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Sample records for decisional balance measure

  1. Measuring kidney patients' motivation to pursue living donor kidney transplant: development of stage of change, decisional balance and self-efficacy measures.

    Science.gov (United States)

    Waterman, Amy D; Robbins, Mark L; Paiva, Andrea L; Peipert, John D; Davis, LaShara A; Hyland, Shelley S; Schenk, Emily A; Baldwin, Kari A; Amoyal, Nicole R

    2015-02-01

    While educational interventions to increase patient motivation to pursue living donor kidney transplant have shown success in increasing living donor kidney transplant rates, there are no validated, theoretically consistent measures of Stage of Change, a measure of readiness to pursue living donor kidney transplant; Decisional Balance, a weighted assessment of living donor kidney transplant's advantages/disadvantages; and Self-Efficacy, a measure of belief that patients can pursue living donor kidney transplant in difficult circumstances. This study developed and validated measures of these three constructs. In two independent samples of kidney patients (N 1 = 279 and N 2 = 204), results showed good psychometric properties and support for their use in the assessment of living donor kidney transplant interventions. © The Author(s) 2013.

  2. Validity and Stability of the Decisional Balance for Sun Protection Inventory

    OpenAIRE

    Hui-Qing Yin; Joseph S. Rossi; Colleen A. Redding; Andrea L. Paiva; Steven F. Babbin; Wayne F. Velicer

    2014-01-01

    The 8-item Decisional Balance for sun protection inventory (SunDB) assesses the relative importance of the perceived advantages (Pros) and disadvantages (Cons) of sun protective behaviors. This study examined the psychometric properties of the SunDB measure, including invariance of the measurement model, in a population-based sample of N = 1336 adults. Confirmatory factor analyses supported the theoretically based 2-factor (Pros, Cons) model, with high internal consistencies for each subscale...

  3. Understanding the pros and cons of organ donation decision-making: Decisional balance and expressing donation intentions among African Americans.

    Science.gov (United States)

    Flemming, Shauna St Clair; Redmond, Nakeva; Williamson, Dana Hz; Thompson, Nancy J; Perryman, Jennie P; Patzer, Rachel E; Arriola, Kimberly Jacob

    2018-04-01

    Increasing public commitment to organ donation is critical to improving donor kidney availability for end-stage renal disease patients desiring transplant. This study surveyed ( N = 1339) African Americans, measuring perceived pros relative to cons of organ donation, to evaluate an existing Transtheoretical Model decisional balance scale and associations between decisional balance and expressing donation intentions. Findings supported the existing scale structure. More positive decisional balance ratios were associated with 1.76 times the odds of expressing intentions (95% confidence interval = 1.52-2.04). Pros were more strongly linked to donation intentions than cons. Greater understanding of organ donation decision-making is valuable for informing interventions that encourage donation.

  4. Validity and Stability of the Decisional Balance for Sun Protection Inventory

    Directory of Open Access Journals (Sweden)

    Hui-Qing Yin

    2014-01-01

    Full Text Available The 8-item Decisional Balance for sun protection inventory (SunDB assesses the relative importance of the perceived advantages (Pros and disadvantages (Cons of sun protective behaviors. This study examined the psychometric properties of the SunDB measure, including invariance of the measurement model, in a population-based sample of N=1336 adults. Confirmatory factor analyses supported the theoretically based 2-factor (Pros, Cons model, with high internal consistencies for each subscale (α≥.70. Multiple-sample CFA established that this factor pattern was invariant across multiple population subgroups, including gender, racial identity, age, education level, and stage of change subgroups. Multivariate analysis by stage of change replicated expected patterns for SunDB (Pros η2=.15, Cons η2=.02. These results demonstrate the internal and external validity and measurement stability of the SunDB instrument in adults, supporting its use in research and intervention.

  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. 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…

  7. 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, pmotivation to quit, quit attempts, and self-reported abstinence, with no significant group differences. Changes in the Pros of smoking were correlated with MITI scores, but not with cessation outcomes. In contrast, increases in the Cons 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.

  8. 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.

  9. 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 development and preliminary validation of this 25-item GE instrument provides a basis for assessment as well as development of tailored interventions for college students. Copyright © 2014 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

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

    Science.gov (United States)

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

    Directory of Open Access Journals (Sweden)

    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.

  12. Does Patient Preference Measurement in Decision Aids Improve Decisional Conflict? A Randomized Trial in Men with Prostate Cancer.

    Science.gov (United States)

    Shirk, Joseph D; Crespi, Catherine M; Saucedo, Josemanuel D; Lambrechts, Sylvia; Dahan, Ely; Kaplan, Robert; Saigal, Christopher

    2017-12-01

    Shared decision making (SDM) has been advocated as an approach to medical decision making that can improve decisional quality. Decision aids are tools that facilitate SDM in the context of limited physician time; however, many decision aids do not incorporate preference measurement. We aim to understand whether adding preference measurement to a standard patient educational intervention improves decisional quality and is feasible in a busy clinical setting. Men with incident localized prostate cancer (n = 122) were recruited from the Greater Los Angeles Veterans Affairs (VA) Medical Center urology clinic, Olive View UCLA Medical Center, and Harbor UCLA Medical Center from January 2011 to May 2015 and randomized to education with a brochure about prostate cancer treatment or software-based preference assessment in addition to the brochure. Men undergoing preference assessment received a report detailing the relative strength of their preferences for treatment outcomes used in review with their doctor. Participants completed instruments measuring decisional conflict, knowledge, SDM, and patient satisfaction with care before and/or after their cancer consultation. Baseline knowledge scores were low (mean 62%). The baseline mean total score on the Decisional Conflict Scale was 2.3 (±0.9), signifying moderate decisional conflict. Men undergoing preference assessment had a significantly larger decrease in decisional conflict total score (p = 0.023) and the Perceived Effective Decision Making subscale (p = 0.003) post consult compared with those receiving education only. Improvements in satisfaction with care, SDM, and knowledge were similar between groups. Individual-level preference assessment is feasible in the clinic setting. Patients with prostate cancer who undergo preference assessment are more certain about their treatment decisions and report decreased levels of decisional conflict when making these decisions.

  13. Decisional Capacity among Minors with HIV: A Model for Balancing Autonomy Rights with the Need for Protection.

    Science.gov (United States)

    Chenneville, Tiffany; Sibille, Kimberly; Bendell-Estroff, Debra

    The purpose of this paper is threefold: (1) to describe the relevant ethical and legal issues associated with decisional capacity among minors and to discuss the importance of these concepts for children and adolescents living with HIV; (2) to provide a framework for assessing the decisional capacity of children and adolescents with HIV; and (3) to present a model for thinking about how to use this assessment data to guide action along the protection-autonomy continuum.

  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

    Directory of Open Access Journals (Sweden)

    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

    Directory of Open Access Journals (Sweden)

    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. 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.

    Directory of Open Access Journals (Sweden)

    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

  18. On the precision of sedimentation balance measurements

    NARCIS (Netherlands)

    Kranenburg, C.

    1991-01-01

    The settling velocities of fine sediments can be determined using a sedimentation balance essentially consisting of a settling tube at the bottom of which the weight of the sediment deposited is measured as a function of time. The distribution of settling velocities then is calculated from an

  19. On balanced minimal repeated measurements designs

    Directory of Open Access Journals (Sweden)

    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. Modelo interrelacionado de decisiones

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    Edwin Haramoto Nishikimoto

    2002-01-01

    Full Text Available Propone la implementación de un sistema interrelacionado de decisiones que permita superar los problemas que enfrentan los agentes que participan en las áreas de trabajo involucradas en la acción habitacional. Para estos describe cuatro modelos (habitacional, de decisión, de información y de alternativas habitacionales que permiten ordenar, relacionar, agrupar y jerarquizar todos los componentes del proceso habitacional

  1. Aplicación del modelo Balance of Care en la toma de decisiones acerca del mejor cuidado para las personas con demencia

    Directory of Open Access Journals (Sweden)

    Ester Risco

    2017-11-01

    Discusión: El modelo Balance of Care permite evaluar de manera sistemática, objetiva y mediante un equipo multidisciplinario el emplazamiento más adecuado para las personas con demencia. Se deberían incluir otras intervenciones coste-eficientes para mejorar la situación domiciliaria de estas personas.

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

    OpenAIRE

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

    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...

  3. Decisional Bias as Implicit Moral Judgment

    Science.gov (United States)

    Spring, Toni; Saltzstein, Herbert D.

    2017-01-01

    Decisional bias (false alarm rate) when judging the guilt/innocence of a suspect is offered as an implicit measure of moral judgment. Combining two data sets, 215 participants, ages 10-12, 13-15, and 16-18 watched the visually identical film involving a person setting a fire, framed either as (1) intentional but not resulting in a fire (BI-NF),…

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

    Science.gov (United States)

    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

  5. 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

  6. Measuring Pictorial Balance Perception at First Glance using Japanese Calligraphy

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    Sharon Gershoni

    2011-08-01

    Full Text Available According to art theory, pictorial balance acts to unify picture elements into a cohesive composition. For asymmetrical compositions, balancing elements is thought to be similar to balancing mechanical weights in a framework of symmetry axes. Assessment of preference for balance (APB, based on the symmetry-axes framework suggested in Arnheim R, 1974 Art and Visual Perception: A Psychology of the Creative Eye (Berkeley, CA: University of California Press, successfully matched subject balance ratings of images of geometrical shapes over unlimited viewing time. We now examine pictorial balance perception of Japanese calligraphy during first fixation, isolated from later cognitive processes, comparing APB measures with results from balance-rating and comparison tasks. Results show high between-task correlation, but low correlation with APB. We repeated the rating task, expanding the image set to include five rotations of each image, comparing balance perception of artist and novice participant groups. Rotation has no effect on APB balance computation but dramatically affects balance rating, especially for art experts. We analyze the variety of rotation effects and suggest that, rather than depending on element size and position relative to symmetry axes, first fixation balance processing derives from global processes such as grouping of lines and shapes, object recognition, preference for horizontal and vertical elements, closure, and completion, enhanced by vertical symmetry.

  7. Covering Conflict and Controversy: Measuring Balance, Fairness, Defamation.

    Science.gov (United States)

    Simon, Todd F.; And Others

    1989-01-01

    Measures balance, fairness, and defamation in local stories containing controversy and covering law enforcement, education, local government, and business. Finds that most stories lack balance and that the opposing side of the controversy was not contacted in 28 percent of the instances. (RS)

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

    Science.gov (United States)

    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…

  9. 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...

  10. 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...

  11. Modified Sucksmith balances for ferromagnetic and paramagnetic measurements

    Energy Technology Data Exchange (ETDEWEB)

    Lundquist, N; Myers, H P

    1962-02-15

    Two balances, one for measurement of ferromagnetic magnetisation, the other for paramagnetic susceptibility measurements, are described. Designs are based on Sucksmith's ring balance but the ring and optical lever system of the latter has been replaced by a strain gauge bridge, which allows the force on the magnetic specimens to be determined via potentiometer readings. The modified balances are very robust, insensitive to vibration and, if desired, suitable for direct recording. Relative accuracies of 0.3 % and 0.5 % are obtained respectively for the ferromagnetic and paramagnetic systems.

  12. Measuring the Balance Control System – Review

    Directory of Open Access Journals (Sweden)

    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.

  13. Association of balance, strength, and power measures in young adults.

    Science.gov (United States)

    Muehlbauer, Thomas; Gollhofer, Albert; Granacher, Urs

    2013-03-01

    The purpose of this study was to investigate the relationship between variables of static/dynamic balance, isometric strength, and power. Twenty-seven young healthy adults (mean age: 23 ± 4 years) performed measurements of static (unperturbed)/dynamic (perturbed) balance, isometric strength (i.e., maximal isometric torque [MIT]; rate of torque development [RTD] of the plantar flexor), and power (i.e., countermovement jump [CMJ] height and power). No significant associations were found between variables of static and dynamic balance (r = -0.090 to +0.329, p > 0.05) and between measures of static/dynamic balance and isometric strength (r = +0.041 to +0.387, p > 0.05) and static/dynamic balance and power (r = -0.076 to +0.218, p > 0.05). Significant positive correlations (r) were detected between variables of power and isometric strength ranging from +0.458 to +0.689 (p balance measures and between static/dynamic balance, isometric strength, and power variables implies that these capacities may be independent of each other and may have to be tested and trained complementarily.

  14. On risk and decisional capacity.

    Science.gov (United States)

    Checkland, D

    2001-02-01

    Limits to paternalism are, in the liberal democracies, partially defined by the concepts of decision-making capacity/incapacity (mental competence/incompetence). The paper is a response to Ian Wilks's (1997) recent attempt to defend the idea that the standards for decisional capacity ought to vary with the degree of risk incurred by certain choices. Wilks's defense is based on a direct appeal to the logical features of examples and analogies, thus attempting to by-pass earlier criticisms (e.g., Culver & Gert, 1990) of risk-based standards. Wilks's argument is found wanting on the grounds that he misconstrues the logic of such capacity, especially in accounting for conceptual and pragmatic ties with issues of decisional authority. A diagnosis is offered as to the source of Wilks's error (the assumption that mental competence is a species of wider genus of "competence"), and an alternative way of accounting for risk within the predominant contemporary legal framework is sketched.

  15. 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 ...

  16. Interpreting patient decisional conflict scores: behavior and emotions in decisions about treatment

    NARCIS (Netherlands)

    Knops, Anouk M.; Goossens, Astrid; Ubbink, Dirk T.; Legemate, Dink A.; Stalpers, Lukas J.; Bossuyt, Patrick M.

    2013-01-01

    Patient decision aids facilitate treatment decisions. They are often evaluated in terms of their effect on decisional conflict, as measured by the Decisional Conflict Scale (DCS). It is unclear to what extent lower DCS scores are accompanied by observable patient behavior or emotions. To help

  17. 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

  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 work-life balance using time diary data

    OpenAIRE

    Kimberly Fisher; Richard Layte

    2004-01-01

    This paper examines how time diaries facilitate the study of work-life balance. We first compare aggregate time spent in paid work, unpaid work, attending to personal needs, and free time across seven countries using the Multinational Time Use Study. We then measure the overlap of work with other activities in two ways. First, we map the timing of episodes of work over the day, and overlay these maps onto maps of leisure time. A social group can be said to have a work-life balance if their pe...

  20. Fall prevention modulates decisional saccadic behaviour in aging

    Directory of Open Access Journals (Sweden)

    Olivier A. Coubard

    2012-07-01

    Full Text Available 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 twelve participants aged 64-91 years before and after 2.5-month 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 TIMER-RIDER model to account for the results.

  1. Preliminary Planck constant measurements via UME oscillating magnet Kibble balance

    Science.gov (United States)

    Ahmedov, H.; Babayiğit Aşkın, N.; Korutlu, B.; Orhan, R.

    2018-06-01

    The UME Kibble balance project was initiated in the second half of 2014. During this period we have studied the theoretical aspects of Kibble balances, in which an oscillating magnet generates AC Faraday’s voltage in a stationary coil, and constructed a trial version to implement this idea. The remarkable feature of this approach is that it can establish the link between the Planck constant and a macroscopic mass by one single experiment in the most natural way. Weak dependences on variations of environmental and experimental conditions, small size, and other useful features offered by this novel approach reduce the complexity of the experimental set-up. This paper describes the principles of the oscillating magnet Kibble balance and gives details of the preliminary Planck constant measurements. The value of the Planck constant determined with our apparatus is \\boldsymbol{h}/{{\\boldsymbol{h}}\\boldsymbol 90}={1}{.000} {004}~ , with a relative standard uncertainty of 6 ppm.

  2. Maintaining balance in elderly fallers: novel aspects of postural balance measures in elderly

    OpenAIRE

    Swanenburg, Jaap

    2009-01-01

    At first in this thesis, an intervention programme was tested for the effect on the risk of falling in a population of elderly. The aim of the study was to investigate if exercise, combined with protein intake and calcium/vitamin D supplementation would have a larger effect on the risk of falling and postural balance outcomes than calcium/vitamin D supplementation only. An observational performance test (risk of falling) and performance measurements (force platform) were used as outcome measu...

  3. 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.

  4. 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.

  5. The Development of 1Balance: A Connected Medical Device for Measuring Human Balance

    Directory of Open Access Journals (Sweden)

    Heikki Sjöman

    2018-05-01

    Full Text Available Prototyping (iterative loops of design–build–test is a proven method of efficiently developing new products. Developing products not only quickly, but that are also fit for purpose, implies engaging the end users and iterating the technology at hand. However, there is currently little research on how engineering design can approach developing connected devices. The purpose of this paper is to distinguish and discuss design approaches that are suitable for connected devices. Internet of Things devices consist of both the physical products themselves and the data that is coming out of the products, which we define as the external and internal data, respectively. They both can be prototyped separately, but since the data acquired can influence the design of the device and vice versa, we propose to link these two together in the product development process. This issue becomes more apparent when designing networks of sensors, e.g., for complex artificial intelligence (AI databases. We explain the principle by describing the development of 1Balance through six different prototypes for human balance measurement. Technologically quantifying balance is an underused approach for objectively evaluating the state of a human’s performance. The authors have developed a mobile application for monitoring balance as a physiological signal (amount of sway via a compact wireless inertial measurement unit (IMU sensor strapped to the body of the subject for the duration of the measurement. We describe the design process for developing this connected medical device, as well as how the acquired data was used to improve the design of the product. In conclusion, we propose conceptually connecting the external and internal data prototyping loops.

  6. 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.

  7. 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.

  8. 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.

  9. 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

  10. 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.

  11. 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.

  12. Automatización Fuzzy aplicado en la contabilidad decisional

    OpenAIRE

    Jaime Tinto Arandes; María Emilia Molina; Habbid Chávez Acosta; Sylvia Mosquera Maldonado

    2016-01-01

    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 qu...

  13. 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

  14. 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.

  15. 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

  16. 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.

  17. 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.

  18. Differences between Australian and Japanese Students in Decisional Self-Esteem, Decisional Stress, and Coping Styles.

    Science.gov (United States)

    Radford, Mark H. B.; And Others

    1993-01-01

    Examines effects of culture on decisional self-esteem, decisional stress, and self-reported decision coping style for 743 Japanese and 309 Australian college students. Findings on coping styles in decision making are related to cross-cultural differences between the individualistic culture of Australia and the collectivistic culture of Japan. (SLD)

  19. 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

  20. 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

  1. 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.

  2. Drought sensitivity of Amazonian carbon balance revealed by atmospheric measurements

    Science.gov (United States)

    Gatti, L. V.; Gloor, M.; Miller, J. B.; Doughty, C. E.; Malhi, Y.; Domingues, L. G.; Basso, L. S.; Martinewski, A.; Correia, C. S. C.; Borges, V. F.; Freitas, S.; Braz, R.; Anderson, L. O.; Rocha, H.; Grace, J.; Phillips, O. L.; Lloyd, J.

    2014-02-01

    Feedbacks between land carbon pools and climate provide one of the largest sources of uncertainty in our predictions of global climate. Estimates of the sensitivity of the terrestrial carbon budget to climate anomalies in the tropics and the identification of the mechanisms responsible for feedback effects remain uncertain. The Amazon basin stores a vast amount of carbon, and has experienced increasingly higher temperatures and more frequent floods and droughts over the past two decades. Here we report seasonal and annual carbon balances across the Amazon basin, based on carbon dioxide and carbon monoxide measurements for the anomalously dry and wet years 2010 and 2011, respectively. We find that the Amazon basin lost 0.48+/-0.18 petagrams of carbon per year (PgCyr-1) during the dry year but was carbon neutral (0.06+/-0.1PgCyr-1) during the wet year. Taking into account carbon losses from fire by using carbon monoxide measurements, we derived the basin net biome exchange (that is, the carbon flux between the non-burned forest and the atmosphere) revealing that during the dry year, vegetation was carbon neutral. During the wet year, vegetation was a net carbon sink of 0.25+/-0.14PgCyr-1, which is roughly consistent with the mean long-term intact-forest biomass sink of 0.39+/-0.10PgCyr-1 previously estimated from forest censuses. Observations from Amazonian forest plots suggest the suppression of photosynthesis during drought as the primary cause for the 2010 sink neutralization. Overall, our results suggest that moisture has an important role in determining the Amazonian carbon balance. If the recent trend of increasing precipitation extremes persists, the Amazon may become an increasing carbon source as a result of both emissions from fires and the suppression of net biome exchange by drought.

  3. 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.

  4. Bioimpedance measurement of body water correlates with measured volume balance in injured patients.

    Science.gov (United States)

    Rosemurgy, A S; Rodriguez, E; Hart, M B; Kurto, H Z; Albrink, M H

    1993-06-01

    Bioimpedance technology is being used increasingly to determine drug volume of distribution, body water status, and nutrition repletion. Its accuracy in patients experiencing large volume flux is not established. To address this, we undertook this prospective study in 54 consecutive seriously injured adults who had emergency celiotomy soon after arrival in the emergency department. Bioimpedance measurements were obtained in the emergency department before the patient was transported to the operating room, on completion of celiotomy, and 24 hours and 48 hours after celiotomy. Bioimpedance measurements of body water were compared with measured fluid balance. If insensible losses are subtracted from measured fluid balance, the percentage of body weight, which is body water determined by bioimpedance, closely follows fluid flux. This study supports the use of bioimpedance measurements in determining total body water even during periods of surgery, blood loss, and vigorous resuscitation.

  5. Decisional Conflict: Relationships Between and Among Family Context Variables in Cancer Survivors.

    Science.gov (United States)

    Lim, Jung-Won; Shon, En-Jung

    2016-07-01

    To investigate the relationships among life stress, family functioning, family coping, reliance on formal and informal resources, and decisional conflict in cancer survivors. 
. Cross-sectional.
. Participants were recruited from the California Cancer Surveillance Program, hospital registries, and community agencies in southern California and Cleveland, Ohio. 
. 243 European American, African American, Chinese American, and Korean American cancer survivors diagnosed with breast, colorectal, or prostate cancer.
. The merged data from an ethnically diverse cohort of cancer survivors participating in the two survey studies were used. Standardized measures were used to identify family context variables and decisional conflict. 
. Life stress, family functioning, family coping, reliance on formal and informal resources, and decisional conflict.
. Structural equation modeling demonstrated that life stress was significantly associated with decisional conflict. Family functioning significantly mediated the impact of life stress on decisional conflict through family coping. Reliance on formal and informal resources moderated the relationships among the study variables. 
. The role of the family context, which includes family functioning and coping, on decisional conflict is important in the adjustment process to make high-quality decisions in cancer survivorship care. 
. Findings present nursing practice and research implications that highlight the need for efforts to encourage and support family involvement in the decision-making process and to enhance cancer survivors' adjustment process.

  6. A combination of clinical balance measures and FRAX? to improve identification of high-risk fallers

    OpenAIRE

    Najafi, David A.; Dahlberg, Leif E.; Hansson, Eva Ekvall

    2016-01-01

    Background The FRAX? algorithm quantifies a patient?s 10-year probability of a hip or major osteoporotic fracture without taking an individual?s balance into account. Balance measures assess the functional ability of an individual and the FRAX? algorithm is a model that integrates the individual patients clinical risk factors [not balance] and bone mineral density. Thus, clinical balance measures capture aspects that the FRAX? algorithm does not, and vice versa. It is therefore possible that ...

  7. Assessment of Stage of Change, Decisional Balance, Self-Efficacy, and Use of Processes of Change of Low-Income Parents for Increasing Servings of Fruits and Vegetables to Preschool-Aged Children

    Science.gov (United States)

    Hildebrand, Deana A.; Betts, Nancy M.

    2009-01-01

    Objective: Use the Transtheoretical Model of Behavior Change (TTM) to determine the proportionate stage of change of low-income parents and primary caregivers (PPC) for increasing accessibility, measured as servings served, of fruits and vegetables (FV) to their preschool-aged children and evaluate response differences for theoretical constructs.…

  8. 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

  9. New measurements of G using the measurement standards laboratory torsion balance

    International Nuclear Information System (INIS)

    Armstrong, T.R.; Fitzgerald, M.P.

    2003-01-01

    This Letter presents the results of a series of measurements of the Newtonian gravitational constant G using the compensated torsion balance developed at the Measurement Standards Laboratory. Since our last published result using the torsion balance in the compensated mode of operation [Meas. Sci. Technol. 10, 439 (1999)], several improvements have been made to reduce the uncertainty in the final result. The new measurements have used both stainless steel and copper large masses. The values of G for the two sets of masses are in good agreement. After combining all of the measurements we get a value of G=6.673 87(0.000 27)x10 -11 m 3 kg -1 s -2 . This new value is 5 parts in 10 5 smaller than our previous published values

  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. 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.

  12. 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.

  13. Accuracy requirements on operational measurements in nuclear power plants with regard to balance methodology

    International Nuclear Information System (INIS)

    Holecek, C.

    1986-01-01

    Accurate in-service measurement is necessary for power balancing of nuclear power plants, i.e., the determination of fuel consumption, electric power generation, heat delivery and the degree of fuel power utilization. The only possible method of determining the input of total consumed energy from the fuel is the balance of the primary coolant circuit. This is because for the purposes of power balancing it is not possible to measure the amount of power generated from nuclear fuel. Relations are presented for the calculation of basic indices of the power balance. It is stated that for the purposes of power balancing and analyses the precision of measuring instrument at the input and output of balancing circuits is of primary importance, followed by the precision of measuring instruments inside balancing circuits and meters of auxiliary parameters. (Z.M.). 7 refs., 1 tab

  14. Rough wall skin friction measurements using a high resolution surface balance

    International Nuclear Information System (INIS)

    Krogstad, Per-Age; Efros, Vladislav

    2010-01-01

    This paper describes the design of a floating element friction balance which is based upon a commercially available micro force balance. The balance has a perfectly linear calibration function and was successfully applied to rough wall flows in a channel and a diffusor. Extrapolation of the turbulent shear stress measured by two component LDA to the wall matched very well the shear stress measured using the friction balance. Also, the wall shear stress obtained from the balance in the fully developed channel flow agreed with the stress that could be derived from the pressure gradient to within 3%.

  15. Development of a clinical static and dynamic standing balance measurement tool appropriate for use in adolescents.

    Science.gov (United States)

    Emery, Carolyn A; Cassidy, J David; Klassen, Terry P; Rosychuk, Rhonda J; Rowe, Brian B

    2005-06-01

    There is a need in sports medicine for a static and dynamic standing balance measure to quantify balance ability in adolescents. The purposes of this study were to determine the test-retest reliability of timed static (eyes open) and dynamic (eyes open and eyes closed) unipedal balance measurements and to examine factors associated with balance. Adolescents (n=123) were randomly selected from 10 Calgary high schools. This study used a repeated-measures design. One rater measured unipedal standing balance, including timed eyes-closed static (ECS), eyes-open dynamic (EOD), and eyes-closed dynamic (ECD) balance at baseline and 1 week later. Dynamic balance was measured on a foam surface. Reliability was examined using both intraclass correlation coefficients (ICCs) and Bland and Altman statistical techniques. Multiple linear regressions were used to examine other potentially influencing factors. Based on ICCs, test-retest reliability was adequate for ECS, EOD, and ECD balance (ICC=.69, .59, and .46, respectively). The results of Bland and Altman methods, however, suggest that caution is required in interpreting reliability based on ICCs alone. Although both ECS balance and ECD balance appear to demonstrate adequate test-retest reliability by ICC, Bland and Altman methods of agreement demonstrate sufficient reliability for ECD balance only. Thirty percent of the subjects reached the 180-second maximum on EOD balance, suggesting that this test is not appropriate for use in this population. Balance ability (ECS and ECD) was better in adolescents with no past history of lower-extremity injury. Timed ECD balance is an appropriate and reliable clinical measurement for use in adolescents and is influenced by previous injury.

  16. 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.

  17. 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.

  18. A combination of clinical balance measures and FRAX® to improve identification of high-risk fallers.

    Science.gov (United States)

    Najafi, David A; Dahlberg, Leif E; Hansson, Eva Ekvall

    2016-05-03

    The FRAX® algorithm quantifies a patient's 10-year probability of a hip or major osteoporotic fracture without taking an individual's balance into account. Balance measures assess the functional ability of an individual and the FRAX® algorithm is a model that integrates the individual patients clinical risk factors [not balance] and bone mineral density. Thus, clinical balance measures capture aspects that the FRAX® algorithm does not, and vice versa. It is therefore possible that combining FRAX® and clinical balance measures can improve the identification of patients at high fall risk and thereby high fracture risk. Our study aim was to explore whether there is an association between clinical balance measures and fracture prediction obtained from FRAX®. A cross-sectional study design was used where post hoc was performed on a dataset of 82 participants (54 to 89 years of age, mean age 71.4, 77 female), with a fall-related wrist-fracture between 2008 and 2012. Balance was measured by tandem stance, standing one leg, walking in the figure of eight, walking heel to toe on a line, walking as fast as possible for 30 m and five times sit to stand balance measures [tandem stance and standing one leg measured first with open and then with closed eyes] and each one analyzed for bivariate relations with the 10-year probability values for hip and major osteoporotic fractures as calculated by FRAX® using Spearman's rank correlation test. Individuals with high FRAX® values had poor outcome in balance measures; however the significance level of the correlation differed between tests. Standing one leg eyes closed had strongest correlation to FRAX® (0.610 p = balance measures and FRAX®. Hence, the use of clinical balance measures and FRAX® in combination, might improve the identification of individuals with high risk of falls and thereby following fractures. Results enable healthcare providers to optimize treatment and prevention of fall-related fractures. The study has

  19. More quality measures versus measuring what matters: a call for balance and parsimony.

    Science.gov (United States)

    Meyer, Gregg S; Nelson, Eugene C; Pryor, David B; James, Brent; Swensen, Stephen J; Kaplan, Gary S; Weissberg, Jed I; Bisognano, Maureen; Yates, Gary R; Hunt, Gordon C

    2012-11-01

    External groups requiring measures now include public and private payers, regulators, accreditors and others that certify performance levels for consumers, patients and payers. Although benefits have accrued from the growth in quality measurement, the recent explosion in the number of measures threatens to shift resources from improving quality to cover a plethora of quality-performance metrics that may have a limited impact on the things that patients and payers want and need (ie, better outcomes, better care, and lower per capita costs). Here we propose a policy that quality measurement should be: balanced to meet the need of end users to judge quality and cost performance and the need of providers to continuously improve the quality, outcomes and costs of their services; and parsimonious to measure quality, outcomes and costs with appropriate metrics that are selected based on end-user needs.

  20. Validation of measures from the smartphone sway balance application: a pilot study.

    Science.gov (United States)

    Patterson, Jeremy A; Amick, Ryan Z; Thummar, Tarunkumar; Rogers, Michael E

    2014-04-01

    A number of different balance assessment techniques are currently available and widely used. These include both subjective and objective assessments. The ability to provide quantitative measures of balance and posture is the benefit of objective tools, however these instruments are not generally utilized outside of research laboratory settings due to cost, complexity of operation, size, duration of assessment, and general practicality. The purpose of this pilot study was to assess the value and validity of using software developed to access the iPod and iPhone accelerometers output and translate that to the measurement of human balance. Thirty healthy college-aged individuals (13 male, 17 female; age = 26.1 ± 8.5 years) volunteered. Participants performed a static Athlete's Single Leg Test protocol for 10 sec, on a Biodex Balance System SD while concurrently utilizing a mobile device with balance software. Anterior/posterior stability was recorded using both devices, described as the displacement in degrees from level, and was termed the "balance score." There were no significant differences between the two reported balance scores (p = 0.818. Mean balance score on the balance platform was 1.41 ± 0.90, as compared to 1.38 ± 0.72 using the mobile device. There is a need for a valid, convenient, and cost-effective tool to objectively measure balance. Results of this study are promising, as balance score derived from the Smartphone accelerometers were consistent with balance scores obtained from a previously validated balance system. However, further investigation is necessary as this version of the mobile software only assessed balance in the anterior/posterior direction. Additionally, further testing is necessary on a healthy populations and as well as those with impairment of the motor control system. Level 2b (Observational study of validity)(1.)

  1. Measurement of the energy balance in ATC Tokamak

    International Nuclear Information System (INIS)

    Hsuan, H.; Bol, K.; Ellis, R.A.

    1975-01-01

    Gross properties of the energy balance in the ATC tokamak have been investigated. During the quasi-steady state phase of a normal discharge, the major part of the energy loss was found to be the limiters. Radiation and charge-exchange play minor roles during this quasi-steady state phase, but are nevertheless the dominant loss mechanisms at the termination of a discharge; and account for a substantial portion of the stored poloidal magnetic energy associated with the plasma current. (auth)

  2. Measures of static postural control moderate the association of strength and power with functional dynamic balance.

    Science.gov (United States)

    Forte, Roberta; Boreham, Colin A G; De Vito, Giuseppe; Ditroilo, Massimiliano; Pesce, Caterina

    2014-12-01

    Age-related reductions in strength and power are considered to negatively impact balance control, but the existence of a direct association is still an issue of debate. This is possibly due to the fact that balance assessment is complex, reflects different underlying physiologic mechanisms and involves quantitative measurements of postural sway or timing of performance during balance tasks. The present study evaluated the moderator effect of static postural control on the association of power and strength with dynamic balance tasks. Fifty-seven healthy 65-75 year old individuals performed tests of dynamic functional balance (walking speed under different conditions) and of strength, power and static postural control. Dynamic balance performance (walking speed) was associated with lower limb strength and power, as well as postural control under conditions requiring postural adjustments (narrow surface walking r(2) = 0.31, p balance tasks. Practical implications for assessment and training are discussed.

  3. 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.

  4. 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.

  5. Water, Ice, and Meteorological Measurements at South Cascade Glacier, Washington, Balance Years 2004 and 2005

    Science.gov (United States)

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

    2007-01-01

    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 2004 and 2005. The North Cascade Range in the vicinity of South Cascade Glacier accumulated smaller than normal winter snowpacks during water years 2004 and 2005. Correspondingly, the balance years 2004 and 2005 maximum winter snow balances of South Cascade Glacier, 2.08 and 1.97 meters water equivalent, respectively, were smaller than the average of such balances since 1959. The 2004 glacier summer balance (-3.73 meters water equivalent) was the eleventh most negative during 1959 to 2005 and the 2005 glacier summer balance (-4.42 meters water equivalent) was the third most negative. The relatively small winter snow balances and unusually negative summer balances of 2004 and 2005 led to an overall loss of glacier mass. The 2004 and 2005 glacier net balances, -1.65 and -2.45 meters water equivalent, respectively, were the seventh and second most negative during 1953 to 2005. For both balance years, the accumulation area ratio was less than 0.05 and the equilibrium line altitude was higher than the glacier. The unusually negative 2004 and 2005 glacier net balances, combined with a negative balance previously reported for 2003, resulted in a cumulative 3-year net balance of -6.20 meters water equivalent. No equal or greater 3-year mass loss has occurred previously during the more than 4 decades of U.S. Geological Survey mass-balance measurements at South Cascade Glacier. Accompanying the glacier mass losses were retreat of the terminus and reduction of total glacier area. The terminus retreated at a rate of about 17 meters per year during balance year 2004 and 15 meters per year during balance year 2005. Glacier area near the end of balance years 2004 and 2005 was 1.82 and 1.75 square kilometers, respectively. Runoff from the basin containing the glacier and from an adjacent nonglacierized basin was

  6. Do measures of reactive balance control predict falls in people with stroke returning to the community?

    Science.gov (United States)

    Mansfield, A; Wong, J S; McIlroy, W E; Biasin, L; Brunton, K; Bayley, M; Inness, E L

    2015-12-01

    To determine if reactive balance control measures predict falls after discharge from stroke rehabilitation. Prospective cohort study. Rehabilitation hospital and community. Independently ambulatory individuals with stroke who were discharged home after inpatient rehabilitation (n=95). Balance and gait measures were obtained from a clinical assessment at discharge from inpatient stroke rehabilitation. Measures of reactive balance control were obtained: (1) during quiet standing; (2) when walking; and (3) in response to large postural perturbations. Participants reported falls and activity levels up to 6 months post-discharge. Logistic and Poisson regressions were used to identify measures of reactive balance control that were related to falls post-discharge. Decreased paretic limb contribution to standing balance control [rate ratio 0.8, 95% confidence interval (CI) 0.7 to 1.0; P=0.011], reduced between-limb synchronisation of quiet standing balance control (rate ratio 0.9, 95% CI 0.8 to 0.9; Pfall rates when controlling for age, stroke severity, functional balance and daily walking activity. Impaired reactive balance control in standing and walking predicted increased risk of falls post-discharge from stroke rehabilitation. Specifically, measures that revealed the capacity of both limbs to respond to instability were related to increased risk of falls. These results suggest that post-stroke rehabilitation strategies for falls prevention should train responses to instability, and focus on remediating dyscontrol in the more-affected limb. Copyright © 2015 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

  7. 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.

  8. 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.

  9. Limitations of the relative standard deviation of win percentages for measuring competitive balance in sports leagues

    OpenAIRE

    P. Dorian Owen

    2009-01-01

    The relative standard deviation of win percentages, the most widely used measure of within-season competitive balance, has an upper bound which is very sensitive to variation in the numbers of teams and games played. Taking into account this upper bound provides additional insight into comparisons of competitive balance across leagues or over time.

  10. 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

  11. 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.

  12. How many stakes are required to measure the mass balance of a glacier?

    Science.gov (United States)

    Fountain, A.G.; Vecchia, A.

    1999-01-01

    Glacier mass balance is estimated for South Cascade Glacier and Maclure Glacier using a one-dimensional regression of mass balance with altitude as an alternative to the traditional approach of contouring mass balance values. One attractive feature of regression is that it can be applied to sparse data sets where contouring is not possible and can provide an objective error of the resulting estimate. Regression methods yielded mass balance values equivalent to contouring methods. The effect of the number of mass balance measurements on the final value for the glacier showed that sample sizes as small as five stakes provided reasonable estimates, although the error estimates were greater than for larger sample sizes. Different spatial patterns of measurement locations showed no appreciable influence on the final value as long as different surface altitudes were intermittently sampled over the altitude range of the glacier. Two different regression equations were examined, a quadratic, and a piecewise linear spline, and comparison of results showed little sensitivity to the type of equation. These results point to the dominant effect of the gradient of mass balance with altitude of alpine glaciers compared to transverse variations. The number of mass balance measurements required to determine the glacier balance appears to be scale invariant for small glaciers and five to ten stakes are sufficient.

  13. 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...

  14. 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

  15. 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 point excursion measures all demonstrated excellent test-retest reliability (ICC = 0.90, 0.85, and 0.77, respectively), whereas moderate to good reliability was found for SOT vestibular ratio score (ICC = 0.71). There was large variability in performance in this healthy elderly cohort, resulting in relatively large MDC95 for these measures, especially for the LOS test. 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

  16. 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...

  17. 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.

  18. 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 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.

  19. 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)

  20. Development of Static Balance Measurement and Correction Compound Platform for Single Blade of Controllable Pitch Propeller

    Science.gov (United States)

    Chao, Zhang; Shijie, Su; Yilin, Yang; Guofu, Wang; Chao, Wang

    2017-11-01

    Aiming at the static balance of the controllable pitch propeller (CPP), a high efficiency static balance method based on the double-layer structure of the measuring table and gantry robot is adopted to realize the integration of torque measurement and corrected polish for controllable pitch propeller blade. The control system was developed by Microsoft Visual Studio 2015, and a composite platform prototype was developed. Through this prototype, conduct an experiment on the complete process of torque measurement and corrected polish based on a 300kg class controllable pitch propeller blade. The results show that the composite platform can correct the static balance of blade with a correct, efficient and labor-saving operation, and can replace the traditional method on static balance of the blade.

  1. 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.

  2. Perceptions of decisional uutonomy of Turkish adolescents and their parents

    Directory of Open Access Journals (Sweden)

    Nermin Celen

    2006-12-01

    Full Text Available This study attempted to investigate decisional autonomy in Turkish adolescents from 12 to 18 years. The Perspectives on Adolescent Decision Making (PADM questionnaire was administered to 372 middle class adolescents who attend middle and high schools and to their parents. The PADM assess if adolescents decide for themselves, or parents impose restrictions or adolescents and parents have arguments about the topic. MANOVA analyzes were used. Results showed that affirmative answers increased with age. From adolescent and parents' perspectives adolescent decisional autonomy grows with age, parental control decreases, conflicts between them tended to decrease, on the perspective of parents. There was minor gender differences: girls have higher level of decisional autonomy; boys experience more conflict. Adolescents' decisional autonomy expectations tended to be higher than those of parents. Fathers' and mothers' perspectives on decisional autonomy were very similar. The results support the new family model proposed by Kaðýtçýbaþý.

  3. 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.

  4. 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.

  5. Preliminary measurements on heat balance in pneumatic tires

    Science.gov (United States)

    Nybakken, G. H.; Collart, D. Y.; Staples, R. J.; Lackey, J. I.; Clark, S. K.; Dodge, R. N.

    1973-01-01

    A variety of tests was undertaken to determine the nature of heat generation associated with a pneumatic tire operating under various conditions. Tests were conducted to determine the magnitude and distribution of internally generated heat caused by hysteresis in the rubber and ply fabric in an automobile tire operating under conditions of load, pressure, and velocity representative of normal operating conditions. These included tests at various yaw angles and tests with braking applied. In other tests, temperature sensors were mounted on a road to measure the effect of a tire rolling over and an attempt was made to deduce the magnitude and nature of interfacial friction from the resulting information. In addition, tests were performed using the scratch plate technique to determine the nature of the motion between the tire and road. Finally, a model tire was tested on a roadwheel, the surface covering which could be changed, and an optical pyrometer was used to measure rubber surface temperatures.

  6. 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.

  7. 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

    , 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...

  8. 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...

  9. 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...

  10. 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.

  11. 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...

  12. A Systematic Review of Aquatic Exercise Programs on Balance Measures in Older Adults

    OpenAIRE

    Foster, Shayla Diane

    2015-01-01

    There are a variety of studies performed using aquatic exercise programs to evaluate balance measures using a case-control or pretest-posttest method on healthy young populations (Geytenbeek, 2002). Balance can be defined as either static; maintenance of an upright posture and stance or dynamic; posture adaption and maintenance control of movements and stability (Rose & Clark, 2000). An aquatic exercise program will henceforth be defined as any acute or chronic exercises performed in water wi...

  13. Water, ice, and meteorological measurements at South Cascade glacier, Washington, balance year 2003

    Science.gov (United States)

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

    2005-01-01

    Winter snow accumulation and summer snow and ice ablation were measured at South Cascade Glacier, Washington, to estimate glacier mass-balance quantities for balance year 2003. The 2003 glacier-average maximum winter snow balance was 2.66 meters water equivalent, which was about equal to the average of such balances for the glacier since balance year 1959. The 2003 glacier summer balance (-4.76 meters water equivalent) was the most negative reported for the glacier, and the 2003 net balance (-2.10 meters water equivalent), was the second-most negative reported. The glacier 2003 annual (water year) balance was -1.89 meters water equivalent. The area of the glacier near the end of the balance year was 1.89 square kilometers, a decrease of 0.03 square kilometer from the previous year. The equilibrium-line altitude was higher than any part of the glacier; however, because snow remained along part of one side of the upper glacier, the accumulation-area ratio was 0.07. During September 13, 2002-September 13, 2003, the glacier terminus retreated at a rate of about 15 meters per year. Average speed of surface ice, computed using a series of vertical aerial photographs dating back to 2001, ranged from 2.2 to 21.8 meters per year. Runoff from the subbasin containing the glacier and from an adjacent non-glacierized basin was gaged during part of water year 2003. Air temperature, precipitation, atmospheric water-vapor pressure, wind speed, and incoming solar radiation were measured at selected locations on and near the glacier. Summer 2003 at the glacier was among the warmest for which data are available.

  14. 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.

  15. Creating An Excel-Based Balanced Scorecard to Measure Performance of Colleges of Agriculture

    OpenAIRE

    Nefstead, Ward E.; Gillard, Steve A.

    2006-01-01

    The use of Balanced Scorecards to measure the attainment of strategic objectives has been used for a number of years in industry (Kaplan and Norton, Harvard Business School). Only recently has this analysis been extended to educational and other service organizations. Even more recently has software been available to map and measure the attainment of these objectives.

  16. 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,

  17. 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

  18. 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.

  19. Water, ice, and meteorological measurements at South Cascade Glacier, Washington, balance year 2002

    Science.gov (United States)

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

    2004-01-01

    Winter snow accumulation and summer snow and ice ablation were measured at South Cascade Glacier, Washington, to estimate glacier mass balance quantities for balance year 2002. The 2002 glacier-average maximum winter snow balance was 4.02 meters, the second largest since 1959. The 2002 glacier summer, net, and annual (water year) balances were -3.47, 0.55, and 0.54 meters, respectively. The area of the glacier near the end of the balance year was 1.92 square kilometers, and the equilibrium-line altitude and the accumulation area ratio were 1,820 meters and 0.84, respectively. During September 20, 2001 to September 13, 2002, the terminus retreated 4 meters, and computed average ice speeds in the ablation area ranged from 7.8 to 20.7 meters per year. Runoff from the subbasin containing the glacier and from an adjacent non-glacierized basin were measured during part of the 2002 water year. Air temperature, precipitation, atmospheric water-vapor pressure, wind speed and incoming solar radiation were measured at selected locations near the glacier.

  20. Reliability of cervical lordosis and global sagittal spinal balance measurements in adolescent idiopathic scoliosis.

    Science.gov (United States)

    Vidal, Christophe; Ilharreborde, Brice; Azoulay, Robin; Sebag, Guy; Mazda, Keyvan

    2013-06-01

    Radiological reproducibility study. To assess intra and interobserver reliability of radiographic measurements for global sagittal balance parameters and sagittal spine curves, including cervical spine. Sagittal spine balance in adolescent idiopathic scoliosis (AIS) is a main issue and many studies have been reported, showing that coronal and sagittal deformities often involve sagittal cervical unbalance. Global sagittal balance aims to obtain a horizontal gaze and gravity line at top of hips when subject is in a static position, involving adjustment of each spine curvature in the sagittal plane. To our knowledge, no study did use a methodologically validated imaging analysis tool able to appreciate sagittal spine contours and distances in AIS and especially in the cervical region. Lateral full-spine low-dose EOS radiographs were performed in 75 patients divided in three groups (control subjects, AIS, operated AIS). Three observers digitally analyzed twice each radiograph and 11 sagittal measures were collected for each image. Reliability was assessed calculating intraobserver Pearson's r correlation coefficient, interobserver intra-class correlation coefficient (ICC) completed with a two-by-two Bland-Altman plot analysis. This measurement method has shown excellent intra and interobserver reliability in all parameters, sagittal curvatures, pelvic parameters and global sagittal balance. This study validated a simple and efficient tool in AIS sagittal contour analysis. It defined new relevant landmarks allowing to characterize cervical segmental curvatures and cervical involvement in global balance.

  1. 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

  2. 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

  3. 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

  4. 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.

  5. Creation of virtual reality stimulus for a psychophysiological body balance measurement

    Directory of Open Access Journals (Sweden)

    Tero Alatalo

    2008-11-01

    Full Text Available Tero Alatalo1, Martti Juhola1, Veikko Surakka1,2, Timo Tossavainen11Department of Computer Sciences, University of Tampere, Tampere, Finland; 2Department of Clinical Neurophysiology, Tampere University Hospital, Tampere, FinlandAbstract: Virtual reality methods and equipment can be used to create stimulations for several psychophysiological measurements. Such stimulations can be flexibly modified and their versatility is wide; in principle even such could be prepared that are not possible in the real physical world like virtual flying in the space. For the generation of virtual reality stimulations we constructed a three-dimensional (3D graphics engine to measure body balance variations in response to emotional stimulation. The stimulation was implemented as a virtual reality scene, where the subject watched a street view with a human figure approaching the subject at a constant speed. The functioning of the system was tested by measuring body balance variations while the approaching figure’s facial expression was angry, neutral, or happy. The results showed that our young, healthy subjects were slightly, but still statistically significantly affected by the stimulation of the approaching figure. Thus, the whole system offers a tool for controlled experimental studies for analyzing body balance, for example, during stimulating approach-withdrawal behavior. There are several opportunities to further develop new visual psychophysiological stimulations and test forms.Keywords: virtual reality stimulations, signal analysis, body balance measurements, approachwithdrawal behavior, emotions

  6. Instrumented Measurement of Balance and Postural Control in Individuals with Lower Limb Amputation: A Critical Review

    Science.gov (United States)

    Jayakaran, Prasath; Johnson, Gillian M.; Sullivan, S. John; Nitz, Jennifer C.

    2012-01-01

    Measurement of balance and postural performance that underpins activities of daily living is important in the rehabilitation of individuals with a lower limb amputation (LLA), and there are a number of methods and strategies available for this purpose. To provide an evidence-based choice of approach, this review aims to critically review the tasks…

  7. 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...

  8. 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)

  9. 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…

  10. 26 CFR 801.1 - Balanced performance measurement system; in general.

    Science.gov (United States)

    2010-04-01

    ... general. 801.1 Section 801.1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY... WITHIN THE INTERNAL REVENUE SERVICE § 801.1 Balanced performance measurement system; in general. (a) In general. (1) The regulations in this part 801 implement the provisions of sections 1201 and 1204 of the...

  11. 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

  12. A longitudinal study investigating the role of decisional conflicts and regret and short-term psychological adjustment after IVF treatment failure.

    Science.gov (United States)

    Chan, Celia Hoi Yan; Lau, Hi Po Bobo; Tam, Michelle Yi Jun; Ng, Ernest Hung Yu

    2016-12-01

    What is the relationship between decisional conflict, decisional regret and psychological well-being in women following unsuccessful IVF cycles? The mediating effect of decisional regret on the relationship between decisional conflict and fertility-related quality of life (FRQOL) has been found to be moderated by the availability (versus absence) of frozen embryos after an unsuccessful IVF cycle. Infertility treatment is marked by its open-ended nature. Stresses in treatment decision-making could be aggravated by a culture which honours families through procreation. While studies have investigated treatment-related decision-making among infertile women, little is known about the mental health consequences of decisional conflict and decisional regret following an unsuccessful IVF cycle. A study was conducted over a 3-month period with infertile women who had recently experienced a failed IVF cycle (T 0 ). Decisional conflict when they decided on terminating or continuing treatment (T 1 ) and decisional regret 3 months later (T 2 ) were measured. Participants reported their levels of depression, anxiety and FRQOL at three time points. A total of 151 participants completed all time points (attrition rate: 39%). The average age of participants was 37.2 years, and they had had 1.1 cycles (range: 0-8) on average at the time of study intake. The duration of the study was 2 years. Participants were infertile women who were not pregnant following an IVF cycle recruited from a university-affiliated assisted reproduction centre. Following the notification of a negative pregnancy result, patients were invited to complete measures of FRQOL, depression and anxiety across three time points and decisional conflict and decisional regret at T 1 and T 2 respectively. Decisional regret partially mediated the effect of decisional conflict on overall and treatment-specific FRQOL (P IVF cycle (P IVF cycle. Healthcare professionals should be aware of the psychological ramifications of

  13. 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

    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 ....... We find the Soret coefficient per unit length of DNA at various ionic strengths. It agrees, with novel precision, with results obtained in bulk for DNA too short to shield itself and with the thermodynamic model of thermophoresis.......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...

  14. 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

  15. 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...

  16. 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%.

  17. Instagram Likes for Architectural Photos Can Be Predicted by Quantitative Balance Measures and Curvature

    Directory of Open Access Journals (Sweden)

    Katja Thömmes

    2018-06-01

    Full Text Available “3,058 people like this.” In the digital age, people very commonly indicate their preferences by clicking a Like button. The data generated on the photo-sharing platform Instagram potentially represents a vast, freely accessible resource for research in the field of visual experimental aesthetics. Therefore, we compiled a photo database using images of five different Instagram accounts that fullfil several criteria (e.g., large followership, consistent content. The final database consists of about 700 architectural photographs with the corresponding liking data generated by the Instagram community. First, we aimed at validating Instagram Likes as a potential measure of aesthetic appeal. Second, we checked whether previously studied low-level features of “good” image composition also account for the number of Instagram Likes that architectural photographs received. We considered two measures of visual balance and the preference for curvature over angularity. In addition, differences between images with “2D” vs. “3D” appearance became obvious. Our findings show that visual balance predicts Instagram Likes in more complex “3D” photographs, with more balance meaning more Likes. In the less complex “2D” photographs the relation is reversed, more balance led to fewer Likes. Moreover, there was a general preference for curvature in the Instagram database. Together, our study illustrates the potential of using Instagram Likes as a measure of aesthetic appeal and provides a fruitful methodological basis for future research.

  18. 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.

  19. Global Particle Balance Measurements in DIII-D H-mode Discharges

    International Nuclear Information System (INIS)

    Unterberg, Ezekial A.; Allen, S.L.; Brooks, N.; Evans, T.E.; Leonard, A.W.; McLean, A.; Watkins, J.G.; Whyte, D.G.

    2011-01-01

    Experiments are performed on the DIII-D tokamak to determine the retention rate in an all graphite first-wall tokamak. A time-dependent particle balance analysis shows a majority of the fuel retention occurs during the initial Ohmic and L-mode phase of discharges, with peak fuel retention rates typically similar to 2 x 10(21) D/s. The retention rate can be zero within the experimental uncertainties (<3 x 10(20) D/s) during the later stationary phase of the discharge. In general, the retention inventory can decrease in the stationary phase by similar to 20-30% from the initial start-up phase of the discharge. Particle inventories determined as a function of time in the discharge, using a 'dynamic' particle balance analysis, agree with more accurate particle inventories directly measured after the discharge, termed 'static' particle balance. Similarly, low stationary retention rates are found in discharges with heating from neutral-beams, which injects particles, and from electron cyclotron waves, which does not inject particles. Detailed analysis of the static and dynamic balance methods provide an estimate of the DIII-D global co-deposition rate of <= 0.6-1.2 x 10(20) D/s. Dynamic particle balance is also performed on discharges with resonant magnetic perturbation ELM suppression and shows no additional retention during the ELM-suppressed phase of the discharge.

  20. 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.

  1. 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.

  2. 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

  3. Inductance analyzer based on auto-balanced circuit for precision measurement of fluxgate impedance

    Science.gov (United States)

    Setiadi, Rahmondia N.; Schilling, Meinhard

    2018-05-01

    An instrument for fluxgate sensor impedance measurement based on an auto-balanced circuit has been designed and characterized. The circuit design is adjusted to comply with the fluxgate sensor characteristics which are low impedance and highly saturable core with very high permeability. The system utilizes a NI-DAQ card and LabVIEW to process the signal acquisition and evaluation. Some fixed reference resistances are employed for system calibration using linear regression. A multimeter HP 34401A and impedance analyzer Agilent 4294A are used as calibrator and validator for the resistance and inductance measurements. Here, we realized a fluxgate analyzer instrument based on auto-balanced circuit, which measures the resistance and inductance of the device under test with a small error and much lower excitation current to avoid core saturation compared to the used calibrator.

  4. 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

  5. Power loss measurement of implantable wireless power transfer components using a Peltier device balance calorimeter

    International Nuclear Information System (INIS)

    Leung, Ho Yan; Budgett, David M; Taberner, Andrew; Hu, Patrick

    2014-01-01

    Determining heat losses in power transfer components operating at high frequencies for implantable inductive power transfer systems is important for assessing whether the heat dissipated by the component is acceptable for implantation and medical use. However, this is a challenge at high frequencies and voltages due to limitations in electronic instrumentation. Calorimetric methods of power measurement are immune to the effects of high frequencies and voltages; hence, the measurement is independent of the electrical characteristics of the system. Calorimeters have been widely used to measure the losses of high power electrical components (>50 W), however it is more difficult to perform on low power components. This paper presents a novel power measurement method for components dissipating anywhere between 0.2 W and 1 W of power based on a heat balance calorimeter that uses a Peltier device as a balance sensor. The proposed balance calorimeter has a single test accuracy of ±0.042 W. The experimental results revealed that there was up to 35% difference between the power measurements obtained with electrical methods and the proposed calorimeter. (paper)

  6. 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)

  7. 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.

  8. 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.

  9. 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

  10. 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.

  11. 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.

  12. 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.

  13. 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

    2018-07-01

    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

  14. Cavity-enhanced Faraday rotation measurement with auto-balanced photodetection.

    Science.gov (United States)

    Chang, Chia-Yu; Shy, Jow-Tsong

    2015-10-01

    Optical cavity enhancement for a tiny Faraday rotation is demonstrated with auto-balanced photodetection. This configuration is analyzed using the Jones matrix formalism. The resonant rotation signal is amplified, and thus, the angular sensitivity is improved. In the experiment, the air Faraday rotation is measured with an auto-balanced photoreceiver in single-pass and cavity geometries. The result shows that the measured Faraday rotation in the single-pass geometry is enhanced by a factor of 85 in the cavity geometry, and the sensitivity is improved to 7.54×10(-10)  rad Hz(-1/2), which agrees well with the Jones matrix analysis. With this verification, we propose an AC magnetic sensor whose magnetic sensitivity is expected to achieve 10  pT Hz(-1/2).

  15. 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.

  16. 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

  17. 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.

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

    OpenAIRE

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

    2017-01-01

    [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. ...

  19. Measuring and modeling the temporal dynamics of nitrogen balance in an experimental-scale paddy field

    Science.gov (United States)

    Tseng, C.; Lin, Y.

    2013-12-01

    Nitrogen balance involves many mechanisms and plays an important role to maintain the function of nature. Fertilizer application in agriculture activity is usually seen as a common and significant nitrogen input to environment. Improper fertilizer application on paddy field can result in great amount of various types of nitrogen losses. Hence, it is essential to understand and quantify the nitrogen dynamics in paddy field for fertilizer management and pollution control. In this study, we develop a model which considers major transformation processes of nitrogen (e.g. volatilization, nitrification, denitrification and plant uptake). In addition, we measured different types of nitrogen in plants, soil and water at plant growth stages in an experimental-scale paddy field in Taiwan. The measurement includes total nitrogen in plants and soil, and ammonium-N (NH4+-N), nitrate-N (NO3--N) and organic nitrogen in water. The measured data were used to calibrate the model parameters and validate the model for nitrogen balance simulation. The results showed that the model can accurately estimate the temporal dynamics of nitrogen balance in paddy field during the whole growth stage. This model might be helpful and useful for future fertilizer management and pollution control in paddy field.

  20. La Táctica deportiva y la toma de decisiones

    OpenAIRE

    López Ros, Víctor; Sargatal, Jordi; Jiménez Sánchez, Ana Concepción; Mouchet, Alain; Castejón Oliva, Francisco Javier; Terrisse, André; Lago Peñas, Carlos

    2010-01-01

    Este libro recoge las conferencias de las IV Jornadas de la Cátedra de Deporte y Educación Física de la UdG y I Seminario Internacional de táctica y técnica deportiva, dedicadas a "la táctica deportiva y la toma de decisiones ". En el planteamiento de este libro el lector encontrará, fundamentalmente, ideas y reflexiones alrededor del proceso de la toma de decisiones en los deportes colectivos. Desde nuestro punto de vista, este tema es especialmente trascendente en la comunidad científica de...

  1. 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.

  2. Measure Guideline. Steam System Balancing and Tuning for Multifamily Residential Buildings

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Jayne [Partnership for Advanced Residential Retrofit (PARR), Chicago, IL (United States); Ludwig, Peter [Partnership for Advanced Residential Retrofit (PARR), Chicago, IL (United States); Brand, Larry [Partnership for Advanced Residential Retrofit (PARR), Chicago, IL (United States)

    2013-04-01

    This guideline provides building owners, professionals involved in multifamily audits, and contractors insights for improving the balance and tuning of steam systems. It provides readers an overview of one-pipe steam heating systems, guidelines for evaluating steam systems, typical costs and savings, and guidelines for ensuring quality installations. It also directs readers to additional resources for details not included here. Measures for balancing a distribution system that are covered include replacing main line vents and upgrading radiator vents. Also included is a discussion on upgrading boiler controls and the importance of tuning the settings on new or existing boiler controls. The guideline focuses on one-pipe steam systems, though many of the assessment methods can be generalized to two-pipe steam systems.

  3. 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

  4. CUES - A Study Site for Measuring Snowpack Energy Balance in the Sierra Nevada

    Science.gov (United States)

    Bair, Edward; Dozier, Jeff; Davis, Robert; Colee, Michael; Claffey, Keran

    2015-09-01

    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 give an

  5. 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.

  6. A double pendulum plasma thrust balance and thrust measurement at a tandem mirror exhaust

    International Nuclear Information System (INIS)

    Yang, T.F.; Liu, P.; Chang-Diaz, F.R.; Lander, H.; Childs, R.A.; Becker, H.D.; Fairfax, S.A.

    1995-01-01

    For the purpose of measuring the plasma momentum flux in a plasma system, a highly sensitive and precision balance has been developed. It can measure a force, an impulse, or thrust as low as 0.1 mN free of mechanical noise, electrical and magnetic pickups. The double pendulum system consists of two parallel conducting plates. One or both of the plates can be suspended by needles. The needle suspended plate (or plates) can swing freely with negligible friction because of the sharp points of the needles. When one of the plates is impacted by an impulse it will swing relatively to the fixed plate or other movable plate. The capacitance between the plates changes as a result of such a motion. The change of capacitance as a function of time is recorded as an oscillating voltage signal. The amplitude of such a voltage signal is proportional to the impacting force or impulse. The proportional factor can be calibrated. The forces can thus be read out from the recorded value of the voltage. The equation of motion for the pendulum system has been solved analytically. The circuit equation for the electronic measurement system has been formulated and solved numerically. Using this balance the thrust at the exhaust of a Tandem Mirror plasma thruster has been measured. The analytical solution of the overall characteristics agrees greatly with the measurement. copyright 1995 American Institute of Physics

  7. 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

  8. 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)

  9. Representativeness of regional and global mass-balance measurement networks (Invited)

    Science.gov (United States)

    Cogley, J. G.; Moholdt, G.; Gardner, A. S.

    2013-12-01

    We showed in a recent publication that regional estimates of glacier mass budgets, obtained by interpolation from in-situ measurements, were markedly more negative than corresponding estimates by satellite gravimetry (GRACE) and satellite altimetry (ICESat) during 2003-2009. Examining the ICESat data in more detail, we found that in-situ records tend to be located in areas where glaciers are thinning more rapidly than as observed in their regional surroundings. Because neither GRACE nor ICESat can provide information for times before 2002-2003, and may not operate without interruption in the future, we explore possible explanations of and remedies for the identified bias in the in-situ network. Sparse spatial sampling, coupled with previously undetected spatial variability of mass balance at scales between the 10-km in-situ scale and the 350-km gravimetric scale, appears to be the leading explanation. Satisfactory remedies are not obvious. Selecting glaciers for in-situ measurement that are more representative will yield only incremental improvements. There appears to be no alternative to mass-balance modelling as a versatile tool for estimation of regional mass balance. However the meteorological data for forcing the surface components of glacier models have coarser resolution than is desirable and are themselves uncertain, especially in the remote regions where much of the glacier ice is found. Measurements of frontal (dynamic) mass changes are still difficult, and modelling of these changes remains underdeveloped in spite of recent advances. Thus research on a broad scale is called for in order to meet the challenge of producing more accurate hindcasts and projections of glacier mass budgets with fine spatial and temporal resolution.

  10. 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.

  11. Using an SLR inversion to measure the mass balance of Greenland before and during GRACE

    Science.gov (United States)

    Bonin, Jennifer

    2016-04-01

    The GRACE mission has done an admirable job of measuring large-scale mass changes over Greenland since its launch in 2002. However before that time, measurements of large-scale ice mass balance were few and far between, leading to a lack of baseline knowledge. High-quality Satellite Laser Ranging (SLR) data existed a decade earlier, but normally has too low a spatial resolution to be used for this purpose. I demonstrate that a least squares inversion technique can reconstitute the SLR data and use it to measure ice loss over Greenland. To do so, I first simulate the problem by degrading today's GRACE data to a level comparable with SLR, then demonstrating that the inversion can re-localize Greenland's contribution to the low-resolution signal, giving an accurate time series of mass change over all of Greenland which compares well with the full-resolution GRACE estimates. I then utilize that method on the actual SLR data, resulting in an independent 1994-2014 time series of mass change over Greenland. I find favorable agreement between the pure-SLR inverted results and the 2012 Ice-sheet Mass Balance Inter-comparison Exercise (IMBIE) results, which are largely based on the "input-output" modeling method before GRACE's launch.

  12. [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.

  13. 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.

  14. 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

  15. 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.

  16. 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.

  17. Comparison of Glaciological and Gravimetric Glacier Mass Balance Measurements of Taku and Lemon Creek Glaciers, Southeast Alaska

    Science.gov (United States)

    Vogler, K.; McNeil, C.; Bond, M.; Getraer, B.; Huxley-Reicher, B.; McNamara, G.; Reinhardt-Ertman, T.; Silverwood, J.; Kienholz, C.; Beedle, M. J.

    2017-12-01

    Glacier-wide annual mass balances (Ba) have been calculated for Taku (726 km2) and Lemon Creek glaciers (10.2 km2) since 1946 and 1953 respectively. These are the longest mass balance records in North America, and the only Ba time-series available for Southeast Alaska, making them particularly valuable for the global glacier mass balance monitoring network. We compared Ba time-series from Taku and Lemon Creek glaciers to Gravity Recovery and Climate Experiment (GRACE) mascon solutions (1352 and 1353) during the 2004-2015 period to assess how well these gravimetric solutions reflect individual glaciological records. Lemon Creek Glacier is a challenging candidate for this comparison because it is small compared to the 12,100 km2 GRACE mascon solutions. Taku Glacier is equally challenging because its mass balance is stable compared to the negative balances dominating its neighboring glaciers. Challenges notwithstanding, a high correlation between the glaciological and gravimetrically-derived Ba for Taku and Lemon Creek glaciers encourage future use of GRACE to measure glacier mass balance. Additionally, we employed high frequency ground penetrating radar (GPR) to measure the variability of accumulation around glaciological sites to assess uncertainty in our glaciological measurements, and the resulting impact to Ba. Finally, we synthesize this comparison of glaciological and gravimetric mass balance solutions with a discussion of potential sources of error in both methods and their combined utility for measuring regional glacier change during the 21st century.

  18. 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)

  19. Count rate balance method of measuring sediment transport of sand beds by radioactive tracers

    International Nuclear Information System (INIS)

    Sauzay, G.

    1968-01-01

    Radioactive tracers are applied to the direct measurement of the sediment transport rate of sand beds. The theoretical measurement formula is derived: the variation of the count rate balance is inverse of that of the transport thickness. Simultaneously the representativeness of the tracer is critically studied. The minimum quantity of tracer which has to be injected in order to obtain a correct statistical definition of count rate given by a low number of grains 'seen' by the detector is then studied. A field experiment was made and has let to study the technological conditions for applying this method: only the treatment of results is new, the experiment itself is carried out with conventional techniques applied with great care. (author) [fr

  20. Importance measures and genetic algorithms for designing a risk-informed optimally balanced system

    International Nuclear Information System (INIS)

    Zio, Enrico; Podofillini, Luca

    2007-01-01

    This paper deals with the use of importance measures for the risk-informed optimization of system design and management. An optimization approach is presented in which the information provided by the importance measures is incorporated in the formulation of a multi-objective optimization problem to drive the design towards a solution which, besides being optimal from the points of view of economics and safety, is also 'balanced' in the sense that all components have similar importance values. The approach allows identifying design systems without bottlenecks or unnecessarily high-performing components and with test/maintenance activities calibrated according to the components' importance ranking. The approach is tested at first against a multi-state system design optimization problem in which off-the-shelf components have to be properly allocated. Then, the more realistic problem of risk-informed optimization of the technical specifications of a safety system of a nuclear power plant is addressed

  1. 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.

  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. Toma de decisiones y aprendizaje en agentes artificiales inteligentes

    OpenAIRE

    Ferretti, Edgardo; Sosa Toranzo, Cecilia; Aguirre, Guillermo; Loyola, Juan Martín; Cagnina, Leticia; Errecalde, Marcelo Luis

    2016-01-01

    Este artículo describe, brevemente, las tareas de investigación y desarrollo que se están llevando a cabo en la línea de investigación “Toma de decisiones y aprendizaje automático” en el marco del proyecto “Aprendizaje automático y toma de decisiones en sistemas inteligentes para la Web”. Esta línea se centra en la formalización, diseño y desarrollo de modelos formales y mecanismos para la implementación de sistemas basados en Agentes Inteligentes. En particular, se hace especial hincapié en ...

  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. Performance Measurement Using Balanced Scorecard Concept On Co-Operatives Implication In Indonesia

    Directory of Open Access Journals (Sweden)

    Ernita

    2015-08-01

    Full Text Available Abstract This study aims to apply the concept of balanced scorecards in measurement of co-operatives performance based on vision and mission. So far the assessment of co-operative performance in Indonesia is not take into account the social hold co-operative while co-operatives carrying a dual mission. Research conducted in in North Sumatera Province in Indonesia. The sample consisting of one hundred co-operatives that are still active run annual members meeting. Co-operative performance was assessed based on its fourth perspective i.e. membership financial internal process and learning amp growth. The indicator key of cooperative performance was determined by taking into account the performance assessment on co-operatives as articulated of State Minister for Co-operatives and SMEs No.129KEPMKUMKMXI2002 and the regulations of the State Minister for Co-operatives and SME No.06PerM.KUKMV2006. Therefore this research were contributed a method in assessing co-operative performance using Balanced Scorecard concept with the four perspective namely membership perspective financial perspective internal process perspective and learning amp growth perspective.

  6. 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.

  7. Measuring and modeling carbon balance in mountainous Northern Rocky mixed conifer forests

    Science.gov (United States)

    Hudiburg, T. W.; Berardi, D.; Stenzel, J.

    2016-12-01

    Drought and wildfire caused by changing precipitation patterns, increased temperatures, increased fuel loads, and decades of fire suppression are reducing forest carbon uptake from local to continental scales. This trend is especially widespread in Idaho and the intermountain west and has important implications for climate change and forest management options. Given the key role of forests in climate regulation, understanding forest response to drought and the feedbacks to the atmosphere is a key research and policy-relevant priority globally. As temperature, fire, and precipitation regimes continue to change and there is increased risk of forest mortality, measurements and modeling at temporal and spatial scales that are conducive to understanding the impacts and underlying mechanisms of carbon and nutrient cycling become critically important. Until recently, sub-daily measurements of ecosystem carbon balance have been limited in remote, mountainous terrain (e.g Northern Rocky mountain forests). Here, we combine new measurement technology and state-of-the-art ecosystem modeling to determine the impact of drought on the total carbon balance of a mature, mixed-conifer forest in Northern Idaho. Our findings indicate that drought had no impact on aboveground NPP, despite early growing season reductions in soil moisture and fine root biomass compared to non-drought years in the past. Modeled estimates of net ecosystem production (NEP) suggest that a simultaneous reduction in heterotrophic respiration increased the carbon sink for this forest. This has important implications for forest management, such as thinning where the objectives are to increase forest resilience to fire and drought, but may decrease NEP.

  8. 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.

  9. Demencia tipo Alzheimer, deterioro cognitivo y toma de decisiones

    Directory of Open Access Journals (Sweden)

    Aurora Moreno

    2011-04-01

    Full Text Available El objetivo de este trabajo es el de conocer cómo es la toma de decisiones en la Demencia Tipo Alzheimer (DTA en situaciones de incertidumbre, si se manifiesta la tendencia al riesgo o no, y la relación que guarda la ejecución con el status cognitivo en cada una de las áreas evaluadas por los test de cribado del deterioro cognitivo propios de las demencias. Participaron 10 pacientes con DTA, y comparados con 10 sujetos controles. Se utilizó la Prueba Cartas (basada en la Iowa Gambling Task, donde los sujetos deben elegir entre varias opciones que entrañan más o menos riesgo, y una batería de cribado del deterioro cognitivo. Los resultados reflejaron que los sujetos con DTA en etapas iniciales presentan cierta tendencia al riesgo en las decisiones que toman y no desarrollan patrones estratégicos de elección. Parece que el deterioro cognitivo y el grado de afectación en las distintas áreas se relaciona con la forma en que toman decisiones.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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 (<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 under controlled, dynamic

  15. 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.

  16. 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

  17. Modelo decisional proactivo en sistemas ecológicos (modepec.

    Directory of Open Access Journals (Sweden)

    Pedro Tolón Estarelles

    2007-07-01

    Full Text Available Los sistemas económicos y sociales son de tipo ecológico, y se pueden enmarcar en modelos de sistemas complejos de tipo DYSES (Dynamic Social and Economic Systems. No son  explicables o predecibles satisfactoriamente  con modelos determinísticos, pues, en general obedecen a procesos evolutivos de carácter estocástico, respondiendo en su interacción con el medio al segundo principio de la termodinámica en el sentido de la irreversibilidad (falta de simetría temporal y aumento de la entropía. MODEPEC © es un modelo que postula una metodología que asegura  un proceso  de formulación de criterios  para mejorar continuamente la calidad en la toma  de decisiones en sistemas ecológico-social-económicos. Los conceptos esenciales del modelo se enuncian seguidamente: 1-. Existencia de una Ecuación de Estado (EE Un sistema ecológico tiene un  comportamiento dinámico posible de ser representado mediante una ecuación de estado en cualquier intervalo de tiempo dado. 2-. Estimación de una política óptima (PO Es posible estimar  un conjunto óptimo de decisiones (política óptima. 3-. Contrato sobre estado deseable  (CED En la comunidad  social y económica de tipo ecológico, es posible acordar un diseño de estado ideal deseable, constituido a partir de un contrato sustentable a largo plazo entre las partes. 4-. Genotipo Decisional Planificado (GDP Es posible establecer un proceso racional de toma de decisiones, en este caso, el Genotipo Decisional Planificado  (GDP; capaz de asegurar niveles crecientes de calidad en la determinación de criterios para evaluación y adopción de cursos de acción en pos del logro de un estado deseado (ED tomado como propósito o contrato. The economic and social systems are of ecological type, and they are possible to be framed in models of complex systems of type SDES (Social Dynamic and Economic Systems. They are not explicable or predictable satisfactorily with deterministic models, then

  18. 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.

  19. 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

    2018-05-01

    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.

  20. 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.

  1. 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...... process that has limited accuracy. Currently, our group is developing a novel method to accurately determine the water balance in a PEMFC in real time by employing hot-wire anemometry. The amount of heat transferred from the wire to the anode exhaust stream can be translated into a voltage signal which...

  2. 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.

  3. Well-being as a moving target: measurement equivalence of the Bradburn Affect Balance Scale.

    Science.gov (United States)

    Maitland, S B; Dixon, R A; Hultsch, D F; Hertzog, C

    2001-03-01

    Although the Bradburn Affect Balance scale (ABS) is a frequently used two-factor indicator of well-being in later life, its measurement and invariance properties are not well documented. We examined these issues using confirmatory factor analyses of cross-sectional (adults ages 54-87 years) and longitudinal data from the Victoria Longitudinal Study. Stability of the positive and negative affect factors was moderate across a 3-year period. Overall, factor loadings for positive affect items were invariant over time with the exception of the pleased item. Negative affect items were time invariant. However, age-group comparisons between young-old and old-old groups revealed age differences in loadings for the upset item at Time 1. Finally, gender groups differed in loadings for the top of the world and going your way items. Thus a pattern of partial measurement equivalence characterized item response to the ABS. Our results suggest that group comparisons and longitudinal change in ABS scale scores of positive and negative affect should be interpreted with caution.

  4. 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

  5. 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.

  6. 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

  7. 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.

  8. 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 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.

  9. THE INTELLECTUAL CAPITAL STATEMENT AND THE BALANCED SCORECARD AS COMPLEMENTARY MODELS IN MEASURING FIRM INTANGIBLES

    Directory of Open Access Journals (Sweden)

    Veltri Stefania

    2011-12-01

    Full Text Available The purpose of this paper is to examine the role of two different new management tool, the Balanced Scorecard (BSC and the Intellectual Capital Report (ICR in managing and reporting intangibles. Unlike the majority of IC scholars the author, and consistently with Bukh et al. (2005, the author starts from the idea that BSC and ICR are not alternative, but complementary tools in measuring intangibles, addressing different needs for firms that measure, manage and report intangibles. The research hypothesis of the paper will be demonstrated through the analysis of a case study of an Italian group which use both intangibles reporting systems. A case study methodology has been chosen, given that it is widely used by researchers and provide the basis for the application of ideas and extension of methods (Yin, 1994. Intercos group has been chosen to test the research hypothesis, since it makes use of both models in measuring and reporting intangibles. The study of the case Intercos group found evidence that the two types of extended reporting are different and yet complementary and that both tools are necessary for firm in measuring IC, since they address different aims. This includes therefore a marked difference in use of indicators, given that IC indicators in the ICR have to support the overall aims derived by company's strategy, while BSC indicators provides a breakdown of strategic goals with respect to profitability, growth etc. The contribution of the paper to the IC literature is to extend the findings of the Bukh et al.s (2003 study, investigating the hypothesis (and finding evidence that BSC and ICR are complementary in reporting intangibles in an Italian group. Implications of the paper are for company's manager, who increase the awareness that they have at their disposal two management tools, with address different aims, to manage intangibles.

  10. 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

  11. Surface energy balance and turbulence measurements on Warszawa Icefield, King George Island, West Antarctica

    Science.gov (United States)

    Falk, U.; Sala, H.; Braun, M.

    2012-12-01

    The Antarctic Peninsula is amongst the fastest warming places on Earth and further temperature increase is to be expected. It has undergone rapid environmental changes in the past decades. Exceptional rates of surface air temperature increases (2.5K in 50 years) are concurrent with retreating glacier fronts, an increase in melt areas, surface lowering and rapid retreat of glaciers, break-up and disintegration of ice shelves. The South Shetland Islands are located on the northern tip of the Antarctic Peninsula and are especially vulnerable to climate change due to their maritime climate. For King George Island we have compiled a unique data set comprising direct measurements of evaporation and sensible heat flux by eddy covariance on the Warszawa Icefield over 1.5 years from November 2010 to 2012 in combination with a fully equipped automated weather station measuring long- and short-wave radiation components, profiles of temperature, humidity and wind velocities as well as glacier ice temperatures. The combination with the eddy covariance data allows for analysis of variability and seasonality of surface energy balance components on a glacier for one and a half years. Repeat measurements of snow accumulation and surface lowering along transects on the glacier and at different locations on King George Island are used for analysis of multi-sensor satellite data to identify melt patterns and bare ice areas during summer within the source area of the ground measurements. In combination with long-term time series of weather data, these data give indication of the sensitivity of the ice cap to the ongoing changes. This research is part of the ESF project IMCOAST funded by BMBF. Field work was carried out at the Dallmann laboratory (Carlini station, King George Island/Isla 25 de Mayo) in cooperation of the Instituto Antartico Argentino (Argentina) and the Alfred-Wegener Institute of Marine and Polar Research (Germany).

  12. Development of an indirect counterbalanced pendulum optical-lever thrust balance for micro- to millinewton thrust measurement

    International Nuclear Information System (INIS)

    Grubišić, A N; Gabriel, S B

    2010-01-01

    This paper describes the design and testing of an indirect hanging pendulum thrust balance using a laser-optical-lever principle to provide micro- to millinewton thrust measurement for the development of electric propulsion systems. The design philosophy allows the selection of the total thrust range in order to maximize resolution through a counterbalanced pendulum principle, as well as passive magnetic damping in order to allow relatively rapid transient thrust measurement. The balance was designed for the purpose of hollow cathode microthruster characterization, but could be applied to other electric propulsion devices in the thrust range of micro- to millinewtons. An initial thrust characterization of the T5 hollow cathode is presented

  13. 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

    INTRODUCTION: 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. 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...

  14. 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.

  15. 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...

  16. 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

  17. Development of a Theory-Based Intervention to Increase Clinical Measurement of Reactive Balance in Adults at Risk of Falls.

    Science.gov (United States)

    Sibley, Kathryn M; Brooks, Dina; Gardner, Paula; Janaudis-Ferreira, Tania; McGlynn, Mandy; OʼHoski, Sachi; McEwen, Sara; Salbach, Nancy M; Shaffer, Jennifer; Shing, Paula; Straus, Sharon E; Jaglal, Susan B

    2016-04-01

    Effective balance reactions are essential for avoiding falls, but are not regularly measured by physical therapists. Physical therapists report wanting to improve reactive balance assessment, and theory-based approaches are recommended as the foundation for the development of interventions. This article describes how a behavior change theory for health care providers, the theoretical domains framework (TDF), was used to develop an intervention to increase reactive balance measurement among physical therapists who work in rehabilitation settings and treat adults who are at risk of falls. We employed published recommendations for using the TDF-guided intervention development. We identified what health care provider behavior is in need of change, relevant barriers and facilitators, strategies to address them, and how we would measure behavior change. In this case, identifying strategies required selecting both a reactive balance measure and behavior change techniques. Previous research had determined that physical therapists need to increase reactive balance measurement, and identified barriers and facilitators that corresponded to 8 TDF domains. A published review informed the selection of the Balance Evaluation Systems Test (Reactive Postural Responses Section) as addressing the barriers and facilitators, and existing research informed the selection of 9 established behavior change techniques corresponding to each identified TDF domain. The TDF framework were incorporated into a 12-month intervention with interactive group sessions, local champions, and health record modifications. Intervention effect can be evaluated using health record abstraction, questionnaires, and qualitative semistructured interviews. Although future research will evaluate the intervention in a controlled study, the process of theory-based intervention development can be applied to other rehabilitation research contexts, maximizing the impact of this work.Video Abstract is available for more

  18. 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.

  19. 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.

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

    Directory of Open Access Journals (Sweden)

    Kurji Karim

    2009-05-01

    Full Text Available Abstract Background 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. Discussion 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? Summary 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.

  1. What is a “good” treatment decision?: Decisional control, knowledge, treatment decision-making, and quality of life in men with clinically localized prostate cancer

    Science.gov (United States)

    Orom, Heather; Biddle, Caitlin; Underwood, Willie; Nelson, Christian J.; Homish, D. Lynn

    2016-01-01

    Objective We explored whether active patient involvement in decision making and greater patient knowledge are associated with better treatment decision making experiences and better quality of life (QOL) among men with clinically localized prostate cancer. Localized prostate cancer treatment decision-making is an advantageous model for studying patient treatment decision-making dynamics as there are multiple treatment options and a lack of empirical evidence to recommend one over the other; consequently, it is recommended that patients be fully involved in making the decision. Methods Men with newly diagnosed clinically localized prostate cancer (N=1529) completed measures of decisional control, prostate cancer knowledge, and their decision-making experience (decisional conflict, and decision-making satisfaction and difficulty) shortly after they made their treatment decision. Prostate cancer-specific QOL was assessed 6-months after treatment. Results More active involvement in decision making and greater knowledge were associated with lower decisional conflict and higher decision-making satisfaction, but greater decision-making difficulty. An interaction between decisional control and knowledge revealed that greater knowledge was only associated with greater difficulty for men actively involved in making the decision (67% of sample). Greater knowledge, but not decisional control predicted better QOL 6-months post-treatment. Conclusion Although men who are actively involved in decision making and more knowledgeable may make more informed decisions, they could benefit from decisional support (e.g., decision-making aids, emotional support from providers, strategies for reducing emotional distress) to make the process easier. Men who were more knowledgeable about prostate cancer and treatment side effects at the time they made their treatment decision may have appraised their QOL as higher because they had realistic expectations about side effects. PMID:26957566

  2. Decisional style, mood and work communication: email diaries.

    Science.gov (United States)

    Shirren, S; Phillips, J G

    2011-10-01

    To understand the use of technology to support interpersonal interaction, a theory of decisional style was applied to email use within the workplace. Previous research has used self-report and rating scales to address employee email behaviours, but this falls short of management's capability to monitor the actual behaviour. Thirty-nine employed individuals completed a five-day communication diary recording their actual behaviour upon receiving personal and work-related emails as well as the Melbourne Decision Making Questionnaire and the Depression Anxiety Stress Scales. It was found that vigilant individuals were more likely to use email in an efficient manner by deleting personal email and being less likely to open email later. Procrastinators, buckpassers and people experiencing high levels of negative affect were all more likely to delay dealing with email, which could be viewed as dealing with email in a less efficient manner. STATEMENT OF RELEVANCE: This work offers insights as to how people receive and process emails and is thus relevant to the development and implementation of collaborative technologies. Whilst other studies use individual's self-reports, this study uses a more accurate communication diary. Decisional style can predict the monitoring and response to electronic communication.

  3. 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.

  4. Work-Family Balancing and Working Time: What Measures are Available to Canadian Workers and What Measures should Employers Develop?

    OpenAIRE

    Diane-Gabrielle Tremblay; Elmustapha Najem; Renaud Paquet

    2007-01-01

    This article examines work-family balance. Data from the Workplace and Employee Survey (WES) was used to assess the overall situation of this phenomenon in Canada. Representative statistical data was used to determine to what extent employers have taken the work-family challenge into account. Our data indicate that the progress observed regarding the social debate on work-family balance has not necessarily translated into a marked improvement in facilitating conditions in workplaces and that ...

  5. Decline in measured glomerular filtration rate is associated with a decrease in endurance, strength, balance and fine motor skills.

    Science.gov (United States)

    Hellberg, Matthias; Höglund, Peter; Svensson, Philippa; Abdulahi, Huda; Clyne, Naomi

    2017-07-01

    Physical performance in chronic kidney disease affects morbidity and mortality. The aim was to find out which measures of physical performance are important in chronic kidney disease (CKD) and if there are associations with declining measured glomerular filtration rate (GFR). Endurance was assessed by 6 min walk test (6-MWT) and stair climbing, muscular endurance by 30 s sit to stand, heel rises and toe lifts, strength by quadriceps- and handgrip-strength, balance by functional reach and Berg's balance scale, and fine motor skills by Moberg's picking-up test. GFR was measured by Iohexol clearance. The study comprised 101 patients with CKD 3b-5 not started dialysis, 40 women and 61 men, with a mean age of 67 ± 13 (range: 22 - 87) years. All measures of physical performance were impaired. A decrease in GFR of 10 mL/min per 1.73 m 2 corresponded to a 35 metre shorter walking distance in the 6-MWT. Multivariable linear regression analysis showed significant relationships between decline in GFR and the 6-MWT (P = 0.04), isometric quadriceps strength left (P = 0.04), balance measured as functional reach (P = 0.02) and fine motor skills in the left hand as measured by Moberg's picking-up test (P = 0.01), respectively, after sex, age, comorbidity and the interaction between sex and age had been taken into account. Endurance, muscular endurance, strength, balance and fine motor skills were impaired in patients with CKD 3b-5. Walking capacity, isometric quadriceps strength, balance, and fine motor skills were associated with declining GFR. The left extremities were more susceptible to GFR, ageing and comorbidities and seem thus to be more sensitive. © 2016 Asian Pacific Society of Nephrology.

  6. Interpreting seasonal changes in the carbon balance of southern Amazonia using measurements of XCO2 and chlorophyll fluorescence from GOSAT

    NARCIS (Netherlands)

    Parazoo, Nicholas C.; Bowman, Kevin; Frankenberg, Christian; Lee, Jung-Eun; Fisher, Joshua B.; Worden, John; Jones, Dylan B. A.; Berry, Joseph; Collatz, G. James; Baker, Ian T.; Jung, Martin; Liu, Junjie; Osterman, Gregory; O'Dell, Chris; Sparks, Athena; Butz, Andre; Guerlet, Sandrine; Yoshida, Yukio; Chen, Huilin; Gerbig, Christoph

    2013-01-01

    Amazon forests exert a major influence on the global carbon cycle, but quantifying the impact is complicated by diverse landscapes and sparse data. Here we examine seasonal carbon balance in southern Amazonia using new measurements of column-averaged dry air mole fraction of CO2 (XCO2) and solar

  7. 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.

  8. 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

  9. Energy balance measurements over a small reservoir in Ghana's Upper East Region

    Science.gov (United States)

    van de Giesen, Nick; Ohene Annor, Frank

    2013-04-01

    Near the small village of Binaba (10.778927 deg N, 0.464859 deg E), a small irrigation reservoir has been instrumented to measure different parts of the energy balance of this water body. Instruments were placed on, or attached to, a spar platform. This platform consisted of a long PVC pipe, the spar, which is closed at the bottom. On the PVC pipe rests an aluminum frame platform that carries instrumentation and solar power panel. In turn, the platform rests partially on a large inflated tire. At the bottom of the PVC pipe, lead weights and batteries were placed to ensure a very low point of gravity to minimize wave impact on the platform movement. The tire ensures a large second moment of the water plane. The combination of large second momentum of the water plane and small displacement, ensures a high placement of the metacenter. The distance between the point of gravity and the metacenter is relatively long and the weight is large due to the weights and batteries. This ensures that the eigenfrequency of the platform is very low. On the platform, we fixed a WindMaster Pro (sonic anemometer for 3D wind speed and air temperature to perform eddy covariance measurements of sensible heat flux), a NR Lite (net radiometer), and air temperature and relative humidity sensors. Water temperature at different depths was measured with a string of TidbiT's (waterproof temperature sensors and loggers). The platform had a wind vane and the spar could turn freely around its anchor cable to ensure that the anemometer always faced upwind. A compass in the logger completed this setup. First results suggest, as expected, that the sensible heat flux is relatively small with on average 20 W/m2 over the course of a day. Sensible heat flux peaked around midnight at 35 W/m2, when the warm water warmed up the air from the colder surrounding land. The dynamics of heat storage during the daytime and longwave radiation during the night time, are important to calculate the latent heat flux.

  10. 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

    In order to accurately determine the water balance of a proton exchange membrane fuel cell it has recently been suggested to employ constant temperature anemometry (CTA), a frequently used method to measure the velocity of a fluid stream. CTA relies on convective heat transfer around a heated wire...... the equations required to calculate the heat transfer coefficient and the resulting voltage signal as function of the fuel cell water balance. The most critical and least understood part is the determination of the Nusselt number to calculate the heat transfer between the wire and the gas stream. Different...... expressions taken from the literature will be examined in detail, and it will be demonstrated that the power-law approach suggested by Hilpert is the only useful one for the current purposes because in this case the voltage response from the hot-wire sensor E/E0 shows the same dependency to the water balance...

  11. Test-retest reliability and minimal detectable change of two simplified 3-point balance measures in patients with stroke.

    Science.gov (United States)

    Chen, Yi-Miau; Huang, Yi-Jing; Huang, Chien-Yu; Lin, Gong-Hong; Liaw, Lih-Jiun; Lee, Shih-Chieh; Hsieh, Ching-Lin

    2017-10-01

    The 3-point Berg Balance Scale (BBS-3P) and 3-point Postural Assessment Scale for Stroke Patients (PASS-3P) were simplified from the BBS and PASS to overcome the complex scoring systems. The BBS-3P and PASS-3P were more feasible in busy clinical practice and showed similarly sound validity and responsiveness to the original measures. However, the reliability of the BBS-3P and PASS-3P is unknown limiting their utility and the interpretability of scores. We aimed to examine the test-retest reliability and minimal detectable change (MDC) of the BBS-3P and PASS-3P in patients with stroke. Cross-sectional study. The rehabilitation departments of a medical center and a community hospital. A total of 51 chronic stroke patients (64.7% male). Both balance measures were administered twice 7 days apart. The test-retest reliability of both the BBS-3P and PASS-3P were examined by intraclass correlation coefficients (ICC). The MDC and its percentage over the total score (MDC%) of each measure was calculated for examining the random measurement errors. The ICC values of the BBS-3P and PASS-3P were 0.99 and 0.97, respectively. The MDC% (MDC) of the BBS-3P and PASS-3P were 9.1% (5.1 points) and 8.4% (3.0 points), respectively, indicating that both measures had small and acceptable random measurement errors. Our results showed that both the BBS-3P and the PASS-3P had good test-retest reliability, with small and acceptable random measurement error. These two simplified 3-level balance measures can provide reliable results over time. Our findings support the repeated administration of the BBS-3P and PASS-3P to monitor the balance of patients with stroke. The MDC values can help clinicians and researchers interpret the change scores more precisely.

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

    Science.gov (United States)

    Levine, James A.

    2015-01-01

    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. PMID:22230703

  13. 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.

  14. 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

  15. 32 CFR 865.121 - Complaints concerning decisional documents and index entries.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Complaints concerning decisional documents and index entries. 865.121 Section 865.121 National Defense Department of Defense (Continued) DEPARTMENT OF... Board § 865.121 Complaints concerning decisional documents and index entries. Former members of the Air...

  16. 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

  17. 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

  18. 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

  19. 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.

  20. Perceived decisional responsibility for mechanical ventilation and weaning

    DEFF Research Database (Denmark)

    Haugdahl, Hege S; Storli, Sissel; Rose, Louise

    2014-01-01

    AIM: To explore variability in perceptions of nurse managers and physician directors regarding roles, responsibilities and clinical-decision making related to mechanical ventilator weaning in Norwegian intensive care units (ICUs). BACKGROUND: Effective teamwork is crucial for providing optimal...... patient care in ICU. More knowledge on nurses' and physicians' perceptions of responsibility in clinical decision-making for mechanical ventilation is needed. METHODS: Self-administered survey of mechanical ventilation and weaning responsibilities was sent to nurse managers and physician directors...... of Norwegian adult ICUs. Nurses' decisional influence and autonomy were estimated on a numeric rating scale (NRS) from 0 to 10 (least to most). RESULTS: Response rate was 38/60 (63%) nurses and 38/52 (73%) physicians. On the NRS nurse managers perceived the autonomy and influence of nurses' ventilator...

  1. Treatment-related decisional conflict in patients with depressive and anxious disorders

    Directory of Open Access Journals (Sweden)

    De las Cuevas C

    2016-06-01

    Full Text Available Carlos De las Cuevas,1 Ramsés Marrero,1 Casimiro Cabrera21Department of Internal Medicine, Dermatology and Psychiatry, University of La Laguna, San Cristóbal de La Laguna, Canary Islands, Spain; 2Department of Psychiatry, Queen’s University, Kingston, ON, CanadaPurpose: To determine the level of treatment-related decisional conflict in patients with emotional disorders and to establish its relationship with sociodemographic and clinical variables.Methods: We conducted a cross-sectional survey on a convenience sample of 321 consecutive psychiatric outpatients with emotional disorders. All patients completed self-report questionnaires assessing sociodemographic and clinical variables, patients’ preference of participation in decision making, perceived decisional conflict about treatment, adherence to prescribed treatment, and satisfaction with the psychiatric care provided. Multiple correspondences analysis was used to investigate relationships of decisional conflict with the variables of interest.Results: Approximately, two-thirds of psychiatric outpatients self-reported decisional conflict regarding their treatment. Interestingly, the presence of decisional conflict did not influence significantly patients’ preferences of participation or their adherence to prescribed treatment. Patients without decisional conflict registered significantly higher satisfaction. Multiple correspondences analysis evidenced two clear profiles: patients without decisional conflict received the treatment they preferred, mainly psychotherapy or combined treatment, had been under psychiatric treatment for longer than 5 years, and self-reported high satisfaction with health care received; on the other hand, patients with decisional conflict did not receive the treatment they preferred, were treated with pharmacotherapy alone for a period of time between 1 and 5 years, and self-reported medium satisfaction with received health care.Conclusion: The high level of

  2. 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.

  3. The Mean as the Balance Point: Thought Experiments with Measuring Sticks

    Science.gov (United States)

    Flores, A.

    2008-01-01

    This article presents activities to help students establish a connection between the mean and the balance point of a lever. The lever and its law are discussed briefly. Thought experiments with a meterstick are presented to emphasize different properties of the mean and weighted averages. (Contains 16 figures.)

  4. 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…

  5. Measurement instruments to assess posture, gait, and balance in Parkinson's disease: Critique and recommendations

    NARCIS (Netherlands)

    Bloem, B.R.; Marinus, J.; Almeida, Q.; Dibble, L.; Nieuwboer, A.; Post, B.; Ruzicka, E.; Goetz, C.; Stebbins, G.; Martinez-Martin, P.; Schrag, A.

    2016-01-01

    BACKGROUND: Disorders of posture, gait, and balance in Parkinson's disease (PD) are common and debilitating. This MDS-commissioned task force assessed clinimetric properties of existing rating scales, questionnaires, and timed tests that assess these features in PD. METHODS: A literature review was

  6. 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.

  7. 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.

  8. 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 validity (Spearman 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 on the Kinect camera for measuring balance, posture and side-bending has poor psychometric properties, indicating that the variables on balance and posture should not be used for monitoring individual changes over time or in research. Future research on the dynamic tasks of Qinematic™ is warranted.

  9. Gait and Balance Measures Can Identify Change From a Cerebrospinal Fluid Tap Test in Idiopathic Normal Pressure Hydrocephalus.

    Science.gov (United States)

    Gallagher, Ryan; Marquez, Jodie; Osmotherly, Peter

    2018-04-25

    To identify in patients with idiopathic normal pressure hydrocephalus (iNPH) undergoing a cerebrospinal fluid (CSF) tap test (TT) for consideration of a ventricular peritoneal (VP) shunt: (1) gait and balance measures, which identify symptom change; (2) differences present between pre- and post-CSF TT scores between patients classified as responders and nonresponder; (3) ability of patients with iNPH to accurately quantify change in their gait and balance symptoms from a CSF TT. Prospective observational study. Post-CSF TT assessment was completed 2-4 hours post. Tertiary referral neurological and neurosurgical hospital. Patients (N=74) with iNPH receiving a 30 mL CSF TT for consideration of a VP shunt. Patients underwent a battery of gait and balance measures pre- and post-CSF TT and indicated their perceived change on a global rating of change (GRC). Patients deemed to improve and offered VP shunt insertion by a neurologist or neurosurgeon were labeled responders. Performance oriented mobility assessment (Tinetti), Berg Balance Scale (BBS), timed Up and Go (TUG), 10-meter walk test (10MWT), GRC. Forty patients were classified responders, 34 nonresponders. Significant differences were identified for responders: Tinetti (3.88 points), TUG (3.98 seconds), 10MWT (0.08 m/sec), and BBS (5.29 points). Significant differences were found for nonresponders for the Tinetti (0.91 points) and BBS (2.06 points). Change scores for responders and nonresponders were significantly different for all tests between responders and nonresponders. GRC scores for gait (+2 for responders, 0 for nonresponders) and balance (+2.5 for responders, 0 for nonresponders) were both significantly different. The Tinetti, BBS, and TUG can identify change in patients undergoing a CSF TT for iNPH. Patients appear to be able to accurately identify if change has occurred. Copyright © 2018 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  10. 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.

  11. 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...... is investigated, and a modified radiation efficiency formula that includes the cavity loss is introduced. Moreover, a modification of the technique is proposed that involves the antenna working complex environment inside the Wheeler Cap and thus makes possible measurement of an antenna close to a hand or head...

  12. Modeling, Simulation, and Measurement of Balanced Antipodal Vivaldi (BAV) Antennas for Fully Polarimetric Forward-Looking Ground-Penetrating Radar (FLGPR) Receive Channels

    Science.gov (United States)

    2017-08-01

    Current Vivaldi Elements and Replacement Antennas Considered The majority of the design process was conducted through modeling and simulation ...ARL-TR-8111 ● AUG 2017 US Army Research Laboratory Modeling, Simulation , and Measurement of Balanced Antipodal Vivaldi (BAV...ARL-TR-8111 ● AUG 2017 US Army Research Laboratory Modeling, Simulation , and Measurement of Balanced Antipodal Vivaldi (BAV) Antennas for

  13. 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...

  14. The application of balanced scorecards in the performance measurement of a large communication corporation in China

    OpenAIRE

    Qiu, FC

    2015-01-01

    This thesis explores the application of the Balanced Scorecard (BSC) as a means employee appraisal in Chinese state-owned enterprises (SOEs). In the earlier documents, it was found that BSCs were not successful. This thesis examines the reasons why the BSC has not worked as a method of appraising individual employees. Operational, capability and cultural systems are the three perspectives used to study the performance of the employee BSC. In addition, this thesis attempts to restructure a new...

  15. The Association Between Body Adiposity Measures, Postural Balance, Fear of Falling, and Fall Risk in Older Community-Dwelling Women.

    Science.gov (United States)

    Neri, Silvia Gonçalves Ricci; Gadelha, André Bonadias; de David, Ana Cristina; Ferreira, Aparecido Pimentel; Safons, Marisete Peralta; Tiedemann, Anne; Lima, Ricardo M

    2017-12-07

    Recent investigations demonstrate an association between obesity and the propensity of older adults to fall. The aim of this study was to investigate the association between body adiposity measures, postural balance, fear of falling, and risk of falls in older women. One hundred forty-seven volunteers took part in this cross-sectional study. Participants underwent body composition assessment using dual-energy x-ray absorptiometry and had body mass index, waist circumference (WC), and body adiposity index measured. Postural balance was assessed using a force platform, while fear of falling and risk of falls were, respectively, evaluated by the Falls Efficacy Scale-International and the QuickScreen Clinical Falls Risk Assessment. All adiposity measures were correlated to at least 1 postural stability parameter and to fear of falling (ρ= 0.163, P risk of falls (ρ= 0.325; P falling (28.04 vs 24.59; P = .002) and had a higher proportion of individuals with increased fall risk (72% vs 35%; P risk of falls in older women, which might be mediated by reduced postural balance and increased fear of falling. Among these indices, WC, an easy and low-cost assessment, demonstrated the strongest association with falls-related outcomes.

  16. Quantitative Balance and Gait Measurement in Patients with Frontotemporal Dementia and Alzheimer Diseases: A Pilot Study.

    Science.gov (United States)

    Velayutham, Selva Ganapathy; Chandra, Sadanandavalli Retnaswami; Bharath, Srikala; Shankar, Ravi Girikamatha

    2017-01-01

    Alzhiemers disease and Frontotemporal dementia are common neurodegenerative dementias with a wide prevalence. Falls are a common cause of morbidity in these patients. Identifying subclinical involvement of these parameters might serve as a tool in differential analysis of these distinct parameters involved in these conditions and also help in planning preventive strategies to prevent falls. Eight patients in age and gender matched patients in each group were compared with normal controls. Standardizes methods of gait and balance aseesment were done in all persons. Results revealed subclinical involvement of gait and balancesin all groups specially during divided attention. The parameters were significantly more affected in patients. Patients with AD and FTD had involement of over all ambulation index balance more affected in AD patients FTD patients showed step cycle, stride length abnormalities. There is balance and gait involvement in normal ageing as well as patients with AD and FTD. The pattern of involvement in AD correlates with WHERE pathway involvement and FTD with frontal subcortical circuits involvement. Identification the differential patterns of involvement in subclinical stage might help to differentiate normal ageing and the different types of cortical dementias. This could serve as an additional biomarker and also assist in initiating appropriate training methods to prevent future falls.

  17. Hydrogen permeation measurement of the reduced activation ferritic steel F82H by the vacuum thermo-balance method

    International Nuclear Information System (INIS)

    Yoshida, Hajime; Enoeda, Mikio; Abe, Tetsuya; Akiba, Masato

    2005-03-01

    Hydrogen permeation fluxes of the reduced activation ferritic steel F82H were quantitatively measured by a newly proposed method, vacuum thermo-balance method, for a precise estimation of tritium leakage in a fusion reactor. We prepared sample capsules made of F82H, which enclosed hydrogen gas. The hydrogen in the capsules permeated through the capsule wall, and subsequently desorbed from the capsule surface during isothermal heating. The vacuum thermo-balance method allows simultaneous measurement of the hydrogen permeation flux by two independent methods, namely, the net weight reduction of the sample capsule and exhaust gas analysis. Thus the simultaneous measurements by two independent methods increase the reliability of the permeability measurement. When the gas pressure of enclosed hydrogen was 0.8 atm at the sample temperature of 673 K, the hydrogen permeation flux of F82H obtained by the net weight reduction and the exhaust gas analysis was 0.75x10 18 (H 2 /m 2 s) and 2.2x10 18 (H 2 /m 2 s), respectively. The ratio of the hydrogen permeation fluxes obtained by the net weight reduction to that measured by the exhaust gas analysis was in the range from 1/4 to 1/1 in this experiment. The temperature dependence of the estimated permeation flux was similar in both methods. Taking the uncertainties of both measurements into consideration, both results are supposed to be consistent. The enhancement of hydrogen permeation flux was observed from the sample of which outer surface was mechanically polished. Through the present experiments, it has been demonstrated that the vacuum thermo-balance method is effective for the measurement of hydrogen permeation rate of F82H. (author)

  18. 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.

  19. Corrosion product balances for the Ringhals PWR plants based on extensive fuel crud and water chemistry measurements

    International Nuclear Information System (INIS)

    Lundgren, K.; Wikmark, G.; Bengtsson, B.

    2010-01-01

    The corrosion product balance in a PWR plant is of great importance for the fuel performance as well as for the radiation field buildup. This balance is of special concern in connection to steam generator replacement (SGR) and power uprate projects. The Ringhals PWRs are all of Westinghouse design. Two of the plants have performed Steam Generator Replacement (SGR) to I-690 SG tubes and such a replacement is being planned in the third and last unit in 2011. Two of the units are in different phases of power uprate projects. The plants are all on 10-14-months cycles operating with medium to high fuel duty. Water chemistry is controlled by a pH300 in the range ∼7.2 to 7.4 from beginning of cycle to end of cycle (BOC-EOC) in the units with new SGs while kept at a coordinated pH of 7.2 in the one still using I-600. The maximum Li content has recently been increased to about 4.5 to 5 ppm in all units. In order to be able to improve the assessment of corrosion product balances in the plants, comprehensive fuel crud measurements were performed in 2007. Improved integrated reactor water sampling techniques have also been introduced in order to make accurate mass balances possible. The corrosion products covered in the study are the main constituents, Ni, Fe and Cr in the primary circuit Inconel and stainless steel, together with Co. The activated corrosion products, Co-58, Co-60, Cr-51, Fe-59 and Mn-54, are all mainly produced through neutron irradiation of the covered corrosion products. The main results of the corrosion product balances are presented. Observed differences between the plants, indicating significant impact of pH control and SG tube materials, are presented and discussed. The importance of accurate sampling techniques is especially addressed in this paper. (author)

  20. 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 performance of our estimated EBalbody against the traditional EBalinout method. From 76 Danish Holstein and Jersey cows, parity 1 or 2+, on a glycogenic or ketogenic TMR, BW was measured automatically at each milking, using a weighing platform installed in an automated milking system. From within milking......, 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...

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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 sensor...... can be directly converted into the fuel cell water balance. In this work an ex-situ experimental investigation is performed to examine the effect of the wire diameter and the outlet pipe diameter on the voltage signal. For a laboratory fuel cell where the mass flow rate the anode outlet is small...... number Nu range between m = 0.137 and m = 0.246. In general, it is shown that applying hot wire anemometry yields in fact very clear voltage readings with high frequency, and it can be used as a diagnosis tool in various fuel cell applications....

  7. Processes governing the mass balance of Chhota Shigri Glacier (western Himalaya, India) assessed by point-scale surface energy balance measurements

    OpenAIRE

    Azam, M. F.; Wagnon, P.; Vincent, C.; Ramanathan, AL.; Favier, V.; Mandal, A.; Pottakkal, J. G.

    2014-01-01

    Some recent studies revealed that Himalayan glaciers were shrinking at an accelerated rate since the beginning of the 21st century. However, the climatic causes for this shrinkage remain unclear given that surface energy balance studies are almost nonexistent in this region. In this study, a point-scale surface energy balance analysis was performed using in situ meteorological data from the ablation zone of Chhota Shigri Glacier over two separate periods (August 2012 to February 2013 and July...

  8. 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

  9. 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

  10. BCG-vaccination of newborns – a descriptive study about shared decision making and decisional conflicts

    DEFF Research Database (Denmark)

    Thybo Pihl, Gitte

    BCG-vaccination of newborns – a descriptive study about shared decision making and decisional conflicts Objective: To evaluate the use of shared decision making to support the parent in a low-evidence decision about a vaccine when using telephone consultations. The present study was conducted........ The principles included promoting trust through transparency and creating “shared minds” regarding uncertainties about the evidence. O’Connor’s Decisional Conflict Scale was used to identify decisional conflicts after the process of shared decision making. Findings: A decisional conflict score was obtained...... on the phone based on their need and wishes, this uncertainty about the best choice might reflect the principle of letting parents make an autonomous decision in combination with low evidence for the benefits of BCG. The process of sharing responsibility and the impact of the health care providers’ attitude...

  11. 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.

  12. 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

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

    Science.gov (United States)

    Saito, Masatoshi

    2007-11-01

    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:T1 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/cm2 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.

  14. 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

  15. 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.

  16. Intelligent Decisional Assistant that Facilitate the Choice of a Proper Computer System Applied in Busines

    OpenAIRE

    Nicolae MARGINEAN

    2009-01-01

    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 ...

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

    OpenAIRE

    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 ...

  18. The Aachen Mobility and Balance Index to measure physiological falls risk: a comparison with the Tinetti POMA Scale.

    Science.gov (United States)

    Knobe, M; Giesen, M; Plate, S; Gradl-Dietsch, G; Buecking, B; Eschbach, D; van Laack, W; Pape, H-C

    2016-10-01

    The most commonly used mobility assessments for screening risk of falls among older adults are rating scales such as the Tinetti performance oriented mobility assessment (POMA). However, its correlation with falls is not always predictable and disadvantages of the scale include difficulty to assess many of the items on a 3-point scale and poor specificity. The purpose of this study was to describe the ability of the new Aachen Mobility and Balance Index (AMBI) to discriminate between subjects with a fall history and subjects without such events in comparison to the Tinetti POMA Scale. For this prospective cohort study, 24 participants in the study group and 10 in the control group were selected from a population of patients in our hospital who had met the stringent inclusion criteria. Both groups completed the Tinetti POMA Scale (gait and balance component) and the AMBI (tandem stance, tandem walk, ten-meter-walk-test, sit-to-stand with five repetitions, 360° turns, timed-up-and-go-test and measurement of the dominant hand grip strength). A history of falls and hospitalization in the past year were evaluated retrospectively. The relationships among the mobility tests were examined with Bland-Altmananalysis. Receiver-operated characteristics curves, sensitivity and specificity were calculated. The study showed a strong negative correlation between the AMBI (17 points max., highest fall risk) and Tinetti POMA Scale (28 points max., lowest fall risk; r = -0.78, p control group. However, there were no differences in any of the mobility and balance measurements between participants with and without a fall history with equal characteristics in test comparison (AMBI vs. Tinetti POMA Scale: AUC 0.570 vs. 0.598; p = 0.762). The Tinetti POMA Scale (cut-off 5 points). The AMBI comprises mobility and balance tasks with increasing difficulty as well as a measurement of the dominant hand-grip strength. Its ability to identify fallers was comparable to the Tinetti POMA

  19. 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.

  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. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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...

  6. The Role of Health Care Provider and Partner Decisional Support in Patients' Cancer Treatment Decision-Making Satisfaction.

    Science.gov (United States)

    Palmer-Wackerly, Angela L; Krieger, Janice L; Rhodes, Nancy D

    2017-01-01

    Cancer patients rely on multiple sources of support when making treatment decisions; however, most research studies examine the influence of health care provider support while the influence of family member support is understudied. The current study fills this gap by examining the influence of health care providers and partners on decision-making satisfaction. In a cross-sectional study via an online Qualtrics panel, we surveyed cancer patients who reported that they had a spouse or romantic partner when making cancer treatment decisions (n = 479). Decisional support was measured using 5-point, single-item scales for emotional support, informational support, informational-advice support, and appraisal support. Decision-making satisfaction was measured using Holmes-Rovner and colleagues' (1996) Satisfaction With Decision Scale. We conducted a mediated regression analysis to examine treatment decision-making satisfaction for all participants and a moderated mediation analysis to examine treatment satisfaction among those patients offered a clinical trial. Results indicated that partner support significantly and partially mediated the relationship between health care provider support and patients' decision-making satisfaction but that results did not vary by enrollment in a clinical trial. This study shows how and why decisional support from partners affects communication between health care providers and cancer patients.

  7. Balanced framework for measuring performance of supply chains in house building

    NARCIS (Netherlands)

    Halman, Johannes I.M.; Voordijk, Johannes T.

    2012-01-01

    Despite its importance, performance measurement of supply chains of house building firms has not received much attention yet in academic literature. The objective of this study is to develop a framework to measure this performance. In a first step, a comprehensive framework is developed composed of

  8. 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

  9. 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

  10. 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

  11. 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.

  12. 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 biofeedback system, the COP parameters decreased significantly (p biofeedback systems for improving balance in people with sensory deficits.

  13. Atmospheric CO2 measurements reveal strong drought sensitivity of Amazonian carbon balance

    Science.gov (United States)

    Miller, J. B.; Gatti, L.; Gloor, M.; Doughty, C.; Malhi, Y.; Domingues, L. G.; Basso, L. S.; Martinewski, A.; Correia, C.; Borges, V.; Freitas, S. R.; Braz, R.; Anderson, L.; Rocha, H.; Grace, J.; Phillips, O.; Lloyd, J.

    2013-12-01

    Potential feedbacks between land carbon pools and climate are one of the largest sources of uncertainty for predicting future global climate, but estimates of their sensitivity to climate anomalies in the tropics and determination of underlying mechanisms are either incomplete or strongly model-based. Amazonia alone stores ~150-200 Pg of labile carbon, and has experienced an increasing trend in temperature and extreme floods and droughts over the last two decades. Here we report the first Amazon Basin-wide seasonal and annual carbon balances based on tropospheric greenhouse gas sampling, during an anomalously dry and a wet year, 2010 and 2011, providing the first whole-system assessment of sensitivity to such conditions. During 2010, the Amazon Basin lost 0.5×0.2 PgCyr-1 while in 2011 it was approximately carbon neutral (0.06×0.1 PgCyr-1). Carbon loss via fire was 0.5×0.1 PgCyr-1 in 2010 and 0.3×0.1 PgCyr-1 in 2011, as derived from Basin-wide carbon monoxide (CO) enhancements. Subtracting fire emissions from total carbon flux to derive Basin net biome exchange (NBE) reveals that in 2010 the non-fire regions of the Basin were carbon neutral; in 2011 they were a net carbon sink of -0.3×0.1 PgC yr-1, roughly consistent with a three-decade long intact-forest biomass sink of ~ -0.5×0.3 PgCyr-1 estimated from forest censuses. Altogether, our results suggest that if the recent trend of precipitation extremes persists, the Amazon region may become an increasing carbon source as a result of both emissions from fires and suppression of NBE by drought.

  14. Nitrogen emissions from broilers measured by mass balance over eighteen consecutive flocks.

    Science.gov (United States)

    Coufal, C D; Chavez, C; Niemeyer, P R; Carey, J B

    2006-03-01

    Emission of nitrogen in the form of ammonia from poultry rearing facilities has been an important topic for the poultry industry because of concerns regarding the effects of ammonia on the environment. Sound scientific data is needed to accurately estimate air emissions from poultry operations. Many factors, such as season of the year, ambient temperature and humidity, bird health, and management practices can influence ammonia volatilization from broiler rearing facilities. Precise results are often difficult to attain from commercial facilities, particularly over long periods of time. Therefore, an experiment was conducted to determine nitrogen loss from broilers in a research facility under conditions simulating commercial production for 18 consecutive flocks. Broilers were reared to 40 to 42 d of age and fed diets obtained from a commercial broiler integrator. New rice hulls were used for litter for the first flock, and the same litter was recycled for all subsequent flocks with caked litter removed between flocks. All birds, feeds, and litter materials entering and leaving the facility were quantified, sampled, and analyzed for total nitrogen content. Nitrogen loss was calculated by the mass balance method in which loss was equal to the difference between the nitrogen inputs and the nitrogen outputs. Nitrogen partitioning as a percentage of inputs averaged 15.29, 6.84, 55.52, 1.27, and 21.08% for litter, caked litter, broiler carcasses, mortalities, and nitrogen loss, respectively, over all eighteen flocks. During the production of 18 flocks of broilers on the same recycled litter, the average nitrogen emission rate was calculated to range from 4.13 to 19.74 g of N/ kg of marketed broiler (grams of nitrogen per kilogram) and averaged 11.07 g of N/kg. Nitrogen loss was significantly (P broiler grow-out facilities varies significantly on a flock-to-flock basis.

  15. 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.

  16. 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.

  17. Energy balance measurements for the determination of physical and technical operation parameters of thermionic converters

    International Nuclear Information System (INIS)

    Ritz, K.

    1975-01-01

    An introduction into the fundamental theoretical principles of the thermionic Cs converter is followed by the set-up of a special measuring converter as proposed by J. Bohdansky which permits the defined setting of the electrode distance under service conditions. Measurements thus carried out present quantitative data on efficiency, on energy transfer between the electrodes by means of radiation and heat transfer, and on the actual collector potential, the latter which surprisingly shows a distance dependency. (orig./GG) [de

  18. 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

  19. 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.

  20. 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.

  1. Biopsychosocial Characteristics, Using a New Functional Measure of Balance, of an Elderly Population with CLBP

    Directory of Open Access Journals (Sweden)

    Ryan Hulla

    2016-08-01

    Full Text Available This study examined the biopsychosocial characteristics of chronic low back pain (CLBP in an understudied but increasingly larger part of the population: the elderly (i.e., 65 years and older. A new innovative physical functioning measure (postural control, which is a proxy for the common problem of slips and falls in the elderly was part of this biopsychosocial evaluation. Also, the National Institutes of Health (NIH-developed Patient-Reported Outcome Measurement Information System (PROMIS was also part of this comprehensive evaluation. Two demographically-matched groups of elderly participants were evaluated: one with CLBP (n = 24; and the other without (NCLBP, n = 24. Results revealed significant differences in most of these measures between the two groups, further confirming the importance of using a biopsychosocial approach for future studies of pain and postural control in the elderly.

  2. Concepts for improving the accuracy of gas balance measurement at ASDEX Upgrade

    Energy Technology Data Exchange (ETDEWEB)

    Härtl, T., E-mail: thomas.haertl@ipp.mpg.de; Rohde, V.; Mertens, V.

    2013-10-15

    The ITER fusion reactor which is under construction will use a deuterium–tritium gas mixture for operation. A fraction of this fusion fuel remains inside of the machine due to various mechanisms. The evaluation of this retention in present fusion experiments is of crucial importance to estimate the expected tritium inventory in ITER which shall be limited due to safety considerations. At ASDEX Upgrade (AUG) sufficiently time-resolved measurements should take place to extrapolate from current 10 s discharges to the at least intended 400 s ones of ITER. To achieve this, a new measurement system has been designed that enables accuracy of better than one per cent.

  3. 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…

  4. 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

  5. Balanced leadership, professionalism, and team trust predict positive attitudes towards performance measurement

    NARCIS (Netherlands)

    Wilderom, Celeste P.M.; Wouters, Marc; van Brussel, J.; Solomon, G.T.

    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

  6. 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…

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. Chaos in balance: non-linear measures of postural control predict individual variations in visual illusions of motion.

    Directory of Open Access Journals (Sweden)

    Deborah Apthorp

    Full Text Available Visually-induced illusions of self-motion (vection can be compelling for some people, but they are subject to large individual variations in strength. Do these variations depend, at least in part, on the extent to which people rely on vision to maintain their postural stability? We investigated by comparing physical posture measures to subjective vection ratings. Using a Bertec balance plate in a brightly-lit room, we measured 13 participants' excursions of the centre of foot pressure (CoP over a 60-second period with eyes open and with eyes closed during quiet stance. Subsequently, we collected vection strength ratings for large optic flow displays while seated, using both verbal ratings and online throttle measures. We also collected measures of postural sway (changes in anterior-posterior CoP in response to the same visual motion stimuli while standing on the plate. The magnitude of standing sway in response to expanding optic flow (in comparison to blank fixation periods was predictive of both verbal and throttle measures for seated vection. In addition, the ratio between eyes-open and eyes-closed CoP excursions during quiet stance (using the area of postural sway significantly predicted seated vection for both measures. Interestingly, these relationships were weaker for contracting optic flow displays, though these produced both stronger vection and more sway. Next we used a non-linear analysis (recurrence quantification analysis, RQA of the fluctuations in anterior-posterior position during quiet stance (both with eyes closed and eyes open; this was a much stronger predictor of seated vection for both expanding and contracting stimuli. Given the complex multisensory integration involved in postural control, our study adds to the growing evidence that non-linear measures drawn from complexity theory may provide a more informative measure of postural sway than the conventional linear measures.

  12. Positive and Negative Impacts of a Continuing Professional Development Intervention on Pharmacist Practice: A Balanced Measure Evaluation.

    Science.gov (United States)

    Sidhu, Sukhjinder; Gorman, Sean K; Slavik, Richard S; Ramsey, Tasha; Bruchet, Nicole; Murray, Sarah

    2017-01-01

    Evaluations of behavior change interventions aimed at improving professional practice are increasingly focused on impacts at the practice and patient outcome levels. Many of these evaluations assume that if the intended changes occur, the result represents an improvement. However, given the systemic nature of clinical practice, a change in one area can produce changes in other areas as well, some of which may adversely affect the patient. Balancing measures are used to determine whether unintended consequences of an intervention have been introduced into other areas of the system. The aims of this study were to evaluate the impact of behavior change intervention-based continuing professional development (CPD) on pharmacist interventions (resolution of drug therapy problems-DTPs) and resolution of quality indicator DTPs and knowledge change for urinary tract infections (UTI) and pneumonia. As a balancing measure, we aimed to determine whether delivery of behavior change interventions targeting pneumonia and UTI practice results in a negative impact on other important pharmacist interventions, specifically the resolution of heart failure DTPs. A quasiexperimental study was conducted at a Canadian health authority that evaluated the impacts of an 8-week multifaceted behavior change intervention delivered to 58 ward-based pharmacists. The primary outcome was change in proportion of UTI and pneumonia DTPs resolved from the 6-month preintervention to 6-month postintervention phase. Secondary outcomes were changes in proportion of UTI and pneumonia quality indicator DTPs resolved, knowledge quiz scores, and proportion of quality indicator DTPs resolved for heart failure as a balancing measure. A total of 58 pharmacists were targets of the intervention. The proportion of resolved UTI and pneumonia DTPs increased from 17.8 to 27.2% (relative risk increase 52.8%, 95% confidence interval [CI] 42.8-63.6%; P UTI and pneumonia quality indicator DTPs increased from 12.2% to 18

  13. 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.

  14. Turbulent kinetic energy balance measurements in the wake of a low-pressure turbine blade

    International Nuclear Information System (INIS)

    Sideridis, A.; Yakinthos, K.; Goulas, A.

    2011-01-01

    The turbulent kinetic energy budget in the wake generated by a high lift, low-pressure two-dimensional blade cascade of the T106 profile was investigated experimentally using hot-wire anemometry. The purpose of this study is to examine the transport mechanism of the turbulent kinetic energy and provide validation data for turbulence modeling. Point measurements were conducted on a high spatial resolution, two-dimensional grid that allowed precise derivative calculations. Positioning of the probe was achieved using a high accuracy traversing mechanism. The turbulent kinetic energy (TKE) convection, production, viscous diffusion and turbulent diffusion were all obtained directly from experimental measurements. Dissipation and pressure diffusion were calculated indirectly using techniques presented and validated by previous investigators. Results for all terms of the turbulent kinetic energy budget are presented and discussed in detail in the present work.

  15. 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 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 methods may be employed according to the clinical environment conditions and requirement to encourage the women for conducting the screening tests. PMID:29417066

  16. 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.

  17. Decisional strategy determines whether frame influences treatment preferences for medical decisions.

    Science.gov (United States)

    Woodhead, Erin L; Lynch, Elizabeth B; Edelstein, Barry A

    2011-06-01

    Decision makers are influenced by the frame of information such that preferences vary depending on whether survival or mortality data are presented. Research is inconsistent as to whether and how age impacts framing effects. This paper presents two studies that used qualitative analyses of think-aloud protocols to understand how the type of information used in the decision making process varies by frame and age. In Study 1, 40 older adults, age 65 to 89, and 40 younger adults, age 18 to 24, responded to a hypothetical lung cancer scenario in a within-subject design. Participants received both a survival and mortality frame. Qualitative analyses revealed that two main decisional strategies were used by all participants: one strategy reflected a data-driven decisional process, whereas the other reflected an experience-driven process. Age predicted decisional strategy, with older adults less likely to use a data-driven strategy. Frame interacted with strategy to predict treatment choice; only those using a data-driven strategy demonstrated framing effects. In Study 2, 61 older adults, age 65 to 98, and 63 younger adults, age 18 to 30, responded to the same scenarios as in Study 1 in a between-subject design. The results of Study 1 were replicated, with age significantly predicting decisional strategy and frame interacting with strategy to predict treatment choice. Findings suggest that framing effects may be more related to decisional strategy than to age. (c) 2011 APA, all rights reserved.

  18. 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.

  19. 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.

  20. 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.

  1. The jingle-jangle of work-nonwork balance: A comprehensive and meta-analytic review of its meaning and measurement.

    Science.gov (United States)

    Casper, Wendy J; Vaziri, Hoda; Wayne, Julie Holliday; DeHauw, Sara; Greenhaus, Jeffrey

    2018-02-01

    We review research on work-nonwork balance to examine the presence of the jingle fallacy-attributing different meanings to a single construct label-and the jangle fallacy-using different labels for a single construct. In 290 papers, we found 233 conceptual definitions that clustered into 5 distinct, interpretable types, suggesting evidence of the jingle fallacy. We calculated Euclidean distances to quantify the extent of the jingle fallacy and found high divergence in definitions across time and publication outlet. One exception was more agreement recently in better journals to conceptualize balance as unidimensional, psychological, and distinct from conflict and enrichment. Yet, over time many authors have committed the jangle fallacy by labeling measures of conflict and/or enrichment as balance, and disagreement persists even in better journals about the meanings attributed to balance (e.g., effectiveness, satisfaction). To examine the empirical implications of the jingle and jangle fallacies, we conducted meta-analyses of distinct operational definitions of balance with job, life, and family satisfaction. Effect sizes for conflict and enrichment measures were typically smaller than effects for balance measures, providing evidence of a unique balance construct that is not interchangeable with conflict and enrichment. To begin to remedy concerns raised by our review, we propose a definition of work-nonwork balance drawing from theory, empirical evidence from our review, and normative information about how balance should be defined. We conclude with a theory-based agenda for future research. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  2. Decisional role preferences, risk knowledge and information interests in patients with multiple sclerosis.

    Science.gov (United States)

    Heesen, Christoph; Kasper, Jürgen; Segal, Julia; Köpke, Sascha; Mühlhauser, Ingrid

    2004-12-01

    Shared decision making is increasingly recognized as the ideal model of patient-physician communication especially in chronic diseases with partially effective treatments as multiple sclerosis (MS). To evaluate prerequisite factors for this kind of decision making we studied patients' decisional role preferences in medical decision making, knowledge on risks, information interests and the relations between these factors in MS. After conducting focus groups to generate hypotheses, 219 randomly selected patients from the MS Outpatient Clinic register (n = 1374) of the University Hospital Hamburg received mailed questionnaires on their knowledge of risks in MS, their perception of their own level of knowledge, information interests and role preferences. Most patients (79%) indicated that they preferred an active role in treatment decisions giving the shared decision and the informed choice model the highest priority. MS risk knowledge was low but questionnaire results depended on disease course, disease duration and ongoing immune therapy. Measured knowledge as well as perceived knowledge was only weakly correlated with preferences of active roles. Major information interests were related to symptom alleviation, diagnostic procedures and prognosis. Patients with MS claimed autonomous roles in their health care decisions. The weak correlation between knowledge and preferences for active roles implicates that other factors largely influence role preferences.

  3. 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.

  4. 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.

  5. 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...

  6. 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.

  7. What about us? Measuring the work-life balance of people who do not have children

    OpenAIRE

    Waumsley, J.A.; Houston, Diane; Marks, G.

    2010-01-01

    To date, the work-family literature has examined conflict between work and family and family and work. In this research the use of the word “family” usually denotes child-care responsibilities. Furthermore, scales developed to measure conflict have concentrated on a family structure defined in this way. Little is known about conflict between work and non-work experienced by people who do not live within a family structure that includes children. The aim of this paper is to examine whether exi...

  8. 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.

  9. LÓGICA DIFUSA APLICADA A LA TOMA DE DECISIONES

    Directory of Open Access Journals (Sweden)

    Daniel Alfonso Robaina

    2010-11-01

    Full Text Available

  1. Desarrollo de sistemas de apoyo para la toma de decisiones en procesos industriales

    OpenAIRE

    Tarifa, Enrique E.; Martínez, Sergio; Domínguez, Samuel Franco; Núñez, Álvaro; Sánchez Rivero, David

    2011-01-01

    El presente proyecto tiene por objetivo general desarrollar sistemas de apoyo para la toma de decisiones en procesos industriales. Estos sistemas son cada vez más necesarios debido a la complejidad creciente de los escenarios planteados por la globalización, la competencia, los avances tecnológicos, los problemas ambientales y sociales, entre otros. La secuencia de procesos requeridos para tomar decisiones es independiente del área particular de aplicación. Esta secuencia es: 1) Identifica...

  2. 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.

  3. 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...

  4. 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 ...

  5. 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.

  6. The energy balance of tropical Glaciar Artesonraju, Cordillera Blanca, Perú - AWS-measurements and numerical modeling

    Science.gov (United States)

    Galos, S.; Mölg, T.; MacDonell, S.; Großhauser, M.; Marzeion, B.

    2012-04-01

    Like in most regions of the world, tropical glaciers in the Peruvian Andes have experienced considerable mass loss during the last decades. In order to better understand and correctly interpret the ongoing glacier changes in this region, we need to examine the driving processes behind these changes. Therefore we installed several automatic weather stations (AWS) in the Cordillera Blanca mountain range. Two of these stations are situated in the ablation area of Glaciar Shallap and Glaciar Artesonraju, while four other stations were established in the vicinity of the two glaciers. The resulting eight year record of meteorological data is analyzed and finally used as input for a physically based numerical energy and mass balance model, which in a first step was applied to the ablation zone of Glaciar Artesonraju (8.96° S / 77.63° W). In July 2010, eddy covariance measurements were carried out on the glacier surface. The resulting data was used to calibrate the parametrization scheme for the turbulent fluxes of sensible and latent heat. Finally the model output was validated against ablation data from a sonic ranger and from single stake ablation measurements. The model results were interpreted with special respect to the seasonal fluctuation in atmospheric moisture (tropical wet / dry season).

  7. 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.

  8. Responsiveness of performance-based outcome measures for mobility, balance, muscle strength and manual dexterity in adults with myotonic dystrophy type 1.

    Science.gov (United States)

    Kierkegaard, Marie; Petitclerc, Émilie; Hébert, Luc J; Mathieu, Jean; Gagnon, Cynthia

    2018-02-28

    To assess changes and responsiveness in outcome measures of mobility, balance, muscle strength and manual dexterity in adults with myotonic dystrophy type 1. A 9-year longitudinal study conducted with 113 patients. The responsiveness of the Timed Up and Go test, Berg Balance Scale, quantitative muscle testing, grip and pinch-grip strength, and Purdue Pegboard Test was assessed using criterion and construct approaches. Patient-reported perceived changes (worse/stable) in balance, walking, lower-limb weakness, stair-climbing and hand weakness were used as criteria. Predefined hypotheses about expected area under the receiver operating characteristic curves (criterion approach) and correlations between relative changes (construct approach) were explored. The direction and magnitude of median changes in outcome measures corresponded with patient-reported changes. Median changes in the Timed Up and Go test, grip strength, pinch-grip strength and Purdue Pegboard Test did not, in general, exceed known measurement errors. Most criterion (72%) and construct (70%) approach hypotheses were supported. Promising responsiveness was found for outcome measures of mobility, balance and muscle strength. Grip strength and manual dexterity measures showed poorer responsiveness. The performance-based outcome measures captured changes over the 9-year period and responsiveness was promising. Knowledge of measurement errors is needed to interpret the meaning of these longitudinal changes.

  9. Accuracy of the sagittal vertical axis in a standing lateral radiograph as a measurement of balance in spinal deformities

    NARCIS (Netherlands)

    van Royen, B.J.; Toussaint, H.M.; Kingma, I.; Bot, S.D.M.; Caspers, M.; Harlaar, J.

    1998-01-01

    Sagittal balance of the spine is becoming an important issue in the assessment of the degree of spinal deformity. On a standing lateral full- length radiograph of the spine, the plumb line, or sagittal vertical axis (SVA), can be used to determine the spinal sagittal balance. In this procedure

  10. 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

    A novel method to obtain an ad-hoc and real time electrical signal of the PEMFC water balance by employing a constant temperature hot wire anemometry has been developed by our fuel cell research group. In this work, the effect of nitrogen-cross over on this method is experimentally demonstrated...... 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...

  11. 32 CFR 70.10 - Complaints concerning decisional documents and index entries.

    Science.gov (United States)

    2010-07-01

    ... declining to list that aspect of the service record as an issue. (v) Guidance as to other types of complaints. The following guidance governs other specified types of complaints: (A) The Stipulation of... noted in the decisional document or index entries: (Authentication) Attachment 2—Joint Service Review...

  12. 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.

  13. 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.

  14. 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...

  15. Emociones y toma de decisiones desde la economía comportamental

    OpenAIRE

    De Mier, Susana

    2013-01-01

    Los recientes estudios de la economía comportamental sobre cómo inciden los sentimientos y las emociones en el proceso de toma de decisiones ponen en debate el principio de la racionalidad económica, sostén de la doctrina liberal.

  16. 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.

  17. 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

  18. Balance Problems

    Science.gov (United States)

    ... fully trust your sense of balance. Loss of balance also raises the risk of falls. This is a serious and even life-threatening ... 65. Balance disorders are serious because of the risk of falls. But occasionally balance problems may warn of another health condition, such ...

  19. 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

  20. Family caregiver preferences for patient decisional control among Hispanics in the United States and Latin America

    Science.gov (United States)

    Yennurajalingam, Sriram; Noguera, Antonio; Parsons, Henrique Afonseca; Torres-Vigil, Isabel; Duarte, Eva Rosina; Palma, Alejandra; Bunge, Sofia; Palmer, J. Lynn; Delgado-Guay, Marvin Omar; Bruera, Eduardo

    2013-01-01

    Background Understanding family caregivers’ decisional role preferences is important for communication, quality of care, and patient and family satisfaction. The family caregiver has an important role in a patient’s decisional role preferences. There are limited studies on family caregivers’ preferences of the patient’s decisional control at the end of life among Hispanics. Aims To identify Hispanic caregivers’ preferences of the decision control of patients with advanced cancer and to compare the preferences of caregivers in Latin America (HLA) and Hispanic American (HUSA) caregivers. Design We surveyed patients and their family caregivers referred to outpatient palliative care clinics in the United States, Chile, Argentina, and Guatemala. Caregiver preferences of patient’s decisional control were evaluated using the Control Preference Scale. Caregivers’ and patients’ socio-demographic variables, patient performance status, and HUSA patient acculturation level was also collected. Participants A total of 387 caregivers were surveyed: 100 (26%) in Chile, 99 (26%) in Argentina, 97 (25%) in Guatemala, and 91 (24%) in the United States. The median age was 56 years, and 59% were female. Results Caregiver preference of patients decisions control was passive, shared, and active by 10 (11%), 45 (52%) and 32 (37%) HUSA caregivers and 54 (19%), 178 (62%) and 55 (19%) HLA caregivers (p=0.0023). Caregiver acculturation level did not affect the preferences of the HUSA sample (p=0.60). Conclusions Most Hispanic family caregivers preferred the patient to make shared decisions. HLA caregivers preferred more frequently patients to assume a passive decisional role. Acculturation did not influence the preferences of HUSA caregivers. PMID:23670718

  1. Reliability of the Star Excursion Balance Test and Two New Similar Protocols to Measure Trunk Postural Control.

    Science.gov (United States)

    López-Plaza, Diego; Juan-Recio, Casto; Barbado, David; Ruiz-Pérez, Iñaki; Vera-Garcia, Francisco J

    2018-05-18

    Although the Star Excursion Balance test (SEBT) has shown a good intrasession reliability, the intersession reliability of this test has not been deeply studied. Furthermore, there is an evident high influence of the lower limbs in the performance of the SEBT, so even if it has been used to measure core stability, it is possibly not the most suitable measurement. The aims of this study were to (1) to assess the absolute and relative between-session reliability of the SEBT and 2 novel variations of this test to assess trunk postural control while sitting, ie, the Star Excursion Sitting Test (SEST) and the Star Excursion Timing Test (SETT); and (2) to analyze the relationships between these 3 test scores. Correlational and reliability test-retest study. Controlled laboratory environment. Twenty-seven physically active men (age: 24.54 ± 3.05 years). Relative and absolute reliability of the SEBT, SEST, and SETT were calculated through the intraclass correlation coefficient (ICC) and standard error of measurement (SEM), respectively. A Pearson correlation analysis was carried out between the variables of the 3 tests. Maximum normalized reach distances were assessed for different SEBT and SEST directions. In addition, composite indexes were calculated for SEBT, SEST, and SETT. The SEBT (dominant leg: ICC = 0.87 [0.73-0.94], SEM = 2.12 [1.66-2.93]; nondominant leg: ICC = 0.74 [0.50-0.87], SEM = 3.23 [2.54-4.45]), SEST (ICC = 0.85 [0.68-0.92], SEM = 1.27 [1.03-1.80]), and SETT (ICC = 0.61 [0.30-0.80], SEM = 2.31 [1.82-3.17]) composite indexes showed moderate-to-high 1-month reliability. A learning effect was detected for some SEBT and SEST directions and for SEST and SETT composite indexes. No significant correlations were found between SEBT and its 2 variations (r ≤ .366; P > .05). A significant correlation was found between the SEST and SETT composite indexes (r = .520; P > .01). SEBT, SEST, and SETT are reliable field protocols to measure postural control. However

  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. 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...

  4. 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

  5. Estudio de la relación entre conocimiento y toma de decisiones en jugadores de tenis, y su influencia en la pericia deportiva. (Relation between knowledge and decision making in tennis players and its influence in sport expertise.

    Directory of Open Access Journals (Sweden)

    Luis García González

    2009-10-01

    Full Text Available Resumen Este trabajo pretende estudiar no solo algunos de los factores cognitivos implicados dentro del tenis, sino establecer las relaciones existentes entre distintos factores cognitivos fundamentales como el conocimiento y la toma de decisiones. De esta forma, se han evaluado 12 tenistas de distinto nivel de pericia en variables como el conocimiento declarativo y procedimental general de juego (medidos a través de cuestionarios, toma de decisiones y ejecución (evaluados a través de observación sistemática. Podemos destacar fundamentalmente la relación observada entre el conocimiento, tanto declarativo como procedimental, y la toma de decisiones, destacando en mayor medida la que se produce entre el conocimiento procedimental general y la toma de decisiones tanto en el servicio como en el resto de golpeos, que plantean la importancia del conocimiento sobre los aspectos tácticos y decisionales que los jugadores de tenis desarrollan durante el juego. Abastract This work tries to study nonsingle some of the cognitive factors implied in tennis, but to establish the existing relations between different fundamental cognitive factors as the knowledge and the decision making. Of this form, 12 tennis players of different skill level in variables like declarative and procedural knowledge (measured through questionnaires, decision making and execution (evaluated through systematic observation have evaluated themselves. We can emphasize the relation observed between the knowledge (declarative and procedural, and decision making, emphasizing in greater measurement the one takes place between the procedural knowledge and decision making in service as in the game play, that raise the importance of the knowledge on the tactical and decisional aspects that tennis players develop during the game.

  6. 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

    2018-05-01

    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 < 0.05) was only reported for sex differences for 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.

  7. How to determine decisional capacity in critically ill patients. Presume the patient can make decisions unless proven otherwise.

    Science.gov (United States)

    Fleming, C; Momin, Z A; Brensilver, J M; Brandstetter, R D

    1995-03-01

    Decisional capacity includes ability to comprehend information, to make an informed choice, and to communicate that choice; it is specific to the decision at hand. Presume a patient has decisional capacity; an evaluation of incapacity must be justified. Administer a standardized mental status test to help assess alertness, attention, memory, and reasoning ability. A patient scoring below 10 on the Folstein Mini-Mental State Examination (maximum score, 30) probably does not have decisional capacity; one scoring from 10 to 15 probably can designate a proxy but not make complex health care decisions. Obtain psychiatric consultations for a patient who exhibits psychological barriers to decision making.

  8. Es la intuición un método para la toma de decisiones gerencial

    OpenAIRE

    Castro Luna, Andrés Guillermo; Camejo Ariza, John Jairo

    2013-01-01

    El presente trabajo evalúa la toma de decisiones desde el punto de vista descriptivo, exploratorio, dado que no existe un estado del arte al respecto ni estudios que permitan determinar si la toma de decisiones gerencial es intuitiva. Se elaboró una encuesta con 4 variables cada una describiendo un método de toma de decisiones entre los que se operacionalizaron el racional, intuitivo, experiencial y holístico; para determinar el estilo de decisión en cargos gerenciales de la ciudad de Bogotá....

  9. Laboratory Measures of Postural Control During the Star Excursion Balance Test After Acute First-Time Lateral Ankle Sprain

    Science.gov (United States)

    Doherty, Cailbhe; Bleakley, Chris M.; Hertel, Jay; Caulfield, Brian; Ryan, John; Delahunt, Eamonn

    2015-01-01

    Context No researchers, to our knowledge, have investigated the immediate postinjury-movement strategies associated with acute first-time lateral ankle sprain (LAS) as quantified by center of pressure (COP) and kinematic analyses during performance of the Star Excursion Balance Test (SEBT). Objective To analyze the kinematic and COP patterns of a group with acute first-time LAS and a noninjured control group during performance of the SEBT. Design Case-control study. Setting University biomechanics laboratory. Patients or Other Participants A total of 81 participants with acute first-time LAS (53 men, 28 women; age = 23.22 ± 4.93 years, height = 1.73 ± 0.09 m, mass = 75.72 ± 13.86 kg) and 19 noninjured controls (15 men, 4 women; age = 22.53 ± 1.68 years, height = 1.74 ± 0.08 m, mass = 71.55 ± 11.31 kg). Intervention Participants performed the anterior (ANT), posterolateral (PL), and posteromedial (PM) reach directions of the SEBT. Main Outcome Measure(s) We assessed 3-dimensional kinematics of the lower extremity joints and associated fractal dimension (FD) of the COP path during performance of the SEBT. Results The LAS group had decreased normalized reach distances in the ANT, PL, and PM directions when compared with the control group on their injured (ANT: 58.16% ± 6.86% versus 64.86% ± 5.99%; PL: 85.64% ± 10.62% versus 101.14% ± 8.39%; PM: 94.89% ± 9.26% versus 107.29 ± 6.02%) and noninjured (ANT: 60.98% ± 6.74% versus 64.76% ± 5.02%; PL: 88.95% ± 11.45% versus 102.36% ± 8.53%; PM: 97.13% ± 8.76% versus 106.62% ± 5.78%) limbs (P postural control, as evidenced by the bilateral reduction in angular displacement of the lower extremity joints and reduced reach distances and FD of the COP path on the injured limb during performance of the SEBT. PMID:25811845

  10. 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

  11. 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

  12. 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.

  13. Language of Uncertainty: the Expression of Decisional Conflict Related to Skin Cancer Prevention Recommendations.

    Science.gov (United States)

    Strekalova, Yulia A; James, Vaughan S

    2017-09-01

    User-generated information on the Internet provides opportunities for the monitoring of health information consumer attitudes. For example, information about cancer prevention may cause decisional conflict. Yet posts and conversations shared by health information consumers online are often not readily actionable for interpretation and decision-making due to their unstandardized format. This study extends prior research on the use of natural language as a predictor of consumer attitudes and provides a link to decision-making by evaluating the predictive role of uncertainty indicators expressed in natural language. Analyzed data included free-text comments and structured scale responses related to information about skin cancer prevention options. The study identified natural language indicators of uncertainty and showed that it can serve as a predictor of decisional conflict. The natural indicators of uncertainty reported here can facilitate the monitoring of health consumer perceptions about cancer prevention recommendations and inform education and communication campaign planning and evaluation.

  14. 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.

  15. 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…

  16. Regulating Emotions during Difficult Multiattribute Decision Making: The Role of Pre-Decisional Coherence Shifting.

    Science.gov (United States)

    Carpenter, Stephanie M; Yates, J Frank; Preston, Stephanie D; Chen, Lydia

    2016-01-01

    Almost all real-life decisions entail attribute conflict; every serious choice alternative is better than its competitors on some attribute dimensions but worse on others. In pre-decisional "coherence shifting," the decision maker gradually softens that conflict psychologically to the point where one alternative is seen as dominant over its competitors, or nearly so. Specifically, weaknesses of the eventually chosen alternative come to be perceived as less severe and less important while its strengths seem more desirable and significant. The research described here demonstrates that difficult multiattribute decision problems are aversive and that pre-decisional coherence shifting aids individuals in regulating that emotional discomfort. Across three studies, attribute conflict was confirmed to be aversive (Study 1), and skin conductance responses and ratings of decision difficulty both decreased in participants who coherence shifted (Study 2). Coherence shifting was also diminished among decision makers who were depleted of regulatory resources, known to be required for common emotion regulation mechanisms. Further, coherence shifting was shown to be relatively common among people who reported strong suppression tendencies in everyday emotion regulation (Study 3). Overall, the data suggest that, at least in part, coherence shifting serves as a tool that helps decision makers manage the pre-decisional discomfort generated by attribute conflict. Theoretical and practical implications are discussed.

  17. Regulating Emotions during Difficult Multiattribute Decision Making: The Role of Pre-Decisional Coherence Shifting.

    Directory of Open Access Journals (Sweden)

    Stephanie M Carpenter

    Full Text Available Almost all real-life decisions entail attribute conflict; every serious choice alternative is better than its competitors on some attribute dimensions but worse on others. In pre-decisional "coherence shifting," the decision maker gradually softens that conflict psychologically to the point where one alternative is seen as dominant over its competitors, or nearly so. Specifically, weaknesses of the eventually chosen alternative come to be perceived as less severe and less important while its strengths seem more desirable and significant. The research described here demonstrates that difficult multiattribute decision problems are aversive and that pre-decisional coherence shifting aids individuals in regulating that emotional discomfort. Across three studies, attribute conflict was confirmed to be aversive (Study 1, and skin conductance responses and ratings of decision difficulty both decreased in participants who coherence shifted (Study 2. Coherence shifting was also diminished among decision makers who were depleted of regulatory resources, known to be required for common emotion regulation mechanisms. Further, coherence shifting was shown to be relatively common among people who reported strong suppression tendencies in everyday emotion regulation (Study 3. Overall, the data suggest that, at least in part, coherence shifting serves as a tool that helps decision makers manage the pre-decisional discomfort generated by attribute conflict. Theoretical and practical implications are discussed.

  18. 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.

  19. Clinimetric properties of the Tinetti Mobility Test, Four Square Step Test, Activities-specific Balance Confidence Scale, and spatiotemporal gait measures in individuals with Huntington's disease.

    Science.gov (United States)

    Kloos, Anne D; Fritz, Nora E; Kostyk, Sandra K; Young, Gregory S; Kegelmeyer, Deb A

    2014-09-01

    Individuals with Huntington's disease (HD) experience balance and gait problems that lead to falls. Clinicians currently have very little information about the reliability and validity of outcome measures to determine the efficacy of interventions that aim to reduce balance and gait impairments in HD. This study examined the reliability and concurrent validity of spatiotemporal gait measures, the Tinetti Mobility Test (TMT), Four Square Step Test (FSST), and Activities-specific Balance Confidence (ABC) Scale in individuals with HD. Participants with HD [n = 20; mean age ± SD=50.9 ± 13.7; 7 male] were tested on spatiotemporal gait measures and the TMT, FSST, and ABC Scale before and after a six week period to determine test-retest reliability and minimal detectable change (MDC) values. Linear relationships between gait and clinical measures were estimated using Pearson's correlation coefficients. Spatiotemporal gait measures, the TMT total and the FSST showed good to excellent test-retest reliability (ICC > 0.75). MDC values were 0.30 m/s and 0.17 m/s for velocity in forward and backward walking respectively, four points for the TMT, and 3s for the FSST. The TMT and FSST were highly correlated with most spatiotemporal measures. The ABC Scale demonstrated lower reliability and less concurrent validity than other measures. The high test-retest reliability over a six week period and concurrent validity between the TMT, FSST, and spatiotemporal gait measures suggest that the TMT and FSST may be useful outcome measures for future intervention studies in ambulatory individuals with HD. Copyright © 2014 Elsevier B.V. All rights reserved.

  20. El proceso de Toma de Decisiones en pacientes con Demencia tipo Alzheimer

    Directory of Open Access Journals (Sweden)

    Jose R. Alameda

    2012-04-01

    Full Text Available Tomar decisiones es algo común en nuestra vida y contribuye a la adaptación al medio en que vivimos, por ello es relevante conocer cómo es el proceso de toma de decisiones y las posibles disfunciones que puedan darse a causa de su deterioro. En el caso de los pacientes con demencia tipo Alzheimer, los problemas en la toma de decisiones parecen incluso ya en fases leves, lo que dificulta la correcta interacción con el entorno, especialmente en situaciones de incertidumbre. Este proceso ha sido analizado desde varios enfoques, siendo la hipótesis del marcador somático y la tarea de la Iowa Gambling Task (IGT uno de los más utilizados. El objetivo de este trabajo es el de analizar la toma de decisiones en pacientes con DTA frente a un grupo de sujetos control, y analizar el tipo de elecciones de ambos grupos en situaciones de incertidumbre mediante la una versión modificada de la IGT, observar si son tendentes al riesgo o no, y la relación que guarda su ejecución con el status cognitivo en cada una de las áreas evaluadas por los tests. Además de la IGT, utilizaremos como test de cribado en demencias el Miniexamen Cognoscitivo de Lobo, Test del Reloj a la Orden y Copia y Test de Fluidez Verbal de Isaacs. En nuestros resultados, los sujetos con DTA presentan una ejecución deficitaria en la IGT, tanto en el cómputo global como en su análisis por bloques, con una estrategia de elección de cartas aleatoria, por lo que podríamos considerar ciertas tendencias al riesgo, si bien su ejecución muestra cierta capacidad de aprendizaje a lo largo de los bloques. Por último, el deterioro cognitivo y el grado de afectación en las distintas áreas analizadas se relacionan con la forma en que toman decisiones los pacientes con DTA.

  1. Associations Between Measures of Balance and Lower-Extremity Muscle Strength/Power in Healthy Individuals Across the Lifespan: A Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Muehlbauer, Thomas; Gollhofer, Albert; Granacher, Urs

    2015-12-01

    It has frequently been reported that balance and lower-extremity muscle strength/power are associated with sports-related and everyday activities. Knowledge about the relationship between balance, strength, and power are important for the identification of at-risk individuals because deficits in these neuromuscular components are associated with an increased risk of sustaining injuries and falls. In addition, this knowledge is of high relevance for the development of specifically tailored health and skill-related exercise programs. The objectives of this systematic literature review and meta-analysis were to characterize and, if possible, quantify associations between variables of balance and lower-extremity muscle strength/power in healthy individuals across the lifespan. A computerized systematic literature search was performed in the electronic databases PubMed, Web of Science, and SPORTDiscus up to March 2015 to capture all relevant articles. A systematic approach was used to evaluate the 996 articles identified for initial review. Studies were included only if they investigated healthy individuals aged ≥6 years and tested at least one measure of static steady-state balance (e.g., center of pressure [CoP] displacement during one-legged stance), dynamic steady-state balance (e.g., gait speed), proactive balance (e.g., distance in the functional-reach-test), or reactive balance (e.g., CoP displacement during perturbed one-legged stance), and one measure of maximal strength (e.g., maximum voluntary contraction), explosive force (e.g., rate of force development), or muscle power (e.g., jump height). In total, 37 studies met the inclusionary criteria for review. The included studies were coded for the following criteria: age (i.e., children: 6-12 years, adolescents: 13-18 years, young adults: 19-44 years, middle-aged adults: 45-64 years, old adults: ≥65 years), sex (i.e., female, male), and test modality/outcome (i.e., test for the assessment of balance

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

    Science.gov (United States)

    2002-06-01

    Achievement of Internal Customer Objectives A Graduate Management Project Submitted to The Residency Committee In Candidacy for the Degree of Masters in...internal customer relations, the GPRMC has incorporated use of a Balanced Scorecard within its management scheme. The scorecard serves as a strategy map...headquarters. The goal, "Provide Policy Management , Advocacy and Problem Solving", addresses the relationship between the headquarters and its internal

  3. 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.

  4. Balancing Audio

    DEFF Research Database (Denmark)

    Walther-Hansen, Mads

    2016-01-01

    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......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...

  5. Uncertainty estimation of non-ideal analog switches using programmable Josephson voltage standards for mutual inductance measurement in the joule balance

    International Nuclear Information System (INIS)

    Wang, Gang; Zhang, Zhonghua; Li, Zhengkun; Xu, Jinxin; You, Qiang

    2016-01-01

    Measurement of the mutual inductance is one of the key techniques in the joule balance to determine the Planck constant h, where a standard-square-wave compensation method was proposed to accurately measure the dc value of the mutual inductance. With this method, analog switches are used to compose an analog-switch signal generator to synthesize the excitation and compensation voltages. However, the accuracy of the compensation voltage is influenced by the non-ideal behaviors of analog-switches. In this paper, the effect from these non-ideal switches is analyzed in detail and evaluated with the equivalent circuits. A programmable Josephson voltage standard (PJVS) is used to generate a reference compensation voltage to measure the time integration of the voltage waveform generated by the analog-switch signal generator. Moreover, the effect is also evaluated experimentally by comparing the difference between the mutual inductance measured with the analog-switch signal generator and the value determined by the PJVS-analog-switch generator alternately in the same mutual inductance measurement system. The result shows that the impact of analog switches is 1.97  ×  10 −7 with an uncertainty of 1.83  ×  10 −7 (k  =  1) and confirms that the analog switch method can be used regularly instead of the PJVS in the mutual inductance measurement for the joule balance experiment. (paper)

  6. 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.

  7. 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

  8. Metodología para la toma de decisiones de inversión en portafolio de acciones utilizando la técnica multicriterio AHP

    Directory of Open Access Journals (Sweden)

    John Willmer Escobar

    2015-01-01

    Full Text Available Este artículo presenta una metodología para la toma de decisiones en el mercado accionario colombiano utilizando la técnica multicriterio Analytic Hierarchy Process (AHP. La problemática está relacionada con el proceso de inversión en un mercado bursátil considerando criterios de riesgo y rentabilidad. La metodología propuesta incluye la integración de las técnicas tradicionales de decisión de inversión en portafolio de acciones junto con la técnica multicriterio AHP que permite evaluar un número finito de alternativas de manera jerárquica bajo criterios cualitativos y cuantitativos. La metodología ha sido probada en la solución del problema de selección de portafolio de acciones de alta y media bursatilidad que cotizaron en el mercado colombiano durante el periodo de diciembre de 2007 a abril de 2010. Los resultados computacionales muestran la importancia y la eficiencia de la integración exitosa de los criterios tradicionales de inversión en portafolio de acciones junto con la metodología AHP para encontrar un balance apropiado entre rentabilidad y riesgo en el proceso de toma de decisiones de inversión en acciones en el mercado bursátil colombiano. Derechos reservados © 2015 Universidad Nacional Autónoma de México, Facultad de Contaduría y Administración. Este es un artículo de acceso abierto distribuido bajo los términos de la Licencia Creative Commons CC BY-NC-ND 4.0.

  9. 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...... signal received gives valuable insight into heat and mass transfer phenomena in a PEMFC....

  10. 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...

  11. 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.

  12. Árbol de decisiones para la resolución de incidencias

    OpenAIRE

    Molas Roca, Meritxell

    2016-01-01

    Análisis e implementación de un sistema de información para dar soporte al personal del grupo de soporte técnico en Everis para la resolución de incidencias del SI existente en Gas Natural (área de contratación). Se va a desarrollar basándose en la definición de un árbol de decisiones. Analysis and implementation of an information system to support the staff group at Everis for resolve the problems existing at Natural Gas computer sytem. The process of resolution of an issue is displayed b...

  13. 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.

  14. Un sistema di supporto alla decisione per facilitare nuove azioni di finanziamento in ambito pubblico

    Directory of Open Access Journals (Sweden)

    Maria Franca Norese

    2014-12-01

    Full Text Available Un approfondimento analitico sulle modalità di finanziamento che hanno interessato la Regione Piemonte, sviluppato con il contributo di chi vi ha operato direttamente, ha permesso di acquisire, codificare e organizzare importanti elementi di conoscenza e di proporne l’uso per accrescere la cultura valutativa in Regione. Un accresciuto interesse a rendere più efficienti le azioni di finanziamento pubblico ha spinto ad utilizzare i risultati dell’analisi effettuata in un modello multicriteri di valutazione e in un sistema di supporto alla decisione rivolto a facilitare i nuovi processi di finanziamento e rendere operative attività di monitoraggio in un contesto di apprendimento organizzativo.

  15. On the impact of using downscaled reanalysis data instead of direct measurements for modeling the mass balance of a tropical glacier (Cordillera Blanca, Peru)

    Science.gov (United States)

    Galos, Stephan; Hofer, Marlis; Marzeion, Ben; Mölg, Thomas; Großhauser, Martin

    2013-04-01

    Due to their setting, tropical glaciers are sensitive indicators of mid-tropospheric meteorological variability and climate change. Furthermore these glaciers are of particular interest because they respond faster to climatic changes than glaciers located in mid- or high-latitudes. As long-term direct meteorological measurements in such remote environments are scarce, reanalysis data (e.g. ERA-Interim) provide a highly valuable source of information. Reanalysis datasets (i) enable a temporal extension of data records gained by direct measurements and (ii) provide information from regions where direct measurements are not available. In order to properly derive the physical exchange processes between glaciers and atmosphere from reanalysis data, downscaling procedures are required. In the present study we investigate if downscaled atmospheric variables (air temperature and relative humidity) from a reanalysis dataset can be used as input for a physically based, high resolution energy and mass balance model. We apply a well validated empirical-statistical downscaling model, fed with ERA-Interim data, to an automated weather station (AWS) on the surface of Glaciar Artesonraju (8.96° S | 77.63° W). The downscaled data is then used to replace measured air temperature and relative humidity in the input for the energy and mass balance model, which was calibrated using ablation data from stakes and a sonic ranger. In order to test the sensitivity of the modeled mass balance to the downscaled data, the results are compared to a reference model run driven solely with AWS data as model input. We finally discuss the results and present future perspectives for further developing this method.

  16. 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.

  17. 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.

  18. 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 βurban green roofs can be significantly optimised by using sustainable irrigation approaches. Copyright © 2016 Elsevier B.V. All rights reserved.

  19. 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.

  20. Errors in potassium balance

    International Nuclear Information System (INIS)

    Forbes, G.B.; Lantigua, R.; Amatruda, J.M.; Lockwood, D.H.

    1981-01-01

    Six overweight adult subjects given a low calorie diet containing adequate amounts of nitrogen but subnormal amounts of potassium (K) were observed on the Clinical Research Center for periods of 29 to 40 days. Metabolic balance of potassium was measured together with frequent assays of total body K by 40 K counting. Metabolic K balance underestimated body K losses by 11 to 87% (average 43%): the intersubject variability is such as to preclude the use of a single correction value for unmeasured losses in K balance studies

  1. Mastication accelerates Go/No-go decisional processing: An event-related potential study.

    Science.gov (United States)

    Sakamoto, Kiwako; Nakata, Hiroki; Yumoto, Masato; Sadato, Norihiro; Kakigi, Ryusuke

    2015-11-01

    The purpose of the present study was to investigate the effect of mastication on Go/No-go decisional processing using event-related potentials (ERPs). Thirteen normal subjects underwent seven sessions of a somatosensory Go/No-go paradigm for approximately 4min; Pre, and Post 1, 2, 3, 4, 5, and 6. The Control condition included the same seven sessions. The RT and standard deviation were recorded, and the peak amplitude and latency of the N140 and P300 components were analyzed. The RT was significantly shorter in Mastication than in Control at Post 1-3 and 4-6. The peak latency of N140 was earlier in Mastication than in Control at Post 4-6. The latency of N140 was shortened by repeated sessions in Mastication, but not by those in Control. The peak latency of P300 was significantly shorter in Mastication than in Control at Post 4-6. The peak latency of P300 was significantly longer in Control with repeated sessions, but not in Mastication. These results suggest that mastication may influence response execution processing in Go trials, as well as response inhibition processing in No-go trials. Mastication accelerated Go/No-go decisional processing in the human brain. Copyright © 2015 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  2. 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.

  3. La religión en las decisiones sobre aborto no punible en la Argentina

    Directory of Open Access Journals (Sweden)

    María Gabriela Irrazábal

    2015-11-01

    Full Text Available En este artículo trabajaremos sobre la presencia de agentes religiosos expertos en bioética en comités de hospitales públicos y su intervención en casos de solicitud de acceso al aborto legal. En primer lugar realizaremos una descripción general del contexto de los casos de aborto no punible en la Argentina, resaltando que en la mayoría de los casos las creencias religiosas de los expertos suelen influir y condicionar las decisiones de las mujeres. Luego, pondremos el foco en la discusión dentro de un comité sobre un caso particular, el de una joven discapacitada que solicitó un aborto luego de un abuso sexual y que luego de atravesar un largo camino de judicialización y evaluaciones de comités de expertos, no logró interrumpir su embarazo. Este caso ilustra cómo las creencias religiosas influencian la toma de decisiones en el área de la salud pública y cómo se consolida la presencia de agentes religiosos expertos en bioética como una estrategia para influenciar los espacios públicos de la Iglesia Católica en la Argentina.

  4. 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.

  5. 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.

  6. Using plot experiments to test the validity of mass balance models employed to estimate soil redistribution rates from 137Cs and 210Pbex measurements

    International Nuclear Information System (INIS)

    Porto, Paolo; Walling, Des E.

    2012-01-01

    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. - Highlights: ► Soil erosion is an important threat to the long-term sustainability of agriculture.

  7. Associations among measures of energy balance related behaviors and psychosocial determinants in urban upper elementary school children.

    Science.gov (United States)

    Bandelli, Lorraine N; Gray, Heewon Lee; Paul, Rachel C; Contento, Isobel R; Koch, Pamela A

    2017-01-01

    Childhood obesity prevention is a pressing issue. Understanding the relationships among eating and physical activity behaviors and potential psychosocial determinants of behavior will help us design more effective interventions. This study aimed to examine such relationships in a large sample of urban elementary school children. Fifth grade students in 20 recruited New York City public schools completed a validated questionnaire on six "do more" (fruits and vegetables and physical activity) and "do less" (sweetened beverages, processed packaged snacks, fast food and sedentary behavior) energy balance related behaviors (EBRBs) and psychosocial determinants of behavior from social cognitive and self-determination theories. Correlations among behaviors and hierarchical linear model analyses of the relationship between psychosocial determinants and behaviors were conducted for those with complete data (n = 952). The "do more" and the "do less" behaviors were significantly correlated within categories (p food-related behaviors were correlated with physical activity but so were sports drinks, while the "do less" food-related behaviors tended to be correlated to sedentary behavior (p intention. Interventions can address the healthy and less healthy clusters of behaviors together, focusing on strategies to enhance their self-efficacy and habit strength for the "do more" behaviors and outcome expectations to motivate intention to choose fewer "do less" behaviors, along with enhancing self-efficacy and habit. Research can examine these determinants as potential mediators of change in intervention. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. King-Devick Test reference values and associations with balance measures in high school American football players.

    Science.gov (United States)

    Alsalaheen, B; Haines, J; Yorke, A; Diebold, J

    2016-02-01

    The King-Devick test appears to be a promising tool in screening for concussions. However, limited evidence exists on the baseline associations between the K-D test and age and baseline screening tools used after concussion. Additionally, there are no published reference values for the K-D test in high school football players. The K-D test, the Balance Error Scoring System, and the Limits of Stability (LOS) test were administered to 157 high school football players. Additionally, a subsample of 62 participants completed the test twice to examine the reliability of K-D test. There was no relationship between the K-D test and the BESS, or the reaction time and directional control of LOS test. Students aged between 16 and 18 years demonstrated faster K-D test performance compared to students between 13 and 15 years of age. However, there was no association between K-D test and history of concussion. The reliability of the K-D test was (ICC2,1 = 0.89), and the minimal detectable change was 6.10 s. Normative reference values for high school football players are presented in this study. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. Foot Problems in Older Adults Associations with Incident Falls, Frailty Syndrome, and Sensor-Derived Gait, Balance, and Physical Activity Measures.

    Science.gov (United States)

    Muchna, Amy; Najafi, Bijan; Wendel, Christopher S; Schwenk, Michael; Armstrong, David G; Mohler, Jane

    2018-03-01

    Research on foot problems and frailty is sparse and could advance using wearable sensor-based measures of gait, balance, and physical activity (PA). This study examined the effect of foot problems on the likelihood of falls, frailty syndrome, motor performance, and PA in community-dwelling older adults. Arizona Frailty Cohort Study participants (community-dwelling adults aged ≥65 years without baseline cognitive deficit, severe movement disorders, or recent stroke) underwent Fried frailty and foot assessment. Gait, balance (bipedal eyes open and eyes closed), and spontaneous PA over 48 hours were measured using validated wearable sensor technologies. Of 117 participants, 41 (35%) were nonfrail, 56 (48%) prefrail, and 20 (17%) frail. Prevalence of foot problems (pain, peripheral neuropathy, or deformity) increased significantly as frailty category worsened (any problem: 63% in nonfrail, 80% in prefrail [odds ratio (OR) = 2.0], and 95% in frail [OR = 8.3]; P = .03 for trend) due to associations between foot problems and both weakness and exhaustion. Foot problems were associated with fear of falling but not with fall history or incident falls over 6 months. Foot pain and peripheral neuropathy were associated with lower gait speed and stride length; increased double support time; increased mediolateral sway of center of mass during walking, age adjusted; decreased eyes open sway of center of mass and ankle during quiet standing, age adjusted; and lower percentage walking, percentage standing, and total steps per day. Foot problems were associated with frailty level and decreased motor performance and PA. Wearable technology is a practical way to screen for deterioration in gait, balance, and PA that may be associated with foot problems. Routine assessment and management of foot problems could promote earlier intervention to retain motor performance and manage fear of falling in older adults, which may ultimately improve healthy aging and reduce risk of frailty.

  10. Scaling point/plot measurements of greenhouse gas fluxes, balances and intensities to whole-farms and landscapes

    NARCIS (Netherlands)

    Rosenstock, T.S.; Rufino, Mariana; Chirinda, N.; Bussel, van L.G.J.; Reidsma, P.; Butterbach-Bahl, K.

    2015-01-01

    Measurements of nutrient stocks and greenhouse gas (GHG) fluxes are typically collected at very local scales (<1 to 30 m2) and then extrapolated to estimate impacts at larger spatial extents (farms, landscapes, or even countries). Translating point measurements to higher levels of aggregation is

  11. 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...

  12. Teoría de la Decisión: Proceso de interacciones u organizaciones como sistemas de decisiones

    OpenAIRE

    Vidal,Josep

    2012-01-01

    Se expone un debate teórico sobre la aportación sociológica referente a las decisiones en las organizaciones. Sobresalen dos teorías de las decisiones. La primera, basada en el proceso de decisión a partir una teoría crítica de la multirracionalidad lineal elaborado por Lucien Sfez, al plantear que con la decisión se trata de un proceso de interacciones, al ser considerada como un proceso institucional fundamentado en la libertad del sujeto. La segunda fundamentada en la teoría de sistemas au...

  13. 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

  14. Estimando las decisiones de escolarización en Argentina: efectos de fluctuaciones idiosincráticas y agregadas

    OpenAIRE

    Datria, Pablo; Buera, Francisco Javier; Nicolini, Juan Pablo

    2003-01-01

    El objetivo de este trabajo es poder identificar empíricamente un candidato para este mecanismo de transmisión usando datos de hogares en Argentina: las decisiones de deserción escolar originadas por restricciones al crédito. Una combinación de argumentos teóricos y empíricos nos centran en este candidato. Primero, la heterogeneidad en la acumulación de capital humano es una fuente importante de los diferenciales de ingresos entre los individuos. Segundo, las decisiones de deserción pueden te...

  15. La hoja de cálculo como herramienta de toma de decisiones: aplicación a la PYME

    OpenAIRE

    Marín Blaya, Pedro Gabriel

    2015-01-01

    La toma de decisiones es algo innato en el ser humano. Son situaciones que vivimos prácticamente a diario, a veces, hasta inconscientemente. Sin embargo, son muchos los factores que debemos de tener en cuenta cuando nos enfrentamos a decisiones difíciles, como por ejemplo, decidir hacer una carrera, o elegir un trabajo. En estos casos, deberemos analizar toda la información de la que disponemos. Tendremos que observar nuestra situación actual, nuestro nivel económico, nuestras inquietudes,...

  16. Usos de la información para la toma de decisiones en procesos de desarrollo local

    Directory of Open Access Journals (Sweden)

    Jenny Andrea Vélez Vidal

    2004-01-01

    Full Text Available Este estudio se propuso identificar los usos de la información en la toma de decisiones y factores determinantes de dichos usos alrededor de procesos desarrollo, en un escenario de planeación local, en Cali (Colombia, basado en una combinación de teorías y en los resultados de un exploratorio previo. Empleando técnicas cualitativas se indagó sobre el papel que juega la información en facilitar a la gente asumir control sobre su bienestar, tomar decisiones y actuar en procesos de desarrollo.

  17. Load Balancing Scientific Applications

    Energy Technology Data Exchange (ETDEWEB)

    Pearce, Olga Tkachyshyn [Texas A & M Univ., College Station, TX (United States)

    2014-12-01

    The largest supercomputers have millions of independent processors, and concurrency levels are rapidly increasing. For ideal efficiency, developers of the simulations that run on these machines must ensure that computational work is evenly balanced among processors. Assigning work evenly is challenging because many large modern parallel codes simulate behavior of physical systems that evolve over time, and their workloads change over time. Furthermore, the cost of imbalanced load increases with scale because most large-scale scientific simulations today use a Single Program Multiple Data (SPMD) parallel programming model, and an increasing number of processors will wait for the slowest one at the synchronization points. To address load imbalance, many large-scale parallel applications use dynamic load balance algorithms to redistribute work evenly. The research objective of this dissertation is to develop methods to decide when and how to load balance the application, and to balance it effectively and affordably. We measure and evaluate the computational load of the application, and develop strategies to decide when and how to correct the imbalance. Depending on the simulation, a fast, local load balance algorithm may be suitable, or a more sophisticated and expensive algorithm may be required. We developed a model for comparison of load balance algorithms for a specific state of the simulation that enables the selection of a balancing algorithm that will minimize overall runtime.

  18. A point of application study to determine the accuracy, precision and reliability of a low-cost balance plate for center of pressure measurement.

    Science.gov (United States)

    Goble, Daniel J; Khan, Ehran; Baweja, Harsimran S; O'Connor, Shawn M

    2018-04-11

    Changes in postural sway measured via force plate center of pressure have been associated with many aspects of human motor ability. A previous study validated the accuracy and precision of a relatively new, low-cost and portable force plate called the Balance Tracking System (BTrackS). This work compared a laboratory-grade force plate versus BTrackS during human-like dynamic sway conditions generated by an inverted pendulum device. The present study sought to extend previous validation attempts for BTrackS using a more traditional point of application (POA) approach. Computer numerical control (CNC) guided application of ∼155 N of force was applied five times to each of 21 points on five different BTrackS Balance Plate (BBP) devices with a hex-nose plunger. Results showed excellent agreement (ICC > 0.999) between the POAs and measured COP by the BBP devices, as well as high accuracy ( 0.999) providing evidence of almost perfect inter-device reliability. Taken together, these results provide an important, static corollary to the previously obtained dynamic COP results from inverted pendulum testing of the BBP. Copyright © 2018 Elsevier Ltd. All rights reserved.

  19. We-Measure: Toward a low-cost portable posturography for patients with multiple sclerosis using the commercial Wii balance board.

    Science.gov (United States)

    Castelli, Letizia; Stocchi, Luca; Patrignani, Maurizio; Sellitto, Giovanni; Giuliani, Manuela; Prosperini, Luca

    2015-12-15

    This study was aimed at investigating whether postural sway measures derived from a standard force platform were similar to those generated by a custom-written software ("We-Measure") acquiring and processing data from a commercial Nintendo balance board (BB). For this purpose, 90 patients with multiple sclerosis (MS) and 50 healthy controls (HC) were tested in a single-day session with a reference standard force platform and a BB-based system. Despite its acceptable between-device agreement (tested by visual evaluation of Bland-Altman plot), the low-cost BB-based system tended to overestimate postural sway when compared to the reference standard force platform in both MS and HC groups (on average +30% and +54%, respectively). Between-device reliability was just adequate (MS: 66%, HC: 47%), while test-retest reliability was excellent (MS: 84%, HC: 88%). Concurrent validity evaluation showed similar performance between the reference standard force platform and the BB-based system in discriminating fallers and non-fallers among patients with MS. All these findings may encourage the use of this balance board-based new device in longitudinal study, rather than in cross-sectional design, thus providing a potential useful tool for multicenter settings. Copyright © 2015 Elsevier B.V. All rights reserved.

  20. Effects of high-carbohydrate and high-fat dietary treatments on measures of heart rate variability and sympathovagal balance.

    Science.gov (United States)

    Millis, Richard M; Austin, Rachel E; Bond, Vernon; Faruque, Mezbah; Goring, Kim L; Hickey, Brian M; Blakely, Raymond; Demeersman, Ronald E

    2009-07-17

    We tested the hypothesis that respiratory quotient (RQ) determines sympathovagal balance associated with metabolism of stored and dietary energy substrates. Six 18-20 year-old African-American males were studied after two control pretreatments of fasting and post-treatments of metabolizing high-fat and high-carbohydrate beverages. RQ, heart rate (HR), energy expenditure (EE) and blood pressure (BP) were recorded at rest and repeated 1 h-3 h after ingesting isocaloric high-carbohydrate and high-fat beverages. Sympathovagal modulation of HR was quantified by the low frequency/high frequency (LF/HF) ratio from fast Fourier transform (spectral) analysis of the electrocardiogram RR intervals during paced breathing at 0.2 Hz. Significance of differences of peak post-treatment values from controls was evaluated by analysis of covariance and of correlations by linear regression at Pcarbohydrate and high-fat treatments increased RQ, EE, HR and LF/HF with significant interactions between covariates. LF/HF values were not significant after eliminating covariance of RQ, EE and HR for the control vs. high-fat and for the high-fat vs. high-carbohydrate and after eliminating covariance of EE and HR for the control vs. high-carbohydrate treatments. Across the RQ values, correlations were significant for EE and LF/HF. These findings imply that high RQ and sympathetic modulation produced by metabolizing carbohydrate is associated with high resting energy expenditure. We conclude that respiratory quotient may be an important determinant of the LF/HF ratio in the heart rate variability spectrum, likely, by a respiratory chemosensory mechanism.

  1. Biomechanical assessment of dynamic balance: Specificity of different balance tests.

    Science.gov (United States)

    Ringhof, Steffen; Stein, Thorsten

    2018-04-01

    Dynamic balance is vitally important for most sports and activities of daily living, so the assessment of dynamic stability has become an important issue. In consequence, a large number of balance tests have been developed. However, it is not yet known whether these tests (i) measure the same construct and (ii) can differentiate between athletes with different balance expertise. We therefore studied three common dynamic balance tests: one-leg jump landings, Posturomed perturbations and simulated forward falls. Participants were 24 healthy young females in regular training in either gymnastics (n = 12) or swimming (n = 12). In each of the tests, the participants were instructed to recover balance as quickly as possible. Dynamic stability was computed by time to stabilization and margin of stability, deduced from force plates and motion capture respectively. Pearson's correlations between the dynamic balance tests found no significant associations between the respective dynamic stability measures. Furthermore, independent t-tests indicated that only jump landings could properly distinguish between both groups of athletes. In essence, the different dynamic balance tests applied did not measure the same construct but rather task-specific skills, each of which depends on multifactorial internal and external constraints. Our study therefore contradicts the traditional view of considering balance as a general ability, and reinforces that dynamic balance measures are not interchangeable. This highlights the importance of selecting appropriate balance tests. Copyright © 2018 Elsevier B.V. All rights reserved.

  2. Use of Balance Calibration Certificate to Calculate the Errors of Indication and Measurement Uncertainty in Mass Determinations Performed in Medical Laboratories

    Directory of Open Access Journals (Sweden)

    Adriana VÂLCU

    2011-09-01

    Full Text Available Based on the reference document, the article proposes the way to calculate the errors of indication and associated measurement uncertainties, by resorting to the general information provided by the calibration certificate of a balance (non-automatic weighing instruments, shortly NAWI used in medical field. The paper may be also considered a useful guideline for: operators working in laboratories accredited in medical (or other various fields where the weighing operations are part of their testing activities; test houses, laboratories, or manufacturers using calibrated non-automatic weighing instruments for measurements relevant for the quality of production subject to QM requirements (e.g. ISO 9000 series, ISO 10012, ISO/IEC 17025; bodies accrediting laboratories; accredited laboratories for the calibration of NAWI. Article refers only to electronic weighing instruments having maximum capacity up to 30 kg. Starting from the results provided by a calibration certificate it is presented an example of calculation.

  3. Meteor smoke influences on the D-region charge balance – review of recent in situ measurements and one-dimensional model results

    Directory of Open Access Journals (Sweden)

    C. Baumann

    2013-11-01

    Full Text Available This work investigates the influence of meteoric smoke particles (MSP on the charge balance in the D-region ionosphere. Both experimental in situ measurements and a one-dimensional ionospheric model reveal a clear impact of MSP on the ionospheric composition of the D-region. The study reviews rocket-borne in situ measurements of electron and positive ion density, which show a distinct deficit of electrons in comparison to positive ions between 80 and 95 km. This deficit can be explained by the ambient negatively charged MSP measured simultaneously with a Faraday cup. The influence of MSP on the D-region charge balance is addressed with a simplified ionospheric model with only six components, i.e. electrons, positive and negative ions and neutral and charged MSP (both signs. The scheme includes reactions of plasma captured by MSP and MSP photo reactions as well as the standard ionospheric processes, e.g. ion-ion recombination. The model shows that the capture of plasma constituents by MSP is an important process leading to scavenging of electrons. Since Faraday cup measurements are biased towards heavy MSP because of aerodynamical filtering, we have applied an estimate of this filter on the modelled MSP densities. By doing that, we find good qualitative agreement between the experimental data and our model results. In addition, the model study reveals an increase of positive ions in the presence of MSP. That is primarily caused by the reduced dissociative recombination with electrons which have been removed from the gas phase by the MSP.

  4. Measuring Evapotranspiration of five Alley Cropping systems in Germany using the Eddy-Covariance- and Bowen-Ratio Energy-Balance methods

    Science.gov (United States)

    Markwitz, Christian; Knohl, Alexander; Siebicke, Lukas

    2017-04-01

    The inclusion of trees into the agricultural landscape of Europe is gaining popularity as a source for energy production. Fast growing tree species such as poplar or willow are included as short rotation coppice or alley cropping systems, which consist of tree alleys interleaved by annual rotating crops or perennial grasslands. Estimating turbulent fluxes of those systems using the eddy-covariance- (ECEB) and bowen-ratio energy-balance (BREB) method is challenging due to the methods limitation to horizontally homogeneous terrain and steady state conditions. As the conditions are not fulfilled for those systems the energy-balance is commonly not fully closed, with the non-closure being site specific. An underestimation of measured heat fluxes leads to an overestimation of the latent heat fluxes inferred from the ECEB method. The aim of our study is to 1) quantify the site specific non-closure of the energy-balance and 2) characterize the performance of both methods, compared to direct eddy-covariance measurements using a high frequency infra-red gas analyzer (LI-7200, Licor Inc.). To assess continuous evapotranspiration (ET) rates on a 30-minute time scale we installed a combined ECEB and BREB system at five alley cropping and five agricultural reference sites across Germany. For time periods of four weeks we performed direct eddy covariance flux measurements for H2O and CO2 over one crop- and one grassland alley cropping- and their respective reference systems during the growing season of 2016. We found a non-closure between 21 and 26 % for all sites, considering all day- and night-time data. The residual energy was highest during the morning and lowest in the afternoon. Related to that the energy-balance ratio (EBR), i.e. the ratio between the turbulent heat fluxes and available energy, was below one in the morning hours and increased slightly during the day up to 1.8, until the EBR decreased sharply after sunset. The EBR correlated to the daily cycle of solar

  5. 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

  6. 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

  7. Balance Disorders

    Science.gov (United States)

    ... vertigo. If you have additional problems with motor control, such as weakness, slowness, tremor, or rigidity, you can lose your ability to recover properly from imbalance. This raises the risk of falling and injury. What are some types of balance disorders? There are more than a dozen different ...

  8. Balancing Eggs

    Science.gov (United States)

    Mills, Allan

    2014-01-01

    Theory predicts that an egg-shaped body should rest in stable equilibrium when on its side, balance vertically in metastable equilibrium on its broad end and be completely unstable on its narrow end. A homogeneous solid egg made from wood, clay or plastic behaves in this way, but a real egg will not stand on either end. It is shown that this…

  9. Surface energy balance and actual evapotranspiration of the transboundary Indus Basin estimated from satellite measurements and the ETLook model

    NARCIS (Netherlands)

    Bastiaanssen, W.G.M.; Cheema, M.J.M.; Immerzeel, W.W.; Mittenburg, I.J.; Pelgrum, H.

    2012-01-01

    The surface energy fluxes and related evapotranspiration processes across the Indus Basin were estimated for the hydrological year 2007 using satellite measurements. The new ETLook remote sensing model (version 1) infers information on actual Evaporation (E) and actual Transpiration (T) from

  10. 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...

  11. Sobre la toma de decisiones económicas bajo incertidumbre

    Directory of Open Access Journals (Sweden)

    Aurora García Gallego

    2012-04-01

    Full Text Available En este artículo resumimos la evolución de la Teoría Económica sobre la toma de decisiones bajo incertidumbre. Tras una breve introducción a la teoría de la Utilidad Esperada, nos referimos a comportamientos paradójicos que obligaron a los economistas a adoptar teorías menos simplistas que permitieran explicar un mayor abanico de fenómenos. La mayor complejidad conlleva una descripción multidimensional de las actitudes humanas frente al riesgo económico. Sin embargo, las mediciones de la actitud frente al riesgo utilizadas por los economistas continúan siendo, en su mayoría, unidimensionales.

  12. 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.

  13. 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.

  14. Optimización en las decisiones de financiamiento de proyectos

    Directory of Open Access Journals (Sweden)

    Felipe Tomás Muñoz Valdés

    2003-07-01

    Full Text Available La finalidad de este trabajo es aplicar herramientas de optimización a las decisiones de financiamiento de proyectos de inversión, más específicamente, cómo mejorar el valor actual de un proyecto eligiendo la combinación óptima de fuentes de financiamiento. El carácter de largo plazo de las inversiones de un proyecto exige investigar las opciones de financiamiento para el proyecto, y no cabe duda que mientras más convenientes sean las condiciones que se logren, más atractivo será el proyecto. La búsqueda de la forma de financiar un proyecto de inversión, puede dar como resultado una variedad bastante importante de opciones diferentes. Esta información es de mucha utilidad para el inversionista, porque le permite determinar cómo financiar el proyecto, es decir, cuánto capital propio debe invertir en el proyecto y cómo debe financiar el monto restante de la inversión. Los métodos y modelos que se usan actualmente en esta toma de decisiones tienen deficiencias. Una de las deficiencias más importantes de estos métodos es que suponen que en todos los periodos se tienen utilidades antes de impuestos, calculando impuestos sobre las pérdidas antes de impuesto. También presentan dificultades cuando se tienen muchas alternativas de financiamiento y no permiten buscar combinaciones entre fuentes de financiamiento. A medida que aumenta la cantidad y características de las fuentes de financiamiento, aumenta la cantidad de cálculos de valor actual que se deben realizar, por lo que la aplicación de estas herramientas requiere una gran cantidad de tiempo. Para resolver el problema se recurrió a la teoría económica de Preparación de Proyectos, Evaluación de Proyectos y Programación Matemática, más específicamente a la Programación Mixta, que es una mezcla de Programación Lineal y Programación Entera. El procedimiento que se empleó para desarrollar el modelo de programación matemática, comenzó con la identificación de

  15. Diseño de sistema experto para toma de decisiones de compra de materiales

    OpenAIRE

    Carlos A. Torres Navarro; Javier A. Córdova Neira

    2014-01-01

    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 mu...

  16. 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.

  17. Generación de trayectorias y toma de decisiones para uavs

    Directory of Open Access Journals (Sweden)

    Gonzalo Pajares

    2008-01-01

    Full Text Available Resumen: La generación de trayectorias y la replanificación de las mismas en entornos hostiles para UAVs (Unmanned Aerial Vehicles es una disciplina en auge. Los entornos hostiles se caracterizan por la presencia de amenazas, modeladas aquí como radares. Inicialmente se planifica una ruta. Si en vuelo surgen nuevas amenazas, la ruta inicial se replanifica. En ambos casos las rutas se obtienen mediante el algoritmo A*. Ante una replanificación el UAV toma una decisión sobre si continuar por la ruta inicial o por la replanificada. La teoría de la decisión multiatributo proporciona en este caso el mecanismo adecuado. Palabras clave: Unmanned Aerial Vehicles, plan de vuelo, replanificación, toma de decisiones, teoría de la utilidad, amenazas, riesgo

  18. 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)

  19. 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.

  20. Predictive effects of different clinical balance measures and the fear of falling on falls in postmenopausal women aged 50 years and over.

    Science.gov (United States)

    Ersoy, Yuksel; MacWalter, Ronald S; Durmus, Bekir; Altay, Zuhal E; Baysal, Ozlem

    2009-01-01

    Falls among the elderly are associated with a high morbidity and mortality and can involve high-cost medical interventions. The risk of falls often remains undiagnosed until an episode occurs but if the risk is high, preventative measures could be introduced. This 6-month prospective study investigated whether different postural clinical measures and fear of falling (FOF) itself can predict future falls in postmenopausal women aged > or =50 years. 125 postmenopausal women were studied comparing the outcome of fallers vs. non-fallers within the 6-month follow-up study period. Clinical measures, history of falls and FOF data were determined at baseline and the number of falls and FOF were ascertained at the final visit or by telephone interview at 6 months. Of the clinical measures investigated, the Falls Efficacy Scale International (FES-I) >26 points (OR = 7.28, per additional point, 95% CI 2.25-23.61, p = 0.001) and Berg Balance Scale (BBS) falls. Postmenopausal women aged > or =50 years who had FES-I scores >26 points and BBS risk factors of future falls and offered preventative measures.

  1. 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.

  2. 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

  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

    2014-01-01

    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.

  4. 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.

  5. 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.

  6. MEMS technology sensors as a more advantageous technique for measuring foot plantar pressure and balance in humans

    OpenAIRE

    Sanz Morère, C. (Clara); Surażyński, Ł. (Łukasz); Rodrigo Pérez-Tabernero, A. (Ana); Vihriälä, E. (Erkki); Myllylä, T. (Teemu)

    2016-01-01

    Abstract 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 i...

  7. Measurements of ionization balance parameters in atomic ions. Progress report, 1 May 1982-31 October 1984

    International Nuclear Information System (INIS)

    Kohl, J.L.

    1984-11-01

    An experiment has been developed to measure dielectronic recombination (DR) in multiply and singly charged ions. Initial photon-ion coincidence results from this laboratory suggest that for DR in C 3+ the energy averaged cross sections in a mixing of about 1.1 V/cm is apparently smaller than that measured in larger mixing fields at the Oak Ridge National Laboratory (ORNL). This result is qualitatively consistent with theoretical predictions of field enhanced DR brought about by the decrease in the autoionization probability of high Rydberg states with increasingly larger l quantum numbers. Comparison of results from the two experiments is complicated by differences in electron energy distributions and because our experiment measures only the DR process which involves stabilization via radiative 2s-2p core relaxation while the ORNL experiment might conceivably include other recombination channels (e.g. radiative recombination). Although our present results only provide evidence for an upper limit on the C 3+ cross section, additional data accumulation with the present experimental conditions is expected to yield actual values for DR cross sections at several energies near the 2s-2p threshold. During the present contract year, we are adding the capability to apply up to 5 V/cm mixing in order to test, directly, for field enhancement of DR

  8. 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)

  9. 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.

  10. Mariguana y sus efectos sobre el cerebro, la toma de decisiones y la inteligencia. Una revisión narrativa

    Directory of Open Access Journals (Sweden)

    Alejandra E. Ruiz Contreras

    2016-12-01

    Full Text Available Introducción: la mariguana es la droga de mayor consumo después del tabaco y el alcohol, a pesar de que está penado utilizar más de cierto gramaje que depende del país; por ejemplo, en México es más de 5 g, lo que indica una alta motivación por conseguir la droga. Uno de los principios activos de la mariguana es el Δ9-tetrahidrocannabinol. Esta molécula afecta al sistema endocannabinoide, provocando cambios en su función y, concomitantemente, en la morfología cerebral. Objetivo: revisar y discutir la evidencia científica del efecto del consumo de mariguana sobre el cerebro, la inteligencia y la toma de decisiones. Método: se consideraron los reportes científicos que abarcan de 2005 a marzo de 2016 encontrados en PubMed, enfocados en los efectos del consumo de mariguana sobre cambios morfológicos cerebrales, la inteligencia y la toma de decisiones. Resultados: dependiendo de la edad de inicio del consumo de mariguana, es posible detectar cambios en el cerebro y la inteligencia, mientras que otras variables como la frecuencia o la cantidad de uso repercuten en la eficiencia para la toma de decisiones. Discusión y conclusiones: estos resultados señalan que 1 el consumo de mariguana afecta la morfología cerebral, la toma de decisiones y la inteligencia; 2 sugieren la potencial participación del sistema endocannabinoide en la toma de decisiones e inteligencia; y 3 dadas las consecuencias, deben alertar al sector salud para promover su prevención y en su momento estar preparados para la rehabilitación.

  11. 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.

  12. Detecting management and fertilization effects on the carbon balance of winter oilseed rape with manual closed chamber measurements: Can we outrange gap-filling uncertainty and spatiotemporal variability?

    Science.gov (United States)

    Huth, Vytas; Moffat, Antje Maria; Calmet, Anna; Andres, Monique; Laufer, Judit; Pehle, Natalia; Rach, Bernd; Gundlach, Laura; Augustin, Jürgen

    2017-04-01

    Winter oilseed rape is the dominant biofuel crop in the young moraine landscape in North-Eastern Germany. However, studies on the effect of rapeseed cropping on net ecosystem exchange of CO2 (NEE) and the soil carbon (SC) balance are scarce. SC balance estimates are usually derived from long-term soil sampling field trials where rapeseed is part of different crop rotations. The estimated annual differences linked to rapeseed cropping are rather small (varying between losses of 40 g C m-2 and gains of up to 100 g C m-2). Testing management effects on the NEE and SC balance of cropping systems is best done by comparing plots with different treatments at the same site under the same climate. The soil sampling approach is in the need of field trials that run over decades, which has the disadvantage that management strategies of practical farming may have already changed when the results are derived. Continuous eddy covariance measurements of NEE would require large fields in flat terrain for each of the treatments, which is especially complicated in the heterogeneous landscapes of glacigenic origin of North-Eastern Germany. The common approach of using the chamber technique to derive NEE, however, is subject to the local soil and plant stand heterogeneities due to its tiny footprint. This technique might also disturb the ecosystem, the measurements are usually discontinuous requiring elaborate gap-filling techniques, and it has mostly been used on organic soils where large respiratory C losses occur. Therefore, our aim was to answer, if a combined approach of the eddy covariance and the chamber technique can detect the relatively small NEE and SC differences of rapeseed cropping on mineral soils within a shorter period of time than conventional soil sampling field trials can. We tested the new experimental design taking the advantages of both techniques into account: The eddy covariance tower measuring the NEE dynamics during the year; the chamber measurements to

  13. 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.

  14. 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

  15. 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...

  16. 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.

  17. Depoliticization and Criminalization of Social Protest through Economic Decisionism: the Colombian Case

    Directory of Open Access Journals (Sweden)

    María Carolina Olarte

    2014-01-01

    Full Text Available This article argues that current manifestations of criminalization of protest in contexts rich in natural resources can be inscribed in a wider economic context that contributes to the neutralization of political claims to land, natural resources and self-determination. The first part suggests a view of the tendency to criminalize protests as underpinned by a biopolitical immunization of economic decisions from political contestation. By effecting a normative, impassable disjuncture between what is considered juridical-political and what is considered economic, a biopolitical articulation appears in order to functionally present economic decisions as technical and necessary, and consequently, non-political. The second part of the article presents a preliminary approach to the current configuration of criminalization of protests in Colombia. I argue that recent initiatives to criminalize protests exemplify the manner in which physical violence, whether realized or implied, is playing an important role in the legitimization, foundation, and operation of a new property regime characterized by a de facto land reform, a selective enforcement of property rights and an increasing shielding of economic decisions - concerning natural resources exploitation - from political debate. Este artículo sostiene que las actuales formas de criminalización de la protesta social en contextos de riqueza en recursos naturales, pueden estar inscritas dentro de un contexto más amplio, que contribuye a la neutralización de las luchas en torno a la tierra, los recursos naturales y la autodeterminación. La primera parte presenta una perspectiva de la tendencia a la criminalización de la protesta, justificada como un medio eficiente de inmunización biopolítica de las decisiones económicas y de la confrontación política. Al producir un desentendimiento entre lo que se considera jurídico-político y lo que se considera económico, aparece una articulación biopol

  18. Procesos drv: la toma de decisiones como entrenamiento para equipos de trabajo

    Directory of Open Access Journals (Sweden)

    José Luis Zanazzi

    2010-04-01

    Full Text Available Este artículo presenta un método orientado a facilitar la toma de decisiones en equipos de trabajo. La propuesta utiliza herramientas de la Teoría de Utilidad Multiatributo, combinadas con Estadística. El artículo contiene una revisión de contribuciones al problema de la decisión con múltiples decisores, y una reflexión sobre características y requerimientos de las prácticas grupales. Además, se describen los fundamentos conceptuales del método. Se  enumeran y explican los pasos necesarios para su aplicación. El método se ejemplifica con la capacitación de un equipo responsable por el desarrollo de un sistema de mantenimiento preventivo. En ésta y otras experiencias, la propuesta resultó motivadora, con buen nivel de logros y amplia colaboración de los participantes. Esta contribución se diferencia de otros aportes, porque visualiza el proceso de toma de decisiones como una interesante posibilidad de capacitación grupal y, por ello, orienta su estrategia a posibilitar el intercambio de conocimientos, afianzar liderazgos, aumentar la cohesión interna y favorecer el compromiso con la decisión adoptada. This paper presents a method designed to facilitate group decision making. The proposal relies on tools of the Multiattribute Utility Theory combined with Statistics. The article contains a review of contributions to the problem of multiple decision makers and a reflection on the characteristics and requirements of group practices. It describes the conceptual foundations of the method and it also identifies and explains the steps needed for implementation. The method is exemplified with the training of a team responsible for the development of a preventive maintenance system. In this and other experiences, the proposal was motivating, with good level of achievements and ex-tensive collaboration of the participants. This contribution differs from others because it considers the decision making process as an interesting

  19. 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

  20. Water dynamics in mango (Mangifera indica L.) fruit during the young and mature fruit seasons as measured by the stem heat balance method

    International Nuclear Information System (INIS)

    Higuchi, H.; Sakuratani, T.

    2006-01-01

    Water flows in the stem and peduncle of mango fruit were monitored, and the surface transpiration from the fruit was measured during the fruit-growing season. The stem heat balance method was used on the peduncle to monitor the inward water flow during the nighttime, and the reverse water flow from the fruit during the daytime when the stem transpiration water flow increased. This diurnal fluctuation pattern in the water flow was more evident in mature fruit than in young fruit. In mature fruit, the daily water loss due to the reverse flow was estimated to be 3% of the fruit weight. The reverse flow water loss and transpired water loss were compensated for by nocturnal inward water flow, through the peduncle, of 30 g over 15 h. These results were well supported by measurements of fruit dimensions, which indicated a circadian rhythm of contraction and expansion. The reverse flow amounted to 80% of the water loss from the daytime contraction of the fruit, a much greater proportion than the fruit surface transpiration

  1. Pyrometer with tracking balancing

    Science.gov (United States)

    Ponomarev, D. B.; Zakharenko, V. A.; Shkaev, A. G.

    2018-04-01

    Currently, one of the main metrological noncontact temperature measurement challenges is the emissivity uncertainty. This paper describes a pyrometer with emissivity effect diminishing through the use of a measuring scheme with tracking balancing in which the radiation receiver is a null-indicator. In this paper the results of the prototype pyrometer absolute error study in surfaces temperature measurement of aluminum and nickel samples are presented. There is absolute error calculated values comparison considering the emissivity table values with errors on the results of experimental measurements by the proposed method. The practical implementation of the proposed technical solution has allowed two times to reduce the error due to the emissivity uncertainty.

  2. 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.

  3. 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.

  4. 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.

  5. A Pulmonary Rehabilitation Decisional Score to Define Priority Access for COPD Patients

    Directory of Open Access Journals (Sweden)

    Michele Vitacca

    2017-01-01

    Full Text Available This retrospective study aimed to evaluate, through an ad hoc 17-item tool, the Pulmonary Rehabilitation Decisional Score (PRDS, the priority access to PR prescription by respiratory specialists. The PRDS, scoring functional, clinical, disability, frailty, and participation parameters from 0 = low priority to 34 = very high priority for PR access, was retrospectively calculated on 124 specialist reports sent to the GP of subjects (aged 71±11 years, FEV1%  51±17 consecutively admitted to our respiratory outpatient clinic. From the specialist’s report the final subject’s allocation could be low priority (LP (>60 days, high priority (HP (30–60 days, or very high priority (VHP (<30 days to rehabilitation. The PRDS calculation showed scores significantly higher in VHP versus LP (p<0.001 and significantly different between HP and VHP (p<0.001. Comparing the specialist’s allocation decision and priority choice based on PRDS cut-offs, PR prescription was significantly more appropriate in VHP than in HP (p=0.016. Specialists underprescribed PR in 49% of LP cases and overprescribed it in 46% and 30% of the HP and VHP prescriptions, respectively. A multicomprehensive score is feasible being useful for staging the clinical priorities for PR prescription and facilitating sustainability of the health system.

  6. 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.

  7. 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.

  8. 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.

  9. Observatorios de convivencia y seguridad ciudadana: herramientas para la toma de decisiones y gobernabilidad

    Directory of Open Access Journals (Sweden)

    Gabriela Sánchez-Rentería

    Full Text Available La necesidad de gobernabilidad para generar desarrollo en los países, se ha venido convirtiendo en foco de interés de los gobiernos. América Latina cuenta con sistemas políticos en crisis de gobernabilidad, dada la incapacidad de los actores estratégicos para resolver los conflictos basándose en reglas y procedimientos establecidos. La presente revisión tiene como objetivo mostrar cómo la creación de sistemas de vigilancia en violencia (observatorios contribuye al fortalecimiento de la gobernabilidad y a la generación de políticas públicas efectivas. Se realizó un análisis de los componentes necesarios para la existencia de gobernabilidad y su relación con el papel que cumplen los observatorios para proporcionar información confiable, oportuna y representativa. La gobernabilidad se enriquece con la legitimidad otorgada por la ciudadanía a partir de los resultados de los gobiernos, en la formulación, implementación, evaluación de políticas públicas y la toma de decisiones en salud pública basadas en evidencia.

  10. CARACTERÍSTICAS SOCIOECONÓMICAS Y CONSISTENCIA EN LA TOMA DE DECISIONES

    Directory of Open Access Journals (Sweden)

    Jhon James Mora

    2002-01-01

    Full Text Available Este ensayo analiza cuál es el efecto de las características socioeconómicas sobre la consistencia en las preferencias cuando los agentes se encuentran eligiendo entre loterías. El análisis parte de realizar la prueba de ALLAIS, sobre la consistencia en las elecciones, a los estudiantes de la carrera de Economía y Negocios Internacionales de la Universidad Icesi y, se encuentra que el sexo, el estrato socioeconómico, el ingreso, la edad y el semestre en forma conjunta no son relevantes para explicar la consistencia en las preferencias. Sin embargo, también se observa que la CARACTERÍSTICAS SOCIOECONÓMICAS Y CONSISTENCIA EN LA TOMA DE DECISIONES JOHN JAMES MORA1 Economista, Universidad del Valle, Maestría Universidad Autónoma de Madrid, Jefe del Departamento de Economía, Universidad Icesi. email: jjmora@icesi.edu.co edad y el semestre podrían ayudar a explicar la consistencia.

  11. 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.

  12. 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.

  13. Typical balance exercises or exergames for balance improvement?

    Science.gov (United States)

    Gioftsidou, Asimenia; Vernadakis, Nikolaos; Malliou, Paraskevi; Batzios, Stavros; Sofokleous, Polina; Antoniou, Panagiotis; Kouli, Olga; Tsapralis, Kyriakos; Godolias, George

    2013-01-01

    Balance training is an effective intervention to improve static postural sway and balance. The purpose of the present study was to investigate the effectiveness of the Nintendo Wii Fit Plus exercises for improving balance ability in healthy collegiate students in comparison with a typical balance training program. Forty students were randomly divided into two groups, a traditional (T group) and a Nintendo Wii group (W group) performed an 8 week balance program. The "W group" used the interactive games as a training method, while the "T group" used an exercise program with mini trampoline and inflatable discs (BOSU). Pre and Post-training participants completed balance assessments. Two-way repeated measures analyses of variance (ANOVAs) were conducted to determine the effect of training program. Analysis of the data illustrated that both training program groups demonstrated an improvement in Total, Anterior-posterior and Medial Lateral Stability Index scores for both limbs. Only at the test performed in the balance board with anterior-posterior motion, the improvement in balance ability was greater in the "T group" than the "W group", when the assessment was performed post-training (p=0.023). Findings support the effectiveness of using the Nintendo Wii gaming console as a balance training intervention tool.

  14. Shared decision-making in mental health care—A user perspective on decisional needs in community-based services

    OpenAIRE

    Katarina Grim; David Rosenberg; Petra Svedberg; Ulla-Karin Schön

    2016-01-01

    Background: Shared decision-making (SDM) is an emergent research topic in the field of mental health care and is considered to be a central component of a recovery-oriented system. Despite the evidence suggesting the benefits of this change in the power relationship between users and practitioners, the method has not been widely implemented in clinical practice.Objective: The objective of this study was to investigate decisional and information needs among users with mental illness as a prere...

  15. Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura

    Directory of Open Access Journals (Sweden)

    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.

  16. Decisiones al final de la vida en el ordenamiento jurídico español

    Directory of Open Access Journals (Sweden)

    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.

  17. The influence of gene expression profiling on decisional conflict in decision making for early-stage breast cancer chemotherapy.

    Science.gov (United States)

    MacDonald, Karen V; Bombard, Yvonne; Deal, Ken; Trudeau, Maureen; Leighl, Natasha; Marshall, Deborah A

    2016-07-01

    Women with early-stage breast cancer, of whom only 15% will experience a recurrence, are often conflicted or uncertain about taking chemotherapy. Gene expression profiling (GEP) of tumours informs risk prediction, potentially affecting treatment decisions. We examined whether receiving a GEP test score reduces decisional conflict in chemotherapy treatment decision making. A general population sample of 200 women completed the decisional conflict scale (DCS) at baseline (no GEP test score scenario) and after (scenario with GEP test score added) completing a discrete choice experiment survey for early-stage breast cancer chemotherapy. We scaled the 16-item DCS total scores and subscores from 0 to 100 and calculated means, standard deviations and change in scores, with significance (p change their chemotherapy decision after receiving GEP testing information. Total score and all subscores (uncertainty, informed, values clarity, support, and effective decision) decreased significantly in the respondent subgroup who were unsure about taking chemotherapy initially but changed to no chemotherapy (n =33). In the subgroup of respondents (n = 25) who chose chemotherapy initially but changed to unsure, effective decision subscore increased significantly. In the overall sample, changes in total and all subscores were non-significant. GEP testing adds value for women initially unsure about chemotherapy treatment with a decrease in decisional conflict. However, for women who are confident about their treatment decisions, GEP testing may not add value. Decisions to request GEP testing should be personalised based on patient preferences. Copyright © 2016 Elsevier Ltd. All rights reserved.

  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. 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.

  20. De la evidencia al desempeño: cómo fijar prioridades y tomar buenas decisiones

    Directory of Open Access Journals (Sweden)

    Franklin White

    1998-07-01

    Full Text Available En esta época de respeto por la ciencia médica y por la responsabilidad gerencial, las organizaciones de salud deben rendir cuentas por sus acciones con creciente frecuencia. La época en que se determinaban las prioridades y se tomaban las decisiones sobre bases políticas o acatando el consejo intuitivo de asesores respetados y bien intencionados ha dado paso gradualmente a una era que valora la demostración de efectividad y eficiencia. Las decisiones relativas a las prioridades y a los programas deben basarse firmemente en conocimientos comprobados y someterse a evaluación continua. Esta transición requiere promover el pensamiento crítico en todos los ámbitos. Surge entonces la siguiente pregunta: ¿Cómo podemos promover el razonamiento crítico en los servicios de salud para fijar prioridades, adoptar decisiones acertadas y poner en práctica iniciativas efectivas? En otras palabras, ¿cómo podemos pasar de la evidencia al desempeño? Una pregunta aún más básica es ¿por qué debemos fijar prioridades?

  1. erfiles decisionales de jugadores y jugadoras de voleibol de diferente nivel de pericia. (Decisional profiles of volleyball players of different expertise level.

    Directory of Open Access Journals (Sweden)

    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

  2. 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.)

  3. Dificultades de las enfermeras de atención primaria en los procesos de planificación anticipada de las decisiones: un estudio cualitativo

    Directory of Open Access Journals (Sweden)

    Nani Granero-Moya

    2016-12-01

    Conclusiones: Es necesario el aprendizaje de los profesionales sobre planificación anticipada de decisiones, su entrenamiento en habilidades comunicativas y su educación afectiva. Los gestores sanitarios han de tener en cuenta el hecho de que las intervenciones para planificar anticipadamente decisiones sanitarias precisan formación, tiempo y atención continuada. En tanto no acontezca un cambio cultural, persistirá un modelo evasivo para afrontar el final de la vida.

  4. 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.

  5. Development and validation of the Japanese version of the Decisional Conflict Scale to investigate the value of pharmacists' information: a before and after study.

    Science.gov (United States)

    Kawaguchi, Takashi; Azuma, Kanako; Yamaguchi, Takuhiro; Soeda, Hiroshi; Sekine, Yusuke; Koinuma, Masayoshi; Takeuchi, Hironori; Akashi, Takao; Unezaki, Sakae

    2013-04-17

    The information provided in patient-centered care and shared decision-making influences patients' concerns and adherence to treatment. In the decision-making process, patients experience decisional conflict. The Decisional Conflict Scale (DCS) is a 16-item, self-administered questionnaire consisting of 5 subscales developed to assess patients' decisional conflict. This study aimed to develop the Japanese version of the DCS and to clarify the influence of the information provided by pharmacists' on decisional conflict among patients with cancer. We developed the Japanese version of the DCS by using the forward-backward translation method. One hundred patients who were recommended a new chemotherapy regimen were recruited. The psychometric properties of the Japanese DCS, including internal consistency, convergent validity, discriminant validity, and construct validity, were examined. We assessed the decisional conflict of patients before and after the pharmacists' provision of information. Ninety-four patients, predominately female, with an average age of 58.1 years were sampled. The scores on the 5 subscales of the DCS showed high internal consistency (Cronbach's alpha = 0.84-0.96). Multi-trait scaling analysis and cluster analysis showed strong validity. The mean total DCS score decreased significantly from 40.2 to 31.7 after patients received information from the pharmacists (p informed, values clarity, support, and effective decision, also significantly improved (p information was able to decrease decisional conflict among patients with cancer who were recommended a new chemotherapy regimen.

  6. Cognitive and emotional factors predicting decisional conflict among high-risk breast cancer survivors who receive uninformative BRCA1/2 results.

    Science.gov (United States)

    Rini, Christine; O'Neill, Suzanne C; Valdimarsdottir, Heiddis; Goldsmith, Rachel E; Jandorf, Lina; Brown, Karen; DeMarco, Tiffani A; Peshkin, Beth N; Schwartz, Marc D

    2009-09-01

    To investigate high-risk breast cancer survivors' risk reduction decision making and decisional conflict after an uninformative BRCA1/2 test. Prospective, longitudinal study of 182 probands undergoing BRCA1/2 testing, with assessments 1-, 6-, and 12-months postdisclosure. Primary predictors were health beliefs and emotional responses to testing assessed 1-month postdisclosure. Main outcomes included women's perception of whether they had made a final risk management decision (decision status) and decisional conflict related to this issue. There were four patterns of decision making, depending on how long it took women to make a final decision and the stability of their decision status across assessments. Late decision makers and nondecision makers reported the highest decisional conflict; however, substantial numbers of women--even early and intermediate decision makers--reported elevated decisional conflict. Analyses predicting decisional conflict 1- and 12-months postdisclosure found that, after accounting for control variables and decision status, health beliefs and emotional factors predicted decisional conflict at different timepoints, with health beliefs more important 1 month after test disclosure and emotional factors more important 1 year later. Many of these women may benefit from decision making assistance. Copyright 2009 APA, all rights reserved.

  7. General recognition theory with individual differences: a new method for examining perceptual and decisional interactions with an application to face perception.

    Science.gov (United States)

    Soto, Fabian A; Vucovich, Lauren; Musgrave, Robert; Ashby, F Gregory

    2015-02-01

    A common question in perceptual science is to what extent different stimulus dimensions are processed independently. General recognition theory (GRT) offers a formal framework via which different notions of independence can be defined and tested rigorously, while also dissociating perceptual from decisional factors. This article presents a new GRT model that overcomes several shortcomings with previous approaches, including a clearer separation between perceptual and decisional processes and a more complete description of such processes. The model assumes that different individuals share similar perceptual representations, but vary in their attention to dimensions and in the decisional strategies they use. We apply the model to the analysis of interactions between identity and emotional expression during face recognition. The results of previous research aimed at this problem have been disparate. Participants identified four faces, which resulted from the combination of two identities and two expressions. An analysis using the new GRT model showed a complex pattern of dimensional interactions. The perception of emotional expression was not affected by changes in identity, but the perception of identity was affected by changes in emotional expression. There were violations of decisional separability of expression from identity and of identity from expression, with the former being more consistent across participants than the latter. One explanation for the disparate results in the literature is that decisional strategies may have varied across studies and influenced the results of tests of perceptual interactions, as previous studies lacked the ability to dissociate between perceptual and decisional interactions.

  8. The Impact of a Rigorous Multiple Work Shift Schedule and Day Versus Night Shift Work on Reaction Time and Balance Performance in Female Nurses: A Repeated Measures Study.

    Science.gov (United States)

    Thompson, Brennan J; Stock, Matt S; Banuelas, Victoria K; Akalonu, Chibuzo C

    2016-07-01

    The aim of this study was to determine the impact of a demanding work schedule involving long, cumulative work shifts on response time and balance-related performance outcomes and to evaluate the prevalence of musculoskeletal disorders between day and night shift working nurses. A questionnaire was used to identify the prevalence of past (12-month) and current (7-day) musculoskeletal disorders. Nurses worked three 12-hour work shifts in a 4-day period. Reaction time and balance tests were conducted before and after the work period. The work period induced impairments for reaction time, errors on reaction time tasks, and balance performance, independent of shift type. Musculoskeletal symptom prevalence was high in workers of both work shifts. Compressed work shifts caused performance-based fatigue in nurses. Reaction time and balance tests may be sensitive fatigue identification markers in nurses.

  9. 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

  10. Experiencia de familiares de enfermos con cáncer terminal respecto a las decisiones al final de la vida

    Directory of Open Access Journals (Sweden)

    Norma Alicia Ordóñez Vázquez

    2016-01-01

    Full Text Available Introducción: La experiencia de los familiares que toman el rol de cuidadores primarios, en el proceso de una enfermedad terminal como el cáncer, proporciona información acerca de la toma de decisiones al final de la vida. El objetivo de este trabajo fue conocer desde la experiencia del familiar del enfermo quién toma las decisiones al final de la vida y cómo afectan estas decisiones al enfermo si no se considera su autonomía. Método: Tipo de estudio: Investigación de corte cualitativo que parte del paradigma hermenéutico fenomenológico. Se aborda desde la postura fenomenológica porque esta permite conocer la percepción que tienen las personas del mundo en el cual viven y el significado que le dan. Además se centra en la experiencia de vida de las personas, en este caso en la experiencia de los familiares de enfermos terminales. Se utilizó la entrevista semiestructurada. Participantes: Cuidadores primarios y familiares de enfermos con cáncer terminal que fueron atendidos en hospitales de la ciudad de México. Procedimiento: Se elaboró una guía de entrevista semiestructurada. Se realizaron 11 entrevistas de las cuales ocho formaron díadas cuidador/familiar. Las tres restantes se realizaron a cuidadores. Seis entrevistas se llevaron a cabo en un espacio de un hospital de tercer nivel y cinco en espacios públicos. Se utilizó el análisis temático y el método de van Manen. Resultados: La experiencia de los familiares muestra por una parte que las decisiones fueron tomadas por el enfermo (plano autónomo, aunque existieron algunos casos en los que él no tomó la decisión, en el momento final, los familiares fueron los que tuvieron que asumir la responsabilidad de tomar decisiones, dependiendo de cómo se iba presentando el proceso de enfermedad (plano dependiente. Es importante resaltar que en los casos estudiados no siempre existió adecuada comunicación médico-paciente. Además, desde la perspectiva fenomenológica, se

  11. 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

  12. Exploración sobre las decisiones estratégicas desde el pensamiento complejo.

    Directory of Open Access Journals (Sweden)

    Luz María Rivas Montoya

    2013-12-01

    Full Text Available 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 definición e implementación de una estrategia corporativa en particular. El trabajo de campo se realizó en una empresa multinegocio del sector asegurador colombiano; los datos se obtuvieron a través de entrevistas semiestructuradas realizadas adiversos actores de la organización. El pensamiento complejo desde la perspectiva de Edgar Morin (1990 se constituyó en el marco de referencia teórica.   La hermenéutica de la acción de Ricœur (2010 iluminó la interpretación de los datos cualitativos; para su análisis se utilizó el sistema de codificación abierta, axial, selectiva y de procesoque proponen Strauss y Corbin (2002. En términos generales, tres fueron las categorías que emergieron de los datos: sinergia, como decisión estratégica relevante; des-humanización,como uno de los efectos de la decisión estratégica en los individuos, y rupturas de tejidos relacionales, como uno de los impactos que deja la sinergia en la organización bajo estudio.

  13. High satisfaction and low decisional conflict with advance care planning among chronically ill patients with advanced chronic obstructive pulmonary disease or heart failure using an online decision aid: A pilot study.

    Science.gov (United States)

    Van Scoy, Lauren J; Green, Michael J; Dimmock, Anne Ef; Bascom, Rebecca; Boehmer, John P; Hensel, Jessica K; Hozella, Joshua B; Lehman, Erik B; Schubart, Jane R; Farace, Elana; Stewart, Renee R; Levi, Benjamin H

    2016-09-01

    Many patients with chronic illnesses report a desire for increased involvement in medical decision-making. This pilot study aimed to explore how patients with exacerbation-prone disease trajectories such as advanced heart failure or chronic obstructive pulmonary disease experience advance care planning using an online decision aid and to compare whether patients with different types of exacerbation-prone illnesses had varied experiences using the tool. Pre-intervention questionnaires measured advance care planning knowledge. Post-intervention questionnaires measured: (1) advance care planning knowledge; (2) satisfaction with tool; (3) decisional conflict; and (4) accuracy of the resultant advance directive. Comparisons were made between patients with heart failure and chronic obstructive pulmonary disease. Over 90% of the patients with heart failure (n = 24) or chronic obstructive pulmonary disease (n = 25) reported being "satisfied" or "highly satisfied" with the tool across all satisfaction domains; over 90% of participants rated the resultant advance directive as "very accurate." Participants reported low decisional conflict. Advance care planning knowledge scores rose by 18% (p < 0.001) post-intervention. There were no significant differences between participants with heart failure and chronic obstructive pulmonary disease. Patients with advanced heart failure and chronic obstructive pulmonary disease were highly satisfied after using an online advance care planning decision aid and had increased knowledge of advance care planning. This tool can be a useful resource for time-constrained clinicians whose patients wish to engage in advance care planning. © The Author(s) 2016.

  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. 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....

  16. Factores involucrados en el proceso de toma de decisiones en bibliotecas de tamaño medio y pequeño. Resultados del Proyecto Decimal

    Directory of Open Access Journals (Sweden)

    Bosch, M.

    1999-03-01

    Full Text Available The article presents the research results of the DECIMAL European project. The aim of the project is to produce an integrated decision support module for library management systems used in small and medium size libraries. The quantitative and qualitative research carried out in United Kingdom, Italy and Spain has been based on a combination of different methods: literature review, interviews, questionnaires and discussion groups during both presentation workshops held. Two basic research lines are discerned: the first one involving the real use of performance measures and indicators in management and evaluation of the library activities, and also their potential interest in the case they have not been applied to the present, and the second one involving the type of decisions most frequantly made in libraries and the issues that influence decision-making process (information sources used, organizational culture, training, satisfaction level.
    The article has been centered in the results obtained in Spanish libraries, but the general results are also mentioned in order to be compared. The conclusions of the study have resulted in the user requirement specification, as a first step in the design of the decision support module. The project has concluded with a prototype evaluation phase organised as an iterative testing of the prototypes and successive software modifications. The development of four versions of the module has resolved the problems identified earlier in the evaluation process.

    Se presentan los resultados de la investigación realizada en el marco del proyecto europeo DECIMAL, que tiene como objetivo el desarrollo de un módulo integrado de soporte de la toma de decisiones para sistemas automatizados usados en bibliotecas pequeñas y medianas. La investigación cuantitativa y cualitativa llevada a cabo en el Reino Unido, Italia y España se ha basado en una combinación de diversos métodos: revisión de la literatura

  17. 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 b