, Perú

    OpenAIRE

    Galdós Jiménez, Walter Gonzalo

    2010-01-01

    El ambiente actual de negocios en el Perú, las empresas, frente a la complejidad de las decisiones, promueven en forma creciente decisiones individuales más rigurosas y decisiones en equipo, sobre la premisa que en conjunto, los seres humanos alcanzan un nivel más alto de racionalidad. Se han identificado una serie de fallas en la forma en que pensamos al tomar decisiones. Algunas, como la heurística por claridad, son concepciones sensoriales erradas. Otras toman la forma de se...

  16. Decisional procrastination of school-to-work transition: Personality correlates of career indecision

    Directory of Open Access Journals (Sweden)

    Bańka Augustyn

    2015-03-01

    Full Text Available Procrastination as putting off until tomorrow what one had intended to do today is well-known tendency in everyday life. In an attempt to understand the character of procrastination in different life-domains, a large body of research has been accumulated over the last decades. This article was aimed to evaluate a specific decisional procrastination of school-to-work transition (SWT that is treated as maturity postponement. Two studies are reported examining SWT procrastination defined as career indecision among Polish students graduating universities. In Study 1 (N=366, attitudinal and identity statuses were analyzed as correlates of career procrastination. A path analysis conducted for the model, which was aimed to explain the influence of career self-efficacy and occupational commitment on career indecision (dependent variable, revealed its very good fitness (RMSEA=.000. Those two independent variables explain 10% of career indecision variance. Stepwise multiple regression analyses conducted to ascertain relationship of five identity statuses (Brzezińska, Piotrowski, 2010 to procrastination measure (career indecision showed that Commitment Making and Ruminative Exploration are strongest predictor variables. In study 2 (N=157, the stepwise multiple regression analyses conducted to ascertain the independent relationship of each of Big Five personality factor revealed that Neuroticism and Extraversion accounts of the most of explained variance of school-to-work transition procrastination.

  17. Decisional Conflict in Parents Considering Bone-Anchored Hearing Devices in Children With Unilateral Aural Atresia.

    Science.gov (United States)

    Graham, M Elise; Haworth, Rebecca; Chorney, Jill; Bance, Manohar; Hong, Paul

    2015-12-01

    The benefits of bone-anchored hearing devices (BAHD) in children with unilateral aural atresia are controversial. We sought to determine whether there is parental decisional conflict surrounding elective placement of BAHD for this indication. Caregivers of pediatric patients with unilateral aural atresia and normal contralateral ear undergoing percutaneous BAHD consultation were enrolled. All consultations were carried out by one pediatric otolaryngologist in a consistent manner. After consultation, the participants completed a demographics form and the Decisional Conflict Scale (DCS) questionnaire. Twenty-three caregivers of 15 male (65.2%) and 8 female (34.8%) children (mean age 5.65 years) participated. The overall median DCS score was 15.63 (standard error = 4.21). Significant decisional conflict (DCS score ≥ 25) was found in 10 participants (43.5%). The median DCS score in the group choosing surgery was 5.47, and it was 23.44 in those who did not choose surgery (Mann-Whitney U = 39, Z = -1.391, P = .164). The median DCS score for mothers and fathers was 25 and 3.91, respectively. Many parents experienced significant decisional conflict when considering percutaneous BAHD surgery in children with unilateral aural atresia in our study population. Future research should explore the impact of decisional conflict on health outcomes. © The Author(s) 2015.

  18. Decisional Procrastination in Academic Settings: The Role of Metacognitions and Learning Strategies.

    Science.gov (United States)

    de Palo, Valeria; Monacis, Lucia; Miceli, Silvana; Sinatra, Maria; Di Nuovo, Santo

    2017-01-01

    Nowadays, university students suffer from a broad range of problems, such as educational underachievement or the inability to control themselves, that lead to procrastination as a consequence. The present research aimed at analyzing the determinants of decisional procrastination among undergraduate students and at assessing a path model in which self regulated learning strategies mediated the relationship between metacognitive beliefs about procrastination and decisional procrastination. 273 students from Southern Italy filled out a questionnaire composed by: the socio-demographic section, the Metacognitive Beliefs About Procrastination Questionnaire, the procrastination subscale of the Melbourne Decision Making Questionnaire, and the Anxiety, the Time Management, and the Information Processing subscales of the Learning and Study Strategies Inventory. Results showed that the relationship between negative and positive metacognitive beliefs about procrastination and decisional procrastination was mediated only by time management and anxiety. Such findings underlined the crucial role played by learning strategies in predicting the tendency to delay decisional situations and in mediating the relationship between metacognitive beliefs about procrastination and decisional procrastination.

  19. Aporte de enfermería a la toma de decisiones en salud

    Directory of Open Access Journals (Sweden)

    Angélica Mosqueda-Díaz

    2014-06-01

    Full Text Available En el ámbito sanitario tomar decisiones es una situación frecuente, aunque potencialmente difícil, ya sea por las características del(la usuario(a, del contexto o de la situación de salud. Esto provoca conflicto decisional en los(as usuarios(as. El presente artículo se propone analizar conceptualmente la toma de decisiones en salud y los aportes realizados desde enfermería para comprender y enfrentar el fenómeno. Así, el Modelo de Toma de Decisiones en Salud de Ottawa, propuesto por la enfermera Annette O'Connor, surge como una herramienta útil para que las(os enfermeras(os realicen intervenciones efectivas con personas que se enfrentan a problemas decisionales, donde además el(la usuario(a puede asumir una participación más activa en las decisiones sobre su propia salud.

  20. Decisional Procrastination in Academic Settings: The Role of Metacognitions and Learning Strategies

    Directory of Open Access Journals (Sweden)

    Valeria de Palo

    2017-06-01

    Full Text Available Nowadays, university students suffer from a broad range of problems, such as educational underachievement or the inability to control themselves, that lead to procrastination as a consequence. The present research aimed at analyzing the determinants of decisional procrastination among undergraduate students and at assessing a path model in which self regulated learning strategies mediated the relationship between metacognitive beliefs about procrastination and decisional procrastination. 273 students from Southern Italy filled out a questionnaire composed by: the socio-demographic section, the Metacognitive Beliefs About Procrastination Questionnaire, the procrastination subscale of the Melbourne Decision Making Questionnaire, and the Anxiety, the Time Management, and the Information Processing subscales of the Learning and Study Strategies Inventory. Results showed that the relationship between negative and positive metacognitive beliefs about procrastination and decisional procrastination was mediated only by time management and anxiety. Such findings underlined the crucial role played by learning strategies in predicting the tendency to delay decisional situations and in mediating the relationship between metacognitive beliefs about procrastination and decisional procrastination.

  1. DYMAC digital electronic balance

    International Nuclear Information System (INIS)

    Stephens, M.M.

    1980-06-01

    The Dynamic Materials Accountability (DYMAC) System at LASL integrates nondestructive assay (NDA) instruments with interactive data-processing equipment to provide near-real-time accountability of the nuclear material in the LASL Plutonium Processing Facility. The most widely used NDA instrument in the system is the DYMAC digital electronic balance. The DYMAC balance is a commercial instrument that has been modified at LASL for weighing material in gloveboxes and for transmitting the weight data directly to a central computer. This manual describes the balance components, details the LASL modifications, reviews a DYMAC measurement control program that monitors balance performance, and provides instructions for balance operation and maintenance

  2. Modeled and measured glacier change and related glaciological, hydrological, and meteorological conditions at South Cascade Glacier, Washington, balance and water years 2006 and 2007

    Science.gov (United States)

    Bidlake, William R.; Josberger, Edward G.; Savoca, Mark E.

    2010-01-01

    Winter snow accumulation and summer snow and ice ablation were measured at South Cascade Glacier, Washington, to estimate glacier mass balance quantities for balance years 2006 and 2007. Mass balances were computed with assistance from a new model that was based on the works of other glacier researchers. The model, which was developed for mass balance practitioners, coupled selected meteorological and glaciological data to systematically estimate daily mass balance at selected glacier sites. The North Cascade Range in the vicinity of South Cascade Glacier accumulated approximately average to above average winter snow packs during 2006 and 2007. Correspondingly, the balance years 2006 and 2007 maximum winter snow mass balances of South Cascade Glacier, 2.61 and 3.41 meters water equivalent, respectively, were approximately equal to or more positive (larger) than the average of such balances since 1959. The 2006 glacier summer balance, -4.20 meters water equivalent, was among the four most negative since 1959. The 2007 glacier summer balance, -3.63 meters water equivalent, was among the 14 most negative since 1959. The glacier continued to lose mass during 2006 and 2007, as it commonly has since 1953, but the loss was much smaller during 2007 than during 2006. The 2006 glacier net balance, -1.59 meters water equivalent, was 1.02 meters water equivalent more negative (smaller) than the average during 1953-2005. The 2007 glacier net balance, -0.22 meters water equivalent, was 0.37 meters water equivalent less negative (larger) than the average during 1953-2006. The 2006 accumulation area ratio was less than 0.10, owing to isolated patches of accumulated snow that endured the 2006 summer season. The 2006 equilibrium line altitude was higher than the glacier. The 2007 accumulation area ratio and equilibrium line altitude were 0.60 and 1,880 meters, respectively. Accompanying the glacier mass losses were retreat of the terminus and reduction of total glacier area. The

  3. Prioritization of balanced scorecard measurement indicators as a process management approach via fuzzy AHP: Case study in automotive industry

    Czech Academy of Sciences Publication Activity Database

    Senvar, M. O.; Vayvay, O.; Kurt, E.; Hloch, Sergej

    2014-01-01

    Roč. 21, č. 1 (2014), s. 155-162 ISSN 1330-3651 Institutional support: RVO:68145535 Keywords : balanced scorecard * fuzzy * automotive Subject RIV: JQ - Machines ; Tools Impact factor: 0.579, year: 2014

  4. Balanced Scorecard Goal Four: Provide Policy Management, Advocacy and Problem Solving" Measuring Achievement of Internal Customer Objectives

    National Research Council Canada - National Science Library

    Blondeau, Sharon

    2002-01-01

    ... Medical Treatment Facilities within its geographical boundaries. In an effort to maximize its efficiency and improve internal customer relations, the GPRMC has incorporated use of a Balanced Scorecard within its management scheme...

  5. Postural spinal balance defined by net intersegmental moments: Results of a biomechanical approach and experimental errors measurement.

    Science.gov (United States)

    Blondel, Benjamin; Viehweger, Elke; Moal, Bertrand; Tropiano, Patrick; Jouve, Jean-Luc; Lafage, Virginie; Dumas, Raphael; Fuentes, Stéphane; Bollini, Gérard; Pomero, Vincent

    2015-12-18

    To describe initial results and experimental error measurement of a protocol analyzing Human posture through sagittal intersegmental moments. Postural analysis has been recently improved by development of three-dimensional radiographic imaging systems. However, in various situations such as global sagittal anterior malalignment interpretation of radiographs may not represent the real alignment of the subject. The aim of this study was to present initial results of a 3D biomechanical protocol. This protocol is obtained in a free standing position and characterizes postural balance by measurement of sagittal intersegmental net moments. After elaboration of a specific marker-set, 4 successive recordings were done on two volunteers by three different operators during three sessions in order to evaluate the experimental error measurement. A supplementary acquisition in a "radiographic" posture was also obtained. Once the data acquired, joint center, length, anatomical frame and the center of mass of each body segment was calculated and a mass affected. Sagittal net intersegmental moments were computed in an ascending manner from ground reaction forces at the ankles, knees, hips and the lumbo-sacral and thoraco-lumbar spinal junctions. Cervico-thoracic net intersegmental moment was calculated in a descending manner. Based on average recordings, clinical interpretation of net intersegmental moments (in N.m) showed a dorsal flexion on the ankles (8.6 N.m), a flexion on the knees (7.5 N.m) and an extension on the hips (8.5 N.m). On the spinal junctions, it was flexion moments: 0.34 N.m on the cervico-thoracic; 6.7 N.m on the thoraco-lumbar and 0.65 N.m on the lumbo-sacral. Evaluation of experimental error measurement showed a small inter-trial error (intrinsic variability), with higher inter-session and inter-therapist errors but without important variation between them. For one volunteer the "radiographic" posture was associated to significant changes compared to the free

  6. Exercise participation decisions of Jordanian myocardial infarction patients: application of the decisional conflict theory.

    Science.gov (United States)

    Al-Hassan, M; Wierenga, M

    2000-04-01

    This study examined the utility of Janis and Mann's [Janis, I. L. & Mann, L. (1977). Decision making: a psychological analysis conflict, choice and commitment. New York, NY: Free press.] decisional conflict theory (DCT) in predicting decisions to exercise following hospitalization for a myocardial infarction (MI). A structured interview of operationalized DCT variables was conducted with 88 MI patients attending cardiology clinics in two Jordanian military hospitals. Stress was viewed as an indicator of exercise benefits-barriers decisional conflict. The findings revealed that the benefits-barriers interaction significantly predicted stress for the 48 patients who did not exercise. Rehospitalization for cardiac events was a significant predictor of stress for the 40 exercisers. Preinfarction exercise behavior, stress and gender were significant predictors of MI patients' decisions to exercise. Results of this study indicated that decisional conflict and stress were characteristics of MI patients who delayed or avoided exercising.

  7. Influence of a user-adaptive prosthetic knee on quality of life, balance confidence, and measures of mobility: a randomised cross-over trial

    NARCIS (Netherlands)

    Prinsen, Erik Christiaan; Nederhand, Marcus Johannes; Rietman, Johan Swanik; Koopman, Hubertus F.J.M.

    2015-01-01

    Objective: To study the influence of a transition from a non-microprocessor controlled to the Rheo Knee® II on quality of life, balance confidence and measures of mobility. Design: Randomised crossover trial. Setting: Research department of a rehabilitation centre. Subjects: Persons with a

  8. Decisional regret after distal hypospadias repair: single institution prospective analysis of factors associated with subsequent parental remorse or distress.

    Science.gov (United States)

    Lorenzo, Armando J; Pippi Salle, João L; Zlateska, Bozana; Koyle, Martin A; Bägli, Darius J; Braga, Luis H P

    2014-05-01

    Hypospadias repair is a commonly performed procedure. Little is known about decisional regret in parents who agree to proceed with this surgical reconstruction. We present data on this previously underexplored issue. We performed followup analysis of 100 couples prospectively evaluated after counseling for surgical correction of distal hypospadias in their son with assessment of complications and decisional regret 1 year after surgery. Findings were contrasted with baseline demographics, hypospadias knowledge and decisional conflict at the time of counseling. Decisional regret was found in 116 parents, including mild regret in 41.4% and moderate to severe regret in 8.6%. There was no statistically significant difference in paired regret analysis between mothers and fathers. Complications were strongly associated with decisional regret (p <0.001). On regression analysis postoperative complications (OR 14.7, 95% CI 1.6-131.6), parental desire to avoid circumcision (OR 7.4, 95% CI 1.1-49.4) and initial decisional conflict level (OR 1.06, 95% CI 1.02-1.09) were statistically significant predictors of moderate to strong decisional regret. These findings remained robust after imputation strategies to address missing data. The impact of decisional conflict and preference for circumcision were significant even after excluding families who experienced complications. To our knowledge this is the first study demonstrating parental decisional regret after providing consent for surgical correction of distal hypospadias in their son. Based on the described risk factors efforts aimed at minimizing complications and counseling about foreskin preservation techniques may be prudent to ameliorate decisional regret. The novel association between decisional conflict and regret suggests that conflict assessment during counseling may help screen families at risk for postoperative regret. Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier

  9. Inteligencia de negocios: una opción ante la toma racional de decisiones responsables

    OpenAIRE

    Lozano Mejía, Mauricio Andrés; Quintero Renaud, Santiago

    2014-01-01

    Se ha comprendido la Toma de Decisiones como el proceso mediante el cual un administrador debe elegir entre dos o más alternativas, lo cual, regularmente, se constituye básicamente en el principal papel que debe desempeñar el administrador en una organización. Se partirá aquí del supuesto según el cual es innecesario demostrar que, en efecto, el único factor diferenciador entre un administrador común y uno excelente, es la capacidad de tomar decisiones que conduzcan a la organización a ...

  10. Plataforma de soporte a toma de decisiones frente a situaciones de emergencias en smart cities

    OpenAIRE

    Abascal Blanco, Álvaro Juan

    2016-01-01

    Falta palabras claves Esta tesis realiza un análisis de la situación de las actuales ciudades inteligentes, de los recursos disponibles y los desarrollos de herramientas para la toma de decisiones frente a situaciones de emergencias. Estableciendo un ámbito y un marco de funcionalidades, se implementa una plataforma de soporte a toma de decisiones, EmerDSS, sobre la cual se desarrollan diferentes casos de eventos de emergencia aplicables en una Smart City. Si bien existen procedimie...

  11. TRABAJO ACADEMICO EN RED EN TORNO A LA TOMA DE DECISIONES EN SALUD

    OpenAIRE

    CAMPOS,CECILIA; URRUTIA,MILA; LANGE,ILTA; CAMPOS,SOLANGE; CAMPOS,M. SILVIA

    2005-01-01

    La Escuela de Enfermería de la Pontificia Universidad Católica de Chile (PUC) ha desarrollado, desde 1983, un modelo de atención de salud basado en el autocuidado (Lange I., Jaimovich S. 1996). Esta línea de trabajo fue enriquecida con el marco conceptual de apoyo a la toma de decisiones en salud desarrollado a partir de la década del noventa por O’Connor et al. Con el apoyo de estos autores, se inició el proyecto “Elecciones y decisiones en salud: una alianza profesional/usuaria con transfer...

  12. Discriminación arancelaria y decisiones de localización de las empresas

    OpenAIRE

    Méndez Naya, José

    2006-01-01

    El objetivo de trabajo es el de analizar los efectos que los procesos de integración económica entre los países tienen sobre las decisiones se toman en forma estratégica. Se justifica que en este contexto el tradicional argumento "tariff jumping" no siempre es aplicable ya que las decisiones de localización de las empresas dependen, entre otras variables, de la relación que se da entre el grado de discriminación arancelaria y el tamaño del mercado nacional. En concreto, se justifica que los p...

  13. El papel de la pareja en la toma de decisiones de las vacaciones familiares

    OpenAIRE

    Rojas de Gracia, María Mercedes

    2017-01-01

    En el contexto del comportamiento del consumidor en marketing, la familia debe ser entendida y analizada como una unidad de toma de decisiones en la que intervienen sus diferentes miembros, en función del tipo de decisión que se esté adoptando. Dentro de sus decisiones de compra se encuentran varios productos, entre los que cabe destacar las vacaciones familiares, las cuales representan un elevado porcentaje de los gastos a los que las familias tienen que hacer frente. Se podría pensar que su...

  14. Emociones y toma de decisiones éticas: desarrollo e implicaciones para la empresa

    OpenAIRE

    Granada Restrepo, Daniel

    2015-01-01

    Los líderes organizacionales se deben enfrentar a retos ambientales del mundo de los negocios y diversas presiones que los ponen día a día en un alto riesgo ético. Sortear dichos riesgos ha demandado cambios sustanciales en las dinámicas de las organizaciones contemporáneas, por lo que las exigencias a los directivos de tomar decisiones acertadas en situaciones de alta complejidad moral son cada vez mayores. Estas decisiones involucran un comportamiento ético de quien las toma, lo cual a su v...

  15. ANÁLISIS DE LAS DECISIONES ESTRATÉGICAS: CASO UNE EPM TELECOMUNICACIONES

    Directory of Open Access Journals (Sweden)

    ALICIA MILLÁN VILLANUEVA

    2015-01-01

    Full Text Available El objetivo de este artículo es identificar la presencia de ciertos patrones en la formación de la estrategia de la empresa UNE EPM Telecomunicaciones, que han influido en la toma de decisiones. Los referentes teóricos son básicamente tres: Ansoff, Porter y Mintzberg. El análisis se centra en una serie de comparaciones y coincidencias entre la teoría y los hallazgos encontrados, en lo que respecta a comportamientos, resultados y decisiones de la compañía, de donde se logra vislumbrar la estrategia adoptada.

  16. Análisis de las decisiones de Operaciones en el Hotel Murillo

    OpenAIRE

    Flores Ligero, María

    2016-01-01

    Seleccionamos al Hotel Murillo para analizar las decisiones tomadas en el área de Operaciones. Este trabajo ha sido posible gracias a las entrevistas realizadas a personal directivo y de administración, y al análisis de información financiero-contable de la empresa. El trabajo ha estado guiado por el previo análisis de los objetivos estratégicos y por el desarrollo del análisis DAFO del Hotel Murillo. Gracias a este trabajo hemos determinado la aportación de las decisiones a la...

  17. Understanding responses to gait instability from plantar pressure measurement and the relationship to balance and mobility in lower-limb amputees.

    Science.gov (United States)

    Howcroft, Jennifer; Lemaire, Edward D; Kofman, Jonathan; Kendell, Cynthia

    2016-02-01

    Measuring responses to a more unstable walking environment at the point-of-care may reveal clinically relevant strategies, particularly for rehabilitation. This study determined if temporal measures, center of pressure-derived measures, and force impulse measures can quantify responses to surface instability and correlate with clinical balance and mobility measures. Thirty-one unilateral amputees, 11 transfemoral and 20 transtibial, walked on level and soft ground while wearing pressure-sensing insoles. Foot-strike and foot-off center of pressure, center of pressure path, temporal, and force impulse variables were derived from F-Scan pressure-sensing insoles. Significant differences (Pamputees. Center of pressure-derived parameters correlated with clinical measures of mobility and balance, explaining up to 84.0% of the variability. The number of posterior deviations per stride, mean CoP path velocity stride time, anterior-posterior center of pressure path coefficient of variation, percent double-support time, and percent stance were frequently related to clinical balance and mobility measures. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. A comparison of face to face and group education on informed choice and decisional conflict of pregnant women about screening tests of fetal abnormalities

    Science.gov (United States)

    Kordi, Masoumeh; Riyazi, Sahar; Lotfalizade, Marziyeh; Shakeri, Mohammad Taghi; Suny, Hoseyn Jafari

    2018-01-01

    BACKGROUND AND GOAL: Screening of fetal anomalies is assumed as a necessary measurement in antenatal cares. The screening plans aim at empowerment of individuals to make the informed choice. This study was conducted in order to compare the effect of group and face-to-face education and decisional conflicts among the pregnant females regarding screening of fetal abnormalities. METHODS: This study of the clinical trial was carried out on 240 pregnant women at pregnancy age in health care medical centers in Mashhad city in 2014. The form of individual-midwifery information and informed choice questionnaire and decisional conflict scale were used as tools for data collection. The face-to-face and group education course were held in two weekly sessions for intervention groups during two consecutive weeks, and the usual care was conducted for the control group. The rate of informed choice and decisional conflict was measured in pregnant women before education and also at weeks 20–22 of pregnancy in three groups. The data analysis was executed using SPSS statistical software (version 16), and statistical tests were implemented including Chi-square test, Kruskal–Wallis test, Wilcoxon test, Mann–Whitney U-test, one-way analysis of variance test, and Tukey's range test. The P education group, 64 members (80%) in group education class, and 20 persons (25%) in control group had the informed choice regarding screening tests, but there was no statistically significant difference between two individual and group education classes. Similarly, during the postintervention phase, there was a statistically significant difference in mean score of decisional conflict scale among pregnant women regarding screening tests in three groups (P = 0.001). DISCUSSION AND CONCLUSION: With respect to effectiveness of group and face-to-face education methods in increasing the informed choice and reduced decisional conflict in pregnant women regarding screening tests, each of these education

  19. Effect of body mass index and fat mass on balance force platform measurements during a one-legged stance in older adults.

    Science.gov (United States)

    Pereira, Camila; Silva, Rubens A da; de Oliveira, Marcio R; Souza, Rejane D N; Borges, Renata J; Vieira, Edgar R

    2017-07-05

    The purpose of this study was to evaluate the impact of body mass index (BMI) and fat mass on balance force platform measurements in older adults. The sample consisted of 257 participants who were stratified into four groups by BMI: low weight, normal weight, pre-obesity and obesity. For fat mass variables, older individuals were classified into low and high-fat mass. All groups investigated performed three trials of one-legged stance balance on a force platform. Center of pressure (COP) domain parameters were computed from the mean across trials. Analysis of variance results revealed no significant interactions for groups and sexes for all COP parameters. Comparable balance results were found for BMI and fat groups for all COP parameters. A statistical effect (P COP parameters, regardless of BMI and fat mass variables. Overall, women presented better balance than men. In conclusion, BMI and fat mass do not seem to influence the balance of older adults during a one-leg stance task.

  20. Balancing Acts

    Science.gov (United States)

    ... Past Issues Special Section: Focus on Communication Balancing Acts Past Issues / Fall 2008 Table of Contents For ... scientific research on hearing, balance, smell, taste, voice, speech, and language—common elements in how we perceive ...

  1. El papel de la mujer en la compra: una tipología del consumidor basada en las decisiones vacacionales

    Directory of Open Access Journals (Sweden)

    María José Barlés Arizón

    2012-01-01

    Full Text Available En el presente trabajo analizamos el papel de la mujer en el proceso de decisión de compra de las vacaciones familiares, en concreto, tratamos de identificar tipologías de mujeres en función de variables tales como las decisiones pre y post vacacionales, los estilos de vida y las variables sociodemográficas. Los datos obtenidos mediante la realización de 300 encuestas a mujeres casadas o que viven en pareja muestran tres grupos de mujeres en función del papel que toman en las decisiones vacacionales: las que participan más en las decisiones pre-vacacionales, las que tienen menos relevancia en la toma de decisiones y las que participan especialmente en las decisiones durante el viaje. También se muestra la necesidad de profundizar en el uso de los estilos de vida como variable explicativa.

  2. DANCE, BALANCE AND CORE MUSCLE PERFORMANCE MEASURES ARE IMPROVED FOLLOWING A 9-WEEK CORE STABILIZATION TRAINING PROGRAM AMONG COMPETITIVE COLLEGIATE Dancers.

    Science.gov (United States)

    Watson, Todd; Graning, Jessica; McPherson, Sue; Carter, Elizabeth; Edwards, Joshuah; Melcher, Isaac; Burgess, Taylor

    2017-02-01

    Dance performance requires not only lower extremity muscle strength and endurance, but also sufficient core stabilization during dynamic dance movements. While previous studies have identified a link between core muscle performance and lower extremity injury risk, what has not been determined is if an extended core stabilization training program will improve specific measures of dance performance. This study examined the impact of a nine-week core stabilization program on indices of dance performance, balance measures, and core muscle performance in competitive collegiate dancers. Within-subject repeated measures design. A convenience sample of 24 female collegiate dance team members (age = 19.7 ± 1.1 years, height = 164.3 ± 5.3 cm, weight 60.3 ± 6.2 kg, BMI = 22.5 ± 3.0) participated. The intervention consisted of a supervised and non-supervised core (trunk musculature) exercise training program designed specifically for dance team participants performed three days/week for nine weeks in addition to routine dance practice. Prior to the program implementation and following initial testing, transversus abdominis (TrA) activation training was completed using the abdominal draw-in maneuver (ADIM) including ultrasound imaging (USI) verification and instructor feedback. Paired t tests were conducted regarding the nine-week core stabilization program on dance performance and balance measures (pirouettes, single leg balance in passe' releve position, and star excursion balance test [SEBT]) and on tests of muscle performance. A repeated measures (RM) ANOVA examined four TrA instruction conditions of activation: resting baseline, self-selected activation, immediately following ADIM training and four days after completion of the core stabilization training program. Alpha was set at 0.05 for all analysis. Statistically significant improvements were seen on single leg balance in passe' releve and bilateral anterior reach for the SEBT (both p ≤ 0

  3. Designing a performance measurement system for supply chain using balanced scorecard, path analysis, cooperative game theory and evolutionary game theory: A Case Study

    Directory of Open Access Journals (Sweden)

    Seyed Hootan Eskafi

    2015-04-01

    Full Text Available In recent years, supply chain management is known as the key factor for achieving competitive advantage. Better customer service, revenue improvement and cost reduction are the results of this philosophy. Organizations can manage the performance of their firms by appropriate goal setting, identifying criteria and continuous performance measurement, which creates a good view for the business circumstances. Developing and defining appropriate indicators at different levels of chain is necessary for implementing a performance measurement system. In this study, we propose a new method to determine the measurement indicators and strategies of the company in term of balanced scorecard. The study is a combination of balanced scorecard, path analysis, evolutionary game theory and cooperative game theory for strategic planning. The study offers an appropriate program for future activities of organizations and determines the present status of the firm. The implementation of the proposed method is introduced for a food producer and the results are analyzed.

  4. El impacto de los sesgos conductuales en la toma de decisiones de inversión

    OpenAIRE

    Cano, Carlos; Cardoso, Edward

    2015-01-01

    Presentan brevemente las principales diferencias entre las finanzas del comportamiento y la teoría financiera tradicional, y se desarrolla el concepto de sesgo conductual y sus efectos sobre las decisiones de inversión de los agentes económicos.

  5. El moep y el Peep Luces amarillas en el tablero de las decisiones empresariales

    Directory of Open Access Journals (Sweden)

    Alfredo Kaplan

    2009-10-01

    Full Text Available Entre la variada gama de posibilidades que debe manejar uma organizacion, en el momento de tomar decisiones o politicas con respecto a lineas de producto, puntos de yenta etc., es posible que se plantee la eleccion de continuar con la produccion o comercializacion de un determinado producto o servicio.

  6. Parental decisional strategies regarding HPV vaccination before media debates: a focus group study

    NARCIS (Netherlands)

    Hofman, R.; Empelen, P. van; Vogel, I.; Raat, H.; Ballegooijen, M. van; Korfage, I.J.

    2013-01-01

    Before the introduction of the human papillomavirus (HPV) vaccine, decisional strategies and factors that could guide HPV vaccination intentions were explored. The authors conducted 4 focus group discussions with 36 parents of children 8-15 years of age. Three groups consisted primarily of Dutch

  7. 78 FR 76100 - Newspapers Used for Publication of Legal Notices for Pre-Decisional Administrative Review...

    Science.gov (United States)

    2013-12-16

    ...- Decisional Administrative Review Processes and Decisions Subject to Notice, Comment and Appeal Procedures... constructive notice of a decision, to provide clear evidence of timely notice, and to achieve consistency in administering appeal and objection processes. DATES: Publication of legal notices in the listed newspapers...

  8. BCG-vaccination of newborns – a descriptive study about shared decision making and decisional conflicts

    DEFF Research Database (Denmark)

    Thybo Pihl, Gitte

    for 667 participants and 320 decliners. The overall median decisional conflict score was 17.7, with a median of 15.6 (Interquartile range (IQR) = 18.8, range 0 to 53.1) for participators and 23.4 (Interquartile range (IQR) = 17.2, range 0 to 67.2) for decliners (Mann-Whitney-test: p

  9. 32 CFR 70.10 - Complaints concerning decisional documents and index entries.

    Science.gov (United States)

    2010-07-01

    ... the ability of the DRBs to process applications for discharge review in a timely fashion, the..., including a personal appearance hearing if you so desire, by responding on or before the suspense date noted... corrected decisional document, you will be entitled to request a new review, including a personal appearance...

  10. Influencia de la estrategia "toma de decisiones" en el autoconcepto de adolescentes consumidores de alcohol

    Directory of Open Access Journals (Sweden)

    Reyna Isabel Hernández Pedroza

    2015-12-01

    Full Text Available El objetivo de esta investigación fue determinar la influencia de la estrategia "toma de decisiones" en el autoconcepto de adolescentes consumidores de alcohol. Se aplicó un estudio longitudinal, pre-experimental. Se incluyeron 30 adolescentes, previo consentimiento informado de estudiantes y padres. La recolección de datos se realizo con AUDIT, test de conflicto decisional y The Tennessee Self-Concep Scale (TSCS. Se encontró que la edad promedio fue 16.56 ± 0.85 años, 60% hombres, el 100% de los adolescentes presentaron conflicto decisional. El 100% habían consumido alcohol alguna vez en su vida. No se encontró diferencia estadísticamente significativa entre el autoconcepto pre y post intervención (p = 0.27, excepto en la dimensión Yo moral (p = 0.01. Se concluye de acuerdo a los resultados obtenidos en la pre y post intervención que la estrategia de intervención tuvo una influencia en la dimensión del autoconcepto Yo Moral del adolescente consumidor de alcohol. Es posible que esto influyera en la percepción de sí mismo al encontrarse con la realidad de que por primera vez consideraba su capacidad o incapacidad para tomar decisiones.

  11. Energy and water balance determination in an advective environment:From direct measurement to microclimate based estimation

    Science.gov (United States)

    The contributions of John Monteith are perhaps nowhere more widely acknowledged than in the community of scientists and engineers concerned with estimation of evapotranspiration. His addition of surface energy balance flux resistance formulations to the evaporation estimation formula of Penman presa...

  12. Determinants of Work-Life Balance: Shortcomings in the Contemporary Measurement of WLB in Large-Scale Surveys

    Science.gov (United States)

    Pichler, Florian

    2009-01-01

    Research on work-life balance (WLB) has presented important insights into the problems of combining family aspirations with paid work in relation to policy relevant agendas. Using the ESS II (2004/2005), we examine work-related and household/family-related causes of WLB. We can corroborate other research findings that show that work-related…

  13. A Smartphone Inertial Balance

    Science.gov (United States)

    Barrera-Garrido, Azael

    2017-01-01

    In order to measure the mass of an object in the absence of gravity, one useful tool for many decades has been the inertial balance. One of the simplest forms of inertial balance is made by two mass holders or pans joined together with two stiff metal plates, which act as springs.

  14. Measurement of SFDR and noise in EDF amplified analog RF links using all-optical down-conversion and balanced receivers

    Science.gov (United States)

    Middleton, Charles; Borbath, Michael; Wyatt, Jeff; DeSalvo, Richard

    2008-04-01

    Optical down-conversion techniques have become an increasingly popular architecture to realize Multi-band Enterprise Terminals (MET), Synthetic Aperture Radar (SAR), Optical Arbitrary Waveform Generation (OAWG), RF Channelizers and other technologies that need rapid frequency agile tunability in the microwave and millimeter RF bands. We describe recent SFDR, NF, Gain, and Noise modeling and measurements of Erbium-doped-fiber amplified analog RF optical links implementing all-optical down-conversion and balanced photodiode receivers. We describe measurements made on our newly designed extensive test-bed utilizing a wide array of high powered single and balanced photodiodes, polarization preserving output LN modulators, EAMs, LIMs, tunable lasers, EDFAs, RF Amplifiers, and other components to fully characterize direct and coherent detection techniques. Additionally, we compare these experimental results to our comprehensive MATLAB system modeling and optimization software tools.

  15. Subsonic and supersonic static aerodynamic characteristics of a family of bulbous base cones measured with a magnetic suspension and balance system

    Science.gov (United States)

    Vlajinac, M.; Stephens, T.; Gilliam, G.; Pertsas, N.

    1972-01-01

    Results of subsonic and supersonic wind-tunnel tests with a magnetic balance and suspension system on a family of bulbous based cone configurations are presented. At subsonic speeds the base flow and separation characteristics of these configurations is shown to have a pronounced effect on the static data. Results obtained with the presence of a dummy sting are compared with support interference free data. Support interference is shown to have a substantial effect on the measured aerodynamic coefficient.

  16. Employing Hot Wire Anemometry to Directly Measure the Water Balance of a Commercial Proton Exchange Membrane Fuel Cell Stack

    DEFF Research Database (Denmark)

    Shakhshir, Saher Al; Berning, Torsten

    2016-01-01

    Proton exchange membrane fuel cells (PEMFC’s) are currently being commercialized for various applications ranging from automotive (e.g. the Toyota Mirai) to stationary such as powering telecom backup units. In PEMFC’s, oxygen from air is internally combined with hydrogen to form water and produce...... and increased degradation rates. Clearly, a fundamental understanding of all aspects of water management in PEMFC is imperative. This includes the fuel cell water balance, i.e. which fraction of the product water leaves the fuel cell via the anode channels versus the cathode channel. Our research group...... is currently developing a novel technique to obtain an ad-hoc and real time electrical signal of the fuel cell water balance by employing hot wire anemometry. In this work, the hot wire sensor is placed in the anode outlet of a commercial air-cooled fuel cell stack by Ballard Power Systems, and the voltage...

  17. Universal electromagnetic suspension balance with nanogramme mass resolution for measurement of sorption on small samples in top and bottom loading configurations

    International Nuclear Information System (INIS)

    Norton, C G; Petermann, M; Fieback, T M

    2017-01-01

    Determination of mass increase or decrease of very small amplitude is a task which goes hand in hand with gravimetric adsorption and absorption measurement and thermogravimetry. Samples are subjected to various process conditions and as such can experience a change in mass, i.e. when adsorbing gas from the process atmosphere, or can decrease in mass, such as when being dried or when thermal decomposition takes place. Current instruments used for such analysis, especially at high pressures, are often based on magnetic suspension balances, and have a maximum mass resolution of a few 10 −6 g. This necessitates more often than not quite significant sample quantities, which can sometimes not easily be manufactured, e.g. in the case of metal organic framework adsorbents, or which in other cases do not have a sufficient specific surface area resulting in low measuring effect. A new apparatus based on a high resolution thermogravimetric analyser has been developed. This new apparatus combines very high resolution of up to a few 10 −8 g with a relatively high sample mass of up to 1.5 g, whilst eliminating many of the disadvantages of the microbalances previously used in magnetic suspension balances. An interface was developed which permits free configuration of the new balance as top or bottom loading. Validation measurements of known adsorbents were subsequently performed, with sample quantities up to a factor of 174 smaller than in literature. (paper)

  18. Accountability in public health units: using a modified nominal group technique to develop a balanced scorecard for performance measurement.

    Science.gov (United States)

    Robinson, Victoria A; Hunter, Duncan; Shortt, Samuel E D

    2003-01-01

    Little attention has been paid to the need for accountability instruments applicable across all health units in the public health system. One tool, the balanced scorecard was created for industry and has been successfully adapted for use in Ontario hospitals. It consists of 4 quadrants: financial performance, outcomes, customer satisfaction and organizational development. The aim of the present study was to determine if a modified nominal group technique could be used to reach consensus among public health unit staff and public health specialists in Ontario about the components of a balanced scorecard for public health units. A modified nominal group technique consensus method was used with the public health unit staff in 6 Eastern Ontario health units (n=65) and public health specialists (n=18). 73.8% of the public health unit personnel from all six health units in the eastern Ontario region participated in the survey of potential indicators. A total of 74 indicators were identified in each of the 4 quadrants: program performance (n=44); financial performance (n=11); public perceptions (n=11); and organizational performance (n=8). The modified nominal group technique was a successful method of incorporating the views of public health personnel and specialists in the development of a balanced scorecard for public health.

  19. The relationships among knowledge, self-efficacy, preparedness, decisional conflict, and decisions to participate in a cancer clinical trial.

    Science.gov (United States)

    Miller, S M; Hudson, S V; Egleston, B L; Manne, S; Buzaglo, J S; Devarajan, K; Fleisher, L; Millard, J; Solarino, N; Trinastic, J; Meropol, N J

    2013-03-01

    Cancer clinical trials (CCTs) are important tools in the development of improved cancer therapies; yet, participation is low. Key psychosocial barriers exist that appear to impact a patient's decision to participate. Little is known about the relationship among knowledge, self-efficacy, preparation, decisional conflict, and patient decisions to take part in CCTs. The purpose of this study was to determine if preparation for consideration of a CCT as a treatment option mediates the relationship between knowledge, self-efficacy, and decisional conflict. We also explored whether lower levels of decisional conflict are associated with greater likelihood of CCT enrollment. In a pre-post test intervention study, cancer patients (N = 105) were recruited before their initial consultation with a medical oncologist. A brief educational intervention was provided for all patients. Patient self-report survey responses assessed knowledge, self-efficacy, preparation for clinical trial participation, decisional conflict, and clinical trial participation. Preparation was found to mediate the relationship between self-efficacy and decisional conflict (p = 0.003 for a test of the indirect mediational pathway for the decisional conflict total score). Preparation had a more limited role in mediating the effect of knowledge on decisional conflict. Further, preliminary evidence indicated that reduced decisional conflict was associated with increased clinical trial enrollment (p = 0.049). When patients feel greater CCT self-efficacy and have more knowledge, they feel more prepared to make a CCT decision. Reduced decisional conflict, in turn, is associated with the decision to enroll in a clinical trial. Our results suggest that preparation for decision-making should be a target of future interventions to improve participation in CCTs. Copyright © 2012 John Wiley & Sons, Ltd.

  20. Balancing Audio

    DEFF Research Database (Denmark)

    Walther-Hansen, Mads

    2016-01-01

    This paper explores the concept of balance in music production and examines the role of conceptual metaphors in reasoning about audio editing. Balance may be the most central concept in record production, however, the way we cognitively understand and respond meaningfully to a mix requiring balance...... is not thoroughly understood. In this paper I treat balance as a metaphor that we use to reason about several different actions in music production, such as adjusting levels, editing the frequency spectrum or the spatiality of the recording. This study is based on an exploration of a linguistic corpus of sound...

  1. The reliability of balance, mobility and self-care measures in a population of adults with a learning disability known to a physiotherapy service.

    Science.gov (United States)

    Sackley, Cath; Richardson, Patricia; McDonnell, Karen; Ratib, Sonia; Dewey, Michael; Hill, Helen J

    2005-03-01

    To estimate the reliability of three measures of balance, mobility and activity for use in clinical and research physiotherapy, with adults with a learning disability. Prospective study to investigate test-retest and inter-rater reliability. Participants' homes and day centres. The Berg Balance Scale (BBS), the Rivermead Mobility Index (RMI) and the Barthel Activities of Daily Living Index (BI). Of the 181 adults known to the Nottingham Community Physiotherapy Service for Adults with Learning Disabilities, 64 with a known Rivermead Mobility score of less than three were excluded. Of 117 randomized, a further 21 were found to fail this criteria, 27 had acute medical, social or behavioural problems, 22 were unable to participate or refused: therefore 47 entered the study. Participants were visited in their own homes by two researchers on two occasions, one week apart and rated independently by each rater. Agreement was assessed with the kappa statistic (kappa) and percentage agreement for each item in each scale, and described using standard classification. Intraclass correlation coefficients for inter-rater and test-retest total scores and average differences of total scores, their standard deviations and limits of agreement, were calculated. For inter-rater observations, the Barthel Index and the Rivermead Mobility Index had almost perfect agreement (kappa = 0.86-1.00 and 0.89-1.00 respectively), with the Berg Balance Scale having substantial to almost perfect agreement (kappa = 0.74-1.00). For test-retest comparisons, both the Barthel Index and the Rivermead Mobility Index demonstrated moderate to almost perfect agreement (kappa = 0.57-1.00 and 0.45-1.00 respectively). Kappa scores for the Berg Balance Scale varied from low to almost perfect agreement (kappa = 0.37-1.00). The Berg Balance Scale, Rivermead Mobility Index and Barthel Activities of Daily Living Index are all reliable clinical and research tools for physiotherapists working with adults with learning

  2. La implementación del proceso de toma de decisiones estratégicas en las universidades

    OpenAIRE

    Emilio Rodríguez-Ponce; Liliana Pedraja-Rejas; Juan Rodríguez-Ponce

    2009-01-01

    Esta investigación tiene por objetivo describir las relaciones que existen entre el diseño de las decisiones estratégicas, la politización del proceso de toma de decisiones, y el grado de justicia procesal con la implementación de las decisiones estratégicas en las instituciones universitarias. Para este efecto, se trabaja con una muestra de 71 instituciones de educación superior, las cuales están constituidas por 32 universidades españolas y 39 universidades chilenas. Los resultados de la in...

  3. Do quiet standing centre of pressure measures within specific frequencies differ based on ability to recover balance in individuals with stroke?

    Science.gov (United States)

    Schinkel-Ivy, Alison; Singer, Jonathan C; Inness, Elizabeth L; Mansfield, Avril

    2016-06-01

    To determine whether quiet standing measures at specific frequency levels (representative of reactive control) differed between individuals with stroke based on their ability to recover balance (Failed or Successful Responses to external perturbations). Individuals with stroke completed a clinical assessment, including 30 s of quiet standing and lean-and-release postural perturbations, at admission to in-patient rehabilitation. Quiet standing centre of pressure (COP) signals were calculated and discrete wavelet decomposition was performed. Net COP amplitude, between-limb synchronization, and ratios of individual-limb COP were determined for each frequency level of interest, and for the non-decomposed signal (all frequency levels). Outcome measures were compared between individuals who exhibited Failed and Successful Responses during (a) unconstrained and (b) encouraged-use lean-and-release trials. Individuals with Failed Responses during the unconstrained lean-and-release trials displayed greater net COP amplitude than those with Successful Responses, specifically within a frequency range of 0.40-3.20Hz. Reduced ability to recover balance among individuals with stroke may be reflected in impaired reactive control of quiet standing. These results provide insight into the mechanism by which reactive control of quiet standing is impaired in individuals with stroke, and may inform assessment and rehabilitation strategies for post-stroke reactive balance control. Copyright © 2016 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  4. Balancing Act

    Science.gov (United States)

    Part of being an Active, More Powerful You means finding balance in your daily life: taking on the Must-dos and finding time for some Should Dos and Want-to-Dos. Sometimes, emotions and commitments can come into play and upset the balance.

  5. Balanced sampling

    NARCIS (Netherlands)

    Brus, D.J.

    2015-01-01

    In balanced sampling a linear relation between the soil property of interest and one or more covariates with known means is exploited in selecting the sampling locations. Recent developments make this sampling design attractive for statistical soil surveys. This paper introduces balanced sampling

  6. Reproducibility and validity of the Nintendo Wii Balance Board for measuring shoulder sensorimotor control in prone lying

    DEFF Research Database (Denmark)

    Eshøj, Henrik; Juul-Kristensen, Birgit; Gam Bender Jørgensen, René

    2017-01-01

    when used for upper limb testing. The aim was to investigate reproducibility and validity of the NWBB. METHODS: A test-retest design was performed with 68 subjects completing three different prone lying, upper limb weight-bearing balance tasks on a NWBB: two-arms, eyes closed (1) one-arm, non.......17 (95% CI 0.12-0.22)) due to large differences between the NWBB and force platform in noise sensitivity at low deadweights (especially below 50kg). CONCLUSION: The NWBB prone lying, shoulder sensorimotor control test was highly reproducible. Though, concurrent validity of the NWBB was poor compared...

  7. Employing Hot Wire Anemometry to Directly Measure the Water Balance of a Proton Exchange Membrane Fuel Cell

    DEFF Research Database (Denmark)

    Shakhshir, Saher Al; Berning, Torsten

    Proton exchange membrane fuel cells (PEMFC’s) are currently being commercialized for various applications ranging from automotive to stationary such as powering telecom back-up units. In PEMFC’s, oxygen from air is internally combined with hydrogen to form water and produce electricity and waste......-hoc and real time electrical signal of the fuel cell water balance by employing hot wire anemometry. The hot wire sensor is placed into a binary mixture of hydrogen and water vapour, and the voltage signal received gives valuable insight into heat and mass transfer phenomena in a PEMFC. A central question...

  8. FROM IPAB TO ASP: THE EVOLUTION OF DECISIONAL PROCESSES

    Directory of Open Access Journals (Sweden)

    Dario Recubini

    2014-12-01

    Full Text Available This study aims to analyze the evolution of decision-making processes through the transformation of The Public Institution of Assistance and Charity (IPAB, in Public Corporations aimed to the Person (ASP. Public corporations of services oriented to the Person (ASP are, in facts, an innovation. In the Public sector, ASPs are of big relevance, providing health care services to the society and taking a new and innovative governance model. This model wants to increase he awareness of ASP’s role in the public sector and generate awareness of the social effects, coupled with cost effectiveness and competitiveness. The public-law Corporations, which have got legal subject, administrative, property, accounting and financial autonomy, perform their activity with efficiency, efficacy and cost effectiveness, keeping the right balance between costs and profits. They are also able to save, anyway, not less than a third of incomings to realize various activities. These kind of companies are active at council and provincial level. This process is managed by the Region which endorses its Statutes, promotes the establishment of tools for the valuation of property assets and regulates the information and accounting system.   DALLE IPAB ALLE ASP: L’EVOLUZIONE DEI PROCESSI DECISIONALI Lo studio intende analizzare l’evoluzione dei processi decisionali nella trasformazione delle Istituzioni Pubbliche di Assistenza e Beneficienza (IPAB in Aziende Servizi alla Persona (ASP. Le Aziende pubbliche di servizi alla persona (ASP rappresentano, infatti,  un soggetto innovativo di grande rilevanza nell'ambito dei soggetti pubblici produttori ed erogatori di servizi socio-sanitari assumendo un nuovo modello di governance innovativo, diretto ad aumentare la consapevolezza del ruolo svolto e degli effetti prodotti in termini sociali, economici e competitivi. Aziende di diritto pubblico, dotate di personalità giuridica, di autonomia statutaria, gestionale, patrimoniale

  9. Intelligent Decisional Assistant that Facilitate the Choice of a Proper Computer System Applied in Busines

    Directory of Open Access Journals (Sweden)

    Nicolae MARGINEAN

    2009-01-01

    Full Text Available The choice of a proper computer system is not an easy task for a decider. One reason could be the present market development of computer systems applied in business. The big number of the Romanian market players determines a big number of computerized products, with a multitude of various properties. Our proposal tries to optimize and facilitate this decisional process within an e-shop where are sold IT packets applied in business, building an online decisional assistant, a special component conceived to facilitate the decision making needed for the selection of the pertinent IT package that fits the requirements of one certain business, described by the decider. The user interacts with the system as an online buyer that visit an e-shop where are sold IT package applied in economy.

  10. AMBIGÜEDAD SOCIAL Y MORAL PÚBLICA EN LAS DECISIONES JUDICIALES

    Directory of Open Access Journals (Sweden)

    Gustavo Fondevila

    2009-01-01

    Full Text Available Este artículo analiza la conexión entre derecho y moral en el contexto de la sexualidad, en general, y de la prostitución femenina, en particular, por medio del examen de las sentencias pronunciadas por el poder judicial federal. En contra de la tendencia jurídica mexicana de interpretar las disposiciones legales de manera literal, los jueces en este tema toman decisiones basadas en sus convicciones morales. El conjunto de resoluciones permite identificar una ideología particular del sistema judicial articulada por dos supuestos fundamentales: la prostitución es una actividad lícita pero inicua que genera rechazo social, y las decisiones judiciales deben reflejar ese sentimiento y protegerlo, incluso de los preceptos legales. De esta forma, el poder judicial se convierte en el guardián de las costumbres morales de la sociedad y en su juez más severo.

  11. Personalidad y estilos de toma de decisiones en la práctica deportiva

    OpenAIRE

    González-Hernández, Juan; Garcés de los Fayos, Enrique J.; López-Mora, Clara; Zapata, Julio

    2016-01-01

    [ES] Los resultados permiten confirmar las hipótesis planteadas destacando por encima de todo que conforme aumentan los niveles de cordialidad y cooperación disminuyen los niveles de comprometerse con la toma de decisiones, lo que permite asociarse más a deportes colectivos. [EN] Results allow confirm the hypothesis raised, emphasizing above all that as levels increased of cordiality and cooperation, reduce levels of commitment decisions, allowing more in team sports ass...

  12. Sistema soporte de decisiones para empresas industriales: diseño de la base de modelos

    OpenAIRE

    Rico, Mariela; Ramos, Juan C.; Chiotti, Omar Juan Alfredo; Scotta, Marcelo; Yuschak, Ornar; Taverna, María Laura

    1995-01-01

    En este trabajo presentamos el diseño conceptual de la. estructura de la Base de Modelos de un Sistema Soporte de Decisiones para empresas industriales dedicadas a la elaboración de varios productos. La Base de Modelos se representa mediante una estructura modular especificando la función de cada módulo en el proceso de soporte de decisión

  13. Flujo de caja. Herramienta clave para la toma de decisiones en la microempresa

    Directory of Open Access Journals (Sweden)

    Jaime Fernando Rodríguez Rocha

    2013-06-01

    Full Text Available Este artículo describe la experiencia de poner en contacto el entorno productivo (la empresa con el del conocimiento (la academia o universidad mediante grupos interdisciplinarios de académicos y empresarios para desarrollar un sistema de información sobre el manejo de los flujos de dinero que maneja una microempresa, y de esta manera optimizar la toma de decisiones en la misma.

  14. Programación lineal como herramienta para toma de decisiones

    Directory of Open Access Journals (Sweden)

    Gloria Marlene Díaz

    2007-12-01

    Full Text Available Los métodos cuantitativos han demostrado ser apoyo fundamental en la toma de decisiones gerenciales. Este trabajo analiza la evolución histórica que ha tenido la programación lineal a través de sus principales exponentes. Igualmente, presenta la importancia del lenguaje cuantitativo como una forma de aproximarse a la práctica gerencial en las diferentes áreas.

  15. Influenza vaccination and decisional conflict among regulated and unregulated direct nursing care providers in long-term-care homes.

    Science.gov (United States)

    Sullivan, Shannon M; Pierrynowski-Gallant, Donna; Chambers, Larry; O'Connor, Annette; Bowman, Sherry; McNeil, Shelly; Strang, Robert; Knoefel, Frank

    2008-02-01

    The purpose of this study was to determine whether direct nursing care providers have decisional conflict about receiving influenza vaccinations and characteristics associated with decisional conflict. The researchers used a self-administered questionnaire mailed to direct nursing care providers in two long-term-care organizations. Most direct nursing care providers in both organizations (80% and 93%, respectively) intended to get the influenza vaccine. Unregulated direct nursing care providers had more decisional conflict than regulated providers, especially related to feeling uninformed about the pros and cons of influenza vaccination. Unclear valuing of the pros and cons of influenza vaccination was related to the age of the direct care providers in both organizations. Decisional conflict and influenza vaccination practices may be determined, in part, by age and by the culture of a health care organization. A decision aid to improve knowledge and clarify values may improve decision quality and increase influenza vaccination rates.

  16. Decision Support for Joint Replacement: Implications for Decisional Conflict and Willingness to Undergo Surgery.

    Science.gov (United States)

    Riffin, Catherine; Pillemer, Karl; Reid, M Cary; Tung, Judy; L Ckenhoff, Corinna E

    2018-03-02

    The present study investigates age differences in the types of decision support that total joint replacement (TJR) candidates desire and receive when making the decision to pursue surgery. We consider the social structural (relationship to the patient) and experiential factors (network members' experience with TJR) that influence individuals' support preferences and the interactions of these factors with age. We also examine whether a lack of support is linked with increased decisional conflict and reduced willingness to undergo surgery. A telephone survey was conducted with 100 individuals (aged 40+) who were contemplating knee or hip replacement. TJR candidates desired and received decision support from health care providers, family members, and individuals who had previously undergone TJR. They reported higher deficits in informational and emotional support than in instrumental support. Overall, a lack of instrumental support was associated with greater decisional conflict; a lack of instrumental support and a lack of informational support were associated with reduced willingness to undergo TJR. Our findings point to the importance of involving both formal and informal network members in TJR discussions, and the need for informational guidance and practical assistance to reduce decisional conflict and uncertainty among individuals considering TJR.

  17. Toma de decisiones clínicas en atención primaria

    Directory of Open Access Journals (Sweden)

    Antonio Moncada

    2013-10-01

    Full Text Available El profesional del primer nivel de atención necesita estar altamente calificado en tomar decisiones médicas con el debido respaldo científico, aplicado a una metodología ordenada y eficiente a la hora de tomar una decisión. De esta manera llegamos a un diagnostico razonado, generando satisfacción en el usuario. A este método lo denominamos toma de decisiones clínicas en atención primaria. Durante el proceso de toma de decisión médica surge la incertidumbre, que en medicina gira en torno a la probabilidad que tiene un paciente de presentar una enfermedad en particular y este puede variar entre 0 y 1. Según el rango de incertidumbre en el que nos encontremos podemos tomar tres caminos: tratamos al paciente, profundizamos el estudio del caso o simplemente nada. Hay que destacar que existen tres modelos en la toma de decisiones, siendo el más importante, el modelo hipotético deductivo. Finalmente, podemos concluir que no necesariamente tenemos que llegar a un diagnóstico, pero sí debemos llegar a una certeza lo suficientemente alta para actuar.

  18. How healthy and sustainable is the Dutch housing mix? Measuring and comparing the theoretical housing market balance of Dutch regional housing markets

    Directory of Open Access Journals (Sweden)

    Leonie B. Janssen-Jansen

    2015-01-01

    Full Text Available Housing and its distribution over groups of households dominates debates on urban socio-spatial justice. Amsterdam even received the label ‘Just City’ as the large stock of social housing in the core of the city is said to increase societal equity. Within the Netherlands, however, the Greater Amsterdam housing market is perceived to be the most dysfunctional. As the discussion is fed by highly political and ideological perspectives, it is difficult to assess at face value how balanced the housing mix of a housing market is and to what extent it meets the community’s needs. Consequently, it is difficult to inform politicians about strategies that contribute to a healthy and sustainable housing mix and address the lack of affordable housing which is high on urban policy agendas worldwide. In an attempt to go beyond ideological and political discussions, the aim of this interdisciplinary paper is to develop a metric to measure and compare the theoretical balance of housing markets across regions and across groups of households based on income. The metric will be applied to the case of the Netherlands. The findings of the theoretical model show that large-scale provisions for low-income households may not always result in an improved housing market balance.

  19. A study of a nursing department performance measurement system: using the Balanced Scorecard and the Analytic Hierarchy Process.

    Science.gov (United States)

    Chu, Hsuan-Lien; Wang, Chen-Chin; Dai, Yu-Tzu

    2009-01-01

    The health care industry is under pressure from government and private entities as well as from market conditions to contain costs. In an effort to respond to these pressures, the case hospital in this study implemented a Balanced Scorecard (BSC) in January 2003 and integrated it with the hospital's formal incentive plan for non-physicians in January 2005. The nursing department's performance improved in the 2 years following the introduction of the plan. This study contributes to the literature by demonstrating the performance improvement that results from integrating the BSC with an incentive plan in the nursing field. The results provide insight into the current BSC performance metrics applied by the case nursing department, and could be used as guidelines by other health care organizations that wish to implement BSC-based incentive plans.

  20. Surface energy balance of an extensive green roof as quantified by full year eddy-covariance measurements.

    Science.gov (United States)

    Heusinger, Jannik; Weber, Stephan

    2017-01-15

    Green roofs are discussed as a promising type of green infrastructure to lower heat stress in cities. In order to enhance evaporative cooling, green roofs should ideally have similar Bowen ratio (β=sensible heat flux/latent heat flux) characteristics such as rural sites, especially during summer periods with high air temperatures. We use the eddy-covariance (EC) method to quantify the energy balance of an 8600m 2 extensive, non-irrigated green roof at the Berlin Brandenburg Airport, Germany over a full annual cycle. To understand the influence of water availability on green roof-atmosphere energy exchange, we studied dry and wet periods and looked into functional relationships between leaf area, volumetric water content (VWC) of the substrate, shortwave radiation and β. The surface energy balance was dominated by turbulent heat fluxes in comparison to conductive substrate heat fluxes. The Bowen ratio was slightly below unity on average but highly variable due to ambient meteorology and substrate water availability, i.e. β increased to 2 in the summer season. During dry periods mean daytime β was 3, which is comparable to typical values of urban instead of rural sites. In contrast, mean daytime β was 0.3 during wet periods. Following a summer wet period the green roof maximum daily evapotranspiration (ET) was 3.3mm, which is a threefold increase with respect to the mean summer ET. A multiple regression model indicated that the substrate VWC at the present site has to be >0.11m 3 m -3 during summer high insolation periods (>500Wm -2 ) in order to maintain favourable green roof energy partitioning, i.e. mid-day β<1. The microclimate benefit of urban green roofs can be significantly optimised by using sustainable irrigation approaches. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver

    Directory of Open Access Journals (Sweden)

    Silva, Camila Nicácio da

    2015-10-01

    Full Text Available Introduction Benign Paroxysmal Positional Vertigo (BPPV is one of the most common and treatable causes of peripheral vestibular vertigo in adults. Its incidence increases with age, eventually leading to disability and a decreased quality of life. Objective The research aims to assess short-term effects of Otolith Repositioning Maneuver (ORM on dizziness symptoms, quality of life, and postural balance in elderly people with Benign Paroxysmal Positional Vertigo. Methods A quasi-experimental study, which evaluated 14 elderly people that underwent the Otolith Repositioning Maneuver and reevaluation after one week. The authors performed statistical analysis by descriptive analysis of central tendency and dispersion; for pre- and post-treatment conditions, the authors used the Wilcoxon test. Results All aspects of the Dizziness Handicap Inventory (physical, functional, emotional, and total scores as well as the Visual Analogue Scale (VAS decreased after therapy (p < 0.05 and p = 0.001, respectively. However, more than half of the elderly participants did not achieve negative Dix-Hallpike. Regarding static and dynamic balance, there were significant differences in some parameters of the modified Clinical Test of Sensory Interaction and Balance, Limits of Stability and gait assessment measured by the Dizziness Gait Index (p < 0.05. Conclusion Results reveal clinical and functional benefits in elderly people with Benign Paroxysmal Positional Vertigo submitted to Otolith Repositioning Maneuver. However, most of the participants did not overcome Benign Paroxysmal Positional Vertigo and not all aspects of postural balance improved. Therefore, a longer follow-up period and a multidisciplinary team are required to establish comprehensive care for elderly patients with dizziness complaints.

  2. Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver

    Science.gov (United States)

    Silva, Camila Nicácio da; Ribeiro, Karyna Myrelly O. B. de Figueiredo; Freitas, Raysa Vanessa de Medeiros; Ferreira, Lidiane Maria de Britho Macedo; Guerra, Ricardo Oliveira

    2015-01-01

    Introduction Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common and treatable causes of peripheral vestibular vertigo in adults. Its incidence increases with age, eventually leading to disability and a decreased quality of life. Objective The research aims to assess short-term effects of Otolith Repositioning Maneuver (ORM) on dizziness symptoms, quality of life, and postural balance in elderly people with Benign Paroxysmal Positional Vertigo. Methods A quasi-experimental study, which evaluated 14 elderly people that underwent the Otolith Repositioning Maneuver and reevaluation after one week. The authors performed statistical analysis by descriptive analysis of central tendency and dispersion; for pre- and post-treatment conditions, the authors used the Wilcoxon test. Results All aspects of the Dizziness Handicap Inventory (physical, functional, emotional, and total scores) as well as the Visual Analogue Scale (VAS) decreased after therapy (p < 0.05 and p = 0.001, respectively). However, more than half of the elderly participants did not achieve negative Dix-Hallpike. Regarding static and dynamic balance, there were significant differences in some parameters of the modified Clinical Test of Sensory Interaction and Balance, Limits of Stability and gait assessment measured by the Dizziness Gait Index (p < 0.05). Conclusion Results reveal clinical and functional benefits in elderly people with Benign Paroxysmal Positional Vertigo submitted to Otolith Repositioning Maneuver. However, most of the participants did not overcome Benign Paroxysmal Positional Vertigo and not all aspects of postural balance improved. Therefore, a longer follow-up period and a multidisciplinary team are required to establish comprehensive care for elderly patients with dizziness complaints. PMID:26722348

  3. Factors associated with the difference in score between women's and doctors' decisional conflict about hormone therapy: a multilevel regression analysis

    Science.gov (United States)

    Légaré, France; Tremblay, Stéphane; O'Connor, Annette M.; Graham, Ian D.; Wells, Georges A.; Jacobsen, Mary Jane

    2003-01-01

    Abstract Objective: To explore factors associated with the difference in score between women's and doctors’ decisional conflict about hormone therapy (HT). Design: Secondary analysis. Setting and participants: family doctors were randomized to prepare women for counselling about HT using either a decision aid or a pamphlet. Main variables studied: After each counselling session, decisional conflict was assessed in women and doctors using the Decisional Conflict Scale (DCS) and the Provider Decision Process Assessment Instrument (PDPAI), respectively. The difference in score between the DCS and PDPAI was computed and entered as the dependent variable in a multilevel regression analysis. Main outcome results: A total of 40 doctors and 167 women were included in the analysis. The intra‐doctor correlation coefficient was 0.25. Factors associated with women experiencing higher decisional conflict than their doctor were: age of doctor >45 years, women who were undecided about the best choice after the counselling session, women with a university degree and women who said that their doctor usually does not give them control over treatment decision. Factors associated with doctors experiencing more decisional conflict than women were: doctors who were undecided about the quality of the decision, length of visit decision was shared with their doctor. Conclusion: In order to reduce the disparities between women's and doctors’ decisional conflict about HT, interventions aimed at raising awareness of doctors about shared decision‐making should be encouraged. PMID:12940794

  4. Balance Disorders

    Science.gov (United States)

    ... disorder can profoundly affect daily activities and cause psychological and emotional hardship. What are the symptoms of ... that help with balance but are destroyed by aging, medications, infections, or trauma can someday be regrown ...

  5. Influence of a user-adaptive prosthetic knee on quality of life, balance confidence, and measures of mobility: a randomised cross-over trial.

    Science.gov (United States)

    Prinsen, Erik C; Nederhand, Marc J; Olsman, Jeroen; Rietman, Johan S

    2015-06-01

    To study the influence of a transition from a non-microprocessor controlled to the Rheo Knee(®) II on quality of life, balance confidence and measures of mobility. Randomised crossover trial. Research department of a rehabilitation centre. Persons with a transfemoral amputation or knee disarticulation (n=10). Participants were assessed with their own non-microprocessor controlled knee and with the Rheo Knee(®) II. The low-profile Vari-Flex with EVO foot was installed in both knee conditions, followed by eight weeks of acclimatisation. The order in which knees were tested was randomised. Prosthesis Evaluation Questionnaire with addendum, Activities-specific Balance Confidence scale, Timed "up & go" test, Timed up and down stairs test, Hill Assessment Index, Stairs Assessment Index, Standardized Walking Obstacle Course and One Leg Balance test. Significant higher scores were found for the Rheo Knee(®) II on the Residual Limb Health subscale of the Prosthesis Evaluation Questionnaire when compared to the non-microprocessor controlled prosthetic knee (median [interquartile range] resp. 86.67 [62.21-93.08] and 68.71 [46.15-94.83]; P=0.047) In addition, participants needed significantly more steps to complete an obstacle course when walking with the Rheo Knee(®) II compared to the non-microprocessor controlled prosthetic knee (median [interquartile range] resp. 23.50 [19.92-26.25] and 22.17 [19.50-25.75]; P=0.041). On other outcome measures, no significant differences were found. Transition towards the Rheo Knee(®) II had little effect on the studied outcome measures. © The Author(s) 2014.

  6. LÓGICA DIFUSA APLICADA A LA TOMA DE DECISIONES

    Directory of Open Access Journals (Sweden)

    Daniel Alfonso Robaina

    2010-11-01

    Full Text Available

  1. Responsiveness of Static and Dynamic Postural Balance Measures in Patients with Anterior Cruciate Ligament Reconstruction Following Physiotherapy Intervention

    Directory of Open Access Journals (Sweden)

    Neda Mostafaee

    2017-05-01

    Full Text Available Background:The main goal of physiotherapy for patients with anterior cruciate ligament reconstruction (ACL-R is to improve postural control and retain knee function. Therefore, clinicians need to use evaluative tools that assess postural changes during physiotherapy. To maximize the clinical utility of the results of these tools, the extracted measures should have appropriate psychometric properties of reliability, validity and responsiveness. No study has yet addressed responsiveness of postural measures in these patients. This study was designed to investigate the responsiveness and determine the minimal clinically important changes (MCIC of static and dynamic postural measures in patients with (ACL-R following physiotherapy. Methods: Static and dynamic postural measures were evaluated at first occasion and again after four weeks physiotherapy. The static measures consisted of center of pressure (COP parameters while dynamic measures included the stability indices. Correlation analysis and ROC curve were applied for assessing the responsiveness. Results:The meanand SD velocity of COP had acceptable responsiveness in both conditions of standing on injured leg with open-eyes and on uninjured leg with closed-eyes, both with nocognitive task. For dynamic measures, stability indices in double-leg standing with closed-eyes with cognitive task condition attained acceptable responsiveness. MCICs for mean and SD velocity in anteroposterior and mediolateral directions were 0.28cm/s, 0.008cm/s, 0.02cm/s, respectively in standing on injured leg with open-eyes; and 0.14cm/s, 0.07cm/s, 0.06cm/s, respectively in uninjured leg with closed-eyes condition. Also, MCICs for anteroposterior, mediolateral and total stability indices were 0.51◦, 0.37◦, 0.34◦, respectively in DCT condition. Conclusion:Our findings provide evidence for selection of appropriate static and dynamic postural measures for assessment of changes in these patients. MCICs for these

  2. Watt and joule balances

    Science.gov (United States)

    Robinson, Ian A.

    2014-04-01

    The time is fast approaching when the SI unit of mass will cease to be based on a single material artefact and will instead be based upon the defined value of a fundamental constant—the Planck constant—h . This change requires that techniques exist both to determine the appropriate value to be assigned to the constant, and to measure mass in terms of the redefined unit. It is important to ensure that these techniques are accurate and reliable to allow full advantage to be taken of the stability and universality provided by the new definition and to guarantee the continuity of the world's mass measurements, which can affect the measurement of many other quantities such as energy and force. Up to now, efforts to provide the basis for such a redefinition of the kilogram were mainly concerned with resolving the discrepancies between individual implementations of the two principal techniques: the x-ray crystal density (XRCD) method [1] and the watt and joule balance methods which are the subject of this special issue. The first three papers report results from the NRC and NIST watt balance groups and the NIM joule balance group. The result from the NRC (formerly the NPL Mk II) watt balance is the first to be reported with a relative standard uncertainty below 2 × 10-8 and the NIST result has a relative standard uncertainty below 5 × 10-8. Both results are shown in figure 1 along with some previous results; the result from the NIM group is not shown on the plot but has a relative uncertainty of 8.9 × 10-6 and is consistent with all the results shown. The Consultative Committee for Mass and Related Quantities (CCM) in its meeting in 2013 produced a resolution [2] which set out the requirements for the number, type and quality of results intended to support the redefinition of the kilogram and required that there should be agreement between them. These results from NRC, NIST and the IAC may be considered to meet these requirements and are likely to be widely debated

  3. Criterios éticos para las decisiones sanitarias al final de la vida de personas incapaces

    Directory of Open Access Journals (Sweden)

    Inés Ma. Barrio Cantalejo

    2006-01-01

    Full Text Available Actualmente las relaciones sanitarias se apoyan en el reconocimiento del derecho de los pacientes a participar en las decisiones sobre su salud. Esta idea es el fundamento del consentimiento informado. Sin embargo, problema surge cuando el paciente no puede participar en estas decisiones porque se halla en una situación de incapacidad. Es otro, un representante, quien debe decidir por él. En España no existe claridad sobre qué criterios deben orientar las decisiones que ha de tomar el representante. El presente artículo presenta los criterios de decisión en pacientes incapaces desarrollados por la jurisprudencia norteamericana: el criterio subjetivo, el criterio del juicio sustitutivo y el criterio del mejor interés o mayor beneficio. El criterio subjetivo consiste en seguir las directrices que el paciente dictó antes de perder la capacidad. El criterio del juicio sustitutivo trata de deducir la decisión que hubiese tomado el propio paciente si pudiera, a partir de lo que conocemos de él. El criterio del mayor beneficio intenta proteger el bienestar del paciente. Tradicionalmente el «mejor interés» ha sido defender la vida a toda costa, sin atender a otro tipo de consideraciones. Quizás sea el momento de buscar un consenso sobre lo que socialmente hoy en día se considera «mejor interés». Su significado no podrá derivarse exclusivamente del derecho a la vida, sino de la conjunción entre éste –en cantidad y calidad suficientes– y la libertad, interpretados a la luz del respeto a la dignidad de la persona.

  4. Selectivity and balance of spatial filtering velocimetry of objective speckles for measuring out-of-plane motion

    DEFF Research Database (Denmark)

    Jakobsen, Michael Linde; Yura, Hal T.; Hanson, Steen Grüner

    2015-01-01

    We probe the dynamics of objective laser speckles as the axial distance between the object and the observation plane changes. With the purpose of measuring out-of-plane motion in real time, we apply optical spatial filtering velocimetry to the speckle dynamics. To achieve this, a rotationally sym...

  5. A method for monitoring glacier mass balance using satellite albedo measurements: application to Vatnajškull, Iceland

    NARCIS (Netherlands)

    Oerlemans, J.; Ruyter de Wildt, Martijn Sybren de; Björnsson, H.

    2002-01-01

    We compare satellite albedo images of Vatnajökull, Iceland, with massbalance measurements for the years 1991-99. We find that the equilibrium line is mostly not visible when it is located above its position of the previous year(s). Equilibrium-line detection is further hindered by clouds and a

  6. Applying hot wire anemometry to directly measure the water balance in a proton exchange membrane fuel cell - Part 1

    DEFF Research Database (Denmark)

    Berning, Torsten; Al Shakhshir, Saher

    2015-01-01

    for all current densities. Therefore, only one curve-fit equation will be required. The voltage curve E0 is an arbitrary calibration curve, and this can be conveniently chosen to be the voltage signal for a dry hydrogen stream at a given temperature and various flow rates which can be easily measured....

  7. Las decisiones sobre medios en comunicación por objetivos

    OpenAIRE

    Mazo del Castillo, Juan Manuel

    1991-01-01

    La tesis aborda una cuestion áctica de utilidad de la actuación permanente de comunicación de empresas e instituciones: la instrumentación de la misma. Se analiza, desde el punto de vista de la ta. De decisiones y de las tendencias actuales de dirección, la proxis de las agencias de publicidad y de relaciones publicas asi como las corrientes sociológicas, metodológicos y analíticas subyacentes. Esta cuestión conducía inevitablemente al examen sobre el grado de cientificidad de las investigaci...

  8. Exploración sobre las decisiones estratégicas desde el pensamiento complejo.

    OpenAIRE

    Luz María Rivas Montoya

    2013-01-01

    La racionalidad, las decisiones estratégicas y el pensamiento complejo motivaron la construcción del problema de esta investigación, planteado en términos del carácter limitado y reduccionista de los criterios y referentes de decisión en la visión gerencial tradicional frente a una visión compleja de la realidad humana. La exploración de este problema se realizó desde y para el campo académico de la estrategia, con el propósito de mostrar algunas de las dificultades que se presentan en la def...

  9. Reflexiones en torno a las emociones en la toma de decisiones éticas en medicina.

    OpenAIRE

    Paula Bedregal

    2010-01-01

    El objetivo de este trabajo es revisar las teorías de toma de decisiones en general y en bioética, identificando teorías normativas y descriptivas. Se argumenta sobre la necesidad de desarrollar modelos basados en el conocimiento empírico disponible y en presupuestos antropológicos claros, en el que las emociones son consideradas como un aspecto inseparable de la cognición (racionalidad). Estos modelos permitirán comprender mejor la acción moral de la persona humana.

  10. AMBIGÜEDAD SOCIAL Y MORAL PÚBLICA EN LAS DECISIONES JUDICIALES

    OpenAIRE

    Gustavo Fondevila

    2009-01-01

    Este artículo analiza la conexión entre derecho y moral en el contexto de la sexualidad, en general, y de la prostitución femenina, en particular, por medio del examen de las sentencias pronunciadas por el poder judicial federal. En contra de la tendencia jurídica mexicana de interpretar las disposiciones legales de manera literal, los jueces en este tema toman decisiones basadas en sus convicciones morales. El conjunto de resoluciones permite identificar una ideología particular del sistema ...

  11. RAZONES FINANCIERAS DE LIQUIDEZ EN LA GESTIÓN EMPRESARIAL PARA TOMA DE DECISIONES

    OpenAIRE

    Herrera Freire, Alexander Geovanny; Betancourt Gonzaga, Víctor Alberto; Herrera Freire, Alex Humberto; Vega Rodríguez, Sara Raquel; Vivanco Granda, Estefanía Cristina

    2017-01-01

    Los indicadores financieros de liquidez son fundamentales para evaluar la situación y el desempeño económico y financiero de una empresa a corto plazo, es decir, detectar si la empresa tiene suficientes recursos financieros y disponibles para cubrir las obligaciones presentes. El objetivo de este estudio es analizar las razones financieras de liquidez como estrategia en la gestión empresarial para la toma de decisiones. Es un estudio analítico basado en la metodología de (Gitman & Chad J., 20...

  12. La Inteligencia Artificial aplicada a la toma de decisiones en la Empresa de Internet

    Directory of Open Access Journals (Sweden)

    Mª Carmen Lozano Gutiérrez

    2004-09-01

    Full Text Available En el presente documento de trabajo se presenta una aplicación de una metodología basada en distintas técnicas de Inteligencia Artificial (redes neuronales, lógica difusa, así como técnicas bio-inspiradas basadas en el comportamiento de las hormigas al proceso de toma de decisiones de la empresa en red, para la consecución de un objetivo concreto como es el de lograr la maximización de los enlaces recorridos así como el logro de una óptima usabilidad del sitio.

  13. Instruments for radiation measurement in life sciences (4). 7. Application of accelerator mass spectrometry for drug development. Human mass balance studies at discovery stage

    International Nuclear Information System (INIS)

    Miyaoka, Teiji

    2005-01-01

    Following the recent trend of Position Paper issued from European Agency for the Evaluation of Medicinal Products on the non-clinical safety studies to support clinical trials with a single micro dose, human mass balance studies at discovery stages were made with special interest in using AMS (accelerator mass spectrometry) with a small amount of hot (radioisotope-labeled) drug. This method was found to be effective for the purpose of screening in the clinical study for pharmaceutical development. To show an example of the test, 5, 50, 500μg/body of C14-ARA (α1A adrenoreceptor antagonist, 50 nCi or 1.85 kBq/body/dose) were given (cross over) to several persons to be inspected and C14-quantity in the blood plasma or urine was determined with AMS until after 168 hours or so. The results of the present experiment demonstrate that human mass balance study at discovery stages is possible with ultra high sensitive measuring systems such as AMS and PET (positron emission tomography). (S. Ohno)

  14. LA POLÍTICA FISCAL Y MONETARIA EN COLOMBIA: UN ANÁLISIS EXPERIMENTAL DESDE LA TOMA COORDINADA DE DECISIONES

    Directory of Open Access Journals (Sweden)

    Raúl Enrique Rodríguez Luna

    2014-01-01

    Full Text Available En este documento se discuten los resultados de un ejercicio de simulación a partir de métodos de la economía experimental y modelado con elementos de la teoría de juegos, en el cual se formuló un juego secuencial que permitió encontrar equilibrios de Nash perfectos en subjuegos entre las decisiones de política monetaria y las decisiones de política #scal en Colombia. Se constató para cada uno de los escenarios planteados en el ejercicio la existencia de equilibrios perfectos en subjuegos en el sentido de Nash, que permitieron develar que la condición de racionalidad maximizadora de los jugadores es el elemento principal a la hora de la toma de decisiones al interior de grupos sociales. Por último, la observación puso en evidencia que las interacciones entre dos agentes están condicionadas por las estrategias que adopte el agente que opere de líder, y que las decisiones del agente seguidor regularmente se basan en criterios cooperativos y de coordinación; en este sentido, se pudo establecer que el Banco de la República determina la manera en la que el Gobierno, respetando los conductos constitucionales, toma sus decisiones de política con el #n de mantener la estabilidad económica del país.

  15. First characterization and comparison of TEB model simulations with in situ measurements regarding radiation balance in a single urban canyon at the BOKU site (Vienna)

    Science.gov (United States)

    Oswald, Sandro; Trimmel, Heidelinde; Revesz, Michael; Nadeem, Imran; Masson, Valéry; Weihs, Philipp

    2017-04-01

    According to the World Health Organization more than half of the world population lives in a city since 2010. Predictions foresee that by 2030 six out of ten people will live in an urban area. As a result, many cities are expanding in size. Almost 10% of all urban dwellers live in megacities (defined according to UN HABITAT as a city with a population of more than 10 million). There are several effects in cities which strongly influence human health. Visible influences like the severe emissions of air pollutants by industry and traffic (e.g. Mayer H., 1999, Grimmond et al., 2010) are obvious to people but thermal stress in urban areas is only recently recognized for its strong devastating effect on human health. As a consequence, the urban environment virtually influences all weather parameters that have an impact on human comfort and thermal stress. Within this study, we investigate effects of city growth and the development of outlying districts on the local climate of Vienna. We focus particularly on the influence of urban heat island and consequent the risk for heat related illnesses or thermal stress for people. To quantify radiation balance and other important meteorological factors, we performed an extensive field campaign with three types of net radiometer in three different heights at BOKU site in August 2016. The first results indicated a strong correlation (ρ=0.96) between the Town Energy Balance (TEB) model and the measurements of the top net radiometer regarding radiation balance at roof level, meanwhile the TEB results are slightly underestimated. Further check if the measurements are reasonable, a comparison of the input values (global and direct solar radiation) for the TEB simulation with Secondary Standard measurements of ARAD site Wien Hohe Warte shows a deviation under 2% concerning interquartile range on clear sky days. The next steps will enclose TEB simulations, coupled with the mesoscale Weather Research and Forecasting (WRF) model, for

  16. Effects of dynamic posturographic balance training versus conventional balance training on mobility and balance in elderly

    International Nuclear Information System (INIS)

    Saddiqi, F.A.; Masood, T.

    2017-01-01

    To determine the effects of dynamic posturographic balance training versus conventional balance training in improving mobility and balance in elderly. Methodology: Forty subjects between 50 to 80 years of age were selected via non-probability convenience sampling technique, for this randomized controlled trial. Both females and males with no major co-morbid conditions and cognitive impairments were recruited and randomized via coin toss method into two equal groups: Dynamic Posturographic balance training (DPG) group and Conventional balance training (CBT) group. The DPG training was provided via Biodex Balance System (Static and Dynamic). Both groups received interventions 3 times (35 to 45min each day) a week for 8 weeks, after which terminal assessment was done. Data were collected on demographic profile, balance via berg balance score and mobility by using Timed Up and Go Test. Independent samples t test was used to check difference between CBT group and DPG Group and repeated measures Analysis of Variance (ANOVA) was used for within-group analysis. Results: Baseline analysis of Berg balance scale and timed up and go test between two groups showed no significant difference with (p 0.805 and 0.251, respectively). After 8 weeks of intervention, there was significant difference between the groups in both variables (p 0.019 and 0.001, respectively). Conclusion: Dynamic posturographic balance training was more effective in improving dynamic balance and mobility in elderly population in comparison to conventional balance training. (author)

  17. Integrated Model of Balanced Score Card and Technology Component Measurement: A Strategic Perspective in Indonesia Biofuel Engineering Development

    Directory of Open Access Journals (Sweden)

    Sukardi Sukardi

    2010-08-01

    Full Text Available The development of biofuel as an ecofriendly energy alternative has a value chain problem in alignment policies between related parties. Identifiying its alignment, we make a strategic mapping by building integrated base scorecard, so the strategic target in the subsequent perspective layer can be developed more realistically. Structural Equation Modeling (SEM modeling was used to examine horizontal connection validity to show strong relation between objectives strategy, and it will be measured of constructed component on the internal process by Technology Coefficient Contribution indexes.

  18. ALGUNAS HERRAMIENTAS PARA LA TOMA DE DECISIONES DE INVERSIÓN EN PROYECTOS DE ALTO RIESGO

    Directory of Open Access Journals (Sweden)

    Julio Villarreal

    2007-01-01

    Full Text Available En este trabajo se presenta un posible aplicación metodológica para la toma de decisiones de inversión en proyectos de alto riesgo como las que típicamente son apoyados por los llamados fondos de capital de riesgo. El objetivo final es mostrar como es posible a través de esta metodología, reducir las asimetrías de información típicas en la relación entre inversionistas de riesgo (accionistas de capital y gestores de proyectos (accionistas industriales. La metodología propuesta se aplica a un plan de negocios real, pero de igual manera se puede aplicar a otros proyectos riesgosos, y muestra cómo una adecuada estructuración de un proceso de decisión, usando los modelos y herramientas adecuadas puede ser muy útil tanto en decisiones de fondos de inversión como en la estructuración de procesos de evaluación de alternativas de decisión estratégicas en las que el riesgo hace inapropiado el tradicional análisis determinístico.

  19. In search of integrative processes: basic psychological need satisfaction predicts medial prefrontal activation during decisional conflict.

    Science.gov (United States)

    Di Domenico, Stefano I; Fournier, Marc A; Ayaz, Hasan; Ruocco, Anthony C

    2013-08-01

    Research has shown that people's abilities to develop and act from a coherent sense of self are facilitated by satisfaction of the basic psychological needs for competence, relatedness, and autonomy. The present study utilized functional near infrared spectroscopy (fNIRS) to examine the effect of need satisfaction on activity in the medial prefrontal cortex (MPFC), a key region in processing information about the self. Participants completed a decision-making task (e.g., Which occupation would you prefer, dancer or chemist?) in which they made a series of forced choices according to their personal preferences. The degree of decisional conflict (i.e., choice difficulty) between the available response options was manipulated on the basis of participants' unique preference ratings for the target stimuli, which were obtained prior to scanning. Need satisfaction predicted elevated MPFC activity during high-conflict relative to low-conflict situations, suggesting that one way need satisfaction may promote self-coherence is by enhancing the utilization of self-knowledge in the resolution of decisional conflicts. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  20. The determinants of medical technology adoption in different decisional systems: A systematic literature review.

    Science.gov (United States)

    Varabyova, Yauheniya; Blankart, Carl Rudolf; Greer, Ann Lennarson; Schreyögg, Jonas

    2017-03-01

    Studies of determinants of adoption of new medical technology have failed to coalesce into coherent knowledge. A flaw obscuring strong patterns may be a common habit of treating a wide range of health care innovations as a generic technology. We postulate three decisional systems that apply to different medical technologies with distinctive expertise, interest, and authority: medical-individualistic, fiscal-managerial, and strategic-institutional decisional systems. This review aims to examine the determinants of the adoption of medical technologies based on the corresponding decision-making system. We included quantitative and qualitative studies that analyzed factors facilitating or inhibiting the adoption of medical technologies. In total, 65 studies published between 1974 and 2014 met our inclusion criteria. These studies contained 688 occurrences of variables that were used to examine the adoption decisions, and we subsequently condensed these variables to 62 determinants in four main categories: organizational, individual, environmental, and innovation-related. The determinants and their empirical association with adoption were grouped and analyzed by the three decision-making systems. Although we did not identify substantial differences across the decision-making systems in terms of the direction of the determinants' influence on adoption, a clear pattern emerged in terms of the categories of determinants that were targeted in different decision-making systems. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. En busca de una salud más participativa: compartiendo decisiones de salud

    Directory of Open Access Journals (Sweden)

    Paulina Bravo

    Full Text Available El modelo de atención en salud paternalista está derivando hacia modelos más participativos, como lo es la toma de decisiones compartidas (TDC, en el que se considera al paciente como agente responsable y autónomo. La TDC representa un enfoque terapéutico en el que profesionales y pacientes comparten la mejor evidencia científica disponible para tomar una decisión, incorporando los valores y preferencias del paciente. Este intercambio de información puede facilitarse mediante el uso de herramientas de ayuda para la TDC, que han demostrado ser efectivas para mejorar el conocimiento, la satisfacción del paciente, y reducir el conflicto decisional. En este sentido, las habilidades comunicacionales ejercen un rol fundamental en el establecimiento de la relación profesional - paciente, facilitando el intercambio de información y preferencias de manera efectiva y respetuosa. Esta aproximación terapéutica podría apoyar la reducción de las disparidades en salud que prevalecen en Latinoamérica, al facilitar que las personas puedan participar informada y activamente en el cuidado de su salud.

  2. Hacer una historia de vida. Decisiones clave en el proceso de investigación

    Directory of Open Access Journals (Sweden)

    Javier Ernesto Bassi Follari

    2014-11-01

    Full Text Available En este trabajo presento una serie de aspectos del método biográfico —o método de las historias de vida— que suelen surgir durante procesos de investigación y acerca de los cuales los/as investigadores/as deben poder tomar decisiones fundadas. Me detengo en distinciones terminológicas, diferencias con áreas fronterizas —como el enfoque narrativo o la literatura— y en la relevancia del método para la ciencia social. Analizo el «problema» de la objetividad y de la representatividad y la disyuntiva entre (sólo presentar o analizar el material generado. Comento algunos criterios para la elección de un/a «buen/a» informante, las estrategias de producción y análisis de la información y la cuestión de la (desconfianza en los relatos de informantes e investigadores/as. Mi objetivo es plantear —no resolver— estas cuestiones, con el fin de que sean tenidas en cuenta en la toma de decisiones durante los procesos de composición de una historia de vida. 

  3. Factors influencing spinal sagittal balance, bone mineral density, and Oswestry Disability Index outcome measures in patients with rheumatoid arthritis.

    Science.gov (United States)

    Masamoto, Kazutaka; Otsuki, Bungo; Fujibayashi, Shunsuke; Shima, Koichiro; Ito, Hiromu; Furu, Moritoshi; Hashimoto, Motomu; Tanaka, Masao; Lyman, Stephen; Yoshitomi, Hiroyuki; Tanida, Shimei; Mimori, Tsuneyo; Matsuda, Shuichi

    2018-02-01

    To identify the factors influencing spinal sagittal alignment, bone mineral density (BMD), and Oswestry Disability Index (ODI) outcome measures in patients with rheumatoid arthritis (RA). We enrolled 272 RA patients to identify the factors influencing sagittal vertical axis (SVA). Out of this, 220 had evaluation of bone mineral density (BMD) and vertebral deformity (VD) on the sagittal plane; 183 completed the ODI questionnaire. We collected data regarding RA-associated clinical parameters and standing lateral X-ray images via an ODI questionnaire from April to December 2012 at a single center. Patients with a history of spinal surgery or any missing clinical data were excluded. Clinical parameters included age, sex, body mass index, RA disease duration, disease activity score 28 erythrocyte sedimentation rate (DAS28-ESR), serum anti-cyclic citrullinated peptide antibody, serum rheumatoid factor, serum matrix metalloproteinase-3, BMD and treatment type at survey, such as methotrexate (MTX), biological disease-modifying anti-rheumatic drugs, and glucocorticoids. We measured radiological parameters including pelvic incidence (PI), lumbar lordosis (LL), and SVA. We statistically identified the factors influencing SVA, BMD, VD, and ODI using multivariate regression analysis. Multivariate regression analysis showed that larger SVA correlated with older age, higher DAS28-ESR, MTX nonuse, and glucocorticoid use. Lower BMD was associated with female, older age, higher DAS28-ESR, and MTX nonuse. VD was associated with older age, longer disease duration, lower BMD, and glucocorticoid use. Worse ODI correlated with older age, larger PI-LL mismatch or larger SVA, higher DAS28-ESR, and glucocorticoid use. In managing low back pain and spinal sagittal alignment in RA patients, RA-related clinical factors and the treatment type should be taken into consideration.

  4. The Comparison of Matching Methods Using Different Measures of Balance: Benefits and Risks Exemplified within a Study to Evaluate the Effects of German Disease Management Programs on Long-Term Outcomes of Patients with Type 2 Diabetes.

    Science.gov (United States)

    Fullerton, Birgit; Pöhlmann, Boris; Krohn, Robert; Adams, John L; Gerlach, Ferdinand M; Erler, Antje

    2016-10-01

    To present a case study on how to compare various matching methods applying different measures of balance and to point out some pitfalls involved in relying on such measures. Administrative claims data from a German statutory health insurance fund covering the years 2004-2008. We applied three different covariance balance diagnostics to a choice of 12 different matching methods used to evaluate the effectiveness of the German disease management program for type 2 diabetes (DMPDM2). We further compared the effect estimates resulting from applying these different matching techniques in the evaluation of the DMPDM2. The choice of balance measure leads to different results on the performance of the applied matching methods. Exact matching methods performed well across all measures of balance, but resulted in the exclusion of many observations, leading to a change of the baseline characteristics of the study sample and also the effect estimate of the DMPDM2. All PS-based methods showed similar effect estimates. Applying a higher matching ratio and using a larger variable set generally resulted in better balance. Using a generalized boosted instead of a logistic regression model showed slightly better performance for balance diagnostics taking into account imbalances at higher moments. Best practice should include the application of several matching methods and thorough balance diagnostics. Applying matching techniques can provide a useful preprocessing step to reveal areas of the data that lack common support. The use of different balance diagnostics can be helpful for the interpretation of different effect estimates found with different matching methods. © Health Research and Educational Trust.

  5. A comparison between wet canopy evaporation estimated by stable isotope ratios of water and canopy interception measured by water balance

    Science.gov (United States)

    Murakami, Shigeki; Hattori, Shohei; Uemura, Ryu

    2017-04-01

    Some papers proved that canopy interception is proportional to rainfall not only on a rain event basis but also on an hourly basis (e.g. Murakami, 2006, J. Hydrol.; Saito et al., 2013, J. Hydrol.). However, theoretically, evaporation does not depend on rainfall amount. These results are enigmatic and we need to reevaluate wet canopy evaporation. We measured gross rainfall and net rainfall in a plastic Christmas tree stand with a height of 165 cm placed on a 180-cm square tray as described in Murakami and Toba (2013, Hydrol. Res. Lett.). The measurement was conducted outside under natural rainfall. We also estimated wet canopy evaporation using stable isotope ratios of water. During a rain event, we manually sampled gross and net rainwater on an hourly basis. Evaporation was calculated using the difference between the δ18O (or δ2H) values in gross and net rainfall using isotope fractionation factor. Total gross rainfall in a target rain event in October, 2014, was 28.0 mm and net rainfall (discharge from the tray) was 22.7 mm, i.e. canopy interception was 5.3 mm (18.9% of gross rainfall). The δ18O (or δ2H) value in net rainfall was higher than that in gross rainfall because of fractionation by evaporation on wet canopy surface. Hourly evaporation calculated by the values of δ18O varied from 2% to 24% of gross rainfall, and the weighted average by hourly gross rainfall was 5.2% of gross rainfall. Further, we estimated rainfall interception using a tank model (Yoshida et al., 1993) assuming constant evaporation rate, i.e. 20% of gross rainfall. Total net rainfall calculated by the model was 23.1 mm, i.e. calculated canopy interception was 4.9 mm (17.5% of gross rainfall). Then, keeping the parameters of the model, we simulated net rainfall using hourly surface evaporation obtained by the δ18O values. Calculated net rainfall was 25.6 mm, i.e. wet canopy evaporation was only 2.4 mm (8.6% of gross rainfall). So far, possible explanation of the discrepancy between

  6. ACTITUDES DE LAS MUJERES DIAGNOSTICADAS DE CÁNCER DE MAMA FRENTE A LATOMA DE DECISIONES COMPARTIDA

    Directory of Open Access Journals (Sweden)

    Roberto Martín-Fernández

    2013-01-01

    Full Text Available Fundamentos: La mayor autonomía y el protagonismo de las mujeres con cáncer de mama en las decisiones sobre su salud son aspectos recientes en su asistencia sanitaria. El objetivo del trabajo es identificar y caracterizar los elementos que influyen en la toma de decisiones terapéuticas de las mujeres. Métodos: Metodología cualitativa de tipo fenomenológico. Muestreo teórico intencionado que incluyó a 70 mujeres diagnosticadas de cáncer de mama. Se realizaron 45 entrevistas y 3 grupos focales entre octubre de 2009 y julio de 2010 en 15 Comunidades Autónomas españolas. Análisis basado en los principios de la grounded theory con el apoyo del programa Atlas.ti v6.1. Resultados: Las pacientes se muestran proclives a tomar un papel activo o pasivo en la toma de decisiones dependiendo de la edad, la información disponible, su autovaloración como agente capaz de decidir y la importancia relativa al aspecto estético.Amedida que avanza la enfermedad se puede producir un cambio en la posición de las mujeres, desde una postura inicial pasiva a una posición más activa. La actitud de los profesionales sanitarios frente a la toma de decisiones compartida y la información que ofrecen influye en la participación de las pacientes mientras que la familia juega un papel fundamental como apoyo o refuerzo en sus decisiones. Conclusiones: La postura ante la toma de decisiones de las mujeres con cáncer de mama es muy variable, cobrando especial importancia la situación emocional, nivel de información disponible y la influencia del entorno.

  7. Analysis of decisional conflict among parents who consent to hypospadias repair: single institution prospective study of 100 couples.

    Science.gov (United States)

    Lorenzo, Armando J; Braga, Luis H P; Zlateska, Bozana; Leslie, Bruno; Farhat, Walid A; Bägli, Darius J; Pippi Salle, Joao L

    2012-08-01

    Although obtaining informed consent for distal hypospadias repair is common practice, little is known about the uncertainty or conflict between consenting parents faced with this decision. We systematically evaluated decisional conflict between parents who elected to have their child undergo hypospadias surgery. A total of 100 couples who were counseled about treatment options agreed to participate. Using a validated questionnaire, the Decisional Conflict Scale, we prospectively collected data on decisional conflict demographics, preference for circumcision, education level and prior knowledge about hypospadias. All parents elected surgical repair. Evidence of decisional conflict was encountered in 28% of participants (score less than 25 in 72%, 25 to 37.5 in 23.5%, greater than 37.5 in 4.5%). No statistically significant differences among parents were noted for total score (mean ± SD 16.1 ± 12 in mothers and 18.3 ± 12.6 in fathers) or subscales, except the informed subscale (mean ± SD 16.7 ± 14.3 in mothers and 21.1 ± 16.6 in fathers). Parental self-report of prior knowledge about hypospadias and preference for neonatal circumcision correlated with lower Decisional Conflict Scale scores (p = 0.02 and p conflict in couples agreeing to proceed with hypospadias repair, with no evidence of significant discrepancy between them. The novel description of factors related to decreased decisional conflict might help focus efforts aimed at minimizing difficulties encountered during the decision making process. Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  8. Balance ability and athletic performance.

    Science.gov (United States)

    Hrysomallis, Con

    2011-03-01

    The relationship between balance ability and sport injury risk has been established in many cases, but the relationship between balance ability and athletic performance is less clear. This review compares the balance ability of athletes from different sports, determines if there is a difference in balance ability of athletes at different levels of competition within the same sport, determines the relationship of balance ability with performance measures and examines the influence of balance training on sport performance or motor skills. Based on the available data from cross-sectional studies, gymnasts tended to have the best balance ability, followed by soccer players, swimmers, active control subjects and then basketball players. Surprisingly, no studies were found that compared the balance ability of rifle shooters with other athletes. There were some sports, such as rifle shooting, soccer and golf, where elite athletes were found to have superior balance ability compared with their less proficient counterparts, but this was not found to be the case for alpine skiing, surfing and judo. Balance ability was shown to be significantly related to rifle shooting accuracy, archery shooting accuracy, ice hockey maximum skating speed and simulated luge start speed, but not for baseball pitching accuracy or snowboarding ranking points. Prospective studies have shown that the addition of a balance training component to the activities of recreationally active subjects or physical education students has resulted in improvements in vertical jump, agility, shuttle run and downhill slalom skiing. A proposed mechanism for the enhancement in motor skills from balance training is an increase in the rate of force development. There are limited data on the influence of balance training on motor skills of elite athletes. When the effectiveness of balance training was compared with resistance training, it was found that resistance training produced superior performance results for

  9. TOMA DE DECISIONES, ESTILOS DE COMUNICACIÓN EN EL CONFLICTO Y COMUNICACIÓN FAMILIAR EN ADOLESCENTES BACHILLERES

    OpenAIRE

    Alejandro Cesar A. Luna Bernal; Francisco A. Laca Arocena; Liliana Isabel Cedillo Navarro

    2012-01-01

    En este trabajo se analizan correlaciones significativas entre patrones de toma de decisiones, autoconfianza como tomador de determinaciones, patrones de comunicación familiar y estilos de mensajes en el manejo de conflictos con los padres en 412 adolescentes bachilleres con edades de entre 15 y 19 años, quienes respondieron una versión adaptada del Cuestionario de Estilos de Mensajes en el Manejo del Conflicto, el Cuestionario Melbourne de Toma de Decisiones y la Escala de Autoconfianza como...

  10. Decisional needs assessment of patients with complex care needs in primary care: a participatory systematic mixed studies review protocol.

    Science.gov (United States)

    Bujold, Mathieu; Pluye, Pierre; Légaré, France; Haggerty, Jeannie; Gore, Genevieve C; Sherif, Reem El; Poitras, Marie-Eve; Beaulieu, Marie-Claude; Beaulieu, Marie-Dominique; Bush, Paula L; Couturier, Yves; Débarges, Beatrice; Gagnon, Justin; Giguère, Anik; Grad, Roland; Granikov, Vera; Goulet, Serge; Hudon, Catherine; Kremer, Bernardo; Kröger, Edeltraut; Kudrina, Irina; Lebouché, Bertrand; Loignon, Christine; Lussier, Marie-Therese; Martello, Cristiano; Nguyen, Quynh; Pratt, Rebekah; Rihoux, Benoit; Rosenberg, Ellen; Samson, Isabelle; Senn, Nicolas; Li Tang, David; Tsujimoto, Masashi; Vedel, Isabelle; Ventelou, Bruno; Wensing, Michel

    2017-11-12

    Patients with complex care needs (PCCNs) often suffer from combinations of multiple chronic conditions, mental health problems, drug interactions and social vulnerability, which can lead to healthcare services overuse, underuse or misuse. Typically, PCCNs face interactional issues and unmet decisional needs regarding possible options in a cascade of interrelated decisions involving different stakeholders (themselves, their families, their caregivers, their healthcare practitioners). Gaps in knowledge, values clarification and social support in situations where options need to be deliberated hamper effective decision support interventions. This review aims to (1) assess decisional needs of PCCNs from the perspective of stakeholders, (2) build a taxonomy of these decisional needs and (3) prioritise decisional needs with knowledge users (clinicians, patients and managers). This review will be based on the interprofessional shared decision making (IP-SDM) model and the Ottawa Decision Support Framework. Applying a participatory research approach, we will identify potentially relevant studies through a comprehensive literature search; select relevant ones using eligibility criteria inspired from our previous scoping review on PCCNs; appraise quality using the Mixed Methods Appraisal Tool; conduct a three-step synthesis (sequential exploratory mixed methods design) to build taxonomy of key decisional needs; and integrate these results with those of a parallel PCCNs' qualitative decisional need assessment (semistructured interviews and focus group with stakeholders). This systematic review, together with the qualitative study (approved by the Centre Intégré Universitaire de Santé et Service Sociaux du Saguenay-Lac-Saint-Jean ethical committee), will produce a working taxonomy of key decisional needs (ontological contribution), to inform the subsequent user-centred design of a support tool for addressing PCCNs' decisional needs (practical contribution). We will adapt

  11. Desarrollo de una herramienta de Business Intelligence para ayudar a la toma de decisiones de negocio a la empresa CIC

    OpenAIRE

    Gómez Cobo, Víctor

    2016-01-01

    RESUMEN: En la actualidad, las empresas cada vez necesitan más datos para trabajar y tomar decisiones adecuadas para su negocio. Es por eso que surge la necesidad de utilizar herramientas que faciliten y mejoren la interpretación de esos datos para convertirlos en información que será usada para mejorar el proceso de toma de decisiones. Esto es lo que se denomina Business Intelligence y es totalmente necesario para ayudar a las empresas a obtener una ventaja competitiva con respecto a sus com...

  12. Climate and vegetation controls on the surface water balance: Synthesis of evapotranspiration measured across a global network of flux towers

    Science.gov (United States)

    Williams, Christopher A.; Reichstein, Markus; Buchmann, Nina; Baldocchi, Dennis; Beer, Christian; Schwalm, Christopher; Wohlfahrt, Georg; Hasler, Natalia; Bernhofer, Christian; Foken, Thomas; Papale, Dario; Schymanski, Stan; Schaefer, Kevin

    2012-06-01

    The Budyko framework elegantly reduces the complex spatial patterns of actual evapotranspiration and runoff to a general function of two variables: mean annual precipitation (MAP) and net radiation. While the methodology has first-order skill, departures from a globally averaged curve can be significant and may be usefully attributed to additional controls such as vegetation type. This paper explores the magnitude of such departures as detected from flux tower measurements of ecosystem-scale evapotranspiration, and investigates their attribution to site characteristics (biome, seasonal rainfall distribution, and frozen precipitation). The global synthesis (based on 167 sites with 764 tower-years) shows smooth transition from water-limited to energy-limited control, broadly consistent with catchment-scale relations and explaining 62% of the across site variation in evaporative index (the fraction of MAP consumed by evapotranspiration). Climate and vegetation types act as additional controls, combining to explain an additional 13% of the variation in evaporative index. Warm temperate winter wet sites (Mediterranean) exhibit a reduced evaporative index, 9% lower than the average value expected based on dryness index, implying elevated runoff. Seasonal hydrologic surplus explains a small but significant fraction of variance in departures of evaporative index from that expected for a given dryness index. Surprisingly, grasslands on average have a higher evaporative index than forested landscapes, with 9% more annual precipitation consumed by annual evapotranspiration compared to forests. In sum, the simple framework of supply- or demand-limited evapotranspiration is supported by global FLUXNET observations but climate type and vegetation type are seen to exert sizeable additional controls.

  13. Using plot experiments to test the validity of mass balance models employed to estimate soil redistribution rates from 137Cs and 210Pb(ex) measurements.

    Science.gov (United States)

    Porto, Paolo; Walling, Des E

    2012-10-01

    Information on rates of soil loss from agricultural land is a key requirement for assessing both on-site soil degradation and potential off-site sediment problems. Many models and prediction procedures have been developed to estimate rates of soil loss and soil redistribution as a function of the local topography, hydrometeorology, soil type and land management, but empirical data remain essential for validating and calibrating such models and prediction procedures. Direct measurements using erosion plots are, however, costly and the results obtained relate to a small enclosed area, which may not be representative of the wider landscape. In recent years, the use of fallout radionuclides and more particularly caesium-137 ((137)Cs) and excess lead-210 ((210)Pb(ex)) has been shown to provide a very effective means of documenting rates of soil loss and soil and sediment redistribution in the landscape. Several of the assumptions associated with the theoretical conversion models used with such measurements remain essentially unvalidated. This contribution describes the results of a measurement programme involving five experimental plots located in southern Italy, aimed at validating several of the basic assumptions commonly associated with the use of mass balance models for estimating rates of soil redistribution on cultivated land from (137)Cs and (210)Pb(ex) measurements. Overall, the results confirm the general validity of these assumptions and the importance of taking account of the fate of fresh fallout. However, further work is required to validate the conversion models employed in using fallout radionuclide measurements to document soil redistribution in the landscape and this could usefully direct attention to different environments and to the validation of the final estimates of soil redistribution rate as well as the assumptions of the models employed. Copyright © 2012 Elsevier Ltd. All rights reserved.

  14. Balancing Risk

    DEFF Research Database (Denmark)

    Nygaard, Lene; Rossen, Camilla Blach; Buus, Niels

    2015-01-01

    This study explored how eight pregnant women diagnosed with depression managed the decision whether or not to take antidepressants during pregnancy. In total, 11 interviews were conducted and analysed by means of constructivist grounded theory. The major category constructed was Balancing risk......, with two minor categories: Assessing depression and antidepressants and Evaluating the impact of significant others. The participants tried to make the safest decision, taking all aspects of their life into consideration. They described successful decision-making in the context of managing social norms...

  15. Rotary and Magnus balances

    Science.gov (United States)

    Malcolm, G. N.

    1981-01-01

    Two wind tunnel techniques for determining part of the aerodynamic information required to describe the dynamic bahavior of various types of vehicles in flight are described. Force and moment measurements are determined with a rotary-balance apparatus in a coning motion and with a Magnus balance in a high-speed spinning motion. Coning motion is pertinent to both aircraft and missiles, and spinning is important for spin stabilized missiles. Basic principles of both techniques are described, and specific examples of each type of apparatus are presented. Typical experimental results are also discussed.

  16. Cavendish Balance Automation

    Science.gov (United States)

    Thompson, Bryan

    2000-01-01

    This is the final report for a project carried out to modify a manual commercial Cavendish Balance for automated use in cryostat. The scope of this project was to modify an off-the-shelf manually operated Cavendish Balance to allow for automated operation for periods of hours or days in cryostat. The purpose of this modification was to allow the balance to be used in the study of effects of superconducting materials on the local gravitational field strength to determine if the strength of gravitational fields can be reduced. A Cavendish Balance was chosen because it is a fairly simple piece of equipment for measuring gravity, one the least accurately known and least understood physical constants. The principle activities that occurred under this purchase order were: (1) All the components necessary to hold and automate the Cavendish Balance in a cryostat were designed. Engineering drawings were made of custom parts to be fabricated, other off-the-shelf parts were procured; (2) Software was written in LabView to control the automation process via a stepper motor controller and stepper motor, and to collect data from the balance during testing; (3)Software was written to take the data collected from the Cavendish Balance and reduce it to give a value for the gravitational constant; (4) The components of the system were assembled and fitted to a cryostat. Also the LabView hardware including the control computer, stepper motor driver, data collection boards, and necessary cabling were assembled; and (5) The system was operated for a number of periods, data collected, and reduced to give an average value for the gravitational constant.

  17. An investigation of the use of the Kinect system as a measure of dynamic balance and forward reach in the elderly.

    Science.gov (United States)

    Hsiao, Ming-Yen; Li, Chia-Ming; Lu, I-Shu; Lin, Yu-Hung; Wang, Tyng-Guey; Han, Der-Sheng

    2018-04-01

    To investigate the reliability and correlations of Kinect-derived valuables of forward reach distance and velocity with the traditional functional reach distance, scores on posturography, and other measures of physical fitness. Observational study. Community hospital. Individuals >65 years who attended a geriatric health examination were enrolled. The Kinect system was used to record the reach distance and velocity of the forward reach test. Center of pressure displacement was measured by posturography. Physical fitness performance was assessed using the 2-Minute Step Test, the 30-Second Chair Stand Test, the Sit-and-Reach Test, grip strength, and walking speed. A total of 442 individuals were enrolled (mean age: 73.3 ± 5.2 years). Forward reach tracking using the Kinect system showed good repeatability and correlated with traditional functional reach ( r = 0.719, P reaching velocity correlated with scores on posturography ( r = -0.257, P = 0.047). Reach distances were significantly decreased in the older group (≥75 years) than in the younger group (reach, scores on posturography, and physical fitness performance. It provides alternative representation of both static and dynamic balance function.

  18. Test-retest reliability and construct validity of the DOiT ( Dutch Obesity Intervention in Teenagers) questionnaire: measuring energy balance- related behaviours in Dutch adolescents

    NARCIS (Netherlands)

    Janssen, E.H.C.; Singh, A.S.; van Nassau, F.; Brug, J.; van Mechelen, W.; Chin A Paw, M.J.M.

    2014-01-01

    Abstract Objective Adequate assessment of energy balance-related behaviours in adolescents is essential to develop and evaluate effective obesity prevention programmes. The present study examined the test-retest reliability and construct validity of a questionnaire assessing energy balance-related

  19. Asesoría en la toma de decisiones frente al aborto

    Directory of Open Access Journals (Sweden)

    Vanegas Blanca Cecilia

    1994-11-01

    Full Text Available

    Uno de los dilemas éticos más frecuentes a que se ve enfrentado el profesional de salud, se presenta cuando una mujer o pareja solicita asesoría en la toma de decisiones frente al aborto provocado, como alternativa de solución al embarazo indesearlo. El artículo hace una serie de reflexiones a considerar, antes de tomar la decisión, tales como: la gravedad del problema, el drama de la mujer, aspectos religiosos, éticos y consecuencias en el hijo indeseado. Finalmente, propone una serie de pasos que guían al profesional de salud para ofrecer la asesoría y reflexiones sobre su participación en medidas preventivas.

  20. Las voluntades anticipadas y su utilización en la toma de decisiones

    Directory of Open Access Journals (Sweden)

    Nuria Terribas Sala

    2012-12-01

    Full Text Available Enfrentar la muerte como final inevitable de todo ser humano es una cuestión que ha preocupado a la humanidad desde sus orígenes y ha motivado innumerable literatura en todos los tiempos. Quizás por esta razón, la actuación del profesional sanitario en el tramo final de la vida de sus pacientes se ha enmarado tradicionalmente en la toma de decisiones individuales o bien de forma conjunta con la familia del enfermo, debatiéndose entre su máxima aspiración de salvar esa vida y la aceptación del desenlace inevitable como consecuencia de la enfermedad.

  1. Chronic procrastination among Turkish adults: exploring decisional, avoidant, and arousal styles.

    Science.gov (United States)

    Ferrari, Joseph R; Ozer, Bilge Uzun; Demir, Ayhan

    2009-06-01

    The authors examined the prevalence of chronic procrastination (decisional, avoidant, and arousal styles) as functions of demographic variables among 354 Turkish adults (148 men, 206 women; M age = 38.7 years, SD = 8.26 years). Prevalence analyses showed that among Turkish participants, 17.5% were indecisive procrastinators, 13.8% were avoidant procrastinators, and 14.7% were arousal procrastinators. Results did not yield significant differences for gender or age on any forms of procrastination, which is consistent with other international samples. However, significant differences emerged depending on the number of children such that Turkish adults who had more than 3 children claimed to be more indecisive than they claimed to be arousal or avoidant procrastinators. Respondents with less than a graduate degree reported higher rates of indecision than did respondents with at least a graduate degree.

  2. El gobierno electrónico. Una herramienta estratégica de toma de decisiones.

    Directory of Open Access Journals (Sweden)

    Diego Fernando Cardona Madariaga

    2013-11-01

    Full Text Available El gobierno electrónico ha evolucionado desde la década de los noventa como herramienta de apoyo estatal para desarrollar su función de servicio a los ciudadamos. Dentro de la creciente tendencia por aplicar conceptos clásicos de la gestión privada en el ámbito público, es clave identificar las Tecnologias de la Información y las Comunicaciones (TIC como elemento de apoyo y no como un fin, de tal manera que soporten el proceso de toma de decisiones ejecutado por los gestores públicos. Para justificar esta aseveración, se presentan los conceptos básicos relacionados con gobierno electrónico y su relevancia internacional, para terminar planteando un reto a nuestros dirigentes en el sentido de aprovechar esta herramienta para acercarse a la ciudadanía.

  3. Aplicación de las opciones reales en la toma de decisiones en los mercados de electricidad

    Directory of Open Access Journals (Sweden)

    Felipe Isaza Cuervo

    2014-10-01

    Full Text Available Las decisiones estratégicas en los mercados de electricidad están sujetas a un alto riesgo e incertidumbre; en consecuencia, las opciones reales aparecen como una alternativa para la toma de decisiones en dichos mercados. En el presente artículo se realiza una revisión de literatura analizando y clasificando aplicaciones de opciones reales sobre decisiones de inversión, operación, y de políticas y programas energéticos. Además se presenta un ejemplo sintético de aplicación teórico utilizando un modelo binomial para incorporar energía eólica en vez de térmica de acuerdo con la volatilidad de los precios del carbón. Se concluye que las opciones reales permiten tomar mejores decisiones que los métodos tradicionales, pues capturan a través de sus múltiples modelos las diferentes incertidumbres propias de estos mercados.

  4. Aplicación de las opciones reales en la toma de decisiones en los mercados de electricidad

    Directory of Open Access Journals (Sweden)

    Felipe Isaza Cuervo

    2014-01-01

    Full Text Available Las decisiones estratégicas en los mercados de electricidad están sujetas a un alto riesgo e incertidumbre; en consecuencia, las opciones reales aparecen como una alternativa para la toma de decisiones en dichos mercados. En el presente artículo se realiza una revisión de literatura analizando y clasificando aplicacio- nes de opciones reales sobre decisiones de inversión, operación, y de políticas y programas energéticos. Además se presenta un ejemplo sintético de aplicación teórico utilizando un modelo binomial para incor- porar energía eólica en vez de térmica de acuerdo con la volatilidad de los precios del carbón. Se concluye que las opciones reales permiten tomar mejores decisiones que los métodos tradicionales, pues capturan a través de sus múltiples modelos las diferentes incertidumbres propias de estos mercados.

  5. Concordancia y utilidad de un sistema de estratificación para la toma de decisiones clínicas

    Directory of Open Access Journals (Sweden)

    Ana Isabel González González

    2017-04-01

    Conclusión: La fuerza de concordancia obtenida fue moderada/buena; la incorporación de un agrupador en la HCE puede servir de ayuda como recordatorio para una toma de decisiones más proactiva/integrada según las necesidades sociosanitarias de las personas con enfermedades crónicas.

  6. Estrategias para la toma de decisiones sobre costos en un proceso productivo. Toma de decisiones sobre costos en la pesca del atún

    Directory of Open Access Journals (Sweden)

    Gladys Fernández de H.

    2000-01-01

    Full Text Available La contabilidad de costos ha adquirido un papel fundamental dentro de las organizaciones modernas, considerándose una herramienta valiosa en el control y la toma de decisiones estratégi- cas, utilizando para ello nuevas técnicas, tales como el costeo basado en actividades (ABC y el en- foque de la cadena de valor, a través de los cuales se controlan las actividades desempeñadas en los procesos y se logra el entendimiento del comportamiento de los costos. En este sentido se seleccio- nó el proceso de pesca del atún para identificar las actividades que intervienen en el mismo y dife- renciar aquellas que agregan o no valor al producto. Se tomó como muestra un barco atunero, por el método del muestreo aleatorio al azar simple, para garantizar la representatividad de la misma. El estudio se realizó aplicando técnicas de recolección de información, tales como la entrevista y la ob- servación directa. Con la identificación de actividades se espera que la empresa encargada del pro- ceso de pesca del atún pueda realizar un mejor control de estas y alcanzar un nivel de desempeño por actividad, a la vez que permita la planificación de las mismas. Se determinó además las actividades que no agregan valor, en las cuales se pueden lograr reducciones de costos.

  7. Keeping Your Balance

    Science.gov (United States)

    ... Exercise/Safe Movement › Keeping Your Balance Keeping Your Balance Balance is very important for people with osteoporosis. Your ... all play an important role in maintaining your balance and preventing broken bones. Medical conditions and medicines ...

  8. DECISIONES ESTRATÉGICAS DE LECTURA Y RENDIMIENTO EN TAREAS DE COMPETENCIA LECTORA SIMILARES A PISA

    Directory of Open Access Journals (Sweden)

    María-Ángeles Serrano Mendizábal

    2017-01-01

    Full Text Available El rendimiento dispar encontrado en algunos pa ses del informe PISA 2009 (OECD, 2010 entre textos continuos y no-continuos en tareas de competencia lectora, as como la naturaleza y estructura diferente de la informaci n textual, han motivado el estudio del procesamiento on-line de ambos tipos de texto con el objetivo de explorar qu sucede cuando se usan para responder preguntas. El objetivo de este estudio fue analizar las decisiones estrat gicas de relectura de textos continuos y no-continuos en tareas de competencia lectora similares a las de PISA, as como la estabilidad en el uso de esta estrategia. Para ello, se aplicaron dos pruebas estandarizadas de competencia lectora a 112 alumnos de 6. de Primaria y 1. y 2. de ESO, una que inclu a dos textos continuos y otra con cinco textos, tres continuos y dos no-continuos. Los estudiantes leyeron los textos y contestaron las preguntas con el software Read&Answer (Vidal-Abarca, Mart nez, Salmer n, Cerd n y otros, 2011, que permite registrar la conducta on-line adem s del rendimiento. Las puntuaciones en los textos no-continuos resultaron m s bajas que en los continuos, a pesar del mayor n mero de re - lecturas de estos antes de responder. Asimismo, los estudiantes mostraron un grado de estabilidad en sus decisiones estrat gicas de relectura en ambos tipos de texto. El menor rendimiento en textos no-continuos sumado al n mero superior de relecturas para responder preguntas sobre estos, podr a estar indi - cando una menor competencia de nuestros estudiantes en el uso de estrategias relacionadas con la interpretaci n de informaci n no-continua en comparaci n con la mostrada para procesar textos continuos. Los resultados revelan la im - portancia de ense ar de manera expl cita procedimientos espec cos para la comprensi n de textos no-continuos a trav s de las diversas materias.

  9. Addressing decisional conflict about fertility preservation: helping young female cancer survivors' family planning decisions.

    Science.gov (United States)

    Müller, Madleina; Urech, Corinne; Boivin, Jacky; Ehrbar, Verena; Moffat, Rebecca; Daellenbach, Rosanna Zanetti; Rochlitz, Christoph; Tschudin, Sibil

    2017-11-17

    Health professionals are challenged by a growing number of young long-term cancer survivors with their specific needs with regard to family planning. This study aimed at assessing decisional conflict (DC) in young female cancer patients regarding fertility preservation, identifying demographic, fertility and fertility preservation related factors, which may affect DC, and assessing the helpfulness of various decision-supports. A retrospective, cross-sectional, web-based survey via an online questionnaire available in three languages with specific items concerning cancer, fertility, fertility preservation and the validated Decisional Conflict Scale targeted at current or former female cancer patients aged 18-45 years, with cancer types or treatment potentially affecting reproductive function. The 155 participating women showed considerable DC, especially with regard to missing information and support. DC was significantly lower in patients when the risk of infertility was discussed with a health professional, when they had undergone any procedure to preserve fertility, and when they had a university education. A longer time interval since cancer diagnosis was associated with higher DC. The most helpful decision-support tools were specialised websites and leaflets. Young female cancer patients' DC with regard to fertility preservation is very high. Information and support seem to be deficient. More information through standardised information tools might be an effective strategy to lower their DC at the time when treatment decisions need to be taken, and to improve their reproductive health after they have overcome cancer in the future. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  10. The use of a numerical mass-balance model to estimate rates of soil redistribution on uncultivated land from 137Cs measurements

    International Nuclear Information System (INIS)

    Owens, P.N.; Walling, D.E.

    1988-01-01

    A numerical mass-balance model is developed which can be used to estimate rates of soil redistribution on uncultivated land from measurements of bombderived 137 Cs inventories. The model uses a budgeting approach, which takes account of temporal variations in atmospheric fallout of 137 Cs, radioactive decay, and net gains or losses of 137 Cs due to erosion and deposition processes, combined with parameters which describe internal 137 Cs redistribution processes, to estimate the 137 Cs content of topsoil and the 137 Cs inventory at specific points, from the start of 137 Cs fallout in the 1950s to the present day. The model is also able to account for potential differences in particle size composition and organic matter content between mobilised soil particles and the original soil, and the effect that these may have on 137 Cs concentrations and inventories. By running the model for a range of soil erosion and deposition rates, a calibration relationship can be constructed which relates the 137 Cs inventory at a sampling point to the average net soil loss or gain at that location. In addition to the magnitude and temporal distribution of the 137 Cs atmospheric fallout flux, the soil redistribution rates estimated by the model are sensitive to parameters which describe the relative texture and organic matter content of the eroded or deposited material, and the ability of the soil to retain 137 Cs in the upper part of the soil profile. (Copyright (c) 1988 Elsevier Science B.V., Amsterdam. All rights reserved.)

  11. In situ unsaturated zone water stable isotope (2H and 18O) measurements in semi-arid environments: a soil water balance

    Science.gov (United States)

    Gaj, Marcel; Beyer, Matthias; Koeniger, Paul; Wanke, Heike; Hamutoko, Josefina; Himmelsbach, Thomas

    2016-02-01

    Stable isotopes (deuterium, 2H, and oxygen-18, 18O) of soil water were measured in the field using a liquid water isotope analyzer (tunable off-axis integrated cavity output spectroscope, OA-ICOS, LGR) and commercially available soil gas probes (BGL-30, UMS, Munich) in the semi-arid Cuvelai-Etosha Basin (CEB), Namibia. Results support the applicability of an in situ measurement system for the determination of stable isotopes in soil pore water. High spatial and temporal resolution was achieved in the study area with reasonable accuracy and measurements were in agreement with laboratory-based cryogenic vacuum extraction and subsequent cavity ring-down laser spectroscopic isotope analysis (CRDS, L2120-i, Picarro Inc.). After drift and span correction of the in situ isotope data, precision for over 140 measurements taken during two consecutive field campaigns (June and November 2014) was 1.8 and 0.48 ‰ for δ2H and δ18O, respectively. Mean measurement trueness is determined using quality check standards and was 5 and 0.3 ‰ for δ2H and δ18O, respectively. The isotope depth profiles are used quantitatively to calculate a soil water balance. The contribution of transpiration to total evapotranspiration ranged between 72 and 92 %. Shortly after a rain event, the contribution of transpiration was much lower, at 35 to 50 %. Potential limitations of such an in situ system are related to environmental conditions which could be minimized by using a temperature-controlled chamber for the laser spectrometer. Further, the applicability of the system using previously oven-dried soil material might be limited by physicochemical soil properties (i.e., clay minerals). Uncertainty in the in situ system is suggested to be reduced by improving the calibration procedure and further studying fractionation effects influencing the isotope ratios in the soil water, especially at low water contents. Furthermore, the influence of soil-respired CO2 on isotope values within the root zone

  12. Clinical Outcomes of Gap Balancing vs Measured Resection in Total Knee Arthroplasty: A Systematic Review and Meta-Analysis Involving 2259 Subjects.

    Science.gov (United States)

    Li, Shuxiang; Luo, Xiaomin; Wang, Peng; Sun, Han; Wang, Kun; Sun, Xiaoliang

    2018-03-17

    The argument on the clinical effects between gap balancing (GB) and measured resection (MR) in total knee arthroplasty remains to be resolved. A systematic review and meta-analysis was performed to investigate which technique in total knee arthroplasty has better clinical effect. A total of 20 studies involving 2259 cases were included in the meta-analysis. The primary outcome measure was Knee Society Score (KSS), whereas the secondary outcomes included other function assessment systems (eg, range of motion, Western Ontario and McMaster University Osteoarthritis Index), radiological outcomes (eg, femoral component rotation, total outliers), revision rate, complications (eg, infection, loosening, instability), and surgical time. The GB technique was associated with statistically significant increases in the primary outcomes of KSS-function in 1 year. However, a mean difference of 2.12 points was below the minimal clinically important difference of 6 points. No differences were found in the analyses of KSS-knee and KSS-function in any other follow-up periods. Secondary outcome assessments showed significant decreased surgical time (mean difference, 16.18; P < .00001) for MR. Although statistically significant difference in favor of GB was identified in total outliers (risk ratio, 1.72, P = .0004), the 2 techniques were comparable in range of motion, Western Ontario and McMaster University Osteoarthritis Index, femoral component rotation, complications, and revision rate. We conclude that both techniques can result in equivalent results when done properly, and each surgeon must understand the strengths and weaknesses of each technique. Copyright © 2018 Elsevier Inc. All rights reserved.

  13. Stoichiometric balance of protein copy numbers is measurable and functionally significant in a protein-protein interaction network for yeast endocytosis.

    Science.gov (United States)

    Holland, David O; Johnson, Margaret E

    2018-03-01

    Stoichiometric balance, or dosage balance, implies that proteins that are subunits of obligate complexes (e.g. the ribosome) should have copy numbers expressed to match their stoichiometry in that complex. Establishing balance (or imbalance) is an important tool for inferring subunit function and assembly bottlenecks. We show here that these correlations in protein copy numbers can extend beyond complex subunits to larger protein-protein interactions networks (PPIN) involving a range of reversible binding interactions. We develop a simple method for quantifying balance in any interface-resolved PPINs based on network structure and experimentally observed protein copy numbers. By analyzing such a network for the clathrin-mediated endocytosis (CME) system in yeast, we found that the real protein copy numbers were significantly more balanced in relation to their binding partners compared to randomly sampled sets of yeast copy numbers. The observed balance is not perfect, highlighting both under and overexpressed proteins. We evaluate the potential cost and benefits of imbalance using two criteria. First, a potential cost to imbalance is that 'leftover' proteins without remaining functional partners are free to misinteract. We systematically quantify how this misinteraction cost is most dangerous for strong-binding protein interactions and for network topologies observed in biological PPINs. Second, a more direct consequence of imbalance is that the formation of specific functional complexes depends on relative copy numbers. We therefore construct simple kinetic models of two sub-networks in the CME network to assess multi-protein assembly of the ARP2/3 complex and a minimal, nine-protein clathrin-coated vesicle forming module. We find that the observed, imperfectly balanced copy numbers are less effective than balanced copy numbers in producing fast and complete multi-protein assemblies. However, we speculate that strategic imbalance in the vesicle forming module

  14. Dynamic-energetic balance of agricultural tractors: active systems for the measurement of the power requirements in static tests and under field conditions

    Directory of Open Access Journals (Sweden)

    Daniele Pochi

    2013-09-01

    Full Text Available Modern tractors are characterized by the introduction of devices designed to increase the operative performances of the machines, such as systems for monitoring and controlling various functions (through a massive use of electronics and hydraulics, or deputed to improve the comfort of the driver (paying more attention to ergonomics, air-conditioning, noise and vibration. Such devices need energy to be operated, affecting the energetic balance of the tractor. In this context, the availability of suitable methodologies and instrumental systems could be useful to provide objective, accurate and reliable measurements of the performances of the tractors under different conditions, also considering the power requirements from ancillary services and/or simulating the coupling with operating machines. The tests on the performances of tractors are now made using different methods, including the trial codes issued by the OECD Codes. Beyond their undoubted validity, they fix standard test conditions that often do not adequately represent the operative reality, so that, much remains to investigate on the actual performances provided by the tractors. From this point of view and with reference to fixed point tests, a test bench was developed for the measurement of the power required by various devices, such as transmission and air conditioning. It was used in experimental tests on a tracked tractor and on a wheeled tractor, aimed at validating the test device, measuring the power absorption related to the rotational speed of the organs of propulsion and to the characteristics curves, in order to quantify the power drawn by the transmission and by the air conditioning and assess the residual power for other tractor functions. As to field conditions, a study is being conducted at CRA-ING, within the project PTO (Mi.P.A.A.F., to develop a mobile test bench aimed at evaluating the power required by different operations, such as self displacement, traction, use of

  15. Gully erosion balance in the context of pedological-sedimentological research, geodesic measurements and Aerial Laser Scanning (Lublin Upland, E Poland)

    Science.gov (United States)

    Demczuk, Piotr; Rodzik, Jan; Superson, Józef; Mroczek, Przemysław

    2017-04-01

    The dissection of loess covers by Neoholocene gullies in east Poland particularly depends on relative heights. In the case of height differences not exceeding 30 m, gullies hardly exist. In areas with height differences exceeding 50 m, gullies develop a network with a density of several km km-2 of the catchment, and locally even more than 10 km·km-2. Systems of dissections called badlands are then abundant, as well as piping landforms with no surface runoff. The gullies are covered by forest vegetation - particularly dry-ground forest Tilio-carpinetum. In such conditions, it is difficult to accurately mark the gullies on a map, and perform geodesic measurements in the field. Even the measurement of the length and calculation of the density of the gullies is problematic. Due to the diversity of their types and shapes, the calculation of the volume of the gullies, and therefore the determination of the total amount of gully erosion, is approximate, particularly in many kilometres long branched out systems. An additional difficulty is posed by the agricultural use of some slopes and bottoms of the gullies in the past. This considerably changed the features of such landforms, making them resemble Late Pleistocene trough valleys. The determination of their genesis requires conducting pedological research. For the above reasons, calculations of the volume of the gully and its erosion balance were performed for a small gully catchment with an area of 0.19 km2. The total length of gullies in the catchment amounts to approximately 2 km, and their density exceeds 11 km·km-2. The studied gully dissects the left slope of the Bystra River valley near Celejów on the Nałęczów Plateau, a loess mesoregion constituting a fragment of the western part of the Lublin Upland. The difference in height between the valley floor and the plateau amounts to 58 m (204-146 m a.s.l.). Nine height difference and soil transects were performed within the analysed system, and geodesic

  16. Evaluación económica y toma de decisiones en salud ambiental

    Directory of Open Access Journals (Sweden)

    Gutiérrez Zúñiga Cristina

    1994-01-01

    Full Text Available Ante el creciente deterioro ambiental y sus posibles consecuencias en la salud de la población resulta una prioridad indiscutible el diseño e instrumentación de políticas que controlen las actividades económicas bajo el criterio de protección a la salud humana y al ambiente mismo. Es preciso que dichas políticas consideren la factibilidad económica de las alternativas de protección existentes. Sin embargo, por la cantidad de intereses dentro del área ambiental, otros factores como el social y el político deben también ser considerados. La evaluación económica ha sido vista como un promisorio fundamento para la toma de decisiones en esta materia. Los autores analizan la capacidad de esta herramienta para organizar en forma sistemática y comparable los costos y los beneficios de alternativas para la solución de problemas ambientales. Se resumen las principales características de los estudios de costo-beneficio y costo-efectividad, las formas de evaluación económica del ambiente, y las particularidades de esta área para la aplicación de dichas técnicas de análisis. Se señalan los límites encontrados en estas herramientas para cuantificar los costos no monetarios de los riesgos ambientales y de los consecuentes daños a la salud, tales como el dolor, el sufrimiento ó la incapacidad de personas económicamente inactivas, constituyendo estos aspectos el reto metodológico de la evaluación económica en el área. Se reflexiona sobre la importancia de ampliar los insumos informativos para la toma de decisiones en materia de salud ambiental en aspectos como la distribución de los costos y los beneficios entre los distintos grupos sociales. Por último se señala tanto la creciente politización del tema ambiental, como la posibilidad técnica de manipulación de estas herramientas de análisis. Partiendo de estos elementos se señala la necesidad, por parte de los evaluadores, de ser conscientes sobre las implicaciones pol

  17. Static balance and developmental coordination disorder

    NARCIS (Netherlands)

    Geuze, RH

    2003-01-01

    The development of static balance is a basic characteristic of normal motor development. Most of the developmental motor tests include a measure of static balance. Children with a developmental coordination disorder (DCD) often fail this item. Twenty-four children at risk for DCD with balance

  18. Pitfalls in Using the Balanced Scorecard

    DEFF Research Database (Denmark)

    Nørreklit, Hanne; Jakobsen, Morten; Mitchell, Falconer

    2008-01-01

    The balanced scorecard has quickly become a leading management tool. But business performance measurement is notoriously difficult, so any system, including the balanced scorecard, is likely to have unanticipated and often dysfunctional consequences. This article briefly reviews the main...... attractions of the balanced scorecard and then shows how these apparent advantages might lead to problems....

  19. Negociación social: cómo nuestro cerebro se anticipa a las decisiones de otras personas

    Directory of Open Access Journals (Sweden)

    Pablo Billeke

    2015-05-01

    Full Text Available Durante nuestro desarrollo nuestras conductas y cerebros se moldean para participar en complejas formas de interacción social. Por ejemplo, al enfrentarnos a una negociación resulta clave poder anticiparnos a las posibles decisiones de las otras personas a fin de llegar a un acuerdo. Investigaciones recientes han demostrado que la actividad oscilatoria cerebral está relacionada con esta expectativa que nos formamos sobre la conducta de los otros. Esta actividad cerebral guía nuestras futuras decisiones y se muestra alterada en pacientes con esquizofrenia. Los hallazgos de estas investigaciones pueden aplicarse para elaborar terapias de rehabilitación de habilidades sociales en enfermedades neuropsiquiátricas.

  20. Funciones de la corteza prefrontal ventromedial en la toma de decisiones emocionales

    Directory of Open Access Journals (Sweden)

    David Contreras

    2008-01-01

    Full Text Available La corteza prefrontal ventromedial (VMPFC ha sido implicada en la toma de decisiones emocionales debido a su posible participación en el aprendizaje de inversión afectivo, la propensión al riesgo y la impulsividad. Su especial entramado de conexiones con otras áreas de la corteza y con estructuras subcorticales como la amígdala justifican que pueda tener un papel de interfase entre cognición y emoción, y desempeñar una función fundamental en la regulación y el control del comportamiento. En este trabajo revisamos estudios realizados con la tarea de apuestas de Iowa, tareas de aprendizaje de inversión afectivo, tareas de apuestas con diferente varianza para medir la propensión al riesgo y tareas que introducen demora temporal de la recompensa para evaluar la impulsividad. Los datos obtenidos en esos trabajos con pacientes lesionados en la VMPFC o en otras áreas prefrontales y controles no lesionados, y datos conductuales y de actividad cerebral pueden interpretarse mejor si asumimos que la VMPFC está encargada de representar la expectativa de refuerzo. La representación de un reforzador esperado incluye la demora del reforzador, y la varianza de su magnitud.

  1. Expectativas racionales versus neuroeconomía: ¿cómo tomamos decisiones los agentes?

    Directory of Open Access Journals (Sweden)

    Juan Gabriel López Vera

    2013-01-01

    Full Text Available La implementación de políticas económicas en los países significa la manera más visible como los gobiernos intervienen sobre el funcionamiento del mercado libre para orientar sus perturbaciones a los menores niveles posibles y de esa forma asegurar que la participación de los individuos y empresas sean lo más inclusivas posibles.Sin embargo, la formulación de políticas sugiere que los individuos cambien ciertos patrones de comportamiento para que se logren los resultados esperados y en la mayoría de los casos esos resultados no se logran alcanzar, en parte porque los agentes no se ajustan a las particularidades de los rigurosos modelos de predicción.La mayoría de dichos modelos sugiere una conducta perfecta e ideal que escapa a las actitudes de las personas en su vida diaria, el presente documento constituye una aproximación a ese comportamiento a través de la decisiones individuales explorando el supuesto clásico de la racionalidad y contraponiendo a esta el papel de los impulsos que se fundamentan en la actividad neuronal del cerebro y que se define como neuroeconomía.

  2. Peritajes psicológicos forenses en decisiones judiciales de primera instancia en delitos sexuales

    Directory of Open Access Journals (Sweden)

    Milena M. Rudas

    2016-01-01

    Full Text Available Se analiza la importancia de los informes psicológicos forenses en la toma de decisiones judiciales de primera instancia en delitos sexuales en la ciudad de Barranquilla (Colombia mediante un enfoque cuantitativo de alcance descriptivo. Se analizaron diversas variables con el propósito de categorizar si en las sentencias judiciales se menciona la pericial por el juez al momento de dictarlas, y cuál es el valor diferencial de los informes psicológicos forenses. También se revisó la concordancia entre la decisión final del juez y los resultados plasmados en el informe psicológico. Como conclusión significativa se obtuvo que en el 80 % de las sentencias hubo mención a la pericial por el juez al fundamentar su decisión; en un 80 % de los casos el juez tomó la decisión de manera concordante con los resultados del informe psicológico. Como conclusión se plantea que para la Administración de Justicia se requiere personal auxiliar especializado y que el psicólogo jurídico en función forense funge como fuente directa de conocimiento, y se constituye en un medio de convicción apreciable.

  3. La influencia del conocimiento político en las decisiones de voto

    Directory of Open Access Journals (Sweden)

    Marta FRAILE

    2007-01-01

    Full Text Available Este trabajo discute y compara dos lógicas explicativas del comportamiento electoral: el voto por resultados y el voto ideológico. En concreto, el trabajo pone a prueba uno de los principales supuestos de ambas teorías: que las reglas que guían las decisiones de voto de los ciudadanos son las mismas independientemente de su nivel de interés, conocimiento e información sobre los temas políticos. Para ello se analiza material empírico proveniente de encuestas postelectorales en cuatro democracias: España, Portugal, Hungría y Polonia. Los datos pertenecen al segundo módulo del programa de Estudio Comparado de Sistemas Electorales (CSES, 2005, que contiene información sobre el comportamiento electoral y el conocimiento político de los ciudadanos. Los resultados apuntan a que mientras la influencia del conocimiento político en la lógica del voto por resultados es clara y contundente, resulta mucho menos concluyente en el caso del voto ideológico. Todo ello sugiere que el control democrático de los gobiernos a través de la sanción de su rendimiento requiere unos niveles mínimos de conocimiento e información sobre la política por parte de la ciudadanía.

  4. Automated Decisional Model for Optimum Economic Order Quantity Determination Using Price Regressive Rates

    Science.gov (United States)

    Roşu, M. M.; Tarbă, C. I.; Neagu, C.

    2016-11-01

    The current models for inventory management are complementary, but together they offer a large pallet of elements for solving complex problems of companies when wanting to establish the optimum economic order quantity for unfinished products, row of materials, goods etc. The main objective of this paper is to elaborate an automated decisional model for the calculus of the economic order quantity taking into account the price regressive rates for the total order quantity. This model has two main objectives: first, to determine the periodicity when to be done the order n or the quantity order q; second, to determine the levels of stock: lighting control, security stock etc. In this way we can provide the answer to two fundamental questions: How much must be ordered? When to Order? In the current practice, the business relationships with its suppliers are based on regressive rates for price. This means that suppliers may grant discounts, from a certain level of quantities ordered. Thus, the unit price of the products is a variable which depends on the order size. So, the most important element for choosing the optimum for the economic order quantity is the total cost for ordering and this cost depends on the following elements: the medium price per units, the stock cost, the ordering cost etc.

  5. DECISIONES DE FINANCIACIÓN DE LA INDUSTRIA METALMECÁNICA DEL VALLE DEL CAUCA

    Directory of Open Access Journals (Sweden)

    JORGE ALBERTO RIVERA GODOY

    2008-01-01

    Full Text Available Esta investigación tiene como objetivo conocer los factores que influyen en la toma de decisiones de financiamiento a largo plazo en la industria metalmecánica del Valle del Cauca (Colombia, hasta ahora no explorados. Se realiza un estudio para el periodo 2000-2006, utilizando como método el análisis de la estructura financiera y la aplicación de un modelo econométrico de Datos de Panel, teniendo como marco de referencia las principales teorías sobre la estructura de capital y pruebas de campo en el ámbito nacional e internacional. Se encuentra un bajo nivel de deuda a largo plazo con una alta dependencia de créditos con entidades financieras; además, que los factores determinantes y su relaciones con el endeudamiento son: protección fiscal diferente a la deuda (-, oportunidad de crecimiento (+ y rentabilidad (-. El análisis de los factores no permite probar plenamente si las empresas pretenden encontrar una estructura de capital óptima o evitar problemas de información asimétrica, dado el escaso desarrollo del mercado de capitales colombiano; lo que suscita ampliar la investigación en este campo.

  6. El proceso cognitivo de la toma de decisiones en la enfermedad de Alzheimer

    Directory of Open Access Journals (Sweden)

    María Rita Malm Morgan

    2015-06-01

    Full Text Available El objetivo de este trabajo es describir, desde la neuropsicología, el proceso de Toma de Decisiones (TD en sujetos que padecen la Enfermedad de Alzheimer (EA. Para ello, se estableció una comparación del desempeño en TD de 40 sujetos con diagnóstico de enfermedad de Alzheimer con el desempeño de un grupo control de 40 sujetos sin diagnóstico de enfermedad neurológica y /o psiquiátrica, pareados por NSEC. El desempeño en la TD se evaluó con la tarea de Game Dice Task (GDT –Tarea del Juego de los Dados de Brand–. También se aplicaron otras pruebas y tareas de evaluación cognitiva para determinar la relación de la TD con otras Funciones Ejecutivas (FE. Los resultados permitieron establecer que el proceso de TD se deteriora desde los comienzos de la enfermedad, evidenciando que el desempeño de los sujetos con EA es significativamente inferior al de los sujetos sanos, con un porcentaje mayor de respuestas de riesgo y aumentos significativos de los tiempos de respuesta. También se observó deterioro en todas las funciones ejecutivas evaluadas. El trabajo provee evidencia empírica que soporta la idea de que la TD se encuentra estrechamente relacionada a las demás FE.

  7. THE INTERNATIONALIZATION OF SMES. A SYNTHETIC ANALYSIS OF THE DECISIONAL FACTORS AND PROCESS

    Directory of Open Access Journals (Sweden)

    Livia Oltean

    2013-06-01

    Full Text Available Having an increased complexity, the internationalization process of small and medium- sized enterprises (SMEs becomes, in the context of globalization and of the freedom of circulation of goods, services, and capital, a decisive factor of both the evolution of the company and the economic force distribution report on the market. The evolution of the world economic system opened a wide action field for small and medium sized companies, who had to adapt to new rules. The internationalization of SMEs is no longer an option, but it becomes a condition of their existence. A high importance in this process belongs to the way decisions are made, both regarding the target market and the entry option, the way entry barriers are overcome and the promotional techniques in this extended business environment. A synthetic analysis of the decisional factors and process is needed in order to fully and correctly understand the internationalization strategies adopted by SMEs. This paper is built around three major objectives, with the scope of determining the SMEs’ internationalization decisions, as well s the impediments met in the process. The paper contributes to the literature in the field of the internationalization of SMEs through the analysis and interpretation of the results acquired during the study regarding their behavior towards the activity expansion on international markets.

  8. Comunicación familiar y toma de decisiones en sexualidad entre ascendientes y adolescentes

    Directory of Open Access Journals (Sweden)

    Valentina González

    2017-01-01

    Full Text Available Los individuos adolescentes aprenden de sexualidad a través de diferentes medios, pero la familia es uno de los primeros agentes socializadores y es la encargada, a través de la comunicación, de trasmitir información sobre ésta. Este estudio tiene como objetivo describir los procesos de comunicación que se establecen entre padres y madres con sus hijos e hijas adolescentes para entablar diálogos sobre sexualidad y su relación con la toma de decisiones, en dos familias pertenecientes a instituciones educativas de Cali. A través de esta investigación cualitativa encontramos que los procesos de comunicación, los temas abordados y los recursos empleados, están influidos por los conocimientos y percepciones de los ascendientes, en quienes la sexualidad aún es un tabú y tienen carencia de información y de estrategias de acompañamiento.

  9. Young adult female cancer survivors' unmet information needs and reproductive concerns contribute to decisional conflict regarding posttreatment fertility preservation.

    Science.gov (United States)

    Benedict, Catherine; Thom, Bridgette; N Friedman, Danielle; Diotallevi, Debbie; M Pottenger, Elaine; J Raghunathan, Nirupa; Kelvin, Joanne F

    2016-07-01

    Many young adult female cancer survivors (YAFCS) are at risk of experiencing premature menopause. The current study characterized the posttreatment fertility information needs, reproductive concerns, and decisional conflict regarding future options for posttreatment fertility preservation (FP) among YAFCS. Participants completed a Web-based, anonymous survey between February and March 2015. The survey included investigator-designed questions of perceived information needs, the Reproductive Concerns After Cancer Scale, and the Decisional Conflict Scale. Analyses included Pearson correlation coefficients, independent-sample Student t tests, and multiple regression. There was a total of 346 participants with an average age of 29.9 years (SD = 4.1 years) who were 4.9 years from treatment (SD = 5.4 years [range, 0-27 years]). The main analyses focused on a subgroup of YAFCS with uncertain fertility status who had not previously undergone/attempted FP and either wanted future children or were unsure (179 women). Across fertility information topics, 43% to 62% of participants reported unmet information needs. The greatest reproductive concerns were related to fertility potential and the health of future offspring. The regression model controlled for a priori covariates including current age, age at treatment completion, income, relationship status, nulliparity, and prior fertility evaluation. Greater unmet information needs were found to be related to greater decisional conflict (β = .43; p<.001); greater reproductive concerns were associated at the trend level (β = .14, p = .08; F[8,118] = 6.42, p<.001). YAFCS with limited awareness or knowledge of their risk of experiencing premature menopause and FP options reported higher levels of decisional conflict regarding future FP. Posttreatment survivorship care should include comprehensive reproductive health counseling, including posttreatment FP options and family-building alternatives. Cancer 2016

  10. Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura

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    Francisca Matthews

    Full Text Available Resumen En la actualidad existe una inmensa variedad de técnicas ortodóncicas, cada una de ellas con sus indicaciones y usos específicos a partir de las cuales se debe seleccionar la más apropiada para cada situación clínica. El objetivo de este artículo es revisar en la literatura reciente los factores que influyen o que explicarían las decisiones terapéuticas que se toman en odontología, centrados en la especialidad de ortodoncia. Se ha pesquisado que la educación recibida, las preferencias individuales y el dominio de las diferentes técnicas, las características y valores personales, la situación clínica y económica del paciente, el sistema de salud y la relación odontólogo-paciente adquieren un papel importante en la selección del tratamiento. También cobran importancia los principios éticos y aspectos sociales, tales como las teorías del comportamiento que son homologables al actuar profesional. Es importante comprender la toma de decisiones y la selección de los tratamientos por el impacto que tiene en la atención del paciente y su satisfacción, en el cumplimiento de los objetivos terapéuticos, el funcionamiento de la salud pública y la calidad de los servicios entregados. En la actualidad son escasos los estudios dedicados al proceso de toma de decisiones clínicas, por lo que se hace necesario ampliar los alcances de las investigaciones, incluyendo investigaciones cualitativas, con el fin de comprender más profundamente el fenómeno de la toma de decisiones.

  11. erfiles decisionales de jugadores y jugadoras de voleibol de diferente nivel de pericia. (Decisional profiles of volleyball players of different expertise level.

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    Virginia García Coll

    2009-01-01

    Full Text Available ResumenLa toma de decisiones por parte de los deportistas se viene estudiando como un tipo de habilidad cognitiva. En este estudio se parte de una perspectiva motivacional y emocional de la toma de decisiones en el deporte, que ha recibido una menor atención en la literatura. Se aplica el Cuestionario de Estilos de Toma de Decisión en el Deporte-CETD (Ruiz y Graupera, 2005 que evalúa tres escalas: Competencia Decisional Percibida, Ansiedad y Agobio al Decidir y Compromiso en el Aprendizaje Decisional. Se toma una muestra de 121 jugadoras (76 y jugadores (45 de voleibol de diferente nivel de pericia deportiva: autonómico, nacional e internacional. Los resultados muestran que las escalas del cuestionario tienen una buena fiabilidad cuando se aplican a muestras mono-deportivas. Las jugadoras y jugadores de voleibol tienen un perfil decisional muy similar (no se encuentran diferencias significativas, con una moderada percepción de competencia, baja ansiedad y alto compromiso (perfil en V. Según aumenta el nivel deportivo se incrementa moderadamente el compromiso y la percepción de competencia, mientras que decrece considerablemente la ansiedad ante la toma de decisiones. Como consecuencia el perfil en V del nivel internacional es considerablemente más cerrado que el de los niveles deportivos inferiores. Palabras clave: ansiedad; competencia percibida; decisión; deporte colectivo; pericia deportiva. Abstract Decision making in sport has been studied as a kind of cognitive skill. This study has been developed from a motivacional and emotional point of view and this question has received little attention in the scientific literature. It was applied the Decision Making Style Questionnaire-CETD (Ruiz y Graupera, 2005 that assess three scales: Perceived Decisional Competence, Anxiety and Strain to Decide and Commitment for learning how to decide. One hundred and twenty one voleyball players participated (76 female and 45 male of differente level

  12. Decisional conflict and vaccine uptake: cross-sectional study of 2012/2013 influenza season in Croatia.

    Science.gov (United States)

    Pavličević, Ivančica; Škrabić, Slavica; Malički, Mario; Merćep, Ana Hrvojka; Marušić, Matko; Marušić, Ana

    2015-08-12

    As scientific, media and individual opinions on the need for seasonal influenza vaccination differ, we explored patients' decisional conflict and perceived physician and social support when making a vaccination choice. We conducted a survey of patients with previous vaccination experience in a single family medicine office in Split, Croatia. The questionnaire included the Decisional Conflict Scale (DCS), perceived social support, and attitudes and knowledge concerning vaccination. Out of 203 (86%) adult patients with previous vaccination experience, 182 (40.4%) opted to vaccinate in the current season, 98 (48.3%) refused, and 22 (11.3%) were undecided. The median decisional conflict score was highest among those undecided (43.8 out of the maximum 100, interquartile range (IQR) 33.2-52.3), lowest among those opting to vaccinate (17.2, IQR 9.4-26.6), and intermediate among those who refused vaccination (25.0, IQR 17.2-39.1) (p conflict of patients who refuse influenza vaccination and those undecided, alongside their perceived low support of the family physician in making that choice, emphasize the importance family doctors play in advising and helping patients make informed decisions about seasonal influenza vaccination.

  13. Decisiones al final de la vida en el ordenamiento jurídico español

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    David Larios Risco

    2012-12-01

    Full Text Available El proceso de toma de decisiones clínicas se torna especialmente complejo durante las últimas fases de las enfermedades irreversibles o terminales. Cuando la decisión del paciente implica un ataque a la propia vida, la autonomía de la voluntad de la persona puede colisionar con el criterio médico o con los límites que impone el Ordenamiento Jurídico. El artículo aborda las diferentes figuras jurídicas em el proceso de toma de decisiones al final de la vida, diferenciando entre las admitidas por la ley (limitación del esfuerzo terapéutico, rechazo al tratamiento, sedación en la agonía y voluntades anticipadas y las prohibidas (auxilio al suicidio y eutanasia com el objetivo de ofrecer una aproximación al régimen jurídico de las decisiones al final de la vida en el ordenamiento jurídico español.

  14. Contornos negociados del "buen morir": la toma de decisiones médicas en el final de la vida

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    Juan Pedro Alonso

    Full Text Available El artículo analiza la toma de decisiones médicas en el final de la vida, explorando las nociones legas y profesionales respecto al "buen morir" que estas decisiones ponen de relieve. A partir de un planteamiento etnográfico en un servicio de cuidados paliativos de la ciudad de Buenos Aires, Argentina, el artículo encara empíricamente la forma en que los significados en torno a estas nociones se negocian en contextos prácticos y situacionales. El análisis de casos concretos de toma de decisiones en el final de la vida evidencia el carácter problemático de definir estas nociones en ámbitos médicos, y que el significado y la definición de una muerte como "buena" o "digna" se sujeta a un proceso de construcción interpretativa por parte de los actores. Asimismo, se señalan las tensiones entre los proyectos de "humanización" de los cuidados en el final de la vida y la medicación de la muerte y el morir.

  15. Contornos negociados del "buen morir": la toma de decisiones médicas en el final de la vida

    Directory of Open Access Journals (Sweden)

    Juan Pedro Alonso

    2012-03-01

    Full Text Available El artículo analiza la toma de decisiones médicas en el final de la vida, explorando las nociones legas y profesionales respecto al "buen morir" que estas decisiones ponen de relieve. A partir de un planteamiento etnográfico en un servicio de cuidados paliativos de la ciudad de Buenos Aires, Argentina, el artículo encara empíricamente la forma en que los significados en torno a estas nociones se negocian en contextos prácticos y situacionales. El análisis de casos concretos de toma de decisiones en el final de la vida evidencia el carácter problemático de definir estas nociones en ámbitos médicos, y que el significado y la definición de una muerte como "buena" o "digna" se sujeta a un proceso de construcción interpretativa por parte de los actores. Asimismo, se señalan las tensiones entre los proyectos de "humanización" de los cuidados en el final de la vida y la medicación de la muerte y el morir.

  16. Educación, Bioética y toma de decisiones éticas en unidades de cuidado intensivo

    Directory of Open Access Journals (Sweden)

    Mónica Rincón R. M.D. M.A.

    2008-01-01

    Full Text Available En el mundo médico, las decisiones del personal de Unidad de Cuidado Intensivo (UCI, influyen tanto de manera positiva como negativa en el entorno de un paciente y su familia. El personal de salud que está vinculado al cuidado del paciente en UCI, debe ser capaz de resolver y tomar decisiones que son trascendentales para el futuro de una persona que se encuentra entre la vida y la muerte. A pesar de esta obligación moral y profesional, no existe un consenso ampliamente conocido para la toma de decisiones, que facilite al personal afrontar la situación de un paciente en estado crítico. Razón por la cual la educación universitaria en bioética es de vital importancia, para la formación de profesionales competentes, libre pensadores con responsabilidad social, que actúen como defensores y promotores de la vida.

  17. Technical clarification to Silbert and Thomas (2013): "decisional separability, model identification, and statistical inference in the general recognition theory framework".

    Science.gov (United States)

    Thomas, Robin D; Silbert, Noah H

    2014-04-01

    We offer a minor technical correction to the published proof of part (ii) of the main theorem in Silbert and Thomas (Psychonomic Bulletin & Review, 20, 1-20, 2013) that somewhat limits the scope of the equivalence observed in that work. Specifically, in order for a mean shift integrality with decisional separability to be mimicked by a perceptually separable but nondecisionally separable configuration, one needs to assume stimulus invariance. This holds when all of the covariance matrices in the stimulus configuration are equal to each other. We note that part (i) of the theorem is unaffected by this modification; an empirical finding of perceptual separability and the failure of decisional separability can be mimicked by a perceptually nonseparable, decisionally separable configuration without restricting the covariance matrices to be equal. We also note that stimulus invariance is often assumed in simple designs (e.g., Macmillan & Ornstein in Journal of the Acoustical Society of America, 97, 1261-1285, 1998), due to the implausibility of different perceptual correlations being present within stimuli perched very closely in perceptual space.

  18. Requerimientos informacionales para la toma de decisiones estratégicas en organizaciones de información

    Directory of Open Access Journals (Sweden)

    Yunier RODRÍGUEZ-CRUZ

    Full Text Available Resumen Se examina el carácter informacional del proceso de toma de decisiones estratégicas con el propósito de identificar los requerimientos informacionales que condicionan el uso de información que se realiza en los niveles estratégicos en instituciones de información. El acercamiento teórico al tema permite comprender las particularidades en relación a la información como recurso estratégico y determinar aquellos factores y elementos que desde las Ciencias de la Información han contribuido a la teoría de las decisiones organizacionales. El estudio se realizó con directivos de once instituciones cubanas. Se profundiza, a partir del método fenomenográfico, en la opinión de los entrevistados acerca de los recursos, procesos, sistemas, factores y estados emocionales vinculados a la información y su uso en la toma de decisiones. Como resultado se identifica un conjunto de requerimientos informacionales, entre los que destacan los sistemas de información, procesos informacionales y gerenciales, así como un conjunto de recursos informacionales y factores socio-cognitivos que posibilitan fomentar y generar una infraestructura informacional y potenciar la cultura informacional necesaria para el desarrollo de procesos de decisión eficaces a nivel estratégico.

  19. Validación de una versión en español de la Escala de Conflicto Decisional

    OpenAIRE

    Urrutia,Mila; Campos,Solange; O'Connor,Annette

    2008-01-01

    Background: In Chile, in approximately 50% of nursing students, nursing was not their first choice as career. Usually, during the first year, these students must decide whether they would like to continue in the same career. A valid tool is needed to identify decisional conflicts and their contributing factors among these students and to develop an appropriate strategy to support them duríng their decision-making process. Aim: To translate into Spanish and validate the Generic Decisional Conf...

  20. Energy Balance-Related Behavior and Anthropometric Measures Among Adolescents Across Three Educational Levels : A Cross-Sectional Study in Dutch Schools

    NARCIS (Netherlands)

    Ridder, Monica A M; Koning, Maaike; Visscher, Tommy L S; Hirasing, Remy A; Seidell, Jacob C; Renders, Carry M

    2017-01-01

    Energy balance-related behavior on schooldays and beliefs about school-based interventions may differ between students in different educational levels, sexes, and BMI (body mass index) categories. In Zwolle (the Netherlands), 1,084 adolescents (13-15 years) at 9 secondary schools completed a

  1. 20 years of long-term water balance measurements of a landfill cover system with components constructed from pre-treated dredged material

    NARCIS (Netherlands)

    Berger, K.; Groengroeft, A.; Gebert, J.; Harms, C.; Eschenbach, A.

    2017-01-01

    The cover system of the mono-landfill Hamburg-Francop for disposal of dredged
    material comprises a mineral liner of pre-treated fine-grained dredged material (‘METHAmaterial’) and an overlying drainage layer of pre-treated sandy dredged material (‘METHAsand’). Water balance and effectiveness of

  2. Análisis del impacto del proceso de toma de decisiones estratégicas sobre la eficacia de las organizaciones públicas

    Directory of Open Access Journals (Sweden)

    Emilio Rodríguez-Ponce

    2009-12-01

    Full Text Available Se realiza un estudio exploratorio con el objetivo de descubrir en qué magnitud la calidad de las decisiones estratégicas impacta sobre la eficacia organizativa en un conjunto de organizaciones públicas. Así mismo, se procura identificar cómo las variables del proceso de toma de decisiones estratégicas influyen sobre la calidad de las decisiones adoptadas. Para este efecto, se trabaja con una muestra de 37 organizaciones públicas del norte de Chile. Los resultados de la investigación prueban, en la muestra de instituciones públicas analizadas, que: 1 la eficacia organizativa es explicada en un 35,9% por la calidad de las decisiones estratégicas (p < 0,01; y 2 la calidad de las decisiones estratégicas se explica en un 74,4% por el proceso de toma de decisiones (p < 0,01, siendo las variables más relevantes desde el punto de vista estadístico la racionalidad (p < 0,076, el conflicto cognitivo (p < 0,01 y la flexibilidad cognitiva (p < 0,015.

  3. Do virtual reality games improve mobility skills and balance measurements in community-dwelling older adults? Systematic review and meta-analysis.

    Science.gov (United States)

    Neri, Silvia Gr; Cardoso, Jefferson R; Cruz, Lorena; Lima, Ricardo M; de Oliveira, Ricardo J; Iversen, Maura D; Carregaro, Rodrigo L

    2017-10-01

    To summarize evidence on the effectiveness of virtual reality games and conventional therapy or no-intervention for fall prevention in the elderly. An electronic data search (last searched December 2016) was performed on 10 databases (Web of Science, EMBASE, PUBMED, CINAHL, LILACS, SPORTDiscus, Cochrane Library, Scopus, SciELO, PEDro) and retained only randomized controlled trials. Sample characteristics and intervention parameters were compared, focusing on clinical homogeneity of demographic characteristics, type/duration of interventions, outcomes (balance, reaction time, mobility, lower limb strength and fear of falling) and low risk of bias. Based on homogeneity, a meta-analysis was considered. Two independent reviewers assessed the risk of bias. A total of 28 studies met the inclusion criteria and were appraised ( n: 1121 elderly participants). We found that virtual reality games presented positive effects on balance and fear of falling compared with no-intervention. Virtual reality games were also superior to conventional interventions for balance improvements and fear of falling. The six studies included in the meta-analysis demonstrated that virtual reality games significantly improved mobility and balance after 3-6 and 8-12 weeks of intervention when compared with no-intervention. The risk of bias revealed that less than one-third of the studies correctly described the random sequence generation and allocation concealment procedures. Our review suggests positive clinical effects of virtual reality games for balance and mobility improvements compared with no-treatment and conventional interventions. However, owing to the high risk of bias and large variability of intervention protocols, the evidence remains inconclusive and further research is warranted.

  4. Balance dysfunction in adults with haemophilia.

    Science.gov (United States)

    Fearn, M; Hill, K; Williams, S; Mudge, L; Walsh, C; McCarthy, P; Walsh, M; Street, A

    2010-07-01

    The main focus of lower limb physical performance assessment in people with haemophilia (PWH) has usually been on function, muscle strength and joint flexibility. The impact of haemophilic arthropathy on balance and falls risk is relatively under-explored. The aim of this study was to evaluate balance and related performance in PWH compared with age and gender matched healthy controls. It involved a comprehensive suite of clinical and laboratory measures of static and dynamic balance, mobility, strength, physical activity and falls efficacy completed in 20 PWH (mean age 39.4, 100% male) and 20 controls. Fifty percent of PWH reported falls in the past 12 months. Moderate impairment of balance and related measures were identified in PWH compared with the controls, with an average 35% difference between groups. Significant differences were evident between groups on both clinical and laboratory measures, including measures of dynamic bilateral stance balance [limits of stability measures on the laboratory test, functional reach; (P dynamic single leg balance (Step Test, P dynamic clinical and laboratory measures testing similar domains of balance, gait and mobility had moderate correlations (0.310 < r < 0.531, P < 0.01). Moderate impairments in balance, mobility and related measures were identified in PWH, compared with the control group. Clinicians should include assessments of balance and related measures when reviewing adults with haemophilia.

  5. Un problema de consenso para problemas de toma de decisiones multicriterio en grupo mediante relaciones de preferencia intervalares difusas lingüísticas || A Consensus Model for Group Multicriteria Decision Making Problems with Interval Fuzzy Preference Relations

    Directory of Open Access Journals (Sweden)

    Amor Pulido, Raúl

    2012-01-01

    Full Text Available En el contexto de toma de decisiones multicriterio y bajo ciertas circunstancias, puede ocurrir que no se pueda expresar una cierta valoración mediante una única etiqueta lingüística, ya que puede haber duda en esa valoración. En este trabajo, presentamos un modelo de consenso para problemas de toma de decisiones en grupo con relaciones de preferencia intervalares lingüísticas. Este modelo está basado en dos criterios de consenso, una medida de consenso y una de proximidad, y en el concepto de coincidencia entre preferencias. Calcularemos ambos criterios en los tres niveles de representación de una relación de preferencia y diseñaremos un mecanismo de realimentación automático para guiar a los expertos en el proceso para alcanzar el consenso. || In some circumstances a decision maker, expert, in a group decision making problem cannot express his/her preferences with a unique linguistic fuzzy preference because he/she is dubious into some preferences. In this paper, we present a consensus model for group decision making problems with interval fuzzy preference relations. This model is based on two consensus criteria, a consensus measure and a proximity measure, and on the concept of co- incidence among preferences. We compute both consensus criteria in the three representation levels of a preference relation and design an automatic feedback mechanism to guide experts in the consensus reaching process.

  6. Pharmacovigilance in Europe: Place of the Pharmacovigilance Risk Assessment Committee (PRAC) in organisation and decisional processes.

    Science.gov (United States)

    Laroche, Marie-Laure; Batz, Arnaud; Géniaux, Hélène; Féchant, Corinne; Merle, Louis; Maison, Patrick

    2016-04-01

    The new European legislation that came into force in July 2012 reinforced the organisation of pharmacovigilance by setting up a committee in charge of risk assessment for medicines, the Pharmacovigilance Risk Assessment Committee (PRAC). The PRAC has a remit covering the assessment of all aspects of the safety and the risk management of medicinal products for human use in the European Union. It deals with issues regarding pharmacovigilance signals, the periodic evaluation of benefit/risk reports from marketing authorization holders (MAH), risk management plans, post-marketing studies, variations or renewals of marketing authorisations, management of under surveillance drugs lists, inspections for pharmacovigilance reasons and audits of pharmacovigilance systems. The PRAC works with the pharmacovigilance systems of the European Member States, which draw up evaluation reports. These evaluations are circulated and discussed by Member States so as to issue recommendations, which serve as a basis for other European medicines committees, the Committee for Medicinal Products for Human Use (CHMP) or the Coordination Group for Mutual Recognition and Decentralised Procedures-Human (CMDh) which then give their opinion. The final decision, which applies to all Member States and to the concerned MAH, lies with the European Commission (EC). This decisional procedure thus rests on coordination involving the PRAC, the CHMP, the CMDh, the EC, the Member States and the pharmaceutical companies. In the 3 years from July 2012, the PRAC has processed nearly 4500 procedures and is still facing an increasing workload. Copyright © 2016 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

  7. OBSERVATORIO EN TURISMO: ORGANISMO INTELIGENTE PARA LA TOMA DE DECISIONES EN EL DESTINO

    Directory of Open Access Journals (Sweden)

    Dani Blasco Franch

    2014-02-01

    Full Text Available Un observatorio turístico es una herramienta de inteligencia turística estable, encargada de observar la realidad, analizar la dinámica, y proveer los resultados a todos los agentes de un destino. La aparente necesidad de organismos de inteligencia contrasta con la escasez de estas herramientas en los destinos turísticos contemporáneos. El presente artículo tiene por objeto analizar uno de los principales retos a los que se enfrentan los destinos turísticos en la actualidad: la incorporación de los Observatorios Turísticos. En el caso de Ciudad Juárez, Chihuahua – México, a pesar del episodio crítico derivado de la mala imagen asociada a la violencia en la ciudad, la realidad es que el volumen de cruces por los puentes internacionales asciende a más de 22 millones anuales, pero todavía no existe un conocimiento del perfil y los deseos de estos visitantes. En el presente artículo se desarrolla el estudio del caso del Observatorio Turístico para Ciudad Juárez, y se debaten las cuestiones siguientes: la estructura orgánica que debería tener un modelo de observatorio para la ciudad, los estudios que se deberían desarrollar, y los agentes que facultan la toma de decisiones para la empresa y los organismos de la actividad turística.

  8. Diseño de sistema experto para toma de decisiones de compra de materiales

    Directory of Open Access Journals (Sweden)

    Carlos A. Torres Navarro

    2014-12-01

    Full Text Available El objetivo de esta investigación es verificar la factibilidad de integración entre las teorías de inventarios y de sistemas expertos a través del diseño de un sistema informático basado en el conocimiento para apoyar el proceso de toma de decisiones en el área de logística y abastecimiento de una empresa forestal líder en Latino América. La metodología utilizada consistió en una revisión de publicaciones científicas de acceso online sobre modelos de inventarios, criterios de clasificación multicriterio ABC e identificación de los componentes de sistemas expertos basados en el conocimiento. Los resultados permiten disponer de un diseño de sistema experto soportado por planillas Excel, programación de macros en Visual Basic e interacción con un sistema informático de planificación de recursos empresariales. Las principales conclusiones son que es factible la integración entre la teoría de inventarios, la utilización de una clasificación multicriterio ABC con la teoría de sistemas expertos basados en conocimientos de tipo tácito y explícito y además, es posible lograr una reducción del 40% del capital de trabajo retenido en inventarios

  9. Strategic Balanced Scorecard Simulation

    DEFF Research Database (Denmark)

    Nielsen, Steen; Nielsen, Erland Hejn

    2012-01-01

    of financial and non-financial measures. The overall idea of BSC is to make the strategy operational, as proposed by Kaplan and Norton (1992; 1996; 2007) and to use the strategy for simulation. Our results indicate that a company may gain great learning insight from such simulation studies. The whole article......The purpose of this article is to show how a System Dynamics Modelling approach can be integrated into the Balanced Scorecard (BSC) for a case company with special focus on the handling of causality in a dynamic perspective. The case company’s BSC model includes five perspectives and a number...

  10. Ballet Balance Strategies

    DEFF Research Database (Denmark)

    Pedersen, Camilla; Erleben, Kenny; Sporring, Jon

    2006-01-01

    Animating physically realistic human characters is challenging, since human observers are highly tuned to recognize human cues such as emotion and gender from motion patterns. The main contribution of this paper is a new model firmly based on biomechanics, which is used to animate balance and basic...... movements of a ballet dancers. It is supported by computer simulated experiments and it is in good agreement with biomechanical measurements of real-life dancers. Our results questions the previous approaches in dynamic animation, which only uses the center of gravity strategy, and instead demonstrate...

  11. Measuring health system strengthening: application of the balanced scorecard approach to rank the baseline performance of three rural districts in Zambia.

    Science.gov (United States)

    Mutale, Wilbroad; Godfrey-Fausset, Peter; Mwanamwenge, Margaret Tembo; Kasese, Nkatya; Chintu, Namwinga; Balabanova, Dina; Spicer, Neil; Ayles, Helen

    2013-01-01

    There is growing interest in health system performance and recently WHO launched a report on health systems strengthening emphasising the need for close monitoring using system-wide approaches. One recent method is the balanced scorecard system. There is limited application of this method in middle- and low-income countries. This paper applies the concept of balanced scorecard to describe the baseline status of three intervention districts in Zambia. The Better Health Outcome through Mentoring and Assessment (BHOMA) project is a randomised step-wedged community intervention that aims to strengthen the health system in three districts in the Republic of Zambia. To assess the baseline status of the participating districts we used a modified balanced scorecard approach following the domains highlighted in the MOH 2011 Strategic Plan. Differences in performance were noted by district and residence. Finance and service delivery domains performed poorly in all study districts. The proportion of the health workers receiving training in the past 12 months was lowest in Kafue (58%) and highest in Luangwa district (77%). Under service capacity, basic equipment and laboratory capacity scores showed major variation, with Kafue and Luangwa having lower scores when compared to Chongwe. The finance domain showed that Kafue and Chongwe had lower scores (44% and 47% respectively). Regression model showed that children's clinical observation scores were negatively correlated with drug availability (coeff -0.40, p = 0.02). Adult clinical observation scores were positively association with adult service satisfaction score (coeff 0.82, p = 0.04) and service readiness (coeff 0.54, p = 0.03). The study applied the balanced scorecard to describe the baseline status of 42 health facilities in three districts of Zambia. Differences in performance were noted by district and residence in most domains with finance and service delivery performing poorly in all study districts. This tool could

  12. Measuring health system strengthening: application of the balanced scorecard approach to rank the baseline performance of three rural districts in Zambia.

    Directory of Open Access Journals (Sweden)

    Wilbroad Mutale

    Full Text Available INTRODUCTION: There is growing interest in health system performance and recently WHO launched a report on health systems strengthening emphasising the need for close monitoring using system-wide approaches. One recent method is the balanced scorecard system. There is limited application of this method in middle- and low-income countries. This paper applies the concept of balanced scorecard to describe the baseline status of three intervention districts in Zambia. METHODOLOGY: The Better Health Outcome through Mentoring and Assessment (BHOMA project is a randomised step-wedged community intervention that aims to strengthen the health system in three districts in the Republic of Zambia. To assess the baseline status of the participating districts we used a modified balanced scorecard approach following the domains highlighted in the MOH 2011 Strategic Plan. RESULTS: Differences in performance were noted by district and residence. Finance and service delivery domains performed poorly in all study districts. The proportion of the health workers receiving training in the past 12 months was lowest in Kafue (58% and highest in Luangwa district (77%. Under service capacity, basic equipment and laboratory capacity scores showed major variation, with Kafue and Luangwa having lower scores when compared to Chongwe. The finance domain showed that Kafue and Chongwe had lower scores (44% and 47% respectively. Regression model showed that children's clinical observation scores were negatively correlated with drug availability (coeff -0.40, p = 0.02. Adult clinical observation scores were positively association with adult service satisfaction score (coeff 0.82, p = 0.04 and service readiness (coeff 0.54, p = 0.03. CONCLUSION: The study applied the balanced scorecard to describe the baseline status of 42 health facilities in three districts of Zambia. Differences in performance were noted by district and residence in most domains with finance and service

  13. IMPLEMENTASI BALANCED SCORECARD PADA ORGANISASI PUBLIK

    Directory of Open Access Journals (Sweden)

    Imelda R. H. N Imelda R. H. N

    2004-01-01

    Full Text Available At first introduced, balance scorecard is used by bussiness organization to measure performance of their activities, now balance scorecard is also used by public organization. A Public Organization is an organization intends to provide services to public, not for seeking profits. In order to used by public organization, a balance scorecard need to be modified. This essay discusses how to build a balance scorecard, which includes strategic goals, measures, targets, initiatives, and implementing balance scorecard to public organization. Abstract in Bahasa Indonesia : Saat pertama kali diperkenalkan, balanced scorecard digunakan oleh organisasi bisnis untuk pengukuran kinerja. Dewasa ini, balanced scorecard tidak saja digunakan oleh organisasi bisnis tetapi juga organisasi publik. Organisasi publik adalah organisasi yang menyediakan jasa pada masyarakat dengan tujuan bukan untuk mencari profit. Untuk dapat digunakan oleh organisasi publik, balanced scorecard tersebut harus dimodifikasi. Tulisan ini membahas bagaimana membangun balanced scorecard, meliputi menentukan tujuan strategis, ukuran yang digunakan, target yang ingin dicapai serta inisiatif, dan mengimplementasikan balanced scorecard pada organisasi publik. Kata kunci: balanced scorecard, organisasi publik.

  14. Toma de decisiones, adicciones y adolescentes: una revisión crítica de las principales pruebas informatizadas de evaluación de toma de decisiones

    OpenAIRE

    Castillo, Daniela; Acuña, Ignacio; Godoy, Juan Carlos

    2009-01-01

    Pocos estudios han evaluado a nivel local el efecto que tiene el consumo de alcohol sobre el Sistema Nervioso Central (SNC) en población adolescente. Nuestro grupo de investigación ha evaluado sistemáticamente a adolescentes con diferentes patrones de consumo de alcohol apelando a baterías neuropsicológicas “de lápiz y papel”, analizando particularmente la función ejecutiva (toma de decisiones). Los resultados obtenidos no fueron consistentes. Las posibles explicaciones para estos resultados ...

  15. Balance Confidence Is Related to Features of Balance and Gait in Individuals with Chronic Stroke.

    Science.gov (United States)

    Schinkel-Ivy, Alison; Wong, Jennifer S; Mansfield, Avril

    2017-02-01

    Reduced balance confidence is associated with impairments in features of balance and gait in individuals with subacute stroke. However, an understanding of these relationships in individuals at the chronic stage of stroke recovery is lacking. This study aimed to quantify the relationships between balance confidence and specific features of balance and gait in individuals with chronic stroke. Participants completed a balance confidence questionnaire and clinical balance assessment (quiet standing, walking, and reactive stepping) at 6 months postdischarge from inpatient stroke rehabilitation. Regression analyses were performed using balance confidence as a predictor variable, and quiet standing, walking, and reactive stepping outcome measures as the dependent variables. Walking velocity was positively correlated with balance confidence, whereas mediolateral center of pressure excursion (quiet standing) and double support time, step width variability, and step time variability (walking) were negatively correlated with balance confidence. This study provides insight into the relationships between balance confidence and balance and gait measures in individuals with chronic stroke, suggesting that individuals with low balance confidence exhibited impaired control of quiet standing as well as walking characteristics associated with cautious gait strategies. Future work should identify the direction of these relationships to inform community-based stroke rehabilitation programs for individuals with chronic stroke, and determine the potential utility of incorporating interventions to improve balance confidence into these programs. Copyright © 2017. Published by Elsevier Inc.

  16. Balance confidence is related to features of balance and gait in individuals with chronic stroke

    Science.gov (United States)

    Schinkel-Ivy, Alison; Wong, Jennifer S.; Mansfield, Avril

    2016-01-01

    Reduced balance confidence is associated with impairments in features of balance and gait in individuals with sub-acute stroke. However, an understanding of these relationships in individuals at the chronic stage of stroke recovery is lacking. This study aimed to quantify relationships between balance confidence and specific features of balance and gait in individuals with chronic stroke. Participants completed a balance confidence questionnaire and clinical balance assessment (quiet standing, walking, and reactive stepping) at 6 months post-discharge from inpatient stroke rehabilitation. Regression analyses were performed using balance confidence as a predictor variable and quiet standing, walking, and reactive stepping outcome measures as the dependent variables. Walking velocity was positively correlated with balance confidence, while medio-lateral centre of pressure excursion (quiet standing) and double support time, step width variability, and step time variability (walking) were negatively correlated with balance confidence. This study provides insight into the relationships between balance confidence and balance and gait measures in individuals with chronic stroke, suggesting that individuals with low balance confidence exhibited impaired control of quiet standing as well as walking characteristics associated with cautious gait strategies. Future work should identify the direction of these relationships to inform community-based stroke rehabilitation programs for individuals with chronic stroke, and determine the potential utility of incorporating interventions to improve balance confidence into these programs. PMID:27955809

  17. The applicability of the decisional conflict scale in nursing home placement decision among Chinese family caregivers: A mixed methods approach

    Directory of Open Access Journals (Sweden)

    Yu-Ping Chang

    2017-12-01

    Full Text Available This study aimed to 1 examine relationships between uncertainty, perceived information, personal values, social support, and filial obligation among Chinese family caregivers faced with nursing home placement of an older adult family member with dementia; and 2 describe the applicability of the Decisional Conflict Scale in nursing home placement decision making among Chinese family caregivers through the integration of quantitative and qualitative data. We used a mixed-methods approach. Quantitative data analysis consisted of descriptive and correlational statistics. We utilized a thematic analysis for the qualitative data. Data transformation and data comparison techniques were used to combine qualitative and quantitative data. Thirty Chinese family caregivers living in Taiwan caring for an older adult with dementia participated in this study. We found a significant association among the quantitative findings, which indicated that perceived information, personal values, social support, and filial obligation, and nursing home placement decisional conflict. Mixed-method data analysis additionally revealed that conflicting differences existed between the traditional role of Chinese family collective decision making and the contemporary role of single family member surrogate decision making. Although the Decisional Conflict Scale can be utilized when exploring nursing home placement for an older adult with dementia among Chinese family caregivers, applicability issues existed regarding cultural beliefs and values related to filial piety and family collectivism. Findings strongly support the need for researchers to consider cultural beliefs and values when selecting tools that assess health-related decision making across cultures. Further research is needed to explore the role culture plays in nursing home decision making.

  18. Herramientas de apoyo a la toma de decisiones y prospectiva territorial

    Directory of Open Access Journals (Sweden)

    Silvia Luna

    2014-06-01

    Full Text Available En la Provincia de Santa Cruz el área cordillerana es la más postergada en términos de poblamiento y cualificación de sus territorios. En este espacio de cerca de 100.000 km2 ubicado sobre la traza de la Ruta Nacional 40 y la frontera con Chile, cinco municipios y tres comisiones de fomento reunían en 2001 menos de 25.000 habitantes. Estos espacios experimentan particularmente desde fines del Siglo pasado profundas transformaciones territoriales: penetración de nuevas actividades y capitales, acelerada inserción en mercados internacionales y modificaciones en las relaciones entre grupos sociales afectando las formas de organización de la producción y del espacio.Las dinámicas de las actividades dominantes son fundamentalmente extractivas, como la minería y la explotación de hidrocarburos, que lentamente se despliega hacia el oeste provincial, determinadas por un escenario internacional de disputa por la valoración y el acceso a recursos naturales entre grandes empresas trasnacionales y sociedades.El plan se encuadró en el Subproyecto Herramientas de apoyo a la toma de decisiones del Proyecto de Investigación UNPA 29 A/254-2 Desarrollo territorial y recursos naturales en el espacio cordillerano santacruceño. Potencialidades, vulnerabilidades y proyectos regionales dirigido por Alejandro Schweitzer y codirigido por Boris Díaz. A tal efecto se trabajó en particular en torno al estudio de indicadores de desarrollo territorial y la integración de unidades espaciales en el marco de su incorporación a los sistemas de información territorial y la captura y procesamiento de información en campo por medio de entrevistas e inventarios particularmente sobre la Micro-Región de Río Turbio.

  19. Neurofinanzas: Cuando las Decisiones Financieras no son Racionales (Neurofinances: When finantial decisions are irrational

    Directory of Open Access Journals (Sweden)

    Manrique Hernández Ramírez

    2012-12-01

    Full Text Available La teoría financiera, considerada como moderna, ha tratado alos humanos como “cajas negras”, pues sugiere que los detalles defuncionalidad de sus cerebros no pueden ser conocidos. Con esteplanteamiento se han creado teorías y modelos que especulan sobreel comportamiento que se supone deben seguir los humanosa partir del enfoque de las finanzas modernas o neoclásicas, y delplanteamiento dado por las finanzas conductuales. De forma contraria,las neurofinanzas intentan entender la conducta humana alanalizar los procesos fisiológicos reales que se dan en el cerebrohumano cuando éste es expuesto al riesgo financiero, utilizandopara ello las más modernas técnicas de la neurociencia. Todo lo anterior potencia la creación de un modelo más realista de latoma de decisiones que se espera logre, finalmente, explicar unaamplia variedad de comportamientos económicos y financierosindividuales que no logra hacer el modelo estándar. El objetivode la investigación bibliográfica desarrollada en este artículo esanalizar esta prometedora y novedosa línea de investigación detallandola importancia de su campo de estudio, las implicacionesque éste puede tener, los objetivos que persigue, sus principalesáreas de interés y los hallazgos e instrumentos de que se vale. Sedescribe, además, el proceso general con el que inicia este tipo deexperimentos y prometedoras líneas de investigación a futuro quepodrían implementarse en Latinoamérica.   ABSTRACT Modern financial theory considers human beings as“black boxes” whose brain functionalities can`t be identified.This statement has led to develop theories and modelsthat speculate about the behavior that humans follow fromthe theories proposed by modern or neoclassic finance, andfrom the one stated by conductive finance. On the otherhand, neurofinances try to understand human behavior analyzingthe real physiological processes happening in the humanbrain when it is exposed to financial risk using

  20. DISEÑO DE UN SISTEMA DE COSTOS PARA LA TOMA DE DECISIONES EN UNA EMPRESA DE SALUD

    OpenAIRE

    Lezcano, German Eduardo

    2016-01-01

    INTRODUCCIÓN -- METODOLOGÍA -- RESULTADOS Y DISCUSIÓN -- 1. ESTUDIO EXPLORATORIO BIBLIOGRÁFICO SOBRE COSTOS DE PRODUCCIÓN DE SERVICIO EN EMPRESAS DE SALUD -- 2. ESTUDIO DESCRIPTIVO DE "CLÍNICA PRIVADA ESTÉTICA Y RECONSTRUCTIVA -- DISEÑO DEL PLAN PARA "CLÍNICA PRIVADA ESTÉTICA Y RECONSTRUCTIVA" EN BASE A LOS MÉTODOS DE COSTEO -- CONCLUSIONES -- BIBLIOGRAFIA El objetivo de este trabajo fue diseñar un sistema de costos para la toma de decisiones en una empresa de salud radicada en la ciudad d...