WorldWideScience

Sample records for examinations

  1. Ear examination

    Science.gov (United States)

    ... to the side, or the child's head may rest against an adult's chest. Older children and adults may sit with the head tilted toward the shoulder opposite the ear being examined. The provider will ...

  2. Special Examination

    International Development Research Centre (IDRC) Digital Library (Canada)

    OAG-BVG

    leaders developed or supported, and the value of donor partnerships. The targets are intended to help the Centre measure the impact it is having in implementing its strategic plan. Recommendations. 18. Our recommendations in this area of examination appear at paragraphs 24 and 33. Analysis to support this finding. 19.

  3. [Blood examination].

    Science.gov (United States)

    Kato, Masahiko

    2009-11-01

    Allergic blood examination such as radioallergosorbent test (RAST) is an important and sensitive method for detecting the allergen against allergic diseases including bronchial asthma, allergic rhinitis, atopic dermatitis, and food allergy. In this review, blood examination such as RAST and histamine release test (HRT) will be discussed. In 1967, Wide et al developed allergen detecting system such as RAST that measures the allergen specific IgE antibody. Now, several systems including capsulated hydrophilic carrier polymer (CAP)-RAST or multiple antigen simultaneous test (MAST) by using the fluoroenzyme immunoassay (FEIA) or other methods by using the ELISA are available. Another method for blood test is HRT that measures histamine release from the peripheral blood basophils after antigen addition in vitro. In general, HRT is thought to be more sensitive than RAST but available for only ten allergens. Also, 10-20% of patients are non-responder for this test.

  4. Chaotic examination

    Science.gov (United States)

    Bildirici, Melike; Sonustun, Fulya Ozaksoy; Sonustun, Bahri

    2018-01-01

    In the regards of chaos theory, new concepts such as complexity, determinism, quantum mechanics, relativity, multiple equilibrium, complexity, (continuously) instability, nonlinearity, heterogeneous agents, irregularity were widely questioned in economics. It is noticed that linear models are insufficient for analyzing unpredictable, irregular and noncyclical oscillations of economies, and for predicting bubbles, financial crisis, business cycles in financial markets. Therefore, economists gave great consequence to use appropriate tools for modelling non-linear dynamical structures and chaotic behaviors of the economies especially in macro and the financial economy. In this paper, we aim to model the chaotic structure of exchange rates (USD-TL and EUR-TL). To determine non-linear patterns of the selected time series, daily returns of the exchange rates were tested by BDS during the period from January 01, 2002 to May 11, 2017 which covers after the era of the 2001 financial crisis. After specifying the non-linear structure of the selected time series, it was aimed to examine the chaotic characteristic for the selected time period by Lyapunov Exponents. The findings verify the existence of the chaotic structure of the exchange rate returns in the analyzed time period.

  5. Examine Your Skin

    Medline Plus

    Full Text Available ... Store In Memory Melanoma Info Melanoma Facts Melanoma Prevention Sunscreen Suggestions Examine Your Skin Newly Diagnosed? Understanding ... video. UPDATED: November 23, 2016 Melanoma Facts Melanoma Prevention Sunscreen Suggestions Examine Your Skin Newly Diagnosed? Understanding ...

  6. Examine Your Skin

    Medline Plus

    Full Text Available ... Suggestions Examine Your Skin Newly Diagnosed? Understanding Your Pathology Biopsy: The First Step Sentinel Node Biopsy Melanoma ... Suggestions Examine Your Skin Newly Diagnosed? Understanding Your Pathology Biopsy: The First Step Sentinel Node Biopsy Melanoma ...

  7. INTER-EXAMINER VARIABILITY

    African Journals Online (AJOL)

    Background: The traditional clinical examination has fallen into disfavour on account of considerable inter-examiner variability. The OSCE is gaining popularity as it is perceived to be less prone to this. Objective: To establish whether inter-examiner variability is still a significant factor for the undergraduate orthopaedic ...

  8. Examine Your Skin

    Medline Plus

    Full Text Available ... us for One-on-One Support Donate Share Facebook Twitter Newsletter Examine Your Skin Watch the video ... develop personalized strategies with patients so they may live longer, better lives. Our Vision: A future where ...

  9. Spermiologic examination protocol

    Directory of Open Access Journals (Sweden)

    Ye. Ye. Bragina

    2014-01-01

    Full Text Available The 2010 World Health Organization (WHO guidelines for semiological examinations describe standard, additional tests and tests of scientific value and analyze in detail different situations and possible errors. This paper gives an abstract of the WHO guidelines, a concise protocol for using the standard methods of a spermiolofic examination, and a number of commentaries that reflect the alternative view of a number of problems.

  10. The Comprehensive Examination.

    Science.gov (United States)

    Gothberg, Helen M.; Aleamoni, Lawrence M.

    1988-01-01

    Describes an objective test used as the comprehensive examination in a graduate library school and discusses its advantages over essay tests. The topics covered include test construction, the use of item analysis for scoring and test revision, and student reactions to the objective test. (1 reference) (CLB)

  11. Mini mental state examination

    DEFF Research Database (Denmark)

    Kørner, Ejnar Alex; Lauritzen, Lise; Wang, August

    2008-01-01

    INTRODUCTION: The Mini Mental State Examination (MMSE) is widely used in Denmark, but often in non-validated versions. In 2000 a cross-sectional workgroup decided on a new common version of the MMSE with a corresponding manual, which is validated for the first time in the present study. MATERIALS...

  12. Examining Perceptions and Attitudes.

    Science.gov (United States)

    Ho, Grace W K

    2017-05-01

    The purpose of this article is to compare and discuss the use of Likert-type scales and Q-methodology to examine perceptions and attitudes in nursing research. This article provides a brief review of each approach, and how they have been used to advance our knowledge in health-related perceptions and attitudes. Although Likert-type scales are economical, efficient, and easy to analyze, the results can be difficult to interpret or translate into meaningful practice. In contrast, Q-methodology yields holistic and in-depth information on what the prevailing perceptions and attitudes are, but its conduct is logistically challenging and the results' generalizability can be limited. The appropriate uses of either or both approaches to answer different research questions will be discussed. Nurse scientists are called upon to continue our exploration, utilization, and expansion of unique methodologies that directly speak to a meaningful examination of these important constructs in nursing research.

  13. Temporomandibular joint examination reviewed

    OpenAIRE

    L. Guarda Nardini

    2011-01-01

    The temporo-mandibular joint (TMJ) it’s a joint closely related to the skull base, the spine, and the jaws; all these anatomical structures must be taken in consideration when evaluating pain involving the tmj. In order to detect patients affected by pathology or dysfunctions of the tmj, physical examination is of great value in orienting the diagnosis. Inspection must consider the symmetry of the body, the dental status and the type of occlusion. Palpation is a way to assess contractiont inv...

  14. Microstructural examination of

    Science.gov (United States)

    Fukuoka, C.; Yoshizawa, H.; Nakagawa, Y. G.; Lapides, M. E.

    1993-10-01

    Fatigue tests were performed to examine how microstructural conditioning influences crack initiation and propagation in SA508 class 3 low-carbon steel. A 3-mm-long crack was introduced in compact tension (CT) fatigue test specimens under four different loads in order to obtain crack tip plastic zones at different stress intensity factor ranges, ΔK = 18, 36, 54, and 72 MPa√m. The microstructure of the plastic zones around the crack tip were examined by trans- mission electron microscopy (TEM) and selected area electron diffraction (SAD). Micro- orientation of the dislocation cells in the plastic zones of all of the CT samples increased to 4 deg from the level of an as-received sample. Four-point bending fatigue tests were performed for plate shape samples with a large cyclic strain range. The SAD value of the bending samples was also 4 deg in the damaged area where cracks already initiated at an early stage of the fatigue process. These test results indicate that the microstructural conditioning is a prerequisite for the fatigue crack initiation and propagation in SA508. These observations may lead to better under- standing of how fatigue initiation processes transit to cracks.

  15. Examining hydrogen transitions.

    Energy Technology Data Exchange (ETDEWEB)

    Plotkin, S. E.; Energy Systems

    2007-03-01

    This report describes the results of an effort to identify key analytic issues associated with modeling a transition to hydrogen as a fuel for light duty vehicles, and using insights gained from this effort to suggest ways to improve ongoing modeling efforts. The study reported on here examined multiple hydrogen scenarios reported in the literature, identified modeling issues associated with those scenario analyses, and examined three DOE-sponsored hydrogen transition models in the context of those modeling issues. The three hydrogen transition models are HyTrans (contractor: Oak Ridge National Laboratory), MARKAL/DOE* (Brookhaven National Laboratory), and NEMS-H2 (OnLocation, Inc). The goals of these models are (1) to help DOE improve its R&D effort by identifying key technology and other roadblocks to a transition and testing its technical program goals to determine whether they are likely to lead to the market success of hydrogen technologies, (2) to evaluate alternative policies to promote a transition, and (3) to estimate the costs and benefits of alternative pathways to hydrogen development.

  16. Examining fatigue in COPD

    DEFF Research Database (Denmark)

    Al-Shair, Khaled; Muellerova, Hana; Yorke, Janelle

    2012-01-01

    ABSTRACT: INTRODUCTION: Fatigue is a disruptive symptom that inhibits normal functional performance of COPD patients in daily activities. The availability of a short, simple, reliable and valid scale would improve assessment of the characteristics and influence of fatigue in COPD. METHODS......: At baseline, 2107 COPD patients from the ECLIPSE cohort completed the Functional Assessment of Chronic Illness Therapy Fatigue (FACIT-F) scale. We used well-structured classic method, the principal components analysis (PCA) and Rasch analysis for structurally examining the 13-item FACIT-F. RESULTS: Four items...... were less able to capture fatigue characteristics in COPD and were deleted. PCA was applied to the remaining 9 items of the modified FACIT-F and resulted in three interpretable dimensions: i) general (5 items); ii) functional ability (2 items); and iii) psychosocial fatigue (2 items). The modified...

  17. Cheeting in Mathematics Examinations

    Directory of Open Access Journals (Sweden)

    Omar Mejía Pérez

    2014-10-01

    Full Text Available The exam is the most widely used assessment instrument in the history of education, primarily in mathematics. One of the main problems that happens in this resource, and make it an unreliable source to gather information, is plagiarism, copying or cheating. This issue occurs for many reasons, but has several consistencies in behavior of students when attending a test, as we could find in the experimental ethnographic exercises we did. We also noticed that although there is a direct relationship between the teacher's role as a supervisor of an examination and the level of plagiarism that occurs in it, the problem definitely has a greater connotation. Inside the classroom it can clearly see a culture of plagiarism which obstructs the educational process regarding ethical and educational justice is concerned.

  18. Parameterized examination in econometrics

    Science.gov (United States)

    Malinova, Anna; Kyurkchiev, Vesselin; Spasov, Georgi

    2018-01-01

    The paper presents a parameterization of basic types of exam questions in Econometrics. This algorithm is used to automate and facilitate the process of examination, assessment and self-preparation of a large number of students. The proposed parameterization of testing questions reduces the time required to author tests and course assignments. It enables tutors to generate a large number of different but equivalent dynamic questions (with dynamic answers) on a certain topic, which are automatically assessed. The presented methods are implemented in DisPeL (Distributed Platform for e-Learning) and provide questions in the areas of filtering and smoothing of time-series data, forecasting, building and analysis of single-equation econometric models. Questions also cover elasticity, average and marginal characteristics, product and cost functions, measurement of monopoly power, supply, demand and equilibrium price, consumer and product surplus, etc. Several approaches are used to enable the required numerical computations in DisPeL - integration of third-party mathematical libraries, developing our own procedures from scratch, and wrapping our legacy math codes in order to modernize and reuse them.

  19. Temporomandibular joint examination reviewed

    Directory of Open Access Journals (Sweden)

    L. Guarda Nardini

    2011-09-01

    Full Text Available The temporo-mandibular joint (TMJ it’s a joint closely related to the skull base, the spine, and the jaws; all these anatomical structures must be taken in consideration when evaluating pain involving the tmj. In order to detect patients affected by pathology or dysfunctions of the tmj, physical examination is of great value in orienting the diagnosis. Inspection must consider the symmetry of the body, the dental status and the type of occlusion. Palpation is a way to assess contractiont involving the muscles of the masticatory system and of the neck. Auscultation, based on articular noise provides means to determine whether we are dealing with degeneration of the joint or a dislocation of the intrarticular disc. In order to confirm the diagnosis obtained with the clinical evaluation, it’s useful to perform imaging techniques as opt, tomography and TC of the tmj and electromyokineosiography – index of the mandibular functionality and of the muscles status. MRI and dynamic MRI are among the non invasive exams which give the greatest amount of information, regarding the disc position and the joint degeneration. Arthroscopy is an invasive technique that allows early diagnosis of degeneration and is helpful to reveal early inflammatory processes of the joint.

  20. MANAGEMENT OF EXAMINATIONS: ETHICAL ISSUES.

    African Journals Online (AJOL)

    Elizabeth

    irregularities. Key Words: Examination. Ethics,. Examination malpractice,. Examination Management, Examination Bodies, Schooling,. Education. Introduction. Education is a ... It is important to always find out the extent the learners have acquired the .... The National Business and Technical Examination Board. Apart from ...

  1. External Examining: Fit for Purpose?

    Science.gov (United States)

    Bloxham, Sue; Price, Margaret

    2015-01-01

    In a context of international concern about academic standards, the practice of external examining is widely admired for its role in defending standards. Yet a contradiction exists between this faith in examining and continuing concerns about standards. This article argues that external examining rests on assumptions about standards which are…

  2. The neuro-ophthalmological examination.

    Science.gov (United States)

    Rucker, Janet C; Kennard, Christopher; Leigh, R John

    2011-01-01

    The neuro-ophthalmological examination constitutes one of the most refined and exact components of the clinical examination, often allowing precise diagnosis and formulation of a treatment plan even within the compass of the first visit. This chapter briefly highlights important features in the neuro-ophthalmological history and then presents detailed information on the important components of a comprehensive neuro-ophthalmological examination. Covered examination topics include visual acuity, visual field testing, color vision, external eye exam, pupils, ophthalmoscopy, and eye movements. The final section discusses ancillary tests that supplement the bedside neuro-ophthalmological examination, including formal visual field analysis, electroretinography, fluorescein angiography, ocular coherence tomography, visual-evoked potentials, neuroimaging, and quantitative eye movement recordings. Copyright © 2011 Elsevier B.V. All rights reserved.

  3. History of neurologic examination books.

    Science.gov (United States)

    Boes, Christopher J

    2015-04-01

    The objective of this study was to create an annotated list of textbooks dedicated to teaching the neurologic examination. Monographs focused primarily on the complete neurologic examination published prior to 1960 were reviewed. This analysis was limited to books with the word "examination" in the title, with exceptions for the texts of Robert Wartenberg and Gordon Holmes. Ten manuals met the criteria. Works dedicated primarily to the neurologic examination without a major emphasis on disease description or treatment first appeared in the early 1900s. Georg Monrad-Krohn's "Blue Book of Neurology" ("Blue Bible") was the earliest success. These treatises served the important purpose of educating trainees on proper neurologic examination technique. They could make a reputation and be profitable for the author (Monrad-Krohn), highlight how neurology was practiced at individual institutions (McKendree, Denny-Brown, Holmes, DeJong, Mayo Clinic authors), and honor retiring mentors (Mayo Clinic authors).

  4. Hot Fuel Examination Facility (HFEF)

    Data.gov (United States)

    Federal Laboratory Consortium — The Hot Fuel Examination Facility (HFEF) is one of the largest hot cells dedicated to radioactive materials research at Idaho National Laboratory (INL). The nation's...

  5. Neurological examination in small animals

    Directory of Open Access Journals (Sweden)

    Viktor Paluš

    2014-03-01

    Full Text Available This clinical review about the neurological examination in small animals describes the basics about the first steps of investigation when dealing with neurological patients. The knowledge of how to perform the neurological examination is important however more important is how to correctly interpret these performed tests. A step-by-step approach is mandatory and examiners should master the order and the style of performing these tests. Neurological conditions can be sometimes very distressing for owners and for pets that might not be the most cooperating. The role of a veterinary surgeon, as a professional, is therefore to collect the most relevant history, to examine a patient in a professional manner and to give to owners an educated opinion about the further treatment and prognosis. However neurological examinations might look challenging for many. But it is only the clinical application of neuroanatomy and neurophysiology to an every-day situation for practicing veterinarians and it does not require any specific in-to-depth knowledge. This clinical review is aimed not only to provide the information on how to perform the neurological examination but it is also aimed to appeal on veterinarians to challenge their daily routine and to start practicing on neurologically normal patients. This is the best and only way to differentiate between the normal and abnormal in a real situation.

  6. Student-constructed examination items.

    Science.gov (United States)

    Hoffman, K I; Solinas, J; Marshall, G J

    1978-01-01

    Student-written items were compared with teacher-written items on an objective examination given to first year medical students. While student scores were higher on the student-written items than on teacher-written items, there was a positive correlation between the scores. Student items did not differ from teacher items in the course, according to student ratings of emphasis. As a by-product of this study, correlations were found which suggest that student scores on an item often reflect the degree of teaching emphasis given the content area of the item rather than the inherent difficulty of the content. It is suggested that further research is needed to determine whether students learn through the process of writing examination items. Therefore, if the process proves to be educational, this study indicates that it will be feasible to incorporate the student-constructed items in examinations.

  7. Examining Place Branding with Aarhus

    OpenAIRE

    Pedersen, Morten Lech; Festersen, Simon Kanstrup; Thorborg, Caroline; Hansen, Anna Schjøtt

    2014-01-01

    This study examines the phenomenon place branding in relations to a specific case, the Danish city Aarhus, whom recently changed the city brand and image to “Aarhus – Danish for Progress”. The goal of the study is to examine which community of values is present in the branding of Aarhus, and what implications this type of branding has in a democratic society. The study includes a functional-pragmatic discourse analysis of the publications “Positioning Aarhus for the Future” and “Do Busines...

  8. Industrial relations in agriculture examined

    NARCIS (Netherlands)

    Schaapman, M.H.

    2003-01-01

    Agriculture remains an important part of the Dutch economy, accounting for around 10%of GDP . The sector is currently undergoing major changes in terms of production, markets and technology, with important implications for employment. This article examines industrial relations in agriculture,

  9. The Timing of Student Examinations

    Science.gov (United States)

    Dugdale, Alan E.

    1975-01-01

    Proposes a plan by which medical students could take a final examination 80 percent of the way through a course, allowing students to learn in their own way with more efficient use of teacher time and less stress of terminal exams because all students would have two chances without penalty. (JT)

  10. Ballistics examination of air rifle.

    Science.gov (United States)

    Bogiel, G

    2014-01-01

    The aim of this paper is to determine the velocity, energy, maximum range and distance at which pellets fired from an air rifle of kinetic energy below 17 J can pose a threat to unprotected human skin. Doppler radar equipment and exterior ballistics software were used in this examination.

  11. Ballistics examination of air rifle

    Directory of Open Access Journals (Sweden)

    Grzegorz Bogiel

    2014-08-01

    Full Text Available The aim of this paper is to determine the velocity, energy, maximum range and distance at which pellets fired from an air rifle of kinetic energy below 17 J can pose a threat to unprotected human skin. Doppler radar equipment and exterior ballistics software were used in this examination.

  12. Ballistics examination of air rifle

    OpenAIRE

    Grzegorz Bogiel

    2014-01-01

    The aim of this paper is to determine the velocity, energy, maximum range and distance at which pellets fired from an air rifle of kinetic energy below 17 J can pose a threat to unprotected human skin. Doppler radar equipment and exterior ballistics software were used in this examination.

  13. Examination of musculoskeletal chest pain

    DEFF Research Database (Denmark)

    Brunse, Mads Hostrup; Stochkendahl, Mette Jensen; Vach, Werner

    2010-01-01

    using a standardized examination protocol, (2) to determine inter-observer reliability of single components of the protocol, and (3) to determine the effect of observer experience. Eighty patients were recruited from an emergency cardiology department. Patients were eligible if an obvious cardiac or non......-cardiac diagnosis could not be established at the cardiology department. Four observers (two chiropractors and two chiropractic students) performed general health and manual examination of the spine and chest wall. Percentage agreement, Cohen's Kappa and ICC were calculated for observer pairs (chiropractors...... and students) and all. Musculoskeletal chest pain was diagnosed in 45 percent of patients. Inter-observer kappa values were substantial for the chiropractors and overall (0.73 and 0.62, respectively), and moderate for the students (0.47). For single items of the protocol, the overall kappa ranged from 0...

  14. Scintigraphic examinations in skeletal diseases

    Energy Technology Data Exchange (ETDEWEB)

    Noeh, E.; Akalin, M.

    1981-06-01

    Scintigraphy has been carried out for many years in adequate hospitals with special equipments. Isotopic examinations have been considered to be more and more important; they are applied in cases of pathologic changes of bones and joints or in cases of changes in the surrounding areas. Besides all medical findings, for instance X-ray, laboratory and histological ones, scintigraphic examinations have been applied as a supporting method especially in cases of loosened endoprosthesis or a suspected loosening of the endoprosthesis, para- and periarticular calcifications, rheumatoid arthritis and other rheumatoid diseases of the joints, inflammatory processes, tumourous processes, delayed healing of the bones, pseudoarthrosis and osteoporosis. Of course the scintigraphy is a not specific method but it is extremely important for a complete diagnosis.

  15. [Diagnosis. History and physical examination].

    Science.gov (United States)

    Pérez Martín, Álvaro

    2014-01-01

    Family physicians play a key role in the diagnosis and management of patients with osteoarthritis. Diagnosis is mainly clinical and radiological. A complete history should be taken with meticulous physical examination of the joints. The history-taking should aim to detect risk factors and compatible clinical symptoms. Pain characteristics should be identified, distinguishing between mechanical and inflammatory pain, and an exhaustive examination of the joints should be performed, with evaluation of the presence of pain, deformity, mobility restrictions (both active and passive), crepitus, joint effusion, and inflammation. A differential diagnosis should be made with all diseases that affect the joints and/or produce joint stiffness. Copyright © 2014 Elsevier España, S.L. All rights reserved.

  16. geotechnical examination of the geophysical

    African Journals Online (AJOL)

    2012-11-03

    Nov 3, 2012 ... ticity index with the following apparatus, soil sample passing 4.25mm, large glass plate, balance with accu- racy of 0.01gm, oven to dry sample at temperature of 105‰ and 110‰, evaporating dishes, desicator etc. it is important to note that soil used for this labora- tory examination is not oven dried prior to ...

  17. A Technique: Examining the Evidence

    Directory of Open Access Journals (Sweden)

    Serkan AKKOYUNLU

    2012-11-01

    Full Text Available Introduction: Cognitive therapy is based on the realistic epistemology which exerts that there is an objective reality beyond human experience. Cognitive models of psychopathology stipulate that the processing of external event or internal stimuli is biased and therefore systematically distorts the individual’s construction of his or her experiences, leading to a variety of cognitive errors. These distorted cognitions predispose or perpetuates mental disorders. If this bias that is also manifested in the automatic thoughts during specific instances can be attenuated by weakening the belief in these thoughts, it may lead into change in the accompanying emotion and dysfunctional behaviour. Objective: The aim of this review is to describe the basic technique of cognitive therapy namely “examining the evidence” and also present the clinical application of this technique. In order to perform this technique, first situation must be detailed. Then assessed emotion is graded according to its severity. After that, key automatic thought must be identified and phrased accordingly. After grading belief in the thought, evidence for and against the thought can be generated using appropriate questioning. In the end by using this evidence, the belief in the automatic thought and the emotion must be reviewed. Examining the evidence can also be used as a homework assignment to be done between sessions. In this text, steps of examining the evidence, which questions to be asked, and the points that must be attendant is reviewed and a sample interview is included. Conclusion: By its empirical nature “examining the evidence” is the most valuable technique of cognitive therapy and when it is applied properly long lasting change can occur in clients

  18. Continuous assessment and matriculation examination marks – An empirical examination

    Directory of Open Access Journals (Sweden)

    Servaas van der Berg

    2015-12-01

    This study compares CASS data to the externally assessed matric exam marks for a number of subjects. There are two signalling dimensions to inaccurate assessments: (i Inflated CASS marks can give students a false sense of security and lead to diminished exam effort. (ii A weak correlation between CASS and the exam marks could mean poor signalling in another dimension: Relatively good students may get relatively low CASS marks. Such low correlations indicate poor assessment reliability, as the examination and continuous assessment should both be testing mastery of the same national curriculum. The paper analyses the extent of each of these dimensions of weak signalling in South African schools and draws disturbing conclusions for a large part of the school system.

  19. Online examiner calibration across specialties.

    Science.gov (United States)

    Sturman, Nancy; Wong, Wai Yee; Turner, Jane; Allan, Chris

    2017-09-26

    Integrating undergraduate medical curricula horizontally across clinical medical specialties may be a more patient-centred and learner-centred approach than rotating students through specialty-specific teaching and assessment, but requires some interspecialty calibration of examiner judgements. Our aim was to evaluate the acceptability and feasibility of an online pilot of interdisciplinary examiner calibration. Fair clinical assessment is important to both medical students and clinical teachers METHODS: Clinical teachers were invited to rate video-recorded student objective structured clinical examination (OSCE) performances and join subsequent online discussions using the university's learning management system. Post-project survey free-text and Likert-scale participant responses were analysed to evaluate the acceptability of the pilot and to identify recommendations for improvement. Although 68 clinicians were recruited to participate, and there were 1599 hits on recordings and discussion threads, only 25 clinical teachers rated at least one student performance, and 18 posted at least one comment. Participants, including rural doctors, appeared to value the opportunity for interdisciplinary rating calibration and discussion. Although the asynchronous online format had advantages, especially for rural doctors, participants reported considerable IT challenges. Our findings suggest that fair clinical assessment is important to both medical students and clinical teachers. Interspecialty discussions about assessment may have the potential to enrich intraspecialty perspectives, enhance interspecialty engagement and collaboration, and improve the quality of clinical teacher assessment. Better alignment of university and hospital systems, a face to face component and other modifications may have enhanced clinician engagement with this project. Findings suggest that specialty assessment cultures and content expertise may not be barriers to pursuing more integrated

  20. OCT for Examination of Artwork

    Science.gov (United States)

    Targowski, Piotr; Iwanicka, Magdalena; Rouba, Bogumiła J.; Frosinini, Cecilia

    In this chapter the application of OCT to examination of objects of cultural heritage is given. The knowledge about the structure of the object of art is necessary both for inventory purposes and planning/monitoring of conservation-restoration treatments. Due to its noninvasiveness OCT is well suited for such applications. The major limitation is in the lack of transparency of certain structures. Specific requirements, advantages and limitations of use of the OCT technique in this area are discussed first. Then the overview of applications to easel paintings, historic glass, and craftsmanship is given, followed by two examples of monitoring the laser ablation with OCT: very local in case of Laser Induced Breakdown Spectroscopy (LIBS), and more general in case of laser ablation of the varnish layer. Then the examples of application of OCT to examination of paintings are given: investigation of deterioration of the varnish layer in the "Adoration of the Magi" by Leonardo da Vinci (Uffizi, Italy), imaging of overpaintings on two 17th and 18th c. oil paintings on canvas, and visualization of specific case of retouching located between two layers of varnish in the "Madonna with Yarnwinder" (attributed to L. da Vinci, private property).

  1. [Ultrasound examination of hidradenitis suppurativa].

    Science.gov (United States)

    Martorell, A; Segura Palacios, J M

    2015-11-01

    Hidradenitis suppurativa is a debilitating chronic, recurrent, inflammatory cutaneous disease of the hair follicle that usually presents with painful, deep and inflamed lesions in the areas of the body with apocrine glands, most frequently the axillary, groin and anogenital regions. This entity is difficult to manage since it can be difficult to determine the true nature and extension of the lesions. Cutaneous ultrasound allows real-time visualization of the cutaneous structures under examination, defining the type of lesion, its anatomical extension, and the degree of inflammatory activity, which affects adequate patient management. The present review analyses the importance of ultrasound in the assessment of patients with hidradenitis suppurativa. Copyright © 2015 Academia Española de Dermatología y Venereología. Published by Elsevier España, S.L.U. All rights reserved.

  2. CUDA Enabled Graph Subset Examiner

    Energy Technology Data Exchange (ETDEWEB)

    2016-12-22

    Finding Godsil-McKay switching sets in graphs is one way to demonstrate that a specific graph is not determined by its spectrum--the eigenvalues of its adjacency matrix. An important area of active research in pure mathematics is determining which graphs are determined by their spectra, i.e. when the spectrum of the adjacency matrix uniquely determines the underlying graph. We are interested in exploring the spectra of graphs in the Johnson scheme and specifically seek to determine which of these graphs are determined by their spectra. Given a graph G, a Godsil-McKay switching set is an induced subgraph H on 2k vertices with the following properties: I) H is regular, ii) every vertex in G/H is adjacent to either 0, k, or 2k vertices of H, and iii) at least one vertex in G/H is adjacent to k vertices in H. The software package examines each subset of a user specified size to determine whether or not it satisfies those 3 conditions. The software makes use of the massive parallel processing power of CUDA enabled GPUs. It also exploits the vertex transitivity of graphs in the Johnson scheme by reasoning that if G has a Godsil-McKay switching set, then it has a switching set which includes vertex 1. While the code (in its current state) is tuned to this specific problem, the method of examining each induced subgraph of G can be easily re-written to check for any user specified conditions on the subgraphs and can therefore be used much more broadly.

  3. National Postirradiation Examination Workshop Report

    Energy Technology Data Exchange (ETDEWEB)

    Schulthess, Jason L

    2011-06-01

    A National Post-Irradiation-Examination (PIE) Workshop was held March 29-30, 2011, in Washington D.C., stimulated by the DOE Acting Assistant Secretary for Nuclear Energy approval on January 31, 2011 of the “Mission Need Statement for Advanced Post-Irradiation Examination Capability”. As stated in the Mission Need, “A better understanding of nuclear fuels and material performance in the nuclear environment, at the nanoscale and lower, is critical to the development of innovative fuels and materials required for tomorrow’s nuclear energy systems.” (2011) Developing an advanced post-irradiation capability is the most important thing we can do to advance nuclear energy as an option to meeting national energy goals. Understanding the behavior of fuels and materials in a nuclear reactor irradiation environment is the limiting factor in nuclear plant safety, longevity, efficiency, and economics. The National PIE Workshop is part of fulfilling or addressing Department of Energy (DOE) missions in safe and publically acceptable nuclear energy. Several presentations were given during the opening of the workshop. Generally speaking, these presentations established that we cannot continue to rely on others in the world to provide the capabilities we need to move forward with nuclear energy technology. These presentations also generally identified the need for increased microstructural understanding of fuels and materials to be coupled with modeling and simulation, and increased accessibility and infrastructure to facilitate the interaction between national laboratories and participating organizations. The overall results of the work of the presenters and panels was distilled into four primary needs 1. Understanding material changes in the extreme nuclear environment at the nanoscale. Nanoscale studies have significant importance due to the mechanisms that cause materials to degrade, which actually occur on the nanoscale. 2. Enabling additional proficiency in

  4. Anterior chest wall examination reviewed

    Directory of Open Access Journals (Sweden)

    F. Trotta

    2011-09-01

    Full Text Available Anterior chest wall involvement is not infrequently observed within inflammatory arthropaties, particularly if one considers seronegative spondiloarthritides and SAPHO syndrome. Physical examination is unreliable and conventional X-rays analysis is an unsatisfactory tool during diagnostic work-up of this region. Scintigraphic techniques yield informations both on the activity and on the anatomical extent of the disease while computerized tomography visualize the elementary lesions, such as erosions, which characterize the process. Moreover, when available, magnetic resonance imaging couple the ability to finely visualize such lesions with the possibility to show early alterations and to characterize the “activity” of the disease, presenting itself as a powerful tool both for diagnosis and follow-up. This review briefly shows the applications of imaging techniques for the evaluation of the anterior chest wall focusing on what has been done in the SAPHO syndrome which can be considered prototypical for this regional involvement since it is the osteo-articular target mainly affected by the disease.

  5. Examining the safety of amiodarone.

    Science.gov (United States)

    Santangeli, Pasquale; Di Biase, Luigi; Burkhardt, John David; Bai, Rong; Mohanty, Prasant; Pump, Agnes; Natale, Andrea

    2012-03-01

    Amiodarone is the most widely used antiarrhythmic agent, with demonstrated effectiveness against all the spectrum of cardiac tachyarrhythmias. The risk of adverse effects acts as a limiting factor to its utilization especially in the long term. This article systematically reviews the published evidence on amiodarone versus placebo to examine its safety as an antiarrhythmic drug. Authors collected data on adverse effects reported in 49 randomized placebo-controlled trials with amiodarone. Adverse effects were classified according to the organ/system involved. Pooled estimates of the number needed to treat (NNT) and to harm (NNH) versus placebo were calculated. Amiodarone is effective for both the acute conversion of atrial fibrillation (AF) (11 trials, NNT = 4 at 24 h; p = 0.003) and the prevention of postoperative AF (18 trials, NNT = 8; p Amiodarone administration for the maintenance of sinus rhythm has a favorable net clinical benefit (pooled NNT = 3; p amiodarone for the prophylaxis of sudden cardiac death has less favorable net clinical benefit (15 trials, NNT = 38; p Amiodarone treatment in this setting should be used in only selected cases.

  6. Examining the Synergy of Practice

    Directory of Open Access Journals (Sweden)

    Amanda Phelan BNS, MSc, PhD

    2014-10-01

    Full Text Available Public health nurses in Ireland are charged with conducting a home visit to every postnatal mother within 48 hours of hospital discharge. This represents the beginning of a long-term relationship, not only with the mother and newborn child but also with the family. This article fundamentally demonstrates the essential work of the public health nurse in promoting the health of the baby within a family. In this article, the expertise the public health nurse uses in the first visit is examined in the context of 3 competencies: communication, partnerships with the family, and partnerships with individual family members. This expertise provides the foundation for a long-term therapeutic relationship with the family to the essential benefit of the baby’s early childhood growth and developmental milestones. Consequently, the first postnatal visit by public health nursing in Ireland represents a synergy of practice, which provides the foundation for enduring family relationships focused on potentializing both individual family members’ health and the family as a dynamic unit.

  7. A Matter of Exposition: Examination and Education

    Science.gov (United States)

    Schröder, Sabrina; Thompson, Christiane

    2015-01-01

    While current literature on examination and testing mostly engages with the objectivity of exams and their procedural logic, this article is concerned with the 'ethical dimension' of examination: Examinations provoke a particular relation to oneself, possibly self-transformation. The praxis of examination entails self-confrontation in the light of…

  8. 46 CFR 176.670 - Tailshaft examinations.

    Science.gov (United States)

    2010-10-01

    ...) INSPECTION AND CERTIFICATION Hull and Tailshaft Examinations § 176.670 Tailshaft examinations. (a) The marine inspector may require any part or all of the propeller shafting to be drawn for examination of the shafting...) The marine inspector may conduct a visual examination and may require nondestructive testing of the...

  9. Mathematical programming formulations for the examinations ...

    African Journals Online (AJOL)

    Examinations Timetabling Problem (ETP) is the problem of assigning courses to be examined and candidates to time periods and examination rooms while satisfying a set of constraints. Every University has a different set of constraints and structure of examinations. Thus there is no general ETP model for all Universities ...

  10. 36 CFR 21.7 - Health examinations.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Health examinations. 21.7... SPRINGS NATIONAL PARK; BATHHOUSE REGULATIONS § 21.7 Health examinations. No employee who comes in direct... health examination, or remain in such employment without undergoing periodic health examinations, as...

  11. Does Changing Examiner Stations During UK Postgraduate Surgery Objective Structured Clinical Examinations Influence Examination Reliability and Candidates' Scores?

    Science.gov (United States)

    Brennan, Peter A; Croke, David T; Reed, Malcolm; Smith, Lee; Munro, Euan; Foulkes, John; Arnett, Richard

    2016-01-01

    Objective structured clinical examinations (OSCE) are widely used for summative assessment in surgery. Despite standardizing these as much as possible, variation, including examiner scoring, can occur which may affect reliability. In study of a high-stakes UK postgraduate surgical OSCE, we investigated whether examiners changing stations once during a long examining day affected marking, reliability, and overall candidates' scores compared with examiners who examined the same scenario all day. An observational study of 18,262 examiner-candidate interactions from the UK Membership of the Royal College of Surgeons examination was carried at 3 Surgical Colleges across the United Kingdom. Scores between examiners were compared using analysis of variance. Examination reliability was assessed with Cronbach's alpha, and the comparative distribution of total candidates' scores for each day was evaluated using t-tests of unit-weighted z scores. A significant difference was found in absolute scores differences awarded in the morning and afternoon sessions between examiners who changed stations at lunchtime and those who did not (p < 0.001). No significant differences were found for the main effects of either broad content area (p = 0.290) or station content area (p = 0.450). The reliability of each day was not affected by examiner switching (p = 0.280). Overall, no difference was found in z-score distribution of total candidate scores and categories of examiner switching. This large study has found that although the range of marks awarded varied when examiners change OSCE stations, examination reliability and the likely candidate outcome were not affected. These results may have implications for examination design and examiner experience in surgical OSCEs and beyond. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  12. Do general medical practitioners examine injured runners?

    DEFF Research Database (Denmark)

    Andersen, Solvej Videbæk; Jensen, A V; Rasmussen, Sten

    2017-01-01

    BACKGROUND: General Medical Practitioners (GMP) in Denmark perform clinical examinations of patients with musculoskeletal pain. However, the prevalence proportion of examinations caused by running-related injuries remains unknown. PURPOSE: The primary purpose of the present study was to estimate ...

  13. DO GENERAL MEDICAL PRACTITIONERS EXAMINE INJURED RUNNERS?

    DEFF Research Database (Denmark)

    Videbæk, Solvej; Jensen, A V; Rasmussen, S

    2017-01-01

    BACKGROUND: General Medical Practitioners (GMP) in Denmark perform clinical examinations of patients with musculoskeletal pain. However, the prevalence proportion of examinations caused by running-related injuries remains unknown. PURPOSE: The primary purpose of the present study was to estimate ...

  14. 13 CFR 108.690 - Examinations.

    Science.gov (United States)

    2010-01-01

    ... Companies by Sba for Regulatory Compliance § 108.690 Examinations. All NMVC companies must submit to annual examinations by or at the direction of SBA for the purpose of evaluating regulatory compliance. ...

  15. 21 CFR 880.6265 - Examination gown.

    Science.gov (United States)

    2010-04-01

    ... § 880.6265 Examination gown. (a) Identification. An examination gown is a device intended for medical... covering during a medical examination. (b) Classification. Class I (general controls). The device is exempt... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL...

  16. 46 CFR 115.670 - Tailshaft examinations.

    Science.gov (United States)

    2010-10-01

    ... Tailshaft Examinations § 115.670 Tailshaft examinations. (a) The marine inspector may require any part or all of the propeller shafting to be drawn for examination of the shafting and stern bearing of a vessel whenever the condition of the shafting and bearings are in question. (b) The marine inspector may...

  17. Classroom Examination Practices in a Postsecondary Setting

    Science.gov (United States)

    Wininger, Steven R.; Kuhlenschmidt, Sally

    2009-01-01

    The literature on college examination practices is relatively sparse, which is surprising given their importance for student learning and motivation. The authors investigated the examination practices of 215 faculty at a comprehensive university in order to identify which practices are normative and to examine relationships among key variables.…

  18. Hypothesis-driven physical examination curriculum.

    Science.gov (United States)

    Allen, Sharon; Olson, Andrew; Menk, Jeremiah; Nixon, James

    2017-12-01

    Medical students traditionally learn physical examination skills as a rote list of manoeuvres. Alternatives like hypothesis-driven physical examination (HDPE) may promote students' understanding of the contribution of physical examination to diagnostic reasoning. We sought to determine whether first-year medical students can effectively learn to perform a physical examination using an HDPE approach, and then tailor the examination to specific clinical scenarios. Medical students traditionally learn physical examination skills as a rote list of manoeuvres CONTEXT: First-year medical students at the University of Minnesota were taught both traditional and HDPE approaches during a required 17-week clinical skills course in their first semester. The end-of-course evaluation assessed HDPE skills: students were assigned one of two cardiopulmonary cases. Each case included two diagnostic hypotheses. During an interaction with a standardised patient, students were asked to select physical examination manoeuvres in order to make a final diagnosis. Items were weighted and selection order was recorded. First-year students with minimal pathophysiology performed well. All students selected the correct diagnosis. Importantly, students varied the order when selecting examination manoeuvres depending on the diagnoses under consideration, demonstrating early clinical decision-making skills. An early introduction to HDPE may reinforce physical examination skills for hypothesis generation and testing, and can foster early clinical decision-making skills. This has important implications for further research in physical examination instruction. © 2016 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

  19. 76 FR 6369 - Changes To Implement the Prioritized Examination Track (Track I) of the Enhanced Examination...

    Science.gov (United States)

    2011-02-04

    ... implementation of the Prioritized Examination Track (Track I), providing fast examination for applicants desiring... examiners or supervisory patent examiners, specialized examiner training for fast track processing... prosecution techniques in all applications and emphasizing the importance and use of interviews over the past...

  20. A Multigrade, Multiyear Statewide Examination of Reading Achievement: Examination of Reading Achievement Examining Variability between Districts, Schools, and Students

    Science.gov (United States)

    Adelson, Jill L.; Dickinson, Emily R.; Cunningham, Brittany C.

    2016-01-01

    This brief examined the patterns of reading achievement using statewide data from all students (Grades 3-10) in multiple years to examine gaps based on student, school, and district characteristics. Results indicate reading achievement varied most between students within schools and that students' prior achievement was the strongest predictor of…

  1. Examination of weld defects by computed tomography

    Directory of Open Access Journals (Sweden)

    M. Jovanović

    2012-04-01

    Full Text Available Defects in metal arc gas (MAG welds made in S235JR low carbon steel of 6 mm thickness were examined. A sample containing lack of fusion (LOF and pores was examined by computed tomography – CT. The computed tomography examination was performed in order to define LOF size and position as well as dimensions and distribution of accompanying pores in the weld metal.

  2. Parameters of phoniatric examinations for solo singers

    OpenAIRE

    Mitrović Slobodan; Jović Rajko M.; Aleksić Vesna; Cvejić Biserka

    2002-01-01

    Introduction A phoniatrist analyzes the professional's voice at the beginning of his vocal studies or career but also later, in cases of voice disorder. Phoniatric examination of professional singers must be done according to "all inclusive" protocols of examination. Such protocols must establish the status of basic elements of phonatory system: activator generator and resonator of voice and articulatory space. Anamnesis All patients requiring phoniatric examination no matter if they are cand...

  3. Physiotherapist Delivered Preparticipation Examination: Rationale and Evidence

    OpenAIRE

    Maffey, Lorrie; Emery, Carolyn

    2006-01-01

    Preparticipation examinations are often performed based on the assumption that the exam contributes to the identification of risk factors for injury and, therefore, lead to the implementation of appropriate injury prevention strategies for athletes. Research evidence supporting the components, benefits, and limitations of the preparticipation examination performed by a physiotherapist is the focus of this paper. Evidence exists that some specific preparticipation examination components will i...

  4. Health Examination Findings among Active Civil Airmen,

    Science.gov (United States)

    1984-08-01

    11111.2lIII lliIIIII . MICROCOPY RESOLUTION TEST CHART NATIONAL BUREAU Of STANDARDS 95, A -. ° . FAA-AM-84- 8 HEALTH EXAMINATION FINDINGS AMONG...Subtitfe 5. Report Dote August 1984 ; 6., Pefo,m,ng Ogon, zaton Code *. HEALTH EXAMINATION FINDINGS AMONG ACTIVE CIVIL AIRMEN I 4 1 8. Performing O,gon... Health Examination Findings Document is available to the public Active Airmen through the National Technical Information Service, Springfield

  5. A disjointed effort: paediatric musculoskeletal examination.

    LENUS (Irish Health Repository)

    Gill, Irwin

    2012-07-01

    Musculoskeletal (MSK) symptoms are a frequent cause of emergency department attendance for children, and while most often indicative of benign or self-limiting disease, such symptoms can occasionally be the first presentation of serious illness such as leukaemia or juvenile idiopathic arthritis. MSK examination, however, is often not included as part of the routine paediatric examination. The authors aimed to evaluate how often and how thoroughly MSK examination was performed during admissions to the paediatric ward and to compare it with the examination of other symptoms in relation to the presenting complaint and eventual diagnosis.

  6. Preparing online students for comprehensive examinations.

    Science.gov (United States)

    Kanuth, Michelle S; St John, E Camellia

    2010-01-01

    Identify and remedy difficulties in the preparation of online students for certification examination success. The final examination scores for the CLS Seminar course for the 2008 class of 27 on-campus and 10 online students were compared for statistical differences in seven examination areas. Problem areas were identified and changes in the CLS Seminar course were made in 2009 to improve the scores of the online students. The examination scores for the 2009 class of 33 on-campus and 10 online students were studied to determine improvement. Student's two-tailed t-test was used to determine statistical significance of differences between scores of on-campus and online students. Interactive video over the web; used to answer online student questions, review games, more class time, and more recorded review sessions; were added to the Seminar. The study guides provided during preceptorships were tied to the objectives of the seminar course and the questions on examinations. Specific objectives for each question missed on the final examinations were provided to the student. In 2008, examination scores for online students were lower in two of seven areas by a statistically significant amount than on-campus students. The difference approached significance in a third area. After interventions in 2009, the examinations scores had equalized with the exception of one area, Immunology. Increasing the amount and method of review in areas deemed important to online education was successful in improving examination scores.

  7. 10 CFR 709.31 - DOE standards for polygraph examiners and polygraph examinations.

    Science.gov (United States)

    2010-01-01

    ... in psychology, physiology, interviewing, and interrogation. (2) The examiner must have a favorably... examiner must receive basic Forensic Psychophysiological Detection of Deception training from the DODPI. ...

  8. Post mortem examination report concerning Nadim Nuwwara

    DEFF Research Database (Denmark)

    Leth, Peter Mygind

    2014-01-01

    . Krouse, Deputy Chief Medical Examiner, Office of Chief Medical Examiner, Fort Worth, Texas, USA, dr. Chen Kugel, Chief Forensic Pathologist, Abu Kabir Institute of Forensic Medicine, Tel Aviv, dr. Ricardo Pablo Nachman, forensic expert at Abu Kabir Institute of Forensic Medicine, Tel Aviv and dr. Peter...

  9. An Interactive Approach to Examination Timetabling.

    Science.gov (United States)

    Colijn, Anton; And Others

    1995-01-01

    Microcomputer-managed examination scheduling at the University of Calgary (Canada) has two stages. The first uses mathematical methods to create a timetable that is conflict-free, uses a minimum number of periods, and minimizes the number of students with multiple exams in one day. An interactive stage allows the examination officer to accommodate…

  10. Examining gender bias in studies of innovation

    OpenAIRE

    Crowden, N.

    2003-01-01

    This paper examines the presence of a gender bias in studies of innovation. Using the Innovation Systems Research Network (ISRN) and its interview guide as a case study, this research project examines how accurately and completely such innovation studies present gender differences in the innovation process.

  11. 5 CFR 4501.102 - Examination information.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Examination information. 4501.102 Section 4501.102 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT SUPPLEMENTAL STANDARDS OF ETHICAL CONDUCT FOR EMPLOYEES OF THE OFFICE OF PERSONNEL MANAGEMENT § 4501.102 Examination information. (a) An employee of OPM who takes part in the...

  12. Student-patient communication during physical examination

    NARCIS (Netherlands)

    Cleland, Jennifer; de la Croix, Anne; Cotton, Philip; Coull, Sharon; Skelton, John

    BACKGROUND: Communication during the physical examination has been understudied. Explicit, evidence-based guidance is not available as to the most effective content or process of communication while performing physical examination, or indeed how to teach this to medical students. The objective of

  13. Predisposing factors towards examination malpractice among

    African Journals Online (AJOL)

    Emeka Egbochuku

    Abstract. The study attempted to examine students' perception of the predisposing factors towards examination malpractice among students in Lagos universities. The study adopted the descriptive survey design involving 240 students from the. Faculty of Education in the two public universities in Lagos State. A.

  14. Correlates of Examination Cheating Behaviour Among University ...

    African Journals Online (AJOL)

    Results revealed that age, and self-esteem had a significant positive relationship with examination cheating behaviour while locus of control and need for achievement had a significant negative relationship with examination cheating behaviour. These findings were discussed, particularly in terms of various personality ...

  15. Combining Teacher Assessment Scores with External Examination ...

    African Journals Online (AJOL)

    This study investigated four statistical models for combining teacher assessment scores with external examination scores for certifying secondary school graduates in Ghana in terms of validity of the composite scores. The models studied were (1) external examination moderation with nominal weights, (2) reference school ...

  16. 19 CFR 134.53 - Examination packages.

    Science.gov (United States)

    2010-04-01

    ... TREASURY COUNTRY OF ORIGIN MARKING Articles Found Not Legally Marked § 134.53 Examination packages. (a) Site of marking—(1) Customs custody. Articles (or containers) in examination packages may be marked by... the public stores. (2) Importer's premises or elsewhere. If it is impracticable to mark the articles...

  17. Parenting styles, gender, religiosity and examination malpractices ...

    African Journals Online (AJOL)

    This study examined the influence of parenting styles, gender and religiousity on the attitude of students towards examination malpractices. One hundred and ninety –eight participants were used which comprises of 100 males and 98 females of Adekunle Ajasin University, Akungba- Akoko in Ondo state. Parental care scale ...

  18. Diagnostic Value of Halitosis Examination Methods.

    Science.gov (United States)

    Aydin, Murat; Bollen, Curd M L; Özen, Murat Eren

    2016-03-01

    There are many methods and varied protocols for examining halitosis. Chemical and enzymatic tests determine the presence of bacterial species and their metabolic products or enzymes in the mouth, while halitometers precisely quantify gases but not halitosis itself. Examinations by the human nose (ie, self assessment, feedback from others, or organoleptic test by an examiner) directly target halitosis, however organoleptic examination alone is insufficient for a definitive diagnosis when the individual has no complaints about halitosis. The underlying reasons why patients seek consultation concerning halitosis are usually based on their own assessment and the opinion of others, even if those assessments are not correlated with oral odorous gas measurements. This article seeks to summarize findings and review methods of examining halitosis to determine their usefulness.

  19. [Parameters of phoniatric examination of solo vocalists].

    Science.gov (United States)

    Mitrović, Slobodan; Jović, Rajko; Aleksić, Vesna; Cvejić, Biserka

    2002-01-01

    A phoniatrist analyzes the professional's voice at the beginning of his vocal studies or career but also later, in cases of voice disorder. Phoniatric examination of professional singers must be done according to "all inclusive" protocols of examination. Such protocols must establish the status of basic elements of phonatory system: activator, generator and resonator of voice and articulatory space. All patients requiring phoniatric examination no matter if they are candidates for professional singers, need to provide anamnestic data about their previous problems regarding voice or singing. This examination is necessary and it must include: examination of nose, cavum oris, pharynx, ears and larynx. This analysis is based on evaluation of physiological and pathophysiological manifestations of voice. Determination of musical voice range during phoniatric examination does not intend to make any classification of voice, nor to suggest to vocal teacher what he should count upon from future singers. Musical range can be determined only by a phoniatrist skilled in music or with musical training, but first of all vocal teacher. These methods are used for examination of phonatory function, or laryngeal pathology. They are not invasive and give objective and quantitative information. They include: laryngostroboscopy, spectral analysis of voice (sonography) and fundamental parameters of voice signal (computer program). Articulation is very important for solo singers, because good articulation contributes to qualitative emission of sound and expression of emotions. Tonal-threshold audiometry is performed as a hearing test. They include rhinomanometry, vital capacity measurements, maximal phonation time and phonation quotient. Phoniatric examination is a necessary proceeding which must be performed before admission to the academy of solo singing, and then during singers' education and career. The phoniatric protocol must include a minimal number of parameters, which can be

  20. Health examination for A-bomb survivors

    Energy Technology Data Exchange (ETDEWEB)

    Ito, Chikako [Hiroshima Atomic Bomb Casualty Council Health Management Center (Japan)

    1996-03-01

    The health examination for A-bomb survivors by national, prefectural and city administrations was described and discussed on its general concept, history, time change of examinee number, improvement of examination, prevalence of individual diseases, significance of cancer examinations, examinees` point of view and future problems. Subjects were the survivors living in Hiroshima city: in 1994, their number was 100,188, whose ages were 63 y in average for males consisting of 39.5% and 67 y for females of 60.5%. The examination was begun in 1957 on the law for medical care for the survivors firstly and then systematically in 1961. From 1965, it was performed 4 times a year, and in 1988, one examination in the four was made for cancer. Authors` Center examined previously 90% but recently 70% of the examinees. The remainder underwent the examination in other medical facilities. Tests are blood analysis, electrocardiography and computed radiography of chest with imaging plate, of which data have been accumulated either in photodisc or in host computer. From 1973 to 1993, the cardiovascular diseases increased from 6.1% to 26.9%, metabolic and endocrinic ones like diabetes, 3.6% to 19.7%, and bowel ones, 0.9% to 12.3%. Correlations of these diseases with A-bomb irradiation are not elucidated and possibly poor. Five classes of cancer examinations are performed but the examinee rate in the survivors is as low as 7.6-21.8% (1993). The cancer of the large intestine is increasing. The overall examinee rates in the survivors were 70.6% in 1965-1967, 69.5% in 1976-1977 and 58.2% in 1990. In conclusion, how to examine the survivors, who are getting older, as many as possible is the future problem. (H.O.)

  1. National Health and Nutrition Examination Survey (NHANES)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 1999-2000 forward. The National Health and Nutrition Examination Survey (NHANES) is a program of studies designed to assess the health and nutritional status of...

  2. Examination of catchment areas for public transport

    DEFF Research Database (Denmark)

    Landex, Alex; Hansen, Stephen; Andersen, Jonas Lohmann Elkjær

    2006-01-01

    The paper presents a method to examine the catchment areas for stops in high quality public transport systems based on the street network in the examined area. This is achieved by implementing the Service Area functions from the ArcGIS extension Network Analyst. The method is compared to a more...... simple method using only the Euclidean distance from the examined stop and the paper describes the differences in detail-level of the results. Furthermore, the paper describes how the Service Area method can be used to examine increments in the catchment areas by adding extra entrances to stations...... or by making changes in the street network around the station. The paper also discusses the degree of realism in the used GIS networks and how it can affect the size of the catchment areas. It is concluded that the Service Area method improves the detail-level and accuracy in catchment area analyses...

  3. Bolt Cutter Blade's Imprint in Toolmarks Examination.

    Science.gov (United States)

    Volkov, Nikolai; Finkelstein, Nir; Novoselsky, Yehuda; Tsach, Tsadok

    2015-11-01

    Bolt cutters are known as cutting tools which are used for cutting hard objects and materials, such as padlocks and bars. Bolt cutter blades leave their imprint on the cut objects. When receiving a cut object from a crime scene, forensic toolmarks examiners can determine whether the suspected cutting tool was used in a specific crime or not based on class characteristic marks and individual marks that the bolt cutter blades leave on the cut object. The paper presents preliminary results of a study on ten bolt cutters and suggests a quick preliminary examination-the comparison between the blade thickness and the width of the imprint left by the tool on the cut object. Based on the comparison result, if there is not a match, the examiner can eliminate the feasibility of the use of the suspected cutting tool in a specific crime. This examination simplifies and accelerates the comparison procedure. © 2015 American Academy of Forensic Sciences.

  4. Oxidative stress in university students during examinations.

    Science.gov (United States)

    Sivonová, Monika; Zitnanová, Ingrid; Hlincíková, Lucia; Skodácek, Igor; Trebatická, Jana; Duracková, Zdenka

    2004-09-01

    Mental stress in psychiatric disease and in daily life contributes to oxidative stress in the body. In this study we investigated a connection between possible psychological stress caused by university undergraduate examinations and oxidative stress experienced by our test subjects. Some parameters of oxidative stress (single strand breaks of DNA in lymphocytes, sensitivity to lipid oxidation and antioxidant status) were studied in medical students on the day of the examination (stress condition) and compared with the same parameters obtained from the same students during the term between two examination periods (non-stress condition). The results show that in the stress condition oxidative damage to DNA and sensitivity to lipid oxidation were significantly increased (pstress" conditions. A significant decrease in plasma antioxidant activity (pstress was observed. These results suggest that during university examinations students are under increased oxidative stress.

  5. Compensation of Disadvantages in University Examination Procedures

    Directory of Open Access Journals (Sweden)

    Ulrike Quapp

    2016-08-01

    Full Text Available Active social participation of disabled people is one of the major tasks of modern society. That also includes access to the academic community by higher education. Universities all over the world work hard to give handicapped students a chance to graduate. In this context, compensation of disadvantages in examination procedures is an important matter. But, also chronic illness may impair the student's examination performance. To ensure equal examination opportunities for all students, responsible university officials must be creative to find individual compensation solutions. The paper analyzes examination regulations at universities in different countries and offers solutions to compensate disabled and chronic ill students' disadvantages. It discusses the necessity of compensation for different types of disability and chronic illness. Finally, an overview of current German case law and solutions for compensation problems are provided.

  6. Breast and pelvic examinations: easing women's discomfort.

    OpenAIRE

    Webb, R.; Opdahl, M.

    1996-01-01

    OBJECTIVES: To determine whether women prefer male or female physicians for gynecologic examinations, whether they want a third person present during examinations, and what behaviour physicians and third persons should exhibit. We also sought to determine whether women had experienced any unprofessional behaviour from doctors. DESIGN: Cross-sectional, 17-item questionnaire. SETTING: Two Saskatchewan family practices: one rural (Melfort), one urban (Saskatoon). PARTICIPANTS: All women 18 years...

  7. Pseudopathologies and Examination of the Oral Mucosa

    OpenAIRE

    Can Ceylan

    2012-01-01

    Oral mucosa for shedding light on diagnosis of many cutaneous and systemic diseases, is an area not to be overlooked during the physical examination. Unlike cutaneous lesions, oral mucosa includes the non-keratinized sections and since it has anatomically and histologically special structures such as salivary glands and papillaries, the physician must recognize some detail, and features during the examination. To distinguish of usual and unusual changes in this area is important for both diag...

  8. Examining the education gradient in chronic illness

    OpenAIRE

    Chatterji, Pinka; Joo, Heesoo; Lahiri, Kajal

    2012-01-01

    This study examines the education gradient in three chronic conditions – diabetes, hypertension, and high cholesterol. In the analysis, we take into account diagnosed as well as undiagnosed cases, and we use methods that account for the possibility that unmeasured factors exist that are correlated with education and drive both the likelihood of having the illness and the propensity to be diagnosed with illness if it exists. Data come from the National Health and Nutrition Examination Survey (...

  9. EXAMINATION OF LEADER COMMUNICATION IN AGRICULTURE

    OpenAIRE

    Krisztina DAJNOKI

    2007-01-01

    My doctoral and research topic was significant in the examination and analysis of leader activities in the framework of a functional, modularly constructed empirical research program of the Department of Management Sciences. I could make statements and correspond about leader activities; these exercises and the influential factors on these activities were studied by the examinations and analyses of leader communication. In this article, I will demonstrate the research I made in on agricultura...

  10. Characterization of the 309 fuel examination facility

    Energy Technology Data Exchange (ETDEWEB)

    Greenhalgh, W.O.; Cornwell, B.C.

    1997-07-09

    This document identifies radiological, chemical and physical conditions inside the Fuel Examination Facility. It is located inside the Plutonium Recycle Test Reactor containment structure (309 Building.) The facility was a hot cell used for examination of PRTR fuel and equipment during the 1960`s. Located inside the cell is a PRTR shim rod assembly, reported are radiological conditions of the sample. The conditions were assessed as part of overall 309 Building transition.

  11. Pracital examination in biochemistry: topics and procedures?

    Directory of Open Access Journals (Sweden)

    Vocke, Nils-Daniel

    2005-08-01

    Full Text Available Under the new revision of the German licensing regulations for physicians ("Approbationsordnung" the rules for the first national examinations (i.e. "Physikum", equivalent to medical school entrance exams have been changed. In addition to the written exam a novel "oral-practical" part is required. Here we describe the implications of this oral-practical exam on the examination procedures in the field of biochemistry/molecular biology. A strategy for its realization is proposed.

  12. THE INDICES OF EXAMINATION TEXTS COMPLEXITY

    OpenAIRE

    Solnyshkina Marina Ivanovna; Kiselnikov Aleksandr Sergeevich

    2015-01-01

    The article presents the results of the analysis aimed at quantitative (word length and sentence length) and qualitative (narrativity, syntactic simplicity, word concreteness, referential cohesion and deep cohesion) characteristics used in Flesh Reading Ease and Coh-Metrix to determine complexity/simplicity of FCE and EGE examination texts corresponding to B2 level by Common European Framework of References. The data used in the research include18 examination texts of three language tests ana...

  13. EVALUATING THE ASSESSMENT OF UNDERGRADUATE THESIS EXAMINATION

    Directory of Open Access Journals (Sweden)

    Adip Arifin

    2017-12-01

    Full Text Available Thesis examination is one of the crucial phases for students in undergraduate level. During the examination, they are required to perform best to get the maximum score which commonly is equal to six credits. Looking at the big portion of credit, the examination highly determines the student‘s GPA at last. In order to get the accurate and fair score, the appropriate assessment must be implemented by the board of examiners. The form of assessment may vary from one institution to another. This paper is aimed at discussing as well as evaluating the assessment of undergraduate thesis examination at STKIP PGRI Ponorogo, East Java, Indonesia. The evaluation was based on the principles of good assessment adapted from Brown (2003 comprised of practicality, reliability, validity, and authenticity. Based on the result of evaluation, the form of assessment on undergraduate thesis examination administered at STKIP PGRI Ponorogo hasn‘t fully fulfilled the principles of good assessment. The findings also revealed that some assessment indicators need to be improved, such as the formulation of statement, the number of assessment item, and the technical procedure on how to administer the assessment.

  14. Factors of Students Participating in Online Examination

    Directory of Open Access Journals (Sweden)

    Sugilar Sugilar

    2016-05-01

    Full Text Available The purpose of the study is to discover determinant factors of students' participation in online examination based on expectancy-value theory. The method used was group comparison between the groups of participating and nonparticipating students. The results showed that the following factors differentiated the two groups, i.e.: (1 self efficacy in using computers (t=12.81, p<0.01, (2 perceived of easiness in operating an online examination (t=9.51, p<0.01, (3 perceived of the importance of online examination (t=5.58, t<0.01, (4 intrinsic value of online examination (t=10.58, p<001, and (5 cost of online examination (t=-2.05, p=0.029. In addition, the following students' personal factors were also compared and the results were (1 age (t=-2.01, p=0.46, (2 grade point average (t=-5.546, 0<0.01, (3 sex (x2=28.51, p<0.01, and (4 marital status (x2=6.50, p=0.011. The results concluded that the expectancy and value theory was useful for explaining and predicting students' participation in online examinations.

  15. Structural Factors Affecting Health Examination Behavioral Intention.

    Science.gov (United States)

    Huang, Hui-Ting; Kuo, Yu-Ming; Wang, Shiang-Ru; Wang, Chia-Fen; Tsai, Chung-Hung

    2016-04-01

    Disease screening instruments used for secondary prevention can facilitate early determination and treatment of pathogenic factors, effectively reducing disease incidence, mortality rates, and health complications. Therefore, people should be encouraged to receive health examinations for discovering potential pathogenic factors before symptoms occur. Here, we used the health belief model as a foundation and integrated social psychological factors and investigated the factors influencing health examination behavioral intention among the public in Taiwan. In total, 388 effective questionnaires were analyzed through structural model analysis. Consequently, this study yielded four crucial findings: (1) The established extended health belief model could effectively predict health examination behavioral intention; (2) Self-efficacy was the factor that most strongly influenced health examination behavioral intention, followed by health knowledge; (3) Self-efficacy substantially influenced perceived benefits and perceived barriers; (4) Health knowledge and social support indirectly influenced health examination behavioral intention. The preceding results can effectively increase the acceptance and use of health examination services among the public, thereby facilitating early diagnosis and treatment and ultimately reducing disease and mortality rates.

  16. Virginity Testing Beyond a Medical Examination

    Science.gov (United States)

    Robatjazi, Mehri; Simbar, Masoumeh; Nahidi, Fatemeh; Gharehdaghi, Jaber; Emamhadi, Mohammadali; Vedadhir, Abou-Ali; Alavimajd, Hamid

    2016-01-01

    Apart from religious values, virginity is important in different communities because of its prominent role in reducing sexually transmitted diseases and teen pregnancies. Even though virginity testing has been proclaimed an example of violence against women by the World Health Organization, it is still conducted in many countries, including Iran. 16 in-depth, semi-structured interviews were conducted with participants aged 32 to 60 years to elucidate the perceptions and experiences of Iranian examiners of virginity testing. The perception and experience of examiners were reflected in five main themes. The result of this study indicated that virginity testing is more than a medical examination, considering the cultural factors involved and its overt and covert consequences. In Iran, testing is performed for both formal and informal reasons, and examiners view such testing with ambiguity about the accuracy and certainty of the diagnosis and uncertainty about ethics and reproductive rights. Examiners are affected by the overt and covert consequences of virginity testing, beliefs and cultural values underlying virginity testing, and informal and formal reasons for virginity testing. PMID:26925894

  17. Virginity Testing Beyond a Medical Examination.

    Science.gov (United States)

    Robatjazi, Mehri; Simbar, Masoumeh; Nahidi, Fatemeh; Gharehdaghi, Jaber; Emamhadi, Mohammadali; Vedadhir, Abou-Ali; Alavimajd, Hamid

    2015-11-18

    Apart from religious values, virginity is important in different communities because of its prominent role in reducing sexually transmitted diseases and teen pregnancies. Even though virginity testing has been proclaimed an example of violence against women by the World Health Organization, it is still conducted in many countries, including Iran. 16 in-depth, semi-structured interviews were conducted with participants aged 32 to 60 years to elucidate the perceptions and experiences of Iranian examiners of virginity testing.The perception and experience of examiners were reflected in five main themes. The result of this study indicated that virginity testing is more than a medical examination, considering the cultural factors involved and its overt and covert consequences. In Iran, testing is performed for both formal and informal reasons, and examiners view such testing with ambiguity about the accuracy and certainty of the diagnosis and uncertainty about ethics and reproductive rights. Examiners are affected by the overt and covert consequences of virginity testing, beliefs and cultural values underlying virginity testing, and informal and formal reasons for virginity testing.

  18. THE INDICES OF EXAMINATION TEXTS COMPLEXITY

    Directory of Open Access Journals (Sweden)

    Solnyshkina Marina Ivanovna

    2015-03-01

    Full Text Available The article presents the results of the analysis aimed at quantitative (word length and sentence length and qualitative (narrativity, syntactic simplicity, word concreteness, referential cohesion and deep cohesion characteristics used in Flesh Reading Ease and Coh-Metrix to determine complexity/simplicity of FCE and EGE examination texts corresponding to B2 level by Common European Framework of References. The data used in the research include18 examination texts of three language tests analogous in structure and content: in Russian (Test of Russian as a Foreign Language and in English (Unified (Russia State Examination in English (EGE and First Certificate Examination (FCE. Flesch Reading Ease indices of all the Russian texts analyzed testify to their higher level of complexity than the announced in the corresponding papers (B2. The English texts correspond to the Level B2 by CEFR. The computerized with Coh-Metrix texts utilized in EGE and FCE prove to belong to B2 level, though the EGE texts demonstrate on average higher than FCE texts levels of concreteness but lower levels of syntactic simplicity. Maintaining approximately equal levels of concreteness EGE and FCE texts obtain about the same levels of complexity (B2 due to the differences in the number of verbalized local and global content links. Thus, the Russian test developers model the authentic English texts for examination purposes eliminating the connectives and verbalizing referential and deep cohesion.

  19. Examination stress and components of working memory.

    Science.gov (United States)

    Lewis, Richard S; Nikolova, Ani; Chang, Dennis J; Weekes, Nicole Y

    2008-03-01

    Previous research suggests that stress can influence a broad range of memory functions. In this study we investigated the effect of a naturalistic stressor, examination stress, on working memory in young adults. In order to accomplish this aim, participants were tested on psychological and hormonal measures of stress and on Digit Span, once during a low stress period and once during a high stress period. The high examination stress condition was associated with an increase in cortisol and subjective impressions of stress. Although Digits Forward performance did not vary with examination stress, Digits Backward performance improved. These findings suggest that mild increases in stress are associated with improvement in the manipulation component of working memory. However, no correlations were found between working memory and either cortisol or psychological stress. Thus the mechanism by which mild naturalistic stressors improve the manipulation component of working memory needs further investigation.

  20. Video exams and the external examiners

    DEFF Research Database (Denmark)

    Qvist, Palle

    with the exams. Almost all respondents thought that video exams gave the external examiner the possibility to ensure that the demands were in accordance with the defined outcomes and see to that the exams were completed in accordance with the rules. This paper presents results from a questionnaire focusing......The Master’s programme in Problem Based Learning in Engineering and Science, MPBL (www.mpbl.aau.dk), at Aalborg University, is an international programme offering formalized staff development. The programme is online, worldwide and offered on demand. The programme is organized exemplarily...... to the Master’s programme. The programme offers streamed videos in combination with other learning resources. Oral exams have been mediated with the help of Skype and later with Adobe Connect Professional. It has for all participants - students, examiners and external examiners – been both a challenge...

  1. Diagnostic errors in examinations of the spine.

    Science.gov (United States)

    Mota Martínez, J; Facal de Castro, F; Mirón Mombiela, R

    2016-04-01

    The most common radiological error in examinations of the spine is the failure to diagnose fractures. This is the third most frequent reason for lawsuits brought against radiologists for negligence, after the failure to diagnose breast cancer and the failure to diagnose lung cancer. The thousands of radiological reports of spinal examinations done every year affect not only patients' health, but also their permission to be off work and their compensation. For this reason, it is our responsibility to know why errors are committed and how to detect them in order to avoid their repetition. In this article, we show the spectrum of the most common errors in our experience in double reading spinal examinations, and we try to determine what causes these errors. Copyright © 2015 SERAM. Published by Elsevier España, S.L.U. All rights reserved.

  2. Nervous system examination on YouTube

    OpenAIRE

    Azer Samy A; AlEshaiwi Sarah M; AlGrain Hala A; AlKhelaif Rana A

    2012-01-01

    Abstract Background Web 2.0 sites such as YouTube have become a useful resource for knowledge and are used by medical students as a learning resource. This study aimed at assessing videos covering the nervous system examination on YouTube. Methods A research of YouTube was conducted from 2 November to 2 December 2011 using the following key words “nervous system examination”, “nervous system clinical examination”, “cranial nerves examination”, “CNS examination”, “examination of cerebellum”, “...

  3. Examining Factors Predicting Students' Digital Competence

    Science.gov (United States)

    Hatlevik, Ove Edvard; Guðmundsdóttir, Gréta Björk; Loi, Massimo

    2015-01-01

    The purpose of this study was to examine factors predicting lower secondary school students' digital competence and to explore differences between students when it comes to digital competence. Results from a digital competence test and survey in lower secondary school will be presented. It is important to learn more about and investigate what…

  4. Predictors of examination malpractice among secondary school ...

    African Journals Online (AJOL)

    African Journal for the Psychological Study of Social Issues ... Deriving from above, school principals, teachers, and all stakeholders should pay more attention to the implicated variables in the study in order to reduce and eventually eradicate ... Keywords: Examination, Malpractice, Text Anxiety, Secondary School Students.

  5. Coorientation: A Communication Approach For Examining Effective ...

    African Journals Online (AJOL)

    Communication is indispensable in the delivery of agricultural information. The co-orientation approach to disseminating effective agricultural information is examined in this paper. It was noted that co-orientation model provides a framework that clearly illustrates the central role of message interpretation and reciprocal ...

  6. An Examination of Conceptualization of Sport Metaphors

    Science.gov (United States)

    Dervent, Fatih

    2016-01-01

    This study examined the metaphors that were used by athletes, coaches, faculty members, and sport managers to describe the concept of "sport". Participants (N = 473) were asked to reveal the single metaphor they had in minds in the sense of the concept of sport by the prompt "Sport is like … because …" 22 valid metaphors were…

  7. Examining Success Factors for Sustainable Rural Development ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    This collaborative project will examine the role the Integrated Co-operative Model can play in reducing poverty and promoting development in rural African communities. Specifically, it aims to add to the knowledge of how to improve livelihoods and reduce poverty in a sustainable way in rural communities. It will strive to: ...

  8. diagnostic values of digital rectal examination, prostate

    African Journals Online (AJOL)

    2009-09-09

    % with an accuracy of 82.8%; while for TRUS, ... (2,3) yet PSA rise among men with either normal or abnormal digital rectal examination (DRE) ... Antigen Ref 00 327, Omega Diagnostic (UK). PSA values below 4ng/ml were ...

  9. 13 CFR 108.692 - Examination fees.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Examination fees. 108.692 Section 108.692 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION NEW MARKETS VENTURE CAPITAL (â... receive a 15% discount on your base fee; and (2) If you were fully responsive to the letter of...

  10. Telephone interventions for adherence to colpocytological examination

    Directory of Open Access Journals (Sweden)

    Thais Marques Lima

    Full Text Available ABSTRACT Objective: to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. Method: quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. Results: on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283 with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p < 0.0001, with greater adherence of women participating in the behavioral group (66.8%. Conclusion: the behavioral and educational interventions by phone were effective in the adherence of women to colpocytological examination, representing important strategies for permanent health education and promotion of care for the prevention of cervical cancer.

  11. Examining the Effects of New Teacher Induction

    Science.gov (United States)

    Wechsler, Marjorie E.; Caspary, Kyra; Humphrey, Daniel C.; Matsko, Kavita Kapadia

    2012-01-01

    The objective of this research is to explore comprehensively the effect of induction on new teachers. Through a mixed-method design, the authors examine both the inputs of induction (i.e., the types of support provided for new teachers, its content, and frequency) and a variety of outcomes (i.e., teacher efficacy, teacher-reported growth, teacher…

  12. Test Anxiety in Written and Oral Examinations

    Science.gov (United States)

    Sparfeldt, Jorn R.; Rost, Detlef H.; Baumeister, Ulrike M.; Christ, Oliver

    2013-01-01

    The distinction of different test anxiety reactions (e.g., worry, emotionality) is well established. Recently, additional relevance has been given to school-subject-specific test anxiety factors. The present study explored a further aspect concerning the structure of test anxiety experiences, specifically oral versus written examination modes. A…

  13. Interpreting Inexplicit Language during Courtroom Examination

    Science.gov (United States)

    Lee, Jieun

    2009-01-01

    Court interpreters are required to provide accurate renditions of witnesses' utterances during courtroom examinations, but the accuracy of interpreting may be compromised for a number of reasons, among which is the effect on interpretation of the limited contextual information available to court interpreters. Based on the analysis of the discourse…

  14. Examining Teacher Grades Using Rasch Measurement Theory

    Science.gov (United States)

    Randall, Jennifer; Engelhard, George, Jr.

    2009-01-01

    In this study, we present an approach to questionnaire design within educational research based on Guttman's mapping sentences and Many-Facet Rasch Measurement Theory. We designed a 54-item questionnaire using Guttman's mapping sentences to examine the grading practices of teachers. Each item in the questionnaire represented a unique student…

  15. Examining Test Speededness by Native Language

    Science.gov (United States)

    Talento-Miller, Eileen; Guo, Fanmin; Han, Kyung T.

    2013-01-01

    When power tests include a time limit, it is important to assess the possibility of speededness for examinees. Past research on differential speededness has examined gender and ethnic subgroups in the United States on paper and pencil tests. When considering the needs of a global audience, research regarding different native language speakers is…

  16. Speak up! Oral Examinations and Political Science

    Science.gov (United States)

    Buehler, Melissa J.; Schneider, Laura U.

    2009-01-01

    Testing assessments of undergraduate political science students is predictable and stagnant. A missing, yet valuable, testing assessment tool that can contribute to the repertoire of political science is the oral examination. Borrowing this testing tool largely from foreign language departments, oral exams require students to "think on their…

  17. design and implementation of online examination administration ...

    African Journals Online (AJOL)

    oria

    through the internet or intranet using computer system. It is an effective solution for mass education evaluation. We have developed an online examination system based on a Browser/Server framework using Microsoft Visual Studio. 2008 for the design, C# 3.5 for coding, and Microsoft SQL Server as database. ASP.NET is ...

  18. An Examination of Latino Students' Homework Routines

    Science.gov (United States)

    Martinez, Sylvia

    2011-01-01

    Homework appears to be positively associated with better student outcomes. Although some researchers have explored the connection between time spent on homework and minority student achievement, few have examined the homework routines of Latino youth. Interviews with Latino high school students show that they have some difficulty completing daily…

  19. Examining Competition in Ontario's Higher Education Market

    Science.gov (United States)

    Farhan, Bayan Yousef

    2017-01-01

    Financial challenges have forced many publicly funded academic institutions in Ontario to adopt a corporate model and to use market tools to compete in the higher education market and maintain their enrolment and revenue levels. This study has analyzed how competition affects publicly funded universities in Ontario. Competition was examined by…

  20. The Gesell Screening Examination: Psychometric Properties.

    Science.gov (United States)

    Walker, Richard N.

    In an assessment of the adequacy of the Gesell screening examination as a test instrument, a Gesell Screening Evaluation was given to 400 children semi-annually from their 4th to 6th year. The sample, which was stratified by parent occupation, included 40 girls and 40 boys at 5 age levels. The test battery corresponded with the Gesell Preschool…

  1. An Examination of the Monitor Theory.

    Science.gov (United States)

    Shimatani, Hiroshi

    A discussion of Stephen Krashen's Monitor Theory (1982) of second language acquisition examines five main hypotheses: the acquisition-learning distinction, the natural order hypothesis, the monitor hypothesis, the input hypothesis, and the affective filter hypothesis. Several problematic elements of the theory are pointed out. The discussion…

  2. Characteristics of a Locally Developed Licensure Examination.

    Science.gov (United States)

    Cromack, Theodore R.

    The validity, reliability, and item characteristics of the Maine Real Estate Licensure Examination were investigated. Its validity was based on its construction; a task analysis was performed on real estate broker and salesperson jobs, items were written by trained personnel; and the test was reviewed by a panel of experts. Differences in scores…

  3. 78 FR 27343 - Medical Examiner's Certification Integration

    Science.gov (United States)

    2013-05-10

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Federal Motor Carrier Safety Administration 49 CFR Parts 383, 384 and 391 RIN 2126-AB40 Medical Examiner's Certification Integration AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Notice of...

  4. (Re-)Examination of Multimodal Augmented Reality

    NARCIS (Netherlands)

    Rosa, N.E.; Werkhoven, P.J.; Hürst, W.O.

    2016-01-01

    The majority of augmented reality (AR) research has been concerned with visual perception, however the move towards multimodality is imminent. At the same time, there is no clear vision of what multimodal AR is. The purpose of this position paper is to consider possible ways of examining AR other

  5. Re-Examining the Overjustification Effect

    Science.gov (United States)

    Akin-Little, K. Angeleque; Little, Steven G.

    2004-01-01

    The purpose of the present investigation was to extend the research related to the possible negative side effects of extrinsic reinforcement on children's compliant behavior, particularly the overjustification effect. Specifically, this study examined the effects of a token reinforcement procedure in a naturalistic environment (third grade…

  6. Examination malpractices in Nigerian educational system: Causes ...

    African Journals Online (AJOL)

    ... enveloped the entire educational system. This paper, examines this issue from the perspective of its causes and effects on students, parents, governments, nation and the educational system. Suggestions towards combating the social menace are also discussed. Nigerian Journal of Clinical and Counselling Psychology ...

  7. Protection of persons undergoing radiological examinations ...

    African Journals Online (AJOL)

    Protection was in the form of gonad shields, lead apron to shield the unwanted parts during examinations and coning the X-ray field before exposure. The staff had Thermoluminscent Dosimeters (TLD) to monitor dose levels received by such staff every three months. They wore hand gloves, lead aprons and stayed behind ...

  8. Examination of a failed fifth wheel coupling

    CSIR Research Space (South Africa)

    Fernandes, PJL

    1998-03-01

    Full Text Available Examination of a fifth wheel coupling which had failed in service showed that it had been modified and that the operating handle had been moved from its original design position. This modification completely eliminated the safety device designed...

  9. Examining General Hospitals' Smoke-Free Policies

    Science.gov (United States)

    Whitman, Marilyn V.; Harbison, Phillip Adam

    2010-01-01

    Purpose: This paper aims to examine the level of smoke-free policies in general hospitals and the barriers faced in implementing restrictive policies banning smoking inside buildings and on surrounding grounds. Design/methodology/approach; A survey was developed to gather data on hospitals' current smoke-free policies, including the challenges…

  10. Examining the Linkage Between FRAMES and GMS

    Energy Technology Data Exchange (ETDEWEB)

    Whelan, Gene; Castleton, Karl J.

    2006-02-13

    Because GMS provides so many features, of which some are also addressed by FRAMES, it could represent a platform to link to FRAMES, or FRAMES could represent a platform to link to GMS. The focus of this summary is to examine the strengths and weaknesses of the potential linkage direction and provide recommendations for the linkage between FRAMES and GMS.

  11. Factors Influencing Cheating Tendency in Examinations Among ...

    African Journals Online (AJOL)

    The result of the analysis revealed that self-concept, Intelligence, moral value and test anxiety significantly influence students' tendency to be involved in examination malpractice. Based on the findings of the study, it was recommended that parents and lecturers should endeavour to build good moral in their students so that ...

  12. Academic Dishonesty Behaviours in National Examinations: Motives ...

    African Journals Online (AJOL)

    The others include cheating in assignments, plagiarism and falsification of certificates. In this paper, I determine how academic cheating is attributed by NECTA, followed by school behavioral analysis interpretations and then motives and factors related to cheating in examinations. A survey was conducted involving 414 ...

  13. RESEARCH Professionalism in the intimate examination: How ...

    African Journals Online (AJOL)

    2013-01-25

    Jan 25, 2013 ... contact or masturbation, and touching of any sexualised part of the body for purposes other than appropriate medically related examination or treatment. Exchange of prescriptions or other professional services for sexual favours is also a violation.1. Despite this codified prohibition, complaints of sexual ...

  14. Behavioural Examination of Activism: Nigerian Women and ...

    African Journals Online (AJOL)

    In this paper, we examine the attitudes and behaviour of some women and gender activists to the social change that may result from gender equality when, and if it is achieved. Since it started in the 19th century, gender activism has always focused on the issue of equality between the genders, to the extent that the society ...

  15. ORIGINAL ARTICLES Is routine pathological examination required ...

    African Journals Online (AJOL)

    obstructive sleep apnoea, peritonsillar abscess or suspicion of a serious underlying disorder. Tonsillar lymphoma is ... tonsils and adenoids were examined histologically. A cost-benefit analysis was done ... obstructive sleep apnoea (31%), and a combination of the above. (19%) (Table II). Table I. Clinical findings of patients ...

  16. Examining Practice in Secondary Visual Arts Education

    Science.gov (United States)

    Mitchell, Donna Mathewson

    2015-01-01

    Teaching in secondary visual arts classrooms is complex and challenging work. While it is implicated in much research, the complexity of the lived experience of secondary visual arts teaching has rarely been the subject of sustained and synthesized research. In this paper, the potential of practice as a concept to examine and represent secondary…

  17. Incorporating Graphics in Automated Social Science Examinations.

    Science.gov (United States)

    Palm, Thomas

    1988-01-01

    Develops procedures for the automatic generation and incorporation of graphics (both statistical and analytical) into mathematically oriented multiple choice examinations. Uses an integrated spreadsheet to create and associate tabular data, diagrams, questions, and answers. Illustrates the process of constructing multiple choice questions and…

  18. Examining learning achievement and experiences of science ...

    African Journals Online (AJOL)

    Examining learning achievement and experiences of science learners in a problem-based learning environment. ... South African Journal of Education ... Problem-based learning (PBL) is a facilitation strategy that has the potential to put learners at the centre of activity and to make them accountable for their own learning.

  19. Delivering Online Examinations: A Case Study

    Directory of Open Access Journals (Sweden)

    John MESSING

    2004-07-01

    Full Text Available Delivering Online Examinations: A Case Study Jason HOWARTH John MESSING Irfan ALTAS Charles Sturt University Wagga Wagga-AUSTRALIA ABSTRACT This paper represents a brief case study of delivering online examinations to a worldwide audience. These examinations are delivered in partnership with a commercial online testing company as part of the Industry Master’s degree at Charles Sturt University (CSU. The Industry Master’s degree is an academic program for students currently employed in the IT industry. Using Internet Based Testing (IBT, these students are examined in test centres throughout the world. This offers many benefits. For example, students have the freedom of sitting exams at any time during a designated interval. Computer-based testing also provides instructors with valuable feedback through test statistics and student comments. In this paper, we document CSU’s use of the IBT system, including how tests are built and delivered, and how both human and statistical feedback is used to evaluate and enhance the testing process.

  20. A Critical Examination of Communication Textbooks

    Science.gov (United States)

    Hanasono, Lisa K.

    2018-01-01

    Courses: This single-class teaching activity was designed for courses on critical communication pedagogy (CCP), gender and race, communication education, research methods, and visual communication. Objectives: By completing this activity, students should be able to (1) describe the principles of CCP, (2) examine critically how race and gender are…

  1. Planning of high school examinations in Denmark

    DEFF Research Database (Denmark)

    Vidal, Rene Victor Valqui; Hansen, Michael Pilegaard

    1995-01-01

    This paper presents a computer based support system used to plan high school examinations in Denmark. We will discuss the methods and techniques used to solve such a complex and large scale combinatorial problem. Decomposition and other heuristic principles have been used extensively to develop...

  2. Examining the Forces That Guide Teaching Decisions

    Science.gov (United States)

    Griffith, Robin; Massey, Dixie; Atkinson, Terry S.

    2013-01-01

    This study of two successful first grade teachers examines the forces that guide their instructional decisions. Findings reveal the complexities of forces that influence the moment-to-moment decisions made by these teachers. Teachers repeatedly attempted to balance their desires to be student-centered while addressing state standards and…

  3. Objective Examinations and the Teaching of English

    Science.gov (United States)

    Forrest, Ronald

    1975-01-01

    Analyzes briefly the results of a questionnaire distributed to secondary English teachers in Ghana, Nigeria, and Ethiopia, concerning the use of objective tests, their effects on teaching, and teacher attitudes toward them. School leaving certificate examinations in these countries are closely linked to employment opportunities. (MSE)

  4. Periodic health examination by Austrian general practitioners.

    NARCIS (Netherlands)

    Devillé, W.; Piribauer, F.; Groenewegen, P.P.

    2005-01-01

    In European countries professional opinions differ about the usefulness of periodic health examination (PHE). Austria and Germany are the only one with a standardized PHE in the basic social insurance package. New insights in the role of GPs in monitoring population health and the role of PHE in

  5. Examination of the 'web mode effect'

    DEFF Research Database (Denmark)

    Clement, Sanne Lund; Shamshiri-Petersen, Ditte

    for different modes, and mode differences then are influenced by stratification differences. In both cases the real mode differences are nearly impossible to determine and remains rather speculative. The purpose of this contribution is to examine potential “web mode effects” in mixed-mode surveys. Compared...

  6. Factors Influencing Examination Malpractice in Secondary Schools ...

    African Journals Online (AJOL)

    The main purpose of this study was to investigate factors influencing examination malpractice in some selected secondary schools in Cross River State, Nigeria. A sample of one thousand two hundred (1200) students were selected across the three educational zones of Ogoja, Ikom and Calabar using stratified, random ...

  7. [Panoramic radiograph in the pediatric radiographic examination].

    Science.gov (United States)

    Alvarado Monterrubio, G

    1990-01-01

    In the present time the high value of panoramic radiography on diagnosis is recognized in all odontology areas. Panoramic radiography shows in one picture upper and lower arches and numerous adjacent structures that is why it has a special value in pediatric patient radiography examination.

  8. Nervous system examination on YouTube

    Directory of Open Access Journals (Sweden)

    Azer Samy A

    2012-12-01

    Full Text Available Abstract Background Web 2.0 sites such as YouTube have become a useful resource for knowledge and are used by medical students as a learning resource. This study aimed at assessing videos covering the nervous system examination on YouTube. Methods A research of YouTube was conducted from 2 November to 2 December 2011 using the following key words “nervous system examination”, “nervous system clinical examination”, “cranial nerves examination”, “CNS examination”, “examination of cerebellum”, “balance and coordination examination”. Only relevant videos in the English language were identified and related URL recorded. For each video, the following information was collected: title, author/s, duration, number of viewers, number of posted comments, and total number of days on YouTube. Using criteria comprising content, technical authority and pedagogy parameters, videos were rated independently by three assessors and grouped into educationally useful and non-educationally useful. Results A total of 2240 videos were screened; 129 were found to have relevant information to nervous system examination. Analysis revealed that 61 (47% of the videos provided useful information on the nervous system examination. These videos scored (mean ± SD, 14.9 ± 0.2 and mainly covered examination of the whole nervous system (8 videos, 13%, cranial nerves (42 videos, 69%, upper limbs (6 videos, 10%, lower limbs (3 videos, 5%, balance and co-ordination (2 videos, 3%. The other 68 (53% videos were not useful educationally; scoring (mean ± SD, 11.1 ± 3.0. The total viewers of all videos was 2,189,434. Useful videos were viewed by 1,050,445 viewers (48% of total viewers. The total viewership per day for useful videos was 1,794.5 and for non-useful videos 1,132.0. The differences between the three assessors were insignificant (less than 0.5 for the mean and 0.3 for the SD. Conclusions Currently, YouTube provides an adequate resource

  9. Nervous system examination on YouTube

    Science.gov (United States)

    2012-01-01

    Background Web 2.0 sites such as YouTube have become a useful resource for knowledge and are used by medical students as a learning resource. This study aimed at assessing videos covering the nervous system examination on YouTube. Methods A research of YouTube was conducted from 2 November to 2 December 2011 using the following key words “nervous system examination”, “nervous system clinical examination”, “cranial nerves examination”, “CNS examination”, “examination of cerebellum”, “balance and coordination examination”. Only relevant videos in the English language were identified and related URL recorded. For each video, the following information was collected: title, author/s, duration, number of viewers, number of posted comments, and total number of days on YouTube. Using criteria comprising content, technical authority and pedagogy parameters, videos were rated independently by three assessors and grouped into educationally useful and non-educationally useful. Results A total of 2240 videos were screened; 129 were found to have relevant information to nervous system examination. Analysis revealed that 61 (47%) of the videos provided useful information on the nervous system examination. These videos scored (mean ± SD, 14.9 ± 0.2) and mainly covered examination of the whole nervous system (8 videos, 13%), cranial nerves (42 videos, 69%), upper limbs (6 videos, 10%), lower limbs (3 videos, 5%), balance and co-ordination (2 videos, 3%). The other 68 (53%) videos were not useful educationally; scoring (mean ± SD, 11.1 ± 3.0). The total viewers of all videos was 2,189,434. Useful videos were viewed by 1,050,445 viewers (48% of total viewers). The total viewership per day for useful videos was 1,794.5 and for non-useful videos 1,132.0. The differences between the three assessors were insignificant (less than 0.5 for the mean and 0.3 for the SD). Conclusions Currently, YouTube provides an adequate resource for learning

  10. Mistakes in ultrasound examination of salivary glands

    Directory of Open Access Journals (Sweden)

    Ewa J. Białek

    2016-06-01

    Full Text Available Ultrasonography is the first imaging method applied in the case of diseases of the salivary glands. The article discusses basic mistakes that can be made during an ultrasound examination of these structures. The reasons for these mistakes may be examiner-dependent or may be beyond their control. The latter may include, inter alia, difficult conditions during examination (technical or patient-related, similarity of ultrasound images in different diseases, the lack of clinical and laboratory data as well as the lack of results of other examinations, their insufficient number or incorrectness. Doctor-related mistakes include: the lack of knowledge of normal anatomy, characteristics of ultrasound images in various salivary gland diseases and statistical incidence of diseases, but also attaching excessive importance to such statistical data. The complex anatomical structures of the floor of the oral cavity may be mistaken for benign or malignant tumors. Fragments of correct anatomical structures (bones, arterial wall fibrosis, air bubbles in the mouth can be wrongly interpreted as deposits in the salivary gland or in its excretory duct. Correct lymph nodes in the parotid glands may be treated as pathologic structures. Lesions not being a simple cyst, e.g. lymphoma, benign or malignant tumors of the salivary glands or metastatic lymph nodes, can be mistaken for one. The image of disseminated focal changes, both anechoic and solid, is not pathognomonic for specific diseases in the salivary glands. However, in part, it occurs typically and requires an extended differential diagnosis. Small focal changes and infiltrative lesions pose a diagnostic problem because their etiology cannot be safely suggested on the basis of an ultrasound examination itself. The safest approach is to refer patients with abnormal focal changes for an ultrasoundguided fine-needle aspiration biopsy.

  11. Mistakes in ultrasound examination of salivary glands.

    Science.gov (United States)

    Białek, Ewa J; Jakubowski, Wiesław

    2016-06-01

    Ultrasonography is the first imaging method applied in the case of diseases of the salivary glands. The article discusses basic mistakes that can be made during an ultrasound examination of these structures. The reasons for these mistakes may be examiner-dependent or may be beyond their control. The latter may include, inter alia, difficult conditions during examination (technical or patient-related), similarity of ultrasound images in different diseases, the lack of clinical and laboratory data as well as the lack of results of other examinations, their insufficient number or incorrectness. Doctor-related mistakes include: the lack of knowledge of normal anatomy, characteristics of ultrasound images in various salivary gland diseases and statistical incidence of diseases, but also attaching excessive importance to such statistical data. The complex anatomical structures of the floor of the oral cavity may be mistaken for benign or malignant tumors. Fragments of correct anatomical structures (bones, arterial wall fibrosis, air bubbles in the mouth) can be wrongly interpreted as deposits in the salivary gland or in its excretory duct. Correct lymph nodes in the parotid glands may be treated as pathologic structures. Lesions not being a simple cyst, e.g. lymphoma, benign or malignant tumors of the salivary glands or metastatic lymph nodes, can be mistaken for one. The image of disseminated focal changes, both anechoic and solid, is not pathognomonic for specific diseases in the salivary glands. However, in part, it occurs typically and requires an extended differential diagnosis. Small focal changes and infiltrative lesions pose a diagnostic problem because their etiology cannot be safely suggested on the basis of an ultrasound examination itself. The safest approach is to refer patients with abnormal focal changes for an ultrasoundguided fine-needle aspiration biopsy.

  12. Exchanging digital video of laryngeal examinations.

    Science.gov (United States)

    Crump, John M; Deutsch, Thomas

    2004-03-01

    Laryngeal examinations, especially stroboscopic examinations, are increasingly recorded using digital video formats on computer media, rather than using analog formats on videotape. It would be useful to share these examinations with other medical professionals in formats that would facilitate reliable and high-quality playback on a personal computer by the recipients. Unfortunately, a personal computer is not well designed for reliable presentation of artifact-free video. It is particularly important that laryngeal video play without artifacts of motion or color because these are often the characteristics of greatest clinical interest. With proper tools and procedures, and with reasonable compromises in image resolution and the duration of the examination, digital video of laryngeal examinations can be reliably exchanged. However, the tools, procedures, and formats for recording, converting to another digital format ("transcoding"), communicating, copying, and playing digital video with a personal computer are not familiar to most medical professionals. Some understanding of digital video and the tools available is required of those wanting to exchange digital video. Best results are achieved by recording to a digital format best suited for recording (such as MJPEG or DV),judiciously selecting a segment of the recording for sharing, and converting to a format suited to distribution (such as MPEG1 or MPEG2) using a medium suited to the situation (such as e-mail attachment, CD-ROM, a "clip" within a Microsoft PowerPoint presentation, or DVD-Video). If digital video is sent to a colleague, some guidance on playing files and using a PC media player is helpful.

  13. Application of a Musical Whistling Certificate Examination System as a Group Examination

    Science.gov (United States)

    Mori, Mikio; Ogihara, Mitsuhiro; Sugahara, Shin-Ichi; Taniguchi, Shuji; Kato, Shozo; Araki, Chikahiro

    Recently, some professional whistlers have set up music schools to teach musical whistling. However, so far, there is no licensed examination for musical whistling. In this paper, we propose an examination system for evaluating musical whistling. The system conducts an examination in musical whistling on a personal computer (PC). It can be used to award four grades, from the second to the fifth. These grades are designed according to the standards adopted by the school for musical whistling established by the Japanese professional whistler Moku-San. It is expected that the group examination of this examination is held in the examination center where other general certification examinations are held. Thus, the influence of the whistle sound on the PC microphone normally used should be considered. For this purpose, we examined the feasibility of using a bone-conductive microphone for a musical whistling certificate examination system. This paper shows that the proposed system in which bone-transmitted sounds are considered gives good performance under a noisy environment, as demonstrated in a group examination of musical whistling using bone-transmitted sounds. The timing of a candidates whistling tends to not match because the applause sound output from the PC was inaudible for a person older than 60 years.

  14. RADIOGRAPHIC EXAMINATION OF TEMPOROMANDIBULAR DISORDERS IN CHILDREN

    Directory of Open Access Journals (Sweden)

    Heru Suryonegoro

    2015-06-01

    Full Text Available The temporomandibular joint has a very important role in the stomatognathic system. Its main function is for the opening and closing movement, mastication, and speech. It is located anterior to the ear. The temporomandibular joint connects maxilla and mandible through the articular fossa, hence the slightest change that happens would cause serious matters such as pain, exiting, speech disorder, difficulty in opening and closing movement, headache, and even trismus. In a child or an adolescent, the symptoms are often vague; everything is interpreted as “pain”. This is probably why temporomandibular disorder are often undetected by dentists. Therefore, patience and accuracy is needed to determine the actual disorder through means of clinical and radiographic examination. The radiographic examination suitable for child is the transcranial projection. This projection is believed to be more accurate amongst other projection for child patients.

  15. Lasers In Physical Evidence Examination: An Overview

    Science.gov (United States)

    Menzel, E. R.

    1987-01-01

    A recent application of fluorescence that is perhaps largely unknown outside law enforcement involves the utilization of laser excited fluorescence (LEF) in forensic science. In this overview, the focus is on LEF applicaton to development of latent fingerprints. Other areas of criminalistics, such as document examination and fiber analysis will be dealt with briefly only. To bring the technical reader, who likely has little familiarity with the fingerprint field, up to stream, a historical introduction precedes the description of current procedures for laser detection of latent fingerprints which is followed by a brief outline of current areas of research in the fingerprint area and application of lasers to other types of evidence examination. The overview concludes with an assessment of the current state and utilization growth prognosis of lasers in criminalistics.

  16. Examination of shipping package 9975-02403

    Energy Technology Data Exchange (ETDEWEB)

    Daugherty, W. L. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2016-03-01

    SRNL examined shipping package 9975-02403 following storage of nuclear material in K-Area Complex (KAC). As a result of field surveillance activities in KAC, this package was identified to contain several non-conforming and other conditions. Further examination of this package in SRNL confirmed significant moisture and mold in the bottom layers of the lower fiberboard assembly, and identified additional corrosion along the seam weld and on the bottom of the drum. It was recently recommended that checking for corrosion along the bottom edge of the drum be implemented for packages that are removed from storage, as well as high wattage packages remaining in storage. The appearance of such corrosion on 9975-02403 further indicates that such corrosion may provide an indication of significant moisture concentration and related degradation within the package. This condition is more likely to develop in packages with higher internal heat loads.

  17. Dosimetry at X ray examinations of scoliosis

    Energy Technology Data Exchange (ETDEWEB)

    Hallen, S.; Martling, K.; Mattsson, S. (Lund Univ. (Sweden). Dept. of Radiation Physics Malmoe General Hospital (Sweden))

    1992-01-01

    Scoliosis is the deformity of the spine that occurs among children, mostly girls, at the age of 10-16 years. The mean absorbed dose to patient examined for scoliosis at three hospitals has been studied in order to determine the radiation risk. The differences in dose between the hospitals are large (a factor of 10 between the mean values and a factor of 100 between highest and lowest patient dose). According to BEIR V (1989), the risk of death from radiation induced cancer for a 15 year old girl is 1.6% per 0.1 Sv. This means 0.2-2 deaths per 1000 scoliosis patients depending on which X ray examination technique is used. (author).

  18. [Bone Mineral Density in Yusho Health Examination].

    Science.gov (United States)

    Fukushi, Jun-ichi; Iwamoto, Yukihide

    2015-05-01

    We examined the bone mineral density in Yusho patients. 460 subjects underwent dual-energy X-ray absorptiometry bone scans as part of the nationwide Yusho health examination in 2011. Serum levels of polychlorinated dibenzo-p-dioxin, polychlorinated dibenzofurans, and non-ortho polychlorinated biphenyls were measured using high-resolution gas chromatography and high-resolution mass spectrometry. The average age was 64.0 years in women and 63.4 in men. About one-third (35%) of women (n = 89) had low bone mineral density (BMD), defined as a T-score less than 70, while only 4.9% of men (n = 10) had low BMD. Serum levels of several congeners were positively associated with Z-scores in simple regression analysis. Further multivariate linear regression analysis should be required in the future.

  19. Interdisciplinarity and the Prior Knowledge Profile Examination

    Directory of Open Access Journals (Sweden)

    Carmen Oñate Gómez

    2009-05-01

    Full Text Available This article presents an activity that has been for years a common assignment for professors and students at the beginning of the school year at the Technical University of Madrid (UPM, for its acronym in Spanish Universidad Politécnica de Madrid: the Knowledge Profile Examination. Among the many variables this examination has, interdisciplinarity is one of the most significant ones. This remarkable meta-cognitive variable, which urgently needs to be studied, researched, solved and qualified, undoubtedly provides the best contributions to the quantity-quality intricacy of knowledge. The solution of the most important pedagogical issues in the coming years depends on it, when the development of a more humane, useful and responsible knowledge at universities is aimed.

  20. TRUPACT-II 157 Examination Report

    Energy Technology Data Exchange (ETDEWEB)

    Barry H. O& #39; Brien; Jeffrey M. Lacy; Kip E. Archibald

    2003-12-01

    This report presents the results of examination and recovery activities performed on the TRUPACT-II 157 shipping container. The container was part of a contact-handled transuranic waste shipment being transported on a truck to the Waste Isolation Pilot Plant in New Mexico when an accident occurred. Although the transport vehicle sustained only minor damage, airborne transuranic contamination was detected in air samples extracted from inside TRUPACT-II 157 at the Waste Isolation Pilot Plant. Consequently, the shipping container was rejected, resealed, and returned to the Idaho National Engineering and Environmental Laboratory where the payload was disassembled, examined, and recovered for subsequent reshipment to the Waste Isolation Pilot Plant. This report documents the results of those activities.

  1. Examining the Social Context in Identity Theory

    OpenAIRE

    Carter, Michael J.

    2010-01-01

    This study advances identity theory, a prominent sociological social psychological theory, by investigating how the moral identity, moral behavior, and emotions operate in different social contexts, specifically when the moral identity is activated (or not activated) and when individuals are alone or in different types of groups. This extends identity theory by including key processes in social identity theory (identity activation and group membership) which have not been examined in the exis...

  2. (Re-)Examination of Multimodal Augmented Reality

    OpenAIRE

    Rosa, N.E.; Werkhoven, P.J.; Hürst, W.O.

    2016-01-01

    The majority of augmented reality (AR) research has been concerned with visual perception, however the move towards multimodality is imminent. At the same time, there is no clear vision of what multimodal AR is. The purpose of this position paper is to consider possible ways of examining AR other than using popular notions and definitions, in order to come to an understanding of multimodal AR. Three concepts are introduced. First, the commonly used terms 'real' and 'virtual' are redefined in ...

  3. Examining different factors in effectiveness of advertisement

    OpenAIRE

    Seyed Gholamreza Jalali Naini; Mohammad Ali Shafia; Negar Nazari

    2012-01-01

    This paper aims to study the effects of different factors on advertising by examining the simultaneous effects of exposure to the advertisement, type of the media, creativity in advertisements and being informative. Using data collected from one of the chain supermarkets of Tehran called “Shahrvand”; the analysis focuses on the effectiveness of four independent variables and impact of customers’ needs on encouraging consumers to purchase. The results elucidate a relationship among these four ...

  4. Consequences of outsourcing referrals for radiological examinations

    OpenAIRE

    Tavakol Olofsson, Parvin

    2016-01-01

    Background: Demands for ever more effective healthcare and care accessibility for all patients continue to increase the workload in diagnostic radiology departments. Along with rapid developments in imaging technology which affect its day-to-day clinical use, these are three important factors for which outsourcing might be a potential solution. Outsourcing radiological examinations increases the need for cooperation between different healthcare units. Outsourcing a radiologi...

  5. AGC-1 Post Irradiation Examination Status

    Energy Technology Data Exchange (ETDEWEB)

    David Swank

    2011-09-01

    The Next Generation Nuclear Plant (NGNP) Graphite R&D program is currently measuring irradiated material property changes in several grades of nuclear graphite for predicting their behavior and operating performance within the core of new Very High Temperature Reactor (VHTR) designs. The Advanced Graphite Creep (AGC) experiment consisting of six irradiation capsules will generate this irradiated graphite performance data for NGNP reactor operating conditions. All six AGC capsules in the experiment will be irradiated in the Advanced Test Reactor (ATR), disassembled in the Hot Fuel Examination Facility (HFEF), and examined at the INL Research Center (IRC) or Oak Ridge National Laboratory (ORNL). This is the first in a series of status reports on the progress of the AGC experiment. As the first capsule, AGC1 was irradiated from September 2009 to January 2011 to a maximum dose level of 6-7 dpa. The capsule was removed from ATR and transferred to the HFEF in April 2011 where the capsule was disassembled and test specimens extracted from the capsules. The first irradiated samples from AGC1 were shipped to the IRC in July 2011and initial post irradiation examination (PIE) activities were begun on the first 37 samples received. PIE activities continue for the remainder of the AGC1 specimen as they are received at the IRC.

  6. Examining emotional expressions in discourse: methodological considerations

    Science.gov (United States)

    Hufnagel, Elizabeth; Kelly, Gregory J.

    2017-10-01

    This methodological paper presents an approach for examining emotional expressions through discourse analysis and ethnographic methods. Drawing on trends in the current literature in science education, we briefly explain the importance of emotions in science education and examine the current research methodologies used in interactional emotion studies. We put forth and substantiate a methodological approach that attends to the interactional, contextual, intertextual, and consequential aspects of emotional expressions. By examining emotional expressions in the discourse in which they are constructed, emotional expressions are identified through semantics, contextualization, and linguistic features. These features make salient four dimensions of emotional expressions: aboutness, frequency, type, and ownership. Drawing on data from a large empirical study of pre-service elementary teachers' emotional expressions about climate change in a science course, we provide illustrative examples to describe what counts as emotional expressions in situ. In doing so we explain how our approach makes salient the nuanced nature of such expressions as well as the broader discourse in which they are constructed and the implications for researching emotional expressions in science education discourse. We suggest reasons why this discourse orientated research methodology can contribute to the interactional study of emotions in science education contexts.

  7. The Criminological Examination as Biopolitics Mechanism

    Directory of Open Access Journals (Sweden)

    Flávia Ávila Penido

    2015-12-01

    Full Text Available This study addresses the requirement of criminological examination as a prerequisite to progression scheme. The aim is to show that such expertise has the ability to function as a biopolitics mechanism of the state, as manager of life, founded on a political and power strategy. It is observed that the criminological examination appears as a skill seen as able to predict the dangerousness of the agent and, therefore, the likelihood of recurrence. With the aim of protecting corporate interests and without observing the legislative amendment operated by Law 10,792 / 03, was re-established by binding precedent No. 26 issued by the Supreme Court in 2009, the examination of the application facultatividade criminological as a requirement to progression of the scheme to prevent sentenced presenting high degree of danger to be reinstated to social life. Given this context, going to defend this research that restoring a requirement that limits the entrance under the freedom or semi-freedom is part of a general strategy of power, as a security mechanism able to manage the social welfare through biological criteria of unwanted selection.

  8. The Cultural Ideological Contestation in National Examination

    Directory of Open Access Journals (Sweden)

    Kerta Adhi Made

    2018-01-01

    Full Text Available The purpose of this research was to find out the forms and the factors leading to the contestation of cultural ideology in National Examination. This research utilized Qualitative Research method and the approach of Cultural Studies. Based on the analysis, it was found that the forms of ideological contestation, specifically, centralistic, prioritizing on the result of cognitive domain, and imaging. The factors which caused consisted of political of education, state policies, and socio-cultural. The implications of this research were (1 There was shifting of educational values into capitalism, (2 The meaning of learning became limited in which it was just purposed at facing National Examination, (3 Educational services have shifted from humanist public services to commodification of education, with the result that honesty was marginalized. Eventhough the government has developed sophisticated system and very tight supervision, if the character of the subjects are not formed and cultured, accordingly, the National Examination stated honest and achievement oriented will be just a slogan. Therefore, the education system needs to be improved. The education paradigm which is more emphasized on the increasing of intellectual intelligence by multiple choice tests and scores needs to be deconstructed by adjusting with Indonesian cultural values based on “Pancasila” as ideological foundation and developing character education to the children from early age.

  9. Examining racial disparities in colorectal cancer care.

    Science.gov (United States)

    Berry, Jamillah; Bumpers, Kevin; Ogunlade, Vickie; Glover, Roni; Davis, Sharon; Counts-Spriggs, Margaret; Kauh, John; Flowers, Christopher

    2009-01-01

    African Americans are disproportionately burdened with colorectal cancer. Although incidence and mortality rates have declined in the past two decades, the disparity in health outcomes has progressively increased. This comprehensive review examines the existing literature regarding racial disparities in colorectal cancer screening, stage at diagnosis, and treatment to determine if differences exist in the quality of care delivered to African Americans. A comprehensive review of relevant literature was performed. Two databases (EBSCOHOST Academic Search Premier and Scopus) were searched from 2000 to 2007. Articles that assessed racial disparities in colorectal cancer screening, stage of disease at diagnosis, and treatment were selected. The majority of studies identified examined colorectal cancer screening outcomes. Although racial disparities in screening have diminished in recent years, African American men and women continue to have higher colorectal cancer incidence and mortality rates and are diagnosed at more advanced stages. Several studies regarding stage of disease at diagnosis identified socioeconomic status (SES) and health insurance status as major determinants of disparity. However, some studies found significant racial disparities even after controlling for these factors. Racial disparities in treatment were also found at various diagnostic stages. Many factors affecting disparities between African Americans and Whites in colorectal cancer incidence and mortality remain unexplained. Although the importance of tumor biology, genetics, and lifestyle risk factors have been established, prime sociodemographic factors need further examination to understand variances in the care of African Americans diagnosed with colorectal cancer.

  10. AAOA allergy primer: history and physical examination.

    Science.gov (United States)

    Franzese, Christine B

    2014-09-01

    Allergic disease is very common in the general population and makes a significant impact on the quality of life of patients. Immunoglobulin E (IgE)-mediated allergic disease manifests throughout the body, but many signs and symptoms of inhalant allergy are centered in the head and neck region. A thorough yet focused history of allergic symptoms and potential physical examination findings of inhalant allergy are described. History should include types and timing of symptoms, environmental and occupational exposures, family history, associated diseases, and prior treatment, if any. Physical examination should include the skin and structures of the head and neck region. Nasal endoscopy can be helpful in visualization of nasal polyps. Many times, history alone can serve to make the diagnosis, but physical examination also demonstrates specific findings that confirm the practitioner's presumptive diagnosis of allergic disease. However, should medical treatment fail or the diagnosis be in doubt, further diagnostic investigation with allergy testing should be pursued. © 2014 ARS-AAOA, LLC.

  11. Substitute fluid examinations for liquid manure

    Science.gov (United States)

    Schrader, Kevin; Riedel, Marco; Eichert, Helmut

    For the farming industry it is essential to use liquid manure as natural fertilizer. Through new agricultural regulation 2015 in Germany the industry must develop new liquid manure spreader systems because the ammonia and methane emission are limited. In a research project the University of Applied Sciences Zwickau and some other industry partners will develop such a new innovative liquid manure spreader. The new liquid manure spreader should use pulsating air to distribute the liquid manure exactly. The pulsating air, which flows through the pipelines, should be analysed at a test station. For examinations at this test station it is important to find another substitute fluid because liquid manure smells strong, is not transparent and is also not homogeneous enough for scientific investigations. Furthermore it is important to ensure that the substitute fluid is, like liquid manure, a non-Newtonian fluid. The substitute fluid must be a shear-thinning substance - this means the viscosity decrease at higher shear rate. Many different samples like soap-water-farragoes, jelly-water-farragoes, agar-water-farragoes, soap-ethanol-farragoes and more are, for the project, examined in regard of their physical properties to find the best substitute fluid. The samples are examined at the rotational viscometer for viscosity at various shear rates and then compared with the viscosity values of liquid manure.

  12. Substitute fluid examinations for liquid manure

    Directory of Open Access Journals (Sweden)

    Schrader Kevin

    2017-01-01

    Full Text Available For the farming industry it is essential to use liquid manure as natural fertilizer. Through new agricultural regulation 2015 in Germany the industry must develop new liquid manure spreader systems because the ammonia and methane emission are limited. In a research project the University of Applied Sciences Zwickau and some other industry partners will develop such a new innovative liquid manure spreader. The new liquid manure spreader should use pulsating air to distribute the liquid manure exactly. The pulsating air, which flows through the pipelines, should be analysed at a test station. For examinations at this test station it is important to find another substitute fluid because liquid manure smells strong, is not transparent and is also not homogeneous enough for scientific investigations. Furthermore it is important to ensure that the substitute fluid is, like liquid manure, a non-Newtonian fluid. The substitute fluid must be a shear-thinning substance - this means the viscosity decrease at higher shear rate. Many different samples like soap-water-farragoes, jelly-water-farragoes, agar-water-farragoes, soap-ethanol-farragoes and more are, for the project, examined in regard of their physical properties to find the best substitute fluid. The samples are examined at the rotational viscometer for viscosity at various shear rates and then compared with the viscosity values of liquid manure.

  13. Solving the Examination Timetabling Problem in GPUs

    Directory of Open Access Journals (Sweden)

    Vasileios Kolonias

    2014-07-01

    Full Text Available The examination timetabling problem belongs to the class of combinatorial optimization problems and is of great importance for every University. In this paper, a hybrid evolutionary algorithm running on a GPU is employed to solve the examination timetabling problem. The hybrid evolutionary algorithm proposed has a genetic algorithm component and a greedy steepest descent component. The GPU computational capabilities allow the use of very large population sizes, leading to a more thorough exploration of the problem solution space. The GPU implementation, depending on the size of the problem, is up to twenty six times faster than the identical single-threaded CPU implementation of the algorithm. The algorithm is evaluated with the well known Toronto datasets and compares well with the best results found in the bibliography. Moreover, the selection of the encoding of the chromosomes and the tournament selection size as the population grows are examined and optimized. The compressed sparse row format is used for the conflict matrix and was proven essential to the process, since most of the datasets have a small conflict density, which translates into an extremely sparse matrix.

  14. The objective structured clinical examination: can physician-examiners participate from a distance?

    Science.gov (United States)

    Chan, James; Humphrey-Murto, Susan; Pugh, Debra M; Su, Charles; Wood, Timothy

    2014-04-01

    Currently, a 'pedagogical gap' exists in distributed medical education in that distance educators teach medical students but typically do not have the opportunity to assess them in large-scale examinations such as the objective structured clinical examination (OSCE). We developed a remote examiner OSCE (reOSCE) that was integrated into a traditional OSCE to establish whether remote examination technology may be used to bridge this gap. The purpose of this study was to explore whether remote physician-examiners can replace on-site physician-examiners in an OSCE, and to determine the feasibility of this new examination method. Forty Year 3 medical students were randomised into six reOSCE stations that were incorporated into two tracks of a 10-station traditional OSCE. For the reOSCE stations, student performance was assessed by both a local examiner (LE) in the room and a remote examiner (RE) who viewed the OSCE encounters from a distance. The primary endpoint was the correlation of scores between LEs and REs across all reOSCE stations. The secondary endpoint was a post-OSCE survey of both REs and students. Statistically significant correlations were found between LE and RE checklist scores for history taking (r = 0.64-r = 0.80), physical examination (r = 0.41-r = 0.54), and management stations (r = 0.78). Correlations between LE and RE global ratings were more varied (r = 0.21-r = 0.77). Correlations on three of the six stations reached significance. Qualitative analysis of feedback from REs and students showed high acceptance of the reOSCE despite technological issues. This preliminary study demonstrated that OSCE ratings by LEs and REs were reasonably comparable when using checklists. Remote examination may be a feasible and acceptable way of assessing students' clinical skills, but further validity evidence will be required before it can be recommended for use in high-stakes examinations. © 2014 John Wiley & Sons Ltd.

  15. "PERLE bedside-examination-course for candidates in state examination" - Developing a training program for the third part of medical state examination (oral examination with practical skills).

    Science.gov (United States)

    Karthaus, Anne; Schmidt, Anita

    2016-01-01

    In preparation for the state examination, many students have open questions and a need for advice. Tutors of the Skills Lab PERLE-"Praxis ERfahren und Lernen" (experiencing and learning practical skills) have developed a new course concept to provide support and practical assistance for the examinees. The course aims to familiarize the students with the exam situation in order to gain more confidence. This enables the students to experience a confrontation with the specific situation of the exam in a protected environment. Furthermore, soft skills are utilized and trained. Concept of the course: The course was inspired by the OSCE-model (Objective Structured Clinical Examination), an example for case-based learning and controlling. Acquired knowledge can be revised and extended through the case studies. Experienced tutors provide assistance in discipline-specific competencies, and help in organizational issues such as dress code and behaviour. Evaluation of the course: An evaluation was conducted by the attending participants after every course. Based on this assessment, the course is constantly being developed. In March, April and October 2015 six courses, with a total of 84 participants, took place. Overall 76 completed questionnaires (91%) were analysed. Strengths of the course are a good tutor-participants-ratio with 1:4 (1 Tutor provides guidance for 4 participants), the interactivity of the course, and the high flexibility in responding to the group's needs. Weaknesses are the tight schedule, and the currently not yet performed evaluation before and after the course. In terms of "best practise", this article shows an example of how to offer low-cost and low-threshold preparation for the state examination.

  16. A brief examination of optical tagging technologies.

    Energy Technology Data Exchange (ETDEWEB)

    Ackermann, Mark R.; Cahill, Paul A. (Aspecular Optics, Dayton, OH); Drummond, Timothy J.; Wilcoxon, Jess Patrick

    2003-07-01

    Presented within this report are the results of a brief examination of optical tagging technologies funded by the Laboratory Directed Research and Development (LDRD) program at Sandia National Laboratories. The work was performed during the summer months of 2002 with total funding of $65k. The intent of the project was to briefly examine a broad range of approaches to optical tagging concentrating on the wavelength range between ultraviolet (UV) and the short wavelength infrared (SWIR, {lambda} < 2{micro}m). Tagging approaches considered include such things as simple combinations of reflective and absorptive materials closely spaced in wavelength to give a high contrast over a short range of wavelengths, rare-earth oxides in transparent binders to produce a narrow absorption line hyperspectral tag, and fluorescing materials such as phosphors, dies and chemically precipitated particles. One technical approach examined in slightly greater detail was the use of fluorescing nano particles of metals and semiconductor materials. The idea was to embed such nano particles in an oily film or transparent paint binder. When pumped with a SWIR laser such as that produced by laser diodes at {lambda}=1.54{micro}m, the particles would fluoresce at slightly longer wavelengths, thereby giving a unique signal. While it is believed that optical tags are important for military, intelligence and even law enforcement applications, as a business area, tags do not appear to represent a high on return investment. Other government agencies frequently shop for existing or mature tag technologies but rarely are interested enough to pay for development of an untried technical approach. It was hoped that through a relatively small investment of laboratory R&D funds, enough technologies could be identified that a potential customers requirements could be met with a minimum of additional development work. Only time will tell if this proves to be correct.

  17. Can Physical Examination Create a Stener Lesion?

    Science.gov (United States)

    Lankachandra, Manesha; Eggers, John P; Bogener, James W; Hutchison, Richard L

    2017-09-01

    The purpose of this study is to determine whether a Stener lesion can be created while testing stability of the ulnar collateral ligament (UCL) of the thumb. Testing was performed in a manner that reproduced clinical examination. Six fresh frozen hand and forearm specimens underwent sequential sectioning of the accessory UCL, the proper UCL, and the ulnar sagittal band. Measurements of radial deviation of the metacarpophalangeal (MCP) joint were taken with the thumb in neutral rotation, pronation and supination, both with 0 degrees and with 30 degrees of flexion of the MCP joint. Visual examination was performed to assess the presence of a Stener lesion. No Stener lesion was created in any position as long as the fascial origin of the ulnar sagittal band at the adductor pollicis longus remained intact. After creating a defect in the ulnar sagittal band, a Stener lesion was created in two specimens, but only when the thumb was flexed and supinated. Pronation provided more stability, and supination provided less stability, with one or both components cut, especially when testing at 30° of flexion. Compared to both components cut without flexion or rotation, there was a statistically significant difference in angulation with the 30 degrees of MCP joint flexion in both neutral rotation in supination. Performing a physical examination to assess the amount of instability of an ulnar collateral ligament injury did not create a Stener lesion if the exam was performed in a controlled, gentle manner with the thumb held without rotation. If the thumb is held in neutral rotation during the exam, an iatrogenic Stener lesion should not be created.

  18. Hot Fuel Examination Facility/South

    Energy Technology Data Exchange (ETDEWEB)

    1990-05-01

    This document describes the potential environmental impacts associated with proposed modifications to the Hot Fuel Examination Facility/South (HFEF/S). The proposed action, to modify the existing HFEF/S at the Argonne National Laboratory-West (ANL-W) on the Idaho National Engineering Laboratory (INEL) in southeastern Idaho, would allow important aspects of the Integral Fast Reactor (IFR) concept, offering potential advantages in nuclear safety and economics, to be demonstrated. It would support fuel cycle experiments and would supply fresh fuel to the Experimental Breeder Reactor-II (EBR-II) at the INEL. 35 refs., 12 figs., 13 tabs.

  19. Examination of SR101 shipping packages

    Energy Technology Data Exchange (ETDEWEB)

    Daugherty, W. L. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2015-03-01

    Four SR101 shipping packages were removed from service and provided for disassembly and examination of the internal fiberboard assemblies. These packages were 20 years old, and had experienced varying levels of degradation. Two of the packages were successfully disassembled and fiberboard samples were removed from these packages and tested. Mechanical and thermal property values are generally comparable to or higher than baseline values measured on fiberboard from 9975 packages, which differs primarily in the specified density range. While baseline data for the SR101 material is not available, this comparison with 9975 material suggests that the material properties of the SR101 fiberboard have not significantly degraded.

  20. Examining How Manufacturing Corporations Win Orders

    Directory of Open Access Journals (Sweden)

    Sang-Bing Tsai

    2013-11-01

    Full Text Available This study adopted 14 criteria for order-winners and qualifiers as the attributes for evaluation. The first stage used a simultaneous importance-performance analysis to analyse the competitive market situations of a corporation and its competitors. The second stage used the decision-making trial and evaluation laboratory method to analyse the attributes causal relationships and levels of influence; then two methods of analysis were integrated to analyse and re-formulate the competitive strategies for the winning orders. As well as serving as a novel theory-based method to examine how manufacturers win orders, the proposals in this study can be applied to practical industry experiences.

  1. Neurological examination: pioneering authors and their books

    Directory of Open Access Journals (Sweden)

    Péricles Maranhão-Filho

    2015-02-01

    Full Text Available The objective of this article is to highlight some of the most important pioneering books specifically focused on the neurological examination and their authors. During the XIX Century, Alexander Hammond, William Gowers and Charles Mills pioneered the neurological literature, followed in the XX Century by Aloysio de Castro, Monrad-Krohn, Derek Denny-Brown, Robert Wartenberg, Gordon Holmes, and Russel DeJong. With determination and a marked sense of observation and research, they competently developed and spread the technique and art of the neurological exam.

  2. EXAMINATION RESULTS OF CHILDREN WITH CERVICAL SYNDROME

    Directory of Open Access Journals (Sweden)

    N. H. Bakhteeva

    2010-01-01

    Full Text Available By the example of examination of 80 children aged from 4 to 18 with cervical syndrome it is indicated, that the diagnosed abnormalities of hemodynamics in vertebrobasilar basin in patients of all age groups are connected both with bone and vascular pathology of the cervical part of the spine. The pathology has functional or congenital character. Early detection of discicirculatory vascular injuries in the cervical part of the spine in children with cervical syndrome will allow to define the therapeutic management of patients and to prolong juvenile osteochondrosis clinical behaviour.

  3. [Careful! Your bibliographic references may be examined].

    Science.gov (United States)

    Culebras-Fernández, J; García de Lorenzo, A; Wanden-Nerghe, C; David Castiel, L; Sanz-Valero, J

    2008-01-01

    Reference to previous work represents a conceptual association of recognized scientific ideas that are beneficial for the citing author. I.e., a reference is an express recognition of an intellectual compromise towards a previous source of information. After all, advancement of science is supported by previous research. At present, the way to know and to measure the importance of a published item comes through its posterior citations, circumstance that obliges scientific journals to control the pertinence and relevance of the cited work. Therefore, when submitting a manuscript for consideration to a scientific journal, it must be beard in mind that the included references will be examined.

  4. The utility of mock oral examinations in preparation for the American Board of Surgery certifying examination.

    Science.gov (United States)

    Higgins, Rana M; Deal, Rebecca A; Rinewalt, Daniel; Hollinger, Edward F; Janssen, Imke; Poirier, Jennifer; Austin, Delores; Rendina, Megan; Francescatti, Amanda; Myers, Jonathan A; Millikan, Keith W; Luu, Minh B

    2016-02-01

    Determine the utility of mock oral examinations in preparation for the American Board of Surgery certifying examination (ABS CE). Between 2002 and 2012, blinded data were collected on 63 general surgery residents: 4th and 5th-year mock oral examination scores, first-time pass rates on ABS CE, and an online survey. Fifty-seven residents took the 4th-year mock oral examination: 30 (52.6%) passed and 27 (47.4%) failed, with first-time ABS CE pass rates 93.3% and 81.5% (P = .238). Fifty-nine residents took the 5th-year mock oral examination: 28 (47.5%) passed and 31 (52.5%) failed, with first-time ABS CE pass rates 82.1% and 93.5% (P = .240). Thirty-eight responded to the online survey, 77.1% ranked mock oral examinations as very or extremely helpful with ABS CE preparation. Although mock oral examinations and ABS CE passing rates do not directly correlate, residents perceive the mock oral examinations to be helpful. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Creation of a Novel Digital Rectal Examination Evaluation Instrument to Teach and Assess Prostate Examination Proficiency.

    Science.gov (United States)

    Clements, Matthew B; Schmidt, Karen M; Canfield, Steven E; Gilbert, Scott M; Khandelwal, Shiv R; Koontz, Bridget F; Lallas, Costas D; Liauw, Stanley; Nguyen, Paul L; Showalter, Timothy N; Trabulsi, Edouard J; Cathro, Helen P; Schenkman, Noah S; Krupski, Tracey L

    2017-09-08

    To create a validated tool to measure digital rectal examination proficiency and aid with teaching of the examination. The Digital Rectal Examination Clinical Tool was created using a modified Delphi method with 5 urologists and 5 radiation oncologists. The instrument was then validated in a population of preclinical medical students examining male urological teaching associates, and clinical trainees (third- and fourth-year medical students and urology resident physicians) examining prospectively enrolled subjects. Trainees completed paired examinations with an attending urologist, and responses were scored with reference to the attending responses. The instrument was validated at the University of Virginia in the urology clinic, endoscopic operating room, and main operating room settings. We tested the instrument on consenting subjects consisting of male urologic teaching associates (n = 12), clinic patients (n = 4), and operating room patients (n = 64). The participants were undergraduate (n = 302) and graduate (n = 9) medical trainees. In preclerkship trainees, improved scores in subjects without abnormal compared to those with abnormal findings demonstrated validity. In clinical trainees, scores on the Digital Rectal Examination Clinical Tool increased by 2% for each additional year of training, demonstrating construct validity. We used an expert panel to create a novel instrument for measuring digital rectal examination proficiency and validated it with preclinical and clinical trainee cohorts at our institution. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  6. Correlation of United States Medical Licensing Examination and Internal Medicine In-Training Examination Performance

    Science.gov (United States)

    Perez, Jose A., Jr.; Greer, Sharon

    2009-01-01

    The Internal Medicine In-Training Examination (ITE) is administered during residency training in the United States as a self-assessment and program assessment tool. Performance on this exam correlates with outcome on the American Board of Internal Medicine Certifying examination. Internal Medicine Program Directors use the United States Medical…

  7. Postmortem Examination After Exposure to Radioactivity

    Directory of Open Access Journals (Sweden)

    Sait Özsoy

    2011-08-01

    Full Text Available Radioactivity is used for diagnostic and treatment purposes, but it can also be used in criminal activity. Further evaluation of radioactivity use in criminal offenses by forensic medicine is necessary. According to the Turkish Criminal law, the severity of destruction caused on the body by any agent carries importance in the decision making process by the court for final penalty. Homicide by chemical, biologic or nuclear weapons are considered to be purposeful homicide and punished with life sentence. In that regard, autopsy and post-mortem examinations can be requested from physicians to determine the cause of death after homicide cases in which radioactive material has been used. During the autopsy, additional safety precautions should be taken and continued during morgue and funeral processes. The methods of protection from radioactive material depend on the type of radiation and the half life of the agent. Therefore, radiation quantity should be measured prior to autopsy and a risk assessment should be made. When necessary, help needs to be requested from the radiation safety specialists. In this article, topics that need special attention during the post-mortem examinations of corpses that hold radioactivity are discussed. Key words: Radioactive elements, autopsy, safety, occupational health

  8. Examination of Federal Data Management Plan Guidelines

    Directory of Open Access Journals (Sweden)

    Jennifer L. Thoegersen

    2015-06-01

    Full Text Available Data management plans as expectations of the grant proposal process are still fairly novel, and the expected format and content of these plans is still evolving. The objective of this research is to gain a greater understanding of the expected content for data management plans submitted as part of grant proposals to federal funding agencies. This paper examines federal funding agencies’ data management plan guidelines in relation to the broad elements of data management identified by the Interagency Working Group on Digital Data: Description, Impact, Content & Format, Protection, Preservation, Access, and Transfer of Responsibility. Specifically, statements in agencies’ guidelines were categorized into the most applicable category (or categories. The representation of each category within each agency’s guidelines was addressed, and the statements falling in each category were analyzed. Some categories, including Access and Preservation, were represented in all or nearly all of the guidelines examined. Other categories—Impact and Transfer of Responsibility—were rarely addressed. The expectations for data management plans are evolving and will likely continue to evolve as more agencies require them.

  9. Examining different factors in effectiveness of advertisement

    Directory of Open Access Journals (Sweden)

    Seyed Gholamreza Jalali Naini

    2012-04-01

    Full Text Available This paper aims to study the effects of different factors on advertising by examining the simultaneous effects of exposure to the advertisement, type of the media, creativity in advertisements and being informative. Using data collected from one of the chain supermarkets of Tehran called “Shahrvand”; the analysis focuses on the effectiveness of four independent variables and impact of customers’ needs on encouraging consumers to purchase. The results elucidate a relationship among these four variables with encouraging people to purchase. Using creativity in advertisements, however dominate the effects on this issue. The marketing and advertisement environment are dynamic and the paper concentrates only on some of the more effective factors. Producers might be more successful in choosing the best way to promote their goods and services by following the proposed model. This paper puts four effective factors together and investigates their impact on advertisement, which was not done by any other previous papers. Unlike other studies, this paper examines the role of customer needs together with four other elements on advertisement effectiveness.

  10. Anatomical basis of digital rectal examination.

    Science.gov (United States)

    Joguet, E; Robert, R; Labat, J J; Riant, T; Guérineau, M; Hamel, O; Louppe, J M

    2012-01-01

    Rectal examination is difficult to carry out by students because of their lack of knowledge and fear. It is therefore necessary to search for methods in order to facilitate its practice. This work mainly focuses on the palpation of the posterior lateral area of the rectum. This work bases itself on the study of the average length of indexes and on the anatomical study of the dissection and prints of two pelvises. In the lithotomy position, we can identify three successive levels of exploration of the posterior and lateral area of the rectum. These three levels are defined by the extremity of the index, and the distal and proximal interphalangeal articulations placed successively on the tip of the coccyx. A 180° rotation of the hand enables at each level to identify the parietal structures that the pad of the index comes across, but excludes the palpation of genital organs and rectum. The first level corresponds to the higher part of the anal canal, the ischioanal fossa and the ischium. The second level corresponds to the levator ani muscle, the ischioanal fossa and the pudendal canal. The third level corresponds to the sacrospinous ligament, the ischiatic spine and the internal obturator muscle. In spite of the significant differences between the lengths of the indexes, the use of these landmarks will facilitate the identification of parietal anatomical structures. The internal organs' palpation will depend on the patient's position, his efforts in pushing, the length of the index, and the way the examiner presses on the perineum.

  11. Learning Pelvic Examination with Professional Patients

    Directory of Open Access Journals (Sweden)

    S Shrestha

    2010-03-01

    Full Text Available Performing pelvic examination is a vital skill to learn during gynecological and obstetrical training. It's a difficult maneuver to master as there is very little to see and more to feel and interpret. In addition, learning PE in usual clinical set-up has been found to induce lot of stress and anxiety among both the patients and the students. Students fear of hurting the patients and being judged inept, whereas patients feel embarrassed having to expose their most intimate body parts for learning purpose. This hampers effective learning. Learning PE on sedated women before surgery or on mannequins has been practiced as alternative learning models. But, they have been found to miss out on teaching the communication skills, which are as important as the palpation skills. However, there exists another model of learning PE--the professional patients, who are specially trained to act as patients and also guide the students on how to make a proper PE. They provide stress-free environment for the students to learn PE and at the same time, provide immediate feedback on each of their maneuvers. They form a complete learning model and help students to see patients as partner and not just a person seeking help. Keywords: learning model, pelvic examination, stress, students.

  12. Examining Citizens’ Contact to Local Public Institutions

    Directory of Open Access Journals (Sweden)

    Florina Bente

    2013-08-01

    Full Text Available Objective - This study aims to explore the communication process within local public administration as a determinant of citizens` satisfaction. Prior work - Several authors had examined if having contact with certain service providers will affect people’s attitudes toward the service quality, but the researchers have not focused yet on the effect of citizens` contact to local authorities on satisfaction. Approach - This research seeks to address this field using an exploratory approach. Following a quantitative methodological approach, a survey was applied to a sample of 380 citizens within Western Romanian. Findings - By analyzing data it was possible to determine citizen satisfaction and to assess its relationship with costumer contact. In addition it was revealed that in Crisana Region city hall is the most frequented local public institution. Implications – The results showed a negative effect of frequency of access to local authorities on overall customer satisfaction. The effect of citizens` contact to local authorities received less attention from the academic researchers, as a need in the literature is to expand this field. Value - This research is the first to specifically examine the contact to local authorities and the effect of frequency of addressing on citizen satisfaction within Crisana Region.

  13. Do peer-tutors perform better in examinations? An analysis of medical school final examination results.

    Science.gov (United States)

    Iwata, Kazuya; Furmedge, Daniel S; Sturrock, Alison; Gill, Deborah

    2014-07-01

    Peer-assisted learning (PAL) is recognised as an effective learning tool and its benefits are well documented in a range of educational settings. Learners find it enjoyable and their performances in assessments are comparable with those of students taught by faculty tutors. In addition, PAL tutors themselves report the development of improved clinical skills and confidence through tutoring. However, whether tutoring leads to actual improvement in performance has not been fully investigated. As high-achieving students are already en route to succeeding in final examinations, we wanted to examine whether participation in a peer-tutoring programme in itself leads to better final-year examination performance. We conducted a retrospective analysis of results on final-year written and clinical examinations at University College London Medical School during 2010-2012. Z-scores were calculated and the performances of PAL tutors and students who were not PAL tutors were compared using analysis of covariance (ancova). Year 4 examination results were used as indicators of previous academic attainment. Of the 1050 students who attempted the final examination, 172 were PAL tutors in the final year. Students who acted as PAL tutors outperformed students who did not in all examination components by 1-3%. Z-scores differed by approximately 0.2 and this was statistically significant, although the significance of this difference diminished when controlling for Year 4 results. Students who acted as PAL tutors who had scored in the top quartile in Year 4 examinations scored significantly better in a long-station objective structured clinical examination (LSO). Although students who acted as PAL tutors performed better than students who did not in final-year examinations, this difference was small and attributable to the students' background academic abilities. High-achieving students appear to be self-selecting as peer-tutors and their enhanced performance in LSOs may reflect their

  14. ADAPTING ON DEMAND EXAMINATION SYSTEM IN NATIONAL OPEN UNIVERSITY OF NIGERIA END OF SEMESTER EXAMINATION

    Directory of Open Access Journals (Sweden)

    Okonkwo, Charity AKUADI

    2011-10-01

    Full Text Available Teaching–learning process is incomplete without effective and meaningful assessment of students learning outcomes. This applies to both conventional modes of education as well as to open and distance learning modes. So far, conduct of examinations at the National Open University of Nigeria (NOUN, has been cumbersome and be-decked with ‘hydra headed’ problems, such as: dearth of skilled academics, finances, prompt marking of scripts and collation/processing of acceptable results leading to release of incomplete or meaningless results. Hence the need for re-engineering the examination process at the NOUN. This paper discusses the On Demand Examination System (ODES, an Information Communication and Technology (ICT based innovation which enables the assessment of students, as at and on their own readiness and demand. But, opined that NOUN can make better use of ODES by convenient adaptation and use of the ODES software functionalities and processes. The ODES can be used to handle the challenging examination processes such as generating items that could be administered to students as a group at the End of Semester Examination. The results of the examination can then be timely processedd and released following the laid down procedures already entrenched by the use of the software to overcome most of the burden experienced so far. Since, the institution, the students and even the staff are not technologically ready for On Demand Examination for now.

  15. AGR-1 Post Irradiation Examination Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Demkowicz, Paul Andrew [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-08-01

    The post-irradiation examination (PIE) of the Advanced Gas Reactor (AGR)-1 experiment was a multi-year, collaborative effort between Idaho National Laboratory (INL) and Oak Ridge National Laboratory (ORNL) to study the performance of UCO (uranium carbide, uranium oxide) tristructural isotropic (TRISO) coated particle fuel fabricated in the U.S. and irradiated at the Advanced Test Reactor at INL to a peak burnup of 19.6% fissions per initial metal atom. This work involved a broad array of experiments and analyses to evaluate the level of fission product retention by the fuel particles and compacts (both during irradiation and during post-irradiation heating tests to simulate reactor accident conditions), investigate the kernel and coating layer morphology evolution and the causes of coating failure, and explore the migration of fission products through the coating layers. The results have generally confirmed the excellent performance of the AGR-1 fuel, first indicated during the irradiation by the observation of zero TRISO coated particle failures out of 298,000 particles in the experiment. Overall release of fission products was determined by PIE to have been relatively low during the irradiation. A significant finding was the extremely low levels of cesium released through intact coatings. This was true both during the irradiation and during post-irradiation heating tests to temperatures as high as 1800°C. Post-irradiation safety test fuel performance was generally excellent. Silver release from the particles and compacts during irradiation was often very high. Extensive microanalysis of fuel particles was performed after irradiation and after high-temperature safety testing. The results of particle microanalysis indicate that the UCO fuel is effective at controlling the oxygen partial pressure within the particle and limiting kernel migration. Post-irradiation examination has provided the final body of data that speaks to the quality of the AGR-1 fuel, building

  16. Informed consent - Providing information about prenatal examinations

    DEFF Research Database (Denmark)

    Dahl, Katja; Kesmodel, Ulrik; Hvidman, Lone

    to empower women making an informed consent. Information on Down syndrome is often confined and limitations of screenings tests rarely mentioned.  Understanding is better achieved by presenting the risk estimate as a numerical probability compared to a verbal explanation. Rates are better understood than......Prenatal care has gradually moved away from paternalism, to a state where patient autonomy and information is vital. It is known from other health care settings that the way information is presented affects understanding.The objective is to summarize current knowledge on aspects of informing...... pregnant women about prenatal examinations. Women's knowledge, decisional conflict, satisfaction and anxiety will be explored as compared with different ways and different groups of health professionals providing information. To what extent information empowers informed decision making will be explored...

  17. Assessment of obesity management in medical examination

    Directory of Open Access Journals (Sweden)

    Treyzon Leo

    2005-03-01

    Full Text Available Abstract Obesity is a growing international health problem that has already reached epidemic proportions, particularly within the United States where a majority of the population is overweight or obese. Effective methods of treatment are needed, and should be taught to physicians by efficient means. There exists a disconnect between the rising obesity prevalence with its high toll on medical resources, and the lack of obesity education provided to practitioners in the course of their training. One particular shortfall is the lack of representation of obesity on standardized medical examinations. Physician attitudes toward obesity are influenced by their lack of familiarity with the management of the disease. This may include dietary restriction, increasing physical activity, behavior modification, pharmacotherapy, and surgical interventions. Thus, curricular changes in the medical education of obesity could help reduce morbidity and mortality associated with this disease.

  18. Examination of shipping package 9975-04985

    Energy Technology Data Exchange (ETDEWEB)

    Daugherty, W. L. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2017-08-01

    Package 9975-04985 was examined following the identification of several unexpected conditions during surveillance activities. A heavy layer of corrosion product on the shield and the shield outer diameter being larger that allowed by drawing tolerances contributed to a very tight fit between the upper fiberboard assembly and shield. The average corrosion rate for the shield is estimated to be 0.0018 inch/year or less, which falls within the bounding rate of 0.002 inch/year that has been previously recommended for these packages. Several apparent foreign objects were noted within the package. One object observed on the air shield was identified as tape. The other objects were comprised of mostly fine fibers from the cane fiberboard. It is postulated that the upper and lower fiberboard assemblies were able to rub against each other due to the upper fiberboard assembly being held tight to the shield, and a few stray cane chips became frayed under vibratory motions.

  19. Examination of anomalous self-experience

    DEFF Research Database (Denmark)

    Raballo, Andrea; Parnas, Josef

    2012-01-01

    . Here, we present the initial normative data and psychometric properties of a newly developed instrument (Examination of Anomalous Self-experience [EASE]), specifically designed to support the psychopathological exploration of SDs in both research and "real world" clinical settings. Our results support......-disorders [SDs]), has been shown to constitute a core feature of both clinically overt and latent (schizotaxic) spectrum phenotypes. However, a major limitation for the translational implementation of this research evidence has been a lack of assessment tools capable of encompassing the clinical richness of SDs...... the clinical validity of the EASE as a tool for assessing anomalies of self-awareness (SDs) and lend credit to the translational potential of a phenomenological exploration of the subjective experience of vulnerability to schizophrenia....

  20. A practical approach to scheduling examinations

    Directory of Open Access Journals (Sweden)

    Luis Gerardo Astaiza A

    2010-11-01

    Full Text Available The scheduling of exams is a well-studied combinatorial optimisation problem. However, the growth in student numbers and the advent of modularity in many institutions of higher education has resulted in a significant increase in its complexity, imposing even more difficulties on university administrators who must resolve situations, often without having recourse to any computerised aid. This paper presents a practical approach towards timetabling examinations, consisting of several phases. Such phases would include constructing a conflict matrix, selecting suitable rooms for use when scheduling exams, establishing groups of courses which can be timetabled at the same time so that clashes are not incurred, imposing restrictions for loint exams for all groups from any particular course or specifying an exam in particular, fixing the times and allocating rooms and making the timetable available to students, teachers and administrators.

  1. Metallurgical examination of gun barrel screws

    Energy Technology Data Exchange (ETDEWEB)

    Bird, E.L.; Clift, T.L.

    1996-06-01

    The examination was conducted to determine the extent of degradation that had occurred after a series of firings; these screws prevent live rounds of ammunition from being loaded into the firing chamber. One concern is that if the screw tip fails and a live round is accidentally loaded into the chamber, a live round could be fired. Another concern is that if the blunt end of the screw begins to degrade by cracking, pieces could become small projectiles during firing. All screws used in firing 100 rounds or more exhibited some degree degradation, which progressively worsened as the number of rounds fired increased. (SEM, metallography, x-ray analysis, and microhardness were used.) Presence of cracks in these screws after 100 fired rounds is a serious concern that warrants the discontinued use of these screws. The screw could be improved by selecting an alloy more resistant to thermal and chemical degradation.

  2. Thallium bromide iodide crystal acoustic anisotropy examination.

    Science.gov (United States)

    Mantsevich, S N

    2017-03-01

    Thallium bromide iodide crystal also known as KRS-5 is the well known material used in far infrared radiation applications for optical windows and lenses fabrication. The main advantage of this material is the transparency in wide band of wavelengths from 0.53 to 50μm. Despite such advantages as transparency and large acousto-optic figure of merit values, KRS-5 is rarely used in acousto-optics. Nevertheless this material seems to be promising for far infrared acousto-optic applications. The acoustic and acousto-optic properties of KRS-5 needed for the full use in optoelectronics are not well understood to date. In this paper the detailed examination of thallium bromide iodide crystal acoustic properties is presented. Copyright © 2016 Elsevier B.V. All rights reserved.

  3. The independent medical examination: cardiology assessment.

    Science.gov (United States)

    Cumming, G R

    1996-12-01

    Insurance companies frequently seek medical opinions from various specialists concerning the severity of a medical problem, the appropriateness of a treatment plan and a assessment of the degree of medical impairment in persons who claim they are entitled to disability benefits. The insurer is requesting a medical opinion from a physician not involved in the care of the claimant and with no regular business ties to the insurance company; the insurance industry refers to this as an independent medical examination (IME). The purpose of the cardiology IME is to have an objective assessment concerning symptomatology and disease severity, and to reach a conclusion as to whether the cardiology problem is expected to prevent a return to work. The cardiologist needs to narrow the focus on the heart solely in terms of its primary function, that is, its ability to pump blood.

  4. What is the essential neurological examination?

    Directory of Open Access Journals (Sweden)

    Marco A. Lima

    2012-12-01

    Full Text Available In order to determine which aspects would be essential to the neurological examination (NE in a given specific situation (a patient referred with a potential neurological complaint, but the history suggests that a neurological problem is unlikely, we presented the same questionnaire used by Moore and Chalk in Canada to 19 neurologists in Rio de Janeiro, Brazil. We considered significant aspects of NE, whose average responses were greater than or equal to 3.5: visual fields, fundoscopy, pursuit eye movements, facial muscle power testing, gait, pronator drift or rapid arm movement in upper limbs, finger-nose, tone in arms and legs, five tendon reflexes, and plantar responses. We concluded that, despite geographical and economical differences between Brazil and Canada, neurologists from both countries agree about the essential NE in the proposed scenario.

  5. [Microbiology--laboratory examinations for bacterias].

    Science.gov (United States)

    Hen, Renjun; Imafuku, Yuji; Yoshida, Hiroshi

    2002-11-01

    As it has been required to identify pathogenic microbes in shorter times, simple and rapid methods have been developed and used. Here, we summarized the present situation of rapid diagnostic testing in clinical microbiology in Japan, and also presented our results on PBP2' detection. The rapid test kits available in Japan for E. coli, Helicobacter pylori, Salmonella, Streptococcus and Staphylococcus aureus were described. Rapid examination methods are based mainly on immunologic reactions, which included slide agglutination using latex particle, immunochromatography and ELISA. Times required for the identification are 10 to 15 minutes. Moreover, rapid test kits employing PCR are also marketed. Further, we evaluated MRSA-LA "Seiken" which is a rapid detection kit for PBP2' produced by MRSA. The test was shown to be highly sensitive and specific. For the rapid identification of pathogenic microbes, simple and rapid test kits described here will be used more in clinical diagnosis.

  6. Women's Perspective of Breast Self-examination.

    Science.gov (United States)

    Pilevarzadeh, Motahare

    2016-09-01

    Breast cancer is the most prevalent cancer among Iranian women. Early diagnosis of the disease is vitally important in successful treating of it and reducing its mortality and care-cost burden. In our country, the major causes of mortality and other unfavorable complications of the disease are due to late referring of women. Breast Self -Examination (BSE) is a low-cost, low-risk, self-performed screening, which, according to the evidence from the literature improves the prospects for women's survival. A content analysis with a qualitative approach was conducted in depth on women through semi-structured (individual and group) interviews. Based on the result analysis, one them related to women's prospect BSE: Including Fearful feeling, with 2 Sub-themes A: Change body image B: Uncertain future. Training courses on breast cancer and BSE screening program for women (vulnerable poor population) is necessary so as to change their beliefs and culture in order to promote this health behavior.

  7. Examining internationalization of the professional services firm

    DEFF Research Database (Denmark)

    Skaates, Maria Anne

    2003-01-01

    This study examines three Danish architectural firms' market-seeking internationalization efforts on the German market of the nineties, (a) to find suitable descriptive models of architectural and other professional service firms' project acquisition and internationalization efforts and (b......) to develop hypothetical prepositions for future testing. Due to the small population of Danish architectural firms and the very spread and eclectic body of research on the marketing of projects such as architectural projects, the study encompasses mainly qualitative case research as well as an abductive......, explorative-integrative approach to the scrutiny of existing theories and models. Key contributions of the Industrial Marketing and Purchasing (IMP) group of researchers and its subgroup, the International Network for Project Marketing and Systems Selling (INPM), are scrutinized, as are elements of the French...

  8. Gravimetric examination of Hagia Sophia's subsurface structure

    Science.gov (United States)

    Friedrich, Jürgen; Gerstenecker, Carl; Gürkan, Onur

    1996-10-01

    The subsurface structure of Hagia Sophia, one of the oldest sacred monuments in the world built between 532 537 under the reign of Justinian in today's Istanbul, has been investigated by using two relative LaCoste-Romberg gravimeters in order to detect hidden cavities which have also served as earthquake dampers in similar constructions. On the building's ground floor a grid of 100 points with a grid size of about 4.m was measured. The mean gravimetric point error was ± 3.10-8 ms-2. The result of the examination is that cavities were not detected in the inner central part of Hagia Sophia with a larger diameter than 8.m down to a depth of about 20.m, and Hagia Sophia's foundation was found to be a slope of natural rock with a downward inclination to the East that has a small crest symmetrical to the building's East-West axis.

  9. INDONESIAN STANDARDIZED EXAMINATION IN ISLAMIC RELIGIOUS EDUCATION

    Directory of Open Access Journals (Sweden)

    Lian G. Otaya

    2016-03-01

    Full Text Available This study aimed to determine the quality of Indonesian nationally standardized examination instrument (Soal Ujian Sekolah Berstandar Nasional/SUSBN in Islamic religious education subjects (Pendidikan Agama Islam/PAI, on 2011/2012 academic year, in high school of Gorontalo City, Celebes, Indonesia. It was assessed from the aspect of qualitative analysis and quantitative analysis based on classical-modern test theory and iteman program. This is an ex post facto research. Data were collected by document analysis technique and used 215 sample from 1321 population of learners. The result shows that items of the question has a good validity level; the distribution of cognitive domain comprehenship enough; it reliability was stable; level of difficulty was categorized as fair; criteria different power are well accepted; effectiveness of detractors items are effective. However, on several points need revised in order to in line with the Regulation of the Minister of Religious Affairs and National Education Standards Agency.

  10. Intergenerational transmission of maltreatment: A multilevel examination.

    Science.gov (United States)

    Leve, Leslie D; Khurana, Atika; Reich, Emily B

    2015-11-01

    Despite the commonly held belief that there is a high degree of intergenerational continuity in maltreatment, studies to date suggest a mixed pattern of findings. One reason for the variance in findings may be related to the measurement approach used, which includes a range of self-report and official indicators of maltreatment and both cross-sectional and longitudinal designs. This study attempted to shed light on the phenomenon of intergenerational continuity of maltreatment by examining multiple indicators of perpetration of maltreatment in young adults and multiple risk factors across different levels within an individual's social ecology. The sample included 166 women who had been placed in out-of-home care as adolescents (>85% had a substantiated maltreatment incident) and followed into young adulthood, and included three waves of adolescent data and six waves of young adult data collected across 10 years. The participants were originally recruited during adolescence as part of a randomized controlled trial examining the efficacy of the Treatment Foster Care Oregon intervention. Analyses revealed weak to modest associations among the three indicators of perpetration of maltreatment in young adulthood, that is, official child welfare records, self-reported child welfare system involvement, and self-reported maltreatment (r = .03-.51). Further, different patterns of prediction emerged as a function of the measurement approach. Adolescent delinquency was a significant predictor of subsequent self-reported child welfare contact, and young adult partner risk was a significant predictor of perpetration of maltreatment as indexed by both official child welfare records and self-reported child welfare contact. In addition, women who were originally assigned to the intervention condition reported perpetrating less maltreatment during young adulthood. Implications for measurement and interventions related to reducing the risk for intergenerational transmission of risk

  11. Trends in ultrasound examination in family practice

    Directory of Open Access Journals (Sweden)

    Ali F. Alamri

    2014-01-01

    Full Text Available Background: Ultrasound examination is very frequently used for the evaluation of abnormalities in various organs of the body. Our aim was to determine whether the requests by family physicians (FPs for ultrasound examinations were appropriate. Our secondary objective was to enumerate positive and negative ultrasound reports for various diagnostic indications. Materials and Methods: This cross-sectional study was conducted during the period of month between June and August 2010, at the Family Medicine Department of North West Armed Forces Prince Salman Hospital, Tabuk. We reviewed the ultrasound requests of all patients included in this study and the findings of the procedure. Data were analyzed using the Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, version 16.0. Results: The requests and reports of 815 patients for ultrasound were reviewed. Females comprised 58.7% of the referred cases. The mean age of the sample at referral was 30 ± 18.5 for females and 34 ± 20.7 for males. Only 46% of the request forms contained conclusive information and instructions. Abdominal/pelvic ultrasounds were the most frequently requested; Nearly 71.2% of the ultrasound scans were normal. Abdominal/pelvis ultrasound was more likely to be reported as normal than ultrasound scans of other regions ( P = 0.007. Patients aged 41-60 years were more likely to have an abnormal ultrasound (P = 0.02. Conclusion: Our findings suggest that FPs have to be educated about imaging referral protocols in order to achieve better outcomes.

  12. North Korean refugee doctors' preliminary examination scores

    Directory of Open Access Journals (Sweden)

    Sung Uk Chae

    2016-12-01

    Full Text Available Purpose Although there have been studies emphasizing the re-education of North Korean (NK doctors for post-unification of the Korean Peninsula, study on the content and scope of such re-education has yet to be conducted. Researchers intended to set the content and scope of re-education by a comparative analysis for the scores of the preliminary examination, which is comparable to the Korean Medical Licensing Examination (KMLE. Methods The scores of the first and second preliminary exams were analyzed by subject using the Wilcoxon signed rank test. The passing status of the group of NK doctors for KMLE in recent 3 years were investigated. The multiple-choice-question (MCQ items of which difficulty indexes of NK doctors were lower than those of South Korean (SK medical students by two times of the standard deviation of the scores of SK medical students were selected to investigate the relevant reasons. Results The average scores of nearly all subjects were improved in the second exam compared with the first exam. The passing rate of the group of NK doctors was 75%. The number of MCQ items of which difficulty indexes of NK doctors were lower than those of SK medical students was 51 (6.38%. NK doctors’ lack of understandings for Diagnostic Techniques and Procedures, Therapeutics, Prenatal Care, and Managed Care Programs was suggested as the possible reason. Conclusion The education of integrated courses focusing on Diagnostic Techniques and Procedures and Therapeutics, and apprenticeship-style training for clinical practice of core subjects are needed. Special lectures on the Preventive Medicine are likely to be required also.

  13. National Postirradiation Examination Workshop Needs Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Not listed

    2011-09-01

    The development of nuclear fuels and materials requires a clear understanding of irradiation effects on the materials performance. Development of this understanding at present relies on irradiation experiments ranging from tests aimed at targeted phenomenology to integral effects under both prototypic and off-normal conditions. Within the new DOE paradigm of a science-based approach aimed at more fundamental understanding of fuel performance, more specialized experiments and measurements are needed. To support the development of such fuels and materials, especially under a science-based development strategy, the nation needs a consolidated, state-of-the-art, post-irradiation examination (PIE) capability that can reliably extract the needed data from the experimental programs. In some cases, new capabilities beyond the current state-of-the art need to be developed and implemented to perform measurements that were not needed in the more empirically based approaches used in earlier fuel development and qualification programs. A national PIE workshop was held in March 2011 which solicited the PIE needs that are necessary to support both DOE and U.S. goals for nuclear energy. These needs recognize that significant capability already exists that must be maintained, upgraded and continued while bringing online new capabilities that support research on highly irradiated fuels and materials. Further, these needs mostly focus on the reducing the time and length scales in which materials can be examined and coupling these measurements with a robust modeling capability within an infrastructure that can meet the needs of higher demand and a variety of customers. A consolidated capability where a comprehensive set of measurements can be simultaneously performed is essential for efficiently implementing fuel and materials development programs in a cost effective manner. This document captures the national PIE needs necessary to support current and future research, and where

  14. Examining supply changes in Australia's cocaine market.

    Science.gov (United States)

    Hughes, Caitlin E; Chalmers, Jenny; Bright, David A; Matthew-Simmons, Francis; Sindicich, Natasha

    2012-05-01

    Media attention to cocaine use and supply has increased following some of the largest cocaine seizures in Australia's history. Whether there has been an expansion in supply remains unclear. This paper examines the evidence behind assertions of increased supply in Australia and the scale and nature of any apparent increase, using proxy indicators of cocaine importation, distribution and use. Eight proxies of cocaine importation, distribution and use were adopted, including amount of importation, mode of importation and supply flows to Australia. Each proxy indicator was sourced using publicly available and Australia-wide data, including information on the total weight of border seizures, mode of detection and country of embarkation of individual seizures. Data permitting, trends were examined for up to a 12 year period (1997-1998 to 2009-2010). Since 2006-2007 there was evidence of increased cocaine importation, albeit less than between 1998-1999 and 2001-2002. There were further signs that the 2006-2007 expansion coincided with a diversification of trafficking routes to and through Australia (beyond the traditional site of entry-Sydney) and shifts in the geographic distribution of use. The congruity between indicators suggests that there has been a recent expansion in cocaine supply to and distribution within Australia, but that the more notable shift has concerned the nature of supply, with an apparent growth in importation and distribution beyond New South Wales. The diversification of cocaine supply routes may increase risks of market entrenchment and organised crime throughout Australia. © 2011 Australasian Professional Society on Alcohol and other Drugs.

  15. Intra-examiner and inter-examiner reproducibility of paraspinal thermography.

    Directory of Open Access Journals (Sweden)

    Matthew McCoy

    Full Text Available OBJECTIVE: The objective of this study was to evaluate the intra-examiner and inter-examiner reproducibility of paraspinal thermography using an infrared scanner. MATERIALS AND METHODS: The thermal functions of a commercially available infrared scanner (Insight Subluxation Station® were evaluated for clinical reliability. Two practicing clinicians conducted the measures on 100 subjects. Intra class correlation coefficients (ICCs and concordance correlation coefficients (CCCs were calculated from the collected data. RESULTS: Mean bilateral paraspinal skin temperature was 89.78° F and ranged from 88.77° F to 91.43° F. Intra class correlation coefficients (ICCs for agreement and consistency ranged from 0.959 to 0.976. Concordance correlation coefficients (CCCs ranged from 0.783 to 0.859 with tight confidence intervals indicating robust estimates of these quantities. CONCLUSION: This study revealed excellent intra-examiner and inter-examiner reproducibility of paraspinal thermography using a commercially available unit.

  16. Intra-examiner and inter-examiner reproducibility of paraspinal thermography.

    Science.gov (United States)

    McCoy, Matthew; Campbell, Ismay; Stone, Pamela; Fedorchuk, Curtis; Wijayawardana, Sameera; Easley, Kirk

    2011-02-11

    The objective of this study was to evaluate the intra-examiner and inter-examiner reproducibility of paraspinal thermography using an infrared scanner. The thermal functions of a commercially available infrared scanner (Insight Subluxation Station®) were evaluated for clinical reliability. Two practicing clinicians conducted the measures on 100 subjects. Intra class correlation coefficients (ICCs) and concordance correlation coefficients (CCCs) were calculated from the collected data. Mean bilateral paraspinal skin temperature was 89.78° F and ranged from 88.77° F to 91.43° F. Intra class correlation coefficients (ICCs) for agreement and consistency ranged from 0.959 to 0.976. Concordance correlation coefficients (CCCs) ranged from 0.783 to 0.859 with tight confidence intervals indicating robust estimates of these quantities. This study revealed excellent intra-examiner and inter-examiner reproducibility of paraspinal thermography using a commercially available unit.

  17. Examining the relationships between attendance, online engagement and summative examinations performance

    OpenAIRE

    Holland, Jane; Clarke, Eric; Monro, Morag; Kelleher, Evelyn; Glynn, Mark

    2014-01-01

    Background: Non-attendance correlates with poor performance, but manual recording of attendance is problematic. Online activity reports may be a more efficient method of identifying at-risk students. Summary of work: This research is part of a prospective study examining physical attendance, online activity reports (Moodle), continuous assessments and summative examination performance. Ethical approval was granted by RCSI Ethics Committee. Two modules within the first year of the undergrad...

  18. Examination stress at unified state examination: student destabilization or success factor?

    Directory of Open Access Journals (Sweden)

    Svetlana N. Kostromina

    2017-01-01

    Full Text Available The aim of the research is to clear up the influence of examination stress on the results of completing examination papers by students in the situation of trial General and Unified State Examinations, imitating the real-life environment of unified state certification of schoolchildren. The tasks of the research included determining the dynamics of psychophysiological stress indices at different examination stages, and evaluating additional factors (the subject in which the examination is held, the strategy of solving the variant, success of solving the task etc., influencing the quantity and quality of stress reactions at the examination.The novelty of the research is in the attempt to overcome the problem of confusing the notions of examination stress and examination anxiety, caused by metering the students’ state either before or after the examination. The technology of online monitoring the students’ psychophysiological state is used in the work, which makes it possible to eliminate a number of restrictions occurring during subjective evaluation of the state by the students themselves. Telemetric cardiorhythmography was chosen as the basic method. The method is based on a three-component model of extreme states with consequent domination of one of the three stress-reactive systems. A cardiointervalogramm was being registered in the research process in the online mode and underwent spectral analysis. The following indices of heart rate variability were recorded in order to determine stress reactions: the total power of the spectrum (TP, the spectrum power in low-frequency (LF and high-frequency (HF regions, and a vegetative balance index (relation of the spectrum powers in low-frequency and high-frequency regions (LF/HF. When the total power of the heart rate fell and, at the same time, the vegetative balance index rose, a conclusion was made of there being a stress reaction. Twenty-five students of an illustrious school were examined

  19. Quality theory paper writing for medical examinations.

    Science.gov (United States)

    Shukla, Samarth; Acharya, Sourya; Acharya, Neema; Shrivastava, Tripti; Kale, Anita

    2014-04-01

    Aim & Objectives: Developing a tactful paper writing skill, through delivery and depiction of the necessary expressions required for in standard or superior essay writing. Understanding relevance and tact of theoretical expression in exam paper writing Learning Indices of standard or quality theory/essay answer (SAQ/LAQ). Applying knowledge and skill gained through these theory writing exercises and assignments to achieve high or better scores in examinations. The study subjects were divided into two groups- Group A (17 students) and Group B students (10students). The students were selected from II M.B.B.S 4(th) term. Students of Group A were sensitized on how to write a theory paper and went through 4 phases namely pre-sensitization test, sensitization (imparting them with skills of good theory paper writing through home assignments and deliberations/ guidance), post-sensitization test and Evaluation. Students of Group A (17 students) undertook theory tests (twice, i.e. before and after sensitization) and Students of Group B (10 students) who were not sensitized and took the theory test with post sensitized Group A students (random 10 students). Both groups were given general pathology as the test syllabus, taught to both groups in didactic lectures during the last 6 months. The results of pre and Post-sensitization tests from both groups were analyzed. Intra group comparisons (pre sensitized Group A with Post sensitized Group A) and inter group comparisons (Non-sensitized group B with Sensitized Group A) were made. Significant results were found between results of pre and Post-sensitization tests in Group A (intra group analysis) and inter group (Group A and B) Post-sensitization tests, as there was remarkable improvement in student theory paper writing skills post sensitizing the students of Group A. Medical students should be mandatorily guided and exposed to the nuances and tact of writing the theory paper for their examinations, as it definitely gives them

  20. Examining the Weight Trajectory of College Students.

    Science.gov (United States)

    Pope, Lizzy; Hansen, Danielle; Harvey, Jean

    2017-02-01

    To examine the weight trajectory of students over 4 years of college. Anthropometric assessments were completed at the beginning and end of students' freshman year and the end of senior year to calculate body mass index. Questionnaires assessing weight-related behaviors were completed in senior year. Of the original 117 students, 86 remained in the study for 4 years. Body mass index was significantly higher at the end of senior year (mean, 24.84; SD, 4.46) vs the beginning of freshman year (mean, 23.59; SD, 4.01; t[85] = 5.61; P freshman year (mean, 66.94 kg; SD, 14.02; t[85] = 6.60; P college, which highlights the need for weight control interventions to target more than just freshman college students. Copyright © 2016 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  1. An Autoethnographic Examination of Postpartum Depression.

    Science.gov (United States)

    Frankhouser, Tara Lynn; Defenbaugh, Nicole L

    2017-11-01

    This article examines postpartum depression (PPD) using autoethnography to explore the stigmatization of depression and cultural expectations of motherhood. Because the personal experiences of living with PPD are often absent from primary care literature, this article uses first-person narrative and analysis of intensive mothering to explore the barriers to seeking PPD treatment, the need for increasing physician confidence and comfort using screening tools, and the impact PPD stigma has on patients and their health care. Autoethnography, as a relatively unfamiliar methodology in primary care, is used to illuminate individual experiences of living with PPD. The author details a series of encounters as wife, mother, and patient by narrating what it means to live with the disease. A thematic analysis of the series of first-person narratives was employed to further understand the culture of motherhood and shed light on the stigmatization of PPD. Four themes emerged from the analysis revealing the pressures surrounding the cultural ideologies of intensive mothering and the stigma of mental illness: essentialism, failure, shame, and avoidance. There is a need to reframe cultural perceptions of motherhood and PPD to positively impact familial interactions and health care encounters for those who live with the illness. The article calls for providing broader diagnostic efforts, more comprehensive care, and engagement with patients in shared decision making around the diagnosis and treatment of PPD. © 2017 Annals of Family Medicine, Inc.

  2. Handwriting Examination: Moving from Art to Science

    Energy Technology Data Exchange (ETDEWEB)

    Jarman, K.H.; Hanlen, R.C.; Manzolillo, P.A.

    1999-04-12

    In this document, we present a method for validating the premises and methodology of forensic handwriting examination. This method is intuitively appealing because it relies on quantitative measurements currently used qualitatively by FDE's in making comparisons, and it is scientifically rigorous because it exploits the power of multivariate statistical analysis. This approach uses measures of both central tendency and variation to construct a profile for a given individual. (Central tendency and variation are important for characterizing an individual's writing and both are currently used by FDE's in comparative analyses). Once constructed, different profiles are then compared for individuality using cluster analysis; they are grouped so that profiles within a group cannot be differentiated from one another based on the measured characteristics, whereas profiles between groups can. The cluster analysis procedure used here exploits the power of multivariate hypothesis testing. The result is not only a profile grouping but also an indication of statistical significance of the groups generated.

  3. VIDE: The Void IDentification and Examination toolkit

    Science.gov (United States)

    Sutter, P. M.; Lavaux, G.; Hamaus, N.; Pisani, A.; Wandelt, B. D.; Warren, M.; Villaescusa-Navarro, F.; Zivick, P.; Mao, Q.; Thompson, B. B.

    2015-03-01

    We present VIDE, the Void IDentification and Examination toolkit, an open-source Python/C++ code for finding cosmic voids in galaxy redshift surveys and N -body simulations, characterizing their properties, and providing a platform for more detailed analysis. At its core, VIDE uses a substantially enhanced version of ZOBOV (Neyinck 2008) to calculate a Voronoi tessellation for estimating the density field and performing a watershed transform to construct voids. Additionally, VIDE provides significant functionality for both pre- and post-processing: for example, VIDE can work with volume- or magnitude-limited galaxy samples with arbitrary survey geometries, or dark matter particles or halo catalogs in a variety of common formats. It can also randomly subsample inputs and includes a Halo Occupation Distribution model for constructing mock galaxy populations. VIDE uses the watershed levels to place voids in a hierarchical tree, outputs a summary of void properties in plain ASCII, and provides a Python API to perform many analysis tasks, such as loading and manipulating void catalogs and particle members, filtering, plotting, computing clustering statistics, stacking, comparing catalogs, and fitting density profiles. While centered around ZOBOV, the toolkit is designed to be as modular as possible and accommodate other void finders. VIDE has been in development for several years and has already been used to produce a wealth of results, which we summarize in this work to highlight the capabilities of the toolkit. VIDE is publicly available at

  4. Examining cable plant bandwidth for FDDI

    Science.gov (United States)

    Hayes, James E.

    1991-02-01

    Networks designed around the ANSI X3T9. 5 standard called Fiber Distributed Data Interface (FDDI) are limited in distance by the bandwidth not the attenuation of the fiber optic cable. The magnitude of this limitation is defined and potential options in sources and fibers are examined. Since FDDI is limited in distance by the bandwidth of the cable plant not the attenuation many end users have put a bandwidth specification in their fiber optic cable purchase specifications. Some have even specified testing for bandwidth. This has caused much controversy between vendors installers and users. As a test equipment vendor we have " refereed" quite a few of these already and we have found that more myths are believed than realities are understood. What Limits Fiber Bandwidth? Two things limit fiber bandwidth: modal dispersion and chromatic dispersion. Modal dispersion is caused by the fact that the graded index profile of the fiber isn''t perfect so all modes do not have exactly the same transit time through the fiber. Chromatic dispersion is caused by the fact that the velocity of light in the fiber is dependent on the wavelength of the fiber. Fibers are designed for a zero dispersion wavelength light of any other wavelength will have some dispersion. Sources of wide spectral width like LEDs will suffer from more dispersion than narrow spectral width sources like laser diodes. In most circumstances one can

  5. Quantitative examination of the bottlenose dolphin cerebellum.

    Science.gov (United States)

    Hanson, Alicia; Grisham, William; Sheh, Colleen; Annese, Jacopo; Ridgway, Sam

    2013-08-01

    Neuroanatomical research into the brain of the bottlenose dolphin (Tursiops truncatus) has revealed striking similarities with the human brain in terms of size and complexity. However, the dolphin brain also contains unique allometric relationships. When compared to the human brain, the dolphin cerebellum is noticeably larger. Upon closer examination, the lobule composition of the cerebellum is distinct between the two species. In this study, we used magnetic resonance imaging to analyze cerebellar anatomy in the bottlenose dolphin and measure the volume of the separate cerebellar lobules in the bottlenose dolphin and human. Lobule identification was assisted by three-dimensional modeling. We find that lobules VI, VIIb, VIII, and IX are the largest lobules of the bottlenose dolphin cerebellum, while the anterior lobe (I-V), crus I, crus II, and the flocculonodular lobe are smaller. Different lobule sizes may have functional implications. Auditory-associated lobules VIIb, VIII, IX are likely large in the bottlenose dolphin due to echolocation abilities. Our study provides quantitative information on cerebellar anatomy that substantiates previous reports based on gross observation and subjective analysis. This study is part of a continuing effort toward providing explicit descriptions of cetacean neuroanatomy to support the interpretation of behavioral studies on cetacean cognition. Copyright © 2013 Wiley Periodicals, Inc.

  6. Diagnostic value of histopathologic examination in alopecias

    Directory of Open Access Journals (Sweden)

    Deren Özcan

    2014-06-01

    Full Text Available Alopecias are evaluated in two groups, namely noncicatricial type and cicatricial type. Cicatricial alopecias are generally irreversible due to the permenant damage to the hair follicles and as follicular epithelium is replaced by connective tissue in the late stages. In noncicatricial alopecia, the follicular epithelia is intact and hair regrowth is likely. The accurate diagnosis of alopecia subtypes which have different etiologies and occasionally result in permanent hair loss is of paramount importance to initiate the appropriate treatment in the early stages. Most of the subtypes of alopecia can be diagnosed with a detailed history and clinical evaluation. However, most of the disorders leading to alopecia present with nonspecific and overlapping clinical findings which alter over the course of the disease. In those instances, scalp biopsy and histopathologic evaluation is necessary to make or confirm the diagnosis. Transverse and vertical sections used for the interpretation of scalp biopsy specimens offer different advantages. Therefore, idealy, obtaining two 4 mm punch biopsy samples and combining both methods is suggested to enhance the diagnostic yield in patients with alopecia. In this review, the value of scalp biopsy in the diagnosis of subtypes of alopecia, the significance of evaluation of transverse and vertical sections in the histopathologic examination and the major histopathologic findings of the disorders involved in the etiology are described.

  7. A re-examination of throats

    KAUST Repository

    Kim, J.-W.

    2013-11-01

    We critically re-examine the concept of a throat in a porous medium as a geometric quantity defined independently of an entry meniscus in a drainage process. To maintain the standard notion of a throat as a locally minimum-area cross section in the pore network, we demonstrate with examples that throats must intersect each other. Using flow simulation, we show that these intersecting throats correspond to capillary pressure controlled entry points during drainage. We have designed a throat-finding algorithm that explicitly locates intersecting throats, using a planar approximation for robustness and speed. The capability of the new algorithm was compared against an existing algorithm in the construction of pore-throat networks from X-ray computed tomography images of consolidated sandstones (7.5–22% porosity) and of an unconsolidated sand pack (32.5% porosity). We show that the probability of throat intersection increases significantly with porosity above 20%; in the sand pack, over 1/4 of all throats intersect with another.

  8. Bioactivities examination of Cinchona leaves ethanol extracts

    Science.gov (United States)

    Artanti, Nina; Udin, Linar Z.; Hanafi, M.; Jamilah, Kurniasih, Ida Rahmi; Primahana, Gian; Anita, Yulia; Sundowo, Andini; Kandace, Yoice Sri

    2017-01-01

    Cinchona species especially the barks are commonly known for commercial production of quinine as antimalarial. Although it is also reported for treatment of depurative, whooping cough, influenza and dysentery. In this paper we reported in vitro examination of other bioactivities (antidiabetes, antioxidant and in vitro cytotoxicity) of 70% ethanol extract of Cinchona ledgeriana and C. succirubra leaves as well as qunine, quinidine, and cinchonine the major alkaloids found in Cinchona species. Antidiabetes was conducted using α-glucosidase inhibitory activity assay. Antioxidant was conducted using DPPH free radical scavenging activity assay. In vitro cytotoxic activity was concucted by microscopic observation on growth of breast cancer cell line MCF-7. The results showed that at concentration of 100 µg/ml, C. ledgeriana leaves ethanol extracts showed the best activity as antidiabetes (98% inhibitory of α-glucosidase activity) and antioxidant (92% DPPH free radical scavenging activity), whereas at the same concentration C. succirubra, quinine, quinidine and cinchonine showed very low activities of antidiabetes and antioxidant. Microscopic observation of in vitro cytotoxicity showed that C. ledgeriana also has excellent cytotoxicity to breast cancer cell line MCF-7 which better than quinine, quinidine and cinchonine, whereas C. succirubra showed low cytotoxicity. These results suggest that cinchona species have many potential as the source of drugs discovery and development other than just for malaria treatment. Therefore it is important to conduct further studies and to maintain the available Cinchona plantation in Indonesia.

  9. Examining Media Literacy Levels of Prospective Teachers

    Directory of Open Access Journals (Sweden)

    Taskın INAN

    2012-04-01

    Full Text Available As in many other countries, following the 2007-2008 education year when media literacy courses began to be included in the curricula, media literacy has become one of the discussion topics among educators and decision makers in Turkey. Discussion topics related to media literacy have included who is going to give the media literacy courses, what qualifications will be sought out in media literacy education teachers, what will be included in the media literacy curriculum in terms of its content, and at what level the media literacy course will be given. The current study which aims to examine media literacy levels of prospective teachers utilized thesurvey method. The sample of the study included prospective teachers (480 attending Elementary School Education, Social Studies Education and Turkish Language Education departments in the Education Faculty at the Dumlupinar University in the 2008-2009 education year. The results of the study showed that prospective teachers have a low level of reaction to media messages, do not educate people around enough about the effects of media, but make use of different sources of media to gain information, and are cognizant of media literacy.

  10. Examining Factors Predicting Students’ Digital Competence

    Directory of Open Access Journals (Sweden)

    Ove Edvard Hatlevik

    2015-02-01

    Full Text Available The purpose of this study was to examine factors predicting lower secondary school students’ digital competence and to explore differences between students when it comes to digital competence. Results from a digital competence test and survey in lower secondary school will be presented. It is important to learn more about and investigate what characterizes students’ digital competence. A sample of 852 ninth-grade Norwegian students from 38 schools participated in the study. The students answered a 26 item multiple-choice digital competence test and a self-report questionnaire about family background, motivation, and previous grades. Structural equation modeling was used to test a model of the hypothesised relationship between family background, mastery orientation, previous achievements, and digital competence. The results indicate variation in digital competence among the ninth-graders. Further, analyses showed that students’ conditions at home, i.e., language integration and cultural capital, together with mastery orientation and academic achievements predict students digital competence. This study indicates that that there is evidence of digital diversity between lower secondary students. It does not seem like the development of digital competence among the students happens automatically. Students’ family background and school performance are the most important factors. Therefore, as this study shows, it is necessary to further investigate how schools can identify students’ level of competence and to develop plans and actions for how schools can help to try to equalize differences.

  11. The Zeus from Gaza re-examined

    Directory of Open Access Journals (Sweden)

    Ovadiah, Asher

    1997-12-01

    Full Text Available The re-examination of the monumental statue of Zeus from Gaza, nowadays exhibited in the Istanbul Archaeological Museums, comprises an iconographical, as well as a stylistic comparative analysis. Comparisons with monumental sculpture (Jupiter Verospi, Jupiter Otricoli, Capitoline Jupiter from Carthage, and the Zeus in the Metropolitan Museum of Art, statuettes, and other artistic media (vase painting, gems, coins indicate that this work of art shows an eclectic character of various artistic trends and concepts, based on Classical-Hellenistic features. It is plausible to conclude that the Zeus from Gaza is a Roman work of art, created by an anonymous artist and may be dated to the second century AD.Se realiza un nuevo examen, a través de análisis iconográfico y estilístico, de la estatua monumental del Zeus hallado en Gaza, hoy en el Museo Arqueológico de Estambul. Sus paralelos en escultura monumental, estatuillas y otros objetos artísticos —pintura vascular, gemas y monedas—, indican que esta obra de arte tiene un carácter ecléctico con tendencias varias y distintos conceptos artísticos de tipo clásico-helenístico. Es plausible concluir que tenemos en el Zeus de Gaza una obra romana anónima fechable en el siglo II d.C.

  12. European Non Destructive Examination Forum (ENDEF)

    Energy Technology Data Exchange (ETDEWEB)

    Deffrennes, M. [EC, DG XVII, Nuclear Energy, Brussels (Belgium); Engl, G. [Siemens AG Energieerzeugung KWU, Erlangen (Germany); Estorff, U. von [EC, JRC/IAM, Petten (Netherlands)

    1998-11-01

    ENDEF, an initiative of the European Commission, DG XVII (Energy) was well supported by the European industrial institutions working in assistance with nuclear industrial organisations in the CEEC`s (Central and Eastern European Countries) and NIS`s (New Independent States). This Forum provides effectively a platform for open discussion between representatives of industrial actors active in the NDE (Non Destructive Examination)/ISI (In Service Inspection) field with the purpose to establish a co-operation pattern between qualified representatives of the EU (European Union) industry to offer a better co-ordinated and well defined assistance to the CEEC`s and NIS in the field of NDE/ISI, and to lay the ground for further industrial co-operation. ENDEF developed a strategy to follow for the establishment of co-operation projects. This strategy is now used to understand the extent of past or present assistance projects and to identify the areas where more co-operation is needed. ENDEF encourages the creation in the NIS`s and CEEC`s of similar forums in order to increase the co-operation and co-ordination. ENDEF is also working in perfect agreement with the European Network ENIQ, piloted by the European plant operators. This identity of views lead to the leadership by the ENDEF co-ordinator of the ENIQ Task 3 involving Applications of the European Methodology for ISI qualification in the CEEC`s and NIS`s and presently fully integrated in ENDEF. (orig.)

  13. Conducting a statewide health examination survey: the Arkansas Cardiovascular Health Examination Survey (ARCHES).

    Science.gov (United States)

    Zohoori, Namvar; Pulley, LeaVonne; Jones, Camille; Senner, John; Shoob, Hylan; Merritt, Robert K

    2011-05-01

    The Arkansas Cardiovascular Health Examination Survey is a health and nutrition examination survey designed to serve as a demonstration project for collection of data on the prevalence of chronic diseases and their risk factors at the state level. The survey was conducted from mid-2006 through early 2008. We chose a cross-sectional representative sample of adult residents in Arkansas by using a 3-stage, cluster sample design. Trained interviewers conducted interviews and examinations in respondents' homes, collecting data on risk factors and diseases, blood pressure and anthropometric measurements, and blood and urine samples for analysis and storage. Food frequency questionnaires provided dietary and nutrient intake data. We accomplished the project using a collaborative model among several programs and partners within the state. A total of 4,894 eligible households were contacted by telephone. Of these, refusals accounted for 2,748, and 2,146 gave initial consent to participate, for an initial response rate of 44%. The final number of completed household visits was 1,385, resulting in a final response rate of 28.3%. The Arkansas Cardiovascular Health Examination Survey is among the first state-level health and nutrition examination surveys to be conducted in the United States. By using a collaborative model and leveraging federal funds, we engaged several partners who provided additional resources to complete the project. The survey provides the state with valuable state-level data and information for program design and delivery.

  14. Mouse hypospadias: A critical examination and definition.

    Science.gov (United States)

    Sinclair, Adriane Watkins; Cao, Mei; Shen, Joel; Cooke, Paul; Risbridger, Gail; Baskin, Laurence; Cunha, Gerald R

    2016-12-01

    Hypospadias is a common malformation whose etiology is based upon perturbation of normal penile development. The mouse has been previously used as a model of hypospadias, despite an unacceptably wide range of definitions for this malformation. The current paper presents objective criteria and a definition of mouse hypospadias. Accordingly, diethylstilbestrol (DES) induced penile malformations were examined at 60 days postnatal (P60) in mice treated with DES over the age range of 12 days embryonic to 20 days postnatal (E12-P20). DES-induced hypospadias involves malformation of the urethral meatus, which is most severe in DES E12-P10, DES P0-P10 and DES P5-P15 groups, and less so or absent in the other treatment groups. A frenulum-like ventral tether between the penis and the prepuce was seen in the most severely affected DES-treated mice. Internal penile morphology was also altered in the DES E12-P10, DES P0-P10 and DES P5-P15 groups (with little effect in the other DES treatment groups). Thus, adverse effects of DES are a function of the period of DES treatment and most severe in the P0-P10 period. In "estrogen mutant mice" (NERKI, βERKO, αERKO and AROM+) hypospadias was only seen in AROM+ male mice having genetically-engineered elevation is serum estrogen. Significantly, mouse hypospadias was only seen distally at and near the urethral meatus where epithelial fusion events are known to take place and never in the penile midshaft, where urethral formation occurs via an entirely different morphogenetic process. Copyright © 2016 International Society of Differentiation. Published by Elsevier B.V. All rights reserved.

  15. Examining of the Gifted Students’ Teacher Preferences

    Directory of Open Access Journals (Sweden)

    Feyzullah SAHIN

    2015-01-01

    Full Text Available Gifted students differ from their peers in terms of motivations, learning, social and emotional needs. Because of these differences, it is indispensible that their teachers have to have a number of different characteristics. Because, teachers’ personality tratis and professional qualifications affects gifted students’ academic, cognitive and affective development. The main aim of this study is to examine that whether gifted students’ preferences of characteristics that teachers should have, differs according to type of educational institution, student's gender and level of meeting their educational needs or not. The study was designed as descriptive, one of the survey models. The study group consists of 1077 gifted students who are enrolled at five Science High School state schools, a private gifted school and three Science and Art Centers in Thracia Region in Turkey. As a means of data collection, Gifted Students’ Teacher Preferences Scale (GSTPS developed by Sahin & Tortop (2013 was used. In the calculation of internal consistency reliability of research data, Cronbach's α value was calculated. Cronbach alfa realibity cofficients were found to be .92 for Personality Traits sub-scale, .89 Professional Qualification sub-scale and .94 GSTPS, respectively. Besides, it was seen that based on the gender of participants, there was no difference in the characteristics they want to see in teachers and the opinions of students in High Schools and at SACs differed from the ones who were in the private school. Moreover, it was determined that the scores of the ones who thought the schools met their educational needs fully and the ones who thought the schools met their educational needs partially varied significantly.

  16. Telephone interventions for adherence to colpocytological examination.

    Science.gov (United States)

    Lima, Thais Marques; Nicolau, Ana Izabel Oliveira; Carvalho, Francisco Herlânio Costa; Vasconcelos, Camila Teixeira Moreira; Aquino, Priscila de Souza; Pinheiro, Ana Karina Bezerra

    2017-02-06

    to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283) with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p educativa por telefone na adesão das mulheres com periodicidade inadequada ao exame colpocitológico. estudo quase-experimental, com amostra constituída por 524 mulheres selecionadas conforme os critérios de inclusão: estar na faixa etária entre 25 e 64 anos, ter iniciado atividade sexual, estar com a periodicidade do exame inadequada e possuir telefone móvel ou fixo. As mulheres foram divididas em dois grupos para aplicação da intervenção comportamental e educativa por telefone. Utilizou-se um roteiro de intervenção segundo os preceitos da Entrevista Motivacional. ao comparar antes e depois das intervenções comportamental e educativa constatou-se que houve uma mudança estatisticamente significativa (p = 0,0283) no aumento do conhecimento das mulheres que participaram da intervenção educativa; não houve mudança comprovada na atitude das mulheres de nenhum dos grupos e houve um aumento da adesão ao exame colpocitológico nos dois grupos (p

  17. Ultrasonographic examination of plantar fasciitis: a comparison of patient positions during examination.

    Science.gov (United States)

    Ahn, Jae Hoon; Lee, Choong Woo; Park, ChanJoo; Kim, Yoon-Chung

    2016-01-01

    Musculoskeletal ultrasound is a non-invasive and low-cost modality for real-time visualisation of the plantar fascia. Ultrasound examination for plantar fasciitis is generally performed with the patient in a prone position, although the rational for using a prone position has not been validated. The aim of the study was to investigate if ultrasound examination in a supine position, which is more comfortable than the prone position, is valid. We conducted a prospective study of 30 participants with plantar fasciitis, 8 men (27 %) and 22 women (73 %), with a mean age of 53.9 ± 12.6 (range, 32 to 77) years, and an equal distribution of left and right feet. The plantar heel was divided into three portions for ultrasound examination: medial, central and lateral. Two measurements of plantar fascia thickness were obtained for each portion, with participants in 2 positions (supine and prone) and for 2 ankle postures (neutral and 15° of plantarflexion). Mean measurements of plantar fascia thickness were compared between the two positions (Wilcoxon signed rank tests for non-normally distributed data and paired t-tests for normally distributed data). Participants were asked to report their preferred position for examination, supine or prone. The measured thickness was comparable for both supine and prone positions, for both ankle postures, neutral and 15° of plantarflexion (p > 0.05). A specific self-reported preferred position was not identified. Ultrasound examination of plantar fasciitis can be performed in the supine position without any significant difference in measurement compared to examination in the conventional prone position. The Catholic Medical Center Office of Human Research Protection Program (CMC-OHRP)/Institutional Review Board approved the current study (Approval No. KC12DISI0338), and all participants provided their written informed consent for participation and publication.

  18. How do examiners decide?: a qualitative study of the process of decision making in the oral examination component of the MRCGP examination.

    Science.gov (United States)

    Yaphe, John; Street, Simon

    2003-09-01

    To determine how examiners make decisions about candidates in the oral examination for membership in the Royal College of General Practitioners. Qualitative research using interpersonal process recall interviews with oral examiners immediately following examination of an Medical Research Council General Practitioner (MRCGP) candidate. Summer 1999 sessions of the MRCGP examination in Edinburgh and London. Twenty-six examiners in a convenience sample from the panel of Royal College of General Practitioners (RCGP) oral examiners. Analysis of the transcripts revealed a three-stage process of decision-making consisting of a first impression, followed by a provisional grade and a final grade decision. The examiners used stem questions, exploratory questions and confirming questions during this process. Examiners produced lists of the attributes of successful and unsuccessful candidates, which resembled the grading guidelines provided by the examination committee. Some of the candidates' attributes which influenced the examiners' grading decisions related to personal qualities rather than knowledge or behaviours acquired in vocational training. When examiners were presented with the explanatory model arising from the analysis of the transcripts, they confirmed the validity of the observations. Decision-making by examiners during oral examinations is a complex process involving initial impressions, hypothesis generation and hypothesis testing. Candidates' knowledge, attitudes and performance influence the final outcome of the examination. Interpersonal process recall is a useful tool for exploring professional communication.

  19. Electrocardiogram Testing During Athletic Preparticipation Physical Examinations

    Science.gov (United States)

    O'Connor, Daniel P.; Knoblauch, Mark A.

    2010-01-01

    Abstract Context: Sudden cardiac death (SCD) is a relatively rare yet unfortunate risk of athletic participation. To reduce the incidence of SCD, electrocardiogram (ECG) use during athletic preparticipation examinations (PPEs) has been proposed to detect underlying cardiac abnormalities. Objective: To estimate the effectiveness of ECG use during athletic PPEs. Design: Epidemiologic modeling. Populations: Public high school athletes. Data Collection and Analysis: Estimates of ECG sensitivity (70%) and specificity (84%) were drawn from the literature, as was the estimate of overall prevalence of cardiac conditions relevant to SCD (0.3%). Participation rate by sex was determined from National Federation of State High School Associations data. Participation by ethnicity was assumed to be proportionate to the public high school attendance rates for grades 9 through 12 (18.4% African American). Population-specific ECG effectiveness (positive predictive value), estimated total costs, cost per year of life saved, and cost to identify 1 additional case were computed. Total annual PPE screening costs reflected a cardiologist's office visit, including echocardiogram for those athletes with a positive ECG screen. Results: The model predicted that 16% of all athletes would be expected to have a positive ECG, but only 1.3% of athletes with a positive ECG would have a cardiac abnormality capable of causing SCD, including hypertrophic cardiomyopathy, structural defects, and various conduction abnormalities. Total annual cost estimates for ECG screening and follow-up exceeded $126 million. Average cost per year of life saved across groups was $2693, and the cost to identify 1 additional case averaged $100 827. Compared with females, males had both lower cost per year of life saved and lower cost to identify 1 true case. Similarly, black males exhibited lower costs than white males. Across groups, false-positive ECG screening exams accounted for 98.8% of follow-up costs

  20. A geochemical examination of humidity cell tests

    Science.gov (United States)

    Maest, Ann; Nordstrom, D. Kirk

    2017-01-01

    Humidity cell tests (HCTs) are long-term (20 to >300 weeks) leach tests that are considered by some to be the among the most reliable geochemical characterization methods for estimating the leachate quality of mined materials. A number of modifications have been added to the original HCT method, but the interpretation of test results varies widely. We suggest that the HCTs represent an underutilized source of geochemical data, with a year-long test generating approximately 2500 individual chemical data points. The HCT concentration peaks and valleys can be thought of as a “chromatogram” of reactions that may occur in the field, whereby peaks in concentrations are associated with different geochemical processes, including sulfate salt dissolution, sulfide oxidation, and dissolution of rock-forming minerals, some of which can neutralize acid. Some of these reactions occur simultaneously, some do not, and geochemical modeling can be used to help distinguish the dominant processes. Our detailed examination, including speciation and inverse modeling, of HCTs from three projects with different geology and mineralization shows that rapid sulfide oxidation dominates over a limited period of time that starts between 40 and 200 weeks of testing. The applicability of laboratory tests results to predicting field leachate concentrations, loads, or rates of reaction has not been adequately demonstrated, although early flush releases and rapid sulfide oxidation rates in HCTs should have some relevance to field conditions. Knowledge of possible maximum solute concentrations is needed to design effective treatment and mitigation approaches. Early flush and maximum sulfide oxidation results from HCTs should be retained and used in environmental models. Factors that complicate the use of HCTs include: sample representation, time for microbial oxidizers to grow, sample storage before testing, geochemical reactions that add or remove constituents, and the HCT results chosen for use

  1. On Further Examination of "On Further Examination." Quick Reference: Testing/SAT.

    Science.gov (United States)

    National Education Association, Washington, DC.

    Discussions of any test must focus on reliability, content validity, and interpretation of results. In this critique of On Further Examination--the report of the Advisory Panel on the Scholastic Aptitude Test (SAT) Score Decline--the National Education Association (NEA) finds no fault with the reliability of the SAT. Its content validity, however,…

  2. Examining the Impact of Culture Social Scientifically: Some Suggestions from Examining Martin, Hecht, and Larkey.

    Science.gov (United States)

    Allen, Mike; And Others

    An article on interethnic communication by J. Martin, M. Hecht, and L. Larkey in "Communication Monographs" (1994) suggests some important issues for understanding the potential impact of culture on communication practices--researchers might examine such variations in communication in future research. "Culture" is an ambiguous…

  3. 76 FR 18399 - Changes To Implement the Prioritized Examination Track (Track I) of the Enhanced Examination...

    Science.gov (United States)

    2011-04-04

    ... Procedures, 76 FR at 6370, 1364 Off. Gaz. Pat. Office at 51. Section 9(i) of the America Invents Act provides... estimated cost of the program,'' and Sec. 9(j) of the America Invents Act provides that this change is... examination will be posted on the Office's Internet Web site on a quarterly basis at the work group level...

  4. 49 CFR 391.43 - Medical examination; certificate of physical examination.

    Science.gov (United States)

    2010-10-01

    ..., blood or sugar in the urine may be an indication for further testing to rule out any underlying medical... findings of the physical examination. Diabetes. If insulin is necessary to control a diabetic driver's... diabetes is present and it is controlled by use of an oral hypoglycemic drug and/or diet and exercise, it...

  5. Middle School Science and Items of High School Entrance Examination: Examining the Gap in Turkey

    Science.gov (United States)

    Cepni, Salih; Kara, Yilmaz; Cil, Emine

    2012-01-01

    This study presents findings from an analysis of the Turkish Science and Technology Curriculum Guidelines and their alignment to the university entrance examination. The analysis of the Science and Technology Curriculum focused on various related aspects: content areas and learning outcomes in terms of scientific process skills, science technology…

  6. ALMA Examines a Distant Quasar Host

    Science.gov (United States)

    Kohler, Susanna

    2017-04-01

    The dust continuum (top) and the [CII] emission (bottom) maps for the region around J1120+0641. [Adapted from Venemans et al. 2017]A team of scientists has used the Atacama Large Millimeter/submillimeter Array (ALMA) to explore the host galaxy of the most distant quasar known. Their observations may help us to build a picture of how the first supermassive black holes in the universe formed and evolved.Faraway Monsters and Their GalaxiesWe know that quasars the incredibly luminous and active centers of some distant galaxies are powered by accreting, supermassive black holes. These monstrous powerhouses have been detected out to redshifts of z 7, when the universe was younger than a billion years old.Though weve observed over a hundred quasars at high redshift, we still dont understand how these early supermassive black holes formed, or whether the black holes and the galaxies that host them co-evolved. In order to answer questions like these, however, we first need to gather information about the properties and behavior of various supermassive black holes and their host galaxies.A team of scientists led by Bram Venemans (Max-Planck Institute for Astronomy, Germany) recently used the unprecedented sensitivity and angular resolution of ALMA as well as the Very Large Array and the IRAM Plateau de Bure Interferometer to examine the most distant quasar currently known, J1120+0641, located at a redshift of z = 7.1.A High-Resolution LookThe teams observations of the dust and gas emission from the quasars host galaxy revealed a number of intriguing things:The red and blue sides of the [CII] emission line are shown here as contours, demonstrating that theres no ordered rotational motion of the gas on kpc scales. [Adapted from Venemans et al. 2017]The majority of the galaxys emission is very compact. Around 80% of the observed flux came from a region of only 11.5 kpc in diameter.Despite the fact that the 2.4-billion-solar-mass black hole at the galaxys center is accreting at

  7. 47 CFR 97.507 - Preparing an examination.

    Science.gov (United States)

    2010-10-01

    ... SERVICE Qualifying Examination Systems § 97.507 Preparing an examination. (a) Each telegraphy message and... telegraphy examination. Each 5 letters of the alphabet must be counted as 1 word. Each numeral, punctuation...

  8. Necessity of introducing postencounter note describing history and physical examination at clinical performance examination in Korea.

    Science.gov (United States)

    Kim, Jonghoon

    2014-06-01

    Information gathering ability had been evaluated mainly via checklists in clinical performance examinations (CPX). But, it is not proved yet if students write the information correctly in postencounter note (PN), although they asked questions or performed physical examinations (PE) about the information when they interacted with standardized patients in CPX. This study addressed the necessity of introducing PN to evaluate the ability in CPX. After patient encounters, students were instructed to write the findings of history taking and physical examination that they considered as important information in approaching the patient's problems in PN. PNs were scored using answer keys selected from checklist items, which were considered to be recorded in PN by CPX experts. PNs of six CPX cases from 54 students were analyzed. Correlation coefficients between the key-checklist scores and PN scores of six cases were moderate to high (0.52 to 0.79). However, students frequently neglected some cardinal features of chief complains, pertinent findings of past/social history and PE, and pertinent negative findings of associated symptoms in PNs, which were checked as 'done' in the keys of checklists. It is necessary to introduce PN in CPX to evaluate the students' ability of synthesis and integration of patient information.

  9. Increasing health examination survey participation rates by SMS reminders and flexible examination times.

    Science.gov (United States)

    Tolonen, Hanna; Aistrich, Anna; Borodulin, Katja

    2014-11-01

    Declining participation rates are an increasing problem in population surveys. Different kinds of methods have been used to ensure participation rates as high as possible. Monetary incentives and reminders have been found to be effective ways to increase participation rates, but these are rather expensive to implement in large population surveys. There is a need for cheaper ways to motivate survey invitees to participate. The Kuusamo Health Examination Survey was conducted in May-June 2011. A random sample of 250 people was selected for the survey. Mobile phone numbers, when available, were obtained for people within the sample. For a random sample of 50% of survey invitees with a mobile phone number, a short message service (SMS) reminder was sent prior to their appointment. All survey participants were asked to fill in a feedback questionnaire. Participation rate was 58% for men and 74% for women. Mobile phone numbers were available for 66% of the sample. Among those receiving an SMS reminder about their appointment, participation rates were up to 25 percentage points higher than among the group not receiving a reminder. In the feedback questionnaire, 9% of the survey participants reported that they would not have participated without the SMS reminder they received. Participants preferred morning hours and Monday-Tuesday as time and day options for the examinations. SMS reminder about the appointment time was an effective way to increase participation rate, especially among the youngest age groups also, providing flexible office hours for the examination clinic may increase participation rate. © 2014 the Nordic Societies of Public Health.

  10. Computer assisted Objective structured clinical examination versus Objective structured clinical examination in assessment of Dermatology undergraduate students

    Directory of Open Access Journals (Sweden)

    Richa Chaudhary

    2017-01-01

    Conclusions: Computer assisted objective structured clinical examination was found to be a valid, reliable and effective format for dermatology assessment, being rated as the preferred format by examiners.

  11. Reliability of the clinical and electromyographic examination of tendon reflexes

    NARCIS (Netherlands)

    Stam, J.; van Crevel, H.

    1990-01-01

    The reliability of clinical examination of the tendon reflexes was examined by studying inter-observer agreement. Twenty patients were examined by three neurologists. The briskness of the tendon reflexes in arms and legs was scored on a nine-point scale. In 28% of the 160 examined reflexes the

  12. 47 CFR 0.484 - Amateur radio operator examinations.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Amateur radio operator examinations. 0.484....484 Amateur radio operator examinations. Generally, examinations for amateur radio operation licenses... FCC conducts examinations for amateur radio operator licenses, they shall take place at locations and...

  13. 46 CFR 176.635 - Preliminary examination requirements.

    Science.gov (United States)

    2010-10-01

    ... program. (c) If you use an underwater remotely operated vehicle (ROV) as the predominate means to examine... examination requirements. (a) If you exclusively use divers to examine the underwater hull plating, you must... vessel's hull and identify any specific concerns to be addressed during the underwater hull examination...

  14. 27 CFR 70.22 - Examination of books and witnesses.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Examination of books and... Discovery of Liability and Enforcement of Laws Examination and Inspection § 70.22 Examination of books and... officer may examine any books, papers, records or other data which may be relevant or material to such...

  15. Examiner Familiarity Effects for Children with Autism Spectrum Disorders

    Science.gov (United States)

    Szarko, Julia E.; Brown, Alec J.; Watkins, Marley W.

    2013-01-01

    The authors examined the difference in standardized test performance when familiar versus unfamiliar examiners tested 26 preschool and elementary-aged children with autism. The children were matched by age, severity, and developmental level and then randomly placed into familiar and unfamiliar examiner groups. Familiarity with the examiner was…

  16. Implementation of a Tabu Search Heuristic for the Examinations ...

    African Journals Online (AJOL)

    This paper reports on the design and implementation of an algorithm for the construction of an examinations timetable. The Examinations Timetabling Problem is the problem of assigning examinations and candidates to time periods and examination rooms while satisfying a set of specific constraints. Every University has a ...

  17. 42 CFR 34.5 - Postponement of medical examination.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Postponement of medical examination. 34.5 Section 34.5 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAL CARE AND EXAMINATIONS MEDICAL EXAMINATION OF ALIENS § 34.5 Postponement of medical examination. Whenever, upon an...

  18. 20 CFR 220.61 - Informing the examining physician or psychologist of examination scheduling, report content and...

    Science.gov (United States)

    2010-04-01

    ... psychologist of examination scheduling, report content and signature requirements. 220.61 Section 220.61... DISABILITY Consultative Examinations § 220.61 Informing the examining physician or psychologist of examination scheduling, report content and signature requirements. Consulting physicians or psychologists will...

  19. Post-Service Examination of PWR Baffle Bolts, Part I. Examination and Test Plan

    Energy Technology Data Exchange (ETDEWEB)

    Leonard, Keith J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Sokolov, Mikhail A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Gussev, Maxim N. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-04-30

    In support of extended service and current operations of the US nuclear reactor plants, the Oak Ridge National Laboratory (ORNL), through the Department of Energy (DOE), Light Water Reactor Sustainability (LWRS) Program, is coordinating with Ginna Nuclear Power Plant, The Westinghouse Electric Company, LLC, and ATI Consulting, the selective procurement of baffle bolts that were withdrawn from service in 2011 and currently stored on site at Ginna. The goal of this program is to perform detailed microstructural and mechanical property characterization of baffle former bolts following in-service exposures. This report outlines the selection criteria of the bolts and the techniques to be used in this study. The bolts available are the original alloy 347 steel fasteners used in holding the baffle plates to the baffle former structures within the lower portion of the pressurized water reactor vessel. Of the eleven possible bolts made available for this work, none were identified to have specific damage. The bolts, however, did show varying levels of breakaway torque required in their removal. The bolts available for this study varied in peak fluence (highest dose within the head of the bolt) between 9.9 and 27.8x1021 n/cm2 (E>1MeV). As no evidence for crack initiation was determined for the available bolts from preliminary visual examination, two bolts with the higher fluence values were selected for further post-irradiation examination. The two bolts showed different breakaway torque levels necessary in their removal. The information from these bolts will be integral to the LWRS program initiatives in evaluating end of life microstructure and properties. Furthermore, valuable data will be obtained that can be incorporated into model predictions of long-term irradiation behavior and compared to results obtained in high flux experimental reactor conditions. The two bolts selected for the ORNL study will be shipped to Westinghouse with bolts of

  20. [Good Practice of Clinical Physiology Examination for Patient Safety with a Team-Based Approach: Quality Practice in Ultrasonographic Examination].

    Science.gov (United States)

    Asai, Satomi; Miyachi, Hayato

    2015-07-01

    For the safety of patient care, a team-based approach has been advocated as an effective measure. In clinical physiology examination, we have been making efforts to promote good practice for patient safety based on such an approach in Tokai University Hospital, as represented by quality practice in ultrasonographic examination. The entire process of ultrasonographic examination can be divided into three parts: pre-examination, examination, and post-examination processes. In each process of the examination, specific quality issues must be considered, eventually ensuring the quality and safety of patient care. A laboratory physician is responsible for not only quality assurance of examination, diagnosis, and reporting, but also patient safety. A laboratory physician can play a key role in all aspects of patient safety related to each process of the examination by taking a leadership role in the team-based approach.

  1. Laparoscopy and ultrasound examination in women with acute pelvic pain

    DEFF Research Database (Denmark)

    Mikkelsen, A L; Felding, C

    1990-01-01

    The results of preoperative pelvic examination and eventual ultrasound examination were correlated with the laparoscopic findings in 316 women with acute pelvic pain. The predictive values of normal and abnormal findings at pelvic examination were 46.9 and 82.1%, respectively. 42.1% of the women...... had ultrasound examination performed. This investigation showed to be helpful especially in patients with normal findings at pelvic examination. If ultrasonic findings were abnormal the results at laparoscopy were also abnormal in 90%. On the contrary, normal findings at ultrasound examination did...... not exclude abnormal pelvic findings. The predictive value of normal results at ultrasound examination was 50.0%. This discrepancy between ultrasonic and pelvic findings can be explained by the size of the pelvic masses. Ultrasound examination is a valuable tool in the evaluation of patients with acute pelvic...

  2. Non-Power Reactor Operator Licensing Examiner Standards. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    The Non-Power Reactor Operator Licensing Examiner Standards provide policy and guidance to NRC examiners and establish the procedures and practices for examining and licensing of applicants for NRC operator licenses pursuant to Part 55 of Title 10 of the Code of Federal Regulations (10 CFR 55). They are intended to assist NRC examiners and facility licensees to understand the examination process better and to provide for equitable and consistent administration of examinations to all applicants by NRC examiners. These standards are not a substitute for the operator licensing regulations and are subject to revision or other internal operator examination licensing policy changes. As appropriate, these standards will be revised periodically to accommodate comments and reflect new information or experience.

  3. Applicability and fairness of the oral examination in undergraduate ...

    African Journals Online (AJOL)

    Objective: There are several methods of evaluating medical students' performance, such as written examination, oral examination and objective .... Minimum. Maximum. Mean. Std. Deviation. Anaesthesiology. Ear, Nose & Throat. Family Medicine. Internal Medicine. Obstetrics & Gynaecology. Orthopaedics. Paediatrics.

  4. Number of radiological examinations in Finland in 2000

    CERN Document Server

    Hakanen, A

    2002-01-01

    STUK (Radiation and Nuclear Safety Authority) collected the number of radiological examinations in Finland in 2000. The work was based on a decree of the ministry of social affairs and health on the medical use of radiation. The work was done in cooperation with the Finnish work group of nomenclature of radiological examinations and procedures and professor Seppo Soimakallio. In 2000, ca. 4.1 million x-ray examinations were made in Finland. In 1984 and in 1995, the numbers were ca. 4.6 million and 4.2 million, respectively, indicating that the total number of x-ray examinations has remained nearly unaltered. The proportions of conventional x-ray examinations, computed tomography examinations, angiographic and interventional procedures were ca. 93.5 %, 5.0 %, 0.9 % and 0.6 %, respectively. The reported number of ultrasound examinations was ca. 0.5 million. The reported number of MRI examinations was ca. 0.1 million.

  5. Training of the gynaecological examination in The Netherlands.

    NARCIS (Netherlands)

    Ravesteijn, H.J. van; Hageraats, E.; Rethans, J.J.

    2007-01-01

    BACKGROUND: Competent performance of the gynaecological examination requires good technical and interpersonal skills, which are best mastered in an educationally sound atmosphere. Research has shown that effective teaching sessions of the gynaecological examination require the presence of

  6. Computed tomography as the primary radiological examination of lumbar spine

    Energy Technology Data Exchange (ETDEWEB)

    Ilkko, E.; Laehde, S.

    1988-10-01

    A series of 235 patients examined by lumbar CT because of sciatica or other low back disorder was studied. The need of additional examinations and correlations to surgical findings were evaluated. Inadequate information was the cause of additional examination, mostly myelography in 20 patients (8,5%). It was concluded that lumbar CT is a suitable first examination of the lumbar spine in sciatica and low back pain. The indications to complementary myelography and its benefit are discussed.

  7. A Cloud-based Software System for online Multimedia Examinations

    OpenAIRE

    Tao, Congwu

    2016-01-01

    With the advancement in information technology, online assessments are getting more attention and online examinations are regarded as important parts of online learning. Online examinations can be easily taken by remote students, help the students get exam results quickly and save their time; online examinations also aid instructors in collecting students' exam answers and generating the exam reports effectively. In addition, online examinations can help reduce cost and save trees for our wor...

  8. Bias in the physical examination of patients with lumbar radiculopathy

    OpenAIRE

    Katz Jeffrey N; Hunter David J; Suri Pradeep; Li Ling; Rainville James

    2010-01-01

    Abstract Background No prior studies have examined systematic bias in the musculoskeletal physical examination. The objective of this study was to assess the effects of bias due to prior knowledge of lumbar spine magnetic resonance imaging findings (MRI) on perceived diagnostic accuracy of the physical examination for lumbar radiculopathy. Methods This was a cross-sectional comparison of the performance characteristics of the physical examination with blinding to MRI results (the 'independent...

  9. Elastic Numbers: National Examinations Data as a Technology of Government

    Science.gov (United States)

    Piattoeva, Nelli

    2015-01-01

    This article is motivated by interest in the deployment of massive numerical information produced by national examinations in the practices of control and steering. It examines how data generated in the compulsory school graduation examination in the Russian Federation connect together different actors within the education system and beyond, and…

  10. Applicability and fairness of the oral examination in undergraduate ...

    African Journals Online (AJOL)

    Objective: There are several methods of evaluating medical students' performance, such as written examination, oral examination and objective structured clinical examination (OSCE). Many studies have focused on the reliability and validity of these methods but few studies have explored comparison between these ...

  11. 13 CFR 126.400 - Who will conduct program examinations?

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Who will conduct program... PROGRAM Program Examinations § 126.400 Who will conduct program examinations? SBA field staff or others designated by the D/HUB will conduct program examinations. ...

  12. The practice of testicular self examination: a comparative study of ...

    African Journals Online (AJOL)

    Knowledge of testicular cancer and of self examination was found to be low in both groups. Both groups, though, showed high general health awareness and a perception that the benefits of self examination would be great. It is recommended that knowledge of testicular cancer and the value of self examination should ...

  13. 46 CFR 298.37 - Examination and audit.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Examination and audit. 298.37 Section 298.37 Shipping... Documentation § 298.37 Examination and audit. (a)(1) We shall have the right to examine and audit the books, records (including original logs, cargo manifests and similar records) and books of account, which pertain...

  14. What Examiners Do: What Thesis Students Should Know

    Science.gov (United States)

    Golding, Clinton; Sharmini, Sharon; Lazarovitch, Ayelet

    2014-01-01

    Although many articles have been written about thesis assessment, none provide a comprehensive, general picture of what examiners do as they assess a thesis. To synthesise this diverse literature, we reviewed 30 articles, triangulated their conclusions and identified 11 examiner practices. Thesis examiners tend to be broadly consistent in their…

  15. Advice for Writing a Thesis (Based on What Examiners Do)

    Science.gov (United States)

    Golding, Clinton

    2017-01-01

    In the article, "What examiners do: What thesis students should know", we identified 11 things that thesis examiners do as they read and judge a thesis. But, we left a gap in the research: knowing this, What should thesis students do to write for their examiners? In this article, I fill the gap. The advice for thesis students is: first,…

  16. Nursing Distance Learning Course Comparison of Assignments and Examination Scores

    Science.gov (United States)

    Mundine, Jennifer

    2016-01-01

    Nursing programs have embraced distance learning in their curricula, but discussion is ongoing about course assignments and grading criteria to increase examination scores in nursing distance learning courses. Because course examinations are a predictor of success on the postgraduate licensing examination (NCLEX-RN), the purpose of this study was…

  17. OSCEs for undergraduate clinical examination in orthopaedics: inter ...

    African Journals Online (AJOL)

    Background: The traditional clinical examination has fallen into disfavour on account of considerable inter-examiner variability. The OSCE is gaining popularity as it is perceived to be less prone to this. Objective: To establish whether inter-examiner variability is still a significant factor for the undergraduate orthopaedic ...

  18. Visual field examination in children with brain disorders

    NARCIS (Netherlands)

    Koenraads, Y

    2016-01-01

    The aim of this thesis is to gain more insight in the diagnostic and prognostic implications of visual field (VF) examination in children with brain disorders. Several aspects of VF examination in children with brain disorders were evaluated: All VF examinations that were performed with the

  19. 47 CFR 13.207 - Preparing an examination.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Preparing an examination. 13.207 Section 13.207 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMERCIAL RADIO OPERATORS Examination System § 13.207... examination. Each five letters of the alphabet must be counted as one word or one code group. Each numeral...

  20. 49 CFR 240.127 - Criteria for examining skill performance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Criteria for examining skill performance. 240.127... Elements of the Certification Process § 240.127 Criteria for examining skill performance. (a) Each railroad... have procedures for examining the performance skills of a person being evaluated for qualification as a...

  1. [Physical examination of oral cavity and physiological variations].

    Science.gov (United States)

    Joly, Aline; Huttenberger, Brigitte; Pare, Arnaud

    2017-03-01

    Clinical examination from front to rear of oral cavity, mouth closed then open. Inspection and bimanuel exam. Face examination but also cervical lymph nodes, skin and mucous. Early diagnosis of oral cancer. To reduce diagnostic wavering and patient's stress, physiological varants are important to know. In most cases, clinical examination is enough for diagnosis. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  2. Evaluation of the Sudan School Certificate English Examinations

    Science.gov (United States)

    Siddiek, Ahmed Gumaa

    2010-01-01

    Examinations--among other things--are tools of quality control by which we can measure the attainment of the national educational goals. High-quality examinations are means of evaluation that can help teachers modify their teaching techniques, as well as helping learners adjust their learning strategies. Examinations are also benchmarks that can…

  3. 42 CFR 32.88 - Examinations and treatment.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Examinations and treatment. 32.88 Section 32.88... Hansen's Disease § 32.88 Examinations and treatment. Patients will be provided necessary clinical examinations which may be required for the diagnosis of primary or secondary conditions, and such treatment as...

  4. 20 CFR 416.919t - Consultative examination oversight.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Consultative examination oversight. 416.919t... Examination § 416.919t Consultative examination oversight. (a) We will ensure that referrals for consultative... monitoring may include reviews by independent medical specialists under direct contract with SSA. (b) Through...

  5. 20 CFR 404.1519t - Consultative examination oversight.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Consultative examination oversight. 404.1519t... Examination § 404.1519t Consultative examination oversight. (a) We will ensure that referrals for consultative... monitoring may include reviews by independent medical specialists under direct contract with SSA. (b) Through...

  6. Management of examinations: ethical issues. | Nweze | Edo Journal ...

    African Journals Online (AJOL)

    Talking about the ethical issues, we are all aware of the manner/way in which examination malpractice has eaten deep into the fabrics of our society. Some measures really have to be taken to normalize the examination system in our society. The challenges of examination management are numerous for example, having ...

  7. 9 CFR 381.77 - Carcasses held for further examination.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Carcasses held for further examination. 381.77 Section 381.77 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF... examination by the inspector, shall be held for further examination. The identity of each such carcass...

  8. 9 CFR 354.126 - Carcasses held for further examination.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Carcasses held for further examination. 354.126 Section 354.126 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF... examination by the inspector, shall be held for further examination. The identity of each such carcass...

  9. 30 CFR 57.18002 - Examination of working places.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Examination of working places. 57.18002 Section... Programs Surface and Underground § 57.18002 Examination of working places. (a) A competent person designated by the operator shall examine each working place at least once each shift for conditions which may...

  10. 30 CFR 56.18002 - Examination of working places.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Examination of working places. 56.18002 Section... Programs § 56.18002 Examination of working places. (a) A competent person designated by the operator shall examine each working place at least once each shift for conditions which may adversely affect safety or...

  11. Predictors of Success on the Counselor Preparation Comprehensive Examination

    Science.gov (United States)

    Schmidt, E. A.; Homeyer, Linda E.; Walker, John L.

    2009-01-01

    This study examined the relationship between 403 counseling graduate students' scores on the Counselor Preparation Comprehensive Examination (CPCE; Center for Credentialing and Education, n.d.) and 3 admissions requirements used as predictor variables: undergraduate grade point average (UGPA), Graduate Record Examinations (GRE) General Test Verbal…

  12. Students' Reactions to Three Typical Examinations in Health Sciences

    Science.gov (United States)

    Sarid, Orly; Anson, Ofra; Bentov, Yaakov

    2005-01-01

    Objective: A search for universal and particular changes in emotional, behavioral and cognitive assessments in relation to three types of examinations: an oral presentation, an objective structured clinical examination (OSCE) and a pencil and paper examination. Methods: One hundred and two students of health professions completed the Profile of…

  13. 30 CFR 75.362 - On-shift examination.

    Science.gov (United States)

    2010-07-01

    ..., water pressures and flow rates, excessive leakage in the water delivery system, water spray numbers and... examine for hazardous conditions along each belt conveyor haulageway where a belt conveyor is operated. This examination may be conducted at the same time as the preshift examination of belt conveyors and...

  14. 42 CFR 493.855 - Standard; Cytology: gynecologic examinations.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Cytology: gynecologic examinations. 493... Complexity, Or Any Combination of These Tests § 493.855 Standard; Cytology: gynecologic examinations. To participate successfully in a cytology proficiency testing program for gynecologic examinations (Pap smears...

  15. Doctoral Oral Examinations and Contemporary Counselor Education: Are They Compatible?

    Science.gov (United States)

    McAdams, Charles R., III.; Robertson, Derek L.; Foster, Victoria A.

    2013-01-01

    This descriptive study examined 160 former students' perceptions of one assessment tradition in counselor education: the doctoral oral examination. The findings suggest that oral examinations continue to have substantive value for students, but changes are needed to ensure their future objectivity, transparency, and regard for students'…

  16. Study on Accuracy of Judgments by Chinese Fingerprint Examiners

    Directory of Open Access Journals (Sweden)

    Shiquan Liu

    2015-01-01

    Full Text Available The interpretation of fingerprint evidence depends on the judgments of fingerprint examiners. This study assessed the accuracy of different judgments made by fingerprint examiners following the Analysis, Comparison, and Evaluation (ACE process. Each examiner was given five marks for analysis, comparison, and evaluation. We compared the experts′ judgments against the ground truth and used an annotation platform to evaluate how Chinese fingerprint examiners document their comparisons during the identification process. The results showed that different examiners demonstrated different accuracy of judgments and different mechanisms to reach them.

  17. To License or Not to License: An Examination of State Statutes Regarding Private Investigators and Digital Examiners

    Directory of Open Access Journals (Sweden)

    Thomas Lonardo

    2008-09-01

    Full Text Available In this paper the authors examine statutes that regulate, license, and enforce investigative functions in each US state. After identification and review of Private Investigator licensing requirements, the authors find that very few state statutes explicitly differentiate between Private Investigators and Digital Examiners. After contacting all state agencies the authors present a distinct grouping organizing state approaches to professional Digital Examiner licensing. The authors conclude that states must differentiate between Private Investigator and Digital Examiner licensing requirements and oversight.

  18. Discrepancies between the school examination en central examination grades of non-Dutch students. Extent and explanations

    NARCIS (Netherlands)

    Rekers-Mombarg, L. T. M.; Harms, G. J.; van der Werf, M. P. C.

    2009-01-01

    From previous research in Dutch secondary education it is known that the central (national) examination grades are at average lower than school examination grades, and that the discrepancy between both grades is larger for students from non-Dutch origin. This study examined the individual

  19. Open-Book, Open-Web Online Examinations: Developing Examination Practices to Support University Students' Learning and Self-Efficacy

    Science.gov (United States)

    Myyry, Liisa; Joutsenvirta, Taina

    2015-01-01

    The aim of this study was to investigate university students' experiences of open-book, open-web online examinations compared to traditional class examinations concerning preparing, responding, and learning. The data (N?=?110) were collected by an online survey from the university students who took an online examination. The students used…

  20. Taking OSCE examiner training on the road: reaching the masses.

    Science.gov (United States)

    Reid, Katharine; Smallwood, David; Collins, Margo; Sutherland, Ruth; Dodds, Agnes

    2016-01-01

    Background To ensure the rigour of objective structured clinical examinations (OSCEs) in assessing medical students, medical school educators must educate examiners with a view to standardising examiner assessment behaviour. Delivering OSCE examiner training is a necessary yet challenging part of the OSCE process. A novel approach to implementing training for current and potential OSCE examiners was trialled by delivering large-group education sessions at major teaching hospitals. Methods The 'OSCE Roadshow' comprised a short training session delivered in the context of teaching hospital 'Grand Rounds' to current and potential OSCE examiners. The training was developed to educate clinicians about OSCE processes, clarify the examiners' role and required behaviours, and to review marking guides and mark allocation in an effort to standardise OSCE processes and encourage consistency in examiner marking behaviour. A short exercise allowed participants to practise marking a mock OSCE to investigate examiner marking behaviour after the training. Results OSCE Roadshows at four metropolitan and one rural teaching hospital were well received and well attended by 171 clinicians across six sessions. Unexpectedly, medical students also attended in large numbers (n=220). After training, participants' average scores for the mock OSCE clustered closely around the ideal score of 28 (out of 40), and the average scores did not differ according to the levels of clinical experience. Conclusion The OSCE Roadshow demonstrated the potential of brief familiarisation training in reaching large numbers of current and potential OSCE examiners in a time and cost-effective manner to promote standardisation of OSCE processes.

  1. Virtual alternative to the oral examination for emergency medicine residents.

    Science.gov (United States)

    McGrath, Jillian; Kman, Nicholas; Danforth, Douglas; Bahner, David P; Khandelwal, Sorabh; Martin, Daniel R; Nagel, Rollin; Verbeck, Nicole; Way, David P; Nelson, Richard

    2015-03-01

    The oral examination is a traditional method for assessing the developing physician's medical knowledge, clinical reasoning and interpersonal skills. The typical oral examination is a face-to-face encounter in which examiners quiz examinees on how they would confront a patient case. The advantage of the oral exam is that the examiner can adapt questions to the examinee's response. The disadvantage is the potential for examiner bias and intimidation. Computer-based virtual simulation technology has been widely used in the gaming industry. We wondered whether virtual simulation could serve as a practical format for delivery of an oral examination. For this project, we compared the attitudes and performance of emergency medicine (EM) residents who took our traditional oral exam to those who took the exam using virtual simulation. EM residents (n=35) were randomized to a traditional oral examination format (n=17) or a simulated virtual examination format (n=18) conducted within an immersive learning environment, Second Life (SL). Proctors scored residents using the American Board of Emergency Medicine oral examination assessment instruments, which included execution of critical actions and ratings on eight competency categories (1-8 scale). Study participants were also surveyed about their oral examination experience. We observed no differences between virtual and traditional groups on critical action scores or scores on eight competency categories. However, we noted moderate effect sizes favoring the Second Life group on the clinical competence score. Examinees from both groups thought that their assessment was realistic, fair, objective, and efficient. Examinees from the virtual group reported a preference for the virtual format and felt that the format was less intimidating. The virtual simulated oral examination was shown to be a feasible alternative to the traditional oral examination format for assessing EM residents. Virtual environments for oral examinations

  2. An examination of the factors affecting people's participation in future health examinations based on community health exam interventions.

    Science.gov (United States)

    Tu, Shih-Kai; Liao, Hung-En

    2014-01-01

    Community-based intervention health examinations were implemented at a health care facility to comply with the government's primary health care promotion policy. The theory of planned behavior model was applied to examine the effect that community-based health examinations had on people's health concepts regarding seeking future health examinations. The research participants were individuals who had received a health examination provided at two branches of a hospital in central Taiwan in 2012. The hospital's two branches held a total of 14 free community-based health examination sessions. The hospital provided health examination equipment and staff to perform health examinations during public holidays. We conducted an exploratory questionnaire survey to collect data and implemented cross-sectional research based on anonymous self-ratings to examine the public's intention to receive future community-based or hospital-based health examinations. Including of 807 valid questionnaires, accounting for 89.4% of the total number of questionnaires distributed. The correlation coefficients of the second-order structural model indicate that attitudes positively predict behavioral intentions (γ = .66, p .05). The results of the first-order structural model indicated that the second-order constructs had a high explanatory power for the first-order constructs. People's health concepts regarding health examinations and their desire to continue receiving health examinations must be considered when promoting health examinations in the community. Regarding hospital management and the government's implementation of primary health care, health examination services should address people's medical needs to increase coverage and participation rates and reduce the waste of medical resources.

  3. Pelvic floor muscle examination in female chronic pelvic pain.

    Science.gov (United States)

    Fitzgerald, Colleen M; Neville, Cynthia E; Mallinson, Trudy; Badillo, Suzanne A; Hynes, Christina K; Tu, Frank F

    2011-01-01

    To determine if women with self-reported chronic pelvic pain (CPP) were more likely to have positive findings on two vaginal pelvic floor muscle (PFM) tests compared to women without CPP when the examiner was blinded to pain status. This was a prospective, cross-sectional study. Blinded examiners performed two vaginal pelvic floor tests (tenderness and strength) on 48 participants: 19 with self-reported CPP and 29 who were pain-free. Relative frequency of positive findings between groups and the total number of positive physical examination findings were calculated. Women with self-reported CPP were more likely to have PFM tenderness (63.2% with physician [M.D.] examiners [board certified in physical medicine and rehabilitation] and 73.7% with physical therapist [P.T.] examiners) as compared to pain-free participants (Fisher's exact test [FET]), 48 p examination across disciplines may be helpful in distinguishing subgroups and treating women with CPP.

  4. [Clinical examination of children in municipal pediatric polyclinics].

    Science.gov (United States)

    Gadzhiev, R S; Gasanov, A N

    2005-01-01

    In 3 municipal polyclinics in city of Makhachkala, Republic of Dagestan, special research was carried out to elaborate technical guidelines enhancing quality of children clinical examinations. Quality of children clinical examinations had been assessed according to expert evaluation of 437 outpatient records. Expert appraisal revealed that in municipal pediatric polyclinics quality of children medical examinations didn't correspond the needed level. Irregular medical supervision of children by district pediatricians (23.1% of cases), district nurses (38%) and clinical specialists (68.3%) is established. It is noted that in 19.9% of cases untimely medical examinations were held. Moreover, for every forth patient the medical examination was incomplete. Health promoting activities (17.5%) and medical rehabilitation (24.8%) were carried out inadequately. On basis of research data system of actions enhancing quality of children medical examinations under municipal pediatric polyclinics practice is elaborated.

  5. National Survey on Justification of CT-examinations in Sweden

    Energy Technology Data Exchange (ETDEWEB)

    Almen, Anja; Leitz, Wolfram; Richter, Sven

    2009-02-15

    All examinations in diagnostic radiology shall be justified to avoid unnecessary irradiation of the patients. The objective of the study was to investigate the degree of justification for CT-examinations in Sweden. Referrals for all examinations performed during one day were retrospectively evaluated by a group of physicians. The study was designed and conducted by a project group lead by prof. Haakan Jorulf. The authors of this report have derived the results and conclusions on the basis of the data and are responsible for the content of this report. The principle result was that approximately 20 % of all examinations were not justified. The degree of justification varied strongly with organ examined, moderately with prescriber affiliation and weakly with geographical region. If unjustified examinations could be avoided a large dose reduction for the population would be achieved. This study shows that there is a need for improvements and the authority will continue to work with this issue

  6. A health examination system integrated with clinical decision support system.

    Science.gov (United States)

    Kuo, Kuan-Liang; Fuh, Chiou-Shann

    2010-10-01

    Health examinations play a key role in preventive medicine. We propose a health examination system named Health Examination Automatic Logic System (HEALS) to assist clinical workers in improving the total quality of health examinations. Quality of automated inference is confirmed by the zero inference error where during 6 months and 14,773 cases. Automated inference time is less than one second per case in contrast to 2 to 5 min for physicians. The most significant result of efficiency evaluation is that 3,494 of 4,356 (80.2%) cases take less than 3 min per case for producing a report summary. In the evaluation of effectiveness, novice physicians got 18% improvement in making decisions with the assistance of our system. We conclude that a health examination system with a clinical decision system can greatly reduce the mundane burden on clinical workers and markedly improve the quality and efficiency of health examination tasks.

  7. History of the development of forensic psychological examination

    OpenAIRE

    Safuanov F.S.

    2014-01-01

    The article discusses the history of forensic psychological and comprehensive examinations with her, isolated and analyzed three stages. The first stage - the emergence of forensic psychological examination as an independent branch of the forensic identification of the main subject of species introduction into the proceedings (the end of the 70s of the twentieth century - early 80s). The second stage - the emergence of forensic psychological examination and development of theoretical, methodo...

  8. An Online Lab Examination Management System (OLEMS) to Avoid Malpractice.

    Science.gov (United States)

    Kolhar, Manjur; Alameen, Abdalla; Gharsseldien, Zakaria Mokhtar

    2017-03-20

    Examination and evaluation are two important phases of education at any level of a student's curriculum. However, these assessment processes are problematic in the sense that they encourage learners to devise ways to be dishonest. The traditional way of conducting exams is particularly conducive to dishonesty. In view of this, this letter proposes an online lab examination management system to prevent misconduct and to secure the process of lab examination.

  9. Examination of concept of next generation computer. Progress report 1999

    Energy Technology Data Exchange (ETDEWEB)

    Higuchi, Kenji; Hasegawa, Yukihiro; Hirayama, Toshio

    2000-12-01

    The Center for Promotion of Computational Science and Engineering has conducted R and D works on the technology of parallel processing and has started the examination of the next generation computer in 1999. This report describes the behavior analyses of quantum calculation codes. It also describes the consideration for the analyses and examination results for the method to reduce cash misses. Furthermore, it describes a performance simulator that is being developed to quantitatively examine the concept of the next generation computer. (author)

  10. Three Essays Examining Household Energy Demand and Behavior

    OpenAIRE

    Murray, Anthony Gregory

    2012-01-01

    This dissertation consists of three essays examining household energy decisions and behavior. The first essay examines the adoption of energy efficient Energy Star home appliances by U.S. households. Program effectiveness requires that consumers be aware of the labeling scheme and also change their purchase decisions based on label information. The first essay examines the factors associated with consumer awareness of the Energy Star label of recently purchased major appliances and the fac...

  11. Performing arts medicine--instrumentalist musicians, Part II--examination.

    Science.gov (United States)

    Dommerholt, Jan

    2010-01-01

    Part I of this article's series included background information on performing arts medicine with a special focus on musicians. It covered in detail what questions need to be included in the history, when healthcare providers first examine musicians. In part II of the series, the emphasis is on the physical examination, including posture, range of motion and hypermobility, ergonomics, and instrument-specific examination procedures. The final article in the series will describe three case histories of musicians with hand pain.

  12. An Examination of Moderators of Use of Violence by Adolescents

    OpenAIRE

    Jeffries, Rosell L.

    1996-01-01

    This project examined the extent to which psychosocial or personal variables moderated the relationship between exposure to violence and use of violence in adolescents. The relationship between exposure to violence and use of violence was examined within a sample of adolescents, ages 13 -18. The major goals of this study were to examine some possible correlates of violence use and to determine the extent to which certain personal variables (i.e., locus of control, social skills, feelings of d...

  13. [Clinical value of cardiovascular physical examination: A review of evidence].

    Science.gov (United States)

    Araiza-Garaygordobil, Diego; Illescas-González, Edgar; Cossío-Aranda, Jorge Eduardo; Kuri-Alfaro, Jorge; Guadalajara-Boo, Jose Fernando

    2017-07-01

    Physical examination as a central guidance of medical practice has been largely displaced by technology in nearly all branches of modern medicine. However, physical examination remains a useful resource available at the bedside that provides the clinician with a great amount of valuable data. Essentially, physical examination signs in cardiology possess a good positive clinical value but lacks negative clinical value. This review aims to present available evidence regarding the efficacy of physical examination in some of the most common conditions in cardiology. Copyright © 2017 Instituto Nacional de Cardiología Ignacio Chávez. Publicado por Masson Doyma México S.A. All rights reserved.

  14. Predicting Scheduling and Attending for an Oral Cancer Examination

    Science.gov (United States)

    Shepperd, James A.; Emanuel, Amber S.; Howell, Jennifer L.; Logan, Henrietta L.

    2015-01-01

    Background Oral and pharyngeal cancer is highly treatable if diagnosed early, yet late diagnosis is commonplace apparently because of delays in undergoing an oral cancer examination. Purpose We explored predictors of scheduling and attending an oral cancer examination among a sample of Black and White men who were at high risk for oral cancer because they smoked. Methods During an in-person interview, participants (N = 315) from rural Florida learned about oral and pharyngeal cancer, completed survey measures, and were offered a free examination in the next week. Later, participants received a follow-up phone call to explore why they did or did not attend their examination. Results Consistent with the notion that scheduling and attending an oral cancer exam represent distinct decisions, we found that the two outcomes had different predictors. Defensive avoidance and exam efficacy predicted scheduling an examination; exam efficacy and having coping resources, time, and transportation predicted attending the examination. Open-ended responses revealed that the dominant reasons participants offered for missing a scheduled examination was conflicting obligations, forgetting, and confusion or misunderstanding about the examination. Conclusions The results suggest interventions to increase scheduling and attending an oral cancer examination. PMID:26152644

  15. Addressing requests for emergency ultrasonographic examinations when implementing teleradiology services.

    Science.gov (United States)

    Junca-Laplace-Valageas, C; Gervaise, A; Pernin, M; Naulet, P; Portron, Y; Lapierre-Combes, M

    2015-11-01

    To prospectively assess how to address requests for ultrasonographic examinations when setting up an on-call teleradiology service. An analytical prospective study was performed from January 2012 to December 2012 inclusively. All requests received for after-hours ultrasonographic examinations during this period were analyzed. Ultrasound requests were classified as being postponable until working hours, replaceable by an alternate cross-sectional imaging modality, or urgent and needing to be performed after hours. A total of 176 requests for ultrasonographic examinations were analyzed. They predominantly included requests for abdominal and pelvic ultrasonographic examinations (63%). Thirty-nine requests (22.2%) were considered as postponable, 49 (27.8%) as replaceable and 64 (36.4%) as both postponable and replaceable. Twenty-four requests (13.6%) were considered as urgent; they consisted of 10 requests for venous duplex Doppler ultrasonographic examinations of the lower limbs, eight requests for testicular ultrasonographic examinations, five for pelvic ultrasonographic examinations and one for soft-tissue ultrasonographic examination. In these urgent cases, realistic options were either to transfer the patient to another institution or to train emergency department physicians in ultrasonography for local handling. Although the need for addressing requests for ultrasonographic examinations should be taken into account when setting up an on-call teleradiology service, it should not impede such plans. Copyright © 2015 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

  16. A Double Evolutionary Pool Memetic Algorithm for Examination Timetabling Problems

    Directory of Open Access Journals (Sweden)

    Yu Lei

    2014-01-01

    Full Text Available A double evolutionary pool memetic algorithm is proposed to solve the examination timetabling problem. To improve the performance of the proposed algorithm, two evolutionary pools, that is, the main evolutionary pool and the secondary evolutionary pool, are employed. The genetic operators have been specially designed to fit the examination timetabling problem. A simplified version of the simulated annealing strategy is designed to speed the convergence of the algorithm. A clonal mechanism is introduced to preserve population diversity. Extensive experiments carried out on 12 benchmark examination timetabling instances show that the proposed algorithm is able to produce promising results for the uncapacitated examination timetabling problem.

  17. Effects of test stress during an objective structured clinical examination.

    Science.gov (United States)

    Zhang, Niu; Rabatsky, Ali

    2015-10-01

    The existence of test stress has been widely reported among professional students. To our knowledge, no studies exist that explore student stress response to objective structured clinical examinations. The aim of this study was to evaluate possible correlations between stress and objective structured clinical examination performance in a sample of chiropractic students. A total of 116 students completed a 2-part questionnaire to assess test stress and the physiological symptoms and signs of stress. Heart rate, systolic blood pressure, and diastolic were measured during the physical examination laboratory class within the first 3 weeks and then again just prior to their objective structured clinical examination in week 5. Statistical tests were then performed for questionnaire data, heart rate and blood pressure differences, and correlation between the objective structured clinical examination grade and symptoms and signs. Questionnaire results showed that 5.1%-22.4% of students sometimes or often felt a certain degree of stress. More than 50% had 1 or more physiological symptoms and signs of stress. The objective structured clinical examination heart rate (75.23 ± 11.20 vs 68.16 ± 8.82, p examination grades and physiological symptoms and signs and between objective structured clinical examination grades and feeling statement score. The results support our hypothesis that chiropractic students experience stress when performing the objective structured clinical examination and that high levels of stress had a negative impact on performance.

  18. [Scheimpflug photography for the examination of phakic intraocular lenses].

    Science.gov (United States)

    Baumeister, M

    2014-10-01

    High myopia phakic intraocular lenses (IOL) have become an established means of surgical correction for high ametropia. Scheimpflug photography is one of the methods which are frequently applied for postoperative examination of the implants. Results from published studies employing Scheimpflug photography for examination of anterior chamber angle-fixated, iris-fixated and sulcus-fixated phakic IOLs were evaluated. In several published studies Scheimpflug photography was used to examine the position of the implant and opacification of the crystalline lens. The results provided valuable evidence for the improvement of phakic IOL design. Scheimpflug photography offers an easy to use, rapid non-contact examination of phakic IOLs.

  19. Reliability and Validity of PAEA End of Rotation™ Examination Scores for Predicting Performance on the Physician Assistant National Certification Examination.

    Science.gov (United States)

    Hegmann, Theresa; Roscoe, Mike; Statler, Michel

    2015-12-01

    In 2013, the Physician Assistant Education Association (PAEA) launched its End of Rotation™ examinations for student assessment of core clinical rotation content. Although being similar to the National Board of Medical Examiner's subject examinations ("shelf exams"), these examinations have not been characterized for reliability or validated against outcomes such as the Physician Assistant National Certification Examination (PANCE). This study's objective was to determine whether a composite scale based on all 7 PAEA End of Rotation examinations can be used as an effective measure of comprehensive medical knowledge for physician assistant (PA) students in their clinical year. This study was a retrospective analysis of deidentified data gathered by 3 PA programs. Scores for all 7 PAEA End of Rotation examinations and for the PANCE were available for all students in the class of 2014 for all programs, with an overall N = 134. SPSS version 21 was used for descriptive and inferential data analysis. The overall Cronbach alpha for the 7 End of Rotation examination scores was 0.871. Pearson correlation coefficients for the End of Rotation examinations and the PANCE ranged from 0.47 to 0.68 and were statistically significant. Simple regression of a composite 7-item End of Rotation examination average gave an R of 0.810 and an adjusted R = 0.654 (P predicting whether the medical knowledge base in clinical PA students is adequate to pass the PANCE.

  20. Repeatability and Reproducibility of Decisions by Latent Fingerprint Examiners

    Science.gov (United States)

    Ulery, Bradford T.; Hicklin, R. Austin; Buscaglia, JoAnn; Roberts, Maria Antonia

    2012-01-01

    The interpretation of forensic fingerprint evidence relies on the expertise of latent print examiners. We tested latent print examiners on the extent to which they reached consistent decisions. This study assessed intra-examiner repeatability by retesting 72 examiners on comparisons of latent and exemplar fingerprints, after an interval of approximately seven months; each examiner was reassigned 25 image pairs for comparison, out of total pool of 744 image pairs. We compare these repeatability results with reproducibility (inter-examiner) results derived from our previous study. Examiners repeated 89.1% of their individualization decisions, and 90.1% of their exclusion decisions; most of the changed decisions resulted in inconclusive decisions. Repeatability of comparison decisions (individualization, exclusion, inconclusive) was 90.0% for mated pairs, and 85.9% for nonmated pairs. Repeatability and reproducibility were notably lower for comparisons assessed by the examiners as “difficult” than for “easy” or “moderate” comparisons, indicating that examiners' assessments of difficulty may be useful for quality assurance. No false positive errors were repeated (n = 4); 30% of false negative errors were repeated. One percent of latent value decisions were completely reversed (no value even for exclusion vs. of value for individualization). Most of the inter- and intra-examiner variability concerned whether the examiners considered the information available to be sufficient to reach a conclusion; this variability was concentrated on specific image pairs such that repeatability and reproducibility were very high on some comparisons and very low on others. Much of the variability appears to be due to making categorical decisions in borderline cases. PMID:22427888

  1. Repeatability and reproducibility of decisions by latent fingerprint examiners.

    Directory of Open Access Journals (Sweden)

    Bradford T Ulery

    Full Text Available The interpretation of forensic fingerprint evidence relies on the expertise of latent print examiners. We tested latent print examiners on the extent to which they reached consistent decisions. This study assessed intra-examiner repeatability by retesting 72 examiners on comparisons of latent and exemplar fingerprints, after an interval of approximately seven months; each examiner was reassigned 25 image pairs for comparison, out of total pool of 744 image pairs. We compare these repeatability results with reproducibility (inter-examiner results derived from our previous study. Examiners repeated 89.1% of their individualization decisions, and 90.1% of their exclusion decisions; most of the changed decisions resulted in inconclusive decisions. Repeatability of comparison decisions (individualization, exclusion, inconclusive was 90.0% for mated pairs, and 85.9% for nonmated pairs. Repeatability and reproducibility were notably lower for comparisons assessed by the examiners as "difficult" than for "easy" or "moderate" comparisons, indicating that examiners' assessments of difficulty may be useful for quality assurance. No false positive errors were repeated (n = 4; 30% of false negative errors were repeated. One percent of latent value decisions were completely reversed (no value even for exclusion vs. of value for individualization. Most of the inter- and intra-examiner variability concerned whether the examiners considered the information available to be sufficient to reach a conclusion; this variability was concentrated on specific image pairs such that repeatability and reproducibility were very high on some comparisons and very low on others. Much of the variability appears to be due to making categorical decisions in borderline cases.

  2. Effectiveness of workers? general health examination in Korea by health examination period and compliance: retrospective cohort study using nationwide data

    OpenAIRE

    Eom, Huisu; Myong, Jun-Pyo; Kim, Eun-A; Choi, Bohwa; Park, Soon Woo; Kang, Young Joong

    2017-01-01

    Background Our study evaluated the effectiveness of the Workers? General Health Examination by health examination period and compliance. Methods A retrospective cohort of the health examination participants in 2006 (baseline year: N?=?6,527,045) was used. We identified newly occurring cardio-cerebrovascular disease over 7?years (from 2007 to 2013). After stratification by age, sex, and national health insurance type, we identified 7?years? cumulative incidence of cardio-cerebrovascular diseas...

  3. Tax reforms and investment in Nigeria: an empirical examination ...

    African Journals Online (AJOL)

    This study is informed by the quest to examine the investment implication of the series of tax reforms in Nigeria, particularly the tax reforms of 2003 and National tax policy of 2012. Annual time series data spanning the years (1981-2012) were utilized. Preliminary diagnostic test was conducted to examine whether the ...

  4. Knowledge and practice of breast self-examination among female ...

    African Journals Online (AJOL)

    ... of cancer of the breast especially in resource poor countries. We assessed knowledge and practice of breast-self examination (BSE) among female undergraduate students of Ahmadu Bello University Zaria, Nigeria. Method: In this study, knowledge and practice of BSE were examined among 221 female students aged

  5. Leading Our World Forward: An Examination of Student Leadership Development

    Science.gov (United States)

    Grunwell, Stewart G.

    2015-01-01

    This study seeks to examine the processes through which leadership is fostered and developed within student leadership development programs. While there has been some scholarly literature written in this area, a dearth in the literature exists with respect to providing a detailed chronicle and examination of the complete processes employed within…

  6. 32 CFR 901.5 - Academic examination requirements.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Academic examination requirements. 901.5 Section... § 901.5 Academic examination requirements. Before being offered an appointment, candidates must take...) test. (a) ATP. A candidate who elects to use the ATP tests must take the Scholastic Aptitude Tests (SAT...

  7. Knowledge, attitude and practice of breast cancer examination ...

    African Journals Online (AJOL)

    Similarly, only 22.7% had visited a doctor for clinical breast examination (CBE) in the past year, and 1.6% of the respondents had done mammogram in the past 2 years. There was no association between socio-demographic characteristics with the knowledge attitude andpractice of breast cancer examination. The results of ...

  8. Pelvic Examination Instruction and the Doctor-Patient Relationship

    Science.gov (United States)

    Billings, J. Andrew; Stoeckle, John D.

    1977-01-01

    Nonphysician women instructors from a women's health center taught the pelvic examination to second-year Harvard Medical School students. Demonstrating the procedure and acting as subjects, they also showed how patients can be offered explanations of the procedure and their own health during the examination. (Author/LBH)

  9. Cities Feeding People: An Examination of Urban Agriculture in East ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Cities Feeding People: An Examination of Urban Agriculture in East Africa. Book cover Cities Feeding People: An Examination of Urban Agriculture in East Africa. Author(s):. Auxumite G. Egziabher, Diana Lee-Smith, Daniel G. Maxwell, Pyar Ali Memon, Luc J.A. Mougeot, and Camillus J. Sawio. Publisher(s):. IDRC. January ...

  10. Oral Anatomy Laboratory Examinations in a Physical Therapy Program

    Science.gov (United States)

    Fabrizio, Philip A.

    2013-01-01

    The process of creating and administering traditional tagged anatomy laboratory examinations is time consuming for instructors and limits laboratory access for students. Depending on class size and the number of class, sections, creating, administering, and breaking down a tagged laboratory examination may involve one to two eight-hour days.…

  11. Peer Review Improves the Quality of MCQ Examinations

    Science.gov (United States)

    Malau-Aduli, Bunmi S.; Zimitat, Craig

    2012-01-01

    The aim of this study was to assess the effect of the introduction of peer review processes on the quality of multiple-choice examinations in the first three years of an Australian medical course. The impact of the peer review process and overall quality assurance (QA) processes were evaluated by comparing the examination data generated in earlier…

  12. 28 CFR 4.11 - Appearance; testimony; cross-examination.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Appearance; testimony; cross-examination. 4.11 Section 4.11 Judicial Administration DEPARTMENT OF JUSTICE PROCEDURE GOVERNING APPLICATIONS FOR... RETIREMENT INCOME SECURITY ACT OF 1974 § 4.11 Appearance; testimony; cross-examination. (a) The applicant...

  13. Pediatric ophthalmic indications for examination under anesthesia in ...

    African Journals Online (AJOL)

    Objective: To determinetheophthalmicindications and challenges for pediatric ocular examination under anesthesia. (EUA). Methods: The surgical register and patients' records of children who underwent EUA between 1990 and 2007 were examined to document patients' bio data, diagnoses and details of procedures and ...

  14. 8 CFR 336.1 - Denial after section 335 examination.

    Science.gov (United States)

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Denial after section 335 examination. 336.1 Section 336.1 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY NATIONALITY REGULATIONS HEARINGS ON DENIALS OF APPLICATIONS FOR NATURALIZATION § 336.1 Denial after section 335 examination. (a) After...

  15. 5 CFR 339.301 - Authority to require an examination.

    Science.gov (United States)

    2010-01-01

    ... compensation as a result of an on-the-job injury or disease to report for an examination to determine medical.... (a) A routine preappointment examination is appropriate only for a position which has specific... applied for or occupies a position which has medical standards or physical requirements or which is part...

  16. Examining English-German Translation Ambiguity Using Primed Translation Recognition

    Science.gov (United States)

    Eddington, Chelsea M.; Tokowicz, Natasha

    2013-01-01

    Many words have more than one translation across languages. Such "translation-ambiguous" words are translated more slowly and less accurately than their unambiguous counterparts. We examine the extent to which word context and translation dominance influence the processing of translation-ambiguous words. We further examine how these factors…

  17. 76 FR 14366 - National Registry of Certified Medical Examiners

    Science.gov (United States)

    2011-03-16

    ... Federal Motor Carrier Safety Administration 49 CFR Parts 390 and 391 RIN 2126-AA97 National Registry of... National Registry of Certified Medical Examiners (NRCME) published on December 1, 2008. In the comments on...'s certificate had been issued to a commercial motor vehicle driver by a medical examiner listed on...

  18. An examination of inpatient medical record keeping in the ...

    African Journals Online (AJOL)

    An examination of inpatient medical record keeping in the Orthopaedic Department of Kilimanjaro Christian Medical Centre (KCMC), Moshi, Tanzania. ... Secondary outcome: Admission information and Demographics were both completed 88% (n=137) of the time. History and the Examination sections were complete in ...

  19. Examining the Link between BECE Papers and Mathematics ...

    African Journals Online (AJOL)

    This article seeks to explore the relationship between the implementation of the. Ghanaian basic school mathematics curriculum standards and the nature of the Basic Education Certificate Examination (BECE). It covered the period between 1992 and 1999. Data for this research were collected from past BECE examination ...

  20. Examination anxiety among secondary school students in Edo State ...

    African Journals Online (AJOL)

    Examination is usually a major source of concern to students. This study therefore, investigated examination anxiety among secondary school students in Edo State, Nigeria. The study adopted the descriptive survey research design. The participants were 2,052 secondary school students aged 10-18 years randomly ...

  1. Claustrophobia and premature termination of magnetic resonance imaging examinations.

    Science.gov (United States)

    Eshed, Iris; Althoff, Christian E; Hamm, Bernd; Hermann, Kay-Geert A

    2007-08-01

    To evaluate the incidence of MRI-related claustrophobia and prematurely terminated MRI (ptMRI) examinations due to claustrophobia in a large-scale cohort study. The hospital's computerized radiology information system (RIS) was retrospectively analyzed for all 1.5-Tesla MRI examinations and reports during the year 2004. Data collected included demographic information, body part examined, known claustrophobia, and whether the examination was prematurely terminated. All information available on the MRI examinations and the patient-based data (i.e., excluding any additional examinations per patient) were analyzed. A total of 5798 MRI reports of 4821 patients were evaluated. A total of 95 patients (1.97%) suffered from claustrophobia and 59 (1.22%) prematurely terminated the examination due to claustrophobia. The incidence of ptMRI was higher in women than men (no statistical significance). The majority of patients with ptMRI were between 20 and 80 years old. Patients undergoing head MRI showed the highest incidence of ptMRI and those undergoing extremity, breast, or pelvic MRI had the lowest. Prone compared to supine positioning results in the lowest ptMRI incidence (P < 0.05). Claustrophobic reactions cause a relatively low incidence of ptMRI and are influenced by sex, body part examined, and positioning within the MR scanner. Sedation and prone positioning might help overcome these reactions. (c) 2007 Wiley-Liss, Inc.

  2. 40 CFR 305.8 - Examination of documents filed.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Examination of documents filed. 305.8... Examination of documents filed. (a) Inspection of Documents. Subject to the provisions of law restricting... copy any document filed in any proceeding. Such documents shall be made available by the Claims...

  3. Ultrasound examination of the kidney after Politano-Leadbetter ureteroneocystostomy

    Energy Technology Data Exchange (ETDEWEB)

    Forsberg, L.; Malmfors, G.; Mortensson, W.; White, T. (University Hospital, Lund, Sweden)

    1981-01-01

    Ultrasound was used in infants and children operated upon with together 62 ureteroneocystostomies to detect complicating obstructive uropathy in the early postoperative period. It was compared with isotope examination and urography. Ultrasound was reliable and accurate in appreciating urinary stasis and should thus be preferred as examination method.

  4. 20 CFR 404.1519f - Type of purchased examinations.

    Science.gov (United States)

    2010-04-01

    ... Report Content § 404.1519f Type of purchased examinations. We will purchase only the specific... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Type of purchased examinations. 404.1519f Section 404.1519f Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND...

  5. 20 CFR 416.919f - Type of purchased examinations.

    Science.gov (United States)

    2010-04-01

    ... for Report Content § 416.919f Type of purchased examinations. We will purchase only the specific... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Type of purchased examinations. 416.919f Section 416.919f Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE...

  6. The Dictionary in Examinations at a South African University: A ...

    African Journals Online (AJOL)

    user

    Abstract: This paper interrogates students' use of dictionaries for examination purposes at. Rhodes ... English additional language students use the dictionary in examinations for assistance that may be considered to be .... academic language with which English language additional students are strug- gling. There are ...

  7. An Assessment of Relevance of Sputum Sample Examination in ...

    African Journals Online (AJOL)

    Aim: The present study was undertaken to evaluate the relevance and utility of sputum specimen and adenosine deaminase (ADA) level examination in patients with tubercular pleural effusion, having no visible lesions on radiological examination. Materials and methods Methods: A total 81 cases of suspected tubercular ...

  8. Examining the Construct Validity of the Elemental Psychopathy Assessment

    Science.gov (United States)

    Miller, Joshua D.; Gaughan, Eric T.; Maples, Jessica; Gentile, Brittany; Lynam, Donald R.; Widiger, Thomas A.

    2011-01-01

    Lynam and colleagues recently developed a new self-report inventory for the assessment of psychopathy, the Elemental Psychopathy Assessment (EPA). Using a sample of undergraduates (N = 227), the authors examined the construct validity of the EPA by examining its correlations with self and stranger ratings on the Five-Factor Model, as well as…

  9. 46 CFR 115.655 - Hull examination reports.

    Science.gov (United States)

    2010-10-01

    ... sign the report and confirm the validity of its contents. (b) If you use an underwater remotely operated vehicle (ROV) as the predominate means to examine the vessel's underwater hull plating, you must... the underwater survey portion of the Alternative Hull Examination (AHE), you must provide the Officer...

  10. 46 CFR 176.655 - Hull examination reports.

    Science.gov (United States)

    2010-10-01

    ...) If you use an underwater remotely operated vehicle (ROV) as the predominate means to examine the vessel's underwater hull plating, you must provide the OCMI with a report in a format that is acceptable.... (a) If you use only divers for the underwater survey portion of the Alternative Hull Examination (AHE...

  11. An Examination of University Student-Athletes' Motivations to Contribute

    Science.gov (United States)

    Deal, Colin Jeffery; Camiré, Martin

    2016-01-01

    Little research has examined why student-athletes contribute. "Contribution" can be defined as the actions taken by individuals that benefit their own well-being or that of their family, community, and civil society. The purpose of this study was to examine university student-athletes' motivations to contribute. Interviews were conducted…

  12. Examining Multicultural Counseling Competencies of Rehabilitation Counseling Graduate Students

    Science.gov (United States)

    Donnell, Chandra M.

    2008-01-01

    There has been little examination of multicultural counseling competencies of rehabilitation counselor trainees. The current study examined competency development (knowledge, skills and awareness) of 68 rehabilitation counseling master's degree students across six universities. Results indicate that students did not demonstrate competence in…

  13. 49 CFR 452.3 - Elements of periodic examinations.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 6 2010-10-01 2010-10-01 false Elements of periodic examinations. 452.3 Section 452.3 Transportation Other Regulations Relating to Transportation (Continued) COAST GUARD, DEPARTMENT OF HOMELAND SECURITY SAFETY APPROVAL OF CARGO CONTAINERS EXAMINATION OF CONTAINERS § 452.3 Elements...

  14. Interobserver reliability of physical examination of shoulder girdle

    NARCIS (Netherlands)

    Nomden, Jettie G.; Slagers, Anton J.; Bergman, Geert; Winters, Jan C.; Kropmans, Thomas J. B.; Dijkstra, Pieter U.

    The object of this study was to assess interobserver reliability in 23 tests concerning physical examination of the shoulder girdle. A physical therapist and a physical therapist/manual therapist independently performed a physical examination of the shoulder girdle in 91 patients with shoulder

  15. 46 CFR 115.645 - Alternative Hull Examination (AHE) Procedure.

    Science.gov (United States)

    2010-10-01

    ... underwater hull plating and a detailed examination of all hull welds, propellers, tailshafts, rudders, and... presence of a marine inspector once every five years; (4) Remove all passengers from the vessel when the sea valves are being examined, if required by the Officer in Charge, Marine Inspection (OCMI); (5...

  16. Sexual Victimization and Physical Health: An Examination of Explanatory Mechanisms

    Science.gov (United States)

    Palm, Kathleen M.; Follette, Victoria M.

    2008-01-01

    There is a growing body of research illustrating a significant relationship between a history of sexual victimization and the development of physical health problems; however, few researchers have examined variables that mediate this relationship. The present study examined two potential mediating variables: experiential avoidance and current…

  17. Examination Malpractice in Nigeria: Rank-ordering the Types ...

    African Journals Online (AJOL)

    Although 'giraffing' and carrying of prepared materials into the examination hall were the most common forms of examination malpractice, bribery (ranked 4.5) was the anchor. Students, peer group and parents were the worst malpractitioners in a decreasing order of culpability. Overvaluing of certificates and teachers' ...

  18. Predictability of Joint Promotion Examinations in SS2 on Academic ...

    African Journals Online (AJOL)

    This research studied the predictability of joint SS2 promotion examinations of all the command secondary schools in Nigeria on academic performance of students in Senior School Certificate Examinations. The sample consists of 120 students selected at the Command Secondary School, Abakaliki and Command Day ...

  19. 7 CFR 28.160 - Cotton examiners on foreign exchanges.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Cotton examiners on foreign exchanges. 28.160 Section... CONTAINER REGULATIONS COTTON CLASSING, TESTING, AND STANDARDS Regulations Under the United States Cotton Standards Act Adjustment of Contract Disputes § 28.160 Cotton examiners on foreign exchanges. Whenever any...

  20. Construction of the Examination Stress Scale for Adolescent Students

    Science.gov (United States)

    Sung, Yao-Ting; Chao, Tzu-Yang

    2015-01-01

    The tools used for measuring examination stress have three main limitations: sample selected, sample sizes, and measurement contents. In this study, we constructed the Examination Stress Scale (ExamSS), and 4,717 high school students participated in this research. The results indicate that ExamSS has satisfactory reliability, construct validity,…

  1. The Strabismus Patient: An Outline of Examination and Treatment.

    Science.gov (United States)

    Raab, Edward L.

    1977-01-01

    The examination of a child for strabismus (misalignment of the eyes) and treatment if the condition is present are described. General considerations when evaluating need of surgery are presented. Steps in the ophthalmologic examination are discussed, including such tests as extraocular muscle function and traction testing and studies of eye…

  2. Examination of Reviews-Outcomes of Community Water Fluoridation ...

    African Journals Online (AJOL)

    Examination of Reviews-Outcomes of Community Water Fluoridation in Dental Caries Prevention. ... West African Journal of Industrial and Academic Research ... The purpose of this paper is to examine the different reviews of the outcomes of fluoridation of community water in the prevention of dental caries in Cochrane ...

  3. Use of Computer-based Clinical Examination for Assessment of ...

    African Journals Online (AJOL)

    Background: The Video-projected Structured Clinical Examination (ViPSCE) replaced the oral (viva) examination as a student assessment tool in clinical surgery in our department since its invention in 2001 (1, 2). It has been useful for assessing higher knowledge domain including problem-solving abilities. Objectives: To ...

  4. Pediatric ophthalmic indications for examination under anesthesia in ...

    African Journals Online (AJOL)

    Objective: To determine the ophthalmic indications and challenges for pediatric ocular examination under anesthesia (EUA). Methods: The surgical register and patients' records of children who underwent EUA between 1990 and 2007 were examined to document patients' bio data, diagnoses and details of procedures and ...

  5. Examining the Contribution of Critical Visualisation to Information Security

    NARCIS (Netherlands)

    Hall, Peter A.; Heath, Claude P.; Coles-Kemp, Lizzie; Tanner, Axel

    This paper examines the use of visualisations in the field of information security and in particular focuses on the practice of information security risk assessment. We examine the current roles of information security visualisations and place these roles in the wider information visualisation

  6. Laboratory Examinations of Transmissible Spongiform Encephalopathies in Denmark during 2014

    DEFF Research Database (Denmark)

    Jensen, Tim Kåre

    , Chapter 2.4.6 and Chapter 2.7.13) regarding diagnostic examinations. The DTU-VET is the national reference laboratory of bovine spongiform encephalopathy (BSE) and TSE/Scrapie, and therefore the results of all neuropathological examinations on BSE and Scrapie in Denmark are given in the present report...

  7. Creating Examinations for a Linguistically and Culturally Diverse Student Cohort

    Science.gov (United States)

    Hoadley, Susan; Mather, Glyn; Wood, Leigh N.

    2012-01-01

    Assessments have a significant influence on what and how students learn. While there has been debate as to the merits of examinations as an assessment tool, they will form a major component of assessment in many disciplines for the foreseeable future. To ensure examinations fulfil the dual roles of an assessment tool and motivation for student…

  8. Washback of English National Examination in the Indonesian Context

    Science.gov (United States)

    Furaidah; Saukah, Ali; Widiati, Utami

    2015-01-01

    This study examines how teachers teach English to prepare students for high-stakes English national examination in the Indonesian context. Data were collected from two high-achieving and three low-achieving schools with eleven teachers as the subjects of in-depth interviews and non-participatory classroom observations. The findings reveal that…

  9. practice of antenatal clinical breast examination in calabar

    African Journals Online (AJOL)

    user

    population of breast cancer patients in the country than in the west led to this study to determine the proportion of women who have a clinical breast examination at the booking visit for antenatal care in the. University of Calabar Teaching ... physical examination during pregnancy (Kauser. 2004). It has also been estimated ...

  10. Assessment of Examinations in Computer Science Doctoral Education

    Science.gov (United States)

    Straub, Jeremy

    2014-01-01

    This article surveys the examination requirements for attaining degree candidate (candidacy) status in computer science doctoral programs at all of the computer science doctoral granting institutions in the United States. It presents a framework for program examination requirement categorization, and categorizes these programs by the type or types…

  11. Visiting faculty as clinical evaluators for mock board examinations.

    Science.gov (United States)

    Edwards, W S; Nuckles, D B

    1980-02-01

    Applicants may fail state board examinations because of lack of practice under similar test conditions. Mock state board examinations employing visiting faculty as evaluators help students experience the stress of a real state board exam. Students become accustomed to strangers evaluating their work and receive unbiased evaluations. Other advantages and problems are discussed.

  12. Awareness of Breast Cancer and Breast Self Examination Among ...

    African Journals Online (AJOL)

    Background: Breast cancer is the commonest malignancy affecting women in Nigeria. Regular breast self examination reduces morbidity and mortality from this disease. Objective: To assess the knowledge of breast cancer, breast self examination and practice amongst secondary school teachers in Enugu , Nigeria.

  13. The role of moderation in the National Senior Certificate examination

    African Journals Online (AJOL)

    With the results of the Senior Certificate Examination (SCE), previously, and the National Senior Certificate (NSC) examination, currently, under constant scrutiny, evidence of the authenticity and credibility that proper moderation processes can give, is becomingly increasingly important. This article focuses specifically on ...

  14. 42 CFR 493.945 - Cytology; gynecologic examinations.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Cytology; gynecologic examinations. 493.945 Section... Nonwaived Testing Proficiency Testing Programs by Specialty and Subspecialty § 493.945 Cytology; gynecologic... gynecologic examinations (Pap smears) in cytology, a program must provide test sets composed of 10- and 20...

  15. Preseason physical examination for the prevention of sports injuries.

    Science.gov (United States)

    McKeag, D B

    1985-01-01

    The importance of the preseason physical examination and preparticipation evaluation of sports candidates is highlighted because it constitutes one of the few occasions in which the physician can actively prevent sports injuries from occurring. As exercise participation continues to increase on a world-wide basis, an understanding of the goals and objectives of such a pre-exercise evaluation are important. The need is not for a standard evaluation form, but for a consistent understanding of adjusting the evaluation to the age of the candidate, the type of sport to be engaged in and the anticipated level of competition. Essentials of any evaluation are musculoskeletal, cardiovascular and psychological examinations. Examinations should have clearly defined objectives, and factors determining the type of evaluation include: prospective athlete; contemplated exercise programme; and motivation. Different types of implementation are individual examinations, locker room technique and the station technique, each with advantages and disadvantages. A pre-exercise evaluation should always occur before any anticipated change in level of school or competition with an interval or intercurrent history and physical examinations occurring at regular intervals. It is important that examinations take place before the commencement of a sports season so previous injuries and problems can be dealt with; timing is vital. Contents of a pre-exercise physical examination should include history, a physical examination, laboratory testing and additional specific screening evaluations. Finally, assessment of the pre-exercise evaluation and injury prediction will aid physicians in preparticipation evaluations.

  16. Post-ume screening examinations and graduate quality of Nigeria's ...

    African Journals Online (AJOL)

    This paper is based on the effect of Post-Universities Matriculation Examinations (Post-UME) screening examination on the quality of graduates produced in Nigeria's tertiary institutions. The Post-UME is opened to candidates who obtained minimum score in UME , which each university determines. As a descriptive survey, ...

  17. Examining the Potential Travellers in Catchment Areas for Public Transport

    DEFF Research Database (Denmark)

    Landex, Alex; Hansen, Stephen

    2006-01-01

    The paper presents a method to examine the catchment areas for stops in high quality public transport systems based on the actual street network in the examined area. This is achieved by implementing the service area functions from the ArcGIS extension Network Analyst. The method is compared...

  18. Development of Examinations for Assessment of Occupational Competency. Final Report.

    Science.gov (United States)

    Ross, Raymond J.

    The objectives of the two-year project were to develop new occupational competency examinations for seven occupational areas--automotive mechanics, carpentry, chef, electrician (residential), industrial electronics, machine drafting, and machine trades--and subject the written examinations to a validation procedure. Vocational trade teachers were…

  19. An Examination of Emerging Adulthood in Romanian College Students

    Science.gov (United States)

    Nelson, Larry J.

    2009-01-01

    Little work has been done to examine emerging adulthood in Eastern European countries such as Romania that are making the transition out of communism into the broader free-market economy of Western Europe. The purpose of this study was to (a) examine the criteria that college students in Romania have for adulthood, and (b) explore whether…

  20. 42 CFR 34.3 - Scope of examinations.

    Science.gov (United States)

    2010-10-01

    ... who apply for refugee status; (iv) Applicants in the United States who apply for adjustment of their... refugees to be completed in the United States. (i) All medical examinations shall be carried out in... disability. (c) Additional medical screening and testing for examinations performed outside the United States...

  1. Coping and Late-Deafness: An Examination of Two Measures

    Science.gov (United States)

    Meyer, Jill M.; Kashubeck-West, Susan

    2015-01-01

    Purpose: To examine the psychometric properties of two measures of coping in a sample of individuals with acquired hearing loss, specifically late-deafness. Methods: Using a quantitative descriptive design, coping of participants (N = 277) with late-deafness was measured to examine the reliability and validity of the Ways of Coping Questionnaire…

  2. Methods of instantaneous double contrast examination of the stomach

    Energy Technology Data Exchange (ETDEWEB)

    Rabukhina, N.A.

    A modification of double contrast examination of the stomach has been developed which consists in its simultaneous contrasting by a small amount of barium suspension and carbon dioxide that evolves while taking a mixture of citric acid and sodium bicarbonate. 1000 patients with various digestive system diseases as well as X-ray examination, have been studied. As a result of examination gastric and pyloric ulcers, polyps 4 mm in diameter, tumor neoplasms, multiple erosions and other diseases or pathological states were revealed. X-ray examination according to this method provided 7.9% of errors as compared to results of endoscopy. At the same time in routine radiological examination these mistakes comprise 12 to 14%.

  3. The Paradox of Question and Answer Episode of Thesis Examination

    Directory of Open Access Journals (Sweden)

    Suprihadi Suprihadi

    2004-01-01

    Full Text Available The main concern of this research is the exploration of tendencies made by the participants of a thesis examination in enacting their roles through their speech function choices. Interpretation of the data is based on the principle of critical discourse analysis within the systemic functional linguistic. The results show us the paradox of a Question – and – Answer episode of a thesis examination. It lies in the fact that it must operate in an academic atmosphere, be brief and frightening, and the examiners initiate the interaction by demanding information from the student, and yet it is a joint production of conversation in which, while enacting their supportive roles, the examiners contribute to sustaining the interaction, making it half-way between casual and pragmatic conversation. Based on the findings: some suggestions addressed to examiners are made.

  4. An analysis of Ph.D. examiners' reports in engineering

    Science.gov (United States)

    Prieto, Elena; Holbrook, Allyson; Bourke, Sid

    2016-03-01

    In recent years, there have been increasing calls for an overall transformation of the nature of engineering Ph.D. programs and the way theses are assessed. There exists a need to understand the examination process to ensure the best quality outcome for candidates in engineering. The work we present in this paper uses data collected between 2003 and 2010 for a total of 1220 Australian Ph.D. theses by analysing examiner reports. Our analysis indicates that Ph.D. theses in engineering, N = 106, differ considerably from those in other fields in areas such as gender of candidates and examiners and the examiners' geographical location. We also found that assessment areas such as significance and contribution of the thesis, publications arising from the thesis, breadth, depth and recency of the literature review and communication and editorial correctness are areas in which the proportion of text of engineering examiners' comments differs significantly from other fields.

  5. Effectiveness of online education in teaching breast self- examination.

    Science.gov (United States)

    Tuna, Arzu; Avdal, Elif Unsal; Yucel, Sebnem Cinar; Dal, Nursel Alp; Dicle, Aklime; Ozkan, Arife; Sezgin, Handan; Gumus, Aysun Babacan; Turgay, Ayse San; Degirmenci, Mustafa

    2014-01-01

    This research evaluated the effectiveness of an online education model in teaching breast self- examination to university staff and students. 1,679 women participated in a breast self-examination online training program. Breast self-examination knowledge evaluation forms developed by Maurer (1997) were used in the research and were evaluated on a 100 point scale. Paired t-test and McNemar's Test statistics were employed. The participants scored an average of 46.5 (14.0%) on knowledge on breast self-examination before training, but 77.4 (11.0%) one month after education and 76.7 (9.52%) after six months. There was a clear significant difference between these knowledge levels (peducation is an effective method for teaching breast self-examination to women.

  6. Statistics anxiety, state anxiety during an examination, and academic achievement.

    Science.gov (United States)

    Macher, Daniel; Paechter, Manuela; Papousek, Ilona; Ruggeri, Kai; Freudenthaler, H Harald; Arendasy, Martin

    2013-12-01

    A large proportion of students identify statistics courses as the most anxiety-inducing courses in their curriculum. Many students feel impaired by feelings of state anxiety in the examination and therefore probably show lower achievements. The study investigates how statistics anxiety, attitudes (e.g., interest, mathematical self-concept) and trait anxiety, as a general disposition to anxiety, influence experiences of anxiety as well as achievement in an examination. Participants were 284 undergraduate psychology students, 225 females and 59 males. Two weeks prior to the examination, participants completed a demographic questionnaire and measures of the STARS, the STAI, self-concept in mathematics, and interest in statistics. At the beginning of the statistics examination, students assessed their present state anxiety by the KUSTA scale. After 25 min, all examination participants gave another assessment of their anxiety at that moment. Students' examination scores were recorded. Structural equation modelling techniques were used to test relationships between the variables in a multivariate context. Statistics anxiety was the only variable related to state anxiety in the examination. Via state anxiety experienced before and during the examination, statistics anxiety had a negative influence on achievement. However, statistics anxiety also had a direct positive influence on achievement. This result may be explained by students' motivational goals in the specific educational setting. The results provide insight into the relationship between students' attitudes, dispositions, experiences of anxiety in the examination, and academic achievement, and give recommendations to instructors on how to support students prior to and in the examination. © 2012 The British Psychological Society.

  7. Bias in the physical examination of patients with lumbar radiculopathy

    Directory of Open Access Journals (Sweden)

    Katz Jeffrey N

    2010-11-01

    Full Text Available Abstract Background No prior studies have examined systematic bias in the musculoskeletal physical examination. The objective of this study was to assess the effects of bias due to prior knowledge of lumbar spine magnetic resonance imaging findings (MRI on perceived diagnostic accuracy of the physical examination for lumbar radiculopathy. Methods This was a cross-sectional comparison of the performance characteristics of the physical examination with blinding to MRI results (the 'independent group' with performance in the situation where the physical examination was not blinded to MRI results (the 'non-independent group'. The reference standard was the final diagnostic impression of nerve root impingement by the examining physician. Subjects were recruited from a hospital-based outpatient specialty spine clinic. All adults age 18 and older presenting with lower extremity radiating pain of duration ≤ 12 weeks were evaluated for participation. 154 consecutively recruited subjects with lumbar disk herniation confirmed by lumbar spine MRI were included in this study. Sensitivities and specificities with 95% confidence intervals were calculated in the independent and non-independent groups for the four components of the radiculopathy examination: 1 provocative testing, 2 motor strength testing, 3 pinprick sensory testing, and 4 deep tendon reflex testing. Results The perceived sensitivity of sensory testing was higher with prior knowledge of MRI results (20% vs. 36%; p = 0.05. Sensitivities and specificities for exam components otherwise showed no statistically significant differences between groups. Conclusions Prior knowledge of lumbar MRI results may introduce bias into the pinprick sensory testing component of the physical examination for lumbar radiculopathy. No statistically significant effect of bias was seen for other components of the physical examination. The effect of bias due to prior knowledge of lumbar MRI results should be considered

  8. Virtual Alternative to the Oral Examination for Emergency Medicine Residents

    Directory of Open Access Journals (Sweden)

    McGrath, Jillian

    2015-02-01

    Full Text Available Introduction: The oral examination is a traditional method for assessing the developing physician’s medical knowledge, clinical reasoning and interpersonal skills. The typical oral examination is a face-to-face encounter in which examiners quiz examinees on how they would confront a patient case. The advantage of the oral exam is that the examiner can adapt questions to the examinee’s response. The disadvantage is the potential for examiner bias and intimidation. Computer-based virtual simulation technology has been widely used in the gaming industry. We wondered whether virtual simulation could serve as a practical format for delivery of an oral examination. For this project, we compared the attitudes and performance of emergency medicine (EM residents who took our traditional oral exam to those who took the exam using virtual simulation. Methods: EM residents (n=35 were randomized to a traditional oral examination format (n=17 or a simulated virtual examination format (n=18 conducted within an immersive learning environment, Second Life (SL. Proctors scored residents using the American Board of Emergency Medicine oral examination assessment instruments, which included execution of critical actions and ratings on eight competency categories (1-8 scale. Study participants were also surveyed about their oral examination experience. Results: We observed no differences between virtual and traditional groups on critical action scores or scores on eight competency categories. However, we noted moderate effect sizes favoring the Second Life group on the clinical competence score. Examinees from both groups thought that their assessment was realistic, fair, objective, and efficient. Examinees from the virtual group reported a preference for the virtual format and felt that the format was less intimidating. Conclusion: The virtual simulated oral examination was shown to be a feasible alternative to the traditional oral examination format for

  9. Innovative Features of the First Physician Assistant Examinations.

    Science.gov (United States)

    Piemme, Thomas E; Andrew, Barbara J

    2017-10-01

    As the National Board of Medical Examiners began the process of implementing certification for the physician assistant (PA) in 1972, the developers faced a quandary. The occupation was not well defined; there was no agreed upon common body of knowledge. The committee undertook a "role delineation" study to determine the tasks and skills expected of the assistant in the management of common illness. Ultimately, 300 items were identified, on which the examination would be based. Despite some reservations, this unique examination was administered in December 1973. The outcome was reassuring. The ability of the PA to perform a competent physical examination was deemed of paramount importance. The project director developed a sequence of machine-scorable checklists on which an observer was expected to record a candidate's performance. Field trials affirmed reliability among observers. The examination revealed a remarkable ability to identify those who were unable to perform adequately. This component was administered in 1974, and by 1977 had evolved into a test of the candidate's ability to examine a patient in response to a clinical vignette. The technique may be viewed as a prelude to current testing of clinical skills using "standardized patients." By 1976, it was becoming clear that students in PA programs had become more qualified than earlier candidates; moreover, the examination appeared more difficult. Consistency of a passing standard from year to year was questioned. For the first time in medical testing, psychometric techniques to anchor a passing score were implemented. These processes, innovative at the time, have now become universal.

  10. An appraisal of the literature on teaching physical examination skills.

    Science.gov (United States)

    Easton, Graham; Stratford-Martin, James; Atherton, Helen

    2012-07-01

    To discover which models for teaching physical examination skills have been proposed, and to appraise the evidence for each. We conducted a narrative review of relevant literature from 1990-2010. We searched the databases MEDLINE, PsycINFO, and ERIC (The Education Resource Information Centre) for the terms: 'physical examination' AND 'teaching' as both MESH terms and keyword searches. We excluded web-based or video teaching, non-physical examination skills (e.g. communication skills), and articles about simulated patients or models. We identified five relevant articles. These five studies outlined several approaches to teaching physical examination skills, including Peyton's 4-step model, an adaptation of his model to a 6-step model; the silent run through; and collaborative discovery. There was little evidence to support one method over others. One controlled trial suggested that silent run-through could improve performance of complex motor tasks, and another suggested that collaborative discovery improves students' ability to recognise key findings in cardiac examinations. There are several models for teaching physical examinations, but few are designed specifically for that purpose and there is little evidence to back any one model over another. We propose an approach which adopts several key features of these models. Future research could usefully evaluate the effectiveness of the proposed models, or develop innovative practical models for teaching examination skills.

  11. Patient Doses in Paediatric Fluoroscopic Examinations in Finland

    Energy Technology Data Exchange (ETDEWEB)

    Servomaa, A.; Komppa, T.; Heikkila, M.; Parviainen, T

    2000-07-01

    Dose-area products (DAP) in paediatric fluoroscopic examinations were measured at paediatric clinics in three university hospitals. The purpose was to provide supplementary data for development of reference doses, and for determination of relations between patient size and dose, in examinations involving both radiography and fluoroscopy for paediatric patients of various ages. The number of paediatric patients was 217. The most common fluoroscopic examinations were: micturating cystourethrography (MCU), 103 patients; barium enema (anography), 39 patients; barium meal and follow, 20 patients; and oesophagus, nine patients. Data on the patients and examination techniques, and the dose-area products are reported for various examinations and age groups. In the MCU examinations the mean DAP values were 560 mGy.cm{sup 2} for the age group of 0 years: 910 mGy.cm{sup 2} for the age group of 1-4 years; 880 mGy.cm{sup 2} for the age group of 5-9 years; and 4600 mGy.cm{sup 2} for the age group of 10-15 years. The radiation doses to which paediatric patients are exposed in fluoroscopic examinations vary over a large scale, even within narrow age bands, and comparisons between the doses are difficult because of wide ranges in patient size. This indicates the need for developing a method for taking account of the effects of patients size before deriving reference doses. (author)

  12. Evaluation of Expert System at Forensic Document Examinations in Turkey

    Directory of Open Access Journals (Sweden)

    Nevzat Alkan

    1998-12-01

    Full Text Available Forensic document examination is one of the most important fields of Forensic Sciences. Purpose of our study is to analyse how. with whom and with which agencies and principles of expert applications related with forensic document examinations are made in our country. With this purpose, it is discussed by examining law paragraphs including expertise, legal expert organizations that work in this subject, forensic document examination laboratories occupied in these organizations, work responsibilities, technical and worker capacities and principles applied to choose their workers, private expert applications in forensic document examination and codes of The Society of Forensic Medicine Specialists and The Society of Forensic Sciences. The data we obtained showed that new legal arrengements are necessary for forensic document examinations in our country. In this way, certain work standards and educational rules will be formulated in application and sufficient controls will be ensured to avoid exploitation. Besides legal arrangements this will be possible with internal arrangements of the professional societies. Keywords: Forensic Medicine, Forensic Sciences. Forensic Document Examination, Graphology, Calligraphy

  13. Development of a reliable, valid annual skills mastery assessment examination.

    Science.gov (United States)

    Alston, Gregory L; Love, Bryan L

    2010-06-15

    To develop a methodology for a reliable, valid annual skills mastery assessment examination to provide formative student feedback, inform curricular review, and comply with the Accreditation Council for Pharmacy Education (ACPE) Standards 2007. A sample of program-level ability-based outcomes skills were chosen for the examination. Test items were written, underwent quality control, and were scored for level of difficulty. Versions of the examination for first-, second-, third-, and fourth-year pharmacy students were developed and administered, the results were analyzed, reliability and validity were evaluated, and reports were generated. Item-writing guidelines, quality control procedures, and examination production steps were codified to create a criterion-referenced examination. Students and faculty advisors received detailed score reports and results were used to guide student performance and stimulate a review of curricular outcomes. Content, criterion, and construct validity were analyzed as defined in the literature for the intended use of this assessment tool. Data suggest the Annual Skills Mastery Assessment (ASMA) examination is both reliable and valid. Students and faculty members were surveyed regarding the usefulness of the examination. Results indicate general satisfaction with the assessment program. A reasonably reliable, reasonably valid multiple-choice annual skills mastery assessment for selected outcomes statements providing formative feedback and informed curricular review was developed.

  14. Taking OSCE examiner training on the road: reaching the masses

    Directory of Open Access Journals (Sweden)

    Katharine Reid

    2016-09-01

    Full Text Available Background: To ensure the rigour of objective structured clinical examinations (OSCEs in assessing medical students, medical school educators must educate examiners with a view to standardising examiner assessment behaviour. Delivering OSCE examiner training is a necessary yet challenging part of the OSCE process. A novel approach to implementing training for current and potential OSCE examiners was trialled by delivering large-group education sessions at major teaching hospitals. Methods: The ‘OSCE Roadshow’ comprised a short training session delivered in the context of teaching hospital ‘Grand Rounds’ to current and potential OSCE examiners. The training was developed to educate clinicians about OSCE processes, clarify the examiners’ role and required behaviours, and to review marking guides and mark allocation in an effort to standardise OSCE processes and encourage consistency in examiner marking behaviour. A short exercise allowed participants to practise marking a mock OSCE to investigate examiner marking behaviour after the training. Results: OSCE Roadshows at four metropolitan and one rural teaching hospital were well received and well attended by 171 clinicians across six sessions. Unexpectedly, medical students also attended in large numbers (n=220. After training, participants’ average scores for the mock OSCE clustered closely around the ideal score of 28 (out of 40, and the average scores did not differ according to the levels of clinical experience. Conclusion: The OSCE Roadshow demonstrated the potential of brief familiarisation training in reaching large numbers of current and potential OSCE examiners in a time and cost-effective manner to promote standardisation of OSCE processes.

  15. Anechoic stripe size influences accuracy of FAST examination interpretation.

    Science.gov (United States)

    Ma, O John; Gaddis, Gary

    2006-03-01

    Accurate and precise interpretations of Focused Assessment with Sonography for Trauma (FAST) findings are important factors in managing trauma patients. The objectives were to analyze the influence of anechoic stripe (AS) size on interpretation accuracy by emergency physicians (EPs) and to assess the precision of FAST examination interpretation as a function of EP FAST experience. A prospective comparison study of FAST examination interpretation by 11 emergency medicine faculty (FAC), nine community attending EPs (ATT), and nine senior emergency medicine residents (RES) was conducted; these physicians were then divided into more experienced and less experienced cohorts to assess precision. Participants interpreted video recordings of the four standard views from five FAST examinations (20 total video clips); each examination contained views with various AS sizes. Accuracy of FAST examination interpretation was calculated for each group stratified by size of AS. Precision (reproducibility) of FAST examination interpretation was assessed by calculating kappa values. With large, moderate, or no AS, no significant differences in accuracy were found between groups. For small AS, significant differences in accuracy were found between the ATT and RES groups and between the combined FAC + ATT group and the RES group. Kappa was good to excellent when the nth and the (n + 1)th experienced physicians in the more experienced cohort were compared. kappa values reflected that the more experienced cohort was more precise than the less experienced cohort. AS size visible on FAST examinations and EP experience level with FAST examination interpretation exerted a significant influence on the interpretation accuracy of videotaped FAST examinations. In addition, precision was enhanced by increased EP experience with FAST.

  16. [Participation in Preventive Medical Examinations for Children in Saxony-Anhalt (Germany) at the Time of School Entry Medical Examination].

    Science.gov (United States)

    Hase, J; Hartmann, T; Oppermann, H; Wahl, G

    2016-03-01

    The aim of this study is to present data concerning children's participation in the German preventive medical examinations for children ("U2" to "U8") in accordance with sections 26 and 92 of the German Social Code (Book V) as retrospectively recorded by the Public Health Service ("Öffentlicher Gesundheitsdienst") of the German Province of Saxony-Anhalt during school entry medical examinations. Also we wanted to analyse the additional variables recorded per child in the areas of social factors, diagnostic findings and levels of therapeutic care in connection with their degree of participation in the preventive medical examinations. The statistical analysis of 73 628 anonymised data sets from the health monitoring system of the German Province of Saxony-Anhalt that were collected by the 14 health authorities in Saxony-Anhalt during school entry medical examinations between 2008 and 2012. An analysis of the data for 20 variables per child was performed with regard to the influence of their degree of participation in the U2 to U8 medical examinations using differences in frequency in the examination groups and checking the significance of these differences by means of the chi-squared test. 99-96% of children in Saxony-Anhalt underwent the 5 preventive medical examinations U2-U6. As the children get older, the participation rates decrease (U2=98.7% down to U8=88.5%). By the time the school entry medical examinations are carried out (at an average age of 63 months), 83% of the children have -undergone all 7 preventive medical examinations for children, while 0.4% have not -undergone one single "U" examination. A child's gender has no influence on its parents' decision as to whether or not it should undergo the examinations. The results also reveal that children who attend day care -facilities are significantly more likely to have undergone all of the U examinations (84.8%) than children who are cared for at home (55.1%). The retrospective comprehensive collection of

  17. FMEF profilometry and visual examination feasibility and conceptual design. [Fuels and Materials Examination Facility; LMFBR and GCFR

    Energy Technology Data Exchange (ETDEWEB)

    Philipp, L.D.; Dilbeck, R.A.; Hartman, J.S.; Hildebrand, B.P.; Reich, F.R.; Swinth, K.L.

    1976-07-01

    The Fuels and Materials Examination Facility (FMEF) is being scoped to provide postirradiation examination capabilities for FFTF, LMFBR and GCFR fuels and materials. The Hanford Engineering Development Laboratory has requested that the Battelle Pacific Northwest Laboratory (PNL) complete a feasibility study for the development of equipment to meet the FMEF Measurement Requirements for irradiated fuel pin and absorber rod bow, length, profile and visual examination stations. The purpose of the report is to provide a conceptual design for development of the examination equipment. The design analysis assumes that fuel pins and absorber rods to be examined are in the main cell. The cell's environment will be argon or nitrogen gas at a pressure between --1 and --4 in. of water and at a temperature between 70 and 100/sup 0/F. Oxygen content of the cell gas will normally be controlled between 25 and 50 ppM. Water content will be controlled within the same limits.

  18. Guidelines examination of victims of sexual assault harmonization of forensic and medico-legal examination of persons.

    Science.gov (United States)

    Ludes, B; Geraut, A; Väli, M; Cusack, D; Ferrara, D; Keller, E; Mangin, P; Vieira, D N

    2018-02-21

    Sexual assault is a complex situation with medical, psychological, and legal aspects. Forensic experts play a major role in terms of forensic and gynecological medical examination and evidence collection in order to maintain the chain of custody. Victims should be examined by a specially trained medico-legal examiner in order to avoid multiple examinations in the surroundings that do not meet minimum health standards. The evolution and treatment of sexual assault victims are time-intensive and should optimally be provided by a team that includes a forensic medical doctor. These guidelines will be of interest to forensic medical doctors who will have responsibility for the examination and assessment of victims of sexual violence and can be used as a day-to-day service document and/or a guide to develop health service for victims of sexual violence.

  19. Informed consent: attitudes, knowledge and information concerning prenatal examination

    DEFF Research Database (Denmark)

    Dahl, Katja; Kesmodel, Ulrik; hvidman, lone

    2006-01-01

    Background: Providing women with information enabling an informed consent to prenatal examinations has been widely recommended. Objective: The primary purpose of this review is to summarise current knowledge of the pregnant woman's expectations and attitudes concerning prenatal examinations...... of information, and 57 % stated that this information has influenced their decision.  Conclusions: Pregnant women favor prenatal examinations, but the choice of participation does not seem to be based on insight to enable full informed consent. Health care providers are perceived as an essential source...... of information. ...

  20. [A creative approach to teaching diabetic foot examinations].

    Science.gov (United States)

    Chang, Wen-Hui; Hsu, Li-Ling

    2012-12-01

    Foot infections are a common chronic complication and a major reason for hospitalization in patients with diabetes. Performing foot examinations correctly and thoroughly may reduce diabetic foot risks and save patients from amputation and death. To assist professional nurses to learn the procedures and tools involved in foot examination, this study proposes that nurse trainers use creative thinking methods, such as those of Mandala, and mind mapping to conduct divergent thinking and analysis of training content define feasible training strategies. This study also proposes the use of rhymes and graphics such as creative mnemonics to help professional nurses expedite their learning of foot examination and preventive foot care techniques.

  1. American Board of Radiology diagnostic radiology initial qualifying (written) examinations.

    Science.gov (United States)

    Yang, June C; Gerdeman, Anthony M; Becker, Gary J; Bosma, Jennifer L

    2010-07-01

    The purpose of this article is to inform radiology residents, program directors, and other interested parties of the processes involved in developing, administering, and scoring the American Board of Radiology (ABR) diagnostic radiology qualifying (written) examinations. The residents, once certified, will have a lifelong professional relationship with the ABR. It is important for the ABR to be transparent about the processes it uses to ensure that its examinations are fair, valid, and reliable so that residents and their program directors have accurate information about these high-stakes examinations.

  2. Laboratory Examinations of Transmissible Spongiform Encephalopathies in Denmark during 2013

    DEFF Research Database (Denmark)

    Jensen, Tim Kåre

    , Chapter 2.4.6 and Chapter 2.7.13) regarding diagnostic examinations. The DTU-VET is the national reference laboratory of bovine spongiform encephalopathy (BSE) and TSE/Scrapie, and therefore the results of all neuropathological examinations on BSE and Scrapie in Denmark are given in the present report......The aim of this report is to give detailed information on the diagnostic examination on trans-missible spongiform encephalopathies (TSE) performed in Denmark during 2013. The present annual report is the 18th on this topic published by the National Veterinary Institute, Technical University...

  3. Laboratory examinations of transmissible spongiform encephalopathies in Denmark during 2016

    DEFF Research Database (Denmark)

    Jensen, Tim Kåre

    , Chapter 2.4.6 and Chapter 2.7.13) regarding diagnostic examinations.The DTU-VET is the national reference laboratory of bovine spongiform encephalopathy (BSE) and TSE/Scrapie, and therefore the results of all neuropathological examinations on BSE and Scrapie in Denmark are given in the present report......The aim of this report is to give detailed information on the diagnostic examination on trans-missible spongiform encephalopathies (TSE) performed in Denmark during 2016. The present annual report is the 21st on this topic published by the National Veterinary Institute, Technical University...

  4. Laboratory Examinations of Transmissible Spongiform Encephalopathies in Denmark during 2012

    DEFF Research Database (Denmark)

    Jensen, Tim Kåre

    , Chapter 2.4.6 and Chapter 2.7.13) regarding diagnostic examinations. The DTU-VET is the national reference laboratory of bovine spongiform encephalopathy (BSE) and TSE/Scrapie, and therefore the results of all neuropathological examinations on BSE and Scrapie in Denmark are given in the present report......The aim of this report is to give detailed information on the diagnostic examination on trans-missible spongiform encephalopathies (TSE) performed in Denmark during 2012. The present annual report is the 17th on this topic published by the National Veterinary Institute, Technical University...

  5. Importance Of Thorough Physical Examination: A Lost Art.

    Science.gov (United States)

    Asif, Talal; Mohiuddin, Amena; Hasan, Badar; Pauly, Rebecca R

    2017-05-02

    Several recent studies have described a deterioration in physical examination skills among modern physicians. Reasons hypothesized for this change are improvements in technology and time constraints. Poor physical exam skills are a noteworthy threat to patient safety as they can lead to incorrect as well as missed diagnoses, causing delays in timely implementation of life-saving treatments. Here, we present a case of extensive acute embolic strokes secondary to infective endocarditis. The patient was initially misdiagnosed as having Bell's palsy due to incorrect physical examination. Through this case, we highlight the importance of management guided by a thorough history and physical examination to minimize diagnostic errors.

  6. Development, validation and initial outcomes of a questionnaire to examine human factors in postgraduate surgical objective structured clinical examinations.

    Science.gov (United States)

    Brennan, P A; Konieczny, K; Groves, J; Parker, M; Sherman, K P; Foulkes, J; Hills, S; Featherstone, C

    2015-03-01

    Human factors including stress, repetition, burnout and fatigue are associated with possible sources of error. Objective structured clinical examinations (OSCEs), where examiners concentrate for long periods, would benefit from a human factors approach to see whether these factors affect consistency of examiner behaviour, attitude and marking. Little has been published for OSCEs, in part due to the lack of a validated tool for collecting data in this setting. A 46-item questionnaire was developed based on the Human Factors Analysis and Classification System (HFACS) domains and completed by examiners in the Intercollegiate Membership of the Royal College of Surgeons (MRCS) examination. To refine the questionnaire, an initial analysis focused on response patterns of each item. Cronbach's α was used to assess internal consistency, and a factor analysis was performed to uncover different domains emerging from the data. A total of 108 examiners completed the questionnaire (90·0 per cent response rate). The questionnaire, refined to 38 items based on an initial analysis of response patterns, showed good reliability for internal consistency (Cronbach's α = 0·76) and test-retest reliability (r = 0·85, n = 48, P factors had a close themed resemblance to the original HFACS domains, but were associated with different items, suggesting that the four human-factor domains might be linked to different behaviours and attitudes in an examination setting. Analyses according to sex, professional background and experience highlighted additional stress levels in examiners from one of the surgical Royal Colleges (P human factors in OSCEs is needed to improve examiner experience and behaviour in order to influence delivery, candidate experience and quality assurance of these examinations. © 2015 BJS Society Ltd. Published by John Wiley & Sons, Ltd.

  7. THE PROSPECTS OF E-EXAMINATION IMPLEMENTATION IN NIGERIA

    Directory of Open Access Journals (Sweden)

    Ayo C. K.

    2007-10-01

    Full Text Available ABSTRACTThe massive examination leakages, demand for gratification by teachers, bribe-taking by supervisors and invigilators of examinations have become a global phenomenon. This menace has resulted to general fallen standards of education and Nigeria is no exception, particularly among developing nations. Consequent upon this, all Nigerian universities have resorted to conducting post-entrance “Post-JAMB” examination/screening because of lack of confidence in the conduct of the entrance examinations. This paper proposes a model for e-Examination in Nigeria where all applicants are subjected to online entrance examination as a way of curbing the irregularities as proposed by the Joint Admissions Matriculation Board (JAMB, the body saddled with the responsibility of conducting entrance examinations into all the Nigerian universities. This model was designed and tested in Covenant University, one of the private universities in Nigeria. There were 120 questions drawn from English (30, Mathematics (30, General Science (20, Commercial Courses (20, and Religion Knowledge (20, all for one hour duration. Questionnaires were administered to the applicants at the end of the examination to assess their level of ICT literacy, ease of use of the system and the difficulties encountered.Findings revealed that the system has the potentials to eliminate some of the problems that are associated with the traditional methods of examination such as impersonation and other forms of examination malpractices. The system is easy to use and candidates can get use to it with time. The timing of examination can be spaced without compromising the quality and integrity of the examination. However, much is still desired if the system were to be adopted on a national scale, particularly in terms of infrastructural and manpower development. Similarly, the quest for e-Examination can fast track the development of e-Learning facilities in the country with improved access to

  8. 28 CFR 5.600 - Public examination of records.

    Science.gov (United States)

    2010-07-01

    ... statements, informational materials, Dissemination Reports, and copies of political propaganda filed under section 4(a) of the Act, shall be available for public examination at the Registration Unit on official...

  9. National Health and Nutrition Examination Survey (NHANES), 2009-2010

    Data.gov (United States)

    U.S. Department of Health & Human Services — The National Health and Nutrition Examination Survey (NHANES) is a program of studies designed to assess the health and nutritional status of adults and children in...

  10. Examining environmental drivers of spatial variability in aflatoxin ...

    African Journals Online (AJOL)

    Examining environmental drivers of spatial variability in aflatoxin accumulation in Kenyan maize: potential utility in risk prediction models. L.E. Smith, M Stasiewicz, R Hestrin, L Morales, S Mutiga, R.J. Nelson ...

  11. Clinico‑pathological Correlation of Digital Rectal Examination ...

    African Journals Online (AJOL)

    countries where there are no organized screening programs and ... with enhanced positive predictive value when combinations of ... Access this article online .... 3 (2.1). 145 (100). DRE: Digital rectal examination, BPH: Benign prostatic ...

  12. CO2 measurements during transcranial Doppler examinations in headache patients

    DEFF Research Database (Denmark)

    Thomsen, L L; Iversen, Helle Klingenberg

    1994-01-01

    Transcranial Doppler (TCD) examinations are increasingly being used in studies of headache pathophysiology. Because blood velocity is highly dependent on PCO2, these parameters should be measured simultaneously. The most common way of performing measurements during TCD examinations is as end......-tidal pCO2 with a capnograph. When patients are nauseated and vomit, as in migraine, the mask or mouthpiece connected to the capnograph represents a problem. We therefore evaluated whether a transcutaneous pCO2 electrode was as useful as the capnograph for pCO2 measurements in TCD examinations. We...... conclude that this is not the case, and recommend capnographic end-tidal pCO2 measurements during TCD examinations. However, transcutaneous pCO2 measurements may represent a supplement to spot measurements of end-tidal pCO2 in stable conditions when long-term monitoring is needed, and the mask...

  13. The Annual Gynecologic Examination Updated for the 21st Century.

    Science.gov (United States)

    Cappiello, Joyce; Levi, Amy

    2016-01-01

    The concept of an annual gynecologic screening visit to identify disease at an early stage has long been an established component of women's health care. Women and their health care providers have historically accepted the schedule of an annual gynecologic examination with cervical cancer screening and a pelvic examination. Recently, researchers questioned the value of the annual breast and pelvic examinations in asymptomatic women and re-established the intervals for Pap test screening with the addition of human papillomavirus co-testing to establish cervical cancer risk. The updated well woman examination is now an opportunity to engage women in health education, screening for chronic disease risks, and health care concerns such as depression and violence. © 2016 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses.

  14. Informed Consent - Attitudes, knowledge and information concerning prenatal examination

    DEFF Research Database (Denmark)

    Dahl, Katja; Kesmodel, Ulrik; Hvidman, Lone

    obtained. Results:Women in general express a positive attitude towards screening procedures in pregnancy. Women are found most knowledgeable about procedural and practical aspects but are not always aware of the purposes or any limitations of the tests offered. Understanding and interpretation of risk...... in full understanding of pros and contra.Objective and hypothesis:To summarize current knowledge of women's expectations and attitudes concerning prenatal examinations as well as the amount of knowledge possessed by pregnant women undergoing prenatal examinations. Reasons for accepting or declining...... estimates is low and possible consequences if the test reveals a problem is seldom considered beforehand. A woman's attitude to prenatal examinations is found decisive for up-take of prenatal tests, with no association between a woman's attitude towards prenatal examinations and her knowledge of those tests...

  15. Notes on Methods of the Microscopic Examination of Euglena

    OpenAIRE

    斎藤, 実

    1989-01-01

    This paper deals with techniques for the light microscopic examination of Euglena cells. It also gives information on some methods of collecting samples from fresh or brackish waters and procedures for cultivating Euglena cells.

  16. EXAMINATION OF IMPACT OF PHARMA R&D ON PROFITABILITY

    National Research Council Canada - National Science Library

    Gergo Tomori;

    2014-01-01

    .... This latter requires the examination of the impact of research and development activity as the most important factor to the profitability of two selected regional market leader pharma companies...

  17. Revised Subjects of the Current Korean Oriental Pharmacists' Licensing Examination

    Directory of Open Access Journals (Sweden)

    Jong-Pil Lim

    2007-12-01

    Full Text Available This study is designed to draw out new integrated subjects of the Korean Oriental Pharmacists??Licensing Examination (KOPLE. In 2004, for the revision of subjects, we have analyzed the curriculums of the Oriental Pharmacy department, the oriental pharmacist?占퐏 (OP?占퐏 job description book, and the elementary items of KOPLE. We also examined the system of the Chinese Herb Pharmacists??Examination and other health personnel licensing examinations and studied the data of items and compared them with KOPLE. We heard the public opinion on the present KOPLE. We developed a subfield of 18 subjects, a middle category of 188 items, and a small category of 1,026 items. We proposed a new KOPLE that consists of three subjects: basic oriental pharmacy, applied oriental pharmacy, and laws and regulations.

  18. 12 CFR 345.45 - Publication of planned examination schedule.

    Science.gov (United States)

    2010-01-01

    ... STATEMENTS OF GENERAL POLICY COMMUNITY REINVESTMENT Records, Reporting, and Disclosure Requirements § 345.45 Publication of planned examination schedule. The FDIC publishes at least 30 days in advance of the beginning...

  19. Practicing breast self-examination among women attending primary ...

    African Journals Online (AJOL)

    Saadoon F. Al-Azmy

    2012-09-24

    examination (BSE), few women perform it ... factors associated with BSE, whereas practicing subjects (control) were compared with a randomly selected similar ... and discoloration of the breast were signs and symptoms of breast cancer.

  20. Examination of the Accuracy of Coding Hospital-Acquired...

    Data.gov (United States)

    U.S. Department of Health & Human Services — A new study, Examination of the Accuracy of Coding Hospital-Acquired Pressure Ulcer Stages, published in Volume 4, Issue 1 of the Medicare and Medicaid Research...

  1. Examining waist and neck circumferences as screening tools for ...

    African Journals Online (AJOL)

    2014-05-16

    May 16, 2014 ... Original Research: Examining waist and neck circumferences as screening tools for metabolic syndrome. 106 ... Keywords: metabolic syndrome, anthropometric, waist circumference, neck circumference, sub-Saharan Caucasian. Abstract. Objectives: .... the lower costal rib and the iliac crest, perpendicular.

  2. Examining Long-Term Global Climate Change on the Web.

    Science.gov (United States)

    Huntoon, Jacqueline E.; Ridky, Robert K.

    2002-01-01

    Describes a web-based, inquiry-oriented activity that enables students to examine long-term global climate change. Supports instruction in other topics such as population growth. (Contains 34 references.) (DDR)

  3. An Examination of Family Adjustment Among Operation Desert Storm Veterans

    National Research Council Canada - National Science Library

    Taft, Casey T; Schumm, Jeremiah A; Panuzio, Jullian; Proctor, Susan P

    2008-01-01

    .... When the relative impacts of separate PTSD symptom groupings were examined, those reflecting withdrawal/numbing symptoms and arousal/lack of control symptoms significantly and indirectly accounted for the negative effects of combat exposure on family adjustment.

  4. Volunteer patients and small groups contribute to abdominal examination's success

    Directory of Open Access Journals (Sweden)

    Shields HM

    2017-11-01

    Full Text Available Helen M Shields,1 Nielsen Q Fernandez-Becker,2 Sarah N Flier,2 Byron P Vaughn,2 Melissa H Tukey,2 Stephen R Pelletier,3 Douglas A Horst2 1Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, 2Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, 3Center for Evaluation, Harvard Medical School, Boston, MA, USA Background: Prior to 2007, we taught the abdominal examination in a hospital based group to 40 students, at one hospital. We used volunteer patients, small groups, repetition, and required faculty development sessions. In 2007, our medical school changed its “Introduction to Physical Examination” session so that the entire class was to be taught in a geographically central session. Our hospital was selected to lead the abdominal examination portion of the session. Aim: Our aim was to answer three questions. First, could we quadruple the recruitment of volunteer patients, and faculty? Second, was it volunteer patients, small groups, repetition, or faculty training that was most valued by the students? Third, would volunteer patients and/or faculty agree to participate a second time? Methods: A total of 43-46 patients and 43-46 faculty were recruited and 43-46 examining rooms were obtained for each of the 5 years of this study. Teachers were required to attend a 1-hour faculty development session. The class of about 170 students was divided into 43–46 groups each year. The teacher demonstrated the abdominal examination and each student practiced the examination on another student. Each student then repeated the full abdominal examination on a volunteer patient. Results: Over the 5-year time period (2008–2012, the abdominal examination ranked first among all organ systems’ “Introductory Sessions”. The abdominal examination ratings had the best mean score (1.35 on a Likert scale where 1 is excellent and 5 is poor. The students gave the most

  5. [Diagnosis and prognosis of preterm labor: physical examination and ultrasonography].

    Science.gov (United States)

    Goffinet, F; Kayem, G

    2002-11-01

    Diagnosis. Preterm labor is defined by cervical changes associated with regular painful uterine contractions (UC) between 22 and 36 weeks + 6 days. Tocometry does not improve diagnosis or prognosis, despite the identification of more UC (NP 4). Electromyography and cervical distensibility (cervicotonometer) are promising techniques but are still in the research field. Clinical markers for prognosis. Clinical markers associated with clinical cervical examination tested in scoring systems are not validated and can't be recommended in clinical practise (NP 4). Ultrasonographic examination of the cervix. Technical evaluation of ultrasonographic examination of the cervix is satisfactory (NP 3); the transvaginal technical have to be used (NP 3). This method has a better accuracy and reproducibility than clinical examination provided a good apprenticeship (NP 3). Three ultrasound abnormal criteria are defined: a short length, a large internal cervical os and the presence of a funnel in the cervical canal. The best cut-off of cervical length to predict preterm delivery lies between 18 and 30 mm (NP 3). The choice of the cutt-off level depends on the prectitioner: high sensitivity but with many false-positives (cut-off close to 30 mm) or lower sensitivity with few false-positives (close to 20 mm). Cervical length seems to be more accurate that internal os or presence of a funnel which should be used with caution in clinical decisions (NP 3). There is no comparative study about the use of ultrasonographic examination of the cervix in women with preterm labor to evaluate benefits and adverse effects in clinical practice. However, ultrasonographic examination of the cervix supply a progress identifying women at risk of preterm delivery and this technique has a better predictive value than clinical cervical examination (NP 3). It seems reasonable to recommend utilisation of ultrasonographic examination of the cervic in preterm labor. It would not seem reasonable to replace the

  6. Redox Biology Final Examination 2016 | Center for Cancer Research

    Science.gov (United States)

    Numerous registrants have requested a certificate upon completion of the Redox Biology (RB) course. In order to obtain a certificate, you must answer 8 of the 12 questions below correctly. In the final examination, 1 question is derived from each of the 1-hour lectures. It is highly recommended that you have a copy of each PowerPoint presentation prior to taking the examination.

  7. Examining Emotional Support Animals and Role Conflicts in Professional Psychology

    OpenAIRE

    Younggren, Jeffrey N.; Boisvert, Jennifer A.; Boness, Cassandra L.

    2016-01-01

    This article examines the role conflicts that psychologists may face in their practices related to the evaluation and certification of emotional support animals (ESAs). It reviews the legal differences between ESAs and service animals (SAs), outlines ethical guidelines and legal policies/regulations regarding the use of ESAs, and examines the potential role conflicts that exist when a treating psychologist is certifying the need for an ESA. Finally, it makes recommendations to assist psycholo...

  8. LINGUOCREATIVITY IN THE ASPECT OF THE NAMING EXAMINATION

    OpenAIRE

    Tatiana P. Sokolova

    2016-01-01

    The article features the results of the linguocreative activity on coining trademarks and service marks, company names, trade names as well as urbanonyms in the aspect of the naming examination — a new type of the linguistic examination which is only taking shape at the interface between onomastics, linguistics and jurisprudence. The analysis of the trade marks’ data in the Federal Institute of Industrial Property shows that the names originality is achieved due to creative naming units based...

  9. Physical examination prior to initiating hormonal contraception: a systematic review.

    Science.gov (United States)

    Tepper, Naomi K; Curtis, Kathryn M; Steenland, Maria W; Marchbanks, Polly A

    2013-05-01

    Provision of contraception is often linked with physical examination, including clinical breast examination (CBE) and pelvic examination. This review was conducted to evaluate the evidence regarding outcomes among women with and without physical examination prior to initiating hormonal contraceptives. The PubMed database was searched from database inception through March 2012 for all peer-reviewed articles in any language concerning CBE and pelvic examination prior to initiating hormonal contraceptives. The quality of each study was assessed using the United States Preventive Services Task Force grading system. The search did not identify any evidence regarding outcomes among women screened versus not screened with CBE prior to initiation of hormonal contraceptives. The search identified two case-control studies of fair quality which compared women who did or did not undergo pelvic examination prior to initiating oral contraceptives (OCs) or depot medroxyprogesterone acetate (DMPA). No differences in risk factors for cervical neoplasia, incidence of sexually transmitted infections, incidence of abnormal Pap smears or incidence of abnormal wet mount findings were observed. Although women with breast cancer should not use hormonal contraceptives, there is little utility in screening prior to initiation, due to the low incidence of breast cancer and uncertain value of CBE among women of reproductive age. Two fair quality studies demonstrated no differences between women who did or did not undergo pelvic examination prior to initiating OCs or DMPA with respect to risk factors or clinical outcomes. In addition, pelvic examination is not likely to detect any conditions for which hormonal contraceptives would be unsafe. Published by Elsevier Inc.

  10. A Case of Anaphylaxis to Chlorhexidine during Digital Rectal Examination

    OpenAIRE

    Bae, Yun-Jeong; Park, Chan Sun; Lee, Jae Keun; Jeong, Eunheui; Kim, Tae-Bum; Cho, You Sook; Moon, Hee-Bom

    2008-01-01

    Chlorhexidine is widely used as an antiseptic and disinfectant in medical and non-medical environments. Although the sensitization rate seems to be low, its ubiquitous use raises the possibility of sensitization in many patients and medical care workers. We describe a patient with anaphylaxis during digital rectal examination with chlorhexidine jelly. Urticaria, angioedema, dyspnea, and hypotension developed within a few minutes of the rectal examination. The patient fully recovered after tre...

  11. [Procedure and indications of stool examination in parasitology].

    Science.gov (United States)

    Trabelsi, Sonia; Aouinet, Amira; Khaled, Samira

    2012-06-01

    Intestinal parasites are a public health problem in the world especially in tropical and subtropical countries. Despite the improvement in living standards and healthy conditions, these parasitoses remain relatively frequent in Tunisia. Stool specimen examination keeps the fundamental test for screening and diagnosis. It is to directly search the parasite. Respect for the right procedure of collection of stool is an essential step for the reliability and proper interpretation of results of this examination.

  12. Early detection of disease and scheduling of screening examinations.

    Science.gov (United States)

    Lee, Sandra; Huang, Hui; Zelen, Marvin

    2004-12-01

    Special examinations exist for many chronic diseases, which can diagnose the disease while it is asymptomatic, with no signs or symptoms. The earlier detection of disease may lead to more cures or longer survival. This possibility has led to public health programs which recommend populations to have periodic screening examinations for detecting specific chronic diseases, for example, cancer, diabetes, cardiovascular disease and so on. Such examination schedules when embedded in a public health program are invariably costly and are ordinarily not chosen on the basis of possible trade-offs in costs and benefits for different screening schedules. The possible candidate number of examination schedules is so large that it is not feasible to carry out clinical trials to compare different schedules. Instead, this problem can be investigated by developing a theoretical model which can predict the eventual disease specific mortality for different examination schedules. We have developed such a model. It is a stochastic model which assumes that i) the natural history of the disease is progressive and ii) any benefit from earlier diagnosis is due to a change in the distribution of disease stages at diagnosis (stage shift). The model is general and can be applied to any chronic disease which satisfies our two basic assumptions. We discuss the basic ideas of schedule sensitivity and lifetime schedule sensitivity and its relation to the reduction in disease specific mortality. Our theory is illustrated by applications to breast cancer screening. The investigation of schedules compares not only examination schedules with equal intervals between examinations but also staggered schedules using the threshold method. (Examinations are carried out when an individual's risk status reaches a preassigned threshold value.).

  13. The Surprise Examination Paradox and the Second Incompleteness Theorem

    OpenAIRE

    Kritchman, Shira; Raz, Ran

    2010-01-01

    We give a new proof for Godel's second incompleteness theorem, based on Kolmogorov complexity, Chaitin's incompleteness theorem, and an argument that resembles the surprise examination paradox. We then go the other way around and suggest that the second incompleteness theorem gives a possible resolution of the surprise examination paradox. Roughly speaking, we argue that the flaw in the derivation of the paradox is that it contains a hidden assumption that one can prove the consistency of the...

  14. Book review prof. F. S. Safuanov "Forensic psychological examination"

    Directory of Open Access Journals (Sweden)

    Dvoryanchikov N.V.

    2015-11-01

    Full Text Available The book is a unique publication that combines monographic presentation of the material and didactic structure of the text, characteristic of the teaching AIDS. It can be noted that the presented work is the first textbook on forensic examination for psychologists and the only Handbook covering virtually all aspects of judicial-psychological examination. The book is filled of presentation and broad coverage of the problematic areas identified in it.

  15. Using a Natural Experiment to Examine Tobacco Tax Regressivity

    OpenAIRE

    Adel Bosch; Steven F. Koch

    2014-01-01

    We take advantage of a tobacco tax hike that occurred during the collection of the South African Income and Expenditure Survey to examine the regressivity of tobacco taxes. We are also able to examine the relative change in regressivity following the tax increase. Like previous research into commodity taxes, we find that tobacco taxes are regressive. However, we find that tobacco tax increases reduce the tax burden at the lower end of the income distribution, such that after the cigarette tax...

  16. Hypnotizability and performance at examination. A correlative study.

    Science.gov (United States)

    Palan, B M; Chandwani, S

    1986-01-01

    Hypnotizability of 45 medical students was assessed by applying the Harvard Group Scale of Hypnotic Susceptibility, Form: A (HGSHS:A) of Shor and Orne. Comparison of hypnotizability with performance of the students at a test examination evolved a significant positive correlation (r = 0.59). The prevalent misconception that only psychologically weak or sick people with poor intelligence are hypnotizable is disproved. Probable causes, responsible for such a relationship between hypnotizability and performance at examination are discussed.

  17. Consequences of outsourcing referrals for magnetic resonance examinations

    OpenAIRE

    Tavakol Olofsson, Parvin

    2012-01-01

    Background: Rapid developments in imaging technology affecting its day-to-day clinical use continue to increase the workload in diagnostic radiology. Along with demands for ever more effective healthcare, these are two important factors for which outsourcing might be a potential solution. Outsourcing radiological examinations is a challenge and increases the need for cooperation between different health care units. Delegating a radiological examination is associated with administrative work w...

  18. Non-participation modestly increased with distance to the examination clinic among adults in Finnish health examination surveys.

    Science.gov (United States)

    Reinikainen, Jaakko; Saarsalmi, Perttu; Härkänen, Tommi; Jousilahti, Pekka; Karvanen, Juha; Männistö, Satu; Tolonen, Hanna

    2017-11-01

    Health examination surveys (HES) provide important information about population health and health-related factors, but declining participation rates threaten the representativeness of collected data. It is hard to conduct national HESs at examination clinics near to every sampled individual. Thus, it is interesting to look into the possible association between the distance from home to the examination clinic and non-participation, and whether there is a certain distance after which the participation activity decreases considerably. Data from two national HESs conducted in Finland in 2011 and 2012 were used and a logistic regression model was fitted to investigate how distance was related to non-participation. We found out that non-participation modestly increased with distance to the examination clinic. An additional analysis indicated that the option of having an examination at home may decrease the effect of distance to participation. Long distances from home to the examination clinic are one reason for low participation activity. Possible bias caused by these differences in participation could be decreased by providing the option of a home examination.

  19. Distress and pain during pelvic examinations: effect of sexual violence.

    Science.gov (United States)

    Weitlauf, Julie C; Finney, John W; Ruzek, Josef I; Lee, Tina T; Thrailkill, Ann; Jones, Surai; Frayne, Susan M

    2008-12-01

    To estimate the range and severity of distress and pain during pelvic examinations among female veterans with and without histories of sexual violence, and to examine whether posttraumatic stress disorder explains additional variance in examination-related distress and pain above that accounted for by exposure to sexual violence. We employed a cross-sectional cohort design in which 67 selected female veterans completed self-administered questionnaires to assess history of sexual violence and experiences of distress and pain associated with the pelvic examination. A subsample of 49 completed an assessment for posttraumatic stress disorder approximately 2 weeks later. Distress associated with the pelvic examination was highest for women with prior sexual violence and posttraumatic stress disorder (median 5.49), next highest for women with sexual violence only (median 2.44), and lowest for women with neither (median 0), P=.015. Higher ratings of pain were also found among women with sexual violence (median 2.5) compared with those without (median 0), P=.04. However, posttraumatic stress disorder was not linked with increased pain from speculum insertion beyond that accounted for by sexual violence; limited power may have precluded detection of this effect. Distress and pain during pelvic examinations may indicate a history of previous sexual violence, particularly in those with posttraumatic stress disorder. Extra sensitivity to the special needs of this population is warranted and may contribute positively to the quality of patients' experiences. II.

  20. The utility of routine histological examination of gunshot wounds.

    Science.gov (United States)

    Perez, Danielo B; Molina, D Kimberley

    2012-09-01

    Determining the range of fire is a crucial part of a forensic examination of gunshot wound victims. Traditionally, this has been accomplished by noting the gross appearance of soot or powder around the wound. This study was undertaken to determine the utility of routine histological examination of gunshot wounds as related to range-of-fire determination. A prospective study was performed, and a total of 69 gunshot wounds were examined both macroscopically and microscopically. Of the 45 entrance wounds examined, there was 100% concordance between macroscopic and microscopic analysis for the close-range wounds and 67% concordance for the distant wounds, with 33% of these wounds showing no evidence of soot or powder grossly but where residue was seen microscopically. In addition, 21% of the exit wounds examined showed microscopic evidence of soot/powder residues when none were visible macroscopically. As described in previous studies, it can be assumed that the bullet itself can deposit small residues along the wound track (bullet wipe) that can be seen microscopically and is unrelated to the range of fire. Therefore, the authors conclude there is no utility in the routine histological examination of gunshot wounds for the determination of range of fire.

  1. University students' psychopathology: correlates and the examiner's potential bias effect

    Directory of Open Access Journals (Sweden)

    Helena Espirito Santo

    2015-02-01

    Aims: the main objective was to verify if there is a difference on psychopathological symptoms between two groups questioned by two different examiners, controlling for the potential role of social desirability, and other potential covariates. Additionally, we want to assess the level of psychopathology and its socio-demographic correlates.Methods: 185 Coimbra's university students completed the Brief Symptom Inventory/BSI and the Marlowe-Crowne Social Desirability Scale. In one group the examiner was of the same age and academic status as the students, while in the other group the examiner was older and a teacher. We studied the psychopathological correlates with Pearson, point-biserial correlations, and qui-square analyses, and we controlled the potential role of covariates through Quade non-parametric ANCOVAs. Results: The level of distress was lower in comparison with other investigations. Women had higher level of distress and more symptoms of somatization, anxiety, phobic anxiety, obsessive-compulsion, and depression. The students that live a higher distance from home had more anxiety and obsessive-compulsive symptoms. The group assessed by the younger examiner scored higher in distress and in some BSI factors, and had lower levels on social desirability. Conclusions: Sex and distance from home seem important factors for university students' mental health. However, the examiner does have an influence in the evaluation, probably because of social desirability, suggesting that the examiner's characteristics should be given in investigations involving university students.

  2. Normal Anal Examination After Penetration: A Case Report.

    Science.gov (United States)

    Slingsby, Brett; Goldberg, Amy

    2017-12-18

    Physical findings are rare after anal penetration. Furthermore, children delay in disclosing or are reticent to discuss penetration. A 12-year-old boy presented to medical care multiple times over a several-week period complaining of abdominal pain, bloody diarrhea, and poor appetite. On colonoscopy, he was found to have a cylindrical foreign body (measuring 7 cm tall and 7 cm in diameter) in his rectum, which had been present for at least 2 weeks. He initially denied knowing how the object got into his rectum and later stated that he inserted it himself out of curiosity. One week after the object was removed, follow-up examination using video colposcopy revealed a completely normal anal examination; the patient had a normal anal examination despite known anal penetration and removal of the object. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Children can have a normal anal examination despite anal penetration, and do not always disclose anal penetration. The aforementioned concepts can be applied to situations related to child sexual abuse in the emergency department, where physical examinations are frequently normal and children delay in disclosing the abuse. When there is concern for sexual abuse, even in the absence of a disclosure or examination findings, patients should be referred for a child abuse pediatrics evaluation if available. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. History of the development of forensic psychological examination

    Directory of Open Access Journals (Sweden)

    Safuanov F.S.

    2014-12-01

    Full Text Available The article discusses the history of forensic psychological and comprehensive examinations with her, isolated and analyzed three stages. The first stage - the emergence of forensic psychological examination as an independent branch of the forensic identification of the main subject of species introduction into the proceedings (the end of the 70s of the twentieth century - early 80s. The second stage - the emergence of forensic psychological examination and development of theoretical, methodological, organizational and legal problems, including - the criteria of forensic psychological expert assessment of legally significant abilities of the accused, victims and witnesses in criminal proceedings (the beginning of the 80s - 1997. The third phase - the development of forensic psychological examination in the new legislation of the Russian Federation, the emergence of forensic psychological expertology, the allocation of new types of forensic psychological examination in criminal proceedings, the introduction of this type of expertise in civil proceedings (from 1997 to the present. Designated urgent problems to be solved to improve the theory and practice of forensic psychological examination.

  4. WASHBACK OF ENGLISH NATIONAL EXAMINATION IN THE INDONESIAN CONTEXT

    Directory of Open Access Journals (Sweden)

    FURAIDAH

    2015-01-01

    Full Text Available This study examines how teachers teach English to prepare students for high-stakes English national examination in the Indonesian context. Data were collected from two high-achieving and three low-achieving schools with eleven teachers as the subjects of in-depth interviews and nonparticipatory classroom observations. The findings reveal that bi-directional washback was found in both groups of schools. The schools of low achievers were found to have more intensive negative washback than those of high achievers. The different intensity of negative washback is likely related to the teachers’ perspective about their students’ level of competence for passing the national examination and about the quality of their schools. The consistently unsatisfactory national examination scores of the low-achieving schools, despite their concerted efforts in the examination preparation program, suggest that the government should focus on supporting such schools with more empirically-based empowerment programs, which would become an indispensable follow-up actions regarding the implementation of the highstakes national examination.

  5. Formation of new linguistic competences in education space: naming examination

    Directory of Open Access Journals (Sweden)

    Remchukova Elena

    2016-01-01

    Full Text Available The naming examination is a new kind of linguistic examination. The article deals with linguistic aspects of teaching this course in higher school for the special training of experts. In order to form professional competence on naming examination in the process of teaching special attention is paid to studies of theory of nomination and onomastics, to examination of language units from the point of view of component analysis, semantic-stylistic analysis and others, as well as the formation of the skills of work with different lexicographic sources and digital resources and database. In the laboratory course “Applied and mathematical linguistics,” the skills of lexico-semantic, morphological, etymological, morphemic, word-formation, phonetic analysis of concrete names are practiced. We focus on the studies of artificial naming patterns, including advertising names, which bring out the creative potential of the Russian language. Creative trends dominate in this area of nomination. Naming examination as a new kind of forensic linguistic examination is taught within the course ”Forensic linguistic examination” which accomplishes technical education of students

  6. Passing the NBCOT Examination: Preadmission, Academic, and Fieldwork Factors

    Directory of Open Access Journals (Sweden)

    Sharon D. Novalis

    2017-10-01

    Full Text Available All occupational therapy students are required to successfully complete the certification examination administered by the National Board for Certification in Occupational Therapy (NBCOT before they can practice independently. The need to repeat the examination can result in stress, anxiety, and financial hardship. This paper explores the relationship of preadmission factors, academic and fieldwork performance, and demographic variables to successful first-time attempts on the certification examination for occupational therapists. Data were gathered from 144 student files in a Master of Occupational Therapy (MOT Program at a single university. Of the sample, 82% passed and 18% failed their first NBCOT test trial. Considered independently, preadmission recommendation letters and writing sample scores, graduate MOT program GPA, lack of MOT program difficulty, fieldwork self-reports, and gender predicted NBCOT certification examination outcomes. When considered together in logistic regression models predicting outcome, this combination of factors correctly predicted 86.2% of student outcomes (or 20% to 32% of the variance in certification examination success, with OT program GPA and preadmission recommendation scores predicting unique outcome variance. This information may be helpful to admissions committees as well as to occupational therapy faculty as they identify strategies and practices to facilitate first-time test taking success on the NBCOT certification examination

  7. Examiner and simulated patient ratings of empathy in medical student final year clinical examination: are they useful?

    Science.gov (United States)

    Wright, Barry; McKendree, Jean; Morgan, Lewys; Allgar, Victoria L; Brown, Andrew

    2014-09-22

    Many medical schools state that empathy is important and have curricular learning outcomes covering its teaching. It is thought to be useful in team-working, good bedside manner, patient perspective taking, and improved patient care. Given this, one might expect it to be measured in assessment processes. Despite this, there is relatively little literature exploring how measures of empathy in final clinical examinations in medical school map onto other examination scores. Little is known about simulated patient (actors) rating of empathy in examinations in terms of inter-rater reliability compared with clinical assessors or correlation with overall examination results. Examiners in final year clinical assessments in one UK medical school rated 133 students on five constructs in Objective Structured Long Examination Record (OSLER) with real patients: gathering information, physical examination, problem solving, managing the diagnosis, and relationship with the patient. Scores were based on a standardized well-established penalty point system. In separate Objective Structured Clinical Examination (OSCE) stations, different examiners used the same penalty point system to score performance in both interactional and procedural stations. In the four interaction-based OSCE stations, examiners and simulated patient actors also independently rated empathy of the students. The OSLER score, based on penalty points, had a correlation of -0.38 with independent ratings of empathy from the interactional OSCE stations. The intra-class correlation (a measure of inter-rater reliability) between the observing clinical tutor and ratings from simulated patients was 0.645 with very similar means. There was a significant difference between the empathy scores of the 94 students passing the first part of the sequential examination, based on combined OSCE and OSLER scores (which did not include the empathy scores), and 39 students with sufficient penalty points to trigger attendance for the

  8. An analysis of the mathematics school examination test quality

    Directory of Open Access Journals (Sweden)

    Hadi Sutrisno

    2016-11-01

    Full Text Available This research aims to describe: (1 the quality of mathematics school examination test of the Junior High School for the academic year 2015/2016 in Kabupaten Bangkalan based on qualitative analysis of tests item, (2 the quality of mathematics school examination test of Junior High School for the academic year 2015/2016 in Kabupaten Bangkalan based on quantitative analysis of test items, and (3 the test equating on mathematics school examination test for the academic year of 2015/2016 of Junior High School in Kabupaten Bangkalan. A test is said to be quality if it fulfills validity, reliability, and it has good characteristic. A test is said to be equivalent to another if the test scores of one test can be exchanged with the scores of another test. The data is taken from school examination script accompanied with the answer sheets of students. Qualitative data analysis was conducted with the help of experts judgement. Quantitative data analysis was conducted with Classical Test Theory by Iteman and Item Response Theory by BilogMG. These programs are used to find out the test quality quantitatively. In order to analyze the equivalence between series of tests, item-characteristic curves were used. These curves were drawn by Geogebra. The research result shows: (1 qualitatively, the test plan quality of mathematics school examination test is quite good. Meanwhile, the school exam quality is quite good and not so good, (2 quantitatively, the school examination test quality is good, and (3 equating, based on the item-characteristic curves, the school examination tests is equal.

  9. Teaching pelvic examinations under anaesthesia: what do women think?

    Science.gov (United States)

    Wainberg, Sara; Wrigley, Heather; Fair, Justine; Ross, Sue

    2010-01-01

    Medical students need to undertake supervised pelvic examinations to achieve competence. This experience is frequently obtained by conducting pelvic examinations on anaesthetized patients who are undergoing gynaecological surgery. Our research was carried out to determine patients' expectations of medical students performing intraoperative pelvic examinations. Patients at the Calgary Pelvic Floor Disorders Clinic were asked to complete questionnaires including items about who would be present in the OR, what procedures students might undertake, and whether patients would give consent for students doing pelvic exams during surgery. A sample size calculation determined that 100 questionnaires were required. Completed questionnaires were received from 102 women. Their mean age was 57 years, range 21 to 91; 64 (63%) had previously undergone gynaecological surgery; 56 (55%) expected a medical student would be present during surgery; 80 (78%), wanted to be told if a medical student would be present; 19 (19%) were aware that a medical student might do a pelvic examination in the OR; 73 (72%) expected to be asked for consent before medical students undertook pelvic examinations under anaesthesia. Fifty-eight respondents (62%) said they would consent to medical students doing pelvic examinations, 5 (5%) would consent for female students only, 17 (18%) were not sure, and 13 (14%) would refuse. The majority of patients wish to help medical students to learn but expect consent to be sought if medical students are to perform pelvic examinations on anaesthetized patients. Before introducing explicit consent in Canadian teaching centres, it will first be necessary to determine the feasibility of seeking consent specifically for this procedure.

  10. Thoracolumbar spine clearance: Clinical examination for patients with distracting injuries.

    Science.gov (United States)

    Cason, Ben; Rostas, Jack; Simmons, Jon; Frotan, Mohammed A; Brevard, Sidney B; Gonzalez, Richard P

    2016-01-01

    The purpose of this study was to prospectively assess the sensitivity of clinical examination to screen for thoracolumbar spine (TLS) injury in awake and alert blunt trauma patients with distracting injuries. From December 2012 to June 2014, all blunt trauma patients older than 13 years were prospectively evaluated as per standard TLS examination protocol at a Level 1 trauma center. Awake and alert patients with Glasgow Coma Scale (GCS) score of 14 or greater underwent clinical examination of the TLS. Clinical examination was performed regardless of distracting injuries. Patients with no complaints of pain or tenderness on examination of the TLS were considered clinically cleared of injury. Patients with distracting injuries, including those clinically cleared and those with complaints of TLS pain or tenderness, underwent computed tomographic scan of the entire TLS. Patients with minor distracting injuries were not considered to have a distracting injury. A total of 950 blunt trauma patients were entered, 530 (56%) of whom had at least one distracting injury. Two hundred nine patients (40%) with distracting injuries had a positive TLS clinical examination result, of whom 50 (25%) were diagnosed with TLS injury. Three hundred twenty-one patients (60%) with distracting injuries were initially clinically cleared, in whom 17 (5%) TLS injuries were diagnosed. There were no missed injuries that required surgical intervention, with only four injuries receiving TLS orthotic bracing. This yielded an overall clinical clearance sensitivity for injury of 75% and sensitivity for clinically significant injury of 89%. In awake and alert blunt trauma patients with distracting injuries, clinical examination is a sensitive screening method for significant TLS injury. Radiologic assessment may be unnecessary for safe clearance of the asymptomatic TLS in patients with distracting injuries. These findings suggest significant potential reduction of both health care cost and patient

  11. Usefulness of ultrasound examination in larynx traumas in children.

    Science.gov (United States)

    Jakubowska, Anna; Zawadzka-Głos, Lidia; Brzewski, Michał

    2011-04-01

    The aim of the paper was to evaluate the usefulness of ultrasonographic examination in diagnosing laryngeal traumas, and monitoring the progress or complications in its treatment. In the years 2004-2009, 12 children, including 5 girls and 7 boys with laryngeal injuries, aged 5-12 years, were diagnosed and treated. In all the children, US examination of the neck and larynx, using a high-frequency linear transducer, as well as laryngoscopy and radiological examination of the cervical spine and chest were performed. Blunt injury of the larynx was found in 12 children; in 9 children, the injury had been caused by hitting the neck against an obtuse object, 1 child had been kicked in the neck, and in one there had been an attempt of strangling. One of the children had sustained blunt injuries of the neck and chest in a traffic accident. IN US EXAMINATIONS, THE FINDINGS INCLUDED: unilateral lack of vocal cord mobility in 5 children, asymmetry in vocal cord mobility in 1 child, fractured thyroid cartilage with local hematoma in the affected area in 2 children, and thickened vocal cords in 5 children. IN RADIOLOGICAL EXAMINATION, THE FINDINGS INCLUDED: subcutaneous emphysema in the cervical area of the chest in 4 children, and mediastinal emphysema in 2 children with traumatic rupture of the trachea shown in laryngoscopy. US examination is helpful in the assessment of the extensiveness of laryngeal trauma, especially in the evaluation of vocal cord mobility, cervical cartilage and the soft tissues of the neck. A high level of conformity was demonstrated between the results of cervical US and the respective laryngoscopic findings. US examination does not allow to differentiate between vocal cord paralysis and their immobilization.

  12. Standards on medical fitness examinations for Navy divers.

    Science.gov (United States)

    Weiss, Michael

    2003-01-01

    The German Navy employs approximately 480 divers in their primary and secondary role. Before entering diving training, every diver has to pass an intensive physical examination programme at the German Naval Medical Institute (NMI) in Kiel-Kronshagen. Annual follow-ups ensure the currency of the medical findings. Criteria of medical fitness for diving reflect industrial medical standards for hyperbaric workers as well as the general medical guidelines for NATO divers. A diving examination consists of the individual medical history, a physical examination including the neurological status and the assessment of the cardiovascular fitness by ECG and bicycle ergometry. The respiratory system is screened by regular chest x-rays and spirometry or body plethysmography. Blood and urine samples are taken to look for abnormal haematological and metabolic conditions as well as disorders of the genito-urinary system. In order to determine visual fitness, diver's visual acuity, colour vision and stereopsis as well as eye fundi are examined by an eye specialist. Also the ENT examination involves a speciality consultant and consists of audiometry, inspection of the external ear and tympanic membrane and functional tests. To ensure a high standard of dental fitness, screening by a dental officer is part of the annual check-up. Every routine diving medical examination at the NMI includes a pressure test in the hyperbaric chamber. Divers who use nitrox or oxygen-rebreather devices have to pass successfully an oxygen tolerance test under hyperbaric conditions. The annual routine diving medical examination contributes to minimize the risk of accidents in military diving operations.

  13. [Variability of physician judgements in school entry examinations].

    Science.gov (United States)

    Geyer, S; Wedegärtner, F

    2007-11-01

    Data from school entry examinations were used for studying the variability of judgements between physicians performing the examinations. Two diagnoses were subject to examination: 1) Obesity, because an external criterion was available for this one. The medical classifications were compared with automated classifications using an external criterion. 2) Language anomalies, because these are the most frequent diagnoses. No external criterion had been available, thus differences within the group of examining physicians were considered. Data from all school entry examinations performed in the city of Hannover between 1998 and 2001 were used. Altogether 14 physicians were involved, but due to low case numbers the data of two had to be omitted. The analyses are based on 18,303 datasets. For obesity the agreement rates between physicians' and automatically generated diagnoses were ascertained by calculating sensitivity and specificity. Comparisons of differences between physicians with respect to chances of getting a diagnosis were performed using logistic regression. The sensitivity of classifying body weights above the 75 (th) percentile correctly was 0.64 over all years of observation. The respective sensitivity of classifying children with body weights above the 97 (th) percentile was 0.70. Considerable differences over the four years of observation occurred. For performing logistic regressions, the diagnoses of the physician with the smallest difference from an external criterion were used as standard of comparison. The diagnoses of the physician with the largest difference yielded an OR=0.08. The overall variability within the group of examining physicians was large. With respect to language anomalies, although considerable, the within-group differences were smaller. The largest odds ratio in this case was OR=0.40. Diagnoses from school entry examinations vary according to the physicians involved. Thus the data should not be used for epidemiological studies. In

  14. Digital rectal examination in the evaluation of rectovaginal septal defects.

    Science.gov (United States)

    Rachaneni, Suneetha; Atan, Ixora Kamisan; Shek, Ka Lai; Dietz, Hans Peter

    2017-02-17

    The objective was to evaluate the diagnostic potential of digital rectal examination in the identification of a true rectocele. This is a retrospective observational study utilising 187 archived data sets of women presenting with lower urinary tract symptoms and/or pelvic organ prolapse between August 2012 and November 2013. Evaluation included a standardised interview, ICS-POPQ, rectal examination and 4D translabial ultrasound. The main outcome measure was the diagnosis of rectocele by digital rectal palpation on Valsalva manoeuvre. This diagnosis correlated with the sonographic diagnosis of rectocele to determine agreement between digital examination and ultrasound findings. Complete data sets were available for 180 participants. On imaging, the mean position of the rectal ampulla was 11.07 (-36.3 to 44.3) mm below the symphysis pubis; 42.8% (77) had a rectocele of a depth of ≥10 mm. On palpation, a rectocele was detected in 60 women (33%). Agreement between palpation and imaging was observed in 77%; the kappa was 0.52 (CI 0.39-0.65). On receiver operator characteristic analysis, the area under the curve was 0.854 for the relationship between rectocele pocket depth and the detection of rectocele on palpation. Moderate agreement was found between digital rectal examination for rectocele and translabial ultrasound findings of a "true rectocele". Digital rectal examination may be used to identify these defects in clinical practice. Extending the clinical examination of prolapse to include rectal examination to palpate defects in the rectovaginal septum may reduce the need for defecatory proctograms for the assessment of obstructive defecation and may help triage patients in the management of posterior compartment prolapse.

  15. Using the objective structured clinical examinations in undergraduate midwifery students

    Science.gov (United States)

    Delavar, MA; Salmalian, H; Faramarzi, M; Pasha, H; Bakhtiari, A; Nikpour, M; Ledari, FM

    2013-01-01

    The Objective Structured Clinical Examination (OSCE) has been considered a modern type of examination for the assessment of clinical skills within nurse education, but it has been rarely applied in the teaching of midwifery. The aim of the present study was to assess the use of the OSCE as a tool to evaluate the abilities of undergraduate midwifery students and to compare the perspectives of the students regarding the OSCE and traditional examination. Fifty-two midwifery students participated in the study. The export trainer evaluated the internal consistency of the OSCE stations and it was tested by using Cronbach’s alpha. Successive groups of students completed a self-administered questionnaire immediately after the final examination. The students’ perspective regarding the traditional final examination ranked as unsatisfactory by more than two thirds of the students, while, the students’ perspective regarding the OSCE system was ranked as very satisfactory to satisfactory by more than half of the students (p=0.001). There was a significant difference in the students’ perspective between the OSCE system and the traditional final examination among the students (49.8±18.3 vs 25.3±18.1) (p=0.001). A significant difference was found in being credible (p=0.0001), consistent/reliable (p=0.001), enhances teaching level (p=0.011), and measures the course category (p=0.008) between two methods of the final examination. Around half of the students expressed their opinion that the OSCE test was a stressful assessment. Overall, students’ evaluation of the OSCE was remarkably encouraging. To this end, we recommend the consideration of the validity and reliability of the process for undergraduate midwifery students. PMID:23599825

  16. A web-based peer feedback tool for physical examination.

    Science.gov (United States)

    Luther, Ryan; Richardson, Lisa

    2017-05-09

    Medical students do not have many formal opportunities to practise physical examinations during their pre-clerkship years. Consequently, they often practise their examination skills with peers outside of formal teaching sessions. There are also few opportunities for observation and feedback on their skills in this area. The undergraduate medical programme at the University of Toronto is a 4-year programme where students learn clinical skills in the first 2 years prior to beginning clinical rotations. We describe a web-based, mobile device-friendly tool to facilitate structured peer-peer observation and feedback of physical examination skills. The tool is designed for use by pre-clerkship medical students, and includes assessment criteria for select physical examinations based on expectations for pre-clerkship medical students. In addition, supplemental instructional material was developed to aid the students' learning. The tool was piloted with first-year medical students as they prepared for their autumn objective structured clinical examination (OSCE) at the University of Toronto. Its use was voluntary. The tool has been used enthusiastically by students, and their feedback has been positive. This tool is an innovation that guides students as they practise their physical examination skills, and gives them a framework to provide feedback to one another during this process. It also encourages students to reflect critically on their own skills, as well as those of their peers, through the use of an engaging digital platform. The tool will be expanded to include history-taking vignettes, photos and videos. The tool is sustainable, and could be easily implemented at other institutions without a substantial investment. Students often practise their examination skills with peers outside of formal teaching sessions. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

  17. To License or Not to License Updated: An Examination of State Statutes Regarding Private Investigators and Digital Examiners

    Directory of Open Access Journals (Sweden)

    Thomas Lonardo

    2012-09-01

    Full Text Available In this update to the 2009 year's study, the authors examine statutes that regulate, license, and enforce investigative functions in each US state. After identification and review of Private Investigator licensing requirements, the authors find that very few state statutes explicitly differentiate between Private Investigators and Digital Examiners, but do see a trend of more states making some distinction. The authors contacted all state regulatory agencies where statutory language was not explicit, and as a result, set forth the various state approaches to professional Digital Examiner licensing. As was the case in the previous two iterations of this research, the authors conclude that states must differentiate between Private Investigator and Digital Examiner licensing requirements and oversight.

  18. Effectiveness of workers' general health examination in Korea by health examination period and compliance: retrospective cohort study using nationwide data.

    Science.gov (United States)

    Eom, Huisu; Myong, Jun-Pyo; Kim, Eun-A; Choi, Bohwa; Park, Soon Woo; Kang, Young Joong

    2017-01-01

    Our study evaluated the effectiveness of the Workers' General Health Examination by health examination period and compliance. A retrospective cohort of the health examination participants in 2006 (baseline year: N = 6,527,045) was used. We identified newly occurring cardio-cerebrovascular disease over 7 years (from 2007 to 2013). After stratification by age, sex, and national health insurance type, we identified 7 years' cumulative incidence of cardio-cerebrovascular disease by health examination compliance and estimated its relative risk by health examination period and compliance. The compliant group presented a lower cumulative incidence of cardio-cerebrovascular disease than the non-compliant group; this result was consistent across sex, working age (40s and 50s), and workplace policyholder. Relative risk of cardio-cerebrovascular disease by health examination period (1 and 2 years) showed statistically significant results in ischemic heart disease for male participants. Of men in their 40s, office workers (over a 2-year period) presented statistically higher relative risk of ischemic heart disease than non-office workers (over a 1-year period: 1.03; 95% confidence interval, 1.02-1.03). However, there were no consistent results in ischemic cerebrovascular disease and hemorrhagic cerebrovascular disease for men or cardio-cerebrovascular disease for women. A 1-year period of Workers' General Health Examinations in non-office workers had a more significant prevention effect on ischemic heart disease than a 2-year period in office workers among working age (40s-50s) men. It is, however, necessary to consider that prevention of cardio-cerebrovascular disease can be partially explained by their occupational characteristics rather than by health examination period.

  19. Survey of medical examiner office computerization. From the National Association of Medical Examiners (N.A.M.E.).

    Science.gov (United States)

    Hanzlick, R

    1994-06-01

    Following a suggestion that the National Association of Medical Examiners (N.A.M.E.) develop a N.A.M.E. Information Center (NIC), N.A.M.E. conducted a survey to evaluate the current status of medical examiner office automation (computerization) in the United States. Responses were received from 80 unique reporting areas, including 75 medical examiner offices, which represent approximately 30% of the 258 medical examiner jurisdictions in the country. A total of 58 responders (65%) indicated that their office was automated. At least 38 states have one or more automated death investigation office, and electronic data exist for approximately 145,000 deaths per year, or approximately 30% of all deaths certified by medical examiners and coroners annually and approximately 6% of all deaths per year in the United States. Although computerized offices vary substantially in size and in their choice of hardware and software, a typical computerized medical examiner office (a) is in a single county with 1,000-6,000 death reports per year, (b) keeps electronic records on all cases reported, (c) uses an IBM or compatible personal computer (PC) or PC network with off-the-shelf software, (d) stores data on cause of death, manner of death, how injuries occur, and toxicology results, and (e) is interested in sharing its data. Considerable electronic death investigation data exist that can provide timely and valuable information for mortality and public health studies.

  20. Performance on the Cardiovascular In-Training Examination in Relation to the ABIM Cardiovascular Disease Certification Examination.

    Science.gov (United States)

    Indik, Julia H; Duhigg, Lauren M; McDonald, Furman S; Lipner, Rebecca S; Rubright, Jonathan D; Haist, Steven A; Botkin, Naomi F; Kuvin, Jeffrey T

    2017-06-13

    The American College of Cardiology In-Training Exam (ACC-ITE) is incorporated into most U.S. training programs, but its relationship to performance on the American Board of Internal Medicine Cardiovascular Disease (ABIM CVD) Certification Examination is unknown. ACC-ITE scores from third-year fellows from 2011 to 2014 (n = 1,918) were examined. Covariates for regression analyses included sex, age, medical school country, U.S. Medical Licensing Examination Step, and ABIM Internal Medicine Certification Examination scores. A secondary analysis examined fellows (n = 511) who took the ACC-ITE in the first and third years. ACC-ITE scores were the strongest predictor of ABIM CVD scores (p < 0.0001), and the most significant predictor of passing (p < 0.0001). The change in ACC-ITE scores from first to third year was a strong predictor of the ABIM CVD score (p < 0.001). The ACC-ITE is strongly associated with performance on the ABIM CVD Certification Examination. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  1. Examining young children's social competence using functional ability profiles.

    Science.gov (United States)

    McLaughlin, Tara W; Snyder, Patricia A; Algina, James

    2017-08-13

    To explore the use of International Classification of Functioning, Disability, and Health for Children and Youth (ICF-CY) based profiles of children's functional abilities in relation to their social competence. Subgroups based on shared profiles of functional ability were investigated as an alternative or complement to subgroups defined by disability categories. Secondary analysis of a nationally representative data set of young children identified for special education services in the United States was used for the present study. Using five subgroups of children with shared profiles of functional ability, derived from latent class analysis in previous work, regression analyses were used to examine the relationships between social competence and functional abilities profile subgroup membership. Differences among the subgroups were examined using standardized effect sizes. R2 values were used to examine explained variance in social competence in relation to subgroup membership, disability category, and these variables in combination. Functional ability profile subgroup membership was moderately related to children's social competence outcomes: social skills and problem behaviors. Effect sizes showed significant differences between subgroups. Subgroup membership accounted for more variance in social competence outcomes than disability category. The results provide empirical support for the importance of functional ability profiles when examining social competence within a population of young children with disabilities. Implications for Rehabilitation The extent to which children with disabilities experience difficulty with social competence varies by their functional characteristics. Functional ability profiles can provide practitioners and researchers working young children with disabilities important tools to examine social competence and to inform interventions.

  2. Changes in latent fingerprint examiners' markup between analysis and comparison.

    Science.gov (United States)

    Ulery, Bradford T; Hicklin, R Austin; Roberts, Maria Antonia; Buscaglia, JoAnn

    2015-02-01

    After the initial analysis of a latent print, an examiner will sometimes revise the assessment during comparison with an exemplar. Changes between analysis and comparison may indicate that the initial analysis of the latent was inadequate, or that confirmation bias may have affected the comparison. 170 volunteer latent print examiners, each randomly assigned 22 pairs of prints from a pool of 320 total pairs, provided detailed markup documenting their interpretations of the prints and the bases for their comparison conclusions. We describe changes in value assessments and markup of features and clarity. When examiners individualized, they almost always added or deleted minutiae (90.3% of individualizations); every examiner revised at least some markups. For inconclusive and exclusion determinations, changes were less common, and features were added more frequently when the image pair was mated (same source). Even when individualizations were based on eight or fewer corresponding minutiae, in most cases some of those minutiae had been added during comparison. One erroneous individualization was observed: the markup changes were notably extreme, and almost all of the corresponding minutiae had been added during comparison. Latents assessed to be of value for exclusion only (VEO) during analysis were often individualized when compared to a mated exemplar (26%); in our previous work, where examiners were not required to provide markup of features, VEO individualizations were much less common (1.8%). Published by Elsevier Ireland Ltd.

  3. [Chronic kidney disease in 5 708 people receiving physical examination].

    Science.gov (United States)

    Xu, Guo; Chen, Zhiheng; Zhang, Hao; Gong, Ni; Wang, Yan

    2014-04-01

    To investigate chronic kidney disease (CKD) and its risk factors in people receiving physical examination. This retrospective study included people over 20 years old who had physical examination in the Health Management Center of Third Xiangya Hospital from Janurary 2008 to June 2011. CKD and its risk factors as well as questionnaire were recorded. The risk factors were analyzed by multivariate logistic analysis. CKD was defined by kidney damage (microalbuminuria≥30 mg/L) and/or hematuria and/or reduced kidney function [evaluate glomerular filtration rate (eGFR)physical examination reports were included. The detection rate of albuminuria, reduced renal function and hematuria was 25.0%, 1.7% and 1.1%. The detection rate of CKD was 25.6%, and detection rate of CKD stage 1-5 was 17.8%, 6.7%, 1.1%, 0 and 0, respectively. Multivariate logistic analysis indicated that diabetes mellitus, hypertension, hypercholesterolemia, male, age, and smoking were the risk factors for CKD. Increasing physical activity was the protective factor against CKD. High prevalence of CKD in people receiving physical examination is found in Changsha, especially stage 1 and 2 CKD. Physical examination is important to screen CKD. Stopping smoking, control of blood glucose, blood pressure, blood lipids and increasing physical activity may help reduce the prevalence of CKD.

  4. Failed magnetic resonance imaging examinations due to claustrophobia

    Energy Technology Data Exchange (ETDEWEB)

    Sarji, S.A.; Abdullah, B.J.J.; Kumar, G.; Tan, A.H.; Narayanan, P. [University of malaya Centre, Kuala Lumpar (Malaysia). Department of Radiology

    1998-11-01

    A recognised cause of incomplete or cancelled MRI examinations is anxiety and claustrophobic symptoms in patients undergoing MR scanning. This appears to be a problem in many MRI centres in Western Europe and North America, where it is said to be costly in terms of loss of valuable scan time, and has led to researchers suggesting several anxiety reducing approaches for MRI. To determine the incidence of failed MRI examination among our patients and if there are any associations with a patient`s sex, age and education level, we studied claustrophobia that led to premature termination of the MRI examination in the University Malaya Medical Centre (UMMC) in 3324 patients over 28 months. The incidence of failed MRI examinations due to claustrophobia in the UMMC was found to be only 0.54%. There are associations between claustrophobia in MRI with the patients` sex, age and level of education. The majority of those affected were male patients and young patients in the 25-45-year age group. The patients` education level appears to be the strongest association with failed MRI examinations due to claustrophobia, where the majority of the affected were highly educated individuals. Claustrophobia in MRI is more of a problem among the educated individuals or patients from a higher socio-economic group, which may explain the higher incidence in Western European and North American patients. Copyright (1998) Blackwell Science Pty Ltd 9 refs.

  5. Comparative effectiveness of instructional methods: oral and pharyngeal cancer examination.

    Science.gov (United States)

    Clark, Nereyda P; Marks, John G; Sandow, Pamela R; Seleski, Christine E; Logan, Henrietta L

    2014-04-01

    This study compared the effectiveness of different methods of instruction for the oral and pharyngeal cancer examination. A group of thirty sophomore students at the University of Florida College of Dentistry were randomly assigned to three training groups: video instruction, a faculty-led hands-on instruction, or both video and hands-on instruction. The training intervention involved attending two sessions spaced two weeks apart. The first session used a pretest to assess students' baseline didactic knowledge and clinical examination technique. The second session utilized two posttests to assess the comparative effectiveness of the training methods on didactic knowledge and clinical technique. The key findings were that students performed the clinical examination significantly better with the combination of video and faculty-led hands-on instruction (p<0.01). All students improved their clinical exam skills, knowledge, and confidence in performing the oral and pharyngeal cancer examination independent of which training group they were assigned. Utilizing both video and interactive practice promoted greater performance of the clinical technique on the oral and pharyngeal cancer examination.

  6. Occupational health nurses' activity after general health examination for workers.

    Science.gov (United States)

    Inoue, Masaiwa

    2007-01-01

    In this study, the present condition of occupational health nurse's role after performing general health examination was surveyed. Questionnaires were mailed to 41 companies, and returned questionnaires from 24 of them were analyzed. Although general health examination results were reported to all workers individually in 100% of companies, physician's opinion regarding the examination results were obtained in 86% of companies with part-time physicians comparing with 100% of those with full-time physicians. Health care support related to the examination results were performed by 90% of occupational health nurses and 70% of physicians in companies which employed full-time physicians, but by 100% of occupational health nurses and 50% of physicians in those which employed part-time physicians. In companies with part-time physicians, 64% of occupational health nurses played roles in submitting reports to Labor Standard Inspection Office, but only 30% of occupational health nurses did it in those with full-time physicians. These results show that occupational health nurses working in companies with part-time occupational health physicians were more active in providing health care for workers after general health examination than occupational health nurses working in those with full-time occupational health physicians.

  7. Examination of Operation Quality for High-frequent Railway Operation

    DEFF Research Database (Denmark)

    Landex, Alex; Kaas, Anders H.

    2009-01-01

    The examination of operation quality for high-frequent operation requires other approaches than the typical evaluation of punctuality (trains on time) and reliability (operated trains). This is because passengers in high-frequent railway systems do not necessarily notice train delays as they just...... take the first train in their direction. The article examines four different approaches to examine operation quality for high-frequent operation that are based on the experiences of the passengers. These approaches are the service frequency of the operation, travel time extension, a combination...... operation simulation software. Combining the passenger delay model with simulation software gives the possibility to forecast future infrastructure and operation scenarios which make it possible to improve the planning....

  8. Examination of neural systems sub-serving facebook "addiction".

    Science.gov (United States)

    Turel, Ofir; He, Qinghua; Xue, Gui; Xiao, Lin; Bechara, Antoine

    2014-12-01

    Because addictive behaviors typically result from violated homeostasis of the impulsive (amygdala-striatal) and inhibitory (prefrontal cortex) brain systems, this study examined whether these systems sub-serve a specific case of technology-related addiction, namely Facebook "addiction." Using a go/no-go paradigm in functional MRI settings, the study examined how these brain systems in 20 Facebook users (M age = 20.3 yr., SD = 1.3, range = 18-23) who completed a Facebook addiction questionnaire, responded to Facebook and less potent (traffic sign) stimuli. The findings indicated that at least at the examined levels of addiction-like symptoms, technology-related "addictions" share some neural features with substance and gambling addictions, but more importantly they also differ from such addictions in their brain etiology and possibly pathogenesis, as related to abnormal functioning of the inhibitory-control brain system.

  9. Medical student performance on an adolescent medicine examination.

    Science.gov (United States)

    Kaul, Paritosh; Barley, Gwyn; Guiton, Gretchen

    2012-09-01

    To examine the performance of third-year medical students on an adolescent medicine clinical practice examination. The participants were third-year medical students (2010 [n = 145] and 2011 [n = 134]) at the University of Colorado School of Medicine. Student performance on adolescent contraceptive management was measured in three domains following Accreditation Council for Graduate Medical Education (ACGME) competencies in professionalism, communication, and history-taking skills. With regard to professionalism and communication skills, students performed very well, scoring >95% correct in both years. Students demonstrated relatively poorer performance in history-taking competency in 2010 and 2011 (66% and 67% correct, respectively). In the adolescent Objective Structured Clinical Examination case, third-year medical students demonstrated extremely high performance in communication and professionalism skills. However, performance was lower for history-taking skill in contraceptive management. Copyright © 2012 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  10. [Somatic examination of a female victim of a sexual offence].

    Science.gov (United States)

    Unkila-Kallio, Leila; Vuori-Holopainen, Elina

    2016-01-01

    Examination of a female victim of a sexual offence is carried out usually within seven days of the incident. It includes an interview, inspection and documentation of bodily injuries, gynecologic examination and collection of specimens of sexually transmitted diseases and appropriate forensic specimens. Preventive antimicrobial therapy and postcoital contraception will also be provided. The need for anti-HIV medication as well as hepatitis and tetanus vaccines is considered on a case-by-case basis. A tranquil scene of examination, written instructions for follow-up observation and taking care of emotional support are essential for the recovery of the victim. Guidance for the collection of forensic tissue specimens should also be available in gynecology units.

  11. Microbiological examination of foods sold via vending machines.

    Science.gov (United States)

    Wu, J S; Wu, S M; Yih, P; Tsai, W C

    1985-05-01

    A total of 153 food specimens obtained from vending machines in Taipei city were subjects for the microbiological examination. Based on the standards for total microbial counts and total coliform counts established by the Department of Public Health, Republic of China, the unsatisfactory percentage of such counts for foods sold from vending machines were: 14% for carbonated beverages, 71% for non-carbonated beverages, 73% for ice cubes, and 100% for soft ice cream. Among the non-carbonic acid beverages examined, the unsatisfactory percentage for iced coffee, cocoa, chocolate milk, and fruit milk reached 90%. Escherichia coli and fecal streptococci each were found once. None of the pathogens causing food-poisoning were found during the study. As for the sanitation control of vending machines examined, 66 to 74% percent were unsatisfactory.

  12. Coping with examination stress through hypnosis: an experimental study.

    Science.gov (United States)

    Palan, B M; Chandwani, S

    1989-01-01

    Fifty-six volunteer medical students participated in three groups balanced for number of subjects, performance at last examination, and hypnotizability. The hypnosis and waking groups attended eight group sessions once a week with general ego-strengthening and specific suggestions for study habits, with a ninth session of age progression and mental rehearsal. Subjects in these two groups practiced self-suggestions (in self-hypnosis or waking respectively) daily for the study period of 9 weeks. The control group experienced sessions of passive relaxation induced by light reading for the same period of time. The hypnosis group improved significantly in coping with examination stress, but there was no significant change in performance on examinations by any of the groups.

  13. Reliability of Examination Findings in Suspected Community-Acquired Pneumonia.

    Science.gov (United States)

    Florin, Todd A; Ambroggio, Lilliam; Brokamp, Cole; Rattan, Mantosh S; Crotty, Eric J; Kachelmeyer, Andrea; Ruddy, Richard M; Shah, Samir S

    2017-09-01

    The authors of national guidelines emphasize the use of history and examination findings to diagnose community-acquired pneumonia (CAP) in outpatient children. Little is known about the interrater reliability of the physical examination in children with suspected CAP. This was a prospective cohort study of children with suspected CAP presenting to a pediatric emergency department from July 2013 to May 2016. Children aged 3 months to 18 years with lower respiratory signs or symptoms who received a chest radiograph were included. We excluded children hospitalized ≤14 days before the study visit and those with a chronic medical condition or aspiration. Two clinicians performed independent examinations and completed identical forms reporting examination findings. Interrater reliability for each finding was reported by using Fleiss' kappa (κ) for categorical variables and intraclass correlation coefficient (ICC) for continuous variables. No examination finding had substantial agreement (κ/ICC > 0.8). Two findings (retractions, wheezing) had moderate to substantial agreement (κ/ICC = 0.6-0.8). Nine findings (abdominal pain, pleuritic pain, nasal flaring, skin color, overall impression, cool extremities, tachypnea, respiratory rate, and crackles/rales) had fair to moderate agreement (κ/ICC = 0.4-0.6). Eight findings (capillary refill time, cough, rhonchi, head bobbing, behavior, grunting, general appearance, and decreased breath sounds) had poor to fair reliability (κ/ICC = 0-0.4). Only 3 examination findings had acceptable agreement, with the lower 95% confidence limit >0.4: wheezing, retractions, and respiratory rate. In this study, we found fair to moderate reliability of many findings used to diagnose CAP. Only 3 findings had acceptable levels of reliability. These findings must be considered in the clinical management and research of pediatric CAP. Copyright © 2017 by the American Academy of Pediatrics.

  14. Examination of human diaphragms for trichinosis, Hiroshima and Nagasaki

    Energy Technology Data Exchange (ETDEWEB)

    Gould, S.E.; Ozaki, Hiroyuki; Kimura, Kazuo

    1961-11-30

    Trichinella spiralis has been found in three species of mammals born in Hokkaido so it possibly infects other species in Japan, including man. Although examination of human diaphragms in a small series of 149 autopsies in Hiroshima and 37 autopsies in Nagasaki (by digestion, compression, and microscopic sections) failed to reveal any instance of trichinous infection, it is felt that the existence or absence of human trichinosis inJapan can be determined only by examination covering a larger series of autopsies, and performed in various parts of the country. 6 references.

  15. Debris Examination Using Ballistic and Radar Integrated Software

    Science.gov (United States)

    Griffith, Anthony; Schottel, Matthew; Lee, David; Scully, Robert; Hamilton, Joseph; Kent, Brian; Thomas, Christopher; Benson, Jonathan; Branch, Eric; Hardman, Paul; hide

    2012-01-01

    The Debris Examination Using Ballistic and Radar Integrated Software (DEBRIS) program was developed to provide rapid and accurate analysis of debris observed by the NASA Debris Radar (NDR). This software provides a greatly improved analysis capacity over earlier manual processes, allowing for up to four times as much data to be analyzed by one-quarter of the personnel required by earlier methods. There are two applications that comprise the DEBRIS system: the Automated Radar Debris Examination Tool (ARDENT) and the primary DEBRIS tool.

  16. Mini-mental state examination in neurological patients.

    Science.gov (United States)

    Dick, J P; Guiloff, R J; Stewart, A; Blackstock, J; Bielawska, C; Paul, E A; Marsden, C D

    1984-01-01

    The Mini-Mental State examination has been found to be a quick and valuable test for simple bedside screening, and for serial assessment of cognitive function in a population of 126 neurological patients. Amongst those with cognitive impairment, there was a close relation between the Mini-Mental State examination and the conventional Weschler Adult Intelligence Scale (WAIS). However, the Mini-Mental test was not a sensitive indicator of focal versus diffuse hemisphere disease. Further refinement in the areas of language and visuo-spatial function may improve its value. PMID:6736981

  17. Nursing Examinations: Promotion of Integrity and Prevention of Cheating.

    Science.gov (United States)

    Palmer, Janice L; Bultas, Margaret; Davis, Renée L; Schmuke, Ashley D; Fender, Joshua B

    2016-01-01

    Academic integrity is a concern in higher education. The authors describe the findings of a nursing faculty task force developed with the goal of reducing incidents of cheating on classroom examinations in a school of nursing. Following a review of the literature, a modified Delphi technique was used to prioritize the suggested strategies into recommendations for faculty to follow. The findings and recommendations from the task force are presented and serve as a guide for nursing faculty in implementing measures to promote academic integrity during classroom examinations.

  18. SQL by Example. 1. Application for High School Bachelor Examination

    Directory of Open Access Journals (Sweden)

    Lorentz JÄNTSCHI

    2003-03-01

    Full Text Available This paper main objective is to present SQL power of use of data management with heterogeneous cases of data classification. The article is based on a PHP application developed to manage a real situation of school-leaving examination in August 2003 at Braşov city, Romania at exams center no. 29, where the first author was president of the committee of the examination. The paper describes all used queries that was used for classifications, room repartitions, probes and investigation subject envelopes and finally, describe de final classification algorithm.

  19. An examination of the causes and solutions to eyewitness error.

    Science.gov (United States)

    Wise, Richard A; Sartori, Giuseppe; Magnussen, Svein; Safer, Martin A

    2014-01-01

    Eyewitness error is one of the leading causes of wrongful convictions. In fact, the American Psychological Association estimates that one in three eyewitnesses make an erroneous identification. In this review, we look briefly at some of the causes of eyewitness error. We examine what jurors, judges, attorneys, law officers, and experts from various countries know about eyewitness testimony and memory, and if they have the requisite knowledge and skills to accurately assess eyewitness testimony. We evaluate whether legal safeguards such as voir dire, motion-to-suppress an identification, cross-examination, jury instructions, and eyewitness expert testimony are effective in identifying eyewitness errors. Lastly, we discuss solutions to eyewitness error.

  20. RERTR-12 Post-irradiation Examination Summary Report

    Energy Technology Data Exchange (ETDEWEB)

    Rice, Francine [Idaho National Lab. (INL), Idaho Falls, ID (United States); Williams, Walter [Idaho National Lab. (INL), Idaho Falls, ID (United States); Robinson, Adam [Idaho National Lab. (INL), Idaho Falls, ID (United States); Harp, Jason [Idaho National Lab. (INL), Idaho Falls, ID (United States); Meyer, Mitch [Idaho National Lab. (INL), Idaho Falls, ID (United States); Rabin, Barry [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-02-01

    The following report contains the results and conclusions for the post irradiation examinations performed on RERTR-12 Insertion 2 experiment plates. These exams include eddy-current testing to measure oxide growth; neutron radiography for evaluating the condition of the fuel prior to sectioning and determination of fuel relocation and geometry changes; gamma scanning to provide relative measurements for burnup and indication of fuel- and fission-product relocation; profilometry to measure dimensional changes of the fuel plate; analytical chemistry to benchmark the physics burnup calculations; metallography to examine the microstructural changes in the fuel, interlayer and cladding; and microhardness testing to determine the material-property changes of the fuel and cladding.

  1. Results of voluntary cardiovascular examination of elite athletes in Denmark

    DEFF Research Database (Denmark)

    Tischer, Susanne Glasius; Mattsson, N; Storgaard, M

    2016-01-01

    We investigated the cardiovascular status of elite athletes in Denmark, the extent of abnormal cardiac findings--both training related and pathologic--and how participating in cardiac examination was perceived by the athletes. A standardized protocol of questionnaires, physical examination, resting...... a cardiac diagnosis; one athlete (0.2%) diagnosed with long QT syndrome was advised against competition level sports. In total, 60 athletes (11.6%) were referred for additional testing. The athletes presented a very low level of psychological stress before and a slight decrease immediately after...

  2. Cambridge English First 2 with answers : authentic examination papers

    CERN Document Server

    2016-01-01

    Four authentic Cambridge English Language Assessment examination papers for the Cambridge English: First (FCE) exam. These examination papers for the Cambridge English: First (FCE) exam provide the most authentic exam preparation available, allowing candidates to familiarise themselves with the content and format of the exam and to practise useful exam techniques. The Student's Book is also available in a 'without answers' edition. Audio CDs (2) containing the exam Listening material and a Student's Book with answers and downloadable Audio are available separately. These tests are also available as Cambridge English: First Tests 5-8 on Testbank.org.uk

  3. Cambridge English First 2 audio CDs : authentic examination papers

    CERN Document Server

    2016-01-01

    Four authentic Cambridge English Language Assessment examination papers for the Cambridge English: First (FCE) exam. These examination papers for the Cambridge English: First (FCE) exam provide the most authentic exam preparation available, allowing candidates to familiarise themselves with the content and format of the exam and to practise useful exam techniques. The Audio CDs contain the recorded material to allow thorough preparation for the Listening paper and are designed to be used with the Student's Book. A Student's Book with or without answers and a Student's Book with answers and downloadable Audio are available separately. These tests are also available as Cambridge English: First Tests 5-8 on Testbank.org.uk

  4. Physical examination of the ankle for ankle pathology.

    Science.gov (United States)

    Lee, Tara K; Maleski, Richard

    2002-04-01

    Injury to the ankle joint is very common, but the etiology of the ankle pain can be difficult to determine due to the complexity of the joint. Without a proper diagnosis, treatment is delayed or inappropRiate which can lead to further ankle morbidity. This article is to assist foot and ankle specialists in making an accurate diagnosis of ankle pathology by showing how to perform a thorough ankle examination. Specific tests and examination techniques are described. No exact treatment plan to a particular diagnosis is given, but rather a general approach to treating ankle injuries is shown.

  5. Mandatory appearances of forensic examiner for cross-examination in court and related systemic improvement under china's criminal procedure

    Directory of Open Access Journals (Sweden)

    Jianye Qu

    2017-01-01

    Full Text Available In China's criminal procedure system, forensic advice is one of the key types of evidence. These advices play an important part in discovering the facts of a case, convictions, and sentencing, and they cannot be ignored in assessments of guilt and the death penalty. However, due to broad and flexible criminal laws, in actual litigation, the nonappearance of forensic examiner or mere provision of documentation of advice read in court has become the norm. This has led to the existence in name only of cross-examination rights, which directly damages the legitimate rights and interests of the parties and the objective and impartial rulings of referees. At present, there is no legal clarity in criminal proceedings that examiner should or should not be examined in court. In my opinion, the entire court system should require an appearance in court, which must be a clear mandatory appearance with specific exceptions. The system should guarantee the forensic examiner' mandatory appearances, which would inevitably improve the rules of evidence.

  6. Intimate partners' violence in Southern Ethiopia: Examining the ...

    African Journals Online (AJOL)

    The high level of intimate partner violence (IPV) against women in many population groups in Ethiopia and the risk factors associated with the practice is not well understood among scholars and decision makers. This study examined the prevalence and risk factors associated with intimate partner violence in Sidama, ...

  7. An Analysis of the Policy Coverage and Examination of ...

    African Journals Online (AJOL)

    and health hazards caused by mines; the negative effects of overpopulation in urban areas; and effective farm management of riverbanks (DBE, 2016). Geography also examines poverty, the negative impact of human activities on wildlife, food security, the effects of soil erosion, the impact of cyclones, pollution, and the ...

  8. An Analysis of the Policy Coverage and Examination of ...

    African Journals Online (AJOL)

    impact topics in subjects such as Life Sciences, Physical Sciences, Life Orientation, Agricultural Sciences, ... The present paper shows that Life Sciences has the widest coverage and that Geography examination papers .... consider how to encourage and enable the teaching of critical thinking, as well as connections.

  9. A dose audit of fluoroscopy examinations at Charlotte Maxeke ...

    African Journals Online (AJOL)

    The subjects of this study were patients who underwent fluoroscopy examinations on either of the two available digital Philips Medical Systems MultiDiagnost Eleva fluoroscopy units at Charlotte Maxeke Johannesburg Academic Hospital during the period August 2007 to March 2008. The skin dose was computed by the ...

  10. An Examination of Amotivated Students within the Sport Education Model

    Science.gov (United States)

    Perlman, Dana

    2012-01-01

    The purpose of this study was to examine the perceptions and experiences of 33 amotivated students (i.e. students with low levels of motivation) during four consecutive seasons of the Sport Education Model. A qualitative case-study approach was utilized within this study and data was collected using interviews, field notes and reflective journals.…

  11. Social-Emotional Competencies among Teachers: An Examination of Interrelationships

    Science.gov (United States)

    Hen, Meirav; Goroshit, Marina

    2016-01-01

    Teachers' social-emotional competence is crucial for promoting a positive learning environment to the students. However, the research on teachers' social-emotional abilities is very limited. This study examined the relationship between emotional abilities and self-efficacies and empathy among teachers, hypothesizing that teachers' self-efficacy…

  12. An examination of emotive style in online begging discourse | Alabi ...

    African Journals Online (AJOL)

    The online lingual environment offers beggars flexibility of expression and freedom, which allows them to use language freely to exhort prospective benefactors. This study examined the utilisation of emotive style in online begging discourse with the view to establishing the relationship between the style and the linguistic ...

  13. An Examination of the EPOSTL's Potential Practical Use in Turkey

    Science.gov (United States)

    Arikan, Arda

    2016-01-01

    Although Turkey is not a member state of the EU, educational and curricular documents produced by the EU such like the CEFR and the European Portfolio for Student Teachers of Languages (EPOSTL) have been examined by Turkish researchers and curriculum makers whose work seem to affect the curriculum of teacher education programs and curricula of all…

  14. Examining the Effectiveness of Social Responsibility Courses in Higher Education

    Science.gov (United States)

    Droms, Courtney; Stephen, Sheryl-Ann K.

    2015-01-01

    Individual and corporate social responsibility has been gaining more and more attention over the last several years. We examine the effectiveness of incorporating social responsibility courses into the curriculum in higher education, with a specific look at Butler University. In general, the results indicate that implementing this type of…

  15. Examining Teaching Practices in Design and Craft Education in Iceland

    Science.gov (United States)

    Thorsteinsson, Gisli; Olafsson, Brynjar

    2017-01-01

    This article reports a survey which aimed to examine the present situation in Design and Craft Education (D&C) in Iceland in terms of teachers' general standing and their teaching inside the Icelandic elementary schools. A questionnaire was sent to 170 D&C teachers in Icelandic elementary schools. The questionnaire was completed by 101…

  16. Ethics Content in Strategic Management Textbooks: A Longitudinal Examination

    Science.gov (United States)

    Geiger, Scott W.

    2010-01-01

    The purpose of this study is to examine the prevalence of ethics content in strategic management textbooks. The importance of ethical behavior within organizations has been highlighted in the past by organizations, such as Enron and WorldCom, and more recently by British Petroleum and Toyota. The data collected from two different editions of five…

  17. Chemical Alias: An Engaging Way to Examine Nomenclature

    Science.gov (United States)

    Kurushkin, Mikhail; Mikhaylenko, Maria

    2015-01-01

    An educational card game, "Chemical Alias," has been developed as an alternative method of reviewing students' knowledge of nomenclature. In contrast to conventional tests, this highly competitive activity is a fun and effective way to examine and reinforce nomenclature. The students play in pairs, using Clark's famous spiral arrangement…

  18. Breast Self Examination- A Necessary Preventive Tool: Knowledge ...

    African Journals Online (AJOL)

    Breast Self Examination- A Necessary Preventive Tool: Knowledge and Practice among Students of College of Education Gindiri, Plateau State. ... A non- statistically significant (p=0.116) association was established between presence of the associated breast cancer risk factors and the practice of BSE. Conclusion: Poor ...

  19. Examination of Self-Determination within the Sport Education Model

    Science.gov (United States)

    Perlman, Dana J.

    2011-01-01

    The purpose of this study was to examine the influence of the Sport Education Model (SEM) on students' self-determined motivation and underlying psychological need(s) in physical education. A total of 182 Year-9 students were engaged in 20 lesson units of volleyball, using either the SEM or a traditional approach. Data was collected using a…

  20. System for Automatic Generation of Examination Papers in Discrete Mathematics

    Science.gov (United States)

    Fridenfalk, Mikael

    2013-01-01

    A system was developed for automatic generation of problems and solutions for examinations in a university distance course in discrete mathematics and tested in a pilot experiment involving 200 students. Considering the success of such systems in the past, particularly including automatic assessment, it should not take long before such systems are…