WorldWideScience

Sample records for external test set

  1. External validation and prediction employing the predictive squared correlation coefficient test set activity mean vs training set activity mean.

    Science.gov (United States)

    Schüürmann, Gerrit; Ebert, Ralf-Uwe; Chen, Jingwen; Wang, Bin; Kühne, Ralph

    2008-11-01

    The external prediction capability of quantitative structure-activity relationship (QSAR) models is often quantified using the predictive squared correlation coefficient, q (2). This index relates the predictive residual sum of squares, PRESS, to the activity sum of squares, SS, without postprocessing of the model output, the latter of which is automatically done when calculating the conventional squared correlation coefficient, r (2). According to the current OECD guidelines, q (2) for external validation should be calculated with SS referring to the training set activity mean. Our present findings including a mathematical proof demonstrate that this approach yields a systematic overestimation of the prediction capability that is triggered by the difference between the training and test set activity means. Example calculations with three regression models and data sets taken from literature show further that for external test sets, q (2) based on the training set activity mean may become even larger than r (2). As a consequence, we suggest to always use the test set activity mean when quantifying the external prediction capability through q (2) and to revise the respective OECD guidance document accordingly. The discussion includes a comparison between r (2) and q (2) value ranges and the q (2) statistics for cross-validation.

  2. A Large-Scale Empirical Evaluation of Cross-Validation and External Test Set Validation in (Q)SAR.

    Science.gov (United States)

    Gütlein, Martin; Helma, Christoph; Karwath, Andreas; Kramer, Stefan

    2013-06-01

    (Q)SAR model validation is essential to ensure the quality of inferred models and to indicate future model predictivity on unseen compounds. Proper validation is also one of the requirements of regulatory authorities in order to accept the (Q)SAR model, and to approve its use in real world scenarios as alternative testing method. However, at the same time, the question of how to validate a (Q)SAR model, in particular whether to employ variants of cross-validation or external test set validation, is still under discussion. In this paper, we empirically compare a k-fold cross-validation with external test set validation. To this end we introduce a workflow allowing to realistically simulate the common problem setting of building predictive models for relatively small datasets. The workflow allows to apply the built and validated models on large amounts of unseen data, and to compare the performance of the different validation approaches. The experimental results indicate that cross-validation produces higher performant (Q)SAR models than external test set validation, reduces the variance of the results, while at the same time underestimates the performance on unseen compounds. The experimental results reported in this paper suggest that, contrary to current conception in the community, cross-validation may play a significant role in evaluating the predictivity of (Q)SAR models.

  3. Externally definable sets and dependent pairs

    CERN Document Server

    Chernikov, Artem

    2010-01-01

    We prove that externally definable sets in first order NIP theories have honest definitions, giving a new proof of Shelah's expansion theorem. Also we discuss a weak notion of stable embeddedness true in this context. Those results are then used to prove a general theorem on dependent pairs, which in particular answers a question of Baldwin and Benedikt on naming an indiscernible sequence.

  4. Externally definable sets and dependent pairs II

    CERN Document Server

    Chernikov, Artem

    2012-01-01

    We continue investigating the structure of externally definable sets in NIP theories and preservation of NIP after expanding by new predicates. Most importantly: types over finite sets are uniformly definable; over a model, a family of non-forking instances of a formula (with parameters ranging over a type-definable set) can be covered with finitely many invariant types; we give some criteria for the boundedness of an expansion by a new predicate in a distal theory; naming an arbitrary small indiscernible sequence preserves NIP, while naming a large one doesn't; there are models of NIP theories over which all 1-types are definable, but not all n-types.

  5. CRYSTAL FILTER TEST SET

    Science.gov (United States)

    CRYSTAL FILTERS, *HIGH FREQUENCY, *RADIOFREQUENCY FILTERS, AMPLIFIERS, ELECTRIC POTENTIAL, FREQUENCY, IMPEDANCE MATCHING , INSTRUMENTATION, RADIOFREQUENCY, RADIOFREQUENCY AMPLIFIERS, TEST EQUIPMENT, TEST METHODS

  6. Submarine Escape Set Test Facilities

    Directory of Open Access Journals (Sweden)

    G.S.N. Murthy

    2009-07-01

    Full Text Available Submarine Escape Set (SES is used by submariners to escape from a sunken submarine. This set caters for breathing needs of the submariner under water, until he reaches the surface. Evaluation of such life-saving equipment is of paramount importance. This paper describes the submarine escape set and various constructional features and schedules of operation of test facilities designed indegenously and which can evaluate the SES. The test facility is divided into two parts: the reducer test facility, and the breathing bag test facility. The equipment has been rigorously tested and accepted by Indian Navy. Two such test facilities have been developed, one of which is installed at INS Satavahana, Visakhapatnam, and are working satisfactorily.

  7. Test Program Set (TPS) Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The ARDEC TPS Laboratory provides an organic Test Program Set (TPS) development, maintenance, and life cycle management capability for DoD LCMC materiel developers....

  8. Setting time limits on tests

    NARCIS (Netherlands)

    Linden, van der Wim J.

    2011-01-01

    It is shown how the time limit on a test can be set to control the probability of a test taker running out of time before completing it. The probability is derived from the item parameters in the lognormal model for response times. Examples of curves representing the probability of running out of ti

  9. A new MCNP{trademark} test set

    Energy Technology Data Exchange (ETDEWEB)

    Brockhoff, R.C.; Hendricks, J.S.

    1994-09-01

    The MCNP test set is used to test the MCNP code after installation on various computer platforms. For MCNP4 and MCNP4A this test set included 25 test problems designed to test as many features of the MCNP code as possible. A new and better test set has been devised to increase coverage of the code from 85% to 97% with 28 problems. The new test set is as fast as and shorter than the MCNP4A test set. The authors describe the methodology for devising the new test set, the features that were not covered in the MCNP4A test set, and the changes in the MCNP4A test set that have been made for MCNP4B and its developmental versions. Finally, new bugs uncovered by the new test set and a compilation of all known MCNP4A bugs are presented.

  10. In vitro test of external Qigong

    Directory of Open Access Journals (Sweden)

    Reading Melissa

    2004-03-01

    Full Text Available Abstract Background Practitioners of the alternative medical practice 'external Qigong' generally claim the ability to emit or direct "healing energy" to treat patients. We investigated the ability of experienced Qigong practitioners to enhance the healthy growth of cultured human cells in a series of studies, each following a rigorously designed protocol with randomization, blinding and controls for variability. Methods Qigong practitioners directed healing intentionality toward normal brain cell cultures in a basic science laboratory. Qigong treatments were delivered for 20 minutes from a minimum distance of 10 centimeters. Cell proliferation was measured by a standard colony-forming efficiency (CFE assay and a CFE ratio (CFE for treated samples/CFE for sham samples was the dependent measure for each experiment. Results During a pilot study (8 experiments, a trend of increased cell proliferation in Qigong-treated samples (CFE Qigong/sham ratios > 1.0 was observed (P = 0.162. In a formal study (28 experiments, a similar trend was observed, with Qigong-treated samples showing on average more colony formation than sham samples (P = 0.036. In a replication study (60 experiments, no significant difference between Qigong-treated samples and sham samples was observed (P = 0.465. Conclusion We observed an apparent increase in the proliferation of cultured cells following external Qigong treatment by practitioners under strictly controlled conditions, but we did not observe this effect in a replication study. These results suggest the need for more controlled and thorough investigation of external Qigong before scientific validation is claimed.

  11. Anatomy of mole external genitalia: Setting the record straight

    Science.gov (United States)

    Sinclair, Adriane Watkins; Glickman, Stephen; Baskin, Lawrence; Cunha, Gerald R.

    2016-01-01

    Anatomy of male and female external genitalia of adult mice (Mus musculus) and broad-footed moles (Scapanus latimanus) was re-examined to provide more meaningful anatomical terminology. In the past the perineal appendage of male broad-footed moles has been called the penis, while the female perineal appendage has been given several terms (e.g. clitoris, penile clitoris, peniform clitoris and others). Histological examination demonstrates that perineal appendages of male and female broad-footed moles are the prepuce, which in both sexes are covered externally with a hair-bearing epidermis and lacks erectile bodies. The inner preputial epithelium is non-hair-bearing and defines the preputial space in both sexes. The penis of broad-footed moles lies deep within the preputial space, is an “internal organ” in the resting state and contains the penile urethra, os penis, and erectile bodies. The clitoris of broad-footed moles is defined by a U-shaped clitoral epithelial lamina. Residing within clitoral stroma encompassed by the clitoral epithelial lamina is the corpus cavernosum, blood-filled spaces and the urethra. External genitalia of male and female mice are anatomically similar to that of broad-footed moles with the exception that in female mice the clitoris contains a small os clitoridis and lacks defined erectile bodies, while male mice have an os penis and a prominent distal cartilaginous structure within the male urogenital mating protuberance (MUMP). Clitori of female broad-footed moles lack an os clitoridis but contain defined erectile bodies, while male moles have an os penis similar to the mouse but lack the distal cartilaginous structure. PMID:26694958

  12. External Validation of the COmorbidity Test.

    Science.gov (United States)

    Villalobos, Nicholas; Davidson, Ross; Ghori, Uzair K; Abdou, Yara; Abukhalaf, Jawad; Guillamet, Rodrigo Vazquez

    2017-10-01

    The COmorbidity TEst (COTE) is a Chronic Obstructive Pulmonary Disease (COPD)-specific co-morbidity score created to predict mortality. Before its wide application at the University of New Mexico we intended to validate it. The study was conducted at the University of New Mexico Hospital (UNMH) in Albuquerque, NM, USA, a tertiary academic hospital. Consecutive patients with the clinical diagnosis of COPD were identified using the hospital's medical records system and included if they were older than 40 years, had smoked at least 20 pack-years and their post bronchodilator forced expiratory volume in the first second/forced vital capacity (FEV1/FVC) was <0.7 without an alternative diagnosis. The data collected included demographics, co-morbidities as described in the COTE, COPD-specific therapies, spirometry results and mortality. Of 317 patients 51.4% were male, average age was 65.6 ± 9.6 years and the mean post-bronchodilator FEV1 percent predicted (FEV1%) was 52.9 ± 16.9%. 31 (9.8%) patients were on triple long-acting bronchodilator inhaler therapy, 88 (27.8%) on two long-acting bronchodilators and 163 (51.4%) on at least one long-acting bronchodilator. The median follow-up was 3.5 years (IQR = 1.9-6.9). Fifty four patients died by the end of the follow-up period and their median COTE of 4 (IQR = 1-8) was significantly higher than for the survivors with COTE = 1 (IQR = 0-6; p = 0.002). In univariable analyses COTE was positively associated while FEV1%, body mass index (BMI) and gender were negatively associated with all-cause mortality. In multivariable analysis BMI, FEV1% and COTE remained independent predictors for mortality. The COTE is an independent predictor of mortality for COPD patients at UNMH.

  13. Convergent validity test, construct validity test and external validity test of the David Liberman algorithm

    Directory of Open Access Journals (Sweden)

    David Maldavsky

    2013-08-01

    Full Text Available The author first exposes a complement of a previous test about convergent validity, then a construct validity test and finally an external validity test of the David Liberman algorithm.  The first part of the paper focused on a complementary aspect, the differential sensitivity of the DLA 1 in an external comparison (to other methods, and 2 in an internal comparison (between two ways of using the same method, the DLA.  The construct validity test exposes the concepts underlined to DLA, their operationalization and some corrections emerging from several empirical studies we carried out.  The external validity test examines the possibility of using the investigation of a single case and its relation with the investigation of a more extended sample.

  14. Beyond main effects of gene‐sets: harsh parenting moderates the association between a dopamine gene‐set and child externalizing behavior

    OpenAIRE

    2016-01-01

    Abstract Background In a longitudinal cohort study, we investigated the interplay of harsh parenting and genetic variation across a set of functionally related dopamine genes, in association with children's externalizing behavior. This is one of the first studies to employ gene‐based and gene‐set approaches in tests of Gene by Environment (G × E) effects on complex behavior. This approach can offer an important alternative or complement to candidate gene and genome‐wide environmental interact...

  15. Beyond main effects of gene-sets: Harsh parenting moderates the association between a dopamine gene-set and child externalizing behavior

    OpenAIRE

    Windhorst, D.A.; Mileva, V.R.; Rippe, R.C.A.; Tiemeier, H; Jaddoe, V. W. V.; Verhulst, F. C.; IJzendoorn, van, M.H.; Bakermans, M.J.

    2016-01-01

    Abstract Background In a longitudinal cohort study, we investigated the interplay of harsh parenting and genetic variation across a set of functionally related dopamine genes, in association with children's externalizing behavior. This is one of the first studies to employ gene‐based and gene‐set approaches in tests of Gene by Environment (G × E) effects on complex behavior. This approach can offer an important alternative or complement to candidate gene and genome‐wide environmental interact...

  16. The Effects of Self Set or Externally Set Goals on Learning in an Uncertain Environment

    Science.gov (United States)

    Osman, Magda

    2012-01-01

    Monitoring refers to online awareness and self-evaluation of one's goal-directed actions, while Control refers to the generation and selection of goal-directed actions (Osman, 2010a). The present study examines the extent to which external estimations of performance influence monitoring and control behaviors. To achieve this, a complex dynamic…

  17. Externalities of Testing: Lessons from the Blizzard of 2010

    Science.gov (United States)

    Feuer, Michael J.

    2010-01-01

    This article presents lessons learned from a story of a snowy and dangerous intersection where there was no way for pedestrians to cross. The basic theme of this paper is that if political economy is preoccupied largely with the measurement of externalities, then a goal for the testing and assessment policy community should be to devise strategies…

  18. Gene set analysis using variance component tests

    Science.gov (United States)

    2013-01-01

    Background Gene set analyses have become increasingly important in genomic research, as many complex diseases are contributed jointly by alterations of numerous genes. Genes often coordinate together as a functional repertoire, e.g., a biological pathway/network and are highly correlated. However, most of the existing gene set analysis methods do not fully account for the correlation among the genes. Here we propose to tackle this important feature of a gene set to improve statistical power in gene set analyses. Results We propose to model the effects of an independent variable, e.g., exposure/biological status (yes/no), on multiple gene expression values in a gene set using a multivariate linear regression model, where the correlation among the genes is explicitly modeled using a working covariance matrix. We develop TEGS (Test for the Effect of a Gene Set), a variance component test for the gene set effects by assuming a common distribution for regression coefficients in multivariate linear regression models, and calculate the p-values using permutation and a scaled chi-square approximation. We show using simulations that type I error is protected under different choices of working covariance matrices and power is improved as the working covariance approaches the true covariance. The global test is a special case of TEGS when correlation among genes in a gene set is ignored. Using both simulation data and a published diabetes dataset, we show that our test outperforms the commonly used approaches, the global test and gene set enrichment analysis (GSEA). Conclusion We develop a gene set analyses method (TEGS) under the multivariate regression framework, which directly models the interdependence of the expression values in a gene set using a working covariance. TEGS outperforms two widely used methods, GSEA and global test in both simulation and a diabetes microarray data. PMID:23806107

  19. A Method to Solve the Limitations in Drawing External Rays of the Mandelbrot Set

    Directory of Open Access Journals (Sweden)

    M. Romera

    2013-01-01

    Full Text Available The external rays of the Mandelbrot set are a valuable graphic tool in order to study this set. They are drawn using computer programs starting from the Böttcher coordinate. However, the drawing of an external ray cannot be completed because it reaches a point from which the drawing tool cannot continue drawing. This point is influenced by the resolution of the standard for floating-point computation used by the drawing program. The IEEE 754 Standard for Floating-Point Arithmetic is the most widely used standard for floating-point computation, and we analyze the possibilities of the quadruple 128 bits format of the current IEEE 754-2008 Standard in order to draw external rays. When the drawing is not possible, due to a lack of resolution of this standard, we introduce a method to draw external rays based on the escape lines and Bézier curves.

  20. Coupling Patterns of External Arguments in the Multiple-Spiral Medallions of the Mandelbrot Set

    Directory of Open Access Journals (Sweden)

    M. Romera

    2009-01-01

    Full Text Available The multiple-spiral medallions are beautiful decorations situated in the proximity of the small copies of the Mandelbrot set. They are composed by an infinity of babies Mandelbrot sets that have external arguments with known structure. In this paper we study the coupling patterns of the external arguments of the baby Mandelbrot sets in multiple-spiral medallions, that is, how these external arguments are grouped in pairs. Based on our experimental data, we obtain that the canonical nonspiral medallions have a nested pairs pattern, the canonical single-spiral medallions have an adjacent pairs pattern, and we conjecture that the canonical double, triple, quadruple-spiral medallions have a 1-nested/adjacent pairs pattern.

  1. Atom interferometry in the presence of an external test mass

    CERN Document Server

    Dubetsky, B; Libby, S B; Berman, P R

    2016-01-01

    The influence of an external test mass on the phase of the signal of an atom interferometer is studied theoretically. Using traditional techniques in atom optics based on the density matrix equations in the Wigner representation, we are able to extract the various contributions to the phase of the signal associated with the classical motion of the atoms, the quantum correction to this motion resulting from atomic recoil that is produced when the atoms interact with Raman field pulses, and quantum corrections to the atomic motion that occur in the time between the Raman field pulses. By increasing the effective wave vector associated with the Raman field pulses using modified field parameters, we can increase the sensitivity of the signal to the point where the quantum corrections can be measured. The expressions that are derived can be evaluated numerically to isolate the contribution to the signal from an external test mass. The regions of validity of the exact and approximate expressions are determined.

  2. A Bargaining Set Based on External and Internal Stability and Endogenous Coalition Formation

    NARCIS (Netherlands)

    Lazarova, E.A.; Borm, P.E.M.; Montero, M.P.; Reijnierse, J.H.

    2006-01-01

    A new bargaining set based on notions of both internal and external stability is developed in the context of endogenous coalition formation.It allows to make an explicit distinction between within-group and outsidegroup deviation options.This type of distinction is not present in current bargaining

  3. The set-up for forward scattered particle detection at the external microbeam facility of the INFN-LABEC laboratory in Florence

    Energy Technology Data Exchange (ETDEWEB)

    Giuntini, L. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Dipartimento di Fisica e Astronomia, Università di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Massi, M. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Calusi, S. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Dipartimento di Fisica e Astronomia, Università di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Gelli, N.; Castelli, L. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Carraresi, L.; Czelusniak, C. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Dipartimento di Fisica e Astronomia, Università di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Fedi, M.E. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Gueli, A.M. [Dipartimento di Fisica e Astronomia, Università di Catania, Via Santa Sofia 64, 95123 Catania (Italy); INFN Sezione di Catania, Via Santa Sofia 64, 95123 Catania (Italy); Liccioli, L.; Mandò, P.A.; Mazzinghi, A. [Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Dipartimento di Fisica e Astronomia, Università di Firenze, Via Sansone 1, I-50019 Sesto Fiorentino, Firenze (Italy); Palla, L. [INFN, Sezione di Pisa and Università di Pisa, Largo B. Pontecorvo 3, I-56127 Pisa (Italy); and others

    2015-04-01

    In the last few years some new implementations and upgrades have been made to the external scanning microbeam of INFN-LABEC laboratory in Florence, enriching the existing PIXE, PIGE, BS, IBIL set-up with complementary techniques, when possible allowing for simultaneous multi-technique analyses. We developed a system, compatible with the existing set-up, for the out-of-vacuum detection of the forward scattered particles. This system makes feasible the external-STIM (Scanning Transmission Ion Microscopy) and external-FS (Forward Scattering), now both available at our beamline. Test measurements are shortly presented.

  4. Property Testing via Set-Theoretic Operations

    CERN Document Server

    Chen, Victor; Xie, Ning

    2010-01-01

    Given two testable properties $\\mathcal{P}_{1}$ and $\\mathcal{P}_{2}$, under what conditions are the union, intersection or set-difference of these two properties also testable? We initiate a systematic study of these basic set-theoretic operations in the context of property testing. As an application, we give a conceptually different proof that linearity is testable, albeit with much worse query complexity. Furthermore, for the problem of testing disjunction of linear functions, which was previously known to be one-sided testable with a super-polynomial query complexity, we give an improved analysis and show it has query complexity $O(1/\\eps^2)$, where $\\eps$ is the distance parameter.

  5. The quality and testing PH-SFT infrastructure for the external LHC software packages deployment

    CERN Document Server

    CERN. Geneva; MENDEZ LORENZO, Patricia; MATO VILA, Pere

    2015-01-01

    The PH-SFT group is responsible for the build, test, and deployment of the set of external software packages used by the LHC experiments. This set includes ca. 170 packages including Grid packages and Montecarlo generators provided for different versions. A complete build structure has been established to guarantee the quality of the packages provided by the group. This structure includes an experimental build and three daily nightly builds, each of them dedicated to a specific ROOT version including v6.02, v6.04, and the master. While the former build is dedicated to the test of new packages, versions and dependencies (basically SFT internal used), the three latter ones are the responsible for the deployment to AFS of the set of stable and well tested packages requested by the LHC experiments so they can apply their own builds on top. In all cases, a c...

  6. Real-time infrared test set: system design and development

    Science.gov (United States)

    Johnson, R. Barry; Martin, Diehl H.; Chung, Ronald; Geist, Jon C.; Burrell, Jack O.; Slemp, Jim L.; Umstead, Jeffrey R.; Mann, Allen; Marlin, H. Ronald; Bates, Richard L.; Sweet, Miles H.; Williams, Donald N.; Carlson, Rowena M.; Gaitan, Michael; Marshall, Janet C.; Mulford, Charles D.; Zakar, Eugene S.; Zeto, Robert J.; Olson, Russ; Perkins, Gordon C.

    1997-07-01

    During the past several years, the technology for designing and fabricating thermal pixel arrays (TPAs) using silicon micromachined CMOS devices has been developed adequately to support the development of a real-time infrared test set (RTIR) for sensors and seekers. The TPA is a custom application-specific integrated circuit device that is fabricated using a low-cost commercial CMOS process. The system architecture and development of the initial RTIR Test Set is described. The RTIR is a compact, self-contained test instrument that is intended for test and evaluation of infrared systems in the field. In addition to the TPA, the RTIR contains projection optics and electronics which drive the TPA, provide TPA nonuniformity compensation, data translation, data transformation, and user interface. The RTIR can display internal test patterns (static and dynamic), external digital video data, and NTSC video. The initial RTIR unit incorporates a 64 X 64 TPA to provide flickerless infrared scenes at 30 frames per second. Additional TPAs are under development with formats of 128 X 128, 256 X 256, and 512 X 512 pixels.

  7. Cognitive set influences on Witkin's Rod-and-Frame Test.

    Science.gov (United States)

    Reinking, R H

    1977-04-01

    Witkin's field-dependence theory is embroiled in conflict as research shows its primary assessment method, the Rod-and-frame Test, is influenced by situational events. This study explored the impact of an additional situational variable, locus of problem-solving data search, a cognitive set modified from Rotter's (1966) work. Two experimental groups of hospitalized alcoholics received standard Witkin instructions plus instructions emphasizing either an internal or external search for problem-solving cues. A control group received only Witkin's instructions. Aanlysis of variance showed the special instructions affected rod-and-frame scores in the predicted directions. The results were interpreted as indicating a need for a multi-factor approach to analyzing the complex relationships of the Rod-and-frame Test.

  8. Supplementary magnetic tests for railway wheel sets

    Directory of Open Access Journals (Sweden)

    Zbigniew Hilary ŻUREK

    2008-01-01

    Full Text Available During manufacturing process the wheel set is subjected to many different flaw detection methods; however, these methods are not sufficient while the wheel set is in service. The paper presents an example of monitoring of magnetic parameters changes of wheel set rolling surface (changes result from material degradation due to materialfatigue.

  9. Internal Impingement of the Shoulder: A Risk of False Positive Test Outcomes in External Impingement Tests?

    Directory of Open Access Journals (Sweden)

    Tim Leschinger

    2017-01-01

    Full Text Available Background. External impingement tests are considered as being particularly reliable for identifying subacromial and coracoid shoulder impingement mechanisms. The purpose of the present study was to evaluate if these tests are likely to provoke an internal shoulder impingement mechanism which, in cases of a pathologic condition, can lead to a positive test result. Method. In 37 subjects, the mechanical contact between the glenoid rim and the rotator cuff (RC was measured quantitatively and qualitatively in external impingement test positions using an open MRI system. Results. Mechanical contact of the supraspinatus with the posterosuperior glenoid was present in 30 subjects in the Neer test. In the Hawkins test, the subscapularis was in contact with the anterosuperior glenoid in 33 subjects and the supraspinatus in 18. In the horizontal impingement test, anterosuperior contact of the supraspinatus with the glenoid was identified in 35 subjects. Conclusion. The Neer, Hawkins, and horizontal impingement tests are likely to provoke the mechanism of an internal shoulder impingement. A posterosuperior internal impingement mechanism is being provoked predominately in the Neer test. The Hawkins test narrows the distance between the insertions of the subscapularis and supraspinatus and the anterosuperior labrum, which leads to an anterosuperior impingement mechanism.

  10. External Quality Assessment Unravels Interlaboratory Differences in Quality of RAS Testing for Anti-EGFR Therapy in Colorectal Cancer

    NARCIS (Netherlands)

    Tack, V.; Ligtenberg, M.J.L.; Tembuyser, L.; Normanno, N.; Borght, S. van der; Krieken, J.H. van; Dequeker, E.M.

    2015-01-01

    BACKGROUND: Regulations for the selection of patients with metastatic colorectal cancer for anti-EGFR treatment changed at the end of 2013. The set of mutations to be tested extended from KRAS codons 12 and 13 to KRAS and NRAS exons 2, 3, and 4. A European external quality assessment scheme monitore

  11. Assessment of external fixator reusability using load- and cycle-dependent tests.

    Science.gov (United States)

    Matsuura, Maiko; Lounici, Smain; Inoue, Nozomu; Walulik, Stephen; Chao, Edmund Y S

    2003-01-01

    No standard method has been established for investigating repeated use of an external fixator. The purpose of the current study was to establish a fatigue testing method for assessing fixator frame reuse. A unilateral DynaFix trade mark external fixator system was tested using high-load and low-cycle (900-150 N at 5 Hz) and low-load and high-cycle (450-100 N at 10 Hz) tests (assumed one use of 500,000 and 1 million cycles, respectively). These loading conditions were selected to simulate single clinical use and to satisfy Food and Drug Administration requirements. In the high-load low-cycle test, substantial failure of the serrated joint occurred before completion of the first simulated use. In the low-load high-cycle test, all fixators completed three simulated clinical uses without failure, although (1/4) of the serrated joint components had hairline cracks. The high-load low-cycle test identified the fixator components which should be examined and replaced if reuse of the fixator is to be considered. Wear and deformation of the set screw on the rotary joint and telescoping mechanisms were observed in the low-load high-cycle test but not in the high-load low-cycle test. Therefore, if the unilateral DynaFix trade mark fixators are being considered for reusability, the number of reuses should be limited as the whole structure of the device will experience fatigue damage as the loading cycle increases.

  12. Generator Set Environmental and Stability Testing

    Science.gov (United States)

    2015-03-01

    EOT End of Test HFRR High Frequency Reciprocating Rig HRJ-8 Hydro-Renewable Jet Fuel JFTOT Jet Fuel Thermal Oxidation Test kW kilo Watts MEP...auxiliary heaters failed to start. Due to the time constraints of test facility, a decision was made to perform the cold soak at -20 °F, start the...units, and then rapidly cool the chamber down to -50 °F during the 15 minute no load warm up period. This would allow the auxiliary heaters to operate

  13. The internal and external optimality of decisions based on tests

    NARCIS (Netherlands)

    van der Linden, Willem J.

    1979-01-01

    In applied measurement, test scores are usually transformed to decisions. Analogous to classical test theory, the reliability of decisions has been defined as the consistency of decisions on a test and a retest or on two parallel tests. Coefficient kappa (Cohen, 1960) is used for assessing the

  14. Eurados trial performance test for personal dosemeters for external beta radiation

    DEFF Research Database (Denmark)

    Christensen, P.; Bordy, J.M.; Ambrosi, P.

    2001-01-01

    On the initiative of the European Dosimetry Group (EURADOS) action group 'Harmonisation and Dosimetric Quality Assurance in Individual Monitoring for External Radiation' a trial performance test for whole-body and extremity personal dosemeters broadly representative of those in use in the EU...... was accomplished, This paper deals with the part of the performance test concerned with exposure to beta radiation. Fifteen dosimetric services participated with whole-body dosemeters intended to measure beta doses (H-p(0.07)) of which 13 used thermoluminescent (TL) detectors and two used photographic films. Eight...... services participated with extremity dosemeters which all used TL detectors. A description is given of the irradiation set-up, the characteristics of the irradiation fields, the calibration quantity applied and the performance criteria used for the evaluation of the results. The paper discusses in detail...

  15. Physiological responses and external validity of a new setting for taekwondo combat simulation

    Science.gov (United States)

    2017-01-01

    Combat simulations have served as an alternative framework to study the cardiorespiratory demands of the activity in combat sports, but this setting imposes rule-restrictions that may compromise the competitiveness of the bouts. The aim of this study was to assess the cardiorespiratory responses to a full-contact taekwondo combat simulation using a safe and externally valid competitive setting. Twelve male national level taekwondo athletes visited the laboratory on two separate occasions. On the first visit, anthropometric and running cardiopulmonary exercise assessments were performed. In the following two to seven days, participants performed a full-contact combat simulation, using a specifically designed gas analyser protector. Oxygen uptake (V˙O2), heart rate (HR) and capillary blood lactate measurements ([La-]) were obtained. Time-motion analysis was performed to compare activity profile. The simulation yielded broadly comparable activity profiles to those performed in competition, a mean V˙O2 of 36.6 ± 3.9 ml.kg-1.min-1 (73 ± 6% V˙O2PEAK) and mean HR of 177 ± 10 beats.min-1 (93 ± 5% HRPEAK). A peak V˙O2 of 44.8 ± 5.0 ml.kg-1.min-1 (89 ± 5% V˙O2PEAK), a peak heart rate of 190 ± 13 beats.min-1 (98 ± 3% HRmax) and peak [La-] of 12.3 ± 2.9 mmol.L–1 was elicited by the bouts. Regarding time-motion analysis, combat simulation presented a similar exchange time, a shorter preparation time and a longer exchange-preparation ratio. Taekwondo combats capturing the full-contact competitive elements of a bout elicit moderate to high cardiorespiratory demands on the competitors. These data are valuable to assist preparatory strategies within the sport. PMID:28158252

  16. Physiological responses and external validity of a new setting for taekwondo combat simulation.

    Science.gov (United States)

    Hausen, Matheus; Soares, Pedro Paulo; Araújo, Marcus Paulo; Porto, Flávia; Franchini, Emerson; Bridge, Craig Alan; Gurgel, Jonas

    2017-01-01

    Combat simulations have served as an alternative framework to study the cardiorespiratory demands of the activity in combat sports, but this setting imposes rule-restrictions that may compromise the competitiveness of the bouts. The aim of this study was to assess the cardiorespiratory responses to a full-contact taekwondo combat simulation using a safe and externally valid competitive setting. Twelve male national level taekwondo athletes visited the laboratory on two separate occasions. On the first visit, anthropometric and running cardiopulmonary exercise assessments were performed. In the following two to seven days, participants performed a full-contact combat simulation, using a specifically designed gas analyser protector. Oxygen uptake ([Formula: see text]), heart rate (HR) and capillary blood lactate measurements ([La-]) were obtained. Time-motion analysis was performed to compare activity profile. The simulation yielded broadly comparable activity profiles to those performed in competition, a mean [Formula: see text] of 36.6 ± 3.9 ml.kg-1.min-1 (73 ± 6% [Formula: see text]) and mean HR of 177 ± 10 beats.min-1 (93 ± 5% HRPEAK). A peak [Formula: see text] of 44.8 ± 5.0 ml.kg-1.min-1 (89 ± 5% [Formula: see text]), a peak heart rate of 190 ± 13 beats.min-1 (98 ± 3% HRmax) and peak [La-] of 12.3 ± 2.9 mmol.L-1 was elicited by the bouts. Regarding time-motion analysis, combat simulation presented a similar exchange time, a shorter preparation time and a longer exchange-preparation ratio. Taekwondo combats capturing the full-contact competitive elements of a bout elicit moderate to high cardiorespiratory demands on the competitors. These data are valuable to assist preparatory strategies within the sport.

  17. Threshold Theory Tested in an Organizational Setting

    DEFF Research Database (Denmark)

    Christensen, Bo T.; Hartmann, Peter V. W.; Hedegaard Rasmussen, Thomas

    2017-01-01

    A large sample of leaders (N = 4257) was used to test the link between leader innovativeness and intelligence. The threshold theory of the link between creativity and intelligence assumes that below a certain IQ level (approximately IQ 120), there is some correlation between IQ and creative...

  18. Expert System for Test Program Set Fault Candidate Selection

    Science.gov (United States)

    1989-09-01

    This report describes an application of expert system technology to test program set (TPS) verification and validation. The goals of this project are...Keywords: Expert system , Artificial intelligence, Automatic test equipment (ATE), Test program set (TPS), Automatic test program generation (ATPG), Fault inspection, Verification and validation, TPS acceptance tool.

  19. Tests for Wavelets as a Basis Set

    Science.gov (United States)

    Baker, Thomas; Evenbly, Glen; White, Steven

    A wavelet transformation is a special type of filter usually reserved for image processing and other applications. We develop metrics to evaluate wavelets for general problems on test one-dimensional systems. The goal is to eventually use a wavelet basis in electronic structure calculations. We compare a variety of orthogonal wavelets such as coiflets, symlets, and daubechies wavelets. We also evaluate a new type of orthogonal wavelet with dilation factor three which is both symmetric and compact in real space. This work was supported by the U.S. Department of Energy, Office of Science, Basic Energy Sciences under Award #DE-SC008696.

  20. Hip abduction strength training in the clinical setting: with or without external loading?

    DEFF Research Database (Denmark)

    Bandholm, T; Weeke, Karen; Weinold, Christian;

    2010-01-01

    The side-lying hip abduction exercise is one of the most commonly used exercises in rehabilitation to increase hip abduction strength, and is often performed without external loading. The aim of this study was to compare the effect of 6 weeks of side-lying hip abduction training, with and without...... external loading, on hip abduction strength in healthy subjects. Thirty-one healthy, physically active men and women were included in a randomised controlled trial and allocated to side-lying hip abduction training, with or without external loading. Training without external loading was performed using...... only the weight of the leg as resistance, whereas training with external loading was performed with a relative load corresponding to 10 repetition maximum. Hip abduction strength was measured pre- and post-intervention. Isometric and eccentric hip abduction strength of the trained leg increased after...

  1. Beyond main effects of gene-sets: harsh parenting moderates the association between a dopamine gene-set and child externalizing behavior

    NARCIS (Netherlands)

    J. Windhorst (Judith); V. Mileva-Seitz; R.C.A. Rippe (Ralph C.A.); H.W. Tiemeier (Henning); V.W.V. Jaddoe (Vincent); F.C. Verhulst (Frank); M.H. van IJzendoorn (Marinus); M.J. Bakermans-Kranenburg (Marian)

    2016-01-01

    textabstractBackground: In a longitudinal cohort study, we investigated the interplay of harsh parenting and genetic variation across a set of functionally related dopamine genes, in association with children's externalizing behavior. This is one of the first studies to employ gene-based and gene-se

  2. Quality of basic life support education and automated external defibrillator setting in schools in Ishikawa, Japan.

    Science.gov (United States)

    Takamura, Akiteru; Ito, Sayori; Maruyama, Kaori; Ryo, Yusuke; Saito, Manami; Fujimura, Shuhei; Ishiura, Yuna; Hori, Ariyuki

    2017-03-01

    Automated external defibrillators (AED) have been installed in schools in Japan since 2004, and the government strongly recommends teaching basic life support (BLS). We therefore examined the quality of BLS education and AED installation in schools. We conducted a prefecture-wide questionnaire survey of all primary and junior high schools in 2016, to assess BLS education and AED installation against the recommendations of the Japan Circulation Society. The results were analyzed using descriptive statistics and chi-squared test. In total, 195 schools out of 315 (62%) responded, of which 38% have introduced BLS education for children. BLS training was held in a smaller proportion of primary schools (18%) than junior high schools (86%). More than 90% of primary school staff had undergone BLS training in the previous 2 years. The most common locations of AED were the gymnasium (32%) followed by entrance hall (28%), staffroom (25%), and infirmary (12%). The reasons given for location were that it was obvious (34%), convenient for staff (32%), could be used out of hours (17%), and the most likely location for a heart attack (15%). Approximately 18% of schools reported that it takes >5 min to reach the AED from the furthest point. BLS training, AED location, and understanding of both are not sufficient to save children's lives efficiently. Authorities should make recommendations about the correct number of AED, and their location, and provide more information to improve the quality of BLS training in schools. © 2016 Japan Pediatric Society.

  3. Educational credentials and external effects : A test for the Netherlands

    NARCIS (Netherlands)

    van der Meer, P.H.

    2011-01-01

    This paper proposes and uses a new test to discriminate between on the one hand the human capital model and on the other hand the credentialists and signalling models. Previous tests used only one source of variation between years spend in education and obtained degrees. Most use the variation among

  4. Portland, Oregon Test Data Set Arterial Loop Detector Data

    Data.gov (United States)

    Department of Transportation — This set of data files was acquired under USDOT FHWA cooperative agreement DTFH61-11-H-00025 as one of the four test data sets acquired by the USDOT Data Capture and...

  5. External Insect Morphology: A Negative Factor in Attitudes toward Insects and Likelihood of Incorporation in Future Science Education Settings

    Science.gov (United States)

    Wagler, Ron; Wagler, Amy

    2012-01-01

    This study investigated if the external morphology of an insect had a negative effect on United States (US) preservice elementary teacher's attitudes toward insects and beliefs concerning the likelihood of incorporating insects into future science education settings. 270 US kindergarten through sixth grade preservice elementary teachers…

  6. Parental Perceptions of Child Care Quality in Centre-Based and Home-Based Settings: Associations with External Quality Ratings

    Science.gov (United States)

    Lehrer, Joanne S.; Lemay, Lise; Bigras, Nathalie

    2015-01-01

    The current study examined how parental perceptions of child care quality were related to external quality ratings and considered how parental perceptions of quality varied according to child care context (home-based or centre-based settings). Parents of 179 4-year-old children who attended child care centres (n = 141) and home-based settings…

  7. The Importance of Reagent Lot Registration in External Quality Assurance/Proficiency Testing Schemes

    National Research Council Canada - National Science Library

    Stavelin, Anne; Riksheim, Berit Oddny; Christensen, Nina Gade; Sandberg, Sverre

    2016-01-01

    Providers of external quality assurance (EQA)/proficiency testing schemes have traditionally focused on evaluation of measurement procedures and participant performance and little attention has been given to reagent lot variation...

  8. Burst tests on pipeline with long external corrosion

    Energy Technology Data Exchange (ETDEWEB)

    Benjamin, A.C. [Rio de Janeiro Univ., (Brazil); Vieira, R.D.; Freire, J.L.F.; Castro, J.T.P. de [PUC, Rio de Janeiro (Brazil)

    2000-07-01

    Four different methods are available to assess long corrosion defects. They are: ASME B31G, RSTRENG 085dL, RSTRENG Effective Area, and the DNV RP-F101 (Part B). The degree of conservatism in each method varies considerably, making the maintenance and repair costs higher than they could be, since pipes still fit for service are replaced based on the results obtained in evaluating pressure strength. Petrobras initiated a research project aimed at assessing the behavior of pipeline with long corrosion defects. CONFAB S.A., a Brazilian manufacturer of steel tubes, donated 5 longitudinal welded tubes made of API 5L X60 steel. The wall thickness was 9.53 mm and the outside diameter was 323.9 mm. Two tubular specimens 2 m long were cut from each of the tubes, except for one tube where only one 2 m long section was cut. Burst tests were conducted on the specimens, where the corrosion defects were smooth and rectangular, having been fabricated using spark erosion. Material properties were determined on tensile specimens. 10 post-yield strain gages rosettes, one displacement transducer and three pressure transducers were affixed to the corroded specimens. A comparison of the measured burst pressures was made as predicted by the four methods under investigation. 11 refs., 4 tabs., 5 figs.

  9. KRAS mutations testing in colorectal carcinoma patients in Italy: from guidelines to external quality assessment.

    Directory of Open Access Journals (Sweden)

    Nicola Normanno

    Full Text Available BACKGROUND: Monoclonal antibodies directed against the epidermal growth factor receptor (EGFR have been approved for the treatment of patients with metastatic colorectal carcinoma (mCRC that do not carry KRAS mutations. Therefore, KRAS testing has become mandatory to chose the most appropriate therapy for these patients. METHODOLOGY/PRINCIPAL FINDINGS: In order to guarantee the possibility for mCRC patients to receive an high quality KRAS testing in every Italian region, the Italian Association of Medical Oncology (AIOM and the Italian Society of Pathology and Cytopathology -Italian division of the International Academy of Pathology (SIAPEC-IAP started a program to improve KRAS testing. AIOM and SIAPEC identified a large panel of Italian medical oncologists, pathologists and molecular biologists that outlined guidelines for KRAS testing in mCRC patients. These guidelines include specific information on the target patient population, the biological material for molecular analysis, the extraction of DNA, and the methods for the mutational analysis that are summarized in this paper. Following the publication of the guidelines, the scientific societies started an external quality assessment scheme for KRAS testing. Five CRC specimens with known KRAS mutation status were sent to the 59 centers that participated to the program. The samples were validated by three referral laboratories. The participating laboratories were allowed to use their own preferred method for DNA extraction and mutational analysis and were asked to report the results within 4 weeks. The limit to pass the quality assessment was set at 100% of true responses. In the first round, only two centers did not pass (3%. The two centers were offered to participate to a second round and both centers failed again to pass. CONCLUSIONS: The results of this first Italian quality assessment for KRAS testing suggest that KRAS mutational analysis is performed with good quality in the majority of

  10. External beam IBA set-up with large-area thin Si3N4 window

    Science.gov (United States)

    Palonen, V.; Mizohata, K.; Nissinen, T.; Räisänen, J.

    2016-08-01

    A compact external beam setup has been constructed for Particle Induced X-ray Emission (PIXE) and Nuclear Reaction (NRA) analyses. The key issue in the design has been to obtain a wide beam spot size with maximized beam current utilizing a thin Si3N4 exit window. The employed specific exit window support enables use of foils with thickness of 100 nm for a beam spot size of 4 mm in diameter. The durable thin foil and the large beam spot size will be especially important for the complementary external beam NRA measurements. The path between the exit foil and sample is filled with flowing helium to minimize radiation hazard as well as energy loss and straggling, and to cool the samples. For sample-independent beam current monitoring and irradiation fluence measurement, indirect charge integration, based on secondary electron current measurement from a beam profilometer, is utilized.

  11. Thermal-Aware Soc Test Scheduling with Test Set Partitioning and Interleaving

    OpenAIRE

    2007-01-01

    High temperature has become a major problem for system-on-chip testing. In order to reduce the test application time while keeping the temperatures of the cores under test within safe ranges, a thermal-aware test scheduling technique is required. This paper presents an approach to minimize the test application time and, at the same time, prevent the temperatures of cores under test going beyond given limits. We employ test set partitioning to divide test sets into shorter test sequences, and ...

  12. Computerized Mastery Testing Using Fuzzy Set Decision Theory.

    Science.gov (United States)

    Du, Yi; And Others

    1993-01-01

    A new computerized mastery test is described that builds on the Lewis and Sheehan procedure (sequential testlets) (1990), but uses fuzzy set decision theory to determine stopping rules and the Rasch model to calibrate items and estimate abilities. Differences between fuzzy set and Bayesian methods are illustrated through an example. (SLD)

  13. Test set of gaseous analytes at Hanford tank farms

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-01-01

    DOE has stored toxic and radioactive waste materials in large underground tanks. When the vapors in the tank headspaces vent to the open atmosphere a potentially dangerous situation can occur for personnel in the area. An open-path atmospheric pollution monitor is being developed to monitor the open air space above these tanks. In developing this infrared spectra monitor as a safety alert instrument, it is important to know what hazardous gases, called the Analytes of Concern, are most likely to be found in dangerous concentrations. The monitor must consider other gases which could interfere with measurements of the Analytes of Concern. The total list of gases called the Test Set Analytes form the basis for testing the pollution monitor. Prior measurements in 54 tank headspaces have detected 102 toxic air pollutants (TAPs) and over 1000 other analytes. The hazardous Analytes are ranked herein by a Hazardous Atmosphere Rating which combines their measured concentration, their density relative to air, and the concentration at which they become dangerous. The top 20 toxic air pollutants, as ranked by the Hazardous Atmosphere Rating, and the top 20 other analytes, in terms of measured concentrations, are analyzed for possible inclusion in the Test Set Analytes. Of these 40 gases, 20 are selected. To these 20 gases are added the 6 omnipresent atmospheric gases with the highest concentrations, since their spectra could interfere with measurements of the other spectra. The 26 Test Set Analytes are divided into a Primary Set and a Secondary Set. The Primary Set, gases which must be detectable by the monitor, includes the 6 atmospheric gases and the 6 hazardous gases which have been measured at dangerous concentrations. The Secondary Set gases need not be monitored at this time. The infrared spectra indicates that the pollution monitor will detect all 26 Test Set Analytes by thermal emission and will detect 15 Test Set Analytes by laser absorption.

  14. External Peer Review Team Report Underground Testing Area Subproject for Frenchman Flat, Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Sam Marutzky

    2010-09-01

    An external peer review was conducted to review the groundwater models used in the corrective action investigation stage of the Underground Test Area (UGTA) subproject to forecast zones of potential contamination in 1,000 years for the Frenchman Flat area. The goal of the external peer review was to provide technical evaluation of the studies and to assist in assessing the readiness of the UGTA subproject to progress to monitoring activities for further model evaluation. The external peer review team consisted of six independent technical experts with expertise in geology, hydrogeology,'''groundwater modeling, and radiochemistry. The peer review team was tasked with addressing the following questions: 1. Are the modeling approaches, assumptions, and model results for Frenchman Flat consistent with the use of modeling studies as a decision tool for resolution of environmental and regulatory requirements? 2. Do the modeling results adequately account for uncertainty in models of flow and transport in the Frenchman Flat hydrological setting? a. Are the models of sufficient scale/resolution to adequately predict contaminant transport in the Frenchman Flat setting? b. Have all key processes been included in the model? c. Are the methods used to forecast contaminant boundaries from the transport modeling studies reasonable and appropriate? d. Are the assessments of uncertainty technically sound and consistent with state-of-the-art approaches currently used in the hydrological sciences? 3. Are the datasets and modeling results adequate for a transition to Corrective Action Unit monitoring studies—the next stage in the UGTA strategy for Frenchman Flat? The peer review team is of the opinion that, with some limitations, the modeling approaches, assumptions, and model results are consistent with the use of modeling studies for resolution of environmental and regulatory requirements. The peer review team further finds that the modeling studies have accounted

  15. A Cosmic Bell Test with Measurement Settings from Astronomical Sources

    CERN Document Server

    Handsteiner, Johannes; Rauch, Dominik; Gallicchio, Jason; Liu, Bo; Hosp, Hannes; Kofler, Johannes; Bricher, David; Fink, Matthias; Leung, Calvin; Mark, Anthony; Nguyen, Hien T; Sanders, Isabella; Steinlechner, Fabian; Ursin, Rupert; Wengerowsky, Sören; Guth, Alan H; Kaiser, David I; Scheidl, Thomas; Zeilinger, Anton

    2016-01-01

    Bell's theorem states that some predictions of quantum mechanics cannot be reproduced by a local-realist theory. That conflict is expressed by Bell's inequality, which is usually derived under the assumption that there are no statistical correlations between the choices of measurement settings and anything else that can causally affect the measurement outcomes. In previous experiments, this "freedom of choice" was addressed by ensuring that selection of measurement settings via conventional "quantum random number generators" (QRNGs) was space-like separated from the entangled particle creation. This, however, left open the possibility that an unknown cause affected both the setting choices and measurement outcomes as recently as mere microseconds before each experimental trial. Here we report on a new experimental test of Bell's inequality that, for the first time, uses distant astronomical sources as "cosmic setting generators." In our tests with polarization-entangled photons, measurement settings were chos...

  16. Critical Current Test of Liquid Hydrogen Cooled HTC Superconductors under External Magnetic Field

    Science.gov (United States)

    Shirai, Yasuyuki; Shiotsu, Masahiro; Tatsumoto, Hideki; Kobayashi, Hiroaki; Naruo, Yoshihiro; Nonaka, Satoshi; Inatani, Yoshifumi

    High-Tc (HTC) superconductors including MgB2 will show excellent properties under temperature of Liquid Hydrogen (LH2:20K), which has large latent heat and low viscosity coefficient. In order to design and fabricate the LH2 cooled superconducting energy devices, we must clear the cooling property of LH2 for superconductors, the cooling system and safety design of LH2 cooled superconducting devices and electro-magnetic property evaluation of superconductors (BSCCO, REBCO and MgB2) and their magnets cooled by LH2. As the first step of the study, an experimental setup which can be used for investigating heat transfer characteristics of LH2 in a pool and also in forced flow (circulation loop with a pump), and also for evaluation of electro-magnetic properties of LH2 cooled superconductors under external magnetic field (up to 7 T). In this paper, we will show a short sketch of the experimental set-up, practical experiences in safety operation of liquid hydrogen cooling system and example test results of critical current evaluation of HTC superconductors cooled by LH2.

  17. Exact Results on Potts Model Partition Functions in a Generalized External Field and Weighted-Set Graph Colorings

    Science.gov (United States)

    Shrock, Robert; Xu, Yan

    2010-12-01

    We present exact results on the partition function of the q-state Potts model on various families of graphs G in a generalized external magnetic field that favors or disfavors spin values in a subset I s ={1,…, s} of the total set of possible spin values, Z( G, q, s, v, w), where v and w are temperature- and field-dependent Boltzmann variables. We remark on differences in thermodynamic behavior between our model with a generalized external magnetic field and the Potts model with a conventional magnetic field that favors or disfavors a single spin value. Exact results are also given for the interesting special case of the zero-temperature Potts antiferromagnet, corresponding to a set-weighted chromatic polynomial Ph( G, q, s, w) that counts the number of colorings of the vertices of G subject to the condition that colors of adjacent vertices are different, with a weighting w that favors or disfavors colors in the interval I s . We derive powerful new upper and lower bounds on Z( G, q, s, v, w) for the ferromagnetic case in terms of zero-field Potts partition functions with certain transformed arguments. We also prove general inequalities for Z( G, q, s, v, w) on different families of tree graphs. As part of our analysis, we elucidate how the field-dependent Potts partition function and weighted-set chromatic polynomial distinguish, respectively, between Tutte-equivalent and chromatically equivalent pairs of graphs.

  18. Convergence of Internal and External Structure for the California Child Q-set

    Science.gov (United States)

    Bimler, David; Kirkland, John; Fitzgerald, Hiram E.; Zucker, Robert A.

    2010-01-01

    The language of personality traits includes single-word trait descriptors, and longer phrases or sentences. Evidence has accumulated that abstract, semantic relationships among single words have the same underlying structure as the empirical relationships when words are applied to individuals. The present study examines whether these two kinds of structure are also isomorphic for longer trait descriptors. Empirical descriptions and judgements of semantic similarity were collected among the descriptors comprising the California Child Q-set, or CCQ, and analysed with multidimensional scaling. Canonical correlation showed the solutions to be closely related to one another, and to independent sets of ratings available for the CCQ items. Informants’ similarity judgements were not affected by the context in which they were made. The dominant dimensions of the solutions reproduce dimensions found previously for the single-word personality lexicon, indicating the two trait-descriptive languages to be closely parallel. PMID:20480712

  19. A Test Set for stiff Initial Value Problem Solvers in the open source software R: Package deTestSet

    NARCIS (Netherlands)

    Mazzia, F.; Cash, J.R.; Soetaert, K.

    2012-01-01

    In this paper we present the R package deTestSet that includes challenging test problems written as ordinary differential equations (ODEs), differential algebraic equations (DAEs) of index up to 3 and implicit differential equations (IDES). In addition it includes 6 new codes to solve initial value

  20. Antecedents of Academic Emotions: Testing the Internal/External Frame of Reference Model for Academic Enjoyment

    Science.gov (United States)

    Goetz, Thomas; Frenzel, Anne C.; Hall, Nathan C.; Pekrun, Reinhard

    2008-01-01

    The present study focused on students' academic enjoyment as predicted by achievement in multiple academic domains. Assumptions were based on Marsh's internal/external (I/E) frame of reference model and Pekrun's control-value theory of achievement emotions, and were tested in a sample of 1380 German students from grades 5 to 10. Students' academic…

  1. Integrative set enrichment testing for multiple omics platforms

    Directory of Open Access Journals (Sweden)

    Poisson Laila M

    2011-11-01

    Full Text Available Abstract Background Enrichment testing assesses the overall evidence of differential expression behavior of the elements within a defined set. When we have measured many molecular aspects, e.g. gene expression, metabolites, proteins, it is desirable to assess their differential tendencies jointly across platforms using an integrated set enrichment test. In this work we explore the properties of several methods for performing a combined enrichment test using gene expression and metabolomics as the motivating platforms. Results Using two simulation models we explored the properties of several enrichment methods including two novel methods: the logistic regression 2-degree of freedom Wald test and the 2-dimensional permutation p-value for the sum-of-squared statistics test. In relation to their univariate counterparts we find that the joint tests can improve our ability to detect results that are marginal univariately. We also find that joint tests improve the ranking of associated pathways compared to their univariate counterparts. However, there is a risk of Type I error inflation with some methods and self-contained methods lose specificity when the sets are not representative of underlying association. Conclusions In this work we show that consideration of data from multiple platforms, in conjunction with summarization via a priori pathway information, leads to increased power in detection of genomic associations with phenotypes.

  2. Food accessibility and food choice. A test of Schachter's externality hypothesis.

    Science.gov (United States)

    Meyers, A W; Stunkard, A J; Coll, M

    1980-10-01

    A set of naturalistic observations was conducted to examine Schachter's theory that obese individuals are more responsive to external food cues than persons of normal weight. During six days of observation at a large hospital cafeteria, experimenters manipulated the accessibility of high- and low-calorie desserts. No differences in selection by obese, overweight, and normal-weight individuals of meals or desserts were observed. All weight groups were equally responsive to the experimental manipulation of food cues.

  3. Cosmic Bell Test: Measurement Settings from Milky Way Stars

    Science.gov (United States)

    Handsteiner, Johannes; Friedman, Andrew S.; Rauch, Dominik; Gallicchio, Jason; Liu, Bo; Hosp, Hannes; Kofler, Johannes; Bricher, David; Fink, Matthias; Leung, Calvin; Mark, Anthony; Nguyen, Hien T.; Sanders, Isabella; Steinlechner, Fabian; Ursin, Rupert; Wengerowsky, Sören; Guth, Alan H.; Kaiser, David I.; Scheidl, Thomas; Zeilinger, Anton

    2017-02-01

    Bell's theorem states that some predictions of quantum mechanics cannot be reproduced by a local-realist theory. That conflict is expressed by Bell's inequality, which is usually derived under the assumption that there are no statistical correlations between the choices of measurement settings and anything else that can causally affect the measurement outcomes. In previous experiments, this "freedom of choice" was addressed by ensuring that selection of measurement settings via conventional "quantum random number generators" was spacelike separated from the entangled particle creation. This, however, left open the possibility that an unknown cause affected both the setting choices and measurement outcomes as recently as mere microseconds before each experimental trial. Here we report on a new experimental test of Bell's inequality that, for the first time, uses distant astronomical sources as "cosmic setting generators." In our tests with polarization-entangled photons, measurement settings were chosen using real-time observations of Milky Way stars while simultaneously ensuring locality. Assuming fair sampling for all detected photons, and that each stellar photon's color was set at emission, we observe statistically significant ≳7.31 σ and ≳11.93 σ violations of Bell's inequality with estimated p values of ≲1.8 ×10-13 and ≲4.0 ×10-33, respectively, thereby pushing back by ˜600 years the most recent time by which any local-realist influences could have engineered the observed Bell violation.

  4. New ESD Test Set-Up for Spacecraft Equipment

    Science.gov (United States)

    Daout, B.; Romero, C.; Pelissou, P.; Wolf, K.-F. J.

    2016-05-01

    The ESD test method according to ECSS-E-ST-20-07C [1] has shown weaknesses in reproducibility and reliability. We have previously shown that test results can vary from one test laboratory and setup to another [2], this entails developing an improved methodology and hardware to address the ECSS test shortcomings. In this paper, a new topology and a generator built using a pressurized high voltage relay, a compensation circuit and a bulk current injection (BCI) probe as a coupling device instead of the 20 cm wire described in the current ECSS standard are presented. The generator and the suggested test set-up have been evaluated in different configurations showing an improved reproducibility and a simpler testing procedure.

  5. Integration and software for thermal test of heat rate sensors. [space shuttle external tank

    Science.gov (United States)

    Wojciechowski, C. J.; Shrider, K. R.

    1982-01-01

    A minicomputer controlled radiant test facility is described which was developed and calibrated in an effort to verify analytical thermal models of instrumentation islands installed aboard the space shuttle external tank to measure thermal flight parameters during ascent. Software was provided for the facility as well as for development tests on the SRB actuator tail stock. Additional testing was conducted with the test facility to determine the temperature and heat flux rate and loads required to effect a change of color in the ET tank external paint. This requirement resulted from the review of photographs taken of the ET at separation from the orbiter which showed that 75% of the external tank paint coating had not changed color from its original white color. The paint on the remaining 25% of the tank was either brown or black, indicating that it had degraded due to heating or that the spray on form insulation had receded in these areas. The operational capability of the facility as well as the various tests which were conducted and their results are discussed.

  6. Improved breast cancer biomarker detection through a simple, high frequency, low cost external proficiency testing program.

    Science.gov (United States)

    Hung, Tawny; Wolber, Robert; Garratt, John; Kalloger, Steven; Gilks, C Blake

    2010-12-01

    We describe a simple, low cost, high frequency immunohistochemistry external proficiency testing program, and show how its use can lead to improved breast cancer biomarker detection. Over a 30 month period in British Columbia, Canada, we used tissue microarray slides to follow the performance of twelve clinical laboratories in nine separate external proficiency testing runs. Sensitivity for detection of oestrogen receptor (ER), progesterone receptor (PR), and HER2 were calculated for each laboratory, biomarker, and run. Mean sensitivities for detection of ER, PR, and HER2 were 97.1%, 84.8%, and 90.7%, respectively. HER2 sensitivity improved over time, from 87.0% to 92.9% (p=0.04), with a trend towards improvement seen for PR (81.9-88.1%, p=0.13). ER sensitivities were high throughout the test period. Improvements occurred without mandating any specific laboratory changes. This simple, low cost, high frequency external proficiency testing program is highly sustainable and can be implemented in any multi-institutional group or region.

  7. A Test-Replicate Approach to Candidate Gene Research on Addiction and Externalizing Disorders: A Collaboration Across Five Longitudinal Studies.

    Science.gov (United States)

    Samek, Diana R; Bailey, Jennifer; Hill, Karl G; Wilson, Sylia; Lee, Susanne; Keyes, Margaret A; Epstein, Marina; Smolen, Andrew; Miller, Michael; Winters, Ken C; Hawkins, J David; Catalano, Richard F; Iacono, William G; McGue, Matt

    2016-09-01

    This study presents results from a collaboration across five longitudinal studies seeking to test and replicate models of gene-environment interplay in the development of substance use and externalizing disorders (SUDs, EXT). We describe an overview of our conceptual models, plan for gene-environment interplay analyses, and present main effects results evaluating six candidate genes potentially relevant to SUDs and EXT (MAOA, 5-HTTLPR, COMT, DRD2, DAT1, and DRD4). All samples included rich longitudinal and phenotypic measurements from childhood/adolescence (ages 5-13) through early adulthood (ages 25-33); sample sizes ranged from 3487 in the test sample, to ~600-1000 in the replication samples. Phenotypes included lifetime symptom counts of SUDs (nicotine, alcohol and cannabis), adult antisocial behavior, and an aggregate externalizing disorder composite. Covariates included the first 10 ancestral principal components computed using all autosomal markers in subjects across the data sets, and age at the most recent assessment. Sex, ancestry, and exposure effects were thoroughly evaluated. After correcting for multiple testing, only one significant main effect was found in the test sample, but it was not replicated. Implications for subsequent gene-environment interplay analyses are discussed.

  8. Distension test in passive external rotation: Validation of a new clinical test for the early diagnosis of shoulder adhesive capsulitis.

    Science.gov (United States)

    Noboa, E; López-Graña, G; Barco, R; Antuña, S

    2015-01-01

    The aim of this study is to evaluate the internal validity of a clinical test for the early diagnosis of shoulder adhesive capsulitis, called the Distension Test in Passive External Rotation (DTPER). The DTPER is performed with the patient standing up, the arm adducted, and the elbow bent at 90°. From this position, a smooth passive external rotation is started, the affected arm being supporting at the wrist with one hand of the examiner and the other maintaining the adducted elbow until the maximum painless point of the rotation is reached. From this point of maximum external rotation with the arm in adduction and with no pain, an abrupt distension movement is made, increasing the external rotation, causing pain in the shoulder if the test is positive. This term was performed on a group of patients with shoulder pain of many origins, in order to analyse the predictive values, sensitivity, specificity, and the likelihood ratio. The DTPER showed a sensitivity of 100% (95% CI; 91.8 to 100%) and a specificity of 90% (95% CI; 82.4 to 94.8%). The positive predictive value was 0.62 and a likelihood ratio of 10.22 (95% CI; 5.5 to 19.01). False positives were only found in patients with subscapular tendinopathies or glenohumeral arthrosis. The DTPER has a high sensitivity for the diagnosis of adhesive capsulitis, and is excluded when it is practically negative. False positives can easily be identified if there is external rotation with no limits (subscapular tendinopathy) or with a simple shoulder X-ray (glenohumeral arthrosis). Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

  9. The Computerized Table Setting Test for Detecting Unilateral Neglect.

    Directory of Open Access Journals (Sweden)

    Seok Jong Chung

    Full Text Available Patients with unilateral neglect fail to respond normally to stimuli on the left side. To facilitate the evaluation of unilateral spatial neglect, we developed a new application that runs on a tablet device and investigated its feasibility in stroke patients.We made the computerized table setting test (CTST to run on the tablet computer. Forty acute ischemic stroke patients (20 patients with right hemispheric infarction with neglect, 10 patients with right hemispheric infarction without neglect, and 10 patients with left hemispheric infarction and 10 healthy controls were prospectively enrolled to validate the CTST. The test requires subjects to set a table by dragging 12 dishes located below the table on the tablet screen. The horizontal deviation of the 12 dishes from the midline of the table, the selection tendency measured by the sequence of the dish selection, and the elapsed time for table setting were calculated automatically.Parameters measured by the CTST were correlated with the results of conventional neglect tests. The horizontal deviation was significantly higher in patients with right hemispheric infarction with neglect compared with the other groups. The selection tendency and elapsed time also were significantly different in patients with right hemispheric infarction with neglect compared with the left hemispheric infarction and control groups, but were similar to those with right hemispheric infarction without neglect.The CTST is feasible to administer and comparable with conventional neglect tests. This new application may be useful for the initial diagnosis and follow-up of neglect patients.

  10. Dichotomies of the set of test measures of a Haar-null set

    CERN Document Server

    Dodos, Pandelis

    2010-01-01

    We prove that if $X$ is a Polish space and $F$ is a face of $P(X)$ with the Baire property, then $F$ is either a meager or a co-meager subset of $P(X)$. As a consequence we show that for every abelian Polish group $X$ and every analytic Haar-null set $A\\subseteq X$, the set of test measures $T(A)$ of $A$ is either meager or co-meager. We characterize the non-locally-compact groups as the ones for which there exists a closed Haar-null set $F\\subseteq X$ with $T(F)$ is meager. Moreover, we answer negatively a question of J. Mycielski by showing that for every non-locally-compact abelian Polish group and every $\\sigma$-compact subgroup $G$ of $X$ there exists a $G$-invariant $F_\\sigma$ subset of $X$ which is neither prevalent nor Haar-null.

  11. External Peer Review Team Report Underground Testing Area Subproject for Frenchman Flat, Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Sam Marutzky

    2010-09-01

    An external peer review was conducted to review the groundwater models used in the corrective action investigation stage of the Underground Test Area (UGTA) subproject to forecast zones of potential contamination in 1,000 years for the Frenchman Flat area. The goal of the external peer review was to provide technical evaluation of the studies and to assist in assessing the readiness of the UGTA subproject to progress to monitoring activities for further model evaluation. The external peer review team consisted of six independent technical experts with expertise in geology, hydrogeology,'''groundwater modeling, and radiochemistry. The peer review team was tasked with addressing the following questions: 1. Are the modeling approaches, assumptions, and model results for Frenchman Flat consistent with the use of modeling studies as a decision tool for resolution of environmental and regulatory requirements? 2. Do the modeling results adequately account for uncertainty in models of flow and transport in the Frenchman Flat hydrological setting? a. Are the models of sufficient scale/resolution to adequately predict contaminant transport in the Frenchman Flat setting? b. Have all key processes been included in the model? c. Are the methods used to forecast contaminant boundaries from the transport modeling studies reasonable and appropriate? d. Are the assessments of uncertainty technically sound and consistent with state-of-the-art approaches currently used in the hydrological sciences? 3. Are the datasets and modeling results adequate for a transition to Corrective Action Unit monitoring studies—the next stage in the UGTA strategy for Frenchman Flat? The peer review team is of the opinion that, with some limitations, the modeling approaches, assumptions, and model results are consistent with the use of modeling studies for resolution of environmental and regulatory requirements. The peer review team further finds that the modeling studies have accounted

  12. External microbeam set-up at the CNA (Sevilla) and its application to the study of Tartesic jewellery

    Energy Technology Data Exchange (ETDEWEB)

    Ontalba Salamanca, M.A. E-mail: ontalba@cica.es; Ager, F.J.; Ynsa, M.D.; Gomez Tubio, B.M.; Respaldiza, M.A.; Garcia Lopez, J.; Fernandez-Gomez, F.; Bandera, M.L. de la; Grime, G.W

    2001-07-01

    A new external microbeam system has been installed recently at the +45 deg. beam line of the 3 MV Pelletron accelerator at the Centro Nacional de Aceleradores (Sevilla, Spain). The facility, based on the system from Oxford Microbeams (OM), includes two sets of slits, a doublet of magnetic quadrupole focusing lenses, a Faraday cup and an accurate positioning device. In addition, a beam profile monitor (BPM) and a quartz viewer have been installed in the line to facilitate the microbeam production. The first PIXE application of the new facility was made in the field of Archaeometry, on the study of Tartesic gold artefacts (700-500 BC, SW of Spain) from Ebora and other archaeological sites. The aim of the analysis was to perform an exhaustive and systematic study about the soldering procedures that were employed by the goldsmiths along the Valley of Guadalquivir River after the Phoenician colonisation.

  13. A qualitative systematic review of internal and external influences on shared decision-making in all health care settings.

    Science.gov (United States)

    Truglio-Londrigan, Marie; Slyer, Jason T; Singleton, Joanne K; Worral, Priscilla

    2012-01-01

    The objective of this review is to identify and synthesize the best available evidence related to the meaningfulness of internal and external influences on shared-decision making for adult patients and health care providers in all health care settings.The specific questions to be answered are: BACKGROUND: Patient-centered care is emphasized in today's healthcare arena. This emphasis is seen in the works of the International Alliance of Patients' Organizations (IAOP) who describe patient-centered healthcare as care that is aimed at addressing the needs and preferences of patients. The IAOP presents five principles which are foundational to the achievement of patient-centered healthcare: respect, choice, policy, access and support, as well as information. These five principles are further described as:Within the description of these five principles the idea of shared decision-making is clearly evident.The concept of shared decision-making began to appear in the literature in the 1990s. It is defined as a "process jointly shared by patients and their health care provider. It aims at helping patients play an active role in decisions concerning their health, which is the ultimate goal of patient-centered care." The details of the shared decision-making process are complex and consist of a series of steps including:Three overall representative decision-making models are noted in contemporary literature. These three models include: paternalistic, informed decision-making, and shared decision-making. The paternalistic model is an autocratic style of decision-making where the healthcare provider carries out the care from the perspective of knowing what is best for the patient and therefore makes all decisions. The informed decision-making model takes place as the information needed to make decisions is conveyed to the patient and the patient makes the decisions without the healthcare provider involvement. Finally, the shared decision-making model is representative of a

  14. External quality assurance for HIV point-of-care testing in Africa: A collaborative country-partner approach to strengthen diagnostic services

    OpenAIRE

    Debrah I. Boeras; Peeling, Rosanna W

    2016-01-01

    It is important to consider the role of diagnostics and the critical need for quality diagnostics services in resource-limited settings. Accurate diagnostic tests play a key role in patient management and the prevention and control of most infectious diseases. As countries plan for implementation of HIV early infant diagnosis and viral load point-of-care testing, the London School of Hygiene & Tropical Medicine has worked with countries and partners with an interest in external quali...

  15. External quality assessment for KRAS testing is needed: setup of a European program and report of the first joined regional quality assessment rounds

    DEFF Research Database (Denmark)

    Bellon, Ellen; Ligtenberg, Marjolijn J L; Tejpar, Sabine

    2011-01-01

    . In an effort to ensure optimal, uniform, and reliable community-based KRAS testing throughout Europe, a KRAS external quality assessment (EQA) scheme was set up. The first large assessment round included 59 laboratories from eight different European countries. For each country, one regional scheme organizer...... expand this program to more laboratories to provide a robust estimate of the quality of KRAS testing in Europe, and provide the basis for remedial measures and harmonization....

  16. Relevance of cathodic disbondment test for evaluating external pipeline coatings at higher temperature

    Energy Technology Data Exchange (ETDEWEB)

    Papavinasam, S.; Doiron, A.

    2008-09-15

    This study evaluated the applicability of cathodic disbondment (CD) tests at high temperatures. The test is typically used to determine compatibility between external polymeric pipeline coatings and cathodic protection by measuring the disbondment of coatings caused by electrical stresses and evaluating the ability of the coating to not disbond under the stress of cathodic polarization. Factors influencing the applicability of the CD test at higher temperatures were investigated experimentally. The study showed that CD testing can be used for high temperature coating evaluation. Evaporation should be avoided by refluxing or replenishing electrolytes during the experimental process in order to accurately simulate the operating conditions of hot pipes. The study also demonstrated that the thickness and thermal conductivity of a pipeline coating can influence how much heat is transmitted from a pipe section to the surrounding soil. 22 refs., 5 tabs., 16 figs.

  17. The status of the SNS external antenna ion source and spare RFQ test facility

    Energy Technology Data Exchange (ETDEWEB)

    Welton, R. F., E-mail: welton@ornl.gov; Aleksandrov, A. V.; Han, B. X.; Kang, Y.; Murray, S. N.; Pennisi, T. R.; Piller, C.; Santana, M.; Stockli, M. P. [Oak Ridge National Laboratory, P.O. Box 2008, Oak Ridge, Tennessee 37830-6471 (United States); Dudnikov, V. G. [Muons, Inc., 552 N. Batavia Avenue, Batavia, Illinois 60510 (United States)

    2016-02-15

    The Oak Ridge National Laboratory operates the Spallation Neutron Source, consisting of a H{sup −} ion source, a 1 GeV linac and an accumulator ring. The accumulated <1 μs-long, ∼35 A beam pulses are extracted from the ring at 60 Hz and directed onto a liquid Hg target. Spalled neutrons are directed to ∼20 world class instruments. Currently, the facility operates routinely with ∼1.2 MW of average beam power, which soon will be raised to 1.4 MW. A future upgrade with a second target station calls for raising the power to 2.8 MW. This paper describes the status of two accelerator components expected to play important roles in achieving these goals: a recently acquired RFQ accelerator and the external antenna ion source. Currently, the RFQ is being conditioned in a newly constructed 2.5 MeV Integrated Test Facility (ITF) and the external antenna source is also being tested on a separate test stand. This paper presents the results of experiments and the testing of these systems.

  18. Proton induced γ-ray emission yields for the analysis of light elements in aerosol samples in an external beam set-up

    Science.gov (United States)

    Calzolai, G.; Chiari, M.; Lucarelli, F.; Nava, S.; Portarena, S.

    2010-05-01

    The PIXE technique is a reliable tool for the characterisation of thin aerosol samples, but it can underestimate the lightest measurable elements, like Na, Mg, Al, Si and P, owing to the absorption of their X-rays inside the sample. The PIGE technique is a valid help to determine corrections for such effect: in order to perform PIGE measurements relative to thin reference standards in an external beam set-up, we measured, at the external beam facility of the Tandetron accelerator of the LABEC laboratory in Florence, the γ-ray yields as a function of the proton beam energy for the reactions 19F(p,p'γ) 19F ( Eγ = 110 and 197 keV), 23Na(p,p'γ) 23Na ( Eγ = 440 keV) and 27Al(p,p'γ) 27Al ( Eγ = 843 and 1013 keV), in the proton energy range from 3 to 5 MeV. The measured yields are shown, and the determined most suitable energies for performing PIGE quantification of Na and Al are reported, together with the corresponding minimum detection limits (MDLs). The results of some test on PIGE accuracy and an evaluation of self-absorption effects in PIXE measurements on thin aerosol samples are also presented.

  19. In vitro biomechanical testing of different configurations of acrylic external skeletal fixator constructs.

    Science.gov (United States)

    Tyagi, S K; Aithal, H P; Kinjavdekar, P; Amarpal; Pawde, A M; Srivastava, T; Singh, J; Madhu, D N

    2015-01-01

    To evaluate the in vitro biomechanical properties of four different configurations of acrylic external skeletal fixator constructs. Simulated bone constructs were prepared using two segments of 20 mm ultra-high-density polyethylene rods with a gap of 5 mm. The full pins (1.5 mm) were passed through the proximal and distal segments of ultra-high-density polyethylene rods, in the same plane, parallel to each other in configuration U, and were crossed in the M1, M2 and C configurations at a 90° angle to each other. Configuration U was a single bilateral uniplanar construct, M1 was a double orthogonal bilateral construct, M2 was a double orthogonal bilateral construct with proximal and distal connecting articulations, and C was a double orthogonal bilateral construct with proximal and distal circumferential articulations. Temporary scaffolds of different external skeletal fixator configurations were constructed using commercially available polyvinyl chloride pipes (20 mm) connected and secured to the fixation pins at a fixed distance from the rods. Acrylic powder (polymer) mixed with liquid (monomer) was poured into the pipes and allowed to solidify to form the side bars and rings. The external skeletal fixator constructs were then subjected to axial compression, cranio-caudal three-point bending and torsion (n = 4 each) using a universal testing machine. Mechanical parameters, namely stress, strain, modulus of elasticity, stiffness and bending moment of fixator constructs, were determined from load-displacement curves. Configuration U was the weakest and configuration C was the strongest under all the testing modes. Under compression, the M1, M2 and C configurations were similar. Under bending, a significant difference was observed among the uniplanar, multiplanar and circular configurations with no difference between M1 and M2. However, under torsion, all the external skeletal fixator configurations differed significantly. The freeform external skeletal fixator

  20. Uniform calibration of night vision goggles and test sets

    Science.gov (United States)

    Eppeldauer, George P.

    2007-10-01

    There are orders of magnitude differences between the ~0.1 % (k=2) uncertainty of NIST reference detector calibrations and the uncertainty of night vision (NV) goggle measurements. NIST developed a night vision radiometer calibration facility including NV radiometer transfer standards. The transfer standards, that propagate the radiance responsivity scale to the military primary standards laboratories, are calibrated against a NIST reference radiometer. The reference radiometer has been calibrated on the NIST Spectral Comparator Facility (SCF) for spectral power and irradiance responsivities. Spectral considerations are discussed to lower the uncertainties of the radiance responsivity scale transfer to the test sets and then to the goggles. Since direct determination of the final uncertainties in goggle calibrations and measurements is difficult, models have been made to estimate the most important uncertainty components based on individual spectral measurements of the applied source distributions and radiometer spectral responsivities. It is also shown, that because of source spectral mismatch problems, the goggle measurement uncertainty at applications can be much higher than at calibration. A suggestion is being made to mimic the no-moon (stars only) night sky radiation distribution using several LEDs in the test-sets to decrease the large spectral mismatch errors. A broad-band correction factor has been developed to further decrease calibration uncertainty when the goggles to be used have different spectral responsivities than the standard. Geometrical considerations to optimize the radiance measurement angle and the out-of-target blocking are also discussed to decrease the uncertainty in the radiance responsivity transfer.

  1. Current landscape and new paradigms of proficiency testing and external quality assessment for molecular genetics.

    Science.gov (United States)

    Kalman, Lisa V; Lubin, Ira M; Barker, Shannon; du Sart, Desiree; Elles, Rob; Grody, Wayne W; Pazzagli, Mario; Richards, Sue; Schrijver, Iris; Zehnbauer, Barbara

    2013-07-01

    Participation in proficiency testing (PT) or external quality assessment (EQA) programs allows the assessment and comparison of test performance among different clinical laboratories and technologies. In addition to the approximately 2300 tests for individual genetic disorders, recent advances in technology have enabled the development of clinical tests that quickly and economically analyze the entire human genome. New PT/EQA approaches are needed to ensure the continued quality of these complex tests. To review the availability and scope of PT/EQA for molecular genetic testing for inherited conditions in Europe, Australasia, and the United States; to evaluate the successes and demonstrated value of available PT/EQA programs; and to examine the challenges to the provision of comprehensive PT/EQA posed by new laboratory practices and methodologies. The available literature on this topic was reviewed and supplemented with personal experiences of several PT/EQA providers. Proficiency testing/EQA schemes are available for common genetic disorders tested in many clinical laboratories but are not available for most genetic tests offered by only one or a few laboratories. Provision of broad, method-based PT schemes, such as DNA sequencing, would allow assessment of many tests for which formal PT is not currently available. Participation in PT/EQA improves the quality of testing by identifying inaccuracies that laboratories can trace to errors in their testing processes. Areas of research and development to ensure that PT/EQA programs can meet the needs of new and evolving genetic tests and technologies are identified and discussed.

  2. Investigation of External Optical Feedback Resistance of IC-DFB and GC-DFB Lasers Using a Very Simple Experimental set-up

    Institute of Scientific and Technical Information of China (English)

    孙长征; 熊兵; 罗毅; 中野义昭

    2003-01-01

    We study the external optical feedback resistance of both index-coupled (IC) and gain-coupled distributed feedback (DFB) lasers using a very simple experimental set-up. Though IC-DFB lasers with large coupling coefficients are found to be less sensitive to external reflection, they suffer from mode instability at high injection level. On the other hand, the introduction of gain-coupling mechanism can significantly improve both the immunity to external optical feedback and the single mode yield of the device.

  3. The upgraded external-beam PIXE/PIGE set-up at LABEC for very fast measurements on aerosol samples

    Science.gov (United States)

    Lucarelli, F.; Calzolai, G.; Chiari, M.; Giannoni, M.; Mochi, D.; Nava, S.; Carraresi, L.

    2014-01-01

    At the 3 MV Tandetron accelerator of the LABEC laboratory of INFN in Florence, an external beam facility is fully dedicated to measurements of elemental composition of atmospheric aerosol. The experimental set-up hitherto used for this kind of applications has been upgraded with the replacement of a traditional Si(Li) detector for the detection of medium-high Z elements with a silicon drift detector (SDD) with a big active area (80 mm2) and 450 μm thickness, with the aim of obtaining better minimum detection limits (MDL) and reduce measuring times. The Upilex extraction window has been replaced by a more resistant one (Si3N4). A comparison between the old Si(Li) and the new SDD for aerosol samples collected on different substrata like Teflon, Kapton and Nuclepore evidenced the better performances of the SDD. It allows obtaining better results (higher counting statistics, lower MDLs) even in shorter measuring times, thus allowing very fast analysis of both daily and hourly samples.

  4. The upgraded external-beam PIXE/PIGE set-up at LABEC for very fast measurements on aerosol samples

    Energy Technology Data Exchange (ETDEWEB)

    Lucarelli, F., E-mail: lucarelli@fi.infn.it; Calzolai, G.; Chiari, M.; Giannoni, M.; Mochi, D.; Nava, S.; Carraresi, L.

    2014-01-01

    At the 3 MV Tandetron accelerator of the LABEC laboratory of INFN in Florence, an external beam facility is fully dedicated to measurements of elemental composition of atmospheric aerosol. The experimental set-up hitherto used for this kind of applications has been upgraded with the replacement of a traditional Si(Li) detector for the detection of medium–high Z elements with a silicon drift detector (SDD) with a big active area (80 mm{sup 2}) and 450 μm thickness, with the aim of obtaining better minimum detection limits (MDL) and reduce measuring times. The Upilex extraction window has been replaced by a more resistant one (Si{sub 3}N{sub 4}). A comparison between the old Si(Li) and the new SDD for aerosol samples collected on different substrata like Teflon, Kapton and Nuclepore evidenced the better performances of the SDD. It allows obtaining better results (higher counting statistics, lower MDLs) even in shorter measuring times, thus allowing very fast analysis of both daily and hourly samples.

  5. Long-term Test Arrangement for Externally Strengthened Reinforced Concrete Elements

    Directory of Open Access Journals (Sweden)

    T. Vaňura

    2003-01-01

    Full Text Available Methods for external strengthening of concrete use elements of very high tensional strength glued on to its tensioned surface. These elements may be of metal, carbon fibers (CFRP, glass fibers or others, usually having very good mechanical properties. However, these high-strength elements are normally attached to concrete by epoxy resins. Epoxy resins have a low Young`s modulus and therefore a higher rate of creep may have an influence on the long-term behavior of such external strengthening. In order to verify this idea experimentally a special space-saving arrangement of tests is described in this paper. Panels act as loaded beams but simultaneously as a load for the other panels in a stand. The different load magnitude acting on a different layer of panels should make it possible to study the long-term influence of the degree of shear force on the glue creep. Certainly, the glue creep may be dependent on the type of epoxy resin; therefore several epoxy resin types are included in the tests.

  6. Study of Internal and External Leaks in Tests of Anode-Supported SOFCs

    DEFF Research Database (Denmark)

    Rasmussen, Jens Foldager Bregnballe; Hendriksen, Peter Vang; Hagen, Anke

    2008-01-01

    A planar anode-supported solid oxide fuel cell (SOFC) has been tested to investigate gas tightness of the electrolyte and the applied seals. Gas leaks reduce the efficiency of the SOFC and it is thus important to determine and minimise them. Probe gases (He and Ar) and a Quadrupole Mass Spectrome......A planar anode-supported solid oxide fuel cell (SOFC) has been tested to investigate gas tightness of the electrolyte and the applied seals. Gas leaks reduce the efficiency of the SOFC and it is thus important to determine and minimise them. Probe gases (He and Ar) and a Quadrupole Mass...... Spectrometer were used to detect both internal (through electrolyte) and external (through seals) gas leaks. The internal gas leak through the electrolyte was quantified under different conditions, as was the external leak from the surroundings to the anode. The internal gas leak did not depend on the pressure...... and pressure gradients. The measured gas leaks deduced from the probe gas experiments and the total leak calculated from the deviation between the Emf defined by the gases and the cell OCV (which contains all gas leaks as well as effects of electronic leaks) were compared. Good agreement between the two...

  7. A test statistic for the affected-sib-set method.

    Science.gov (United States)

    Lange, K

    1986-07-01

    This paper discusses generalizations of the affected-sib-pair method. First, the requirement that sib identity-by-descent relations be known unambiguously is relaxed by substituting sib identity-by-state relations. This permits affected sibs to be used even when their parents are unavailable for typing. In the limit of an infinite number of marker alleles each of infinitesimal population frequency, the identity-by-state relations coincide with the usual identity-by-descent relations. Second, a weighted pairs test statistic is proposed that covers affected sib sets of size greater than two. These generalizations make the affected-sib-pair method a more powerful technique for detecting departures from independent segregation of disease and marker phenotypes. A sample calculation suggests such a departure for tuberculoid leprosy and the HLA D locus.

  8. Can the external masculinization score predict the success of genetic testing in 46,XY DSD?

    Directory of Open Access Journals (Sweden)

    Ruthie Su

    2015-05-01

    Full Text Available Genetic testing is judiciously applied to individuals with Disorders of Sex Development (DSD and so it is necessary to identify those most likely to benefit from such testing. We hypothesized that the external masculinization score (EMS is inversely associated with the likelihood of finding a pathogenic genetic variant. Patients with 46,XY DSD from a single institution evaluated from 1994-2014 were included. Results of advanced cytogenetic and gene sequencing tests were recorded. An EMS score (range 0-12 was assigned to each patient according to the team's initial external genitalia physical examination. During 1994-2011, 44 (40% patients with 46,XY DSD were evaluated and underwent genetic testing beyond initial karyotype; 23% (10/44 had a genetic diagnosis made by gene sequencing or array. The median EMS score of those with an identified pathogenic variant was significantly different from those in whom no confirmed genetic cause was identified [median 3 (95% CI, 2-6 versus 6 (95% CI, 5-7, respectively (p = 0.02], but limited to diagnoses of complete or partial androgen insensitivity (8/10 or 5-reductase deficiency (2/10. In the modern cohort (2012-2014, the difference in median EMS in whom a genetic cause was or was not identified approached significance (p = 0.05, median 3 (95% CI, 0-7 versus 7 (95% CI, 6-9, respectively. When all patients from 1994-2014 are pooled, the EMS is significantly different amongst those with compared to those without a genetic cause (median EMS 3 vs. 6, p < 0.02. We conclude that an EMS of 3 or less may indicate a higher likelihood of identifying a genetic cause of 46,XY DSD and justify genetic screening, especially when androgen insensitivity is suspected.

  9. The pseudonoise test set: Communication system's performance evaluation based upon RMS error testing

    Science.gov (United States)

    Wallace, G. R.; Gussow, S. S.; Salter, W. E.; Weathers, G. D.

    1972-01-01

    A pseudonoise (PN) test set was built to provide a relatively easy means of accurately determining the end-to-end rms error introduced by a communication system when subjected to wideband data. It utilizes a filtered pseudorandom sequence generator as a wideband data source, providing a convenient means for digitally delaying the input reference signal for comparison with the distorted test communication system output. In addition to providing a means to measure the end-to-end rms error and the average delay of a communication system, the PN test set also provides a means to determine the tested system's impulse response and correlation function. The theory of PN testing is discussed in detail along with the most difficult aspects of implementation, the building of matched filter pairs. Both analytical and empirical results are reported which support the contentions that this is an accurate and practical way to acquire figures of merit for complete communication systems.

  10. External Vision Systems (XVS) proof-of-concept flight test evaluation

    Science.gov (United States)

    Shelton, Kevin J.; Williams, Steven P.; Kramer, Lynda J.; Arthur, Jarvis J.; Prinzel, Lawrence; Bailey, Randall E.

    2014-06-01

    NASA's Fundamental Aeronautics Program, High Speed Project is performing research, development, test and evaluation of flight deck and related technologies to support future low-boom, supersonic configurations (without forward-facing windows) by use of an eXternal Vision System (XVS). The challenge of XVS is to determine a combination of sensor and display technologies which can provide an equivalent level of safety and performance to that provided by forward-facing windows in today's aircraft. This flight test was conducted with the goal of obtaining performance data on see-and-avoid and see-to-follow traffic using a proof-of-concept XVS design in actual flight conditions. Six data collection flights were flown in four traffic scenarios against two different sized participating traffic aircraft. This test utilized a 3x1 array of High Definition (HD) cameras, with a fixed forward field-of-view, mounted on NASA Langley's UC-12 test aircraft. Test scenarios, with participating NASA aircraft serving as traffic, were presented to two evaluation pilots per flight - one using the proof-of-concept (POC) XVS and the other looking out the forward windows. The camera images were presented on the XVS display in the aft cabin with Head-Up Display (HUD)-like flight symbology overlaying the real-time imagery. The test generated XVS performance data, including comparisons to natural vision, and post-run subjective acceptability data were also collected. This paper discusses the flight test activities, its operational challenges, and summarizes the findings to date.

  11. External Vision Systems (XVS) Proof-of-Concept Flight Test Evaluation

    Science.gov (United States)

    Shelton, Kevin J.; Williams, Steven P.; Kramer, Lynda J.; Arthur, Jarvis J.; Prinzel, Lawrence, III; Bailey, Randall E.

    2014-01-01

    NASA's Fundamental Aeronautics Program, High Speed Project is performing research, development, test and evaluation of flight deck and related technologies to support future low-boom, supersonic configurations (without forward-facing windows) by use of an eXternal Vision System (XVS). The challenge of XVS is to determine a combination of sensor and display technologies which can provide an equivalent level of safety and performance to that provided by forward-facing windows in today's aircraft. This flight test was conducted with the goal of obtaining performance data on see-and-avoid and see-to-follow traffic using a proof-of-concept XVS design in actual flight conditions. Six data collection flights were flown in four traffic scenarios against two different sized participating traffic aircraft. This test utilized a 3x1 array of High Definition (HD) cameras, with a fixed forward field-of-view, mounted on NASA Langley's UC-12 test aircraft. Test scenarios, with participating NASA aircraft serving as traffic, were presented to two evaluation pilots per flight - one using the proof-of-concept (POC) XVS and the other looking out the forward windows. The camera images were presented on the XVS display in the aft cabin with Head-Up Display (HUD)-like flight symbology overlaying the real-time imagery. The test generated XVS performance data, including comparisons to natural vision, and post-run subjective acceptability data were also collected. This paper discusses the flight test activities, its operational challenges, and summarizes the findings to date.

  12. 10 CFR Appendix Z to Subpart B of... - Uniform Test Method for Measuring the Energy Consumption of External Power Supplies

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false Uniform Test Method for Measuring the Energy Consumption... Appendix Z to Subpart B of Part 430—Uniform Test Method for Measuring the Energy Consumption of External Power Supplies 1. Scope: This appendix covers the test requirements used to measure energy consumption...

  13. [Development of external quality control protocol for CyberKnife beams dosimetry: preliminary tests multicentre].

    Science.gov (United States)

    Guinement, L; Marchesi, V; Veres, A; Lacornerie, T; Buchheit, I; Peiffert, D

    2013-01-01

    To develop an external quality control procedure for CyberKnife(®) beams. This work conducted in Nancy, has included a test protocol initially drawn by the medical physicist of Nancy and Lille in collaboration with Equal-Estro Laboratory. A head and neck anthropomorphic phantom and a water-equivalent homogeneous cubic plastic test-object, so-called "MiniCube", have been used. Powder and solid thermoluminescent dosimeters as well as radiochromic films have been used to perform absolute and relative dose studies, respectively. The comparison between doses calculated by Multiplan treatment planning system and measured doses have been studied in absolute dose. The dose distributions measured with films and treatment planning system calculations have been compared via the gamma function, configured with different tolerance criteria. This work allowed, via solid thermoluminescent dosimeter measurements, verifying the beam reliability with a reproducibility of 1.7 %. The absolute dose measured in the phantom irradiated by the seven participating centres has shown an error inferior to the standard tolerance limits (± 5 %), for most of participating centres. The relative dose measurements performed at Nancy and by the Equal-Estro laboratory allowed defining the most adequate parameters for gamma index (5 %/2mm--with at least 95 % of pixels satisfying acceptability criteria: γsoftware. This work allowed defining a dosimetric external quality control for CyberKnife(®) systems, based on a reproducible irradiation plan through measurements performed with thermoluminescent dosimeters and radiochromic films. This protocol should be validated by a new series of measurement and taking into account the lessons of this work. Copyright © 2013 Société française de radiothérapie oncologique (SFRO). Published by Elsevier SAS. All rights reserved.

  14. Quantum Algorithm for Commutativity Testing of a Matrix Set

    CERN Document Server

    Itakura, Y K

    2005-01-01

    Suppose we have k matrices of size n by n. We are given an oracle that knows all the entries of k matrices, that is, we can query the oracle an (i,j) entry of the l-th matrix. The goal is to test if each pair of k matrices commute with each other or not with as few queries to the oracle as possible. In order to solve this problem, we use a theorem of Mario Szegedy (quant-ph/0401053) that relates a hitting time of a classical random walk to that of a quantum walk. We also take a look at another method of quantum walk by Andris Ambainis (quant-ph/0311001). We apply both walks into triangle finding problem (quant-ph/0310134) and matrix verification problem (quant-ph/0409035) to compare the powers of the two different walks. We also present Ambainis's method of lower bounding technique (quant-ph/0002066) to obtain a lower bound for this problem. It turns out Szegedy's algorithm can be generalized to solve similar problems. Therefore we use Szegedy's theorem to analyze the problem of matrix set commutativity. We g...

  15. Student Perceptions of the Progress Test in Two Settings and the Implications for Test Deployment

    Science.gov (United States)

    Wade, Louise; Harrison, Chris; Hollands, James; Mattick, Karen; Ricketts, Chris; Wass, Val

    2012-01-01

    Background: The Progress Test (PT) was developed to assess student learning within integrated curricula. Whilst it is effective in promoting and rewarding deep approaches to learning in some settings, we hypothesised that implementation of the curriculum (design and assessment) may impact on students' preparation for the PT and their learning.…

  16. System for portable nucleic acid testing in low resource settings

    Science.gov (United States)

    Lu, Hsiang-Wei; Roskos, Kristina; Hickerson, Anna I.; Carey, Thomas; Niemz, Angelika

    2013-03-01

    Our overall goal is to enable timely diagnosis of infectious diseases through nucleic acid testing at the point-of-care and in low resource settings, via a compact system that integrates nucleic acid sample preparation, isothermal DNA amplification, and nucleic acid lateral flow (NALF) detection. We herein present an interim milestone, the design of the amplification and detection subsystem, and the characterization of thermal and fluidic control and assay execution within this system. Using an earlier prototype of the amplification and detection unit, comprised of a disposable cartridge containing flexible pouches, passive valves, and electrolysis-driven pumps, in conjunction with a small heater, we have demonstrated successful execution of an established and clinically validated isothermal loop-mediated amplification (LAMP) reaction targeting Mycobacterium tuberculosis (M.tb) DNA, coupled to NALF detection. The refined design presented herein incorporates miniaturized and integrated electrolytic pumps, novel passive valves, overall design changes to facilitate integration with an upstream sample preparation unit, and a refined instrument design that automates pumping, heating, and timing. Nucleic acid amplification occurs in a two-layer pouch that facilitates fluid handling and appropriate thermal control. The disposable cartridge is manufactured using low-cost and scalable techniques and forms a closed system to prevent workplace contamination by amplicons. In a parallel effort, we are developing a sample preparation unit based on similar design principles, which performs mechanical lysis of mycobacteria and DNA extraction from liquefied and disinfected sputum. Our next step is to combine sample preparation, amplification, and detection in a final integrated cartridge and device, to enable fully automated sample-in to answer-out diagnosis of active tuberculosis in primary care facilities of low-resource and high-burden countries.

  17. Mapping the MMPI-2-RF Substantive Scales Onto Internalizing, Externalizing, and Thought Dysfunction Dimensions in a Forensic Inpatient Setting.

    Science.gov (United States)

    Romero, Isabella E; Toorabally, Nasreen; Burchett, Danielle; Tarescavage, Anthony M; Glassmire, David M

    2017-01-01

    Contemporary models of psychopathology-encompassing internalizing, externalizing, and thought dysfunction factors-have gained significant support. Although research indicates the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF; Ben-Porath & Tellegen, 2008 /2011) measures these domains of psychopathology, this study addresses extant limitations in MMPI-2-RF diagnostic validity research by examining associations between all MMPI-2-RF substantive scales and broad dichotomous indicators of internalizing, externalizing, and thought dysfunction diagnoses in a sample of 1,110 forensic inpatients. Comparing those with and without internalizing diagnoses, notable effects were observed for Negative Emotionality/Neuroticism-Revised (NEGE-r), Emotional/Internalizing Dysfunction (EID), Dysfunctional Negative Emotions (RC7), Demoralization (RCd), and several other internalizing and somatic/cognitive scales. Comparing those with and without thought dysfunction diagnoses, the largest hypothesized differences occurred for Thought Dysfunction (THD), Aberrant Experiences (RC8), and Psychoticism-Revised (PSYC-r), although unanticipated differences were observed on internalizing and interpersonal scales, likely reflecting the high prevalence of internalizing dysfunction in forensic inpatients not experiencing thought dysfunction. Comparing those with and without externalizing diagnoses, the largest effects were for Substance Abuse (SUB), Antisocial Behavior (RC4), Behavioral/Externalizing Dysfunction (BXD), Juvenile Conduct Problems (JCP), and Disconstraint-Revised (DISC-r). Multivariate models evidenced similar results. Findings support the construct validity of MMPI-2-RF scales as measures of internalizing, thought, and externalizing dysfunction.

  18. Consistency of QSAR models: Correct split of training and test sets, ranking of models and performance parameters.

    Science.gov (United States)

    Rácz, A; Bajusz, D; Héberger, K

    2015-01-01

    Recent implementations of QSAR modelling software provide the user with numerous models and a wealth of information. In this work, we provide some guidance on how one should interpret the results of QSAR modelling, compare and assess the resulting models, and select the best and most consistent ones. Two QSAR datasets are applied as case studies for the comparison of model performance parameters and model selection methods. We demonstrate the capabilities of sum of ranking differences (SRD) in model selection and ranking, and identify the best performance indicators and models. While the exchange of the original training and (external) test sets does not affect the ranking of performance parameters, it provides improved models in certain cases (despite the lower number of molecules in the training set). Performance parameters for external validation are substantially separated from the other merits in SRD analyses, highlighting their value in data fusion.

  19. The upgraded external-beam PIXE/PIGE set-up at LABEC for very fast measurements on aerosol samples

    Energy Technology Data Exchange (ETDEWEB)

    Lucarelli, F.; Calzolai, G.; Chiari, M.; Mochi, D.; Nava, S. [Department of Physics, University of Florence and INFN, Florence (Italy)

    2013-07-01

    Full text: Particle Induced X-ray Emission (PIXE)technique has been widely used since its birth for the study of the aerosol composition, and for a long time it has been the dominating technique for its elemental analysis. However now it has to compete with other techniques, like Induced Coupled Plasma and detection by Atomic Emission Spectroscopy (ICP-AES) or Mass Spectrometry (ICP-MS) or Synchrotron Radiation XRF (SR-XRF). To remain competitive, a proper experimental set-up is important to fully exploit PIXE capabilities. At LABEC, an external beam line is fully dedicated to PIXE-PIGE measurements of atmospheric aerosols [1]. Recently SDD (Silicon Drift Detectors) have been introduced for X-ray detection thanks to their better resolution with respect to Si(Li) detectors and the possibility of managing high counting rates (up to 50 kHz at 0.5 μsec shaping time). This implies, in turn, the possibility of using very high beam currents thus drastically reducing the measurement time. However their use for a complete characterization of X-rays was limited by the small thickness and surface areas available. Now SDD with a thickness of 500 μm and 80 mm{sup 2} area have been introduced in the market. We have therefore replaced the Si(Li) detector used so far for the detection of medium-high Z elements with such a SDD. A comparison of the two detectors has been carried out; PIXE minimum detection limits (MDLs) at different proton beam energies have been studied to find out the best energy for PIXE measurements on aerosol samples collected on different substrata, namely Teflon, Kapton, Nuclepore and Kimfol, used for daily or hourly sampling or for cascade impactors. In particular in the case of Teflon filters, the production of γ-rays by F in the Teflon filter limits the current which may be used and the Compton γ-ray background worsens the MDLs. Due to the lower thickness of the SDD detector with respect to a typical Si(Li) detector, these problems are reduced

  20. External quality assessment of patient HLA-B*57:01 testing prior to abacavir prescription.

    Science.gov (United States)

    Darke, C; Corbin, S A

    2014-08-01

    Hypersensitivity reactions to the drug abacavir are strongly associated with possession of HLA-B*57:01. Hence, patients with HIV/AIDS who may be prescribed abacavir should be tested for this HLA allele and the drug withheld from those that possess B*57:01. The UK National External Quality Assessment Service for Histocompatibility and Immunogenetics has operated a scheme for B*57:01 testing since 2008 which, in 2013, involved 47 participants from 12 countries. A total of 24 B*57:01-positive, 2 B*57:03-positive and 22 B*57-negative blood samples (including 2 B*58 samples) were distributed to between 28 and 47 laboratories each year over 6 years. Participants, who were unaware of the samples' HLA types, tested and reported on their B*57/B*57:01 status. A total of 1868 reports were assessed over the 6 years. Of the 880 reports on B*57:01 samples, 93.4% were correctly assigned as B*57:01, 2.8% were assigned as groups of B*57 alleles including B*57:01, and 3.3% were reported as B*57 positive only. Over the 6 years, there were four (0.46%) false B*57:01 negative reports. All the B*57:03-positive and B*57-negative samples, involving 72 and 916 assignments, respectively, were essentially reported as B*57:01 negative. Thus, there were no false B57:01 positive assignments. The reporting of B*57:01 status over the last 3 years of the scheme was 99.8% sensitive and 100% specific. Over the last year, it was 100% sensitive and 100% specific.

  1. A Study on Stereoscopic X-ray Imaging Data Set on the Accuracy of Real-Time Tumor Tracking in External Beam Radiotherapy.

    Science.gov (United States)

    Esmaili Torshabi, Ahmad; Ghorbanzadeh, Leila

    2017-04-01

    At external beam radiotherapy, stereoscopic X-ray imaging system is responsible as tumor motion information provider. This system takes X-ray images intermittently from tumor position (1) at pretreatment step to provide training data set for model construction and (2) during treatment to control the accuracy of correlation model performance. In this work, we investigated the effect of imaging data points provided by this system on treatment quality. Because some information is still lacking about (1) the number of imaging data points, (2) shooting time for capturing each data point, and also (3) additional imaging dose delivered by this system. These 3 issues were comprehensively assessed at (1) pretreatment step while training data set is gathered for prediction model construction and (2) during treatment while model is tested and reconstructed using new arrival data points. A group of real patients treated with CyberKnife Synchrony module was chosen in this work, and an adaptive neuro-fuzzy inference system was considered as consistent correlation model. Results show that a proper model can be constructed while the number of imaging data points is highly enough to represent a good pattern of breathing cycles. Moreover, a trade-off between the number of imaging data points and additional imaging dose is considered in this study. Since breathing phenomena are highly variable at different patients, the time for taking some of imaging data points is very important, while their absence at that critical time may yield wrong tumor tracking. In contrast, the sensitivity of another category of imaging data points is not high, while breathing is normal and in the control range. Therefore, an adaptive supervision on the implementation of stereoscopic X-ray imaging is proposed to intelligently accomplish shooting process, based on breathing motion variations.

  2. Radiated radiofrequency immunity testing of automated external defibrillators - modifications of applicable standards are needed

    Directory of Open Access Journals (Sweden)

    Bassen Howard I

    2011-07-01

    Full Text Available Abstract Background We studied the worst-case radiated radiofrequency (RF susceptibility of automated external defibrillators (AEDs based on the electromagnetic compatibility (EMC requirements of a current standard for cardiac defibrillators, IEC 60601-2-4. Square wave modulation was used to mimic cardiac physiological frequencies of 1 - 3 Hz. Deviations from the IEC standard were a lower frequency limit of 30 MHz to explore frequencies where the patient-connected leads could resonate. Also testing up to 20 V/m was performed. We tested AEDs with ventricular fibrillation (V-Fib and normal sinus rhythm signals on the patient leads to enable testing for false negatives (inappropriate "no shock advised" by the AED. Methods We performed radiated exposures in a 10 meter anechoic chamber using two broadband antennas to generate E fields in the 30 - 2500 MHz frequency range at 1% frequency steps. An AED patient simulator was housed in a shielded box and delivered normal and fibrillation waveforms to the AED's patient leads. We developed a technique to screen ECG waveforms stored in each AED for electromagnetic interference at all frequencies without waiting for the long cycle times between analyses (normally 20 to over 200 s. Results Five of the seven AEDs tested were susceptible to RF interference, primarily at frequencies below 80 MHz. Some induced errors could cause AEDs to malfunction and effectively inhibit operator prompts to deliver a shock to a patient experiencing lethal fibrillation. Failures occurred in some AEDs exposed to E fields between 3 V/m and 20 V/m, in the 38 - 50 MHz range. These occurred when the patient simulator was delivering a V-Fib waveform to the AED. Also, we found it is not possible to test modern battery-only-operated AEDs for EMI using a patient simulator if the IEC 60601-2-4 defibrillator standard's simulated patient load is used. Conclusions AEDs experienced potentially life-threatening false-negative failures from

  3. 3D documentation and visualization of external injury findings by integration of simple photography in CT/MRI data sets (IprojeCT).

    Science.gov (United States)

    Campana, Lorenzo; Breitbeck, Robert; Bauer-Kreuz, Regula; Buck, Ursula

    2016-05-01

    This study evaluated the feasibility of documenting patterned injury using three dimensions and true colour photography without complex 3D surface documentation methods. This method is based on a generated 3D surface model using radiologic slice images (CT) while the colour information is derived from photographs taken with commercially available cameras. The external patterned injuries were documented in 16 cases using digital photography as well as highly precise photogrammetry-supported 3D structured light scanning. The internal findings of these deceased were recorded using CT and MRI. For registration of the internal with the external data, two different types of radiographic markers were used and compared. The 3D surface model generated from CT slice images was linked with the photographs, and thereby digital true-colour 3D models of the patterned injuries could be created (Image projection onto CT/IprojeCT). In addition, these external models were merged with the models of the somatic interior. We demonstrated that 3D documentation and visualization of external injury findings by integration of digital photography in CT/MRI data sets is suitable for the 3D documentation of individual patterned injuries to a body. Nevertheless, this documentation method is not a substitution for photogrammetry and surface scanning, especially when the entire bodily surface is to be recorded in three dimensions including all external findings, and when precise data is required for comparing highly detailed injury features with the injury-inflicting tool.

  4. External mechanical work versus oxidative energy consumption ratio during a basketball field test.

    Science.gov (United States)

    Crisafulli, A; Melis, F; Tocco, F; Laconi, P; Lai, C; Concu, A

    2002-12-01

    A field test consisting of 5 continuous runs at the maximum speed possible, playing the ball, starting from the centre line to the basket with a final shot, was studied in order to obtain an index of mechanical work efficiency in basketball players (micro-index=Jmec/Joxy) and evaluate the correlation between micro-index and velocity, acceleration, mechanical power and lactacid anaerobic capacity, respectively. Eight male basketball players were studied; Jmec was the external mechanical work output obtained by means of a video image analysis software which gave the potential and the kinetic translational energies of athletes running and jumping and their velocity, acceleration and mechanical power. By means of a telemetric device (Kosmed K4), for measuring O2 consumption ( VO2), we obtained oxidative work (Joxy). By using this device we also assessed the excess of CO2, which was considered an index of lactacid anaerobic capacity. Non-parametric Spearman statistics revealed a significant correlation between mu index and mean velocity (ppower (ppower and endurance velocity.

  5. Falling parts of external walls claddings in case of fire – ITB test method – results comparison

    Directory of Open Access Journals (Sweden)

    Kinowski Jacek

    2016-01-01

    Full Text Available Paper presents ITB methodology of testing and assessment of buildings with regard to falling of external walls claddings in case of fire. In the ITB methodology of impact on the facade (external claddings was assumed in form of flames, generated from a specially designed propane, sand burner with a defined fuel flow rate and laminar airflow from the inside of the furnace resulting in determined temperature and height of the flame. Evaluated criterion is also discussed. Test results of several different types of claddings is analysed and presented in relation to the national Polish regulation along with some technical assessment regarding individual.

  6. System Service Test Operations Procedure ’Tool Sets’.

    Science.gov (United States)

    compatibility with related equipment, transportability, maintainability, and reliability. It provides guidance for evaluation of maintenance of the test items with an analysis method for evaluating maintenance literature. (Author)

  7. External quality assurance for HIV point-of-care testing in Africa: A collaborative country-partner approach to strengthen diagnostic services

    Directory of Open Access Journals (Sweden)

    Debrah I. Boeras

    2016-10-01

    Full Text Available It is important to consider the role of diagnostics and the critical need for quality diagnostics services in resource-limited settings. Accurate diagnostic tests play a key role in patient management and the prevention and control of most infectious diseases. As countries plan for implementation of HIV early infant diagnosis and viral load point-of-care testing, the London School of Hygiene & Tropical Medicine has worked with countries and partners with an interest in external quality assurance to support quality point-of-care testing on the continent. Through a series of collaborative consultations and workshops, the London School of Hygiene & Tropical Medicine has gathered lessons learned, tools, and resources and developed quality assurance models that will support point-of-care testing. The London School of Hygiene & Tropical Medicine is committed to the continued advancement of laboratory diagnostics in Africa and quality laboratory services and point-of-care testing.

  8. External quality assurance for HIV point-of-care testing in Africa: A collaborative country-partner approach to strengthen diagnostic services.

    Science.gov (United States)

    Boeras, Debrah I; Peeling, Rosanna W

    2016-01-01

    It is important to consider the role of diagnostics and the critical need for quality diagnostics services in resource-limited settings. Accurate diagnostic tests play a key role in patient management and the prevention and control of most infectious diseases. As countries plan for implementation of HIV early infant diagnosis and viral load point-of-care testing, the London School of Hygiene & Tropical Medicine has worked with countries and partners with an interest in external quality assurance to support quality point-of-care testing on the continent. Through a series of collaborative consultations and workshops, the London School of Hygiene & Tropical Medicine has gathered lessons learned, tools, and resources and developed quality assurance models that will support point-of-care testing. The London School of Hygiene & Tropical Medicine is committed to the continued advancement of laboratory diagnostics in Africa and quality laboratory services and point-of-care testing.

  9. Using set covering with item sampling to analyze the infeasibility of linear programming test assembly models

    NARCIS (Netherlands)

    Huitzing, HA

    2004-01-01

    This article shows how set covering with item sampling (SCIS) methods can be used in the analysis and preanalysis of linear programming models for test assembly (LPTA). LPTA models can construct tests, fulfilling a set of constraints set by the test assembler. Sometimes, no solution to the LPTA mode

  10. Assessing missed opportunities for HIV testing in medical settings.

    Science.gov (United States)

    Liddicoat, Rebecca V; Horton, Nicholas J; Urban, Renata; Maier, Elizabeth; Christiansen, Demian; Samet, Jeffrey H

    2004-04-01

    Many HIV-infected persons learn about their diagnosis years after initial infection. The extent to which missed opportunities for HIV testing occur in medical evaluations prior to one's HIV diagnosis is not known. We performed a 10-year retrospective chart review of patients seen at an HIV intake clinic between January 1994 and June 2001 who 1). tested positive for HIV during the 12 months prior to their presentation at the intake clinic and 2). had at least one encounter recorded in the medical record prior to their HIV-positive status. Data collection included demographics, clinical presentation, and whether HIV testing was recommended to the patient or addressed in any way in the clinical note. Prespecified triggers for physicians to recommend HIV testing, such as specific patient characteristics, symptoms, and physical findings, were recorded for each visit. Multivariable logistic regression was used to identify factors associated with missed opportunities for discussion of HIV testing. Generalized estimating equations were used to account for multiple visits per subject. Among the 221 patients meeting eligibility criteria, all had triggers for HIV testing found in an encounter note. Triggers were found in 50% (1702/3424) of these 221 patients' medical visits. The median number of visits per patient prior to HIV diagnosis to this single institution was 5; 40% of these visits were to either the emergency department or urgent care clinic. HIV was addressed in 27% of visits in which triggers were identified. The multivariable regression model indicated that patients were more likely to have testing addressed in urgent care clinic (39%), sexually transmitted disease clinic (78%), primary care clinics (32%), and during hospitalization (47%), compared to the emergency department (11%), obstetrics/gynecology (9%), and other specialty clinics (10%) (P <.0001). More recent clinical visits (1997-2001) were more likely to have HIV addressed than earlier visits (P <.0001

  11. External lumbar drain: A pragmatic test for prediction of shunt outcomes in idiopathic normal pressure hydrocephalus

    Directory of Open Access Journals (Sweden)

    Silky Chotai

    2014-01-01

    Full Text Available Background: The consensus on most reliable supplemental test to predict the shunt responsiveness in patients with idiopathic normal pressure hydrocephalus (iNPH is lacking. The aim of this study is to discuss the utility of external lumbar drain (ELD in evaluation of shunt responsiveness for iNPH patients. Methods: A retrospective review of 66 patients with iNPH was conducted. All patients underwent 4-day ELD trial. ELD-positive patients were offered ventriculoperitoneal shunt (VPS surgery. The primary outcome evaluation parameters were gait and mini mental status examination (MMSE assessment. The family and patient perception of improvement was accounted for in the outcome evaluation. Results: There were 38 male and 28 female with mean age of 74 years (range 45-88 years. ELD trial was positive in 86% (57/66 of patients. No major complications were encountered with the ELD trial. A total of 60 patients (57 ELD-positive, 3 ELD-negative underwent VPS insertion. The negative ELD trial (P = 0.006 was associated with poor outcomes following shunt insertion. The positive ELD trial predicted shunt responsiveness in 96% patients (P < 0.0001, OR = 96.2, CI = 11.6-795.3. A receiver operating characteristic (ROC curve analysis revealed that the ELD trial is reasonably accurate in differentiating shunt responder from non-responder in iNPH patients (area under curve = 0.8 ± 0.14, P = 0.02, CI = 0.52-1.0. The mean follow-up period was 12-months (range 0.3-3 years. The significant overall improvement after VPS was seen in 92% (55/60. The improvement was sustained in 76% of patients at mean 3-year follow-up. The number of comorbid conditions (P = 0.034, OR = 4.15, CI = 1.2-9.04, and a history of cerebrovascular accident (CVA (P = 0.035, OR = 4.4, CI = 1.9-14.6 were the predictors of poor outcome following shunt surgery. Conclusion: The positive ELD test predicted shunt responsiveness in 96% of patients. With adequate technique, maximal results with minimal

  12. The Study of Externalizing and Internalizing Behaviours in Greek, Russian, Indian, and Chinese Children Using the Fairy Tale Test

    Science.gov (United States)

    Savina, Elena; Coulacoglou, Carina; Sanyal, Nilanjana; Zhang, Jianxin

    2012-01-01

    The present study investigated externalizing and internalizing behaviours in Greek (n = 599), Russian (n = 596), Indian (n = 571), and Chinese (n = 376) 7- to 12-year-old children. The Fairy Tale Test was used to measure impulsive and motivated aggression, fear of aggression, anxiety, and depression. The results indicated culture-specific patterns…

  13. ALBERTA - HEC test beam set-up in June 1999

    CERN Multimedia

    Vinter, M.

    1999-01-01

    Photo1 - HEC 2 (rear) being set up in the "clean" room. Photo2 - HEC 2 (rear) being craned onto rotating C. Photo3 - HEC 2 (rear) being rotated. Photo4 - A now well rotated HEC 2 (rear) is being craned off the C. Photo5 - HEC 2 (rear) installed in the cryostat. Photo6 - Part of the basic frame (the frame that sits in the very bottom of the cryostat). Photo7 - Part of the basic frame (one of the two frames which the 3 calorimeter modules sit on). Photo8 - The marriage frame.

  14. Testing Causal Effects of Maternal Smoking During Pregnancy on Offspring's Externalizing and Internalizing Behavior.

    Science.gov (United States)

    Dolan, C V; Geels, L; Vink, J M; van Beijsterveldt, C E M; Neale, M C; Bartels, M; Boomsma, Dorret I

    2016-05-01

    Maternal smoking during pregnancy (SDP) is associated with increased risk of externalizing and internalizing behaviors in offspring. Two explanations (not mutually exclusive) for this association are direct causal effects of maternal SDP and the effects of genetic and environmental factors common to parents and offspring which increase smoking as well as problem behaviors. Here, we examined the associations between parental SDP and mother rated offspring externalizing and internalizing behaviors (rated by the Child Behavior Checklist/2-3) at age three in a population-based sample of Dutch twins (N = 15,228 pairs). First, as a greater effect of maternal than of paternal SDP is consistent with a causal effect of maternal SDP, we compared the effects of maternal and paternal SDP. Second, as a beneficial effect of quitting smoking before pregnancy is consistent with the causal effect, we compared the effects of SDP in mothers who quit smoking before pregnancy, and mothers who continued to smoke during pregnancy. All mothers were established smokers before their pregnancy. The results indicated a greater effect of maternal SDP, compared to paternal SDP, for externalizing, aggression, overactive and withdrawn behavior. Quitting smoking was associated with less externalizing, overactive behavior, aggression, and oppositional behavior, but had no effect on internalizing, anxious depression, or withdrawn behavior. We conclude that these results are consistent with a causal, but small, effect of smoking on externalizing problems at age 3. The results do not support a causal effect of maternal SDP on internalizing behaviors.

  15. FIRST ARTICLE ENVIRONMENTAL TESTING OF PORTABLE ALPHA SCINTILLATION COUNTER EQUIPMENT SET. SUPPLEMENT 1.

    Science.gov (United States)

    Three revised Portable Alpha Scintillation Counter Equipment Sets were subjected to tests in accordance with project documentation. Failures incurred by the test items prohibited completion of the test series. (Author)

  16. External attentional focus enhances movement automatization: a comprehensive test of the constrained action hypothesis.

    Science.gov (United States)

    Kal, E C; van der Kamp, J; Houdijk, H

    2013-08-01

    An external focus of attention has been shown to result in superior motor performance compared to an internal focus of attention. This study investigated whether this is due to enhanced levels of movement automatization, as predicted by the constrained action hypothesis (McNevin, Shea, & Wulf, 2003). Thirty healthy participants performed a cyclic one-leg extension-flexion task with both the dominant and non-dominant leg. Focus of attention was manipulated via instructions. The degree of automatization of movement was assessed by measuring dual task costs as well as movement execution parameters (i.e., EMG activity, movement fluency, and movement regularity). Results revealed that an external focus of attention led to significantly better motor performance (i.e., shorter movement duration) than an internal focus. Although dual task costs of the motor task did not differ as a function of attentional focus, cognitive dual task costs were significantly higher when attention was directed internally. An external focus of attention resulted in more fluent and more regular movement execution than an internal focus, whereas no differences were found concerning muscular activity. These results indicate that an external focus of attention results in more automatized movements than an internal focus and, therefore, provide support for the constrained action hypothesis.

  17. The Reciprocal Internal/External Frame of Reference Model Using Grades and Test Scores

    Science.gov (United States)

    Möller, Jens; Zimmermann, Friederike; Köller, Olaf

    2014-01-01

    Background: The reciprocal I/E model (RI/EM) combines the internal/external frame of reference model (I/EM) with the reciprocal effects model (REM). The RI/EM extends the I/EM longitudinally and the REM across domains. The model predicts that, within domains, mathematics and verbal achievement (VACH) and academic self-concept have positive effects…

  18. Testing causal effects of maternal smoking during pregnancy on offspring's externalizing and internalizing behavior

    NARCIS (Netherlands)

    Dolan, C.V.; Geels, L.M.; Vink, J.M.; Beijsterveldt, C.E.M. van; Neale, M.C.; Bartels, M.; Boomsma, D.I.

    2016-01-01

    Maternal smoking during pregnancy (SDP) is associated with increased risk of externalizing and internalizing behaviors in offspring. Two explanations (not mutually exclusive) for this association are direct causal effects of maternal SDP and the effects of genetic and environmental factors common to

  19. Molecular oncology testing in resource-limited settings.

    Science.gov (United States)

    Gulley, Margaret L; Morgan, Douglas R

    2014-11-01

    Cancer prevalence and mortality are high in developing nations, where resources for cancer control are inadequate. Nearly one-quarter of cancers in resource-limited nations are infection related, and molecular assays can capitalize on this relationship by detecting pertinent pathogen genomes and human gene variants to identify those at highest risk for progression to cancer, to classify lesions, to predict effective therapy, and to monitor tumor burden over time. Prime examples are human papillomavirus in cervical neoplasia, Helicobacter pylori and Epstein-Barr virus in gastric adenocarcinoma and lymphoma, and hepatitis B or C virus in hepatocellular cancer. Research is underway to engineer devices that overcome social, economic, and technical barriers limiting effective laboratory support. Additional challenges include an educated workforce, infrastructure for quality metrics and record keeping, and funds to sustain molecular test services. The combination of well-designed interfaces, novel and robust electrochemical technology, and telemedicine tools will promote adoption by frontline providers. Fast turnaround is crucial for surmounting loss to follow-up, although increased use of cell phones, even in rural areas, enhances options for patient education and engagement. Links to a broadband network facilitate consultation and centralized storage of medical data. Molecular technology shows promise to address gaps in health care through rapid, user-friendly, and cost-effective devices reflecting clinical priorities in resource-poor areas.

  20. Analytical performance specifications based on how clinicians use laboratory tests. Experiences from a post-analytical external quality assessment programme.

    Science.gov (United States)

    Thue, Geir; Sandberg, Sverre

    2015-05-01

    Analytical performance specifications can be based on three different models: the effect of analytical performance on clinical outcome, based on components of biological variation of the measurand or based on state-of-the-art. Models 1 and 3 may to some degree be combined by using case histories presented to a large number of clinicians. The Norwegian Quality Improvement of Primary Care Laboratories (Noklus) has integrated vignettes in its external quality assessment programme since 1991, focusing on typical clinical situations in primary care. Haemoglobin, erythrocyte sedimentation rate (ESR), HbA1c, glucose, u-albumin, creatinine/estimated glomerular filtration rate (eGFR), and Internationl Normalised Ratio (INR) have been evaluated focusing on critical differences in test results, i.e., a change from a previous result that will generate an "action" such as a change in treatment or follow-up of the patient. These critical differences, stated by physicians, can translate into reference change values (RCVs) and assumed analytical performance can be calculated. In general, assessments of RCVs and therefore performance specifications vary both within and between groups of doctors, but with no or minor differences regarding specialisation, age or sex of the general practitioner. In some instances state-of-the-art analytical performance could not meet clinical demands using 95% confidence, whereas clinical demands were met using 80% confidence in nearly all instances. RCVs from vignettes should probably not be used on their own as a basis for setting analytical performance specifications, since clinicians seem "uninformed" regarding important principles. They could rather be used as a background for focus groups of "informed" physicians in discussions of performance specifications tailored to "typical" clinical situations.

  1. Bat Species Comparisons Based on External Morphology: A Test of Traditional versus Geometric Morphometric Approaches

    OpenAIRE

    2015-01-01

    External morphology is commonly used to identify bats as well as to investigate flight and foraging behavior, typically relying on simple length and area measures or ratios. However, geometric morphometrics is increasingly used in the biological sciences to analyse variation in shape and discriminate among species and populations. Here we compare the ability of traditional versus geometric morphometric methods in discriminating between closely related bat species – in this case European horse...

  2. TEST BEAM COORDINATION: The 2004 Test Beam Calorimetry set-up in H8

    CERN Multimedia

    Aleksa, M; Di Girolamo, B; Ferrari, C; Giugni, D; Santoni, C; Wingerter, I

    A new table has been designed, built and finally mounted to position the LAr cryostat in front of the Tilecal modules. The new table has been connected to the existing Tilecal table to be able to move the full set-up along eta values between 0 and 1.2. The table has been conceived by D. Giugni (INFN Milano and now CERN PH) and modeled by G. Braga (INFN Milano) in spring-summer 2003. The realization of the table has been done by an Italian firm (MatecImpianti, Fenegrò, Como) under the supervision of S. Coelli (INFN Milano) starting August 2003. Figure 1 shows the table assembled at the firm (left). Figure 1: The Tilecal-LAr table: in Fenegro (left) and at CERN (right). In November 2003 the table has been delivered to CERN and put in temporary storage to be assembled after the preparation of the Tilecal zone. In February 2004 two technicians from the firm and the team of technician coordinated by C. Ferrari (CERN AB/ATB), assembled, tested and commissioned the table under the supervision of S. Coelli...

  3. A two-sample test for high-dimensional data with applications to gene-set testing

    CERN Document Server

    Chen, Song Xi; 10.1214/09-AOS716

    2010-01-01

    We propose a two-sample test for the means of high-dimensional data when the data dimension is much larger than the sample size. Hotelling's classical $T^2$ test does not work for this "large $p$, small $n$" situation. The proposed test does not require explicit conditions in the relationship between the data dimension and sample size. This offers much flexibility in analyzing high-dimensional data. An application of the proposed test is in testing significance for sets of genes which we demonstrate in an empirical study on a leukemia data set.

  4. Should HIV testing for all pregnant women continue? Cost-effectiveness of universal antenatal testing compared to focused approaches across high to very low HIV prevalence settings

    Directory of Open Access Journals (Sweden)

    Naoko Ishikawa

    2016-12-01

    Full Text Available Introduction: HIV testing is the entry point for the elimination of mother-to-child transmission of HIV. Decreasing external funding for the HIV response in some low- and middle-income countries has triggered the question of whether a focused approach to HIV testing targeting pregnant women in high-burden areas should be considered. This study aimed at determining and comparing the cost-effectiveness of universal and focused HIV testing approaches for pregnant women across high to very low HIV prevalence settings. Methods: We conducted a modelling analysis on health and cost outcomes of HIV testing for pregnant women using four country-based case scenarios (Namibia, Kenya, Haiti and Viet Nam to illustrate high, intermediate, low and very low HIV prevalence settings. We used subnational prevalence data to divide each country into high-, medium- and low-burden areas, and modelled different antenatal and testing coverage in each. Results: When HIV testing services were only focused in high-burden areas within a country, mother-to-child transmission rates remained high ranging from 18 to 23%, resulting in a 25 to 69% increase in new paediatric HIV infections and increased future treatment costs for children. Universal HIV testing was found to be dominant (i.e. more QALYs gained with less cost compared to focused approaches in the Namibia, Kenya and Haiti scenarios. The universal approach was also very cost-effective compared to focused approaches, with $ 125 per quality-adjusted life years gained in the Viet Nam-based scenario of very low HIV prevalence. Sensitivity analysis further supported the findings. Conclusions: Universal approach to antenatal HIV testing achieves the best health outcomes and is cost-saving or cost-effective in the long term across the range of HIV prevalence settings. It is further a prerequisite for quality maternal and child healthcare and for the elimination of mother-to-child transmission of HIV.

  5. Prototyping and testing of the Continuous External Rogowski ITER magnetic sensor

    Energy Technology Data Exchange (ETDEWEB)

    Moreau, Ph., E-mail: philippe.jacques.moreau@cea.fr [CEA, IRFM, F-13108 Saint-Paul-lez-Durance (France); Le-Luyer, A.; Malard, P.; Pastor, P.; Saint-Laurent, F.; Spuig, P. [CEA, IRFM, F-13108 Saint-Paul-lez-Durance (France); Lister, J.; Toussaint, M.; Marmillod, P.; Testa, D. [Centre de Recherches en Physique des Plasmas, EPFL (Switzerland); Peruzzo, S. [Consorzio RFX, Association EURATOM-ENEA, C.so Stati Uniti 4, 35127 Padova (Italy); Knaster, J. [ITER Organization, Route de Vinon sur Verdon, 13115 Saint Paul Lez Durance (France); IFMIF EVEDA, Rokkasho (Japan); Vayakis, G.; Hughes, S.; Patel, K.M. [ITER Organization, Route de Vinon sur Verdon, 13115 Saint Paul Lez Durance (France)

    2013-10-15

    Highlights: ► ITER Continuous External Rogowski (CER) are designed for plasma and vacuum vessel current measurement. ► CER are located in the casing of Toroidal Field Coils and thus will operate at 4 K. ► The design of the sensors has been completed. ► CER prototypes have been manufactured by 2 suppliers. ► The R and D campaign on CER prototypes consisted in the measurement of about 100 parameters to characterize the CER. -- Abstract: The measurement of the plasma current in ITER plays an outstanding role as it is part of the machine protection and is a safety-relevant measurement: it will be used in relation with regulatory limits to show that the operation remains within the safe envelope defined in the ITER license. The Continuous External Rogowski (CER) is an inductive sensor designed for current measurements and located in the casing of 3 Toroidal Field Coils (TFCs). After the completion of the design of the CER, 4 prototypes of the sensor were manufactured and R and D activities were performed under a Grant with the European Domestic Agency (F4E-GRT-012). The work was carried out between 2010 and 2011 by the ITERMAG consortium comprising 3 laboratories: CRPP (Switzerland) as leader, CEA (France) and RFX (Italy). The R and D campaign on CER prototypes consisted in the measurement of about 100 parameters to characterize the CER in terms of electrical, thermal, mechanical and also of vacuum compatibility. From these results, electromagnetic modeling of the CER response was performed. It is demonstrated that the CER fulfills ITER requirements. However, the vacuum compatibility of the prototype has to be improved and solutions to cope with this issue are proposed.

  6. Preselecting Well Test Interpretation Models Using External Data Présélection de modèles d'interprétation de tests de puits par l'utilisation de données externes

    Directory of Open Access Journals (Sweden)

    Harrison I.

    2006-11-01

    Full Text Available The first stage in interpreting a well test is concerned with identifying a well test interpretation (WTI model for the reservoir that is consistent with all the known data and whose theoretical output response is qualitatively similar to the actual well test response. Conventionally, engineers identify WTI models by using WTI software to plot functions of well test pressure against time and then diagnose components of WTI models from their characteristic curve signatures, together with evidence from external (geological and engineering data. This paper focuses on the use of external data for preselecting WTI models, which can then be verified using conventional well test analysis techniques. The KADS methodology for developing knowledge based systems (KBS was adopted and the inference layer structure for the WTI model preselection task was derived. The WTI model preselection task will form one part of a KBS for well test interpretation, SPIRIT, being developed jointly by Artificial Intelligence Applications Institute and Heriot-Watt University. La première étape dans l'interprétation d'un test de puits est celle de l'identification d'un modèle d'interprétation (WTI pour le réservoir, qui soit en accord avec l'ensemble des données connues, et dont la sortie théorique est qualitativement semblable à celle du puits testé. Pour ceci, les ingénieurs de réservoir utilisent habituellement des logiciels WTI qui calculent et tracent la pression de test de puits en fonction du temps. Cela leur permet de diagnostiquer les composantes des modèles WTI à partir de leurs signatures caractéristiques, le diagnostic étant complété par la prise en compte d'informations externes, de géologie ou d'ingénierie. Cet article est consacré à l'utilisation de données externes pour la préselection des modèles WTI, modèles qui peuvent être ensuite validés au moyen de techniques classiques d'analyse de tests de puits. La méthodologie de d

  7. Weight, center of gravity and modal test report for NTF fan blade set no. 3

    Science.gov (United States)

    Friedman, Inger P.

    1992-01-01

    A complete set of fan blades for the National Transonic Facility (NTF) at the NASA Langley Research Center was recently fabricated by Dynamic Engineering Inc. (DEI). These blades were the third complete set of blades fabricated by the NTF. The first set of blades was fabricated by NASA and installed in the tunnel in December 1981. This original set was destroyed in a mishap in January 1989. The second set of blades is currently in use in the NTF. The third set of blades recently fabricated by DEI is a spare set. In order to ensure that the blades met the requirements, DEI performed a series of tests on each of the completed blades. In addition, a model survey was conducted on each blade to define the dynamic characteristics. Discussed here are the blade tests conducted by DEI and the test results. The test set-ups and procedures are discussed in detail. The results obtained for each of the 27 blades are documented and comparisons are made between this set of blades and similar data for two previous sets of NTF fan blades.

  8. Diagnostic point-of-care tests in resource-limited settings.

    Science.gov (United States)

    Drain, Paul K; Hyle, Emily P; Noubary, Farzad; Freedberg, Kenneth A; Wilson, Douglas; Bishai, William R; Rodriguez, William; Bassett, Ingrid V

    2014-03-01

    The aim of diagnostic point-of-care testing is to minimise the time to obtain a test result, thereby allowing clinicians and patients to make a quick clinical decision. Because point-of-care tests are used in resource-limited settings, the benefits need to outweigh the costs. To optimise point-of-care testing in resource-limited settings, diagnostic tests need rigorous assessments focused on relevant clinical outcomes and operational costs, which differ from assessments of conventional diagnostic tests. We reviewed published studies on point-of-care testing in resource-limited settings, and found no clearly defined metric for the clinical usefulness of point-of-care testing. Therefore, we propose a framework for the assessment of point-of-care tests, and suggest and define the term test efficacy to describe the ability of a diagnostic test to support a clinical decision within its operational context. We also propose revised criteria for an ideal diagnostic point-of-care test in resource-limited settings. Through systematic assessments, comparisons between centralised testing and novel point-of-care technologies can be more formalised, and health officials can better establish which point-of-care technologies represent valuable additions to their clinical programmes. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. A Summary Catalogue of Microbial Drinking Water Tests for Low and Medium Resource Settings

    Directory of Open Access Journals (Sweden)

    Stephen Gundry

    2012-05-01

    Full Text Available Microbial drinking-water quality testing plays an essential role in measures to protect public health. However, such testing remains a significant challenge where resources are limited. With a wide variety of tests available, researchers and practitioners have expressed difficulties in selecting the most appropriate test(s for a particular budget, application and setting. To assist the selection process we identified the characteristics associated with low and medium resource settings and we specified the basic information that is needed for different forms of water quality monitoring. We then searched for available faecal indicator bacteria tests and collated this information. In total 44 tests have been identified, 18 of which yield a presence/absence result and 26 of which provide enumeration of bacterial concentration. The suitability of each test is assessed for use in the three settings. The cost per test was found to vary from $0.60 to $5.00 for a presence/absence test and from $0.50 to $7.50 for a quantitative format, though it is likely to be only a small component of the overall costs of testing. This article presents the first comprehensive catalogue of the characteristics of available and emerging low-cost tests for faecal indicator bacteria. It will be of value to organizations responsible for monitoring national water quality, water service providers, researchers and policy makers in selecting water quality tests appropriate for a given setting and application.

  10. Bat Species Comparisons Based on External Morphology: A Test of Traditional versus Geometric Morphometric Approaches

    Science.gov (United States)

    Schmieder, Daniela A.; Benítez, Hugo A.; Borissov, Ivailo M.; Fruciano, Carmelo

    2015-01-01

    External morphology is commonly used to identify bats as well as to investigate flight and foraging behavior, typically relying on simple length and area measures or ratios. However, geometric morphometrics is increasingly used in the biological sciences to analyse variation in shape and discriminate among species and populations. Here we compare the ability of traditional versus geometric morphometric methods in discriminating between closely related bat species – in this case European horseshoe bats (Rhinolophidae, Chiroptera) – based on morphology of the wing, body and tail. In addition to comparing morphometric methods, we used geometric morphometrics to detect interspecies differences as shape changes. Geometric morphometrics yielded improved species discrimination relative to traditional methods. The predicted shape for the variation along the between group principal components revealed that the largest differences between species lay in the extent to which the wing reaches in the direction of the head. This strong trend in interspecific shape variation is associated with size, which we interpret as an evolutionary allometry pattern. PMID:25965335

  11. Bat Species Comparisons Based on External Morphology: A Test of Traditional versus Geometric Morphometric Approaches.

    Directory of Open Access Journals (Sweden)

    Daniela A Schmieder

    Full Text Available External morphology is commonly used to identify bats as well as to investigate flight and foraging behavior, typically relying on simple length and area measures or ratios. However, geometric morphometrics is increasingly used in the biological sciences to analyse variation in shape and discriminate among species and populations. Here we compare the ability of traditional versus geometric morphometric methods in discriminating between closely related bat species--in this case European horseshoe bats (Rhinolophidae, Chiroptera--based on morphology of the wing, body and tail. In addition to comparing morphometric methods, we used geometric morphometrics to detect interspecies differences as shape changes. Geometric morphometrics yielded improved species discrimination relative to traditional methods. The predicted shape for the variation along the between group principal components revealed that the largest differences between species lay in the extent to which the wing reaches in the direction of the head. This strong trend in interspecific shape variation is associated with size, which we interpret as an evolutionary allometry pattern.

  12. Bat Species Comparisons Based on External Morphology: A Test of Traditional versus Geometric Morphometric Approaches.

    Science.gov (United States)

    Schmieder, Daniela A; Benítez, Hugo A; Borissov, Ivailo M; Fruciano, Carmelo

    2015-01-01

    External morphology is commonly used to identify bats as well as to investigate flight and foraging behavior, typically relying on simple length and area measures or ratios. However, geometric morphometrics is increasingly used in the biological sciences to analyse variation in shape and discriminate among species and populations. Here we compare the ability of traditional versus geometric morphometric methods in discriminating between closely related bat species--in this case European horseshoe bats (Rhinolophidae, Chiroptera)--based on morphology of the wing, body and tail. In addition to comparing morphometric methods, we used geometric morphometrics to detect interspecies differences as shape changes. Geometric morphometrics yielded improved species discrimination relative to traditional methods. The predicted shape for the variation along the between group principal components revealed that the largest differences between species lay in the extent to which the wing reaches in the direction of the head. This strong trend in interspecific shape variation is associated with size, which we interpret as an evolutionary allometry pattern.

  13. Use of external metabolizing systems when testing for endocrine disruption in the T-screen assay

    DEFF Research Database (Denmark)

    Taxvig, Camilla; Olesen, Pelle Thonning; Nellemann, Christine Lydia

    2011-01-01

    different in vitro systems for biotransformation of ten known endocrine disrupting chemicals (EDs): five azole fungicides, three parabens and 2 phthalates, b) to determine possible changes in the ability of the EDs to bind and activate the thyroid receptor (TR) in the in vitro T-screen assay after...... tested the human liver S9 mix and the PCB-induced rat microsomes gave an almost complete metabolic transformation of the tested parabens and phthalates. No marked difference the effects in the T-screen assay was observed between the parent compounds and the effects of the tested metabolic extracts...

  14. Standard Setting in Specific-Purpose Language Testing: What Can a Qualitative Study Add?

    Science.gov (United States)

    Manias, Elizabeth; McNamara, Tim

    2016-01-01

    This paper explores the views of nursing and medical domain experts in considering the standards for a specific-purpose English language screening test, the Occupational English Test (OET), for professional registration for immigrant health professionals. Since individuals who score performances in the test setting are often language experts…

  15. Comparison of Procedures for Detecting Test-Item Bias with Both Internal and External Ability Criteria.

    Science.gov (United States)

    Shepard, Lorrie, And Others

    1981-01-01

    Sixteen approaches for detecting item bias were compared on samples of Black, White, and Chicano elementary school pupils using the Lorge-Thorndike and Raven's Coloured Progressive Matrices tests. Recommendations for practical use are made. (JKS)

  16. The Development, Validation and Application of an External Criterion Measure of Achievement Test Item Bias.

    Science.gov (United States)

    Harms, Robert A.

    Based on John Rawls' theory of justice as fairness, a nine-item rating scale was developed to serve as a criterion in studies of test item bias. Two principles underlie the scale: (1) Within a defined usage, test items should not affect students so that they are unable to do as well as their abilities would indicate; and (2) within the domain of a…

  17. The Development, Validation and Application of an External Criterion Measure of Achievement Test Item Bias.

    Science.gov (United States)

    Harms, Robert A.

    Based on John Rawls' theory of justice as fairness, a nine-item rating scale was developed to serve as a criterion in studies of test item bias. Two principles underlie the scale: (1) Within a defined usage, test items should not affect students so that they are unable to do as well as their abilities would indicate; and (2) within the domain of a…

  18. ASSASYING THE NEED OF COMMERCIAL PLASMA VIRAL LOAD TESTING IN RESOURCE LIMITED SETTINGS

    Directory of Open Access Journals (Sweden)

    Arnaw

    2015-09-01

    Full Text Available Around nine million Human Immunodeficiency Virus (HIV infected individuals are on antiretroviral therapy (ART. People living with HIV/AIDS in resource - limited settings where HIV burden is usually high, there is an urgent need of affordable, accessible and inexpensive tests to monitor response to treatment. Quite a few commercially available assay has been introduced to measure Plasma Viral Load (PVL as testing can increase adherence to ART and facilitate timely switching of failing regimens and thus minimizing the development of resistance. We analyzed Nucleic Acid Test (NAT based assay and Non Nucleic Acid Test based assay for PVL testing. Though both the assay has its own advantage and disadvantages, but the use of Non Nucleic Acid Test has an upper hand in resource limited settings. It is the duty of administration, clinicians, microbiologist and health care personnel to introduce appropriate laboratory monitoring assays in resource - limited settings.

  19. Use of external metabolizing systems when testing for endocrine disruption in the T-screen assay.

    Science.gov (United States)

    Taxvig, Camilla; Olesen, Pelle Thonning; Nellemann, Christine

    2011-02-01

    Although, it is well-established that information on the metabolism of a substance is important in the evaluation of its toxic potential, there is limited experience with incorporating metabolic aspects into in vitro tests for endocrine disrupters. The aim of the current study was a) to study different in vitro systems for biotransformation of ten known endocrine disrupting chemicals (EDs): five azole fungicides, three parabens and 2 phthalates, b) to determine possible changes in the ability of the EDs to bind and activate the thyroid receptor (TR) in the in vitro T-screen assay after biotransformation and c) to investigate the endogenous metabolic capacity of the GH3 cells, the cell line used in the T-screen assay, which is a proliferation assay used for the in vitro detection of agonistic and antagonistic properties of compounds at the level of the TR. The two in vitro metabolizing systems tested the human liver S9 mix and the PCB-induced rat microsomes gave an almost complete metabolic transformation of the tested parabens and phthalates. No marked difference the effects in the T-screen assay was observed between the parent compounds and the effects of the tested metabolic extracts. The GH3 cells themselves significantly metabolized the two tested phthalates dimethyl phthalate (DMP) and diethyl phthalate (DEP). Overall the results and qualitative data from the current study show that an in vitro metabolizing system using liver S9 or microsomes could be a convenient method for the incorporation of metabolic and toxicokinetic aspects into in vitro testing for endocrine disrupting effects.

  20. Analyzing and Seeking Minimum Test Instruction Set of Digital Signal Processor for Motor Control

    Institute of Scientific and Technical Information of China (English)

    严伟; 曹家麟; 龚幼民

    2005-01-01

    The relativity of instructions of motor control digital signal processor (MCDSP) in the design is analyzed. A method for obtaining a minimum instruction set in place of the complete instruction set during generation of testing procedures is given in terms of the processor presentation matrix between micro-operators and instructions of MCDSP.

  1. The managerial pay structure : some tests on a Danish data set

    DEFF Research Database (Denmark)

    Eriksson, Tor Viking

    1997-01-01

    The purpose of this paper is to add to the small amount of empirical literature on managerial pay structure. I test several propositions of tournament models on a fairly rich data set. The data set is an unbalanced panel containing information about 2600 executives in 260 Danish firms (per year...

  2. 78 FR 79637 - Energy Conservation Program: Test Procedure for Set-Top Boxes

    Science.gov (United States)

    2013-12-31

    ...-BT-TP-0046] RIN 1904-AC52 Energy Conservation Program: Test Procedure for Set-Top Boxes AGENCY.... Authority Title III of the Energy Policy and Conservation Act (42 U.S.C. 6291, et seq.; ``EPCA'') sets forth... Administrative practice and procedure, Confidential business information, Energy conservation,...

  3. Adolescent Depression and Externalizing Problems: Testing Two Models of Comorbidity in an Inpatient Sample

    Science.gov (United States)

    Evans, Allison Schettini; Frank, Susan J.

    2004-01-01

    Differentiating between additive (quantitative) and interactive (qualitative) effects of comorbidity has important treatment implications. This study illustrates the heuristic superiority of a multifactorial approach over simple group comparisons in testing quantitative versus qualitative models of comorbidity. Analysis of variance was used to…

  4. A set of pathological tests to validate new finite elements

    Indian Academy of Sciences (India)

    K Mallikarjuna Rao; U Shrinivasa

    2001-12-01

    The finite element method entails several approximations. Hence it is essential to subject all new finite elements to an adequate set of pathological tests in order to assess their performance. Many such tests have been proposed by researchers from time to time. We present an adequate set of tests, which every new finite element should pass. A thorough account of the patch test is also included in view of its significance in the validation of new elements.

  5. Performance of an influenza rapid test in children in a primary healthcare setting in Nicaragua.

    Directory of Open Access Journals (Sweden)

    Aubree Gordon

    Full Text Available BACKGROUND: Influenza is major public health threat worldwide, yet the diagnostic accuracy of rapid tests in developing country settings is not well described. METHODOLOGY/PRINCIPAL FINDINGS: To investigate the diagnostic accuracy of the QuickVue Influenza A+B test in a primary care setting in a developing country, we performed a prospective study of diagnostic accuracy of the QuickVue Influenza A+B test in comparison to reverse transcriptase-polymerase chain reaction (RT-PCR in a primary healthcare setting in children aged 2 to 12 years in Managua, Nicaragua. The sensitivity and specificity of the QuickVue test compared to RT-PCR were 68.5% (95% CI 63.4, 73.3 and 98.1% (95% CI 96.9, 98.9, respectively, for children with a fever or history of a fever and cough and/or sore throat. Test performance was found to be lower on the first day that symptoms developed in comparison to test performance on days two or three of illness. CONCLUSIONS/SIGNIFICANCE: Our study found that the QuickVue Influenza A+B test performed as well in a developing country primary healthcare facility setting as in developed country settings.

  6. Testing Bell's Inequality with Cosmic Photons: Closing the Setting-Independence Loophole

    Science.gov (United States)

    Gallicchio, Jason; Friedman, Andrew S.; Kaiser, David I.

    2014-03-01

    We propose a practical scheme to use photons from causally disconnected cosmic sources to set the detectors in an experimental test of Bell's inequality. In current experiments, with settings determined by quantum random number generators, only a small amount of correlation between detector settings and local hidden variables, established less than a millisecond before each experiment, would suffice to mimic the predictions of quantum mechanics. By setting the detectors using pairs of quasars or patches of the cosmic microwave background, observed violations of Bell's inequality would require any such coordination to have existed for billions of years—an improvement of 20 orders of magnitude.

  7. Design and development of a helium injection system to improve external leakage detection during liquid nitrogen immersion tests

    Science.gov (United States)

    Townsend, Andrew; Mishra, Rakesh

    2016-10-01

    The testing of assemblies for use in cryogenic systems commonly includes evaluation at or near operating (therefore cryogenic) temperature. Typical assemblies include valves and pumps for use in liquid oxygen-liquid hydrogen rocket engines. One frequently specified method of cryogenic external leakage testing requires the assembly, pressurized with gaseous helium (GHe), be immersed in a bath of liquid nitrogen (LN2) and allowed to thermally stabilize. Component interfaces are then visually inspected for leakage (bubbles). Unfortunately the liquid nitrogen will be boiling under normal, bench-top, test conditions. This boiling tends to mask even significant leakage. One little known and perhaps under-utilized property of helium is the seemingly counter-intuitive thermodynamic property that when ambient temperature helium is bubbled through boiling LN2 at a temperature of -195.8 °C, the temperature of the liquid nitrogen will reduce. This paper reports on the design and testing of a novel proof-of-concept helium injection control system confirming that it is possible to reduce the temperature of an LN2 bath below boiling point through the controlled injection of ambient temperature gaseous helium and then to efficiently maintain a reduced helium flow rate to maintain a stabilized liquid temperature, enabling clear visual observation of components immersed within the LN2. Helium saturation testing is performed and injection system sizing is discussed.

  8. The Generalized Higher Criticism for Testing SNP-Set Effects in Genetic Association Studies.

    Science.gov (United States)

    Barnett, Ian; Mukherjee, Rajarshi; Lin, Xihong

    2017-01-01

    It is of substantial interest to study the effects of genes, genetic pathways, and networks on the risk of complex diseases. These genetic constructs each contain multiple SNPs, which are often correlated and function jointly, and might be large in number. However, only a sparse subset of SNPs in a genetic construct is generally associated with the disease of interest. In this article, we propose the generalized higher criticism (GHC) to test for the association between an SNP set and a disease outcome. The higher criticism is a test traditionally used in high-dimensional signal detection settings when marginal test statistics are independent and the number of parameters is very large. However, these assumptions do not always hold in genetic association studies, due to linkage disequilibrium among SNPs and the finite number of SNPs in an SNP set in each genetic construct. The proposed GHC overcomes the limitations of the higher criticism by allowing for arbitrary correlation structures among the SNPs in an SNP-set, while performing accurate analytic p-value calculations for any finite number of SNPs in the SNP-set. We obtain the detection boundary of the GHC test. We compared empirically using simulations the power of the GHC method with existing SNP-set tests over a range of genetic regions with varied correlation structures and signal sparsity. We apply the proposed methods to analyze the CGEM breast cancer genome-wide association study. Supplementary materials for this article are available online.

  9. 78 FR 15807 - Energy Conservation Program: Test Procedures for Television Sets

    Science.gov (United States)

    2013-03-12

    ... March 12, 2013 Part II Department of Energy 10 CFR Parts 429 and 430 Energy Conservation Program: Test... Conservation Program: Test Procedures for Television Sets AGENCY: Office of Energy Efficiency and Renewable...) established the ``Energy Conservation Program for Consumer Products Other Than Automobiles.'' The...

  10. Evaluation of Calypte AWARE HIV-1/2 OMT antibody test as a screening test in an Indian setting.

    Science.gov (United States)

    Ingole, N A; Mehta, P R; Bande, R N; Paranjpe, S M; Wanjare, S W

    2010-01-01

    Integrated counselling and testing centres (ICTC) provide counselling and blood testing facilities for HIV diagnosis. Oral fluid tests provide an alternative for people who do not want blood to be drawn. Also, it avoids the risk of occupational exposure. The goal of this study was to evaluate the utility of Calypte AWARE HIV-1/2 OMT antibody test as a screening test in an Indian setting. A cross-sectional study was carried out after ethics committee approval in 250 adult ICTC clients. Blood was collected and tested from these clients for HIV diagnosis as per routine policy and the results were considered as the gold standard. Also, after another written informed consent, oral fluid was collected from the clients and tested for the presence of HIV antibodies. Twenty five clients who had and 25 clients who had not completed their secondary school education (Group A and Group B, respectively) were also asked to perform and interpret the test on their own and their findings and experiences were noted. The sensitivity, specificity, PPV and NPV of the oral fluid antibody test were 100%, 98.51%, 94.11% and 100%, respectively. Seventy six percent of clients preferred oral fluid testing. Group B found it difficult to perform the test as compared to Group A and this difference was statistically significant (P ≤ 0.05). Oral fluid testing can be used as a screening test for HIV diagnosis; however, confirmation of reactive results by blood-based tests is a must.

  11. Full-scale testing of leakage of blast waves inside a partially vented room exposed to external air blast loading

    Science.gov (United States)

    Codina, R.; Ambrosini, D.

    2017-06-01

    For the last few decades, the effects of blast loading on structures have been studied by many researchers around the world. Explosions can be caused by events such as industrial accidents, military conflicts or terrorist attacks. Urban centers have been prone to various threats including car bombs, suicide attacks, and improvised explosive devices. Partially vented constructions subjected to external blast loading represent an important topic in protective engineering. The assessment of blast survivability inside structures and the development of design provisions with respect to internal elements require the study of the propagation and leakage of blast waves inside buildings. In this paper, full-scale tests are performed to study the effects of the leakage of blast waves inside a partially vented room that is subjected to different external blast loadings. The results obtained may be useful for proving the validity of different methods of calculation, both empirical and numerical. Moreover, the experimental results are compared with those computed using the empirical curves of the US Defense report/manual UFC 3-340. Finally, results of the dynamic response of the front masonry wall are presented in terms of accelerations and an iso-damage diagram.

  12. Test Anxiety and High-Stakes Test Performance between School Settings: Implications for Educators

    Science.gov (United States)

    von der Embse, Nathaniel; Hasson, Ramzi

    2012-01-01

    With the enactment of standards-based accountability in education, high-stakes tests have become the dominant method for measuring school effectiveness and student achievement. Schools and educators are under increasing pressure to meet achievement standards. However, there are variables which may interfere with the authentic measurement of…

  13. Nondestructive testing of externally reinforced structures for seismic retrofitting using flax fiber reinforced polymer (FFRP) composites

    Science.gov (United States)

    Ibarra-Castanedo, C.; Sfarra, S.; Paoletti, D.; Bendada, A.; Maldague, X.

    2013-05-01

    Natural fibers constitute an interesting alternative to synthetic fibers, e.g. glass and carbon, for the production of composites due to their environmental and economic advantages. The strength of natural fiber composites is on average lower compared to their synthetic counterparts. Nevertheless, natural fibers such as flax, among other bast fibers (jute, kenaf, ramie and hemp), are serious candidates for seismic retrofitting applications given that their mechanical properties are more suitable for dynamic loads. Strengthening of structures is performed by impregnating flax fiber reinforced polymers (FFRP) fabrics with epoxy resin and applying them to the component of interest, increasing in this way the load and deformation capacities of the building, while preserving its stiffness and dynamic properties. The reinforced areas are however prompt to debonding if the fabrics are not mounted properly. Nondestructive testing is therefore required to verify that the fabric is uniformly installed and that there are no air gaps or foreign materials that could instigate debonding. In this work, the use of active infrared thermography was investigated for the assessment of (1) a laboratory specimen reinforced with FFRP and containing several artificial defects; and (2) an actual FFRP retrofitted masonry wall in the Faculty of Engineering of the University of L'Aquila (Italy) that was seriously affected by the 2009 earthquake. Thermographic data was processed by advanced signal processing techniques, and post-processed by computing the watershed lines to locate suspected areas. Results coming from the academic specimen were compared to digital speckle photography and holographic interferometry images.

  14. Evaluating Diagnostic Point-of-Care Tests in Resource-Limited Settings

    Science.gov (United States)

    Drain, Paul K; Hyle, Emily P; Noubary, Farzad; Freedberg, Kenneth A; Wilson, Douglas; Bishai, William; Rodriguez, William; Bassett, Ingrid V

    2014-01-01

    Diagnostic point-of-care (POC) testing is intended to minimize the time to obtain a test result, thereby allowing clinicians and patients to make an expeditious clinical decision. As POC tests expand into resource-limited settings (RLS), the benefits must outweigh the costs. To optimize POC testing in RLS, diagnostic POC tests need rigorous evaluations focused on relevant clinical outcomes and operational costs, which differ from evaluations of conventional diagnostic tests. Here, we reviewed published studies on POC testing in RLS, and found no clearly defined metric for the clinical utility of POC testing. Therefore, we propose a framework for evaluating POC tests, and suggest and define the term “test efficacy” to describe a diagnostic test’s capacity to support a clinical decision within its operational context. We also proposed revised criteria for an ideal diagnostic POC test in resource-limited settings. Through systematic evaluations, comparisons between centralized diagnostic testing and novel POC technologies can be more formalized, and health officials can better determine which POC technologies represent valuable additions to their clinical programs. PMID:24332389

  15. External dose-rate conversion factors of radionuclides for air submersion, ground surface contamination and water immersion based on the new ICRP dosimetric setting.

    Science.gov (United States)

    Yoo, Song Jae; Jang, Han-Ki; Lee, Jai-Ki; Noh, Siwan; Cho, Gyuseong

    2013-01-01

    For the assessment of external doses due to contaminated environment, the dose-rate conversion factors (DCFs) prescribed in Federal Guidance Report 12 (FGR 12) and FGR 13 have been widely used. Recently, there were significant changes in dosimetric models and parameters, which include the use of the Reference Male and Female Phantoms and the revised tissue weighting factors, as well as the updated decay data of radionuclides. In this study, the DCFs for effective and equivalent doses were calculated for three exposure settings: skyshine, groundshine and water immersion. Doses to the Reference Phantoms were calculated by Monte Carlo simulations with the MCNPX 2.7.0 radiation transport code for 26 mono-energy photons between 0.01 and 10 MeV. The transport calculations were performed for the source volume within the cut-off distances practically contributing to the dose rates, which were determined by a simplified calculation model. For small tissues for which the reduction of variances are difficult, the equivalent dose ratios to a larger tissue (with lower statistical errors) nearby were employed to make the calculation efficient. Empirical response functions relating photon energies, and the organ equivalent doses or the effective doses were then derived by the use of cubic-spline fitting of the resulting doses for 26 energy points. The DCFs for all radionuclides considered important were evaluated by combining the photon emission data of the radionuclide and the empirical response functions. Finally, contributions of accompanied beta particles to the skin equivalent doses and the effective doses were calculated separately and added to the DCFs. For radionuclides considered in this study, the new DCFs for the three exposure settings were within ±10 % when compared with DCFs in FGR 13.

  16. Linear combination of one-step predictive information with an external reward in an episodic policy gradient setting: a critical analysis

    Directory of Open Access Journals (Sweden)

    Keyan eZahedi

    2013-11-01

    Full Text Available One of the main challenges in the field of embodied artificial intelligence is the open-ended autonomous learning of complex behaviours. Our approach is to use task-independent, information-driven intrinsic motivation(s to support task-dependent learning. The work presented here is a preliminary step in which we investigate the predictive information (the mutual information of the past and future of the sensor stream as an intrinsic drive, ideally supporting any kind of task acquisition. Previous experiments have shown that the predictive information (PI is a good candidate to support autonomous, open-ended learning of complex behaviours, because a maximisation of the PI corresponds to an exploration of morphology- and environment-dependent behavioural regularities. The idea is that these regularities can then be exploited in order to solve any given task. Three different experiments are presented and their results lead to the conclusion that the linear combination of the one-step PI with an external reward function is not generally recommended in an episodic policy gradient setting. Only for hard tasks a great speed-up can be achieved at the cost of an asymptotic performance lost.

  17. Expression of the SET protein in testes of mice at different developmental stages

    Institute of Scientific and Technical Information of China (English)

    Xiao-Nan Dai; Shan Liu; Li Shao; Chao Gao; Li Gao; Jia-Yin Liu; Yu-Gui Cui

    2014-01-01

    SET is a multifunctional protein involved in regulating many biological processes of the cell cycle. It is also a regulator of steroidogenesis in the ovary. However, the expression of SET protein in testis, and its function, still remains ambiguous. In this study, we observed the expression of SET in the testes of mice at different developmental stages, and have discussed its potential function in regulating spermatogenesis and androgen production. Forty‑eight male mice at different developmental stages(1week old as the infancy group; 4weeks old as the prepubertal group; 12weeks old as the adult group; over12months old as the ageing group) were used. Cellular location of SET protein in the testes was observed by immuno‑histochemistry. Expression levels of Set mRNA and SET protein were analyzed by quantitative polymerase chain reaction and Western blotting. SET protein was expressed in spermatogonial cells and spermatocytes; the highest level was mainly in haploid and tetraploid cells of the prepubertal and adult groups, and Leydig cells of the adult and ageing groups. There was a low expression in Sertoli cells. Expression of Set mRNA in the prepubertal group was signiifcantly higher than that in the adult group(P<0.05), while expression of SET protein was at the highest level in the adult group(P<0.05).SET protein is mainly expressed in spermatogonial cells and spermatocytes, and poorly expressed in Sertoli cells, suggesting that it is involved in spermatogenesis. Expression of SET protein in Leydig cells suggests a possible role in steroidogenesis.

  18. The Impact of Test Dimensionality, Common-Item Set Format, and Scale Linking Methods on Mixed-Format Test Equating

    Science.gov (United States)

    Öztürk-Gübes, Nese; Kelecioglu, Hülya

    2016-01-01

    The purpose of this study was to examine the impact of dimensionality, common-item set format, and different scale linking methods on preserving equity property with mixed-format test equating. Item response theory (IRT) true-score equating (TSE) and IRT observed-score equating (OSE) methods were used under common-item nonequivalent groups design.…

  19. Bayesian and Empirical Bayes Approaches to Setting Passing Scores on Mastery Tests. Publication Series in Mastery Testing.

    Science.gov (United States)

    Huynh, Huynh; Saunders, Joseph C., III

    The Bayesian approach to setting passing scores, as proposed by Swaminathan, Hambleton, and Algina, is compared with the empirical Bayes approach to the same problem that is derived from Huynh's decision-theoretic framework. Comparisons are based on simulated data which follow an approximate beta-binomial distribution and on real test results from…

  20. Test Data Sets and Evaluation of Gene Prediction Programs on the Rice Genome

    Institute of Scientific and Technical Information of China (English)

    Heng Li; Tao Liu; Hai-Hong Li; Yan Li; Li-Jun Fang; Hui-Min Xie; Wei-Mou Zheng; Bai-Lin Hao; Jin-Song Liu; Zhao Xu; Jiao Jin; Lin Fang; Lei Gao; Yu-Dong Li; Zi-Xing Xing; Shao-Gen Gao

    2005-01-01

    With several rice genome projects approaching completion gene prediction/finding by computer algorithms has become an urgent task. Two test sets were constructed by mapping the newly published 28,469 full-length KOME rice cDNA to the RGP BAC clone sequences of Oryza sativa ssp. japonica: a single-gene set of 550 sequences and a multi-gene set of 62 sequences with 271 genes. These data sets were used to evaluate five ab initio gene prediction programs: RiceHMM,GlimmerR, GeneMark, FGENSH and BGF. The predictions were compared on nucleotide, exon and whole gene structure levels using commonly accepted measures and several new measures. The test results show a progress in performance in chronological order. At the same time complementarity of the programs hints on the possibility of further improvement and on the feasibility of reaching better performance by combining several gene-finders.

  1. External quality assessment/proficiency testing and internal quality control for the PFA-100 and PFA-200: an update.

    Science.gov (United States)

    Favaloro, Emmanuel J; Bonar, Roslyn

    2014-03-01

    Platelet function testing is an essential component of comprehensive hemostasis evaluation within the framework of bleeding and/or bruising investigations, and it may also be performed to evaluate antiplatelet medication effects. Globally, the platelet function analyzer (PFA)-100 (Siemens Healthcare, Marburg, Germany) is the most used primary hemostasis-screening instrument and has also been recently remodeled/upgraded to the PFA-200. The PFA-100 is sensitive to a wide range of associated disorders, including platelet function defects and von Willebrand disease (VWD), as well as to various antiplatelet medications. The PFA-100 is also useful in therapy monitoring, especially in VWD. External quality assessment (EQA) (or proficiency testing) and internal quality control (IQC) are critical to ensuring quality of test practice, inclusive of all hemostasis tests. However, both EQA and IQC for platelet function testing, including the PFA-100, is logistically challenging, given theoretical requirements for production, storage, and shipment of large volumes of "stabilized" normal and pathological blood/platelets covering both normal function plus a wide variety of potential defects. We accordingly describe the development and testing of novel feasible approaches to both EQA and IQC of PFA-100/PFA-200 instruments, whereby a range of formulated "platelet function antagonist" materials are utilized. For EQA purposes, these are distributed to participants, and citrated normal whole blood collected on site is then added locally, thereby creating test material that can be locally evaluated. Several exercises have been conducted by the Royal College of Pathologists of Australasia Quality Assurance Program (RCPAQAP) over the past 6 years. A total of 26 challenges, with most designed to mimic moderate to severe primary hemostasis defects, have been tested in 26 to 50 laboratories depending on the year of dispatch. Numerical results for PFA-100/PFA-200 closure times (CTs) and

  2. Development of a grinding-specific performance test set-up

    DEFF Research Database (Denmark)

    Olesen, C. G.; Larsen, B. H.; Andresen, E. L.

    2015-01-01

    and an exponentially rising resistance. A custom-made grinding ergometer was developed with computer-controlled resistance and capable of collecting data during the test. The data collected can be used to find measures of grinding performance such as peak power, time to complete and the decline in repeated grinding......The aim of this study was to develop a performance test set-up for America's Cup grinders. The test set-up had to mimic the on-boat grinding activity and be capable of collecting data for analysis and evaluation of grinding performance. This study included a literature-based analysis of grinding...... demands and a test protocol developed to accommodate the necessary physiological loads. This study resulted in a test protocol consisting of 10 intervals of 20 revolutions each interspersed with active resting periods of 50 s. The 20 revolutions are a combination of both forward and backward grinding...

  3. Applying the theory of planned behaviour to explain HIV testing in antenatal settings in Addis Ababa - a cohort study

    Directory of Open Access Journals (Sweden)

    Mirkuzie Alemnesh H

    2011-08-01

    Full Text Available Abstract Background To facilitate access to the prevention of mother-to-child HIV transmission (PMTCT services, HIV counselling and testing are offered routinely in antenatal care settings. Focusing a cohort of pregnant women attending public and private antenatal care facilities, this study applied an extended version of the Theory of Planned Behaviour (TPB to explain intended- and actual HIV testing. Methods A sequential exploratory mixed methods study was conducted in Addis Ababa in 2009. The study involved first time antenatal attendees from public- and private health care facilities. Three Focus Group Discussions were conducted to inform the TPB questionnaire. A total of 3033 women completed the baseline TPB interviews, including attitudes, subjective norms, perceived behavioural control and intention with respect to HIV testing, whereas 2928 completed actual HIV testing at follow up. Data were analysed using descriptive statistics, Chi-square tests, Fisher's Exact tests, Internal consistency reliability, Pearson's correlation, Linear regression, Logistic regression and using Epidemiological indices. P-values Results The TPB explained 9.2% and 16.4% of the variance in intention among public- and private health facility attendees. Intention and perceived barriers explained 2.4% and external variables explained 7% of the total variance in HIV testing. Positive and negative predictive values of intention were 96% and 6% respectively. Across both groups, subjective norm explained a substantial amount of variance in intention, followed by attitudes. Women intended to test for HIV if they perceived social support and anticipated positive consequences following test performance. Type of counselling did not modify the link between intended and actual HIV testing. Conclusion The TPB explained substantial amount of variance in intention to test but was less sufficient in explaining actual HIV testing. This low explanatory power of TPB was mainly due

  4. Underground tests of a prototype of the KPV set designed for canopy execution

    Energy Technology Data Exchange (ETDEWEB)

    Krupin, N.N.; Romenskii, V.M.; Tishchenko, G.P. (NPO Uglemekhanizatsiya (Ukraine))

    1992-09-01

    Describes the KPV set, a modification of the Shtrek machine developed at the PNIUI institute and modified in cooperation with the Sharf company (FRG). The KPV set includes the MShEh manipulator, the RP130M pneumatic impact tool, advancing and retrieving units, a pump unit and a control console. The KPV unit is mobile and on rails. Tests of a prototype set in a crosscut of 15.9 m[sup 2] (after repair work) are described. A floor dinting operation (0.7-1 m) is shown. Mean-time-between-failure and mean-repair-time were 750 and 114 min respectively. Specifications of the KPV set are given as: roofbar lifting height 3.9 m, impact energy 246 J, clamshell bucket volume 0.1 m[sup 3], manipulator dimensions 1.8x1.3x2.2 m. The development work on the KPV set is to be continued.

  5. Testing Bell's Inequality with Cosmic Photons: Closing the Settings-Independence Loophole

    CERN Document Server

    Gallicchio, Jason; Kaiser, David I

    2013-01-01

    We propose a practical scheme to use photons from causally disconnected cosmic sources to set the detectors in an experimental test of Bell's inequality. In current experiments, detector settings are determined by local quantum random number generators. In such experiments, only a small amount of correlation between detector settings and some local hidden variables, established less than a millisecond before each experimental run, would suffice to mimic the predictions of quantum mechanics. By setting the detectors using cosmic sources instead, observed violations of Bell's inequality in our proposed "Cosmic Bell" experiment would require any such coordination to have been in place for billions of years rather than milliseconds -- an improvement of 20 orders of magnitude. Quasar pairs can be used as real-time triggers to establish detector settings using existing technology. For quasars on opposite sides of the sky with redshifts z > 3.65, there is no event after the hot big bang 13.8 billion years ago (follo...

  6. Identifying genetic marker sets associated with phenotypes via an efficient adaptive score test

    KAUST Repository

    Cai, T.

    2012-06-25

    In recent years, genome-wide association studies (GWAS) and gene-expression profiling have generated a large number of valuable datasets for assessing how genetic variations are related to disease outcomes. With such datasets, it is often of interest to assess the overall effect of a set of genetic markers, assembled based on biological knowledge. Genetic marker-set analyses have been advocated as more reliable and powerful approaches compared with the traditional marginal approaches (Curtis and others, 2005. Pathways to the analysis of microarray data. TRENDS in Biotechnology 23, 429-435; Efroni and others, 2007. Identification of key processes underlying cancer phenotypes using biologic pathway analysis. PLoS One 2, 425). Procedures for testing the overall effect of a marker-set have been actively studied in recent years. For example, score tests derived under an Empirical Bayes (EB) framework (Liu and others, 2007. Semiparametric regression of multidimensional genetic pathway data: least-squares kernel machines and linear mixed models. Biometrics 63, 1079-1088; Liu and others, 2008. Estimation and testing for the effect of a genetic pathway on a disease outcome using logistic kernel machine regression via logistic mixed models. BMC bioinformatics 9, 292-2; Wu and others, 2010. Powerful SNP-set analysis for case-control genome-wide association studies. American Journal of Human Genetics 86, 929) have been proposed as powerful alternatives to the standard Rao score test (Rao, 1948. Large sample tests of statistical hypotheses concerning several parameters with applications to problems of estimation. Mathematical Proceedings of the Cambridge Philosophical Society, 44, 50-57). The advantages of these EB-based tests are most apparent when the markers are correlated, due to the reduction in the degrees of freedom. In this paper, we propose an adaptive score test which up- or down-weights the contributions from each member of the marker-set based on the Z-scores of

  7. The role of rapid diagnostic tests in managing adults with pneumonia in low-resource settings

    Directory of Open Access Journals (Sweden)

    Stephen J Aston

    2014-06-01

    Full Text Available In well-resourced settings the systematic use of rapid diagnostics tests (e.g. pneumococcal urinary antigen test that define the causal pathogen to direct therapy has not resulted in significantly improved outcomes in adults with pneumonia. The management of pneumonia in many low-resource settings is complicated by a substantial burden of tuberculosis and HIV-associated opportunistic infections, in addition to the usual spectrum of pathogens seen in well-resourced settings. Clinical features alone do not reliably distinguish between these different aetiologies and physicians often have to treat empirically. Given the limitations in diagnostic laboratory capability present in most low-resource settings, rapid and point-of-care diagnostic tests could become valuable tools to guide treatment decisions. Pneumococcal and Legionella urinary antigen tests are specific and moderately sensitive, but their utility in low-resource settings is uncertain. The Xpert MTB/RIF (Cepheid, USA platform and rapid assays for urinary lipoarabinomannan can substantially speed up tuberculosis diagnosis; the current challenge is to translate this into earlier treatment and hopefully improve patient outcome. In HIV-infected patients, 1-3-β-D-glucan is a serum marker of Pneumocystis jirovecii infection with excellent sensitivity. Further studies are needed to assess the clinical utility and cost-effectiveness of these rapid diagnostic assays when they are incorporated into treatment algorithms.

  8. Electromagnetic analysis of the Korean helium cooled ceramic reflector test blanket module set

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Youngmin, E-mail: ymlee@nfri.re.kr [National Fusion Research Institute, Daejeon (Korea, Republic of); Ku, Duck Young [National Fusion Research Institute, Daejeon (Korea, Republic of); Lee, Dong Won [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Ahn, Mu-Young; Park, Yi-Hyun; Cho, Seungyon [National Fusion Research Institute, Daejeon (Korea, Republic of)

    2016-11-01

    Korean helium cooled ceramic reflector (HCCR) test blanket module set (TBM-set) will be installed at equatorial port #18 of Vacuum Vessel in ITER in order to test the breeding blanket performance for forthcoming fusion power plant. Since ITER tokamak has a set of electromagnetic coils (Central Solenoid, Poloidal Field and Toroidal Field coil set) around Vacuum Vessel, the HCCR TBM-set, the TBM and associated shield, is greatly influenced by magnetic field generated by these coils. In the case of fast transient electromagnetic events such as major disruption, vertical displacement event or magnet fast discharge, magnetic field and induced eddy current results in huge electromagnetic load, known as Lorentz load, on the HCCR TBM-set. In addition, the TBM-set experiences electromagnetic load due to magnetization of the structural material not only during the fast transient events but also during normal operation since the HCCR TBM adopts Reduced Activation Ferritic Martensitic (RAFM) steel as a structural material. This is known as Maxwell load which includes Lorentz load as well as load due to magnetization of structure material. This paper presents electromagnetic analysis results for the HCCR TBM-set. For analysis, a 20° sector finite model was constructed considering ITER configuration such as Vacuum Vessel, ITER shield blankets, Central Solenoid, Poloidal Field, Toroidal Field coil set as well as the HCCR TBM-set. Three major disruptions (operational event, likely event and highly unlikely event) were selected for analysis based on the load specifications. ANSYS-EMAG was used as a calculation tool. The results of EM analysis will be used as input data for the structural analysis.

  9. Evaluation of Calypte AWARE HIV-1/2 OMT antibody test as a screening test in an Indian setting

    Directory of Open Access Journals (Sweden)

    Ingole N

    2010-01-01

    Full Text Available Purpose: Integrated counselling and testing centres (ICTC provide counselling and blood testing facilities for HIV diagnosis. Oral fluid tests provide an alternative for people whodo not want blood to be drawn. Also, it avoids the risk of occupational exposure. The goal of this study was to evaluate the utility of Calypte AWARE HIV-1/2 OMT antibody test as a screening test in an Indian setting. Materials and Methods: A cross-sectional study was carried out after ethics committee approval in 250 adult ICTC clients. Blood was collected and tested from these clients for HIV diagnosis as per routine policy and the results were considered as the gold standard. Also, after another written informed consent, oral fluid was collected from the clients and tested for the presence of HIV antibodies. Twenty five clients who had and 25 clients who had not completed their secondary school education (Group A and Group B, respectively were also asked to perform and interpret the test on their own and their findings and experiences were noted. Result: The sensitivity, specificity, PPV and NPV of the oral fluid antibody test were 100%, 98.51%, 94.11% and 100%, respectively. Seventy six percent of clients preferred oral fluid testing. Group B found it difficult to perform the test as compared to Group A and this difference was statistically significant (P ≤ 0.05. Conclusion: Oral fluid testing can be used as a screening test for HIV diagnosis; however, confirmation of reactive results by blood-based tests is a must.

  10. A new test set for validating predictions of protein-ligand interaction.

    Science.gov (United States)

    Nissink, J Willem M; Murray, Chris; Hartshorn, Mike; Verdonk, Marcel L; Cole, Jason C; Taylor, Robin

    2002-12-01

    We present a large test set of protein-ligand complexes for the purpose of validating algorithms that rely on the prediction of protein-ligand interactions. The set consists of 305 complexes with protonation states assigned by manual inspection. The following checks have been carried out to identify unsuitable entries in this set: (1) assessing the involvement of crystallographically related protein units in ligand binding; (2) identification of bad clashes between protein side chains and ligand; and (3) assessment of structural errors, and/or inconsistency of ligand placement with crystal structure electron density. In addition, the set has been pruned to assure diversity in terms of protein-ligand structures, and subsets are supplied for different protein-structure resolution ranges. A classification of the set by protein type is available. As an illustration, validation results are shown for GOLD and SuperStar. GOLD is a program that performs flexible protein-ligand docking, and SuperStar is used for the prediction of favorable interaction sites in proteins. The new CCDC/Astex test set is freely available to the scientific community (http://www.ccdc.cam.ac.uk).

  11. Cosmic Bell Test: Measurement Settings from Milky Way Stars.

    Science.gov (United States)

    Handsteiner, Johannes; Friedman, Andrew S; Rauch, Dominik; Gallicchio, Jason; Liu, Bo; Hosp, Hannes; Kofler, Johannes; Bricher, David; Fink, Matthias; Leung, Calvin; Mark, Anthony; Nguyen, Hien T; Sanders, Isabella; Steinlechner, Fabian; Ursin, Rupert; Wengerowsky, Sören; Guth, Alan H; Kaiser, David I; Scheidl, Thomas; Zeilinger, Anton

    2017-02-10

    Bell's theorem states that some predictions of quantum mechanics cannot be reproduced by a local-realist theory. That conflict is expressed by Bell's inequality, which is usually derived under the assumption that there are no statistical correlations between the choices of measurement settings and anything else that can causally affect the measurement outcomes. In previous experiments, this "freedom of choice" was addressed by ensuring that selection of measurement settings via conventional "quantum random number generators" was spacelike separated from the entangled particle creation. This, however, left open the possibility that an unknown cause affected both the setting choices and measurement outcomes as recently as mere microseconds before each experimental trial. Here we report on a new experimental test of Bell's inequality that, for the first time, uses distant astronomical sources as "cosmic setting generators." In our tests with polarization-entangled photons, measurement settings were chosen using real-time observations of Milky Way stars while simultaneously ensuring locality. Assuming fair sampling for all detected photons, and that each stellar photon's color was set at emission, we observe statistically significant ≳7.31σ and ≳11.93σ violations of Bell's inequality with estimated p values of ≲1.8×10^{-13} and ≲4.0×10^{-33}, respectively, thereby pushing back by ∼600  years the most recent time by which any local-realist influences could have engineered the observed Bell violation.

  12. Basic life support and automated external defibrillator skills among ambulance personnel: a manikin study performed in a rural low-volume ambulance setting

    Directory of Open Access Journals (Sweden)

    Nielsen Anne

    2012-05-01

    Full Text Available Abstract Background Ambulance personnel play an essential role in the ‘Chain of Survival’. The prognosis after out-of-hospital cardiac arrest was dismal on a rural Danish island and in this study we assessed the cardiopulmonary resuscitation performance of ambulance personnel on that island. Methods The Basic Life Support (BLS and Automated External Defibrillator (AED skills of the ambulance personnel were tested in a simulated cardiac arrest. Points were given according to a scoring sheet. One sample t test was used to analyze the deviation from optimal care according to the 2005 guidelines. After each assessment, individual feedback was given. Results On 3 consecutive days, we assessed the individual EMS teams responding to OHCA on the island. Overall, 70% of the maximal points were achieved. The hands-off ratio was 40%. Correct compression/ventilation ratio (30:2 was used by 80%. A mean compression depth of 40–50 mm was achieved by 55% and the mean compression depth was 42 mm (SD 7 mm. The mean compression rate was 123 per min (SD 15/min. The mean tidal volume was 746 ml (SD 221 ml. Only the mean tidal volume deviated significantly from the recommended (p = 0.01. During the rhythm analysis, 65% did not perform any visual or verbal safety check. Conclusion The EMS providers achieved 70% of the maximal points. Tidal volumes were larger than recommended when mask ventilation was applied. Chest compression depth was optimally performed by 55% of the staff. Defibrillation safety checks were not performed in 65% of EMS providers.

  13. Generating quality word sense disambiguation test sets based on MeSH indexing.

    Science.gov (United States)

    Fan, Jung-Wei; Friedman, Carol

    2009-11-14

    Word sense disambiguation (WSD) determines the correct meaning of a word that has more than one meaning, and is a critical step in biomedical natural language processing, as interpretation of information in text can be correct only if the meanings of their component terms are correctly identified first. Quality evaluation sets are important to WSD because they can be used as representative samples for developing automatic programs and as referees for comparing different WSD programs. To help create quality test sets for WSD, we developed a MeSH-based automatic sense-tagging method that preferentially annotates terms being topical of the text. Preliminary results were promising and revealed important issues to be addressed in biomedical WSD research. We also suggest that, by cross-validating with 2 or 3 annotators, the method should be able to efficiently generate quality WSD test sets. Online supplement is available at: http://www.dbmi.columbia.edu/~juf7002/AMIA09.

  14. Testing a parametric function against a nonparametric alternative in IV and GMM settings

    DEFF Research Database (Denmark)

    Gørgens, Tue; Wurtz, Allan

    This paper develops a specification test for functional form for models identified by moment restrictions, including IV and GMM settings. The general framework is one where the moment restrictions are specified as functions of data, a finite-dimensional parameter vector, and a nonparametric real...

  15. REACH, non-testing approaches and the urgent need for a change in mind set

    NARCIS (Netherlands)

    Schaafsma, G.; Kroese, E.D.; Tielemans, E.L.J.P.; Sandt, J.J.M. van de; Leeuwen, C.J. van

    2009-01-01

    The objectives of REACH cannot be achieved under the current risk assessment approach. A change in mind set among all the relevant stakeholders is needed: risk assessment should move away from a labor-intensive and animal-consuming approach to intelligent and pragmatic testing, by combining exposure

  16. Design of Testing Set-up for Nuclear Fuel Rod by Neutron Radiography at CARR

    Institute of Scientific and Technical Information of China (English)

    WEI; Guo-hai; HAN; Song-bai; WANG; Hong-li; HAO; Li-jie; WU; Mei-mei; HE; Lin-feng; WANG; Yu; LIU; Yun-tao; SUN; Kai; CHEN; Dong-feng

    2012-01-01

    <正>An experimental set-up dedicated to non-destructively test a 15 cm long pressurized water reactor (PWR) nuclear fuel rod by neutron radiography (NR) is designed and fabricated. It consists of three parts: Transport container, imaging block and steel support. The design of the transport container was optimized with Monte-Carlo simulation by the MCNP code.

  17. REACH, non-testing approaches and the urgent need for a change in mind set

    NARCIS (Netherlands)

    Schaafsma, G.; Kroese, E.D.; Tielemans, E.L.J.P.; Sandt, J.J.M. van de; Leeuwen, C.J. van

    2009-01-01

    The objectives of REACH cannot be achieved under the current risk assessment approach. A change in mind set among all the relevant stakeholders is needed: risk assessment should move away from a labor-intensive and animal-consuming approach to intelligent and pragmatic testing, by combining exposure

  18. Experience With Routine Vaginal pH Testing in a Family Practice Setting

    Directory of Open Access Journals (Sweden)

    Adriana J. Pavletic

    2004-01-01

    Full Text Available Background: Despite recommendations by Centers for Disease Control and the American College of Obstetricians and Gynecologists, pH testing is infrequently performed during the evaluation of vaginitis. Consequently, little information exists on its use in a primary care setting.

  19. A support vector machine based test for incongruence between sets of trees in tree space

    Science.gov (United States)

    2012-01-01

    Background The increased use of multi-locus data sets for phylogenetic reconstruction has increased the need to determine whether a set of gene trees significantly deviate from the phylogenetic patterns of other genes. Such unusual gene trees may have been influenced by other evolutionary processes such as selection, gene duplication, or horizontal gene transfer. Results Motivated by this problem we propose a nonparametric goodness-of-fit test for two empirical distributions of gene trees, and we developed the software GeneOut to estimate a p-value for the test. Our approach maps trees into a multi-dimensional vector space and then applies support vector machines (SVMs) to measure the separation between two sets of pre-defined trees. We use a permutation test to assess the significance of the SVM separation. To demonstrate the performance of GeneOut, we applied it to the comparison of gene trees simulated within different species trees across a range of species tree depths. Applied directly to sets of simulated gene trees with large sample sizes, GeneOut was able to detect very small differences between two set of gene trees generated under different species trees. Our statistical test can also include tree reconstruction into its test framework through a variety of phylogenetic optimality criteria. When applied to DNA sequence data simulated from different sets of gene trees, results in the form of receiver operating characteristic (ROC) curves indicated that GeneOut performed well in the detection of differences between sets of trees with different distributions in a multi-dimensional space. Furthermore, it controlled false positive and false negative rates very well, indicating a high degree of accuracy. Conclusions The non-parametric nature of our statistical test provides fast and efficient analyses, and makes it an applicable test for any scenario where evolutionary or other factors can lead to trees with different multi-dimensional distributions. The

  20. Human papillomavirus testing by self-sampling: assessment of accuracy in an unsupervised clinical setting

    Science.gov (United States)

    Szarewski, Anne; Cadman, Louise; Mallett, Susan; Austin, Janet; Londesborough, Philip; Waller, Jo; Wardle, Jane; Altman, Douglas G; Cuzick, Jack

    2007-01-01

    Objectives: To compare the performance and acceptability of unsupervised self-sampling with clinician sampling for high-risk human papillomavirus (HPV) types for the first time in a UK screening setting. Setting: Nine hundred and twenty women, from two demographically different centres, attending for routine cervical smear testing Methods: Women performed an unsupervised HPV self-test. Immediately afterwards, a doctor or nurse took an HPV test and cervical smear. Women with an abnormality on any test were offered colposcopy. Results: Twenty-one high-grade and 39 low-grade cervical intraepithelial neoplasias (CINs) were detected. The sensitivity for high-grade disease (CIN2+) for the self HPV test was 81% (95% confidence interval [CI] 60–92), clinician HPV test 100% (95% CI 85–100), cytology 81% (95% CI 60–92). The sensitivity of both HPV tests to detect high- and low-grade cervical neoplasia was much higher than that of cytology (self-test 77% [95%CI 65–86], clinician test 80% [95% CI 68–88], cytology 48% [95% CI 36–61]). For both high-grade alone, and high and low grades together, the specificity was significantly higher for cytology (greater than 95%) than either HPV test (between 82% and 87%). The self-test proved highly acceptable to women and they reported that the instructions were easy to understand irrespective of educational level. Conclusions: Our results suggest that it would be reasonable to offer HPV self-testing to women who are reluctant to attend for cervical smears. This approach should now be directly evaluated among women who have been non-attenders in a cervical screening programme. PMID:17362570

  1. Relationships between core strength, hip external rotator muscle strength, and star excursion balance test performance in female lacrosse players.

    Science.gov (United States)

    Gordon, Angela T; Ambegaonkar, Jatin P; Caswell, Shane V

    2013-04-01

    PURPOSEBACKGROUND: Female athletes have high rates of lower extremity (LE) injuries. Core strength (CS) and hip external rotator (HER) strength have been suggested to be factors that influence LE injury risk. Better balance has also been shown to decrease LE injury risk. Still, little research has examined whether core strength and hip muscle strength can influence LE balance. Therefore the purpose of the current study was to examine the relationships between core strength, hip ER strength and lower extremity balance as measured by the Star Excursion Balance Test (SEBT). CS was examined via the bent knee lowering test (BKLT) (grades 1-5). Hip external rotator (HER) strength was measured singularly (HERL and HERR and combined (HERCOM) assessed via hand held dynamometry (reported in Newtons), and balance assessed via the SEBT expressed as % leg length, bilaterally in the postero-medial, postero-lateral, anterior directions and as a combined score (SEBTCOM). All outcomes were assessed in 45 female lacrosse players (16.0 ± 5.9 yrs, 65.1 ± 2.4 cm, 57.3 ± 7.4 kgs, experience=5.9 ± 2.9 yrs). Pearson product-moment correlations examined relationships between the BKLT, HER and SEBT. Linear regression analyses examined possible influences of CS and HER on balance (p ≤ .05). SEBTCOM was not correlated with BKLT [r(45)=-.20, p=.18] or HERCOM [r(45)=.20, p=.18]. There was no correlation between HER strength and CS (BKLT) [r(45)=.20, p=.20]. Overall scores on the BKLT were not correlated with any of the three balance SEBT scores. HERL [r(45)=.36, p=.02] and HERR [r(45)=.30, p=.05] were moderately positively correlated with left posteromedial SEBT direction. HERCOM and BKLT did not predict overall SEBTCOM balance scores (r(2)=.068, p=.23). BKLT scores and combined HER strength did not correlate with LE balance, as measured by the SEBT, in female lacrosse players. However, HER strength of both the left and right LE's (singularly) was moderately correlated with scores on one

  2. Servo drive chain evaluation test set-up and configuration methodology

    Directory of Open Access Journals (Sweden)

    R. Heera Singh

    2016-06-01

    Full Text Available The evaluation test bench set-up for servo drive chain consists of various servo sub-modules viz., generic motion controller, servo drive amplifier, brushless AC servo motor, torque coupler, gear reducer and shaft encoder assembly for position feedback is considered. The module interfaces are established for efficient use in commissioning, diagnosing and qualifying the antenna tracking chain. Design methodology demonstrated and specifications of systems were derived. Design specifications of drive chain are configured through software tools for optimizing rate loop and position loop. The transient behaviour and response of servo system using Proportional Integral Derivative controller in time as well in frequency domain is analyzed. Stability conditions are simulated and verified. The test set up energised and test results of different inputs verified and following error minimised by tuning/ optimising the system.

  3. Development of a test set for adjustment of residential furnaces and boilers. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1980-01-01

    A program was undertaken to design and develop a portable test set for simplified field adjustment of residential furnaces and boilers to achieve peak operating efficiency. Advanced technology was applied to provide continuous analysis of flue gases and the display of temperature, oxygen concentrations, smoke value and furnace efficiency. Prototype models were constructed and delivered to Brookhaven National Laboratory for further testing. A survey of furnace dealers was conducted, and a commercialization plan was developed based on survey responses and the status of the equipment developed under the program. Goals for a marketable test set and development steps to achieve a projected energy savings were determined and recommended. Recommendations for specific areas of further development are included.

  4. Calculating and testing cultivated land protection externality using Contingent Valuation Method%基于CVM的耕地保护外部性估算与检验

    Institute of Scientific and Technical Information of China (English)

    牛海鹏; 王文龙; 张安录

    2014-01-01

    This paper proposed the Contingent Valuation Method (CVM) for estimating cultivated land protection externality. The proposed CVM was based on reconstruction of cultivated land utilization benefit system and defined cultivated land protection externality. The paper discussed in detail specific techniques of sample size and distribution, determination of leading technology, pay/compensation interval setting, hypothetical market scenario setting, evasion of deviation, pretreatment of survey data, and results validity/reliability tests. The results showed that ecological and social benefits of cultivated lands included public goods with mixed classes across categories. These classes were provided by joint ventures between the pure positive externalities and the private sector (mainly farmers). This could be estimated by using CVM and other non-market valuation methods. The willingness to pay of inter-viewee for this service was heavily restricted and influenced by their levels of socioeconomic development. The recognition of eco-logical and social benefits of cultivated lands of farmers and urban residents formed the main causality factor for the differences in payment ratio between urban residents and rural farmers. Urban residents were more familiar with ecological and social benefits of cultivated lands than rural/farm households. This was probably a key factor influencing the willingness to pay for ecological services. Farm households preferred voluntary labor as mean of payment, while both money and voluntary labor were more preferred by urban residents. The probable reason for this was that farm households had more leisure time than urban residents. Unitary cultivated land protection externality for Jiaozuo City was 1.91×108 Yuan·a−1 and the cultivated land protection externality per unit area of cultivated land was 993.7 Yuan·hm−2·a−1 base on CVM. CVM validity and reliability test was a critical element of CVM theory, method and practice. This was

  5. Experimental Implementation of a Kochen-Specker Set of Quantum Tests

    Directory of Open Access Journals (Sweden)

    Vincenzo D’Ambrosio

    2013-02-01

    Full Text Available The conflict between classical and quantum physics can be identified through a series of yes-no tests on quantum systems, without it being necessary that these systems be in special quantum states. Kochen-Specker (KS sets of yes-no tests have this property and provide a quantum-versus-classical advantage that is free of the initialization problem that affects some quantum computers. Here, we report the first experimental implementation of a complete KS set that consists of 18 yes-no tests on four-dimensional quantum systems and show how to use the KS set to obtain a state-independent quantum advantage. We first demonstrate the unique power of this KS set for solving a task while avoiding the problem of state initialization. Such a demonstration is done by showing that, for 28 different quantum states encoded in the orbital-angular-momentum and polarization degrees of freedom of single photons, the KS set provides an impossible-to-beat solution. In a second experiment, we generate maximally contextual quantum correlations by performing compatible sequential measurements of the polarization and path of single photons. In this case, state independence is demonstrated for 15 different initial states. Maximum contextuality and state independence follow from the fact that the sequences of measurements project any initial quantum state onto one of the KS set’s eigenstates. Our results show that KS sets can be used for quantum-information processing and quantum computation and pave the way for future developments.

  6. The time is now to implement HPV testing for primary screening in low resource settings.

    Science.gov (United States)

    Kuhn, Louise; Denny, Lynette

    2017-05-01

    Unacceptable disparities in cervical cancer between richer and poorer countries persist and serve as reminders of gross disparities in access to and quality of screening services. HPV testing is well-suited to address some of the barriers to implementing adequate screening programs in low resource settings. HPV testing has considerably better sensitivity than cytology providing the same extent of safety with fewer rounds of screening. New robust HPV testing platforms require little to no skill by laboratory workers and some can be used at the point-of-care. This allows for a round of screening to be accomplished in one or two visits, reducing costs and the inevitable attrition that occurs when women need to be recalled to obtain their results. HPV testing is ideal for incorporating into the new "screen-and-treat" approaches designed to overcome limitations of conventional, multi-visit, colposcopy-based approaches to screening. Visual inspection with acetic acid (VIA) is the screening test that has been used most widely in screen-and-treat programs to date but the performance characteristics of this test are poor. HPV-based screen-and-treat is more effective in reducing disease in the population and reduces over-treatment intrinsic to this approach. HPV testing can be adapted or combined with other molecular tests to improve treatment algorithms. Infrastructure established to support VIA-based screen-and-treat can effectively incorporate HPV testing. We are poised at a critical juncture in public health history to implement HPV testing as part of primary screening and thereby improve women's health in low resource settings.

  7. Evaluation of adjunctive tests for cervical cancer screening in low resource settings

    Directory of Open Access Journals (Sweden)

    Bhatla Neerja

    2007-01-01

    Full Text Available Background: Visual inspection of cervix after application of acetic acid (VIA is an effective screening tool for cervical cancer in low resource settings, but its low specificity leads to high referral rates. Adjunctive testing may overcome this drawback. Aims: This pilot study was aimed to assess test performances of VIA, human papillomavirus (HPV testing and Pap smear, individually and in simulated combinations, to determine the probable best screening option. Setting and Design: Gynecology outpatient department (OPD; cross-sectional study. Materials and Methods: One hundred women with complaints of irregular vaginal bleeding or discharge, post coital bleeding or unhealthy cervix on examination underwent Pap smear, HPV testing, VIA, colposcopy and biopsy, if indicated, in this screening order. Statistical Analysis: Sensitivity, specificity, positive predictive value (PPV and negative predictive value (NPV were calculated for each of the tests with a biopsy result of ≥HSIL taken as the gold standard. Simulated parallel and sequential combinations for VIA/Pap, VIA/HPV and HPV/Pap were calculated and compared with individual test performance. Results: Prevalence of abnormal Pap smears was 5%, VIA positive 51% and HPV positive 16%. Sensitivity and specificity of VIA were 100% and 53.3% respectively. For HPV and Pap tests corresponding figures were 85.7%, 89.7% and 50%, 98.9% respectively. The best simulated combination with a balance of sensitivity and specificity was of VIA followed by HPV testing (sensitivity 85.7%, specificity 95.4%. Conclusion: Addition of HPV testing to VIA can increase the specificity of VIA, thereby reducing the referral rates without compromising the sensitivity of the test.

  8. A look ahead: Status of the SNS external antenna ion source and the new RFQ test stand

    Science.gov (United States)

    Welton, R. F.; Aleksandrov, A.; Dudnikov, V. G.; Han, B. X.; Murray, S. N.; Pennisi, T. R.; Piller, M.; Kang, Y.; Santana, M.; Stockli, M. P.

    2015-04-01

    The U.S. Spallation Neutron Source (SNS) now operates with ˜1 MW of beam power to target with the near-term goal of delivering 1.4 MW. Plans are being considered to incorporate a second target station into the facility which will require ˜2.8 MW of beam power. Presently, H- beam pulses (˜1 ms, 60 Hz) are produced by an RF-driven, Cs-enhanced, multi-cusp ion source which injects beam into an RFQ (Radio Frequency Quadrupole) accelerator that, in turn, feeds the SNS Linac. Currently the source/RFQ system delivers ˜35 mA of pulsed current to the linac which is mostly sufficient for 1.4 MW operations while ˜50 mA are needed for the second target station upgrade. This paper provides a look forward for the SNS by providing (i) the present and future SNS source/RFQ beam requirements and our plans to achieve these, (ii) a description and status of the external antenna ion source being developed for the replacement of the current internal antenna ion source, and (iii) a description and status of the newly constructed RFQ test facility.

  9. A look ahead: Status of the SNS external antenna ion source and the new RFQ test stand

    Energy Technology Data Exchange (ETDEWEB)

    Welton, R. F., E-mail: welton@ornl.gov; Aleksandrov, A.; Han, B. X.; Murray, S. N.; Pennisi, T. R.; Piller, M.; Kang, Y.; Santana, M.; Stockli, M. P. [Spallation Neutron Source, Oak Ridge National Laboratory, P.O. Box 2008, Oak Ridge, TN, 37830-647 (United States); Dudnikov, V. G. [Muons, Inc. 552 N. Batavia Avenue, Batavia, IL 60510 (United States)

    2015-04-08

    The U.S. Spallation Neutron Source (SNS) now operates with ∼1 MW of beam power to target with the near-term goal of delivering 1.4 MW. Plans are being considered to incorporate a second target station into the facility which will require ∼2.8 MW of beam power. Presently, H{sup −} beam pulses (∼1 ms, 60 Hz) are produced by an RF-driven, Cs-enhanced, multi-cusp ion source which injects beam into an RFQ (Radio Frequency Quadrupole) accelerator that, in turn, feeds the SNS Linac. Currently the source/RFQ system delivers ∼35 mA of pulsed current to the linac which is mostly sufficient for 1.4 MW operations while ∼50 mA are needed for the second target station upgrade. This paper provides a look forward for the SNS by providing (i) the present and future SNS source/RFQ beam requirements and our plans to achieve these, (ii) a description and status of the external antenna ion source being developed for the replacement of the current internal antenna ion source, and (iii) a description and status of the newly constructed RFQ test facility.

  10. Routine opt-out HIV testing strategies in a female jail setting: a prospective controlled trial.

    Directory of Open Access Journals (Sweden)

    Ravi Kavasery

    Full Text Available BACKGROUND: Ten million Americans enter jails annually. The objective was to evaluate new CDC guidelines for routine opt-out HIV testing and examine the optimal time to implement routine opt-out HIV testing among newly incarcerated jail detainees. METHODS: This prospective, controlled trial of routine opt-out HIV testing was conducted among 323 newly incarcerated female inmates in Connecticut's only women's jail. 323 sequential entrants to the women's jail over a five week period in August and September 2007 were assigned to be offered routine opt-out HIV testing at one of three points after incarceration: immediate (same day, n = 108, early (next day, n = 108, or delayed (7 days, n = 107. The primary outcome was the proportion of women in each group consenting to testing. RESULTS: Routine opt-out HIV testing was significantly highest (73% among the early testing group compared to 55% for immediate and 50% for 7 days post-entry groups. Other factors significantly (p = 0.01 associated with being HIV tested were younger age and low likelihood of early release from jail based on bond value or type of charge for which women were arrested. CONCLUSIONS: In this correctional facility, routine opt-out HIV testing in a jail setting was feasible, with highest rates of testing if performed the day after incarceration. Lower testing rates were seen with immediate testing, where there is a high prevalence of inability or unwillingness to test, and with delayed testing, where attrition from jail increases with each passing day. TRIAL REGISTRATION: ClinicalTrials.gov NCT00624247.

  11. Routinization of HIV Testing in an Inpatient Setting: A Systematic Process for Organizational Change.

    Science.gov (United States)

    Mignano, Jamie L; Miner, Lucy; Cafeo, Christina; Spencer, Derek E; Gulati, Mangla; Brown, Travis; Borkoski, Ruth; Gibson-Magri, Kate; Canzoniero, Jenna; Gottlieb, Jonathan E; Rowen, Lisa

    2016-01-01

    In 2006, the U.S. Centers for Disease Control and Prevention released revised recommendations for routinization of HIV testing in healthcare settings. Health professionals have been challenged to incorporate these guidelines. In March 2013, a routine HIV testing initiative was launched at a large urban academic medical center in a high prevalence region. The goal was to routinize HIV testing by achieving a 75% offer and 75% acceptance rate and promoting linkage to care in the inpatient setting. A systematic six-step organizational change process included stakeholder buy-in, identification of an interdisciplinary leadership team, infrastructure development, staff education, implementation, and continuous quality improvement. Success was measured by monitoring the percentage of offered and accepted HIV tests from March to December 2013. The targeted offer rate was exceeded consistently once nurses became part of the consent process (September 2013). Fifteen persons were newly diagnosed with HIV. Seventy-eight persons were identified as previously diagnosed with HIV, but not engaged in care. Through this process, patients who may have remained undiagnosed or out-of-care were identified and linked to care. The authors propose that this process can be replicated in other settings. Increasing identification and treatment will improve the individual patient's health and reduce community disease burden.

  12. A minimal standardization setting for language mapping tests: an Italian example.

    Science.gov (United States)

    Rofes, Adrià; de Aguiar, Vânia; Miceli, Gabriele

    2015-07-01

    During awake surgery, picture-naming tests are administered to identify brain structures related to language function (language mapping), and to avoid iatrogenic damage. Before and after surgery, naming tests and other neuropsychological procedures aim at charting naming abilities, and at detecting which items the subject can respond to correctly. To achieve this goal, sufficiently large samples of normed and standardized stimuli must be available for preoperative and postoperative testing, and to prepare intraoperative tasks, the latter only including items named flawlessly preoperatively. To discuss design, norming and presentation of stimuli, and to describe the minimal standardization setting used to develop two sets of Italian stimuli, one for object naming and one for verb naming, respectively. The setting includes a naming study (to obtain picture-name agreement ratings), two on-line questionnaires (to acquire age-of-acquisition and imageability ratings for all test items), and the norming of other relevant language variables. The two sets of stimuli have >80 % picture-name agreement, high levels of internal consistency and reliability for imageability and age of acquisition ratings. They are normed for psycholinguistic variables known to affect lexical access and retrieval, and are validated in a clinical population. This framework can be used to increase the probability of reliably detecting language impairments before and after surgery, to prepare intraoperative tests based on sufficient knowledge of pre-surgical language abilities in each patient, and to decrease the probability of false positives during surgery. Examples of data usage are provided. Normative data can be found in the supplementary materials.

  13. Analogue modelling of inclined, brittle-ductile transpression: Testing analytical models through natural shear zones (external Betics)

    Science.gov (United States)

    Barcos, L.; Díaz-Azpiroz, M.; Balanyá, J. C.; Expósito, I.; Jiménez-Bonilla, A.; Faccenna, C.

    2016-07-01

    The combination of analytical and analogue models gives new opportunities to better understand the kinematic parameters controlling the evolution of transpression zones. In this work, we carried out a set of analogue models using the kinematic parameters of transpressional deformation obtained by applying a general triclinic transpression analytical model to a tabular-shaped shear zone in the external Betic Chain (Torcal de Antequera massif). According to the results of the analytical model, we used two oblique convergence angles to reproduce the main structural and kinematic features of structural domains observed within the Torcal de Antequera massif (α = 15° for the outer domains and α = 30° for the inner domain). Two parallel inclined backstops (one fixed and the other mobile) reproduce the geometry of the shear zone walls of the natural case. Additionally, we applied digital particle image velocimetry (PIV) method to calculate the velocity field of the incremental deformation. Our results suggest that the spatial distribution of the main structures observed in the Torcal de Antequera massif reflects different modes of strain partitioning and strain localization between two domain types, which are related to the variation in the oblique convergence angle and the presence of steep planar velocity - and rheological - discontinuities (the shear zone walls in the natural case). In the 15° model, strain partitioning is simple and strain localization is high: a single narrow shear zone is developed close and parallel to the fixed backstop, bounded by strike-slip faults and internally deformed by R and P shears. In the 30° model, strain partitioning is strong, generating regularly spaced oblique-to-the backstops thrusts and strike-slip faults. At final stages of the 30° experiment, deformation affects the entire model box. Our results show that the application of analytical modelling to natural transpressive zones related to upper crustal deformation

  14. A Kolmogorov-Smirnov Based Test for Comparing the Predictive Accuracy of Two Sets of Forecasts

    Directory of Open Access Journals (Sweden)

    Hossein Hassani

    2015-08-01

    Full Text Available This paper introduces a complement statistical test for distinguishing between the predictive accuracy of two sets of forecasts. We propose a non-parametric test founded upon the principles of the Kolmogorov-Smirnov (KS test, referred to as the KS Predictive Accuracy (KSPA test. The KSPA test is able to serve two distinct purposes. Initially, the test seeks to determine whether there exists a statistically significant difference between the distribution of forecast errors, and secondly it exploits the principles of stochastic dominance to determine whether the forecasts with the lower error also reports a stochastically smaller error than forecasts from a competing model, and thereby enables distinguishing between the predictive accuracy of forecasts. We perform a simulation study for the size and power of the proposed test and report the results for different noise distributions, sample sizes and forecasting horizons. The simulation results indicate that the KSPA test is correctly sized, and robust in the face of varying forecasting horizons and sample sizes along with significant accuracy gains reported especially in the case of small sample sizes. Real world applications are also considered to illustrate the applicability of the proposed KSPA test in practice.

  15. Application of two tests of multivariate discordancy to fisheries data sets

    Science.gov (United States)

    Stapanian, M.A.; Kocovsky, P.M.; Garner, F.C.

    2008-01-01

    The generalized (Mahalanobis) distance and multivariate kurtosis are two powerful tests of multivariate discordancies (outliers). Unlike the generalized distance test, the multivariate kurtosis test has not been applied as a test of discordancy to fisheries data heretofore. We applied both tests, along with published algorithms for identifying suspected causal variable(s) of discordant observations, to two fisheries data sets from Lake Erie: total length, mass, and age from 1,234 burbot, Lota lota; and 22 combinations of unique subsets of 10 morphometrics taken from 119 yellow perch, Perca flavescens. For the burbot data set, the generalized distance test identified six discordant observations and the multivariate kurtosis test identified 24 discordant observations. In contrast with the multivariate tests, the univariate generalized distance test identified no discordancies when applied separately to each variable. Removing discordancies had a substantial effect on length-versus-mass regression equations. For 500-mm burbot, the percent difference in estimated mass after removing discordancies in our study was greater than the percent difference in masses estimated for burbot of the same length in lakes that differed substantially in productivity. The number of discordant yellow perch detected ranged from 0 to 2 with the multivariate generalized distance test and from 6 to 11 with the multivariate kurtosis test. With the kurtosis test, 108 yellow perch (90.7%) were identified as discordant in zero to two combinations, and five (4.2%) were identified as discordant in either all or 21 of the 22 combinations. The relationship among the variables included in each combination determined which variables were identified as causal. The generalized distance test identified between zero and six discordancies when applied separately to each variable. Removing the discordancies found in at least one-half of the combinations (k=5) had a marked effect on a principal components

  16. ChIP-Enrich: gene set enrichment testing for ChIP-seq data.

    Science.gov (United States)

    Welch, Ryan P; Lee, Chee; Imbriano, Paul M; Patil, Snehal; Weymouth, Terry E; Smith, R Alex; Scott, Laura J; Sartor, Maureen A

    2014-07-01

    Gene set enrichment testing can enhance the biological interpretation of ChIP-seq data. Here, we develop a method, ChIP-Enrich, for this analysis which empirically adjusts for gene locus length (the length of the gene body and its surrounding non-coding sequence). Adjustment for gene locus length is necessary because it is often positively associated with the presence of one or more peaks and because many biologically defined gene sets have an excess of genes with longer or shorter gene locus lengths. Unlike alternative methods, ChIP-Enrich can account for the wide range of gene locus length-to-peak presence relationships (observed in ENCODE ChIP-seq data sets). We show that ChIP-Enrich has a well-calibrated type I error rate using permuted ENCODE ChIP-seq data sets; in contrast, two commonly used gene set enrichment methods, Fisher's exact test and the binomial test implemented in Genomic Regions Enrichment of Annotations Tool (GREAT), can have highly inflated type I error rates and biases in ranking. We identify DNA-binding proteins, including CTCF, JunD and glucocorticoid receptor α (GRα), that show different enrichment patterns for peaks closer to versus further from transcription start sites. We also identify known and potential new biological functions of GRα. ChIP-Enrich is available as a web interface (http://chip-enrich.med.umich.edu) and Bioconductor package. © The Author(s) 2014. Published by Oxford University Press on behalf of Nucleic Acids Research.

  17. Test and measurement procedures to set up the Quality-/Energy-Matrix for UPS

    Energy Technology Data Exchange (ETDEWEB)

    Schnyder, G.; Mauchle, P.

    2005-03-15

    This comprehensive report for the Swiss Federal Office of Energy (SFOE) is one of a set of nine reports that provide an overall review of the energy-efficiency of UPS systems. This report takes a look at the test and energy-measurement procedures necessary for the setting up of a quality/energy matrix. General definitions applicable to all measurements are defined along with specific test definitions and measurement criteria for specific faults and failures caused, for example, by variations in supply frequency and transients. Also considered are the measurement of power-factors and distortions as well as losses and efficiency. The report is completed with an appendix concerning standards along with the quality/energy matrix form itself.

  18. An extended set of Fortran Basic Linear Algebra Subprograms: model implementation and test programs

    Energy Technology Data Exchange (ETDEWEB)

    Dongarra, J.J.; Du Croz, J.; Hammarling, S.; Hanson, R.J.

    1987-01-01

    This paper describes a model implementation and test software for the Level 2 Basic Linear Algebra Subprograms (Level 2 BLAS). The Level 2 BLAS are targeted at matrix-vector operations with the aim of providing more efficient, but portable, implementations of algorithms on high-performance computers. The model implementation provides a portable set of Fortran 77 Level 2 BLAS for machines where specialized implementations do not exist or are not required. The test software aims to verify that specialized implementations meet the specification of the Level 2 BLAS and that implementations are correctly installed.

  19. Expanding HIV testing efforts in concentrated epidemic settings: a population-based survey from rural Vietnam.

    Directory of Open Access Journals (Sweden)

    Anastasia Pharris

    Full Text Available BACKGROUND: To improve HIV prevention and care programs, it is important to understand the uptake of HIV testing and to identify population segments in need of increased HIV testing. This is particularly crucial in countries with concentrated HIV epidemics, where HIV prevalence continues to rise in the general population. This study analyzes determinants of HIV testing in a rural Vietnamese population in order to identify potential access barriers and areas for promoting HIV testing services. METHODS: A population-based cross-sectional survey of 1874 randomly sampled adults was linked to pregnancy, migration and economic cohort data from a demographic surveillance site (DSS. Multivariate logistic regression analysis was used to determine which factors were associated with having tested for HIV. RESULTS: The age-adjusted prevalence of ever-testing for HIV was 7.6%; however 79% of those who reported feeling at-risk of contracting HIV had never tested. In multivariate analysis, younger age (aOR 1.85, 95% CI 1.14-3.01, higher economic status (aOR 3.4, 95% CI 2.21-5.22, and semi-urban residence (aOR 2.37, 95% CI 1.53-3.66 were associated with having been tested for HIV. HIV testing rates did not differ between women of reproductive age who had recently been pregnant and those who had not. CONCLUSIONS: We found low testing uptake (6% among pregnant women despite an existing prevention of mother-to-child HIV testing policy, and lower-than-expected testing among persons who felt that they were at-risk of HIV. Poverty and residence in a more geographically remote location were associated with less HIV testing. In addition to current HIV testing strategies focusing on high-risk groups, we recommend targeting HIV testing in concentrated HIV epidemic settings to focus on a scaled-up provision of antenatal testing. Additional recommendations include removing financial and geographic access barriers to client-initiated testing, and encouraging provider

  20. Sensitivity and specificity of rapid influenza testing of children in a community setting 1

    Science.gov (United States)

    Stebbins, Samuel; Stark, James H.; Prasad, Ramakrishna; Thompson, William W.; Mitruka, Kiren; Rinaldo, Charles; Vukotich, Charles J.; Cummings, Derek A. T.

    2010-01-01

    Please cite this paper as: Stebbins et al. (2011) Sensitivity and specificity of rapid influenza testing of children in a community setting. Influenza and Other Respiratory Viruses 5(2), 104–109. Introduction  Rapid influenza testing (RFT) allows for a rapid point‐of‐care diagnosis of influenza. The Quidel QuickVue® Influenza A+B test (QuickVue) has a reported manufacturer’s sensitivity and specificity of 73% and 96%, respectively, with nasal swabs. However, investigators have shown sensitivities ranging from 22% to 77% in community settings. Methods  The QuickVue rapid influenza test was evaluated in a population of elementary (K‐5) school children, using testing in the home, as part of the Pittsburgh Influenza Prevention Project during the 2007–2008 influenza season. The QuickVue test was performed with nasal swab in full accordance with package instructions and compared with the results of nasal swab semi‐quantitative RT‐PCR. Results  Sensitivity of the QuickVue was found to be 27% in this sample. There was no statistically valid correlation between the semi‐quantitative PCR result and the QuickVue result. Conclusions  This study is consistent with the low sensitivity of the QuickVue test also reported by others. Viral load, technique, and the use of nasal swabs were examined as contributing factors but were not found to be explanations for this result. Community testing includes patients who are on the lower spectrum of illness which would not be the case in hospital or clinic samples. This suggests that RFT is less sensitive for patients at the lower spectrum of illness, with less severe disease. PMID:21306573

  1. GSMA: Gene Set Matrix Analysis, An Automated Method for Rapid Hypothesis Testing of Gene Expression Data

    Directory of Open Access Journals (Sweden)

    Chris Cheadle

    2007-01-01

    Full Text Available Background: Microarray technology has become highly valuable for identifying complex global changes in gene expression patterns. The assignment of functional information to these complex patterns remains a challenging task in effectively interpreting data and correlating results from across experiments, projects and laboratories. Methods which allow the rapid and robust evaluation of multiple functional hypotheses increase the power of individual researchers to data mine gene expression data more efficiently.Results: We have developed (gene set matrix analysis GSMA as a useful method for the rapid testing of group-wise up- or downregulation of gene expression simultaneously for multiple lists of genes (gene sets against entire distributions of gene expression changes (datasets for single or multiple experiments. The utility of GSMA lies in its flexibility to rapidly poll gene sets related by known biological function or as designated solely by the end-user against large numbers of datasets simultaneously.Conclusions: GSMA provides a simple and straightforward method for hypothesis testing in which genes are tested by groups across multiple datasets for patterns of expression enrichment.

  2. Towards a kernel theory of external knowledge integration for high-tech firms: exploring a failed theory test

    NARCIS (Netherlands)

    Kraaijenbrink, Jeroen; Wijnhoven, Fons; Groen, Aard

    2007-01-01

    Designing information systems (ISs) requires a thorough understanding of the organizational knowledge processes in which these systems are used. Although much is known about internal organizational knowledge processes, the understanding of external knowledge processes is less developed. Hence, this

  3. Flight Testing and Real-Time System Identification Analysis of a UH-60A Black Hawk Helicopter with an Instrumented External Sling Load

    Science.gov (United States)

    McCoy, Allen H.

    1998-01-01

    Helicopter external air transportation plays an important role in today's world. For both military and civilian helicopters, external sling load operations offer an efficient and expedient method of handling heavy, oversized cargo. With the ability to reach areas otherwise inaccessible by ground transportation, helicopter external load operations are conducted in industries such as logging, construction, and fire fighting, as well as in support of military tactical transport missions. Historically, helicopter and load combinations have been qualified through flight testing, requiring considerable time and cost. With advancements in simulation and flight test techniques there is potential to substantially reduce costs and increase the safety of helicopter sling load certification. Validated simulation tools make possible accurate prediction of operational flight characteristics before initial flight tests. Real time analysis of test data improves the safety and efficiency of the testing programs. To advance these concepts, the U.S. Army and NASA, in cooperation with the Israeli Air Force and Technion, under a Memorandum of Agreement, seek to develop and validate a numerical model of the UH-60 with sling load and demonstrate a method of near real time flight test analysis. This thesis presents results from flight tests of a U.S. Army Black Hawk helicopter with various external loads. Tests were conducted as the U.S. first phase of this MOA task. The primary load was a container express box (CONEX) which contained a compact instrumentation package. The flights covered the airspeed range from hover to 70 knots. Primary maneuvers were pitch and roll frequency sweeps, steps, and doublets. Results of the test determined the effect of the suspended load on both the aircraft's handling qualities and its control system's stability margins. Included were calculations of the stability characteristics of the load's pendular motion. Utilizing CIFER(R) software, a method for near

  4. Comparison of Point-of-Care Versus Laboratory Troponin Testing in an Emergency Department Setting.

    Science.gov (United States)

    Juliano, Michael; Wason, Courtney

    2017-07-01

    There have been concerns regarding troponin results accuracy between point-of-care (POC) testing preformed in an emergency department (ED) setting and laboratory testing. The purpose of this study was to compare the results of cardiac troponin I testing as concerns POC testing and laboratory analysis as a way to show that these results are interchangeable. A retrospective chart review was performed from October 2012 through September 2013 to identify all patients who presented to the ED that received both a POC and laboratory troponin associated with the same blood draw. A total of 189 patients met inclusion criteria. Three laboratory samples were hemolyzed and not available for comparison. Of the remaining 186 samples, when a positive cutoff value of 0.034 ng/mL was used: 37 POC tests were positive and 149 POC tests were negative, sensitivity 0.85 (95% confidence interval [CI] = 0.69-0.94), specificity 0.98 (95% CI = 0.94-0.99), positive predictive value 91.9% (95% CI = 77-97.9%), and negative predictive value 96% (95% CI = 91.1-98.4%). When a POC troponin positive cutoff value of 0.12 ng/mL was used: 20 POC tests were positive and 164 were negative: sensitivity 1.0 (95% CI = 0.8-1.0), specificity 0.99 (95% CI = 0.95-1.0), positive predictive value 91% (95% CI = 69-98.4%), and negative predictive value 100% (95% CI = 97.1-100%). In an ED setting; POC testing is accurate and correlates well with laboratory testing. Considering that the POC analysis takes a fraction of time to yield results, the validity of its data is important. The results of this study show that the POC system is a suitable test for rapid evaluation of patients presenting to the ED. This correlation increased with a higher testing positive cutoff value (0.12 versus 0.034 ng/mL). These data can assist the emergency physician with rapid identification of evidence of cardiac injury and be assured that the results are accurate. POC lab testing should be considered whenever possible to provide the

  5. Should HIV testing for all pregnant women continue? Cost-effectiveness of universal antenatal testing compared to focused approaches across high to very low HIV prevalence settings

    OpenAIRE

    Ishikawa, Naoko; Dalal, Shona; Johnson, Cheryl; Hogan, Daniel R; Shimbo, Takuro; Shaffer, Nathan; Pendse, Razia N; Lo, Ying-Ru; Ghidinelli, Massimo N.; Baggaley, Rachel

    2016-01-01

    Introduction HIV testing is the entry point for the elimination of mother-to-child transmission of HIV. Decreasing external funding for the HIV response in some low- and middle-income countries has triggered the question of whether a focused approach to HIV testing targeting pregnant women in high-burden areas should be considered. This study aimed at determining and comparing the cost-effectiveness of universal and focused HIV testing approaches for pregnant women across high to very low HIV...

  6. Should HIV testing for all pregnant women continue? Cost-effectiveness of universal antenatal testing compared to focused approaches across high to very low HIV prevalence settings

    OpenAIRE

    Naoko Ishikawa; Shona Dalal; Cheryl Johnson; Hogan, Daniel R; Takuro Shimbo; Nathan Shaffer; Pendse, Razia N; Ying-Ru Lo; Ghidinelli, Massimo N.; Rachel Baggaley

    2016-01-01

    Introduction: HIV testing is the entry point for the elimination of mother-to-child transmission of HIV. Decreasing external funding for the HIV response in some low- and middle-income countries has triggered the question of whether a focused approach to HIV testing targeting pregnant women in high-burden areas should be considered. This study aimed at determining and comparing the cost-effectiveness of universal and focused HIV testing approaches for pregnant women across high to very low HI...

  7. Using the Timed Up & Go test in a clinical setting to predict falling in Parkinson's disease.

    Science.gov (United States)

    Nocera, Joe R; Stegemöller, Elizabeth L; Malaty, Irene A; Okun, Michael S; Marsiske, Michael; Hass, Chris J

    2013-07-01

    To investigate the ability of the Timed Up & Go test to identify patients with Parkinson's disease at risk for a fall. Cross-sectional cohort study. Sixteen participating National Parkinson's Foundation Centers of Excellence. A query yielded a total of 2985 records (1828 men and 1157 women). From these, 884 were excluded because of a lack of crucial information (age, diagnosis, presence of deep brain stimulation, disease duration, inability of performing the Timed Up & Go test without assistance) at the time of testing, leaving 2097 patients included in the analysis. Not applicable. The primary outcome measure for this study was falls. The chief independent variable was the Timed Up & Go test. The initial model examined the prediction of falls from the Timed Up & Go test, adjusting for all study covariates. The estimated models in the imputed data sets represented a significant improvement above chance (χ(2) range [df=17], 531.29-542.39, PTimed Up & Go test was invariant across disease severity demonstrated 75% of participants were accurately classified as a faller or nonfaller. Additional analysis revealed a proposed cut score of 11.5 seconds for discrimination of those who did or did not fall. The findings suggest that the Timed Up & Go test may be an accurate assessment tool to identify those at risk for falls. Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  8. Estimation of the Unsteady Aerodynamic Load on Space Shuttle External Tank Protuberances from a Component Wind Tunnel Test

    Science.gov (United States)

    Panda, Jayatana; Martin, Fred W.; Sutliff, Daniel L.

    2008-01-01

    At the wake of the Columbia (STS-107) accident it was decided to remove the Protuberance Aerodynamic Load (PAL) Ramp that was originally intended to protect various protuberances outside of the Space Shuttle External Tank from high buffet load induced by cross-flows at transonic speed. In order to establish the buffet load without the PAL ramp, a wind tunnel test was conducted where segments of the protuberances were instrumented with dynamic pressure transducers; and power-spectra of sectional lift and drag forces at various span-wise locations between two adjacent support brackets were measured under different cross flow angles, Mach number and other conditions. Additionally, frequency-dependent spatial correlations between the sectional forces were also established. The sectional forces were then adjusted by the correlation length to establish span-averaged spectra of normal and lateral forces that can be suitably "added" to various other unsteady forces encountered by the protuberance. This paper describes the methodology used for calculating the correlation-adjusted power spectrum of the buffet load. A second part of the paper describes wind-tunnel results on the difference in the buffet load on the protuberances with and without the PAL ramp. In general when the ramp height is the same as that of the protuberance height, such as that found on the liquid Oxygen part of the tank, the ramp is found to cause significant reduction of the unsteady aerodynamic load. However, on the liquid Hydrogen part of the tank, where the Oxygen feed-line is far larger in diameter than the height of the PAL ramp, little protection is found to be available to all but the Cable Tray.

  9. Validated QSAR prediction of OH tropospheric degradation of VOCs: splitting into training-test sets and consensus modeling.

    Science.gov (United States)

    Gramatica, Paola; Pilutti, Pamela; Papa, Ester

    2004-01-01

    The rate constant for hydroxyl radical tropospheric degradation of 460 heterogeneous organic compounds is predicted by QSAR modeling. The applied Multiple Linear Regression is based on a variety of theoretical molecular descriptors, selected by the Genetic Algorithms-Variable Subset Selection (GA-VSS) procedure. The models were validated for predictivity by both internal and external validation. For the external validation two splitting approaches, D-optimal Experimental Design and Kohonen Artificial Neural Networks (K-ANN), were applied to the original data set to compare the two methodologies. We emphasize that external validation is the only way to establish a reliable QSAR model for predictive purposes. Predicted data by consensus modeling from different models are also proposed. Copyright 2004 American Chemical Society

  10. A point-of-care PCR test for HIV-1 detection in resource-limited settings.

    Science.gov (United States)

    Jangam, Sujit R; Agarwal, Abhishek K; Sur, Kunal; Kelso, David M

    2013-04-15

    A low-cost, fully integrated sample-to-answer, quantitative PCR (qPCR) system that can be used for detection of HIV-1 proviral DNA in infants at the point-of-care in resource-limited settings has been developed and tested. The system is based on a novel DNA extraction method, which uses a glass fiber membrane, a disposable assay card that includes on-board reagent storage, provisions for thermal cycling and fluorescence detection, and a battery-operated portable analyzer. The system is capable of automated PCR mix assembly using a novel reagent delivery system and performing qPCR. HIV-1 and internal control targets are detected using two spectrally separated fluorophores, FAM and Quasar 670. In this report, a proof-of-concept of the platform is demonstrated. Initial results with whole blood demonstrate that the test is capable of detecting HIV-1 in blood samples containing greater than 5000 copies of HIV-1. In resource-limited settings, a point-of-care HIV-1 qPCR test would greatly increase the number of test results that reach the infants caregivers, allowing them to pursue anti-retroviral therapy.

  11. Sampling Point Compliance Tests for 325 Building at Set-Back Flow Conditions

    Energy Technology Data Exchange (ETDEWEB)

    Ballinger, Marcel Y.; Glissmeyer, John A.; Barnett, J. Matthew; Recknagle, Kurtis P.; Yokuda, Satoru T.

    2011-05-31

    The stack sampling system at the 325 Building (Radiochemical Processing Laboratory [RPL]) was constructed to comply with the American National Standards Institute’s (ANSI’s) Guide to Sampling Airborne Radioactive Materials in Nuclear Facilities (ANSI N13.1-1969). This standard provided prescriptive criteria for the location of radionuclide air-sampling systems. In 1999, the standard was revised (Sampling and Monitoring Releases of Airborne Radioactive Substances From the Stacks and Ducts of Nuclear Facilities [ANSI/Health Physics Society [HPS] 13.1-1999]) to provide performance-based criteria for the location of sampling systems. Testing was conducted for the 325 Building stack to determine whether the sampling system would meet the updated criteria for uniform air velocity and contaminant concentration in the revised ANSI/HPS 13.1-1999 standard under normal operating conditions (Smith et al. 2010). Measurement results were within criteria for all tests. Additional testing and modeling was performed to determine whether the sampling system would meet criteria under set-back flow conditions. This included measurements taken from a scale model with one-third of the exhaust flow and computer modeling of the system with two-thirds of the exhaust flow. This report documents the results of the set-back flow condition measurements and modeling. Tests performed included flow angularity, uniformity of velocity, gas concentration, and particle concentration across the duct at the sampling location. Results are within ANSI/HPS 13.1-1999 criteria for all tests. These tests are applicable for the 325 Building stack under set-back exhaust flow operating conditions (980 - 45,400 cubic feet per minute [cfm]) with one fan running. The modeling results show that criteria are met for all tests using a two-fan configuration exhaust (flow modeled at 104,000 cfm). Combined with the results from the earlier normal operating conditions, the ANSI/HPS 13.1-1999 criteria for all tests

  12. Studying the properties of Variational Data Assimilation Methods by Applying a Set of Test-Examples

    DEFF Research Database (Denmark)

    Thomsen, Per Grove; Zlatev, Zahari

    2007-01-01

    ) and the storage needed. This is why it might be appropriate to apply some splitting procedure in the efforts to reduce the computational work. Five test-examples have been created. Different numerical aspects of the data assimilation methods and the interplay between the major computational parts of any data...... assimilation method (numerical algorithms for solving differential equations, splitting procedures and optimization algorithms) have been studied by using these tests. The presentation will include results from testing carried out in the study.......he variational data assimilation methods can successfully be used in different fields of science and engineering. An attempt to utilize available sets of observations in the efforts to improve (i) the models used to study different phenomena (ii) the model results is systematically carried out when...

  13. The relevance of external quality assessment for molecular testing for ALK positive non-small cell lung cancer: results from two pilot rounds show room for optimization.

    Directory of Open Access Journals (Sweden)

    Lien Tembuyser

    Full Text Available Molecular profiling should be performed on all advanced non-small cell lung cancer with non-squamous histology to allow treatment selection. Currently, this should include EGFR mutation testing and testing for ALK rearrangements. ROS1 is another emerging target. ALK rearrangement status is a critical biomarker to predict response to tyrosine kinase inhibitors such as crizotinib. To promote high quality testing in non-small cell lung cancer, the European Society of Pathology has introduced an external quality assessment scheme. This article summarizes the results of the first two pilot rounds organized in 2012-2013.Tissue microarray slides consisting of cell-lines and resection specimens were distributed with the request for routine ALK testing using IHC or FISH. Participation in ALK FISH testing included the interpretation of four digital FISH images.Data from 173 different laboratories was obtained. Results demonstrate decreased error rates in the second round for both ALK FISH and ALK IHC, although the error rates were still high and the need for external quality assessment in laboratories performing ALK testing is evident. Error rates obtained by FISH were lower than by IHC. The lowest error rates were observed for the interpretation of digital FISH images.There was a large variety in FISH enumeration practices. Based on the results from this study, recommendations for the methodology, analysis, interpretation and result reporting were issued. External quality assessment is a crucial element to improve the quality of molecular testing.

  14. Computerized Tests of Team Performance and Crew Coordination Suitable for Military/Aviation Settings.

    Science.gov (United States)

    Lawson, Ben D; Britt, Thomas W; Kelley, Amanda M; Athy, Jeremy R; Legan, Shauna M

    2017-08-01

    The coordination of team effort on shared tasks is an area of inquiry. A number of tests of team performance in challenging environments have been developed without comparison or standardization. This article provides a systematic review of the most accessible and usable low-to-medium fidelity computerized tests of team performance and determines which are most applicable to military- and aviation-relevant research, such as studies of group command, control, communication, and crew coordination. A search was conducted to identify computerized measures of team performance. In addition to extensive literature searches (DTIC, Psychinfo, PubMed), the authors reached out to team performance researchers at conferences and through electronic communication. Identified were 57 potential tests according to 6 specific selection criteria (e.g., the requirement for automated collection of team performance and coordination processes, the use of military-relevant scenarios). The following seven tests (listed alphabetically) were considered most suitable for military needs: Agent Enabled Decision Group Environment (AEDGE), C3Conflict, the C3 (Command, Control, & Communications) Interactive Task for Identifying Emerging Situations (NeoCITIES), Distributed Dynamic Decision Making (DDD), Duo Wondrous Original Method Basic Awareness/Airmanship Test (DuoWOMBAT), the Leader Development Simulator (LDS), and the Planning Task for Teams (PLATT). Strengths and weaknesses of these tests are described and recommendations offered to help researchers identify the test most suitable for their particular needs. Adoption of a few standard computerized test batteries to study team performance would facilitate the evaluation of interventions intended to enhance group performance in multiple challenging military and aerospace operational environments.Lawson BD, Britt TW, Kelley AM, Athy JR, Legan SM. Computerized tests of team performance and crew coordination suitable for military/aviation settings

  15. External fixation of the pelvic girdle as a test for assessing instability of the sacro-iliac joint.

    Science.gov (United States)

    Slätis, P; Eskola, A

    1989-10-01

    External fixation of the pelvic girdle was used in a consecutive series of ten female patients suffering from suspected chronic instability of the sacro-iliac joint. The condition was attributed to pelvic relaxation after pregnancy in seven patients and to trauma in three. External fixation of the pelvis with a trapezoid frame reduced the average radiographic displacement of the symphysis from 5.0 to 2.4 mm in eight patients, relieved the dorsal pain in seven, and markedly improved walking ability in five. Seven of the ten patients were subsequently subjected to an anterior sacro-iliac joint arthrodesis in which square compression plates and autogenous bone grafts were used. At follow-up examination five of these patients were improved, and two unchanged. The results suggest that external fixation of the pelvis is useful in assessing painful sacro-iliac joint instability and should precede surgical intervention.

  16. Test-set reduction in the screening step definition of a chiral separation strategy in polar organic solvents chromatography.

    Science.gov (United States)

    Ates, Hasret; Desmedt, Bart; Heyden, Yvan Vander

    2012-12-01

    The last decades, many efforts have been made to design and develop chiral separation strategies for different analytical techniques. To ensure that these strategies are broadly applicable rather large test-sets of molecules with very diverse molecules are used. The most enantioselective and complementary separation systems are then used as screening conditions in separation strategies. Potential changes in conditions e.g. implementation of new chiral selectors, requires screening of the entire set to retain the most enantioselective systems. A rational reduction of the test-sets may open new perspectives for developing and updating separation strategies. In the present work, it is investigated whether the screening step of an existing separation strategy in polar organic solvents chromatography can be reconstructed based on reduced test-set results Therefore, the structures of the 58 molecules of the test-set are digitally drawn and their optimal geometrical conformations calculated. From these conformations 3D-molecular descriptors are calculated. The test-set reduction is performed using the Kennard and Stone algorithm: compounds with the most diverse descriptors are selected. The test-sets are gradually reduced with 10% starting from 90% to 30% of the initial size. The results pointed out that with some reduced test-sets the same chromatographic systems are selected. A test-set reduction with 30% (41 remaining compounds) seems possible without losing information on the global enantioselectivity and complementarity of the tested chiral stationary phases.

  17. Evaluation of a rapid diagnostic test for yaws infection in a community surveillance setting.

    Directory of Open Access Journals (Sweden)

    Michael Marks

    2014-09-01

    Full Text Available Yaws is a non-venereal treponemal infection caused by Treponema pallidum ssp. pertenue. The WHO has launched a worldwide control programme, which aims to eradicate yaws by 2020. The development of a rapid diagnostic test (RDT for serological diagnosis in the isolated communities affected by yaws is a key requirement for the successful implementation of the WHO strategy. We conducted a study to evaluate the utility of the DPP test in screening for yaws, utilizing samples collected as part of a community prevalence survey conducted in the Solomon Islands. 415 serum samples were tested using both traditional syphilis serology (TPPA and quantitative RPR and the Chembio DPP Syphilis Screen and Confirm RDT. We calculated the sensitivity and specificity of the RDT as compared to gold standard serology. The sensitivity of the RDT against TPPA was 58.5% and the specificity was 97.6%. The sensitivity of the RDT against RPR was 41.7% and the specificity was 95.2%. The sensitivity of the DPP was strongly related to the RPR titre with a sensitivity of 92.0% for an RPR titre of >1/16. Wider access to DPP testing would improve our understanding of worldwide yaws case reporting and the test may play a key role in assessing patients presenting with yaws like lesions in a post-mass drug administration (MDA setting.

  18. Feasibility of HIV point-of-care tests for resource-limited settings: challenges and solutions.

    Science.gov (United States)

    Stevens, Wendy; Gous, Natasha; Ford, Nathan; Scott, Lesley E

    2014-09-08

    Improved access to anti-retroviral therapy increases the need for affordable monitoring using assays such as CD4 and/or viral load in resource-limited settings. Barriers to accessing treatment, high rates of loss to initiation and poor retention in care are prompting the need to find alternatives to conventional centralized laboratory testing in certain countries. Strong advocacy has led to a rapidly expanding repertoire of point-of-care tests for HIV. point-of-care testing is not without its challenges: poor regulatory control, lack of guidelines, absence of quality monitoring and lack of industry standards for connectivity, to name a few. The management of HIV increasingly requires a multidisciplinary testing approach involving hematology, chemistry, and tests associated with the management of non-communicable diseases, thus added expertise is needed. This is further complicated by additional human resource requirements and the need for continuous training, a sustainable supply chain, and reimbursement strategies. It is clear that to ensure appropriate national implementation either in a tiered laboratory model or a total decentralized model, clear country-specific assessments need to be conducted.

  19. Diagnostic tests for influenza and other respiratory viruses: determining performance specifications based on clinical setting.

    Science.gov (United States)

    Takahashi, Hiroshi; Otsuka, Yoshihito; Patterson, Bruce K

    2010-06-01

    The lack of sensitivity of rapid immunoassays in detecting the novel 2009 H1N1 influenza virus infection has led to recommendations on influenza diagnostic testing for clinicians treating patients as well as advising clinicians on testing decisions. Studies have also shown that rapid immunoassays for seasonal influenza virus show considerable variability in performance characteristics, based on age of patient, prevalence of disease, course of infection, and the quality of the kit used. While public health authorities are currently focused on influenza virus diagnostics, a lack of sensitivity of rapid immunoassays for other viral respiratory pathogens has been widely reported, such as the very limited value of rapid immunoassays for the detection of respiratory syncytial virus in adults. In light of the lack of sensitivity of diagnostic tests for suspected 2009 H1N1 influenza virus infection, as well as their variable performance characteristics for seasonal influenza virus, a number of recommendations have been made by public health authorities advising clinicians on the need for clinical judgment as an important part of testing and treatment decisions as well as reliance on local epidemiologic and surveillance data. With the availability of new molecular methodologies that are user-friendly and allow the front-line physician as well as hospital infection control programs to significantly improve respiratory viral diagnostics, there is a need to carefully determine the most optimal diagnostic testing methodology based on the clinical setting. This review will describe the historical, current, and changing dynamics of respiratory virus infection diagnostics.

  20. Assessment of Technologies for the Space Shuttle External Tank Thermal Protection System and Recommendations for Technology Improvement - Part III: Material Property Characterization, Analysis, and Test Methods

    Science.gov (United States)

    Gates, Thomas S.; Johnson, Theodore F.; Whitley, Karen S.

    2005-01-01

    The objective of this report is to contribute to the independent assessment of the Space Shuttle External Tank Foam Material. This report specifically addresses material modeling, characterization testing, data reduction methods, and data pedigree. A brief description of the External Tank foam materials, locations, and standard failure modes is provided to develop suitable background information. A review of mechanics based analysis methods from the open literature is used to provide an assessment of the state-of-the-art in material modeling of closed cell foams. Further, this report assesses the existing material property database and investigates sources of material property variability. The report presents identified deficiencies in testing methods and procedures, recommendations for additional testing as required, identification of near-term improvements that should be pursued, and long-term capabilities or enhancements that should be developed.

  1. TESTING HISTOLOGICAL IMAGES OF MAMMARY TISSUES ON COMPATIBILITY WITH THE BOOLEAN MODEL OF RANDOM SETS

    Directory of Open Access Journals (Sweden)

    Tomáš Mrkvička

    2011-03-01

    Full Text Available Methods for testing the Boolean model assumption from binary images are briefly reviewed. Two hundred binary images of mammary cancer tissue and 200 images of mastopathic tissue were tested individually on the Boolean model assumption. In a previous paper, it had been found that a Monte Carlo method based on the approximation of the envelopes by a multi-normal distribution with the normalized intrinsic volume densities of parallel sets as a summary statistics had the highest power for this purpose. Hence, this method was used here as its first application to real biomedical data. It was found that mastopathic tissue deviates from the Boolean model significantly more strongly than mammary cancer tissue does.

  2. What Works for Whom, How and under What Circumstances? Testing Moderated Mediation of Intervention Effects on Externalizing Behavior in Children

    Science.gov (United States)

    Stoltz, Sabine; Dekovic, Maja; van Londen, Monique; de Castro, Bram Orobio; Prinzie, Peter

    2013-01-01

    In this study, we investigate whether changes in child social cognitive functioning and parenting are the mechanisms through which an individually delivered real-world child intervention, Stay Cool Kids, aimed at preventing externalizing problem behavior in high-risk elementary school children, induces changes in child behavior. Moreover, we…

  3. Performance of Different Mono- and Multiplex Nucleic Acid Amplification Tests on a Multipathogen External Quality Assessment Panel

    NARCIS (Netherlands)

    Loens, K.; van Loon, A. M.; Coenjaerts, F.; van Aarle, Y.; Goossens, H.; Wallace, P.; Claas, E. J. C.; Ieven, M.

    2012-01-01

    An external quality assessment (EQA) panel consisting of a total of 48 samples in bronchoalveolar lavage (BAL) fluid or transport medium was prepared in collaboration with Quality Control for Molecular Diagnostics (QCMD) (www.qcmd.org). The panel was used to assess the proficiency of the three labor

  4. Generation of dried tube specimen for HIV-1 viral load proficiency test panels: a cost-effective alternative for external quality assessment programs.

    Science.gov (United States)

    Ramos, Artur; Nguyen, Shon; Garcia, Albert; Subbarao, Shambavi; Nkengasong, John N; Ellenberger, Dennis

    2013-03-01

    Participation in external quality assessment programs is critical to ensure quality clinical laboratory testing. Commercially available proficiency test panels for HIV-1 virus load testing that are used commonly in external quality assessment programs remain a financial obstacle to resource-limited countries. Maintaining cold-chain transportation largely contributes to the cost of traditional liquid proficiency test panels. Therefore, we developed and evaluated a proficiency test panel using dried tube specimens that can be shipped and stored at ambient temperature. This dried tube specimens panel consisted of 20 μl aliquots of a HIV-1 stock that were added to 2 ml tubes and left uncapped for drying, as a preservation method. The stability of dried tube specimens at concentrations ranging from 10² to 10⁶·⁵ RNA copies/ml was tested at different temperatures over time, showing no viral load reduction at 37 °C and a decrease in viral load smaller than 0.5 Log₁₀ at 45 °C for up to eight weeks when compared to initial results. Eight cycles of freezing-thawing had no effect on the stability of the dried tube specimens. Comparable viral load results were observed when dried tube specimen panels were tested on Roche CAPTAQ, Abbott m2000, and Biomerieux easyMAG viral load systems. Preliminary test results of dried proficiency test panels shipped to four African countries at ambient temperature demonstrated a low inter assay variation (SD range: 0.29-0.41 Log₁₀ RNA copies/ml). These results indicated that HIV-1 proficiency test panels generated by this methodology might be an acceptable alternative for laboratories in resource-limited countries to participate in external quality assessment programs.

  5. Geochemistry and tectonic setting of the «ophites» from the external zones ofthe Betic Cordilleras (S. Spain

    Directory of Open Access Journals (Sweden)

    Aguirre, L.

    1997-08-01

    Full Text Available Mesozoic basic magmatism in the External Zones of the Betic Cordilleras (S. Spain is represented by small tectonic bodies (ophites in Triassic formations, and submarine flows with abundant pillow-lavas interbedded with Jurassic sediments. Both basic igneous manifestations suffered very low- to low-grade metamorphism, more intense in the case of the ophites. Two types of ophites are distinguished on the basis of their primary mineralogy. In the first type, orthopyroxene is present in the less differentiated products. Clinopyroxene and Ca-plagioclase are the main primary phases and quartz appears in the more evolved rocks. In the second type, olivine is present in the less differentiated products. Ti-rich augite and Ca-plagioclase are also important primary minerals, but quartz is absent. Whole-rock chemistry (major and trace elements, including REE also allows us to discriminate between these two groups. The first group has higher SiO2, and lower TiO2, P2O5 and lower Na2O/K2O ratios than the second. Normative quartz is almost invariably present in this first group, whereas normative nepheline (lower than 5% is characteristic of the second group. Both groups are Sr, K, Ba, Rb, Th, Nb and Ce enriched with respect to normal MORB, but the first group has higher K, Rb, Ba, Th and lower Nb, Ce contents than the alkaline group. Nb/Y and Ti/V ratios are also different and show a tholeiitic affinity for the first group and transitional to alkaline for the second. Chondrite-normalised REE patterns in both groups are similar and characterized by LREE enrichment with respect to HREE. LREE/HREE ratios are, however, slightly higher in the transitional to alkaline group. Various discriminant tectonic diagrams indicate a continental intraplate setting for both ophite groups. This magmatism is related to the first extensional period of the Betic Cordilleras, during the Triassic-Jurassic. Geochemical differences between the two groups could evidence different

  6. Diagnostic accuracy of the gravity stress test and clinical signs in cases of isolated supination-external rotation-type lateral malleolar fractures.

    Science.gov (United States)

    Nortunen, S; Flinkkilä, T; Lantto, I; Kortekangas, T; Niinimäki, J; Ohtonen, P; Pakarinen, H

    2015-08-01

    We prospectively assessed the diagnostic accuracy of the gravity stress test and clinical findings to evaluate the stability of the ankle mortise in patients with supination-external rotation-type fractures of the lateral malleolus without widening of the medial clear space. The cohort included 79 patients with a mean age of 44 years (16 to 82). Two surgeons assessed medial tenderness, swelling and ecchymosis and performed the external rotation (ER) stress test (a reference standard). A diagnostic radiographer performed the gravity stress test. For the gravity stress test, the positive likelihood ratio (LR) was 5.80 with a 95% confidence interval (CI) of 2.75 to 12.27, and the negative LR was 0.15 (95% CI 0.07 to 0.35), suggesting a moderate change from the pre-test probability. Medial tenderness, both alone and in combination with swelling and/or ecchymosis, indicated a small change (positive LR, 2.74 to 3.25; negative LR, 0.38 to 0.47), whereas swelling and ecchymosis indicated only minimal changes (positive LR, 1.41 to 1.65; negative LR, 0.38 to 0.47). In conclusion, when gravity stress test results are in agreement with clinical findings, the result is likely to predict stability of the ankle mortise with an accuracy equivalent to ER stress test results. When clinical examination suggests a medial-side injury, however, the gravity stress test may give a false negative result.

  7. Investigating Native and Non-Native English-Speaking Teacher Raters' Judgements of Oral Proficiency in the College English Test-Spoken English Test (CET-SET)

    Science.gov (United States)

    Zhang, Ying; Elder, Catherine

    2014-01-01

    This study investigates the impact of raters' language background on their judgements of the speaking performance in the College English Test-Spoken English Test (CET-SET) of China, by comparing the rating patterns of non-native English-speaking (NNES) teacher raters, who are currently employed to assess performance on the CET-SET, with those of…

  8. Development and external validation of a faecal immunochemical test-based prediction model for colorectal cancer detection in symptomatic patients

    OpenAIRE

    Alves, Maria Teresa; Álvarez-Sánchez, Victoria; Ferrandez, Ángel; Rodríguez-Alcalde, Daniel; ,; Cubiella, Joaquín; Vega, Pablo; Salve, María; Díaz-Ondina, Marta; Blanco, Irene; Macía, Pedro; Sánchez, Eloy; Fernández-Seara, Javier; Alves, María Teresa; Quintero, Enrique

    2016-01-01

    Background Risk prediction models for colorectal cancer (CRC) detection in symptomatic patients based on available biomarkers may improve CRC diagnosis. Our aim was to develop, compare with the NICE referral criteria and externally validate a CRC prediction model, COLONPREDICT, based on clinical and laboratory variables. Methods This prospective cross-sectional study included consecutive patients with gastrointestinal symptoms referred for colonoscopy between March 2012 and September 2013 in ...

  9. Checklists for external validity

    DEFF Research Database (Denmark)

    Dyrvig, Anne-Kirstine; Kidholm, Kristian; Gerke, Oke;

    2014-01-01

    RATIONALE, AIMS AND OBJECTIVES: The quality of the current literature on external validity varies considerably. An improved checklist with validated items on external validity would aid decision-makers in judging similarities among circumstances when transferring evidence from a study setting...... to an implementation setting. In this paper, currently available checklists on external validity are identified, assessed and used as a basis for proposing a new improved instrument. METHOD: A systematic literature review was carried out in Pubmed, Embase and Cinahl on English-language papers without time restrictions....... The retrieved checklist items were assessed for (i) the methodology used in primary literature, justifying inclusion of each item; and (ii) the number of times each item appeared in checklists. RESULTS: Fifteen papers were identified, presenting a total of 21 checklists for external validity, yielding a total...

  10. Results of Use of WHO Global Salm-Surv External Quality Assurance System for Antimicrobial Susceptibility Testing of Salmonella Isolates from 2000 to 2007

    DEFF Research Database (Denmark)

    Hendriksen, Rene S.; Seyfarth, Anne Mette; Jensen, Arne Bent;

    2009-01-01

    . In particular, further training and dissemination of information on quality control, appropriate interpretive criteria (breakpoints), and harmonization of the methodology worldwide through WHO Global Salm-Surv and other programs will contribute to the generation of comparable and reliable antimicrobial......An international External Quality Assurance System (EQAS) for antimicrobial susceptibility testing of Salmonella was initiated in 2000 by the World Health Organization (WHO) Global Salm-Surv in order to enhance the capacities of national reference laboratories to obtain reliable data...

  11. A comparative study of set up variations and bowel volumes in supine versus prone positions of patients treated with external beam radiation for carcinoma rectum

    Directory of Open Access Journals (Sweden)

    K R Rajeev

    2014-01-01

    Conclusion: The prone position using BB device was more effective in reducing irradiated SB volume in rectal cancer patients. There were no significant variations in the daily set up for patients treated in both supine and prone positions.

  12. Can frameworks inform knowledge about health policy processes? Reviewing health policy papers on agenda setting and testing them against a specific priority-setting framework.

    Science.gov (United States)

    Walt, Gill; Gilson, Lucy

    2014-12-01

    This article systematically reviews a set of health policy papers on agenda setting and tests them against a specific priority-setting framework. The article applies the Shiffman and Smith framework in extracting and synthesizing data from an existing set of papers, purposively identified for their relevance and systematically reviewed. Its primary aim is to assess how far the component parts of the framework help to identify the factors that influence the agenda setting stage of the policy process at global and national levels. It seeks to advance the field and inform the development of theory in health policy by examining the extent to which the framework offers a useful approach for organizing and analysing data. Applying the framework retrospectively to the selected set of papers, it aims to explore influences on priority setting and to assess how far the framework might gain from further refinement or adaptation, if used prospectively. In pursuing its primary aim, the article also demonstrates how the approach of framework synthesis can be used in health policy analysis research.

  13. CIRCUIT TESTABLE DESIGN AND UNIVERSAL TEST SETS FOR MULTIPLE-VALUED LOGIC FUNCTIONS

    Institute of Scientific and Technical Information of China (English)

    Pan Zhongliang

    2007-01-01

    The circuit testable realizations of multiple-valued functions are studied in this letter. First of all, it is shown that one vector detects all skew faults in multiplication modulo circuits or in addition modulo circuits, and n+1 vectors detect all skew faults in the circuit realization of multiplevalued functions with n inputs. Secondly, min(max) bridging fault test sets with n+2 vectors are presented for the circuit realizations of multiple-valued logic functions. Finally, a tree structure is used instead of cascade structure to reduce the delay in the circuit realization, it is shown that three vectors are sufficient to detect all single stuck-at faults in the tree structure realization of multiplevalued logic functions.

  14. Probabilistic neural network with homogeneity testing in recognition of discrete patterns set.

    Science.gov (United States)

    Savchenko, A V

    2013-10-01

    The article is devoted to pattern recognition task with the database containing small number of samples per class. By mapping of local continuous feature vectors to a discrete range, this problem is reduced to statistical classification of a set of discrete finite patterns. It is demonstrated that the Bayesian decision under the assumption that probability distributions can be estimated using the Parzen kernel and the Gaussian window with a fixed variance for all the classes, implemented in the PNN, is not optimal in the classification of a set of patterns. We presented here the novel modification of the PNN with homogeneity testing which gives an optimal solution of the latter task under the same assumption about probability densities. By exploiting the discrete nature of patterns our modification prevents the well-known drawbacks of the memory-based approach implemented in both the PNN and the PNN with homogeneity testing, namely, low classification speed and high requirements to the memory usage. Our modification only requires the storage and processing of the histograms of input and training samples. We present the results of an experimental study in two practically important tasks: (1) the problem of Russian text authorship attribution with character n-grams features; and (2) face recognition with well-known datasets (AT&T, FERET and JAFFE) and comparison of color- and gradient-orientation histograms. Our results support the statement that the proposed network provides better accuracy (1%-7%) and is much more resistant to change of the smoothing parameter of Gaussian kernel function in comparison with the original PNN. Copyright © 2013 Elsevier Ltd. All rights reserved.

  15. Rapid diagnostic tests versus clinical diagnosis for managing people with fever in malaria endemic settings.

    Science.gov (United States)

    Odaga, John; Sinclair, David; Lokong, Joseph A; Donegan, Sarah; Hopkins, Heidi; Garner, Paul

    2014-04-17

    In 2010, the World Health Organization recommended that all patients with suspected malaria are tested for malaria before treatment. In rural African settings light microscopy is often unavailable. Diagnosis has relied on detecting fever, and most people were given antimalarial drugs presumptively. Rapid diagnostic tests (RDTs) provide a point-of-care test that may improve management, particularly of people for whom the RDT excludes the diagnosis of malaria. To evaluate whether introducing RDTs into algorithms for diagnosing and treating people with fever improves health outcomes, reduces antimalarial prescribing, and is safe, compared to algorithms using clinical diagnosis. We searched the Cochrane Infectious Disease Group Specialized Register; CENTRAL (The Cochrane Library); MEDLINE; EMBASE; CINAHL; LILACS; and the metaRegister of Controlled Trials for eligible trials up to 10 January 2014. We contacted researchers in the field and reviewed the reference lists of all included trials to identify any additional trials. Individual or cluster randomized trials (RCTs) comparing RDT-supported algorithms and algorithms using clinical diagnosis alone for diagnosing and treating people with fever living in malaria-endemic settings. Two authors independently applied the inclusion criteria and extracted data. We combined data from individually and cluster RCTs using the generic inverse variance method. We presented all outcomes as risk ratios (RR) with 95% confidence intervals (CIs), and assessed the quality of evidence using the GRADE approach. We included seven trials, enrolling 17,505 people with fever or reported history of fever in this review; two individually randomized trials and five cluster randomized trials. All trials were conducted in rural African settings.In most trials the health workers diagnosing and treating malaria were nurses or clinical officers with less than one week of training in RDT supported diagnosis. Health worker prescribing adherence to RDT

  16. A moist Boussinesq shallow water equations set for testing atmospheric models

    Science.gov (United States)

    Zerroukat, M.; Allen, T.

    2015-06-01

    The shallow water equations have long been used as an initial test for numerical methods applied to atmospheric models with the test suite of Williamson et al. [1] being used extensively for validating new schemes and assessing their accuracy. However the lack of physics forcing within this simplified framework often requires numerical techniques to be reworked when applied to fully three dimensional models. In this paper a novel two-dimensional shallow water equations system that retains moist processes is derived. This system is derived from three-dimensional Boussinesq approximation of the hydrostatic Euler equations where, unlike the classical shallow water set, we allow the density to vary slightly with temperature. This results in extra (or buoyancy) terms for the momentum equations, through which a two-way moist-physics dynamics feedback is achieved. The temperature and moisture variables are advected as separate tracers with sources that interact with the mean-flow through a simplified yet realistic bulk moist-thermodynamic phase-change model. This moist shallow water system provides a unique tool to assess the usually complex and highly non-linear dynamics-physics interactions in atmospheric models in a simple yet realistic way. The full non-linear shallow water equations are solved numerically on several case studies and the results suggest quite realistic interaction between the dynamics and physics and in particular the generation of cloud and rain.

  17. Comparison of Test Procedures and Energy Efficiency Criteria in Selected International Standards & Labeling Programs for Copy Machines, External Power Supplies, LED Displays, Residential Gas Cooktops and Televisions

    Energy Technology Data Exchange (ETDEWEB)

    Zheng, Nina [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Zhou, Nan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Fridley, David [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2012-03-01

    This report presents a technical review of international minimum energy performance standards (MEPS), voluntary and mandatory energy efficiency labels and test procedures for five products being considered for new or revised MEPS in China: copy machines, external power supply, LED displays, residential gas cooktops and flat-screen televisions. For each product, an overview of the scope of existing international standards and labeling programs, energy values and energy performance metrics and description and detailed summary table of criteria and procedures in major test standards are presented.

  18. Impact Testing on Reinforced Carbon-Carbon Flat Panels With BX-265 and PDL-1034 External Tank Foam for the Space Shuttle Return to Flight Program

    Science.gov (United States)

    Melis, Matthew E.; Revilock, Duane M.; Pereira, Michael J.; Lyle, Karen H.

    2009-01-01

    Following the tragedy of the Orbiter Columbia (STS-107) on February 1, 2003, a major effort commenced to develop a better understanding of debris impacts and their effect on the space shuttle subsystems. An initiative to develop and validate physics-based computer models to predict damage from such impacts was a fundamental component of this effort. To develop the models it was necessary to physically characterize reinforced carbon-carbon (RCC) along with ice and foam debris materials, which could shed on ascent and impact the orbiter RCC leading edges. The validated models enabled the launch system community to use the impact analysis software LS-DYNA (Livermore Software Technology Corp.) to predict damage by potential and actual impact events on the orbiter leading edge and nose cap thermal protection systems. Validation of the material models was done through a three-level approach: Level 1-fundamental tests to obtain independent static and dynamic constitutive model properties of materials of interest, Level 2-subcomponent impact tests to provide highly controlled impact test data for the correlation and validation of the models, and Level 3-full-scale orbiter leading-edge impact tests to establish the final level of confidence for the analysis methodology. This report discusses the Level 2 test program conducted in the NASA Glenn Research Center (GRC) Ballistic Impact Laboratory with external tank foam impact tests on flat RCC panels, and presents the data observed. The Level 2 testing consisted of 54 impact tests in the NASA GRC Ballistic Impact Laboratory on 6- by 6-in. and 6- by 12-in. flat plates of RCC and evaluated two types of debris projectiles: BX-265 and PDL-1034 external tank foam. These impact tests helped determine the level of damage generated in the RCC flat plates by each projectile and validated the use of the foam and RCC models for use in LS-DYNA.

  19. Proposal for a Candidate Core Set of Fitness and Strength Tests for Patients with Childhood or Adult Idiopathic Inflammatory Myopathies.

    Science.gov (United States)

    van der Stap, Djamilla K D; Rider, Lisa G; Alexanderson, Helene; Huber, Adam M; Gualano, Bruno; Gordon, Patrick; van der Net, Janjaap; Mathiesen, Pernille; Johnson, Liam G; Ernste, Floranne C; Feldman, Brian M; Houghton, Kristin M; Singh-Grewal, Davinder; Kutzbach, Abraham Garcia; Alemo Munters, Li; Takken, Tim

    2016-01-01

    Currently there are no evidence-based recommendations regarding fitness and strength tests for patients with childhood or adult idiopathic inflammatory myopathies (IIM). This hinders clinicians and researchers in choosing the appropriate fitness- or muscle strength-related outcome measures for these patients. Through a Delphi survey, we aimed to identify a candidate core set of fitness and strength tests for children and adults with IIM. Fifteen experts participated in a Delphi survey that consisted of 5 stages to achieve a consensus. Using an extensive search of published literature and through the work of experts, a candidate core set based on expert opinion and clinimetrics properties was developed. Members of the International Myositis Assessment and Clinical Studies Group were invited to review this candidate core set during the final stage, which led to a final candidate core set. A core set of fitness- and strength-related outcome measures was identified for children and adults with IIM. For both children and adults, different tests were identified and selected for maximal aerobic fitness, submaximal aerobic fitness, anaerobic fitness, muscle strength tests, and muscle function tests. The core set of fitness- and strength-related outcome measures provided by this expert consensus process will assist practitioners and researchers in deciding which tests to use in patients with IIM. This will improve the uniformity of fitness and strength tests across studies, thereby facilitating the comparison of study results and therapeutic exercise program outcomes among patients with IIM.

  20. Test of a cryogenic set-up for a 10 meter long liquid nitrogen cooled superconducting power cable

    DEFF Research Database (Denmark)

    Træholt, Chresten; Rasmussen, Carsten; Kühle (fratrådt), Anders Van Der Aa

    2000-01-01

    cable. We report on our experimental set-up for testing a 10 meter long high temperature superconducting cable with a critical current of 3.2 kA at 77K. The set-up consists of a custom designed cable end termination, current lead, coolant feed-through, liquid nitrogen closed loop circulation system...

  1. Stress Analysis and Testing at the Marshall Space Flight Center to Study Cause and Corrective Action of Space Shuttle External Tank Stringer Failures

    Science.gov (United States)

    Wingate, Robert J.

    2012-01-01

    After the launch scrub of Space Shuttle mission STS-133 on November 5, 2010, large cracks were discovered in two of the External Tank intertank stringers. The NASA Marshall Space Flight Center, as managing center for the External Tank Project, coordinated the ensuing failure investigation and repair activities with several organizations, including the manufacturer, Lockheed Martin. To support the investigation, the Marshall Space Flight Center formed an ad-hoc stress analysis team to complement the efforts of Lockheed Martin. The team undertook six major efforts to analyze or test the structural behavior of the stringers. Extensive finite element modeling was performed to characterize the local stresses in the stringers near the region of failure. Data from a full-scale tanking test and from several subcomponent static load tests were used to confirm the analytical conclusions. The analysis and test activities of the team are summarized. The root cause of the stringer failures and the flight readiness rationale for the repairs that were implemented are discussed.

  2. Three Approaches to Data Analysis Test Theory, Rough Sets and Logical Analysis of Data

    CERN Document Server

    Chikalov, Igor; Lozina, Irina; Moshkov, Mikhail; Nguyen, Hung Son; Skowron, Andrzej; Zielosko, Beata

    2013-01-01

    In this book, the following three approaches to data analysis are presented:  - Test Theory, founded by Sergei V. Yablonskii (1924-1998); the first publications appeared in 1955 and 1958, -           Rough Sets, founded by Zdzisław I. Pawlak (1926-2006); the first publications appeared in 1981 and 1982, -           Logical Analysis of Data, founded by Peter L. Hammer (1936-2006); the first publications appeared in 1986 and 1988. These three approaches have much in common, but researchers active in one of these areas often have a limited knowledge about the results and methods developed in the other two. On the other hand, each of the approaches shows some originality and we believe that the exchange of knowledge can stimulate further development of each of them. This can lead to new theoretical results and real-life applications and, in particular, new results based on combination of these three data analysis approaches can be expected.

  3. Double Lap Shear Testing of Coating Modified Ice Adhesion to Liquid Oxygen Feed Line Bracket, Space Shuttle External Tank

    Science.gov (United States)

    2006-05-01

    Kruskal-Wallis test (Siegel and Castellan 1988, Zar 1999), was used in- stead. The results of this test show that at the 95% confidence level (α...strength. Huntsville, AL: NASA Marshall Space Flight Center. Siegel, S. and N. J. Castellan , Jr. (1988) Nonparametric Statistics for the Behavioral

  4. Double Lap Shear Testing of Coating Modified Ice Adhesion to Liquid Oxygen Food Line Bracket, Space Shuttle External Tank

    Science.gov (United States)

    2006-05-01

    Kruskal-Wallis test (Siegel and Castellan 1988, Zar 1999), was used in- stead. The results of this test show that at the 95% confidence level (α...strength. Huntsville, AL: NASA Marshall Space Flight Center. Siegel, S. and N. J. Castellan , Jr. (1988) Nonparametric Statistics for the Behavioral

  5. Tropospheric ozone profiles by DIAL at Maïdo Observatory (Reunion Island): system description, instrumental performance and result comparison with ozone external data set

    Science.gov (United States)

    Duflot, Valentin; Baray, Jean-Luc; Payen, Guillaume; Marquestaut, Nicolas; Posny, Francoise; Metzger, Jean-Marc; Langerock, Bavo; Vigouroux, Corinne; Hadji-Lazaro, Juliette; Portafaix, Thierry; De Mazière, Martine; Coheur, Pierre-Francois; Clerbaux, Cathy; Cammas, Jean-Pierre

    2017-09-01

    In order to recognize the importance of ozone (O3) in the troposphere and lower stratosphere in the tropics, a DIAL (differential absorption lidar) tropospheric O3 lidar system (LIO3TUR) was developed and installed at the Université de la Réunion campus site (close to the sea) on Reunion Island (southern tropics) in 1998. From 1998 to 2010, it acquired 427 O3 profiles from the low to the upper troposphere and has been central to several studies. In 2012, the system was moved up to the new Maïdo Observatory facility (2160 m a.m.s.l. - metres above mean sea level) where it started operation in February 2013. The current system (LIO3T) configuration generates a 266 nm beam obtained with the fourth harmonic of a Nd:YAG laser sent into a Raman cell filled up with deuterium (using helium as buffer gas), generating the 289 and 316 nm beams to enable the use of the DIAL method for O3 profile measurements. The optimal range for the actual system is 6-19 km a.m.s.l., depending on the instrumental and atmospheric conditions. For a 1 h integration time, vertical resolution varies from 0.7 km at 6 km a.m.s.l. to 1.3 km at 19 km a.m.s.l., and mean uncertainty within the 6-19 km range is between 6 and 13 %. Comparisons with eight electrochemical concentration cell (ECC) sondes simultaneously launched from the Maïdo Observatory show good agreement between data sets with a 6.8 % mean absolute relative difference (D) between 6 and 17 km a.m.s.l. (LIO3T lower than ECC). Comparisons with 37 ECC sondes launched from the nearby Gillot site during the daytime in a ±24 h window around lidar shooting result in a 9.4 % D between 6 and 19 km a.m.s.l. (LIO3T lower than ECC). Comparisons with 11 ground-based Network for Detection of Atmospheric Composition Change (NDACC) Fourier transform infrared (FTIR) spectrometer measurements acquired during the daytime in a ±24 h window around lidar shooting show good agreement between data sets with a D of 11.8 % for the 8.5-16 km partial column

  6. Tropospheric ozone profiles by DIAL at Maïdo Observatory (Reunion Island: system description, instrumental performance and result comparison with ozone external data set

    Directory of Open Access Journals (Sweden)

    V. Duflot

    2017-09-01

    Full Text Available In order to recognize the importance of ozone (O3 in the troposphere and lower stratosphere in the tropics, a DIAL (differential absorption lidar tropospheric O3 lidar system (LIO3TUR was developed and installed at the Université de la Réunion campus site (close to the sea on Reunion Island (southern tropics in 1998. From 1998 to 2010, it acquired 427 O3 profiles from the low to the upper troposphere and has been central to several studies. In 2012, the system was moved up to the new Maïdo Observatory facility (2160 m a.m.s.l. – metres above mean sea level where it started operation in February 2013. The current system (LIO3T configuration generates a 266 nm beam obtained with the fourth harmonic of a Nd:YAG laser sent into a Raman cell filled up with deuterium (using helium as buffer gas, generating the 289 and 316 nm beams to enable the use of the DIAL method for O3 profile measurements. The optimal range for the actual system is 6–19 km a.m.s.l., depending on the instrumental and atmospheric conditions. For a 1 h integration time, vertical resolution varies from 0.7 km at 6 km a.m.s.l. to 1.3 km at 19 km a.m.s.l., and mean uncertainty within the 6–19 km range is between 6 and 13 %. Comparisons with eight electrochemical concentration cell (ECC sondes simultaneously launched from the Maïdo Observatory show good agreement between data sets with a 6.8 % mean absolute relative difference (D between 6 and 17 km a.m.s.l. (LIO3T lower than ECC. Comparisons with 37 ECC sondes launched from the nearby Gillot site during the daytime in a ±24 h window around lidar shooting result in a 9.4 % D between 6 and 19 km a.m.s.l. (LIO3T lower than ECC. Comparisons with 11 ground-based Network for Detection of Atmospheric Composition Change (NDACC Fourier transform infrared (FTIR spectrometer measurements acquired during the daytime in a ±24 h window around lidar shooting show good agreement between data

  7. 77 FR 4698 - Energy Conservation Program: Test Procedure and Energy Conservation Standard for Set-Top Boxes...

    Science.gov (United States)

    2012-01-31

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY 10 CFR Part 430 RIN 1904-AC52 Energy Conservation Program: Test Procedure and Energy Conservation Standard for... development of test procedures and energy conservation standards for set-top boxes and network equipment....

  8. Set of Criteria for Efficiency of the Process Forming the Answers to Multiple-Choice Test Items

    Science.gov (United States)

    Rybanov, Alexander Aleksandrovich

    2013-01-01

    Is offered the set of criteria for assessing efficiency of the process forming the answers to multiple-choice test items. To increase accuracy of computer-assisted testing results, it is suggested to assess dynamics of the process of forming the final answer using the following factors: loss of time factor and correct choice factor. The model…

  9. Results of a Test and Win Contest to Raise Radon Awareness in Urban and Rural Settings

    Science.gov (United States)

    Hahn, Ellen J.; Rayens, Mary Kay; Kercsmar, Sarah E.; Robertson, Heather; Adkins, Sarah M.

    2014-01-01

    Background: Radon is a leading cause of lung cancer, but few test their homes to determine radon levels. Purpose: The study assessed feasibility and success of a Test and Win Contest to promote radon testing in rural and urban communities. Methods: The prospective, quasi-experimental study tested a novel contest to raise radon awareness. Paid and…

  10. Development and application of a set of mesh-based and age-dependent Chinese family phantoms for radiation protection dosimetry: Preliminary Data for external photon beams

    Science.gov (United States)

    Pi, Yifei; Zhang, Lian; Huo, Wanli; Feng, Mang; Chen, Zhi; Xu, X. George

    2017-09-01

    A group of mesh-based and age-dependent family phantoms for Chinese populations were developed in this study. We implemented a method for deforming original RPI-AM and RPI-AF models into phantoms of different ages: 5, 10 ,15 and adult. More than 120 organs for each model were processed to match with the values of the Chinese reference parameters within 0.5%. All of these phantoms were then converted to voxel format for Monte Carlo simulations. Dose coefficients for adult models were counted to compare with those of RPI-AM and RPI-AF. The results show that there are significant differences between absorbed doses of RPI phantoms and these of our adult phantoms at low energies. Comparisons for the dose coefficients among different ages and genders were also made. it was found that teenagers receive more radiation doses than adults under the same irradiation condition. This set of phantoms can be utilized to estimate dosimetry for Chinese population for radiation protection, medical imaging, and radiotherapy.

  11. Refusing HIV testing in an urgent care setting: results from the "Think HIV" program.

    Science.gov (United States)

    Liddicoat, Rebecca V; Losina, Elena; Kang, Minhee; Freedberg, Kenneth A; Walensky, Rochelle P

    2006-02-01

    Efforts to increase HIV case identification through routine, voluntary HIV testing are hindered by high refusal rates. Our objective was to identify patients most likely to refuse routine HIV testing. We developed a new HIV testing program at four Massachusetts urgent care centers. Patients were asked if they were interested in routine HIV testing. We performed analyses to assess differences in characteristics between those who refused testing and those who accepted it. Data were available for 9129/10,354 (88%) patients offered routine HIV testing from January to December 2002. Of these 9129 patients, 67% refused testing. In the crude analysis, HIV test refusal was associated with female gender, white race, older age, and higher educational level. In multivariate analysis, non-English-speaking patients who were Hispanic, Haitian, and other race were more likely to refuse testing than their English-speaking counterparts. Among all patients, "not at risk" and "already tested" were the most common reasons for test refusal. Two thirds of patients refused routine HIV testing when it was offered in a statewide urgent care-based program. If routine HIV testing programs are to be successful, strategies must be developed to increase HIV test acceptance among patients most likely to refrain from testing.

  12. Testing for Multivariate Normality in Mass Spectrometry Imaging Data: A Robust Statistical Approach for Clustering Evaluation and the Generation of Synthetic Mass Spectrometry Imaging Data Sets.

    Science.gov (United States)

    Dexter, Alex; Race, Alan M; Styles, Iain B; Bunch, Josephine

    2016-11-15

    Spatial clustering is a powerful tool in mass spectrometry imaging (MSI) and has been demonstrated to be capable of differentiating tumor types, visualizing intratumor heterogeneity, and segmenting anatomical structures. Several clustering methods have been applied to mass spectrometry imaging data, but a principled comparison and evaluation of different clustering techniques presents a significant challenge. We propose that testing whether the data has a multivariate normal distribution within clusters can be used to evaluate the performance when using algorithms that assume normality in the data, such as k-means clustering. In cases where clustering has been performed using the cosine distance, conversion of the data to polar coordinates prior to normality testing should be performed to ensure normality is tested in the correct coordinate system. In addition to these evaluations of internal consistency, we demonstrate that the multivariate normal distribution can then be used as a basis for statistical modeling of MSI data. This allows the generation of synthetic MSI data sets with known ground truth, providing a means of external clustering evaluation. To demonstrate this, reference data from seven anatomical regions of an MSI image of a coronal section of mouse brain were modeled. From this, a set of synthetic data based on this model was generated. Results of r(2) fitting of the chi-squared quantile-quantile plots on the seven anatomical regions confirmed that the data acquired from each spatial region was found to be closer to normally distributed in polar space than in Euclidean. Finally, principal component analysis was applied to a single data set that included synthetic and real data. No significant differences were found between the two data types, indicating the suitability of these methods for generating realistic synthetic data.

  13. External Attachment of Titanium Sheathed Thermocouples to Zirconium Nuclear Fuel Rods For The Loss-Of-Fluid-Test (LOFT) Reactor

    Science.gov (United States)

    Welty, Richard K.

    1980-10-01

    The Exxon Nuclear Company, Inc. acting as a Subcontractor to EG&G Idaho Inc.3 Idaho National Engineering Laboratory, Idaho Falls, Idaho, has developed a welding process to attach titanium sheathed thermocouples to the outside of the zircaloy clad fuel rods. The fuel rods and thermocouples are used to test simulated loss-of-coolant-accident (LOCA) conditions in a pressurized water reactor (LOFT Reactor, Idaho National Laboratory). The design goals were to (1) reliably attach thermocouples to the zircaloy fuel rods, (2) achieve or exceed a life expectancy of 6,000 hours of reactor operation in a borated water environment of 316°C at 2260 psi, (3) provide and sustain repeatable physical and metallurgical properties in the instrumented rods subjected to transient temperatures up to 1538°C with blowdown, shock, loading, and fast quench. A laser beam was selected as the optimum welding process because of the extremely high energy input per unit volume that can be achieved allowing local fusion of a small area irrespective of the difference in material thickness to be joined. A commercial pulsed laser and energy control system was installed along with specialized welding fixtures. Laser room facility requirements and tolerances were established. Performance qualifications and detailed welding procedures were also developed. Product performance tests were conducted to assure that engineering design requirements could be met on a production basis. Irradiation tests showed no degradation of thermocouples or weld structure. Fast thermal cycle and heater rod blowdown reflood tests were made to subject the weldments to high temperatures, high pressure steam, and fast water quench cycles. From the behavior of these tests, it was concluded that the attachment welds would survive a series of reactor safety tests.

  14. Evaluation of the Palutop+4 malaria rapid diagnostic test in a non-endemic setting

    Directory of Open Access Journals (Sweden)

    van Esbroeck Marjan

    2009-12-01

    Full Text Available Abstract Background Palutop+4 (All. Diag, Strasbourg, France, a four-band malaria rapid diagnostic test (malaria RDT targeting the histidine-rich protein 2 (HRP-2, Plasmodium vivax-specific parasite lactate dehydrogenase (Pv-pLDH and pan Plasmodium-specific pLDH (pan-pLDH was evaluated in a non-endemic setting on stored whole blood samples from international travellers suspected of malaria. Methods Microscopy corrected by PCR was the reference method. Samples include those infected by Plasmodium falciparum (n = 323, Plasmodium vivax (n = 97, Plasmodium ovale (n = 73 and Plasmodium malariae (n = 25 and 95 malaria negative samples. Results The sensitivities for the diagnosis of P. falciparum, P. vivax, P. malariae and P. ovale were 85.1%, 66.0%, 32.0% and 5.5%. Sensitivities increased at higher parasite densities and reached 90.0% for P. falciparum >100/μl and 83.8% for P. vivax > 500/μl. Fourteen P. falciparum samples reacted with the Pv-pLDH line, one P. vivax sample with the HRP-2 line, and respectively two and four P. ovale and P. malariae samples reacted with the HRP-2 line. Two negative samples gave a signal with the HRP-2 line. Faint and weak line intensities were observed for 129/289 (44.6% HRP-2 lines in P. falciparum samples, for 50/64 (78.1% Pv-pLDH lines in P. vivax samples and for 9/13 (69.2% pan-pLDH lines in P. ovale and P. malariae samples combined. Inter-observer reliabilities for positive and negative readings were excellent for the HRP-2 and Pv-pLDH lines (overall agreement > 92.0% and kappa-values for each pair of readers ≥ 0.88, and good for the pan-pLDH line (85.5% overall agreement and kappa-values ≥ 0.74. Conclusions Palutop+4 performed moderately for the detection of P. falciparum and P. vivax, but sensitivities were lower than those of three-band malaria RDTs.

  15. Test on an external wall. Ecological model project and PV test stand: The Vienna ''Energybase''; Fassade als Pruefstand. Oekologisches Modellprojekt und gleichzeitig Photovoltaikteststand: Das 'Energybase' in Wien

    Energy Technology Data Exchange (ETDEWEB)

    Siemer, J.

    2008-08-15

    Solar cooling, room air humidification with plants, and daylighting even of the underground garage: The Vienna ''Energybase'' office building is a demonstration project in many ways. Its PV system on the south-facing external wall profits from the architecture with its single-minded orientation along renewable energy use. The building will be used by the Arsenal Research research institute for module and current inverter testing. (orig.)

  16. Development and testing of a compact basis set for use in effective core potential calculations on rhodium complexes.

    Science.gov (United States)

    Roscioni, Otello M; Lee, Edmond P F; Dyke, John M

    2012-10-05

    We present a set of effective core potential (ECP) basis sets for rhodium atoms which are of reasonable size for use in electronic structure calculations. In these ECP basis sets, the Los Alamos ECP is used to simulate the effect of the core electrons while an optimized set of Gaussian functions, which includes polarization and diffuse functions, is used to describe the valence electrons. These basis sets were optimized to reproduce the ionization energy and electron affinity of atomic rhodium. They were also tested by computing the electronic ground state geometry and harmonic frequencies of [Rh(CO)(2) μ-Cl](2) , Rh(CO)(2) ClPy, and RhCO (neutral and its positive, and negative ions) as well as the enthalpy of the reaction of [Rh(CO)(2) μ-Cl](2) with pyridine (Py) to give Rh(CO)(2) ClPy, at different levels of theory. Good agreement with experimental values was obtained. Although the number of basis functions used in our ECP basis sets is smaller than those of other ECP basis sets of comparable quality, we show that the newly developed ECP basis sets provide the flexibility and precision required to reproduce a wide range of chemical and physical properties of rhodium compounds. Therefore, we recommend the use of these compact yet accurate ECP basis sets for electronic structure calculations on molecules involving rhodium atoms. Copyright © 2012 Wiley Periodicals, Inc.

  17. The efficacy of computer reminders on external quality assessment for point-of-care testing in Danish general practice

    DEFF Research Database (Denmark)

    Waldorff, Frans B; Siersma, Volkert; Ertmann, Ruth;

    2011-01-01

    BACKGROUND: Point-of-care testing (POCT) is increasingly being used in general practice to assist general practitioners (GPs) in their management of patients with diseases. However, low adherence to quality guidelines in terms of split test procedures has been observed among GPs in parts...... of the Capital Region in Denmark. Computer reminders embedded in GPs electronic medical records (ComRem) may facilitate improved quality control behaviour, but more research is needed to identify what types of reminders work and when. The overall aim of this study is to evaluate the efficacy of ComRem to improve...... GPs adherence to quality guidelines. This article describes the rationale and methods of the study that constitute this research project. METHODS/DESIGN: The study is conducted as two randomised controlled trials (RCTs) among general practices in two districts of the Capital Region in Denmark...

  18. Confidence judgments in real classroom settings: monitoring performance in different types of tests.

    Science.gov (United States)

    de Carvalho Filho, Moisés Kirk

    2009-04-01

    During testing, students have a valuable opportunity to exercise and improve their self-regulatory skills. However, the extent to which they profit from those experiences may vary according to some personal, test-related, and environmental factors. This study investigated the effects of metacognitive skills and test types on students' test performances, confidence judgments, and on the accuracy of those judgments. A sample of 129 psychology undergraduate students (50 men and 79 women, mean age = 18.9 years) were categorized according to their metacognitive skills (high vs average vs low) and had their test performances and monitoring processes in two different types of tests (i.e., multiple-choice and short-answer tests) compared throughout one academic term. Their test preparation practices, along with their attributional and regulatory processes during test-taking, were also compared by using open-ended questions. The results showed that: (1) high-metacognitive students presented more effective test preparation practices, better test performances, and superior attributional, regulatory, and monitoring processes than their counterparts; (2) differences in performance and judgment accuracy were significantly larger in the short-answer tests than in the multiple-choice tests; and (3) over time, students' performances and confidence levels varied in specific patterns according to the type of test being taken. The results are discussed, focusing on the educational implications of the interactions observed and on how they may determine what students can learn from test-taking experiences. In addition, based on the results obtained, specific suggestions on how to increase the metacognitive awareness of university students through instruction and on how to improve their academic assessment are provided.

  19. Preliminary vibration, acoustic, and shock design and test criteria for components on the Lightweight External Tank (LWT)

    Science.gov (United States)

    1981-01-01

    The Space Shuttle LWT is divided into zones and subzones. Zones are designated primarily to assist in determining the applicable specifications. A subzone (general Specification) is available for use when the location of the component is known but component design and weight are not well defined. When the location, weight, and mounting configuration of the component are known, specifications for appropriate subzone weight ranges are available. Along with the specifications are vibration, acoustic, shock, transportation, handling, and acceptance test requirements and procedures. A method of selecting applicable vibration, acoustic, and shock specifications is presented.

  20. 胜利电讯测试、分析仪%Sunrise Telecom's Test Sets

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    @@ 1.SunSet E20/E20c手持式测试仪表新增功能 SunSet E20产品系列的新增功能,同时适用于彩色显示版(E20c)和单色显示版(E20),而且增强了E20的新业务校验能力,完善了对Frame Relay、ISDN、SS7、GSM及V5.1/V5.2的支持.

  1. [Respiratory function tests during artificial ventilation. Application in the choice of apparatus settings (author's transl)].

    Science.gov (United States)

    Thomas, L; Robert, D; Perrin, F

    1978-03-04

    Twenty seven patients on artificial ventilation were studied in terms of gas exchange, respiratory mechanics and haemodynamics. The characteristics of acute respiratory failure (dead space effect, shunt effect, disturbances in respiratory mechanics) may be identified and their severity determined. The effects of adjusting artificial ventilation settings (tidal volume, frequency, inspiration/expiration ratio, inspiratory flow, end expiratory pressure, inspired oxygen fraction) may be studied and better adapted to the individual functional requirements of each patient. An organigram of settings based upon the experience gained in this series is suggested.

  2. Cardiopulmonary exercise testing responses to different external portable drivers in a patient with a CardioWest Total Artificial Heart.

    Science.gov (United States)

    Tarzia, Vincenzo; Braccioni, Fausto; Bortolussi, Giacomo; Buratto, Edward; Gallo, Michele; Bottio, Tomaso; Vianello, Andrea; Gerosa, Gino

    2016-06-01

    Management of patients treated with CardioWest Total Artificial Heart (CW-TAH) as a bridge to heart transplantation (HTx) is complicated by difficulties in determining the optimal timing of transplantation. We present a case of a 53-year-old man supported as an outpatient with a CW-TAH, whose condition deteriorated following exchange of the portable driver. The patient was followed-up with serial cardiopulmonary exercise testing (CPET) which demonstrated a fall of peak VO2 to below 12 ml/kg/min following driver substitution, and the patient was subsequently treated with urgent orthotopic HTx. This case highlights the potential utility of CPET as a means for monitoring and indicating timing of HTx in patients with CW-TAH, as well as the potential for clinical deterioration following portable driver substitution.

  3. The influence of laboratory set-up in usability tests: effects on user performance, subjective ratings and physiological measures.

    Science.gov (United States)

    Sonderegger, Andreas; Sauer, Juergen

    2009-11-01

    This article examines the influences of situational factors on user behaviour in usability tests. Sixty participants carried out two tasks on a computer-simulated prototype of a mobile phone. Employing a 3 x 2 mixed experimental design, laboratory set-up was varied as a between-subjects variable (presence of facilitator and two non-interactive observers, presence of facilitator or no person present) while task difficulty was manipulated as a within-subjects variable (low vs. high). Performance data, subjective measures and physiological parameters (e.g. heart rate variability) were taken. The results showed that the presence of non-interactive observers during a usability test led to a physiological stress response, decreased performance on some measures and affected the emotional state of test participants. The presence of a facilitator (i.e. a participating observer) also influenced the emotional state of the test participant. Practitioners involved in usability testing need to be aware of undue influences of observers, in particular, if the observers are non-interactive. The findings presented in this paper have implications for the practice of usability testing. They indicated a considerable influence of observers on test participants (physiology and emotions) and on the outcomes of usability tests (performance measures). This should be considered when selecting the set-up of a usability testing procedure.

  4. Innovations in Setting Performance Standards for K-12 Test-Based Accountability

    Science.gov (United States)

    Huff, Kristen; Plake, Barbara S.

    2010-01-01

    Standard setting is a systematic process that uses a combination of judgmental and empirical procedures to make recommendations about where on the score continuum "cut scores" should be placed. Cut scores divide the score scale into categories consistent with the descriptions of student performance associated with multiple levels of achievement.…

  5. Set-up and Test Procedure for Suction Installation and Uninstallation of Bucket Foundation

    DEFF Research Database (Denmark)

    Koteras, Aleksandra Katarzyna

    of suction under the bucket lid or by applying additional force through the hydraulic piston, forcing the bucket to penetrate into the soil. Tests for uninstallation are performed also with the use of water pressure, as a reverse process to the suction installation. Both installation and uninstallation tests...

  6. The Italian National External Quality Assessment Program in Molecular Genetic Testing: Results of the VII Round (2010-2011

    Directory of Open Access Journals (Sweden)

    F. Censi

    2013-01-01

    Full Text Available Since 2001 the Istituto Superiore di Sanità established a quality assurance programme for molecular genetic testing that covers four pathologies: Cystic Fibrosis (CF, Beta Thalassemia (BT, Fragile X Syndrome (FX, and Familial Adenomatous Polyposis Coli (APC. Since 2009 this activity is an institutional activity and participation is open to both public and private laboratories. Seven rounds have been performed until now and the eighth is in progress. Laboratories receive 4 DNA samples with mock clinical indications. They analyze the samples using their routine procedures. A panel of assessors review the raw data and the reports; all data are managed through a web utility. In 2010 the number of participants was 43, 17, 15, 5 for CF, BT, FX, APC schemes respectively. Genotyping results were correct in 96%, 98.5%, 100%, and 100% of CF, BT, FX, and APC samples, respectively. Interpretation was correct in 74%, 91%, 88%, and 60% of CF, BT, FX, and APC reports, respectively; however in most of them it was not complete but a referral to genetic counseling was given. Reports were satisfactory in more than 60% of samples in all schemes. This work presents the 2010 results in detail comparing our data with those from other European schemes.

  7. Genetic algorithms for the synthesis optimization of a set of irredundant diagnostic tests in the intelligent system

    Directory of Open Access Journals (Sweden)

    Anna E. Yankovskaya

    2001-12-01

    Full Text Available Method of the synthesis optimization of a set of irredundant diagnostic tests with genetic algorithms used to solve problems of large dimension is suggested. The idea of creating the irredundant partial implication matrix sectionalized by classification mechanisms lies in the base; creating a set of irredundant diagnostic tests is based on revealing certain kinds of regularities with the use of genetic transformations. All the obligatory and non-informative features are not used in genetic transformations. Procedures of selection able-to-compete individuals from populations, decision making concerning the object under examination of each able-to-compete individual from populations, and organizing of voting on the set of these individuals are suggested. In order to solve these problems the intelligent system is used.

  8. Intelligent Information Retrieval: Part IV. Testing the Timing of Two Information Retrieval Devices in a Naturalistic Setting.

    Science.gov (United States)

    Cole, Charles

    2001-01-01

    Reports the results of two studies of undergraduates that tested an uncertainty expansion information retrieval device and an uncertainty reduction device in naturalistic settings, designed to be given at different stages of Kuhlthau's information search process. Concludes that the timing of the device interventions is crucial to their potential…

  9. Effect of Frequent Peer-Monitored Testing and Personal Goal Setting on Fitnessgram Scores of Hispanic Middle School Students

    Science.gov (United States)

    Hill, Grant; Downing, Aaron

    2015-01-01

    The purpose of this study was to determine the effects of frequent peer-monitored Fitnessgram testing, with student goal setting, on the PACER and push-up performance of middle school students. Subjects were 176 females and 189 males in 10 physical education classes at a middle school with an 83.7% Hispanic student population. Students were…

  10. Motivation contagion when instructing obese individuals: a test in exercise settings.

    Science.gov (United States)

    Ng, Johan Y Y; Thøgersen-Ntoumani, Cecilie; Ntoumanis, Nikos

    2012-08-01

    We examined motivation contagion in a hypothetical exercise setting. Exercise science students (n = 164) were provided with quotes of hypothetical male and female obese exercisers displaying different quality of motivation to start an exercise program. We used a 3 (exerciser motivation) × 2 (exerciser gender) × 2 (student gender) between-subjects experimental design to examine students' (a) motivation to instruct, (b) interpersonal style, (c) perception of barrier efficacy of the exerciser, and (d) effort to identify factors that could maximize the effectiveness of an exercise program for the exerciser. Results showed that students displayed less controlled motivation and rated the exerciser as more capable of overcoming barriers to exercise when they perceived the exerciser to be autonomously motivated. However, students, particularly females, reported more autonomy support and invested more effort toward female exercisers with controlled motivation. Our findings indicate that motivation contagion effects are plausible in exercise settings and may affect interactions between fitness instructors and obese clients.

  11. External quality assessment of platelet disorder investigations: results of international surveys on diagnostic tests for dense granule deficiency and platelet aggregometry interpretation.

    Science.gov (United States)

    Hayward, Catherine P M; Moffat, Karen A; Plumhoff, Elizabeth; Timleck, Marnie; Hoffman, Suzanne; Spitzer, Ernie; Van Cott, Elizabeth M; Meijer, Piet

    2012-09-01

    The quality of platelet aggregation and dense granule deficiency testing is important for diagnosing platelet function disorders. After a successful pilot exercise on diagnosing platelet dense granule deficiency by electron microscopy (EM), the North American Specialized Coagulation Laboratory Association (NASCOLA) has launched regular external quality assurance (EQA) for dense granule EM, as well as for the interpretation of platelet aggregation findings. EQA records were analyzed to assess performance. For EM EQA, between 2009 and 2011, there was excellent performance in distinguishing normal from dense granule-deficient samples and good (>70%) agreement on classifying most electron dense structures in platelets. For aggregation EQA, some normal variants were misclassified and overall case interpretations were more acceptable for rare disorders than for common findings. NASCOLA experiences with these EQAs indicate that there is a need to improve the quality of platelet disorder evaluations. For aggregometry interpretations, deficits in performance could be addressed by translating guideline recommendations into practice.

  12. A Qualitative Study of Patients' Attitudes toward HIV Testing in the Dental Setting

    OpenAIRE

    Nancy VanDevanter; Joan Combellick; M. Katherine Hutchinson; Joan Phelan; Daniel Malamud; Donna Shelley

    2012-01-01

    An estimated 1.1 million people in the USA are living with HIV/AIDS. Nearly 200,000 of these individuals do not know that they are infected. In 2006, the CDC recommended that all healthcare providers routinely offer HIV screening to adolescent and adult patients. Nurse-dentist collaborations present unique opportunities to provide rapid oral HIV screening to patients in dental clinic settings and reach the many adults who lack primary medical providers. However, little is known about the ...

  13. Motivation Contagion When Instructing Obese Individuals: A Test in Exercise Settings

    OpenAIRE

    Ntoumanis, Nikos; Thøgersen-Ntoumani, Cecilie; Ng, J

    2012-01-01

    We examined motivation contagion in a hypothetical exercise setting. Exercise science students (n = 164) were provided with quotes of hypothetical male and female obese exercisers displaying different quality of motivation to start an exercise program. We used a 3 (exerciser motivation) × 2 (exerciser gender) × 2 (student gender) between-subjects experimental design to examine students’ (a) motivation to instruct, (b) interpersonal style, (c) perception of barrier efficacy of the exerciser, a...

  14. Usefullness of routine use of fecal occult blood test in a hospital setting

    Directory of Open Access Journals (Sweden)

    Simona Ravnik

    2006-12-01

    Full Text Available Background: Fecal occult blood test, hematest, is a well excepted non-invasive method used for detecting different diseases of the gastrointestinal tract. It was proven in different randomized studies that usage of this simple method may facilitate further diagnostic and therapeutic treatment.Patients and methods: The retrospective analysis includes patients, which were admitted to the gastroenterological and endoscopy department of the General hospital Maribor in the last quarter of the year 2005. In all patients fecal occult blood test was performed.Results: We examined 200 patients, 104 women and 96 men, average age 63.9 years, SD±16.9, ranging from 21 to 97 years. Positive hematest was discovered in 76 patients (38 %. The source of hemorrhage from the upper digestive tract was confirmed in 37 patients (48.6 % of all positive tests and from the lower digestive tract in 34 patients (46 % of all positive tests. The most frequent causes of hemorrhage from the lower digestive tract were chronic inflammatory bowel disease (13.1 % of all positive tests, colorectal cancer (10.5 % and polyps (6.6 %. The source of hemorrhage was not located in five patients (6.6 % of all positive tests despite the accurate diagnostic procedure.Conclusions: By performing a fecal occult blood screening in non-symptomatic patients, we can make an essential step towards discovering different gastrointestinal diseases, even colorectal cancer in its early, limited form, when the effect of treatment is greatest.

  15. Rapid antibiotic susceptibility testing of Mycobacterium tuberculosis : Its utility in resource poor settings

    Directory of Open Access Journals (Sweden)

    Poojary A

    2006-01-01

    Full Text Available Purpose: To compare the rapid colorimetric nitrate reductase based antibiotic susceptibility (CONRAS test performed on Mycobacterium tuberculosis isolates with the conventional method i.e., the proportion method. Methods: One hundred clinical isolates of M. tuberculosis were tested for susceptibility to isoniazid (INH and rifampicin (RIF by the conventional proportion method and CONRAS in Middlebrook 7H9 liquid medium enriched with growth supplements (MB7H9S. Results: The performance of the CONRAS test was evaluated using proportion method as the gold standard. The sensitivity (ability to detect true drug resistance and specificity (ability to detect true drug susceptibility of the CONRAS test to INH was 93.75 and 98.52% and for RIF it was 96.10 and 100% respectively. The mean time for reporting was 6.3 days and the test showed excellent reproducibility. The kappa (k value for INH was 0.92 and for RIF was 0.99, indicating excellent agreement between the two methods. Conclusions: CONRAS test is a rapid and reliable method of drug susceptibility for M. tuberculosis.

  16. Assessing behavior in standardized settings: The role of objective personality tests

    Directory of Open Access Journals (Sweden)

    René T. Proyer

    2007-01-01

    Full Text Available En este estudio teórico los tests objetivos de personalidad son mostrados como una posible forma de evaluar el comportamiento en situaciones concretas. Se describe una nueva generación de tests objetivos de personalidad, vinculados al uso de computadoras. Una de las principales características de estos tests es que no presentan validez aparente y son, por consiguiente, menos susceptibles de falseamiento u otras distorsiones de respuesta que habitualmente se encuentran en la evaluación subjetiva de personalidad mediante cuestionarios. Se examinan los desarrollos recientes en el área de tests de personalidad objetivos. El Hyperkinetic Syndrome Assessment Method (HKSD es descrito como ejemplo de la nueva generación de tests objetivos de personalidad. La justificación razonada de la construcción, propiedades psicométricas y resultados sobre su validez son expuestos. Los resultados de estudios con muestras clínicas y no clínicas sostienen la utilidad del HKSD en la práctica. Los tests objetivos de personalidad se discuten como alternativas en el campo de evaluación psicológica, como instrumentos válidos y económicos para la evaluación del comportamiento.

  17. Effect of Caffeine on Attention and Alertness Measured in a Home-Setting, Using Web-Based Cognition Tests.

    Science.gov (United States)

    Pasman, Wilrike J; Boessen, Ruud; Donner, Yoni; Clabbers, Nard; Boorsma, André

    2017-09-07

    There is an increasing interest among nutritional researchers to perform lifestyle and nutritional intervention studies in a home setting instead of testing subjects in a clinical unit. The term used in other disciplines is 'ecological validity' stressing a realistic situation. This becomes more and more feasible because devices and self-tests that enable such studies are more commonly available. Here, we present such a study in which we reproduced the effect of caffeine on attention and alertness in an at-home setting. The study was aimed to reproduce the effect of caffeine on attention and alertness using a Web-based study environment of subjects, at home, performing different Web-based cognition tests. The study was designed as a randomized, placebo-controlled, double-blind, crossover study. Subjects were provided with coffee sachets (2 with and 2 without caffeine). They were also provided with a written instruction of the test days. Healthy volunteers consumed a cup of coffee after an overnight fast. Each intervention was repeated once. Before and 1 hour after coffee consumption subjects performed Web-based cognitive performance tests at home, which measured alertness and attention, established by 3 computerized tests provided by QuantifiedMind. Each test was performed for 5 minutes. Web-based recruitment was fast and efficient. Within 2 weeks, 102 subjects applied, of whom 70 were eligible. Of the 66 subjects who started the study, 53 completed all 4 test sessions (80%), indicating that they were able to perform the do it yourself tests, at home, correctly. The Go-No Go cognition test performed at home showed the same significant improvement in reaction time with caffeine as found in controlled studies in a metabolic ward (P=.02). For coding and N-back the second block was performed approximately 10% faster. No effect was seen on correctness. The study showed that the effects of caffeine consumption on a cognition test in an at-home setting revealed similar

  18. Innovative accountability of tracking test kit as locked resources: a lesson in a restricted resource setting.

    Science.gov (United States)

    Makuwani, Ahmad M; Msuya, Sia; Haule, Dunstan; Mogella, Deus; Nkya, Efesper

    2013-09-01

    To implement quality screening in a blood service requires the presence of screening strategy with a clear algorithm and supporting standard operating procedures (SOPs), skilled and motivated human resource to perform testing, infrastructure, regular available test kits, and other supplies. In developing countries, smooth supply chain management of critical transfusion transmissible infections (TTIs) screening reagents is a challenge. Therefore, managing the little available kits by knowing the rate of consumption, good forecasting, and monitoring expiry date may be a key in ensuring regular supply. Test kit monitoring tool (TKMT) for Vironostika HIV Uni-Form kit/192 1&2 Ag/Ab, Genedia kits for HBsAg and HCV, and RPR for syphilis was developed to track these reagents. This excel tool was developed to assess received reagents, quantity used, quantity remaining, and date of expiration. The tool was evaluated by assessing rerun for each test kits, match tests conducted with blood units tested, adherence to the principle of first in-first out (FIFO), and quantity remaining in the center against the need. The mean rerun for HIV ELISA Vironistika uniform II Ag/Ab observed over expected was 6.9% (n = 3.8) than 2.4% (n = 1.3), HBsAg was 9.9% (n = 5.7) than 6.7% (3.5) (expected), Genedia for HCV was 1.3% (n = 0.7) than 0.5% (n = 0.3), and RPR test for syphilis 3.3% (n = 1.5) than 0.5%. During implementation, TKMT managed to detect expiring kits in the zonal blood transfusion centers. A tool-like TKMT may capture other supplies within blood when expanded. Monitoring of supplies may enable blood service actual accounting and in forecasting supplies and reagents. © 2013 Wiley Periodicals, Inc.

  19. Understanding the management of electronic test result notifications in the outpatient setting

    Directory of Open Access Journals (Sweden)

    Singh Hardeep

    2011-04-01

    Full Text Available Abstract Background Notifying clinicians about abnormal test results through electronic health record (EHR -based "alert" notifications may not always lead to timely follow-up of patients. We sought to understand barriers, facilitators, and potential interventions for safe and effective management of abnormal test result delivery via electronic alerts. Methods We conducted a qualitative study consisting of six 6-8 member focus groups (N = 44 at two large, geographically dispersed Veterans Affairs facilities. Participants included full-time primary care providers, and personnel representing diagnostic services (radiology, laboratory and information technology. We asked participants to discuss barriers, facilitators, and suggestions for improving timely management and follow-up of abnormal test result notifications and encouraged them to consider technological issues, as well as broader, human-factor-related aspects of EHR use such as organizational, personnel, and workflow. Results Providers reported receiving a large number of alerts containing information unrelated to abnormal test results, many of which were believed to be unnecessary. Some providers also reported lacking proficiency in use of certain EHR features that would enable them to manage alerts more efficiently. Suggestions for improvement included improving display and tracking processes for critical alerts in the EHR, redesigning clinical workflow, and streamlining policies and procedures related to test result notification. Conclusion Providers perceive several challenges for fail-safe electronic communication and tracking of abnormal test results. A multi-dimensional approach that addresses technology as well as the many non-technological factors we elicited is essential to design interventions to reduce missed test results in EHRs.

  20. Rapid Syphilis Testing Is Cost-Effective Even in Low-Prevalence Settings: The CISNE-PERU Experience

    Science.gov (United States)

    Mallma, Patricia; Garcia, Patricia; Carcamo, Cesar; Torres-Rueda, Sergio; Peeling, Rosanna; Mabey, David; Terris-Prestholt, Fern

    2016-01-01

    Studies have addressed cost-effectiveness of syphilis testing of pregnant women in high-prevalence settings. This study compares costs of rapid syphilis testing (RST) with laboratory-based rapid plasma reagin (RPR) tests in low-prevalence settings in Peru. The RST was introduced in a tertiary-level maternity hospital and in the Ventanilla Network of primary health centers, where syphilis prevalence is approximately 1%. The costs per woman tested and treated with RST at the hospital were $2.70 and $369 respectively compared with $3.60 and $740 for RPR. For the Ventanilla Network the costs per woman tested and treated with RST were $3.19 and $295 respectively compared with $5.55 and $1454 for RPR. The cost per DALY averted using RST was $46 vs. $109 for RPR. RST showed lower costs compared to the WHO standard costs per DALY ($64). Findings suggest syphilis screening with RST is cost-effective in low-prevalence settings. PMID:26949941

  1. Rapid Syphilis Testing Is Cost-Effective Even in Low-Prevalence Settings: The CISNE-PERU Experience.

    Science.gov (United States)

    Mallma, Patricia; Garcia, Patricia; Carcamo, Cesar; Torres-Rueda, Sergio; Peeling, Rosanna; Mabey, David; Terris-Prestholt, Fern

    2016-01-01

    Studies have addressed cost-effectiveness of syphilis testing of pregnant women in high-prevalence settings. This study compares costs of rapid syphilis testing (RST) with laboratory-based rapid plasma reagin (RPR) tests in low-prevalence settings in Peru. The RST was introduced in a tertiary-level maternity hospital and in the Ventanilla Network of primary health centers, where syphilis prevalence is approximately 1%. The costs per woman tested and treated with RST at the hospital were $2.70 and $369 respectively compared with $3.60 and $740 for RPR. For the Ventanilla Network the costs per woman tested and treated with RST were $3.19 and $295 respectively compared with $5.55 and $1454 for RPR. The cost per DALY averted using RST was $46 vs. $109 for RPR. RST showed lower costs compared to the WHO standard costs per DALY ($64). Findings suggest syphilis screening with RST is cost-effective in low-prevalence settings.

  2. Rapid Syphilis Testing Is Cost-Effective Even in Low-Prevalence Settings: The CISNE-PERU Experience.

    Directory of Open Access Journals (Sweden)

    Patricia Mallma

    Full Text Available Studies have addressed cost-effectiveness of syphilis testing of pregnant women in high-prevalence settings. This study compares costs of rapid syphilis testing (RST with laboratory-based rapid plasma reagin (RPR tests in low-prevalence settings in Peru. The RST was introduced in a tertiary-level maternity hospital and in the Ventanilla Network of primary health centers, where syphilis prevalence is approximately 1%. The costs per woman tested and treated with RST at the hospital were $2.70 and $369 respectively compared with $3.60 and $740 for RPR. For the Ventanilla Network the costs per woman tested and treated with RST were $3.19 and $295 respectively compared with $5.55 and $1454 for RPR. The cost per DALY averted using RST was $46 vs. $109 for RPR. RST showed lower costs compared to the WHO standard costs per DALY ($64. Findings suggest syphilis screening with RST is cost-effective in low-prevalence settings.

  3. Cost-effectiveness of HIV drug resistance testing to inform switching to second line antiretroviral therapy in low income settings

    DEFF Research Database (Denmark)

    Phillips, Andrew; Cambiano, Valentina; Nakagawa, Fumiyo

    2014-01-01

    BACKGROUND: To guide future need for cheap resistance tests for use in low income settings, we assessed cost-effectiveness of drug resistance testing as part of monitoring of people on first line ART - with switching from first to second line ART being conditional on NNRTI drug resistance mutations...... being identified. METHODS: An individual level simulation model of HIV transmission, progression and the effect of ART which accounts for adherence and resistance development was used to compare outcomes of various potential monitoring strategies in a typical low income setting in sub-Saharan Africa....... Underlying monitoring strategies considered were based on clinical disease, CD4 count or viral load. Within each we considered a strategy in which no further measures are performed, one with a viral load measure to confirm failure, and one with both a viral load measure and a resistance test. Predicted...

  4. ECOSAR model performance with a large test set of industrial chemicals.

    Science.gov (United States)

    Reuschenbach, Peter; Silvani, Maurizio; Dammann, Martina; Warnecke, Dietmar; Knacker, Thomas

    2008-05-01

    The widely used ECOSAR computer programme for QSAR prediction of chemical toxicity towards aquatic organisms was evaluated by using large data sets of industrial chemicals with varying molecular structures. Experimentally derived toxicity data covering acute effects on fish, Daphnia and green algae growth inhibition of in total more than 1,000 randomly selected substances were compared to the prediction results of the ECOSAR programme in order (1) to assess the capability of ECOSAR to correctly classify the chemicals into defined classes of aquatic toxicity according to rules of EU regulation and (2) to determine the number of correct predictions within tolerance factors from 2 to 1,000. Regarding ecotoxicity classification, 65% (fish), 52% (Daphnia) and 49% (algae) of the substances were correctly predicted into the classes "not harmful", "harmful", "toxic" and "very toxic". At all trophic levels about 20% of the chemicals were underestimated in their toxicity. The class of "not harmful" substances (experimental LC/EC(50)>100 mg l(-1)) represents nearly half of the whole data set. The percentages for correct predictions of toxic effects on fish, Daphnia and algae growth inhibition were 69%, 64% and 60%, respectively, when a tolerance factor of 10 was allowed. Focussing on those experimental results which were verified by analytically measured concentrations, the predictability for Daphnia and algae toxicity was improved by approximately three percentage points, whereas for fish no improvement was determined. The calculated correlation coefficients demonstrated poor correlation when the complete data set was taken, but showed good results for some of the ECOSAR chemical classes. The results are discussed in the context of literature data on the performance of ECOSAR and other QSAR models.

  5. Test functions, Schur-Agler classes and transfer-function realizations: the matrix-valued setting

    CERN Document Server

    Ball, Joseph A

    2011-01-01

    Given a collection of test functions, one defines the associated Schur-Agler class as the intersection of the contractive multipliers over the collection of all positive kernels for which each test function is a contractive multiplier. We indicate extensions of this framework to the case where the test functions, kernel functions, and Schur-Agler-class functions are allowed to be matrix- or operator-valued. We illustrate the general theory with two examples: (1) the matrix-valued Schur class over a finitely-connected planar domain and (2) the matrix-valued version of the constrained Hardy algebra (bounded analytic functions on the unit disk with derivative at the origin constrained to have zero value). Emphasis is on examples where the matrix-valued version is not obtained as a simple higher-multiplicity tensoring of the scalar-valued version.

  6. Diverse, high-quality test set for the validation of protein-ligand docking performance.

    Science.gov (United States)

    Hartshorn, Michael J; Verdonk, Marcel L; Chessari, Gianni; Brewerton, Suzanne C; Mooij, Wijnand T M; Mortenson, Paul N; Murray, Christopher W

    2007-02-22

    A procedure for analyzing and classifying publicly available crystal structures has been developed. It has been used to identify high-resolution protein-ligand complexes that can be assessed by reconstructing the electron density for the ligand using the deposited structure factors. The complexes have been clustered according to the protein sequences, and clusters have been discarded if they do not represent proteins thought to be of direct interest to the pharmaceutical or agrochemical industry. Rules have been used to exclude complexes containing non-drug-like ligands. One complex from each cluster has been selected where a structure of sufficient quality was available. The final Astex diverse set contains 85 diverse, relevant protein-ligand complexes, which have been prepared in a format suitable for docking and are to be made freely available to the entire research community (http://www.ccdc.cam.ac.uk). The performance of the docking program GOLD against the new set is assessed using a variety of protocols. Relatively unbiased protocols give success rates of approximately 80% for redocking into native structures, but it is possible to get success rates of over 90% with some protocols.

  7. Point-of-care testing for HIV in an Irish prison setting: results from three major Irish prisons.

    Science.gov (United States)

    Bannan, Ciaran L; Lynch, Pamela A; Conroy, Emmett P; O'Dea, Siobhan; Surah, Saloni; Betts-Symonds, Graham; Lyons, Fiona E

    2016-10-01

    HIV is more prevalent in the prison population compared to the general population. Prison inmates are at an increased risk of blood-borne infections. Considerable stigma has been documented amongst inmates with HIV infection. In collaboration with the schools, healthcare facilities, prison authorities and inmate Irish Red Cross groups in Wheatfield, Cloverhill and Mountjoy prisons in Dublin, Ireland, the Department of Genito Urinary Medicine and Infectious Diseases at St James' Hospital in Dublin developed a campaign for raising awareness of HIV, educating inmates about HIV and tackling HIV stigma. Following this campaign, large-scale point-of-care testing for HIV was offered over a short period. In total, 741 inmates were screened for HIV. One inmate tested positive for HIV. We experienced a large number of invalid test results, requiring formal laboratory serum testing, and a small number of false positive results. Large-scale point-of-care testing in the Irish prison setting is acceptable and achievable.

  8. A Classical Test Theory Analysis of the Light and Spectroscopy Concept Inventory National Study Data Set

    Science.gov (United States)

    Schlingman, Wayne M.; Prather, Edward E.; Wallace, Colin S.; Brissenden, Gina; Rudolph, Alexander L.

    2012-01-01

    This paper is the first in a series of investigations into the data from the recent national study using the Light and Spectroscopy Concept Inventory (LSCI). In this paper, we use classical test theory to form a framework of results that will be used to evaluate individual item difficulties, item discriminations, and the overall reliability of the…

  9. Test of a cryogenic set-up for a 10 meter long liquid nitrogen cooled superconducting power cable

    DEFF Research Database (Denmark)

    Træholt, Chresten; Rasmussen, Carsten; Kühle (fratrådt), Anders Van Der Aa;

    2000-01-01

    High temperature superconducting power cables may be cooled by a forced flow of sub-cooled liquid nitrogen. One way to do this is to circulate the liquid nitrogen (LN2) by means of a mechanical pump through the core of the cable and through a sub-cooler.Besides the cooling station, the cryogenics...... cable. We report on our experimental set-up for testing a 10 meter long high temperature superconducting cable with a critical current of 3.2 kA at 77K. The set-up consists of a custom designed cable end termination, current lead, coolant feed-through, liquid nitrogen closed loop circulation system...

  10. Accuracy of urine circulating cathodic antigen (CCA test for Schistosoma mansoni diagnosis in different settings of Cote d'Ivoire.

    Directory of Open Access Journals (Sweden)

    Jean T Coulibaly

    2011-11-01

    Full Text Available BACKGROUND: Promising results have been reported for a urine circulating cathodic antigen (CCA test for the diagnosis of Schistosoma mansoni. We assessed the accuracy of a commercially available CCA cassette test (designated CCA-A and an experimental formulation (CCA-B for S. mansoni diagnosis. METHODOLOGY: We conducted a cross-sectional survey in three settings of Côte d'Ivoire: settings A and B are endemic for S. mansoni, whereas S. haematobium co-exists in setting C. Overall, 446 children, aged 8-12 years, submitted multiple stool and urine samples. For S. mansoni diagnosis, stool samples were examined with triplicate Kato-Katz, whereas urine samples were tested with CCA-A. The first stool and urine samples were additionally subjected to an ether-concentration technique and CCA-B, respectively. Urine samples were examined for S. haematobium using a filtration method, and for microhematuria using Hemastix dipsticks. PRINCIPAL FINDINGS: Considering nine Kato-Katz as diagnostic 'gold' standard, the prevalence of S. mansoni in setting A, B and C was 32.9%, 53.1% and 91.8%, respectively. The sensitivity of triplicate Kato-Katz from the first stool and a single CCA-A test was 47.9% and 56.3% (setting A, 73.9% and 69.6% (setting B, and 94.2% and 89.6% (setting C. The respective sensitivity of a single CCA-B was 10.4%, 29.9% and 75.0%. The ether-concentration technique showed a low sensitivity for S. mansoni diagnosis (8.3-41.0%. The specificity of CCA-A was moderate (76.9-84.2%; CCA-B was high (96.7-100%. The likelihood of a CCA-A color reaction increased with higher S. mansoni fecal egg counts (odds ratio: 1.07, p<0.001. A concurrent S. haematobium infection or the presence of microhematuria did not influence the CCA-A test results for S. mansoni diagnosis. CONCLUSION/SIGNIFICANCE: CCA-A showed similar sensitivity than triplicate Kato-Katz for S. mansoni diagnosis with no cross-reactivity to S. haematobium and microhematuria. The low sensitivity

  11. Is There Discretion in Wage Setting? A Test Using Takeover Legislation.

    OpenAIRE

    Marianne Bertrand; Sendhil Mullainathan

    1998-01-01

    Anecdotal evidence suggests that uncontrolled managers let wages rise above competitive levels. Testing this popular perception has proven difficult, however, because independent variation in the extent of managerial discretion is needed. In this paper, we use states' passage of anti-takeover legislation as a source of such independent variation. Passed in the 1980's, these laws seriously limited takeovers of firms incorporated in legislating states. Since many view hostile takeovers as an im...

  12. Testing SNPs and sets of SNPs for importance in association studies

    OpenAIRE

    Schwender, Holger; Ruczinski, Ingo; Ickstadt, Katja

    2010-01-01

    A major goal of genetic association studies concerned with single nucleotide polymorphisms (SNPs) is the detection of SNPs exhibiting an impact on the risk of developing a disease. Typically, this problem is approached by testing each of the SNPs individually. This, however, can lead to an inaccurate measurement of the influence of the SNPs on the disease risk, in particular, if SNPs only show an effect when interacting with other SNPs, as the multivariate structure of the data is ignored. In...

  13. The Mind and Liver Test: A New Approach to the Diagnosis of Minimal Hepatic Encephalopathy in Resource-Poor Settings

    Directory of Open Access Journals (Sweden)

    Saurav Das

    2014-01-01

    Full Text Available Background and Aims. Minimal hepatic encephalopathy (MHE is diagnosed using neuropsychometric tests or neurophysiological tests that are either inapplicable to illiterate patient population in resource-poor settings or require sophisticated and expensive equipment. The available tests assess discrete domains of mental impairment. Our aim was (a to design a neuropsychometric test that measures all domains of mental impairment in MHE using one metric; (b to evaluate its sensitivity, specificity, and reproducibility. Methods. The mind and liver test (MALT, a psychometric test assessing cognition, memory, and psychometric impairment, each on a scale of 20, was designed keeping in mind the requirements of a universal test. 40 cirrhotics and 36 controls were subjected to critical flicker frequency (CFF and MALT in same sitting. ROC curve was plotted for MALT using CFF as gold standard. Bland-Altman plot was used to find test-retest agreement. Results. CFF values and MALT scores varied significantly between the cases and the controls (P< 0.05. MALT was 94% sensitive and 83% specific. Using ROC with CFF as gold standard, the AUC for diagnosis of MHE using MALT score was 0.89. Test-retest agreement was high (ICC = 0.89. Conclusion. In this pilot study, MALT proved to be highly sensitive, specific, inexpensive, and reproducible.

  14. Cost-effectiveness of HIV drug resistance testing to inform switching to second line antiretroviral therapy in low income settings.

    Directory of Open Access Journals (Sweden)

    Andrew Phillips

    Full Text Available BACKGROUND: To guide future need for cheap resistance tests for use in low income settings, we assessed cost-effectiveness of drug resistance testing as part of monitoring of people on first line ART - with switching from first to second line ART being conditional on NNRTI drug resistance mutations being identified. METHODS: An individual level simulation model of HIV transmission, progression and the effect of ART which accounts for adherence and resistance development was used to compare outcomes of various potential monitoring strategies in a typical low income setting in sub-Saharan Africa. Underlying monitoring strategies considered were based on clinical disease, CD4 count or viral load. Within each we considered a strategy in which no further measures are performed, one with a viral load measure to confirm failure, and one with both a viral load measure and a resistance test. Predicted outcomes were assessed over 2015-2025 in terms of viral suppression, first line failure, switching to second line regimen, death, HIV incidence, disability-adjusted-life-years averted and costs. Potential future low costs of resistance tests ($30 were used. RESULTS: The most effective strategy, in terms of DALYs averted, was one using viral load monitoring without confirmation. The incremental cost-effectiveness ratio for this strategy was $2113 (the same as that for viral load monitoring with confirmation. ART monitoring strategies which involved resistance testing did not emerge as being more effective or cost effective than strategies not using it. The slightly reduced ART costs resulting from use of resistance testing, due to less use of second line regimens, was of similar magnitude to the costs of resistance tests. CONCLUSION: Use of resistance testing at the time of first line failure as part of the decision whether to switch to second line therapy was not cost-effective, even though the test was assumed to be very inexpensive.

  15. Clinical applicability of various dengue diagnostic tests in resource-limited endemic settings

    Directory of Open Access Journals (Sweden)

    Baijayantimala Mishra

    2014-01-01

    Full Text Available Introduction: Dengue is one of the most important arboviral infections caused by one of the four dengue serotypes, 1-4. Objective: To study the applicability of different diagnostic methods in diagnosis of dengue viral infection. Materials and Methods: A total of 2101 blood samples were collected for confirmation of dengue viral infection. All the samples were tested by dengue-specific IgM ELISA, of which 111 were also tested for NS1 antigen detection and 27 acute samples (≤5 days were further subjected for viral RNA detection by RT-PCR and isolation in C6/36 cell line. To detect the sensitivity of NS1 antigen for different dengue virus serotypes, four dengue serotype 1 and 12 dengue 3 were subjected for the NS1 antigen assay. Results: Most common age group affected was 16-45 years, with male to female ratio of 2.8:1. During first 3 days of illness virus isolation and RT-PCR were the most sensitive (83% followed by NS1 antigen detection (75% and IgM detection (37.5%. The positivity of IgM detection was found to be significantly higher as compared to NS1 detection during 4 to 5 days and also after 5 days of illness (P < 0.05. Dengue serotypes 1 and 3 were found to be co-circulated, dengue 1 being the predominant serotype. Conclusion: Virus isolation and RT-PCR were the most sensitive tests during the early period of illness whereas beyond third day, IgM antibody detection was found to be the most sensitive method of dengue diagnosis.

  16. New nucleic acid testing devices to diagnose infectious diseases in resource-limited settings.

    Science.gov (United States)

    Maffert, P; Reverchon, S; Nasser, W; Rozand, C; Abaibou, H

    2017-06-01

    Point-of-care diagnosis based on nucleic acid testing aims to incorporate all the analytical steps, from sample preparation to nucleic acid amplification and detection, in a single device. This device needs to provide a low-cost, robust, sensitive, specific, and easily readable analysis. Microfluidics has great potential for handling small volumes of fluids on a single platform. Microfluidic technology has recently been applied to paper, which is already used in low-cost lateral flow tests. Nucleic acid extraction from a biological specimen usually requires cell filtration and lysis on specific membranes, while affinity matrices, such as chitosan or polydiacetylene, are well suited to concentrating nucleic acids for subsequent amplification. Access to electricity is often difficult in resource-limited areas, so the amplification step needs to be equipment-free. Consequently, the reaction has to be isothermal to alleviate the need for a thermocycler. LAMP, NASBA, HDA, and RPA are examples of the technologies available. Nucleic acid detection techniques are currently based on fluorescence, colorimetry, or chemiluminescence. For point-of-care diagnostics, the results should be readable with the naked eye. Nowadays, interpretation and communication of results to health professionals could rely on a smartphone, used as a telemedicine device. The major challenge of creating an "all-in-one" diagnostic test involves the design of an optimal solution and a sequence for each analytical step, as well as combining the execution of all these steps on a single device. This review provides an overview of available materials and technologies which seem to be adapted to point-of-care nucleic acid-based diagnosis, in low-resource areas.

  17. An improved method to set significance thresholds forβdiversity testing in microbial community comparisons

    DEFF Research Database (Denmark)

    Gülay, Arda; Smets, Barth F.

    2015-01-01

    -community. The proposed technique was applied to several in silico generated operational taxonomic unit (OTU) libraries and experimental 16S rRNA pyrosequencing libraries. The latter represented microbial communities from different biological rapid sand filters at a full-scale waterworks. We observe that β diversity......, after subsampling, is inflated by intra-sample differences; this inflation is avoided in the proposed method. In addition, microbial community evenness (Gini > 0.08) strongly affects all β diversity estimations due to bias associated with rarefaction. Where published methods to test β significance often...

  18. Captive chimpanzee foraging in a social setting: a test of problem solving, flexibility, and spatial discounting

    Directory of Open Access Journals (Sweden)

    Lydia M. Hopper

    2015-03-01

    Full Text Available In the wild, primates are selective over the routes that they take when foraging and seek out preferred or ephemeral food. Given this, we tested how a group of captive chimpanzees weighed the relative benefits and costs of foraging for food in their environment when a less-preferred food could be obtained with less effort than a more-preferred food. In this study, a social group of six zoo-housed chimpanzees (Pan troglodytes could collect PVC tokens and exchange them with researchers for food rewards at one of two locations. Food preference tests had revealed that, for these chimpanzees, grapes were a highly-preferred food while carrot pieces were a less-preferred food. The chimpanzees were tested in three phases, each comprised of 30 thirty-minute sessions. In phases 1 and 3, if the chimpanzees exchanged a token at the location they collected them they received a carrot piece (no travel or they could travel ≥10 m to exchange tokens for grapes at a second location. In phase 2, the chimpanzees had to travel for both rewards (≥10 m for carrot pieces, ≥15 m for grapes. The chimpanzees learned how to exchange tokens for food rewards, but there was individual variation in the time it took for them to make their first exchange and to discover the different exchange locations. Once all the chimpanzees were proficient at exchanging tokens, they exchanged more tokens for grapes (phase 3. However, when travel was required for both rewards (phase 2, the chimpanzees were less likely to work for either reward. Aside from the alpha male, all chimpanzees exchanged tokens for both reward types, demonstrating their ability to explore the available options. Contrary to our predictions, low-ranked individuals made more exchanges than high-ranked individuals, most likely because, in this protocol, chimpanzees could not monopolize the tokens or access to exchange locations. Although the chimpanzees showed a preference for exchanging tokens for their more

  19. Development and pilot test of a new set of good practice indicators for chronic cancer pain management.

    Science.gov (United States)

    Saturno, P J; Martinez-Nicolas, I; Robles-Garcia, I S; López-Soriano, F; Angel-García, D

    2015-01-01

    Pain is among the most important symptoms in terms of prevalence and cause of distress for cancer patients and their families. However, there is a lack of clearly defined measures of quality pain management to identify problems and monitor changes in improvement initiatives. We built a comprehensive set of evidence-based indicators following a four-step model: (1) review and systematization of existing guidelines to list evidence-based recommendations; (2) review and systematization of existing indicators matching the recommendations; (3) development of new indicators to complete a set of measures for the identified recommendations; and (4) pilot test (in hospital and primary care settings) for feasibility, reliability (kappa), and usefulness for the identification of quality problems using the lot quality acceptance sampling (LQAS) method and estimates of compliance. Twenty-two indicators were eventually pilot tested. Seventeen were feasible in hospitals and 12 in all settings. Feasibility barriers included difficulties in identifying target patients, deficient clinical records and low prevalence of cases for some indicators. Reliability was mostly very good or excellent (k > 0.8). Four indicators, all of them related to medication and prevention of side effects, had acceptable compliance at 75%/40% LQAS level. Other important medication-related indicators (i.e., adjustment to pain intensity, prescription for breakthrough pain) and indicators concerning patient-centred care (i.e., attention to psychological distress and educational needs) had very low compliance, highlighting specific quality gaps. A set of good practice indicators has been built and pilot tested as a feasible, reliable and useful quality monitoring tool, and underscoring particular and important areas for improvement. © 2014 European Pain Federation - EFIC®

  20. Field testing of alternative cookstove performance in a rural setting of western India.

    Science.gov (United States)

    Muralidharan, Veena; Sussan, Thomas E; Limaye, Sneha; Koehler, Kirsten; Williams, D'Ann L; Rule, Ana M; Juvekar, Sanjay; Breysse, Patrick N; Salvi, Sundeep; Biswal, Shyam

    2015-02-03

    Nearly three billion people use solid fuels for cooking and heating, which leads to extremely high levels of household air pollution and is a major cause of morbidity and mortality. Many stove manufacturers have developed alternative cookstoves (ACSs) that are aimed at reducing emissions and fuel consumption. Here, we tested a traditional clay chulha cookstove (TCS) and five commercially available ACSs, including both natural draft (Greenway Smart Stove, Envirofit PCS-1) and forced draft stoves (BioLite HomeStove, Philips Woodstove HD4012, and Eco-Chulha XXL), in a test kitchen in a rural village of western India. Compared to the TCS, the ACSs produced significant reductions in particulate matter less than 2.5 µm (PM2.5) and CO concentrations (Envirofit: 22%/16%, Greenway: 24%/42%, BioLite: 40%/35%, Philips: 66%/55% and Eco-Chulha: 61%/42%), which persisted after normalization for fuel consumption or useful energy. PM2.5 and CO concentrations were lower for forced draft stoves than natural draft stoves. Furthermore, the Philips and Eco-Chulha units exhibited higher cooking efficiency than the TCS. Despite significant reductions in concentrations, all ACSs failed to achieve PM2.5 levels that are considered safe by the World Health Organization (ACSs: 277-714 μg/m³ or 11-28 fold higher than the WHO recommendation of 25 μg/m³).

  1. Field Testing of Alternative Cookstove Performance in a Rural Setting of Western India

    Directory of Open Access Journals (Sweden)

    Veena Muralidharan

    2015-02-01

    Full Text Available Nearly three billion people use solid fuels for cooking and heating, which leads to extremely high levels of household air pollution and is a major cause of morbidity and mortality. Many stove manufacturers have developed alternative cookstoves (ACSs that are aimed at reducing emissions and fuel consumption. Here, we tested a traditional clay chulha cookstove (TCS and five commercially available ACSs, including both natural draft (Greenway Smart Stove, Envirofit PCS-1 and forced draft stoves (BioLite HomeStove, Philips Woodstove HD4012, and Eco-Chulha XXL, in a test kitchen in a rural village of western India. Compared to the TCS, the ACSs produced significant reductions in particulate matter less than 2.5 µm (PM2.5 and CO concentrations (Envirofit: 22%/16%, Greenway: 24%/42%, BioLite: 40%/35%, Philips: 66%/55% and Eco-Chulha: 61%/42%, which persisted after normalization for fuel consumption or useful energy. PM2.5 and CO concentrations were lower for forced draft stoves than natural draft stoves. Furthermore, the Philips and Eco-Chulha units exhibited higher cooking efficiency than the TCS. Despite significant reductions in concentrations, all ACSs failed to achieve PM2.5 levels that are considered safe by the World Health Organization (ACSs: 277–714 μg/m3 or 11–28 fold higher than the WHO recommendation of 25 μg/m3.

  2. A pilot study to test the practicality and efficiency of methods used to evaluate colon cleansing in an inpatient setting.

    Science.gov (United States)

    Schmelzer, Marilee; Nardelli, Nancy; Wilson, Lori; Mirzaei, Shari; Long, Shelley

    2010-01-01

    The purpose of the study was to test measurement methods in an inpatient setting for future use in a multisite study about bowel cleansing before colonoscopy. Because the multisite study used data collectors at distant geographic points who might have limited time to devote to data collection, the forms needed to be tested for practicality and efficiency. The data collection procedures worked well, but we experienced unexpected difficulties recruiting inpatients. We also found that we need to direct more efforts toward building the staff nurses' enthusiasm for the study because they help with data collection.

  3. Validation of antibiotic susceptibility testing guidelines in a routine clinical microbiology laboratory exemplifies general key challenges in setting clinical breakpoints.

    Science.gov (United States)

    Hombach, Michael; Courvalin, Patrice; Böttger, Erik C

    2014-07-01

    This study critically evaluated the new European Committee for Antimicrobial Susceptibility Testing (EUCAST) antibiotic susceptibility testing guidelines on the basis of a large set of disk diffusion diameters determined for clinical isolates. We report several paradigmatic problems that illustrate key issues in the selection of clinical susceptibility breakpoints, which are of general importance not only for EUCAST but for all guidelines systems, i.e., (i) the need for species-specific determinations of clinical breakpoints/epidemiological cutoffs (ECOFFs), (ii) problems arising from pooling data from various sources, and (iii) the importance of the antibiotic disk content for separating non-wild-type and wild-type populations.

  4. External fuel thermionic reactor system.

    Science.gov (United States)

    Mondt, J. F.; Peelgren, M. L.

    1971-01-01

    Thermionic reactors are prime candidates for nuclear electric propulsion. The national thermionic reactor effort is concentrated on the flashlight concept with the external-fuel concept as the backup. The external-fuel concept is very adaptable to a completely modular power subsystem which is attractive for highly reliable long-life applications. The 20- to 25-cm long, externally-fueled converters have been designed, fabricated, and successfully tested with many thermal cycles by electrical heating. However, difficulties have been encountered during encapsulation for nuclear heated tests and none have been started to date. These nuclear tests are required to demonstrate the concept feasibility.

  5. Motivation and engagement in music and sport: testing a multidimensional framework in diverse performance settings.

    Science.gov (United States)

    Martin, Andrew J

    2008-02-01

    The present study assessed the application of a multidimensional model of motivation and engagement (the Motivation and Engagement Wheel) and its accompanying instrumentation (the Motivation and Engagement Scale) to the music and sport domains. Participants were 463 young classical musicians (N=224) and sportspeople (N=239). In both music and sport samples, the data confirmed the good fit of the four hypothesized higher-order dimensions and their 11 first-order dimensions: adaptive cognitions (self-efficacy, valuing, mastery orientation), adaptive behaviors (planning, task management, persistence), impeding/maladaptive cognitions (uncertain control, anxiety, failure avoidance), and maladaptive behaviors (self-handicapping, disengagement). Multigroup tests of factor invariance showed that in terms of underlying motivational constructs and the composition of and relationships among these constructs, key subsamples are not substantially different. Moreover-and of particular relevance to issues around the generalizability of the framework-the factor structure for music and sport samples was predominantly invariant.

  6. Setting up a Rayleigh Scattering Based Flow Measuring System in a Large Nozzle Testing Facility

    Science.gov (United States)

    Panda, Jayanta; Gomez, Carlos R.

    2002-01-01

    A molecular Rayleigh scattering based air density measurement system has been built in a large nozzle testing facility at NASA Glenn Research Center. The technique depends on the light scattering by gas molecules present in air; no artificial seeding is required. Light from a single mode, continuous wave laser was transmitted to the nozzle facility by optical fiber, and light scattered by gas molecules, at various points along the laser beam, is collected and measured by photon-counting electronics. By placing the laser beam and collection optics on synchronized traversing units, the point measurement technique is made effective for surveying density variation over a cross-section of the nozzle plume. Various difficulties associated with dust particles, stray light, high noise level and vibration are discussed. Finally, a limited amount of data from an underexpanded jet are presented and compared with expected variations to validate the technique.

  7. M & V Shootout: Setting the Stage For Testing the Performance of New Energy Baseline

    Energy Technology Data Exchange (ETDEWEB)

    Touzani, Samir; Custodio, Claudine; Sohn, Michael; Fernandes, Samuel; Granderson, Jessica; Jump, David; Taylor, Cody

    2015-07-01

    Trustworthy savings calculations are critical to convincing investors in energy efficiency projects of the benefit and cost-effectiveness of such investments and their ability to replace or defer supply-side capital investments. However, today’s methods for measurement and verification (M&V) of energy savings constitute a significant portion of the total costs of efficiency projects. They also require time-consuming data acquisition and often do not deliver results until years after the program period has ended. A spectrum of savings calculation approaches are used, with some relying more heavily on measured data and others relying more heavily on estimated or modeled data, or stipulated information. The rising availability of “smart” meters, combined with new analytical approaches to quantifying savings, has opened the door to conducting M&V more quickly and at lower cost, with comparable or improved accuracy. Energy management and information systems (EMIS) technologies, not only enable significant site energy savings, but are also beginning to offer M&V capabilities. This paper expands recent analyses of public-domain, whole-building M&V methods, focusing on more novel baseline modeling approaches that leverage interval meter data. We detail a testing procedure and metrics to assess the performance of these new approaches using a large test dataset. We also provide conclusions regarding the accuracy, cost, and time trade-offs between more traditional M&V and these emerging streamlined methods. Finally, we discuss the potential evolution of M&V to better support the energy efficiency industry through low-cost approaches, and the long-term agenda for validation of building energy analytics.

  8. External Otitis (Swimmer's Ear)

    Science.gov (United States)

    ... to Pneumococcal Vaccine Additional Content Medical News External Otitis (Swimmer's Ear) By Bradley W. Kesser, MD, Associate ... the Outer Ear Ear Blockages Ear Tumors External Otitis (Swimmer's Ear) Malignant External Otitis Perichondritis External otitis ...

  9. Penetrating trauma to the external genitalia in Operation Iraqi Freedom.

    Science.gov (United States)

    Waxman, S; Beekley, A; Morey, A; Soderdahl, D

    2009-01-01

    This report details the incidence and description of trauma to the external genitalia experienced during Operation Iraqi Freedom at a United States Army Combat Support Hospital, and demonstrates that acceptable rates of testicular salvage are possible in the combat setting. The operating room logs and the Joint Theater Trauma Registry were used to conduct a retrospective review of the patients who sustained genitourinary (GU) injuries at an US Army Combat Support Hospital (CSH) in Iraq from 27 February 2007 to 14 August 2007. Of the 3595 battle trauma injuries seen at the CSH during the time period, 168 (4.7%) had one or more GU injuries for a total of 172 GU injuries. Of these patients, 115 (68%) with GU injuries had one or more injuries to the external genitalia for a total of 119 external GU injuries. Penetrating trauma to the penis and scrotum accounted for 59 of the injuries. In total, 43 testicles were injured in 34 patients (9 had bilateral injuries). In total, 32 testes were repaired primarily and 11 were removed. Injuries to the external genitalia continue to account for the vast majority of GU trauma in a combat setting. Of patients who presented with penetrating testicular trauma, there was a 74.4% salvage rate, which is higher than previous reports of combat external genitalia injuries. Treatment of penetrating trauma to the external genitalia in a combat setting requires attention to tissue preservation while coordinating associated surgical procedures.

  10. Transfer of Air Force technical procurement bid set data to small businesses, using CALS and EDI: Test report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-08-15

    This report documents a test transfer of three Air Force technical procurement bid sets to one large and twelve small businesses, using the Department of Defense (DoD) Continuous Acquisition and Life-cycle Support (CALS) and ANSI ASC X12 Electronic Data Interchange (EDI) standards. The main goal of the test was to evaluate the effectiveness of using CALS technical data within the context of the DoD`s EDI-based standard approach to electronic commerce in procurement, with particular emphasis on receipt and use of the data by small contractors. Air Force procurement data was provided by the Sacramento Air Logistics Center at McClellan Air Force Base; the manufacturing participants were selected from among McClellan`s ``Blue Ribbon`` contractors, located throughout the US. The test was sponsored by the Air Force CALS Test Network, headquartered at Wright-Patterson Air Force Base. The test successfully demonstrated the technical feasibility of including CALS MIL-R-28002 (Raster) engineering data in an EDI Specification/Technical Information transaction set (ANSI ASC X12 841) when issuing electronic requests for quotation to small businesses. In many cases, the data was complete enough for the contractor participant to feel comfortable generating a quote. Lessons learned from the test are being fed back to the CALS and EDI standards organizations, and to future implementors of CALS-EDI based acquisition or contracting systems, which require the transfer of technical information, such as engineering data, manufacturing process data, quality test data, and other product or process data, in the form of a CALS or other digital datafile.

  11. The Role of Clinical Setting and Management Approach in Metabolic Testing Among Youths and Adults Treated With Antipsychotics.

    Science.gov (United States)

    Nicol, Ginger E; Campagna, Elizabeth J; Garfield, Lauren D; Newcomer, John W; Parks, Joseph J; Morrato, Elaine H

    2016-01-01

    This study compared metabolic screening among patients who received antipsychotic treatment at community mental health centers (CMHCs), with or without case management, and patients treated elsewhere. Rates of glucose and lipid testing among youths and adults in Missouri Medicaid (N=9,473) who received antipsychotic treatment at CMHCs, with and without case management, were evaluated. Multivariable logistic regressions determined which characteristics were independently associated with metabolic testing. A total of 37.0% and 17.3% of youths and 68.7% and 34.9% of adults had glucose and lipid testing, respectively. Compared with treatment elsewhere, treatment at CMHCs, with or without case management, respectively, was associated with higher odds of glucose testing (youths, adjusted odds ratio [AOR]=1.68 and 1.89; adults, AOR=1.43 and 1.44) and lipid testing (youths, AOR=2.40 and 2.35; adults, AOR=1.97 and 1.48). CMHCs had higher rates of metabolic testing, possibly reflecting Missouri's efforts to promote testing in these settings.

  12. A standard test set for numerical approximations to the shallow water equations in spherical geometry

    Energy Technology Data Exchange (ETDEWEB)

    Williamson, D.L.; Hack, J.J.; Jakob, R.; Swarztrauber, P.N. (National Center for Atmospheric Research, Boulder, CO (United States)); Drake, J.B. (Oak Ridge National Lab., TN (United States))

    1991-08-01

    A suite of seven test cases is proposed for the evaluation of numerical methods intended for the solution of the shallow water equations in spherical geometry. The shallow water equations exhibit the major difficulties associated with the horizontal dynamical aspects of atmospheric modeling on the spherical earth. These cases are designed for use in the evaluation of numerical methods proposed for climate modeling and to identify the potential trade-offs which must always be made in numerical modeling. Before a proposed scheme is applied to a full baroclinic atmospheric model it must perform well on these problems in comparison with other currently accepted numerical methods. The cases are presented in order of complexity. They consist of advection across the poles, steady state geostrophically balanced flow of both global and local scales, forced nonlinear advection of an isolated low, zonal flow impinging on an isolated mountain, Rossby-Haurwitz waves and observed atmospheric states. One of the cases is also identified as a computer performance/algorithm efficiency benchmark for assessing the performance of algorithms adapted to massively parallel computers. 31 refs.

  13. The National Early Warning Score: Translation, testing and prediction in a Swedish setting.

    Science.gov (United States)

    Spångfors, Martin; Arvidsson, Lisa; Karlsson, Victoria; Samuelson, Karin

    2016-12-01

    The National Early Warning Score - NEWS is a "track and trigger" scale designed to assess in-hospital patients' vital signs and detect clinical deterioration. In this study the NEWS was translated into Swedish and its association with the need of intensive care was investigated. A total of 868 patient charts, recorded by the medical emergency team at a university hospital, containing the parameters needed to calculate the NEWS were audited. The NEWS was translated into Swedish and tested for inter-rater reliability with a perfect agreement (weighted κ=1.0) among the raters. The median score for patients admitted to the ICU were higher than for those who were not (10 vs. 8, p<0.0001). AUROC for discriminating admittance to the ICU was 0.68 (95% CI: 0.622-0.739, p<0.0001). A regression analysis showed that lower oxygen saturation and a lower level of consciousness were significantly associated with ICU admission (OR 1.27 [1.06-1.52], p=0.01 and OR 1.77 [1.12-2.82], p=0.02) and may predict admission to the ICU better than the other parameters. The Swedish translated NEWS seems to have excellent inter-rater reliability and can be used without risk of linguistic misinterpretation. High scores for the parameters oxygen saturation and level of consciousness in the NEWS may predict admission to the ICU. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Cost analysis of tuberculin skin test and the QuantiFERON-TB Gold In-tube test for tuberculosis screening in a correctional setting in Dallas, Texas, USA.

    Science.gov (United States)

    Nijhawan, Ank E; Iroh, Princess A; Brown, Larry S; Winetsky, Daniel; Porsa, Esmaeil

    2016-10-12

    Tuberculosis (TB) disproportionately affects immigrants, HIV-infected individuals, and those living in crowded settings such as homeless shelters and correctional facilities. Although the majority of jails and prisons use a tuberculin skin test (TST) for latent tuberculosis infection (LTBI) screening, limited data exist on the clinical performance and costs of the TST compared to interferon gamma release assays (IGRAs) in this setting. A prospective pilot study comparing cost between TST and an IGRA (QuantiFERON Gold In-tube, QFT-GIT) for the detection of LTBI in a convenience sample of inmates entering the Dallas County Jail (DCJ) was conducted June-October 2014. Participants completed a risk questionnaire, TST placement, QFT-GIT testing, and were offered opt-out HIV-Ab testing. LTBI prevalence based on TST and QFT-GIT results, an evaluation of discordant results and a cost analysis are presented. A total of 529 subjects were enrolled. The majority were male (75 %), and 46 % were Black, 29 % White, and 24 % Hispanic. Most (85 %) had been previously incarcerated. Over 28 % of participants were released prior to TST reading, with paired QFT-GIT and TST results available for 351 subjects. Of these, nine (2.6 %) tested positive by TST and 47 (13.4 %) tested positive by QFT-GIT. It costs $23.27 more per inmate per year to screen with QFT-GIT than TST in this population, though the cost per LTBI case detected was nearly three times higher for TST than QFT-GIT ($1247 v $460). We found a substantially higher rate of QFT-GIT positivity compared to TST in this sample of individuals entering the Dallas County Jail. Although no gold standard exists, this finding may indicate under-recognized LTBI in this setting. QFT-GIT as an initial screening tool was more time-efficient, had four-fold fewer labor costs and provided results on more individuals when compared with the TST. The overall cost of QFT-GIT was $23.27 more per inmate per year, though the cost per LTBI case

  15. Statistical tests for whether a given set of independent, identically distributed draws comes from a specified probability density.

    Science.gov (United States)

    Tygert, Mark

    2010-09-21

    We discuss several tests for determining whether a given set of independent and identically distributed (i.i.d.) draws does not come from a specified probability density function. The most commonly used are Kolmogorov-Smirnov tests, particularly Kuiper's variant, which focus on discrepancies between the cumulative distribution function for the specified probability density and the empirical cumulative distribution function for the given set of i.i.d. draws. Unfortunately, variations in the probability density function often get smoothed over in the cumulative distribution function, making it difficult to detect discrepancies in regions where the probability density is small in comparison with its values in surrounding regions. We discuss tests without this deficiency, complementing the classical methods. The tests of the present paper are based on the plain fact that it is unlikely to draw a random number whose probability is small, provided that the draw is taken from the same distribution used in calculating the probability (thus, if we draw a random number whose probability is small, then we can be confident that we did not draw the number from the same distribution used in calculating the probability).

  16. 46 CFR 154.452 - External pressure.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false External pressure. 154.452 Section 154.452 Shipping... Independent Tank Type C and Process Pressure Vessels § 154.452 External pressure. The design external pressure...) for tanks without a vacuum relief valve. P2=0, or the pressure relief valve setting for an enclosed...

  17. External-Memory Multimaps

    CERN Document Server

    Angelino, Elaine; Mitzenmacher, Michael; Thaler, Justin

    2011-01-01

    Many data structures support dictionaries, also known as maps or associative arrays, which store and manage a set of key-value pairs. A \\emph{multimap} is generalization that allows multiple values to be associated with the same key. For example, the inverted file data structure that is used prevalently in the infrastructure supporting search engines is a type of multimap, where words are used as keys and document pointers are used as values. We study the multimap abstract data type and how it can be implemented efficiently online in external memory frameworks, with constant expected I/O performance. The key technique used to achieve our results is a combination of cuckoo hashing using buckets that hold multiple items with a multiqueue implementation to cope with varying numbers of values per key. Our external-memory results are for the standard two-level memory model.

  18. [Assessment of the quality of laboratory diagnosis of intestinal parasitic diseases by the laboratories participating in the Federal System of External Quality Assessment of Clinical Laboratory Testing].

    Science.gov (United States)

    Malakhov, V N; Dovgalev, A S; Astanina, S Iu; Serdiuk, A P

    2014-01-01

    In 2010-2013, the quality of microscopic detection of the causative agents ofparasitic diseases in the feces has been assessed by the specialists of the laboratories of the therapeutic-and-prophylactic institutions (TPIs) and Hygiene and Epidemiology Centers, Russian Inspectorate for the Protection of Consumer Rights and Human Welfare, which are participants of the Federal System of External Quality Assessment of Clinical Laboratory Testing. Thirty-two specimens containing 16 species of human helminths and 4 species of enteric protozoa in different combinations were examined. The findings suggest that the quality of microscopic detection of the causative agents of parasitic diseases is low in the laboratories of health care facilities and that the specialists of the laboratories of TPIs and Hygiene and Epidemiology Centers, Russian Inspectorate for the Protection of Consumer Rights and Human Welfare, do not not possess the knowledge and skills necessary to make a laboratory diagnosis of helminths and enteric protozoa. The average detection rates of helminths and protozoa were at a level of 64 and 36%, respectively. The correct results showed that the proportion of helminths and protozoa were 94.5 and 5.5%, respectively. According to the biological and epidemiological classification of helminths, there were higher detection rates for contact group parasites (Enterobius vermicularis and Hymenolepis nana) and geohelminths (Ascaris, Trichuris trichiura, and others). Biohelminths (Opisthorchis, tapeworms, and others) Were detectable slightly worse.

  19. In Silico Testing of an Artificial-Intelligence-Based Artificial Pancreas Designed for Use in the Intensive Care Unit Setting.

    Science.gov (United States)

    DeJournett, Leon; DeJournett, Jeremy

    2016-11-01

    Effective glucose control in the intensive care unit (ICU) setting has the potential to decrease morbidity and mortality rates which should in turn lead to decreased health care expenditures. Current ICU-based glucose controllers are mathematically derived, and tend to be based on proportional integral derivative (PID) or model predictive control (MPC). Artificial intelligence (AI)-based closed loop glucose controllers may have the ability to achieve control that improves on the results achieved by either PID or MPC controllers. We conducted an in silico analysis of an AI-based glucose controller designed for use in the ICU setting. This controller was tested using a mathematical model of the ICU patient's glucose-insulin system. A total of 126 000 unique 5-day simulations were carried out, resulting in 107 million glucose values for analysis. For the 7 control ranges tested, with a sensor error of ±10%, the following average results were achieved: (1) time in control range, 94.2%, (2) time in range 70-140 mg/dl, 97.8%, (3) time in hyperglycemic range (>140 mg/dl), 2.1%, and (4) time in hypoglycemic range (artificial pancreas system for use in the ICU setting. © 2016 Diabetes Technology Society.

  20. A Simple Step Test to Estimate Cardio-Respiratory Fitness Levels of Rheumatoid Arthritis Patients in a Clinical Setting

    Directory of Open Access Journals (Sweden)

    Jennifer K. Cooney

    2013-01-01

    Full Text Available Purpose. Exercise tests represent an important clinical tool to evaluate cardio-respiratory fitness and to predict future adverse cardiovascular events. However, use of such tests in patients with rheumatoid arthritis (RA is relatively uncommon despite well-established evidence that low exercise capacity and high CVD mortality are features of this disease. Therefore, this study examined the validity and reliability of a sub-maximal step test for use in RA patients. Methods. Thirty patients (24 females (mean ± SD age 53±10 years performed a sub-maximal step test on two occasions to estimate the criterion measure of cardio-respiratory fitness (V.O2max. A further maximal cycling test provided a direct fitness measurement (V.O2 peak. Pearson correlation coefficient, intraclass correlation coefficient (ICC, Bland and Altman plots, and 95% limits of agreement (LOA were used to determine the validity and reliability of the sub-maximal test. Results. Estimated V.O2max correlated well with directly measured V.O2 peak (r=0.79, LoA ±5.7 mL·kg−1·min−1. Test-retest reproducibility for estimated V.O2max was excellent (ICC=0.97, LoA ±2.2 mL·kg−1·min−1. Conclusion. The sub-maximal step test studied here represents a valid and reproducible method to estimate cardio-respiratory fitness in RA patients. This test may be useful for the assessment and management of CVD risk in a clinical setting.

  1. Second-order asymptotics for quantum hypothesis testing in settings beyond i.i.d. - quantum lattice systems and more

    Science.gov (United States)

    Datta, Nilanjana; Pautrat, Yan; Rouzé, Cambyse

    2016-06-01

    Quantum Stein's lemma is a cornerstone of quantum statistics and concerns the problem of correctly identifying a quantum state, given the knowledge that it is one of two specific states (ρ or σ). It was originally derived in the asymptotic i.i.d. setting, in which arbitrarily many (say, n) identical copies of the state (ρ⊗n or σ⊗n) are considered to be available. In this setting, the lemma states that, for any given upper bound on the probability αn of erroneously inferring the state to be σ, the probability βn of erroneously inferring the state to be ρ decays exponentially in n, with the rate of decay converging to the relative entropy of the two states. The second order asymptotics for quantum hypothesis testing, which establishes the speed of convergence of this rate of decay to its limiting value, was derived in the i.i.d. setting independently by Tomamichel and Hayashi, and Li. We extend this result to settings beyond i.i.d. Examples of these include Gibbs states of quantum spin systems (with finite-range, translation-invariant interactions) at high temperatures, and quasi-free states of fermionic lattice gases.

  2. Design of the Testing Set-up for a Nuclear Fuel Rod by Neutron Radiography at CARR

    Science.gov (United States)

    Wei, Guohai; Han, Songbai; Wang, Hongli; Hao, Lijie; Wu, Meimei; He, Linfeng; Wang, Yu; Liu, Yuntao; Sun, Kai; Chen, Dongfeng

    In this paper, an experimental set-up dedicated to non-destructively test a 15cm-long Pressurized Water Reactor (PWR) nuclear fuel rod by neutron radiography (NR) is described. It consists of three parts: transport container, imaging block and steel support. The design of the transport container was optimized with Monte-Carlo Simulation by the MCNP code. The material for the shell of the transport container was chosen to be lead with the thickness of 13 cm. Also, the mechanical devices were designed to control fuel rod movement inside the container. The imaging block was designed as the exposure platform, with three openings for the neutron beam, neutron converter foil, and specimen. Development and application of this experimental set-up will help gain much experience for investigating the actual irradiated fuel rod by neutron radiography at CARR in the future.

  3. The case test-negative design for studies of the effectiveness of influenza vaccine in inpatient settings.

    Science.gov (United States)

    Foppa, Ivo M; Ferdinands, Jill M; Chaves, Sandra S; Haber, Michael J; Reynolds, Sue B; Flannery, Brendan; Fry, Alicia M

    2016-12-01

    The test-negative design (TND) to evaluate influenza vaccine effectiveness is based on patients seeking care for acute respiratory infection, with those who test positive for influenza as cases and the test-negatives serving as controls. This design has not been validated for the inpatient setting where selection bias might be different from an outpatient setting. We derived mathematical expressions for vaccine effectiveness (VE) against laboratory-confirmed influenza hospitalizations and used numerical simulations to verify theoretical results exploring expected biases under various scenarios. We explored meaningful interpretations of VE estimates from inpatient TND studies. VE estimates from inpatient TND studies capture the vaccine-mediated protection of the source population against laboratory-confirmed influenza hospitalizations. If vaccination does not modify disease severity, these estimates are equivalent to VE against influenza virus infection. If chronic cardiopulmonary individuals are enrolled because of non-infectious exacerbation, biased VE estimates (too high) will result. If chronic cardiopulmonary disease status is adjusted for accurately, the VE estimates will be unbiased. If chronic cardiopulmonary illness cannot be adequately be characterized, excluding these individuals may provide unbiased VE estimates. The inpatient TND offers logistic advantages and can provide valid estimates of influenza VE. If highly vaccinated patients with respiratory exacerbation of chronic cardiopulmonary conditions are eligible for study inclusion, biased VE estimates will result unless this group is well characterized and the analysis can adequately adjust for it. Otherwise, such groups of subjects should be excluded from the analysis.

  4. External costs related to power production technologies. ExternE national implementation for Denmark

    Energy Technology Data Exchange (ETDEWEB)

    Schleisner, L.; Sieverts Nielsen, P.

    1997-12-01

    The objective of the ExternE National Implementation project has been to establish a comprehensive and comparable set of data on externalities of power generation for all EU member states and Norway. The tasks include the application of the ExternE methodology to the most important fuel cycles for each country as well as to update the already existing results; to aggregate these site- and technology-specific results to more general figures. The current report covers the results of the national implementation for Denmark. Three different fuel cycles have been chosen as case studies. These are fuel cycles for an offshore wind farm and a wind farm on land, a decentralised CHP plant based on natural gas and a decentralised CHP plant based on biogas. The report covers all the details of the application of the methodology to these fuel cycles aggregation to a national level. (au) EU-JOULE 3. 59 tabs., 25 ills., 61 refs.

  5. Generally representative is representative of none: commentary on the pitfalls of IQ test standardization in multicultural settings.

    Science.gov (United States)

    Shuttleworth-Edwards, A B

    2016-10-01

    The aim of this paper is to address the issue of IQ testing within the multicultural context, with a focus on the adequacy of nationwide population-based norms vs. demographically stratified within-group norms for valid assessment purposes. Burgeoning cultural diversity worldwide creates a pressing need to cultivate culturally fair psychological assessment practices. Commentary is provided to highlight sources of test-taking bias on tests of intellectual ability that may incur invalid placement and diagnostic decisions in multicultural settings. Methodological aspects of population vs. within-group norming solutions are delineated and the challenges of culturally relevant norm development are discussed. Illustrative South African within-group comparative data are supplied to support the review. A critical evaluation of the South African WAIS-III and the WAIS-IV standardizations further serves to exemplify the issues. A flaw in both South African standardizations is failure to differentiate between African first language individuals with a background of advantaged education vs. those from educationally disadvantaged settings. In addition, the standardizations merge the performance outcomes of distinct racial/ethnic groups that are characterized by differentially advantaged or disadvantaged backgrounds. Consequently, the conversion tables are without relevance for any one of the disparate South African cultural groups. It is proposed that the traditional notion of a countrywide unitary norming (also known as 'population-based norms') of an IQ test is an unsatisfactory model for valid assessment practices in diverse cultural contexts. The challenge is to develop new solutions incorporating data from finely stratified within-group norms that serve to reveal rather than obscure cross-cultural disparity in cognitive test performance.

  6. Rabeprazole test for the diagnosis of gastro-oesophageal reflux disease: Results of a study in a primary care setting

    Institute of Scientific and Technical Information of China (English)

    Stanislas Bruley des Varannes; Sylvie Sacher-Huvelin; Fabienne Vavasseur; Claude Masliah; Marc Le Rhun; Philippe Aygalenq; Sylvie Bonnot-Marlier; Yves Lequeux; Jean Paul Galmiche

    2006-01-01

    AIM: To determine the diagnostic value of the rabeprazole test in patients seen by general practitioners.METHODS: Eighty-three patients with symptoms suggestive of GERD were enrolled by general practitioners in this multi-centre, randomized and doubleblind study. All patients received either rabeprazole (20 mg bid) or a placebo for one week. The diagnosis of GERD was established on the presence of mucosalbreaks at endoscopy and/or an abnormal esophageal 24-h pH test. The test was considered to be positive if patients reported at least a "clear improvement" of symptoms on a 7-point Likert scale.RESULTS: The sensitivities of the test for rabeprazole and the placebo were 83% and 40%, respectively.The corresponding specificity, positive and negative predictive values were 45% and 67%, 71% and 71%,and 62% and 35%, respectively. A receiver operating characteristics (ROC) analysis confirmed that the best discriminatory cut-off corresponded to description of "clear improvement" .CONCLUSION: The poor specificity of the proton-pump inhibitor (PPI) test does not support such an approach to establish a diagnosis of GERD in a primary care setting.

  7. The average numbers of outliers over groups of various splits into training and test sets: A criterion of the reliability of a QSPR? A case of water solubility

    Science.gov (United States)

    Toropova, Alla P.; Toropov, Andrey A.; Benfenati, Emilio; Gini, Giuseppina; Leszczynska, Danuta; Leszczynski, Jerzy

    2012-07-01

    The validation of quantitative structure-property/activity relationships (QSPR/QSAR) is an important challenge of modern theoretical chemistry. Analysis of QSPRs which are obtained with various distribution into sub-systems of training and of testing can be a useful approach to estimate reliability of QSPR predictions. The balance of correlation is an approach for the building up of QSPR with using three components of available data: (a) sub-training set (developer), (b) calibration set (critic), and (c) test set (estimator). Computational experiments have shown that the probabilistic interdependence between the distribution of available data into sub-training set, calibration set, and test set and the average numbers of outliers in the test set exists.

  8. Attitude Estimation Using Kalman Filtering: External Acceleration Compensation Considerations

    Directory of Open Access Journals (Sweden)

    Romy Budhi Widodo

    2016-01-01

    Full Text Available Attitude estimation is often inaccurate during highly dynamic motion due to the external acceleration. This paper proposes extended Kalman filter-based attitude estimation using a new algorithm to overcome the external acceleration. This algorithm is based on an external acceleration compensation model to be used as a modifying parameter in adjusting the measurement noise covariance matrix of the extended Kalman filter. The experiment was conducted to verify the estimation accuracy, that is, one-axis and multiple axes sensor movement. Five approaches were used to test the estimation of the attitude: (1 the KF-based model without compensating for external acceleration, (2 the proposed KF-based model which employs the external acceleration compensation model, (3 the two-step KF using weighted-based switching approach, (4 the KF-based model which uses the threshold-based approach, and (5 the KF-based model which uses the threshold-based approach combined with a softened part approach. The proposed algorithm showed high effectiveness during the one-axis test. When the testing conditions employed multiple axes, the estimation accuracy increased using the proposed approach and exhibited external acceleration rejection at the right timing. The proposed algorithm has fewer parameters that need to be set at the expense of the sharpness of signal edge transition.

  9. Motivation in vigilance - A test of the goal-setting hypothesis of the effectiveness of knowledge of results.

    Science.gov (United States)

    Warm, J. S.; Riechmann, S. W.; Grasha, A. F.; Seibel, B.

    1973-01-01

    This study tested the prediction, derived from the goal-setting hypothesis, that the facilitating effects of knowledge of results (KR) in a simple vigilance task should be related directly to the level of the performance standard used to regulate KR. Two groups of Ss received dichotomous KR in terms of whether Ss response times (RTs) to signal detections exceeded a high or low standard of performance. The aperiodic offset of a visual signal was the critical event for detection. The vigil was divided into a training phase followed by testing, during which KR was withdrawn. Knowledge of results enhanced performance in both phases. However, the two standards used to regulate feedback contributed little to these effects.

  10. Normal Tissue Complication Probability (NTCP) modeling of late rectal bleeding following external beam radiotherapy for prostate cancer: A Test of the QUANTEC-recommended NTCP model

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Mitchell; Agranovich, Alexander; Karvat, Anand; Kwan, Winkle (Fraser Valley Centre, British Columbia Cancer Centre, Surrey, BC (Canada)); Moiseenko, Vitali (Vancouver Centre, British Columbia Cancer Agency, Vancouver, BC (Canada)); Saleh, Ziad H.; Apte, Aditya A.; Deasy, Joseph O. (Dept. of Radiation Oncology and the Mallinckrodt Inst. of Radiology, Washington Univ., St. Louis, MO (United States)), e-mail: deasyj@mskcc.org

    2010-10-15

    Purpose/background. Validating a predictive model for late rectal bleeding following external beam treatment for prostate cancer would enable safer treatments or dose escalation. We tested the normal tissue complication probability (NTCP) model recommended in the recent QUANTEC review (quantitative analysis of normal tissue effects in the clinic). Material and methods. One hundred and sixty one prostate cancer patients were treated with 3D conformal radiotherapy for prostate cancer at the British Columbia Cancer Agency in a prospective protocol. The total prescription dose for all patients was 74 Gy, delivered in 2 Gy/fraction. 159 3D treatment planning datasets were available for analysis. Rectal dose volume histograms were extracted and fitted to a Lyman-Kutcher-Burman NTCP model. Results. Late rectal bleeding (>grade 2) was observed in 12/159 patients (7.5%). Multivariate logistic regression with dose-volume parameters (V50, V60, V70, etc.) was non-significant. Among clinical variables, only age was significant on a Kaplan-Meier log-rank test (p=0.007, with an optimal cut point of 77 years). Best-fit Lyman-Kutcher-Burman model parameters (with 95% confidence intervals) were: n = 0.068 (0.01, +infinity); m =0.14 (0.0, 0.86); and TD50 81 (27, 136) Gy. The peak values fall within the 95% QUANTEC confidence intervals. On this dataset, both models had only modest ability to predict complications: the best-fit model had a Spearman's rank correlation coefficient of rs = 0.099 (p = 0.11) and area under the receiver operating characteristic curve (AUC) of 0.62; the QUANTEC model had rs=0.096 (p= 0.11) and a corresponding AUC of 0.61. Although the QUANTEC model consistently predicted higher NTCP values, it could not be rejected according to the chi2 test (p = 0.44). Conclusions. Observed complications, and best-fit parameter estimates, were consistent with the QUANTEC-preferred NTCP model. However, predictive power was low, at least partly because the rectal dose

  11. Differential validity for cognitive ability tests in employment and educational settings: not much more than range restriction?

    Science.gov (United States)

    Roth, Philip L; Le, Huy; Oh, In-Sue; Van Iddekinge, Chad H; Buster, Maury A; Robbins, Steve B; Campion, Michael A

    2014-01-01

    The concept of differential validity suggests that cognitive ability tests are associated with varying levels of validity across ethnic groups, such that validity is lower in certain ethnic subgroups than in others. A recent meta-analysis has revived the viability of this concept. Unfortunately, data were not available in this meta-analysis to correct for range restriction within ethnic groups. We reviewed the differential validity literature and conducted 4 studies. In Study 1, we empirically demonstrated that using a cognitive ability test with a common cutoff decreases variance in test scores of Black subgroup samples more than in White samples. In Study 2, we developed a simulation that examined the effects of range restriction on estimates of differential validity. Results demonstrated that different levels of range restriction for subgroups can explain the apparent observed differential validity results in employment and educational settings (but not military settings) when no differential validity exists in the population. In Study 3, we conducted a simulation in which we examined how one corrects for range restriction affects the accuracy of these corrections. Results suggest that the correction approach using a common range restriction ratio for various subgroups may create or perpetuate the illusion of differential validity and that corrections are most accurate when done within each subgroup. Finally, in Study 4, we conducted a simulation in which we assumed differential validity in the population. We found that range restriction artificially increased the size of observed differential validity estimates when the validity of cognitive ability tests was assumed to be higher among Whites. Overall, we suggest that the concept of differential validity may be largely artifactual and current data are not definitive enough to suggest such effects exist.

  12. AUTOMATIC GENERATION OF SQL TEST CASE SETS%SQL测试用例集的自动生成

    Institute of Scientific and Technical Information of China (English)

    丁祥武; 张钦; 韩朱忠

    2012-01-01

    Compiling SQL sentences is an import part for test database management system. Automatic generation of SQL sentences can effectively reduce the workload of the tester. There is almost no automatic tool supporting the direct generation of SQL sentences at present. By simulating the direct derivation process of generative formals the SQL sentences which are generated in accordance with the grammar based on SQL grammars are presented, this is used as the approach for test cases. In the paper we study on the automatic progress from BNF files which are the representation of the grammar to generating SQL test case sets. The process has several stages; Each non-terminals of SQL grammar is converted to a corresponding parse function and the set of all these parse functions forms the rules library. The generative formals of the grammar are traversed to generate SQL test cases automatically. The use of weight arrays in conjunction with stochastic numbers increases the flexibility of test cases generation. Maximum calling times of the non-terminals are employed to terminate the generation of SQL test cases. Through the tool prototype introduced, the SQL test cases in conformity with SQL grammar can be derived.%编写SQL语句是测试数据库管理系统的一个重要部分.自动生成SQL语句可以有效减少测试人员的工作量,而目前没有直接生成SQL语句的自动化工具.通过模拟产生式的直接推导过程,根据SQL文法,给出生成符合该文法的SQL语句,用作测试用例的方法;研究从表示文法的BNF文件生成SQL测试用例集合的自动化过程.这个过程包括几个阶段:将SQL文法的每一个非终结符转换成一个对应的解析函数,所有解析函数的集合构成规则库;遍历文法的产生式自动生成SQL测试用例;使用权值数组结合随机数,加大生成测试用例的灵活性;使用非终结符的最大调用次数来终止SQL测试用例的生成.通过介绍的工具原型,可以得到符合SQL语法的SQL测试用例.

  13. Towards biomarker-based tests that can facilitate decisions about prevention and management of preeclampsia in low-resource settings.

    Science.gov (United States)

    Acestor, Nathalie; Goett, Jane; Lee, Arthur; Herrick, Tara M; Engelbrecht, Susheela M; Harner-Jay, Claudia M; Howell, Bonnie J; Weigl, Bernhard H

    2016-01-01

    In recent years, an increasing amount of literature is emerging on candidate urine and blood-based biomarkers associated with incidence and severity of preeclampsia (PE) in pregnant women. While enthusiasm on the usefulness of several of these markers in predicting PE is evolving, essentially all work so far has focused on the needs of high-resource settings and high-income countries, resulting primarily in multi-parameter laboratory assays based on proteomic and metabolomics analysis techniques. These highly complex methods, however, require laboratory capabilities that are rarely available or affordable in low-resource settings (LRS). The importance of quantifying maternal and perinatal risks and identifying which pregnancies can be safely prolonged is also much greater in LRS, where intensive care facilities that can rapidly respond to PE-related health threats for women and infants are limited. For these reasons, simple, low cost, sensitive, and specific point-of-care (POC) tests are needed that can be performed by antenatal health care providers in LRS and that can facilitate decisions about detection and management of PE. Our study aims to provide a comprehensive systematic review of current and emerging blood and urine biomarkers for PE, not only on the basis of their clinical performance, but also of their suitability to be used in LRS-compatible test formats, such as lateral flow and other variants of POC rapid assays.

  14. Patient needs and point-of-care requirements for HIV load testing in resource-limited settings.

    Science.gov (United States)

    Usdin, Martine; Guillerm, Martine; Calmy, Alexandra

    2010-04-15

    Medecins Sans Frontieres (MSF) is an international, independent medical nongovernmental organization. One way in which MSF acts to improve patient care is to assist in the identification and development of adapted and appropriate tools for use in resource-limited settings. One strategy to achieve this goal is through active collaborations with scientists and developers, to make some of the field needs known and to help define the medical strategy behind the implementation of new diagnostic tests. Tests used in the field need to be effective in often extreme conditions and must also deliver high-quality, reliable results that can be used in the local context. In this article, we discuss some patient and health care provider needs for human immunodeficiency virus (HIV) load measurement in resource-limited settings. This is just one of the areas in which effective, quality tools are desperately needed, not only by MSF and other international nongovernmental organizations, but also by many other health service providers. We hope that, by clearly defining the needs of patients in MSF clinics-as well as we can assess this-and by explaining why these tools are needed, how they should perform, and how their results can be integrated into a program, we will encourage the development of such tools and hasten their implementation in areas where they are so urgently needed.

  15. Development of a full scale remote steerable ECRH mm-wave launching system test set-up for ITER

    Energy Technology Data Exchange (ETDEWEB)

    Elzendoorn, B.S.Q. [FOM Institute for Plasma Physics Rijnhuizen, Association EURATOM-FOM, Partner in the Trilateral Euregio Cluster, Nieuwegein, Edisonbaan 14, 3439 MN Nieuwegein (Netherlands)], E-mail: ben@rijnh.nl; Bongers, W.A.; Graswinckel, M.F. [FOM Institute for Plasma Physics Rijnhuizen, Association EURATOM-FOM, Partner in the Trilateral Euregio Cluster, Nieuwegein, Edisonbaan 14, 3439 MN Nieuwegein (Netherlands); Jamar, J. [TNO Science and Industry, Business Unit Design and Manufacturing, Eindhoven, P.O. Box 6235, 5600 HE Eindhoven (Netherlands); Kruijt, O.G.; Lamers, B.; Ronden, D.M.S. [FOM Institute for Plasma Physics Rijnhuizen, Association EURATOM-FOM, Partner in the Trilateral Euregio Cluster, Nieuwegein, Edisonbaan 14, 3439 MN Nieuwegein (Netherlands); Verhoeven, A.G.A

    2007-10-15

    FOM is developing a full-scale mock-up of the mm-wave upper-port launching system for electron cyclotron resonance heating in ITER. The test set-up foresees in most of the typical ITER operation conditions, e.g. primary vacuum and the secondary vacuum, blanket cooling and component cooling conditions. All relevant operational ITER conditions except neutron radiation can be simulated, including baking conditions. The fabrication of the launching system mock-up will be the last step in the development phase, which will be characterized by the fabrication of test samples and mm-wave tests and calculations. The parameterized modeling of mm-wave beam propagation in CATIA [D.M.S. Ronden, et al., Parameterized modeling of mm-wave beam propagation of the ITER ECRH remote steering upper port launcher in CATIA, this conference] (8th figure in this article) the test and calculation results will be used for the built to print design of the remote steering ECRH launcher for the ITER upper ports [A.G.A. Verhoeven, et al., Design of the Remote Steering ITER ECRH Upper Port Launcher, this conference].

  16. Setting up Multiplex Panels for Genetic Testing of Familial Hy¬pertrophic Cardiomyopathy Based on Linkage Analysis

    Directory of Open Access Journals (Sweden)

    Hoorieh SAGHAFI

    2016-03-01

    Full Text Available Background: Familial hypertrophic cardiomyopathy (HCM is caused by mutations in genes encoding cardiac sarcomere proteins. Nowadays genetic testing of HCM plays an important role in clinical practice by contributing to the diagnosis, prognosis, and screening of high-risk individuals. The aim of this study was developing a reliable testing strategy for HCM based on linkage analysis and appropriate for Iranian population.Methods: Six panels of four microsatellite markers surrounding MYH7, MYBPC3, TNNT2, TNNI3, TPM1, and MYL2 genes (24 markers in total were selected for multiplex PCR and fragment length analysis. Characteristics of markers and informativeness of the panels were evaluated in 50 unrelated Iranians. The efficacy of the strategy was verified in a family with HCM.Results: All markers were highly polymorphic. The panels were informative in 96-100% of samples. Multipoint linkage analysis excluded the linkage between the disease and all six genes by obtaining maximum LOD score ≤-2.Conclusion: This study suggests a reliable genetic testing method based on linkage analysis between 6 sarcomere genes and familial HCM. It could be applied for diagnostic, predictive, or screening testing in clinical setting. Keywords: Cardiomyopathy, Hypertrophic, Genetic linkage, Diagnosis 

  17. Evaluation of a cervical cancer screening program based on HPV testing and LLETZ excision in a low resource setting.

    Directory of Open Access Journals (Sweden)

    Margaret McAdam

    Full Text Available We conducted studies in Vanuatu to evaluate potential screening and treatment strategies to assist with control of cervical cancer. In a pilot study of 496 women, visual inspection and cytology were evaluated as screening tests for detection of CIN 2 or worse (CIN2+, observed in 21 of 206 subjects biopsied on the basis of abnormal visual inspection or cytology. Sensitivity of visual inspection with Lugol's Iodine for detection of CIN2+ on biopsy was 0.63, specificity was 0.32, and the positive predictive value was 0.09. For HSIL cytology, sensitivity was 0.99, specificity was 0.77, and the positive predictive value was 0.88. HSIL cytology was significantly more sensitive and had a significantly higher PPV for CIN 2+ than visual inspection (p<0.01. In a further study of 514 women, we compared testing for HR HPV and cytology as predictors of biopsy proven CIN 2+. Sensitivity of HSIL cytology for CIN2+ as established by loop excision of the cervix was 0.81, specificity was 0.94, and positive predictive value was 0.48. Sensitivity of a positive test for HR HPV for detection of CIN2+ was non-significantly different from cytology at 0.81, specificity was 0.94, and positive predictive value was 0.42. Combining the two tests gave a significantly lower sensitivity of 0.63, a specificity of 0.98, and a positive predictive value of 0.68. For women over 30 in a low resource setting without access to cytology, a single locally conducted test for high risk HPV with effective intervention could reduce cervical cancer risk as effectively as intervention based on cytology conducted in an accredited laboratory.

  18. Assessing arboreal adaptations of bird antecedents: testing the ecological setting of the origin of the avian flight stroke.

    Directory of Open Access Journals (Sweden)

    T Alexander Dececchi

    Full Text Available The origin of avian flight is a classic macroevolutionary transition with research spanning over a century. Two competing models explaining this locomotory transition have been discussed for decades: ground up versus trees down. Although it is impossible to directly test either of these theories, it is possible to test one of the requirements for the trees-down model, that of an arboreal paravian. We test for arboreality in non-avian theropods and early birds with comparisons to extant avian, mammalian, and reptilian scansors and climbers using a comprehensive set of morphological characters. Non-avian theropods, including the small, feathered deinonychosaurs, and Archaeopteryx, consistently and significantly cluster with fully terrestrial extant mammals and ground-based birds, such as ratites. Basal birds, more advanced than Archaeopteryx, cluster with extant perching ground-foraging birds. Evolutionary trends immediately prior to the origin of birds indicate skeletal adaptations opposite that expected for arboreal climbers. Results reject an arboreal capacity for the avian stem lineage, thus lending no support for the trees-down model. Support for a fully terrestrial ecology and origin of the avian flight stroke has broad implications for the origin of powered flight for this clade. A terrestrial origin for the avian flight stroke challenges the need for an intermediate gliding phase, presents the best resolved series of the evolution of vertebrate powered flight, and may differ fundamentally from the origin of bat and pterosaur flight, whose antecedents have been postulated to have been arboreal and gliding.

  19. Testing Allele Transmission of an SNP Set Using a Family-Based Generalized Genetic Random Field Method.

    Science.gov (United States)

    Li, Ming; Li, Jingyun; He, Zihuai; Lu, Qing; Witte, John S; Macleod, Stewart L; Hobbs, Charlotte A; Cleves, Mario A

    2016-05-01

    Family-based association studies are commonly used in genetic research because they can be robust to population stratification (PS). Recent advances in high-throughput genotyping technologies have produced a massive amount of genomic data in family-based studies. However, current family-based association tests are mainly focused on evaluating individual variants one at a time. In this article, we introduce a family-based generalized genetic random field (FB-GGRF) method to test the joint association between a set of autosomal SNPs (i.e., single-nucleotide polymorphisms) and disease phenotypes. The proposed method is a natural extension of a recently developed GGRF method for population-based case-control studies. It models offspring genotypes conditional on parental genotypes, and, thus, is robust to PS. Through simulations, we presented that under various disease scenarios the FB-GGRF has improved power over a commonly used family-based sequence kernel association test (FB-SKAT). Further, similar to GGRF, the proposed FB-GGRF method is asymptotically well-behaved, and does not require empirical adjustment of the type I error rates. We illustrate the proposed method using a study of congenital heart defects with family trios from the National Birth Defects Prevention Study (NBDPS).

  20. Development of a Simple Remote Sensing EvapoTranspiration model (Sim-ReSET): Algorithm and model test

    Science.gov (United States)

    Sun, Zhigang; Wang, Qinxue; Matsushita, Bunkei; Fukushima, Takehiko; Ouyang, Zhu; Watanabe, Masataka

    2009-10-01

    SummaryRemote sensing (RS) has been considered as the most promising tool for evapotranspiration (ET) estimations from local, regional to global scales. Many studies have been conducted to estimated ET using RS data, however, most of them are based partially on ground observations. In this study, we developed a new dual-source Simple Remote Sensing EvapoTranspiration model (Sim-ReSET) based only on RS data. One merit of this model is that the calculation of aerodynamic resistance can be avoided by means of a reference dry bare soil and an assumption that wind speed at the upper boundary of atmospheric surface layer is homogenous, but the aerodynamic characters are still considered by means of canopy height. The other merit is that all inputs (net radiation, soil heat flux, canopy height, variables related to land surface temperature) can be potentially obtained from remote sensing data, which allows obtaining regular RS-driven ET product. For the purposes of sensitivity analysis and performance evaluation of the Sim-ReSET model without the effect of potential uncertainties and errors from remote sensing data, the Sim-ReSET model was tested only using intensive ground observations at the Yucheng ecological station in the North China Plain from 2006 to 2008. Results show that the model has a good performance for instantaneous ET estimations with a mean absolute difference (MAD) of 34.27 W/m 2 and a root mean square error (RMSE) of 41.84 W/m 2 under neutral or near-neutral atmospheric conditions. On 12 cloudless days, the MAD of daily ET accumulated from instantaneous estimations is 0.26 mm/day, and the RMSE is 0.30 mm/day.

  1. ABAEnrichment: an R package to test for gene set expression enrichment in the adult and developing human brain.

    Science.gov (United States)

    Grote, Steffi; Prüfer, Kay; Kelso, Janet; Dannemann, Michael

    2016-10-15

    We present ABAEnrichment, an R package that tests for expression enrichment in specific brain regions at different developmental stages using expression information gathered from multiple regions of the adult and developing human brain, together with ontologically organized structural information about the brain, both provided by the Allen Brain Atlas. We validate ABAEnrichment by successfully recovering the origin of gene sets identified in specific brain cell-types and developmental stages. ABAEnrichment was implemented as an R package and is available under GPL (≥ 2) from the Bioconductor website (http://bioconductor.org/packages/3.3/bioc/html/ABAEnrichment.html). steffi_grote@eva.mpg.de, kelso@eva.mpg.de or michael_dannemann@eva.mpg.deSupplementary information: Supplementary data are available at Bioinformatics online. © The Author 2016. Published by Oxford University Press.

  2. A methodological proposal to research patients’ demands and pre-test probabilities using paper forms in primary care settings

    Directory of Open Access Journals (Sweden)

    Gustavo Diniz Ferreira Gusso

    2013-04-01

    Full Text Available Objective: The purpose of this study is to present a methodology for assessing patients’ demands and calculating pre-test probabilities using paper forms in Primary Care. Method: Most developing countries do not use Electronic Health Records (EHR in primary care settings. This makes it difficult to access information regarding what occurs within the health center working process. Basically, there are two methodologies to assess patients’ demands and problems or diagnosis stated by doctors. The first is based on single attendance at each appointment, while the second is based on episodes of care; the latter deals with each problem in a longitudinal manner. The methodology developed in this article followed the approach of confronting the ‘reason for the appointment’ and ‘the problem registered’ by doctors. Paper forms were developed taking this concept as central. All appointments were classified by the International Classification of Primary Care (ICPC. Discussion: Even in paper form, confrontation between ‘reason for the appointment’ and ‘problem registered’ is useful for measuring the pre-test probabilities of each problem-based appointment. This approach can be easily reproduced in any health center and enables a better understanding of population profile. Prevalence of many illnesses and diseases are not known in each reality, and studies conducted in other settings, such as secondary and tertiary care, are not adequate for primary health care. Conclusion: This study offers adequate technology for primary health care workers that have potential to transform each health center into a research-led practice, contributing directly to patient care.

  3. The cerebral correlates of set-shifting: an fMRI study of the trail making test

    Directory of Open Access Journals (Sweden)

    Moll Jorge

    2002-01-01

    Full Text Available The trail making test (TMT pertains to a family of tests that tap the ability to alternate between cognitive categories. However, the value of the TMT as a localizing instrument remains elusive. Here we report the results of a functional magnetic resonance imaging (fMRI study of a verbal adaptation of the TMT (vTMT. The vTMT takes advantage of the set-shifting properties of the TMT and, at the same time, minimizes the visuospatial and visuomotor components of the written TMT. Whole brain BOLD fMRI was performed during the alternating execution of vTMTA and vTMTB in seven normal adults with more than 12 years of formal education. Brain activation related to the set-shifting component of vTMTB was investigated by comparing performance on vTMTB with vTMTA, a simple counting task. There was a marked asymmetry of activation in favor of the left hemisphere, most notably in dorsolateral prefrontal cortex (BA 6 lateral, 44 and 46 and supplementary motor area/cingulate sulcus (BA 6 medial and 32. The intraparietal sulcus (BA 7 and 39 was bilaterally activated. These findings are in line with clinico-anatomic and functional neuroimaging data that point to a critical role of the dorsolateral and medial prefrontal cortices as well as the intraparietal sulci in the regulation of cognitive flexibility, intention, and the covert execution of saccades/anti-saccades. Many commonly used neuropsychological paradigms, such as the Stroop, Wisconsin Card Sorting, and go - no go tasks, share some patterns of cerebral activation with the TMT.

  4. Treatment of infectious waste: development and testing of an add-on set for used gravity displacement autoclaves.

    Science.gov (United States)

    Stolze, René; Kühling, Jan-Gerd

    2009-06-01

    The safe management of potentially infectious healthcare waste is gaining increasing worldwide importance. In developing countries, simple incinerators are used for the treatment of this type of waste stream. However, as these incinerators produce high emissions and represent the main generators of dioxin and furans in these countries, alternative and cost-effective solutions are needed. As steam treatment systems do not produce persistent organic pollutants, the use of existing (older) medical autoclaves could represent a solution for the treatment of infectious waste. ETLog Health EnviroTech & Logistics, the German-based consulting and engineering company carried out the first research into whether gravity air displacement autoclaves can be used for the safe decontamination of infectious waste. The research showed that it is not possible to decontaminate waste using this type of autoclave. A subsequent research and development phase might, however, make it possible to develop a new process cycle. Tests carried out on the basis of international standards and norms showed that by applying this process cycle and using an add-on set, it is possible to treat healthcare waste using the existing stock of older medical autoclaves. The process cycle and the add-on set developed were tested under existing conditions in Hanoi, Vietnam using the treatment cycle developed for a 13-year-old autoclave. All the parameters for infectious waste decontamination were reached. As modified autoclaves prevent the emission of toxic substances, this approach presents an interim solution, which avoids the impacts on human health and the environment caused by the incineration of healthcare waste.

  5. External costs related to power production technologies. ExternE national implementation for Denmark

    Energy Technology Data Exchange (ETDEWEB)

    Schleisner, L.; Sieverts Nielsen, P. [eds.

    1997-12-01

    The objective of the ExternE National Implementation project has been to establish a comprehensive and comparable set of data on externalities of power generation for all EU member states and Norway. The tasks include the application of the ExternE methodology to the most important fuel cycles for each country as well as to update the already existing results, to aggregate these site- and technology-specific results to more general figures. The current report covers the detailed information concerning the ExternE methodology. Importance is attached to the computer system used in the project and the assessment of air pollution effects on health, materials and ecological effects. Also the assessment of global warming damages are described. Finally the report covers the detailed information concerning the national implementation for Denmark for an offshore wind farm and a wind farm on land, a decentralised CHP plant based on natural gas and a decentralised CHP plant base on biogas. (au) EU-JOULE 3. 79 tabs., 11 ills., 201 refs.

  6. The External Degree.

    Science.gov (United States)

    Houle, Cyril O.

    This book examines the external degree in relation to the extremes of attitudes, myths, and data. Emphasis is placed on the emergence of the American external degree, foreign external-degree programs, the purpose of the external degree, the current scene, institutional issues, and problems of general policy. (MJM)

  7. Testing whether the DSM-5 personality disorder trait model can be measured with a reduced set of items: An item response theory investigation of the Personality Inventory for DSM-5.

    Science.gov (United States)

    Maples, Jessica L; Carter, Nathan T; Few, Lauren R; Crego, Cristina; Gore, Whitney L; Samuel, Douglas B; Williamson, Rachel L; Lynam, Donald R; Widiger, Thomas A; Markon, Kristian E; Krueger, Robert F; Miller, Joshua D

    2015-12-01

    The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes an alternative model of personality disorders (PDs) in Section III, consisting in part of a pathological personality trait model. To date, the 220-item Personality Inventory for DSM-5 (PID-5; Krueger, Derringer, Markon, Watson, & Skodol, 2012) is the only extant self-report instrument explicitly developed to measure this pathological trait model. The present study used item response theory-based analyses in a large sample (n = 1,417) to investigate whether a reduced set of 100 items could be identified from the PID-5 that could measure the 25 traits and 5 domains. This reduced set of PID-5 items was then tested in a community sample of adults currently receiving psychological treatment (n = 109). Across a wide range of criterion variables including NEO PI-R domains and facets, DSM-5 Section II PD scores, and externalizing and internalizing outcomes, the correlational profiles of the original and reduced versions of the PID-5 were nearly identical (rICC = .995). These results provide strong support for the hypothesis that an abbreviated set of PID-5 items can be used to reliably, validly, and efficiently assess these personality disorder traits. The ability to assess the DSM-5 Section III traits using only 100 items has important implications in that it suggests these traits could still be measured in settings in which assessment-related resources (e.g., time, compensation) are limited.

  8. Comparison of the Staphylococcus QuickFISH BC test with the tube coagulase test performed on positive blood cultures for evaluation and application in a clinical routine setting.

    Science.gov (United States)

    Carretto, E; Bardaro, M; Russello, G; Mirra, M; Zuelli, C; Barbarini, D

    2013-01-01

    Many studies demonstrate that delayed proper therapy in bloodstream infections caused by Staphylococcus aureus increases the mortality rate, emphasizing the need to shorten the turnaround time for positive blood cultures. Different techniques are currently available, from phenotypic methods to more complex tests such as matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF), real-time PCR (RT-PCR), and fluorescence in situ hybridization using peptide nucleic acid probes (PNA FISH). This study evaluated the performance of the Staphylococcus QuickFISH BC test (QFT), a novel FISH methodology, compared with the direct tube coagulase test (DTCT) on blood cultures exhibiting Gram-positive cocci in clusters. A total of 173 blood cultures collected from 128 different patients were analyzed using the DTCT, evaluated after both 4 and 24 h, and the QFT. A total of 179 isolates were identified using the Vitek2 system. Thirty-five out of 35 Staphylococcus aureus were correctly identified by the QFT (sensitivity = 100%), with a specificity of 100% (no green fluorescence was detected for strains different from S. aureus). The DTCT was positive after 4 h for 28 out of the 35 samples (sensitivity = 80%) and after 24 h for 31 out of the 35 samples (sensitivity = 88.57%). Among the remaining 144 isolates, one was then identified as Corynebacterium striatum and two as Micrococcus luteus. QFT identified 139 out of the 141 coagulase-negative staphylococci (CoNS) (sensitivity = 98.58%), showing again a specificity of 100% (no fluorescent red signals were detected for strains different from CoNS). We also discuss also the implementation process of this methodology in our setting, with particular emphasis on the workflow and the cost-effectiveness.

  9. Investigating Native and Non-Native English-Speaking Teacher Raters' Judgements of Oral Proficiency in the College English Test-Spoken English Test (CET-SET)

    Science.gov (United States)

    Zhang, Ying; Elder, Catherine

    2014-01-01

    This study investigates the impact of raters' language background on their judgements of the speaking performance in the College English Test-Spoken English Test (CET-SET) of China, by comparing the rating patterns of non-native English-speaking (NNES) teacher raters, who are currently employed to assess performance on the CET-SET, with those…

  10. Testing the External Shock Model of Gamma-Ray Bursts using the Late-Time Simultaneous Optical and X-ray Afterglows

    CERN Document Server

    Urata, Yuji; Sakamoto, Takanori; Huang, Kuiyun; Zheng, Weikang; Sato, Goro; Aoki, Tsutomu; Deng, Jinsong; Ioka, Kunihito; Ip, WingHuen; Kawabata, Koji S; Lee, YiHsi; Liping, Xin; Mito, Hiroyuki; Miyata, Takashi; Nakada, Yoshikazu; Ohsugi, Takashi; Qiu, Yulei; Soyano, Takao; Tarusawa, Kenichi; Tashiro, Makoto; Uemura, Makoto; Wei, Jianyan; Yamashita, Takuya

    2007-01-01

    We study the ``normal'' decay phase of the X-ray afterglows of gamma-ray bursts (GRBs), which follows the shallow decay phase, using the events simultaneously observed in the R-band. The classical external shock model, in which neither the delayed energy injection nor time-dependency of shock micro-physics is considered, shows that the decay indices of the X-ray and R-band light curves, $\\alpha_{\\rm X}$ and $\\alpha_{\\rm O}$, obey a certain relation, and that in particular, $\\alpha_{\\rm O}-\\alpha_{\\rm X}$ should be larger than -1/4. For our selected 14 samples, we have found that 7 events violate the limit taking into account 1$\\sigma$ error, so that a fraction of events are outliers of the classical external shock model at the ``normal'' decay phase.

  11. Acceptability of self-collection sampling for HPV-DNA testing in low-resource settings: a mixed methods approach.

    Science.gov (United States)

    Bansil, Pooja; Wittet, Scott; Lim, Jeanette L; Winkler, Jennifer L; Paul, Proma; Jeronimo, Jose

    2014-06-12

    Vaginal self-sampling with HPV-DNA tests is a promising primary screening method for cervical cancer. However, women's experiences, concerns and the acceptability of such tests in low-resource settings remain unknown. In India, Nicaragua, and Uganda, a mixed-method design was used to collect data from surveys (N = 3,863), qualitative interviews (N = 72; 20 providers and 52 women) and focus groups (N = 30 women) on women's and providers' experiences with self-sampling, women's opinions of sampling at home, and their future needs. Among surveyed women, 90% provided a self- collected sample. Of these, 75% reported it was easy, although 52% were initially concerned about hurting themselves and 24% were worried about not getting a good sample. Most surveyed women preferred self-sampling (78%). However it was not clear if they responded to the privacy of self-sampling or the convenience of avoiding a pelvic examination, or both. In follow-up interviews, most women reported that they didn't mind self-sampling, but many preferred to have a provider collect the vaginal sample. Most women also preferred clinic-based screening (as opposed to home-based self-sampling), because the sample could be collected by a provider, women could receive treatment if needed, and the clinic was sanitary and provided privacy. Self-sampling acceptability was higher when providers prepared women through education, allowed women to examine the collection brush, and were present during the self-collection process. Among survey respondents, aids that would facilitate self-sampling in the future were: staff help (53%), additional images in the illustrated instructions (31%), and a chance to practice beforehand with a doll/model (26%). Self-and vaginal-sampling are widely acceptable among women in low-resource settings. Providers have a unique opportunity to educate and prepare women for self-sampling and be flexible in accommodating women's preference for self-sampling.

  12. Don’t Farm So Close to Me: Testing Whether Spatial Externalities Contributed to the Emergence of Glyphosate-Resistant Weed Populations

    OpenAIRE

    Wood, Dallas

    2014-01-01

    The emergence of glyphosate-resistant weed populations threatens the economic viability of genetically modified, glyphosate-resistant crop varieties. This could not only have serious consequences for the welfare of U.S. farmers, but also for environmental quality as farmers turn to more toxic herbicides. The purpose of this paper is to better understand what economic factors have contributed to the rise of resistant weeds. Specifically, I investigate whether externalities associated with weed...

  13. The Scary World in Your Living Room and Neighborhood: Using Local Broadcast News, Neighborhood Crime Rates, and Personal Experience to Test Agenda Setting and Cultivation.

    Science.gov (United States)

    Gross, Kimberly; Aday, Sean

    2003-01-01

    Tests two important theories in the history of mass communication research, agenda setting and cultivation, by comparing the effects of watching local television news with direct experience measures of crime on issue salience and fear of victimization. Finds that direct experience had no agenda-setting effect but did predict fear. (SG)

  14. Regulating multiple externalities

    DEFF Research Database (Denmark)

    Waldo, Staffan; Jensen, Frank; Nielsen, Max

    2016-01-01

    Open access is a well-known externality problem in fisheries causing excess capacity and overfishing. Due to global warming, externality problems from CO2 emissions have gained increased interest. With two externality problems, a first-best optimum can be achieved by using two regulatory instrume......Open access is a well-known externality problem in fisheries causing excess capacity and overfishing. Due to global warming, externality problems from CO2 emissions have gained increased interest. With two externality problems, a first-best optimum can be achieved by using two regulatory...

  15. TESTING OF THE OSCILLATIONS DAMPING CAPABILITY BY EXTERNAL TURNING WITH THE USE OF ALTERNATE BARS IN THE CONSTRUCTION OF THE TURNING TOOL HOLDER

    Directory of Open Access Journals (Sweden)

    Marten Madissoo

    2015-09-01

    Full Text Available Modern machinery is highly demanding and the requirement for producing high quality parts is crucial in modern engineering. The most important is the setting of dimensions and tolerances of the surfaces which work together. The shape- and position tolerances may raise the existence of failures and can affect the performance of different machinery. Consequently it is very important that the cutting process is as stable as possible in order to get the best quality parts and to achieve the maximum lifetime of the cutting tool. Unfortunately the machining of complex products from hard materials is accompanied by loss of stability of the cutting process, which leads to tool oscillations, causing an increasing wear of the cutting tools, reducing the lifetime of the machine actuators, which ultimately affects the quality and accuracy of processing responsible products. To avoid this kind of chatter vibrations it is possible to construct specialized cutting tools and tool holder witch reduce this kind of vibrations and can help to increase the manufacturing precision of machine components. In consequence of this the paper focuses on testing the utility effect of a cutting tool holder with alternate bars of different material structure in its construction. The different bars are made from rolled steel and have an anisotropic structure which also has different mechanical properties. This construction is considered as a method to improve the cutting stability of the cutting tool and helps to reduce the oscillations in the finishing turning. The method for the construction of the damper instrument holder with alternate bars is proposed.DOI: http://dx.doi.org/10.5755/j01.ms.21.3.7351

  16. ExternE National Implementation Finland

    Energy Technology Data Exchange (ETDEWEB)

    Pingoud, K.; Maelkki, H.; Wihersaari, M.; Pirilae, P. [VTT Energy, Espoo (Finland); Hongisto, M. [Imatran Voima Oy, Vantaa (Finland); Siitonen, S. [Ekono Energy Ltd, Espoo (Finland); Johansson, M. [Finnish Environment Institute, Helsinki (Finland)

    1999-07-01

    ExternE National Implementation is a continuation of the ExternE Project, funded in part by the European Commission's Joule III Programme. This study is the result of the ExternE National Implementation Project for Finland. Three fuel cycles were selected for the Finnish study: coal, peat and wood-derived biomass, which together are responsible for about 40% of total electricity generation in Finland and about 75% of the non-nuclear fuel based generation. The estimated external costs or damages were dominated by the global warming (GW) impacts in the coal and peat fuel cycles, but knowledge of the true GW impacts is still uncertain. From among other impacts that were valued in monetary terms the human health damages due to airborne emissions dominated in all the three fuel cycles. Monetary valuation for ecosystem impacts is not possible using the ExternE methodology at present. The Meri-Pori power station representing the coal fuel cycle is one of the world's cleanest and most efficient coal-fired power plants with a condensing turbine. The coal is imported mainly from Poland. The estimated health damages were about 4 mECU/kWh, crop damages an order of magnitude lower and damages caused to building materials two orders of magnitude lower. The power stations of the peat and biomass fuel cycles are of CHP type, generating electricity and heat for the district heating systems of two cities. Their fuels are of domestic origin. The estimated health damages allocated to electricity generation were about 5 and 6 mECU/kWh, respectively. The estimates were case-specific and thus an generalisation of the results to the whole electricity generation in Finland is unrealistic. Despite the uncertainties and limitations of the methodology, it is a promising tool in the comparison of similar kinds of fuel cycles, new power plants and pollution abatement technologies and different plant locations with each other. (orig.)

  17. External micro-PIXE analysis of fluid inclusions: Test of the LABEC facility on samples of quartz veins from Apuan Alps (Italy)

    Science.gov (United States)

    Massi, M.; Calusi, S.; Giuntini, L.; Ruggieri, G.; Dini, A.

    2008-05-01

    Fluid inclusions are small portions, usually smaller than 100 μm, of fluid trapped within minerals during or after growth. Their characteristics provide therefore fundamental information on nature and evolution of fluids present in the past in different geological environments. At the LABEC laboratory in Firenze, high-salinity fluid inclusions in quartz crystals, coming from the Apuan Alps metamorphic complex, were analysed at the external scanning microbeam. Results, although still preliminary, have already provided us with hints on fluid-rock interaction processes during the metamorphism of the Apuan Alps.

  18. Robustness evaluation of a computer-aided detection system for pulmonary embolism (PE) in CTPA using independent test set from multiple institutions

    Science.gov (United States)

    Zhou, Chuan; Chan, Heang-Ping; Chughtai, Aamer; Kuriakose, Jean W.; Kazerooni, Ella A.; Hadjiiski, Lubomir M.; Wei, Jun; Patel, Smita

    2015-03-01

    We have developed a computer-aided detection (CAD) system for assisting radiologists in detection of pulmonary embolism (PE) in computed tomographic pulmonary angiographic (CTPA) images. The CAD system includes stages of pulmonary vessel segmentation, prescreening of PE candidates and false positive (FP) reduction to identify suspicious PEs. The system was trained with 59 CTPA PE cases collected retrospectively from our patient files (UM set) with IRB approval. Five feature groups containing 139 features that characterized the intensity texture, gradient, intensity homogeneity, shape, and topology of PE candidates were initially extracted. Stepwise feature selection guided by simplex optimization was used to select effective features for FP reduction. A linear discriminant analysis (LDA) classifier was formulated to differentiate true PEs from FPs. The purpose of this study is to evaluate the performance of our CAD system using an independent test set of CTPA cases. The test set consists of 50 PE cases from the PIOPED II data set collected by multiple institutions with access permission. A total of 537 PEs were manually marked by experienced thoracic radiologists as reference standard for the test set. The detection performance was evaluated by freeresponse receiver operating characteristic (FROC) analysis. The FP classifier obtained a test Az value of 0.847 and the FROC analysis indicated that the CAD system achieved an overall sensitivity of 80% at 8.6 FPs/case for the PIOPED test set.

  19. ASH External Web Portal (External Portal) -

    Data.gov (United States)

    Department of Transportation — The ASH External Web Portal is a web-based portal that provides single sign-on functionality, making the web portal a single location from which to be authenticated...

  20. Sensitivity testing of the model set-up used for calculation of photochemical ozone creation potentials (POCP) under European conditions

    Energy Technology Data Exchange (ETDEWEB)

    Altenstedt, J.; Pleijel, K.

    1998-02-01

    Photochemical Ozone Creation Potentials (POCP) is a method to rank VOC, relative to other VOC, according to their ability to produce ground level ozone. To obtain POCP values valid under European conditions, a critical analysis of the POCP concept has been performed using the IVL photochemical trajectory model. The critical analysis has concentrated on three VOC (ethene, n-butane and o-xylene) and has analysed the effect on their POCP values when different model parameters were varied. The three species were chosen because of their different degradation mechanisms in the atmosphere and thus their different abilities to produce ozone. The model parameters which have been tested include background emissions, initial concentrations, dry deposition velocities, the features of the added point source and meteorological parameters. The critical analysis shows that the background emissions of NO{sub x} and VOC have a critical impact on the POCP values. The hour of the day for the point source emission also shows a large influence on the POCP values. Other model parameters which have been studied have not shown such large influence on the POCP values. Based on the critical analysis a model set-up for calculation of POCP is defined. The variations in POCP values due to changes in the background emissions of NO{sub x} and VOC are so large that they can not be disregarded in the calculation of POCP. It is recommended to calculate POCP ranges based on the extremes in POCP values instead of calculating site specific POCP values. Four individual emission scenarios which produced the extremes in POCP values in the analysis have been selected for future calculation of POCP ranges. The scenarios are constructed based on the emissions in Europe and the resulting POCP ranges are thus intended to be applicable within Europe 67 refs, 61 figs, 16 tabs

  1. Assessment of the knowledge of graphical symbols labelled on malaria rapid diagnostic tests in four international settings

    Directory of Open Access Journals (Sweden)

    Gillet Philippe

    2011-11-01

    Full Text Available Abstract Background Graphical symbols on in vitro diagnostics (IVD symbols replace the need for text in different languages and are used on malaria rapid diagnostic tests (RDTs marketed worldwide. The present study assessed the comprehension of IVD symbols labelled on malaria RDT kits among laboratory staff in four different countries. Methods Participants (n = 293 in Belgium (n = 96, the Democratic Republic of the Congo (DRC, n = 87, Cambodia (n = 59 and Cuba (n = 51 were presented with an anonymous questionnaire with IVD symbols extracted from ISO 15223 and EN 980 presented as stand-alone symbols (n = 18 and in context (affixed on RDT packages, n = 16. Responses were open-ended and scored for correctness by local professionals. Results Presented as stand-alone, three and five IVD symbols were correctly scored for comprehension by 67% and 50% of participants; when contextually presented, five and seven symbols reached the 67% and 50% correct score respectively. 'Batch code' scored best (correctly scored by 71.3% of participants when presented as stand-alone, 'Authorized representative in the European Community' scored worst (1.4% correct. Another six IVD symbols were scored correctly by less than 10% of participants: 'Do not reuse', 'In vitro diagnostic medical device', 'Sufficient for', 'Date of manufacture', 'Authorised representative in EC', and 'Do not use if package is damaged'. Participants in Belgium and Cuba both scored six symbols above the 67% criterion, participants from DRC and Cambodia scored only two and one symbols above this criterion. Low correct scores were observed for safety-related IVD symbols, such as for 'Biological Risk' (42.7% and 'Do not reuse' (10.9%. Conclusion Comprehension of IVD symbols on RDTs among laboratory staff in four international settings was unsatisfactory. Administrative and outreach procedures should be undertaken to assure their acquaintance by end-users.

  2. Liver Function Test Abnormalities in Depressed Patients Treated with Antidepressants: A Real-World Systematic Observational Study in Psychiatric Settings

    Science.gov (United States)

    Verstuyft, Céline; Corruble, Emmanuelle; Perlemuter, Gabriel; Colle, Romain

    2016-01-01

    Background Concerning the risk of antidepressant induced liver injury, it is not clear whether psychiatrists perform a liver function test (LFT) and whether an increase in aminotransferase levels should contraindicate antidepressant treatment. Aim To evaluate LFT availability, the prevalence of LFT abnormalities and the probable cause of an altered LFT in patients with a major depressive episode (MDE) requiring an antidepressant drug. Methods We studied LFT evaluation in a real world psychiatric setting, in a sample of 321 consecutive patients with a current major depressive episode (MDE) requiring an antidepressant drug treatment, but without current alcohol or drug dependence or unstable medical disease. Results An LFT is performed in 36.1% (116/321) of depressed patients. One fifth of antidepressant-treated patients who had an LFT evaluation had abnormal results. The most frequent causes of LFT abnormalities were: NAFLD (nonalcoholic fatty liver disease) (7/321; 2.1%), acute alcohol consumption (4/321; 1.2%), antidepressant-induced liver injury (3/321; 0.9%), hepatitis C virus infection (2/321; 0.6%) and heart failure (1/321; 0.3%). The cause of LFT abnormalities was unknown in 32% of patients (8/25) due to the absence of etiological investigations. Conclusion These results demonstrate that an LFT is infrequently performed by psychiatrists in depressed patients requiring an antidepressant drug. Baseline LFT assessment and observations during the first six months of antidepressant treatment may be useful for detection of patients with pre-existing liver disease such as NAFLD, and early identification of cases of antidepressant-induced liver injury. An increase in aminotransferase levels may be related to an underlying liver disease, but does not contraindicate antidepressant treatment. PMID:27171561

  3. Identification of a Core Set of Exercise Tests for Children and Adolescents with Cerebral Palsy: A Delphi Survey of Researchers and Clinicians

    Science.gov (United States)

    Verschuren, Olaf; Ketelaar, Marjolijn; Keefer, Daniel; Wright, Virginia; Butler, Jane; Ada, Louise; Maher, Carol; Reid, Siobhan; Wright, Marilyn; Dalziel, Blythe; Wiart, Lesley; Fowler, Eileen; Unnithan, Viswanath; Maltais, Desiree B.; van den Berg-Emons, Rita; Takken, Tim

    2011-01-01

    Aim: Evidence-based recommendations regarding which exercise tests to use in children and adolescents with cerebral palsy (CP) are lacking. This makes it very difficult for therapists and researchers to choose the appropriate exercise-related outcome measures for this group. This study aimed to identify a core set of exercise tests for children…

  4. Evaluation of a commercial microarray as a confirmation test for the presence of extended-spectrum beta-lactamases in isolates from the routine clinical setting.

    NARCIS (Netherlands)

    Platteel, T.N.; Stuart, J.W.; Voets, G.M.; Scharringa, J.; Sande, N. van de; Fluit, A.C.; Leverstein-van Hall, M.A.; Sturm, P.D.J.

    2011-01-01

    Since the diagnostic characteristics of the Check-KPC ESBL microarray as a confirmation test on isolates obtained in a routine clinical setting have not been determined, we evaluated the microarray in a random selection of 346 clinical isolates with a positive ESBL screen test (MIC >1 mg/L for

  5. Application of a test package in an intercomparison of the photon dose calculation performance of treatment planning systems used in a clinical setting

    NARCIS (Netherlands)

    Venselaar, J; Welleweerd, H

    2001-01-01

    Background and purpose: Testing the performance of treatment planning systems by using the AAPM Task Group 23 test package is a useful approach, but has its limitations. To be able to include technical developments, such as the asymmetric collimator, it was decided to remeasure the AAPM data set on

  6. Application of a test package in an intercomparison of the photon dose calculation performance of treatment planning systems used in a clinical setting

    NARCIS (Netherlands)

    Venselaar, J; Welleweerd, H

    2001-01-01

    Background and purpose: Testing the performance of treatment planning systems by using the AAPM Task Group 23 test package is a useful approach, but has its limitations. To be able to include technical developments, such as the asymmetric collimator, it was decided to remeasure the AAPM data set on

  7. HIV testing in non-traditional settings--the HINTS study: a multi-centre observational study of feasibility and acceptability.

    Directory of Open Access Journals (Sweden)

    Michael Rayment

    Full Text Available BACKGROUND: UK guidelines recommend routine HIV testing in healthcare settings if the local diagnosed HIV prevalence >2/1000 persons. This prospective study assessed the feasibility and acceptability, to patients and staff, of routinely offering HIV tests in four settings: Emergency Department, Acute Care Unit, Dermatology Outpatients and Primary Care. Modelling suggested the estimated prevalence of undiagnosed HIV infection in attendees would exceed 1/1000 persons. The prevalence identified prospectively was not a primary outcome. METHODS: Permanent staff completed questionnaires assessing attitudes towards routine HIV testing in their workplace before testing began. Subsequently, over a three-month period, patients aged 16-65 were offered an HIV test by study staff. Demographics, uptake, results, and departmental activity were collected. Subsets of patients completed questionnaires. Analyses were conducted to identify factors associated with test uptake. FINDINGS: Questionnaires were received from 144 staff. 96% supported the expansion of HIV testing, but only 54% stated that they would feel comfortable delivering testing themselves, with 72% identifying a need for training. Of 6194 patients offered a test, 4105 (66·8% accepted (61·8-75·4% across sites. Eight individuals were diagnosed with HIV (0-10/1000 across sites and all transferred to care. Younger people, and males, were more likely to accept an HIV test. No significant associations were found between uptake and ethnicity, or clinical site. Questionnaires were returned from 1003 patients. The offer of an HIV test was acceptable to 92%. Of respondents, individuals who had never tested for HIV before were more likely to accept a test, but no association was found between test uptake and sexual orientation. CONCLUSIONS: HIV testing in these settings is acceptable, and operationally feasible. The strategy successfully identified, and transferred to care, HIV-positive individuals. However

  8. Externalities - an analysis using the EU ExternE-results; Externaliteter - en analys utifraan EU:s ExternE-resultat

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-10-01

    The EU project ExternE quantified the externalities for the different energy technologies. In this work, the ExternE results are used in a MARKAL-analysis for the Nordic countries. The analysis does not go into detail, but gives some interesting indications: The external costs are not fully covered in the Nordic energy systems, the present taxes and charges are not high enough. The emissions from the energy systems would be strongly reduced, if taxes/environmental charges were set at the level ExternE calculate. The emissions from power production would be reduced most. Renewable energy sources and natural gas dominate the energy systems in the ExternE case.

  9. Vibration, acoustic, and shock design and test criteria for components on the Solid Rocket Boosters (SRB), Lightweight External Tank (LWT), and Space Shuttle Main Engines (SSME)

    Science.gov (United States)

    1984-01-01

    The vibration, acoustics, and shock design and test criteria for components and subassemblies on the space shuttle solid rocket booster (SRB), lightweight tank (LWT), and main engines (SSME) are presented. Specifications for transportation, handling, and acceptance testing are also provided.

  10. Operating with External Arguments of Douady and Hubbard

    Directory of Open Access Journals (Sweden)

    G. Pastor

    2007-01-01

    Full Text Available The external arguments of the external rays theory of Douady and Hubbard is a valuable tool in order to analyze the Mandelbrot set, a typical case of discrete dynamical system used to study nonlinear phenomena. We suggest here a general method for the calculation of the external arguments of external rays landing at the hyperbolic components root points of the Mandelbrot set. Likewise, we present a general method for the calculation of the external arguments of external rays landing at Misiurewicz points.

  11. Alcohol-related genes show an enrichment of associations with a persistent externalizing factor.

    Science.gov (United States)

    Ashenhurst, James R; Harden, K Paige; Corbin, William R; Fromme, Kim

    2016-10-01

    Research using twins has found that much of the variability in externalizing phenotypes-including alcohol and drug use, impulsive personality traits, risky sex, and property crime-is explained by genetic factors. Nevertheless, identification of specific genes and variants associated with these traits has proven to be difficult, likely because individual differences in externalizing are explained by many genes of small individual effect. Moreover, twin research indicates that heritable variance in externalizing behaviors is mostly shared across the externalizing spectrum rather than specific to any behavior. We use a longitudinal, "deep phenotyping" approach to model a general externalizing factor reflecting persistent engagement in a variety of socially problematic behaviors measured at 11 assessment occasions spanning early adulthood (ages 18 to 28). In an ancestrally homogenous sample of non-Hispanic Whites (N = 337), we then tested for enrichment of associations between the persistent externalizing factor and a set of 3,281 polymorphisms within 104 genes that were previously identified as associated with alcohol-use behaviors. Next, we tested for enrichment among domain-specific factors (e.g., property crime) composed of residual variance not accounted for by the common factor. Significance was determined relative to bootstrapped empirical thresholds derived from permutations of phenotypic data. Results indicated significant enrichment of genetic associations for persistent externalizing, but not for domain-specific factors. Consistent with twin research findings, these results suggest that genetic variants are broadly associated with externalizing behaviors rather than unique to specific behaviors. (PsycINFO Database Record

  12. Proposal for a candidate core-set of fitness and strength tests for patients with childhood or adult idiopathic inflammatory myopathies

    Science.gov (United States)

    van der Stap, Djamilla K.D.; Rider, Lisa G.; Alexanderson, Helene; Huber, Adam M.; Gualano, Bruno; Gordon, Patrick; van der Net, Janjaap; Mathiesen, Pernille; Johnson, Liam G.; Ernste, Floranne C.; Feldman, Brian M.; Houghton, Kristin M.; Singh-Grewal, Davinder; Kutzbach, Abraham Garcia; Munters, Li Alemo; Takken, Tim

    2015-01-01

    OBJECTIVES Currently there are no evidence-based recommendations regarding which fitness and strength tests to use for patients with childhood or adult idiopathic inflammatory myopathies (IIM). This hinders clinicians and researchers in choosing the appropriate fitness- or muscle strength-related outcome measures for these patients. Through a Delphi survey, we aimed to identify a candidate core-set of fitness and strength tests for children and adults with IIM. METHODS Fifteen experts participated in a Delphi survey that consisted of five stages to achieve a consensus. Using an extensive search of published literature and through the expertise of the experts, a candidate core-set based on expert opinion and clinimetric properties was developed. Members of the International Myositis Assessment and Clinical Studies Group (IMACS) were invited to review this candidate core-set during the final stage, which led to a final candidate core-set. RESULTS A core-set of fitness- and strength-related outcome measures was identified for children and adults with IIM. For both children and adults, different tests were identified and selected for maximal aerobic fitness, submaximal aerobic fitness, anaerobic fitness, muscle strength tests and muscle function tests. CONCLUSIONS The core-set of fitness and strength-related outcome measures provided by this expert consensus process will assist practitioners and researchers in deciding which tests to use in IIM patients. This will improve the uniformity of fitness and strength tests across studies, thereby facilitating the comparison of study results and therapeutic exercise program outcomes among patients with IIM. PMID:26568594

  13. Barriers to Point-of-Care Testing in India: Results from Qualitative Research across Different Settings, Users and Major Diseases

    National Research Council Canada - National Science Library

    Engel, Nora; Ganesh, Gayatri; Patil, Mamata; Yellappa, Vijayashree; Pant Pai, Nitika; Vadnais, Caroline; Pai, Madhukar

    2015-01-01

    Successful point-of-care testing, namely ensuring the completion of the test and treat cycle in the same encounter, has immense potential to reduce diagnostic and treatment delays, and impact patient outcomes...

  14. Retest Effects in Matrix Test Performance: Differential Impact of Predictors at Different Hierarchy Levels in an Educational Setting

    Science.gov (United States)

    Freund, Philipp Alexander; Holling, Heinz

    2011-01-01

    If tests of cognitive ability are repeatedly taken, test scores rise. Such retest effects have been observed for a long time and for a variety of tasks. This study investigates retest effects on figural matrix items in an educational context. A short term effect is assumed for the direct retest administration in the same test session, and a long…

  15. The use of rapid dengue diagnostic tests in a routine clinical setting in a dengue-endemic area of Colombia

    Directory of Open Access Journals (Sweden)

    Lyda Osorio

    2015-06-01

    Full Text Available There is insufficient evidence of the usefulness of dengue diagnostic tests under routine conditions. We sought to analyse how physicians are using dengue diagnostics to inform research and development. Subjects attending 14 health institutions in an endemic area of Colombia with either a clinical diagnosis of dengue or for whom a dengue test was ordered were included in the study. Patterns of test-use are described herein. Factors associated with the ordering of dengue diagnostic tests were identified using contingency tables, nonparametric tests and logistic regression. A total of 778 subjects were diagnosed with dengue by the treating physician, of whom 386 (49.5% were tested for dengue. Another 491 dengue tests were ordered in subjects whose primary diagnosis was not dengue. Severe dengue classification [odds ratio (OR 2.2; 95% confidence interval (CI 1.1-4.5], emergency consultation (OR 1.9; 95% CI 1.4-2.5 and month of the year (OR 3.1; 95% CI 1.7-5.5 were independently associated with ordering of dengue tests. Dengue tests were used both to rule in and rule out diagnosis. The latter use is not justified by the sensitivity of current rapid dengue diagnostic tests. Ordering of dengue tests appear to depend on a combination of factors, including physician and institutional preferences, as well as other patient and epidemiological factors.

  16. Interpreting Standardized Assessment Test Scores and Setting Performance Goals in the Context of Student Characteristics: The Case of the Major Field Test in Business

    Science.gov (United States)

    Bielinska-Kwapisz, Agnieszka; Brown, F. William; Semenik, Richard

    2012-01-01

    The Major Field Test in Business (MFT-B), a standardized assessment test of business knowledge among undergraduate business seniors, is widely used to measure student achievement. The Educational Testing Service, publisher of the assessment, provides data that allow institutions to compare their own MFT-B performance to national norms, but that…

  17. SPD型式试验对外部脱离器的要求%Requirements of SPD Type Test for External Disconnector

    Institute of Scientific and Technical Information of China (English)

    陈谦

    2014-01-01

    The latest test standard from IEC 61643. 11-2011 Low-voltage surge protective devices- Part 11: Surge protective devices connected to low-voltage power systems - Requirements and test methods is referred to analyze and describe the requirements and procedures of operating duty test, thermal stability test, short-circuit current characteristic test and TOV test due to low and high voltage failure of disconnector in SPD type test, so as to properly understand the functions, selection and application of disconnector.%引用IEC 61643.11-2011《Low-voltage surge protective devices - Part 11: Surge protective devices connected to low-voltage power systems-Requirements and test methods》最新试验标准的内容,分析、阐述脱离器在SPD型式试验中的动作负载试验、热稳定性试验、短路电流特性试验和低压,以及高压故障引起的TOV试验要求和程序,以正确了解外部脱离器的功能、选择和应用。

  18. The Relevance of External Quality Assessment for Molecular Testing for ALK Positive Non-Small Cell Lung Cancer : Results from Two Pilot Rounds Show Room for Optimization

    NARCIS (Netherlands)

    Tembuyser, Lien; Tack, Veronique; Zwaenepoel, Karen; Pauwels, Patrick; Miller, Keith; Bubendorf, Lukas; Kerr, Keith; Schuuring, Ed; Thunnissen, Erik; Dequeker, Elisabeth M. C.

    2014-01-01

    Background and Purpose: Molecular profiling should be performed on all advanced non-small cell lung cancer with non-squamous histology to allow treatment selection. Currently, this should include EGFR mutation testing and testing for ALK rearrangements. ROS1 is another emerging target. ALK

  19. Testing initiatives increase rates of HIV diagnosis in primary care and community settings: an observational single-centre cohort study.

    Directory of Open Access Journals (Sweden)

    Prini Mahendran

    Full Text Available The primary objective was to examine trends in new HIV diagnoses in a UK area of high HIV prevalence between 2000 and 2012 with respect to site of diagnosis and stage of HIV infection.Single-centre observational cohort study.An outpatient HIV department in a secondary care UK hospital.1359 HIV-infected adults.Demographic information (age, gender, ethnicity, and sexual orientation, site of initial HIV diagnosis (Routine settings such as HIV/GUM clinics versus Non-Routine settings such as primary care and community venues, stage of HIV infection, CD4 count and seroconversion symptoms were collated for each participant.There was a significant increase in the proportion of new HIV diagnoses made in Non-Routine settings (from 27.0% in 2000 to 58.8% in 2012; p<0.001. Overall there was a decrease in the rate of late diagnosis from 50.7% to 32.9% (p=0.001. Diagnosis of recent infection increased from 23.0% to 47.1% (p=0.001. Of those with recent infection, significantly more patients were likely to report symptoms consistent with a seroconversion illness over the 13 years (17.6% to 65.0%; p<0.001.This is the first study, we believe, to demonstrate significant improvements in HIV diagnosis and a shift in diagnosis of HIV from HIV/GUM settings to primary practice and community settings due to multiple initiatives.

  20. Solar array test set-up proposed by CNES in the frame of European standardization: Prevention of secondary arcing induced by electrostatic discharge

    OpenAIRE

    Payan, Denis; Schwander, Denis

    2005-01-01

    The validation of new solar cell for geostationary satellite application sets the problem of arcing between solar cells triggered by electrostatic discharges (ESD(sup 1)). The main difficulty of a ground test is to properly simulate the transient behavior of one string from the first microsecond of an electrostatic discharge and to take into account all the energy stored on a panel that would be released during hundreds of microseconds. The test set-up to use, with all the physical data we ne...

  1. The sustainability of Serbia's external position: The impact of fiscal adjustment and external shocks

    Directory of Open Access Journals (Sweden)

    Zildžović Emir

    2015-01-01

    Full Text Available This paper studies the impact of fiscal policy and external shocks on the sustainability of Serbia’s external position. The key determinants of Serbia's current account balance are identified using model averaging techniques and are compared with estimates obtained for other small open economies (Poland, Georgia, Morocco, Ukraine, and Estonia. The paper uses estimated influences of macrovariables on the current account balance to generate a rich set of possible outcomes for the external position of the country. The results suggest the importance of fiscal policy for the reduction of external imbalances in all countries in our sample. In particular, credible and sustained fiscal adjustment can reduce current account deficit and stabilize Serbia’s external position close to its current level over the medium term. The analysis also warns that lack of success in fiscal consolidation coupled with external shocks may easily push the external position onto an unsustainable path.

  2. Designing a set of specifications for a 9th grade-speaking test in Portuguese secondary schools

    OpenAIRE

    Pavao, Marilia

    2007-01-01

    The topic of this study regards speaking assessment and the research is focused on the possibility of obtaining a set of specifications that helps my school’s teachers design valid and reliable speaking assessment tools. I describe my school’s context and analyse the reasons why there is the need to reinforce speaking assessment and, afterwards, I analyse and compare different speaking exams. From this analysis and comparison, a set of specifications is derived and applied in the design of a ...

  3. Testing Set-Point Theory in a Swiss National Sample: Reaction and Adaptation to Major Life Events.

    Science.gov (United States)

    Anusic, Ivana; Yap, Stevie C Y; Lucas, Richard E

    2014-12-01

    Set-point theory posits that individuals react to the experience of major life events, but quickly adapt back to pre-event baseline levels of subjective well-being in the years following the event. A large, nationally representative panel study of Swiss households was used to examine set-point theory by investigating the extent of adaptation following the experience of marriage, childbirth, widowhood, unemployment, and disability. Our results demonstrate that major life events are associated with marked change in life satisfaction and, for some events (e.g., marriage, disability), these changes are relatively long lasting even when accounting for normative, age related change.

  4. Angoff Method of Setting Cut Scores for High-Stakes Testing: Foley Catheter Checkoff as an Exemplar.

    Science.gov (United States)

    Kardong-Edgren, Suzan; Mulcock, Pamela M

    2016-01-01

    The Angoff method is a commonly used and legally defensible method for setting passing or cut scores for high-stakes examinations. It also can be used for setting passing scores on clinical skill checklists. Two variations of the Angoff method were compared with a traditional and arbitrary 75% passing score, using a Foley catheter insertion checklist as an exemplar. Both Angoff methods produced slightly lower scores than our traditional scoring; because of "must pass" steps on our checklist, 12 of 13 students still failed the evaluation. The project uncovered multiple variations of checklists within different courses and variations in teaching practices for this skill.

  5. Test of experimental set-ups for electrodialytic removal of Cu, Zn, Pb and Cd from different contaminated harbour sediments

    DEFF Research Database (Denmark)

    Nystrøm, Gunvor Marie; Ottosen, Lisbeth M.; Villumsen, Arne

    2005-01-01

    of the sediment slurry, the other without stirring. The removal of heavy metals was highest in the non-calcareous sediment, where 94% Cd, 91% Zn and 73% Cu were removed after 24 days. The highest removal obtained for the calcareous sediment was 81% Cd, 76% Zn, 75% Pb and 53% Cu after 21 days, with stirred...... was the most stable in these experiments, and thus, the stirred set-up is the best choice for experimental set-up. The order in which the heavy metals were removed from the harbour sediments was Cd>Zn>Pb>Cu....

  6. Barriers to provider-initiated testing and counselling for children in a high HIV prevalence setting: a mixed methods study.

    Directory of Open Access Journals (Sweden)

    Katharina Kranzer

    2014-05-01

    Full Text Available There is a substantial burden of HIV infection among older children in sub-Saharan Africa, the majority of whom are diagnosed after presentation with advanced disease. We investigated the provision and uptake of provider-initiated HIV testing and counselling (PITC among children in primary health care facilities, and explored health care worker (HCW perspectives on providing HIV testing to children.Children aged 6 to 15 y attending six primary care clinics in Harare, Zimbabwe, were offered PITC, with guardian consent and child assent. The reasons why testing did not occur in eligible children were recorded, and factors associated with HCWs offering and children/guardians refusing HIV testing were investigated using multivariable logistic regression. Semi-structured interviews were conducted with clinic nurses and counsellors to explore these factors. Among 2,831 eligible children, 2,151 (76% were offered PITC, of whom 1,534 (54.2% consented to HIV testing. The main reasons HCWs gave for not offering PITC were the perceived unsuitability of the accompanying guardian to provide consent for HIV testing on behalf of the child and lack of availability of staff or HIV testing kits. Children who were asymptomatic, older, or attending with a male or a younger guardian had significantly lower odds of being offered HIV testing. Male guardians were less likely to consent to their child being tested. 82 (5.3% children tested HIV-positive, with 95% linking to care. Of the 940 guardians who tested with the child, 186 (19.8% were HIV-positive.The HIV prevalence among children tested was high, highlighting the need for PITC. For PITC to be successfully implemented, clear legislation about consent and guardianship needs to be developed, and structural issues addressed. HCWs require training on counselling children and guardians, particularly male guardians, who are less likely to engage with health care services. Increased awareness of the risk of HIV infection

  7. Operational feasibility of using whole blood in the rapid HIV testing algorithm of a resource-limited settings like Bangladesh

    OpenAIRE

    Munshi, Saif U.; Oyewale, Tajudeen O.; Begum, Shahnaz; Uddin, Ziya; Tabassum, Shahina

    2016-01-01

    Background Serum-based rapid HIV testing algorithm in Bangladesh constitutes operational challenge to scaleup HIV testing and counselling (HTC) in the country. This study explored the operational feasibility of using whole blood as alternative to serum for rapid HIV testing in Bangladesh. Methods Whole blood specimens were collected from two study groups. The groups included HIV-positive patients (n = 200) and HIV-negative individuals (n = 200) presenting at the reference laboratory in Dhaka,...

  8. Low levels of HIV test coverage in clinical settings in the UK: a systematic review of adherence to 2008 guidelines

    OpenAIRE

    Elmahdi, Rahma; Gerver, Sarah M.; Gomez Guillen, Gabriela; Fidler, Sarah; Cooke, Graham; Ward, Helen

    2014-01-01

    Objectives To quantify the extent to which guideline recommendations for routine testing for HIV are adhered to outside of genitourinary medicine (GUM), sexual health (SH) and antenatal clinics. Methods A systematic review of published data on testing levels following publication of 2008 guidelines was undertaken. Medline, Embase and conference abstracts were searched according to a predefined protocol. We included studies reporting the number of HIV tests administered in those eligible for g...

  9. External radiation surveillance

    Energy Technology Data Exchange (ETDEWEB)

    Antonio, E.J.

    1995-06-01

    This section of the 1994 Hanford Site Environmental Report describes how external radiation was measured, how surveys were performed, and the results of these measurements and surveys. External radiation exposure rates were measured at locations on and off the Hanford Site using thermoluminescent dosimeters (TLD). External radiation and contamination surveys were also performed with portable radiation survey instruments at locations on and around the Hanford Site.

  10. High acceptance of home-based HIV counseling and testing in an urban community setting in Uganda

    OpenAIRE

    Mugerwa Micheal; List Justin; Sempeera Hassard; Sekandi Juliet N; Asiimwe Stephen; Yin Xiaoping; Whalen Christopher C

    2011-01-01

    Abstract Background HIV testing is a key component of prevention and an entry point into HIV/AIDS treatment and care however, coverage and access to testing remains low in Uganda. Home-Based HIV Counseling and Testing (HBHCT) has potential to increase access and early identification of unknown HIV/AIDS disease. This study investigated the level of acceptance of Home-Based HIV Counseling and Testing (HBHCT), the HIV sero-prevalence and the factors associated with acceptance of HBHCT in an urba...

  11. Selection of individuals for genetic testing for familial hypercholesterolaemia : development and external validation of a prediction model for the presence of a mutation causing familial hypercholesterolaemia

    NARCIS (Netherlands)

    Besseling, Joost; Reitsma, Johannes B; Gaudet, Daniel; Brisson, Diane; Kastelein, John J P; Hovingh, G Kees; Hutten, Barbara A

    2017-01-01

    AIMS: Familial hypercholesterolaemia (FH) is an autosomal dominant disease that warrants early diagnosis to prevent premature cardiovascular disease (CVD). However, genetic testing to make a definite diagnosis is costly, and careful selection of eligible subjects is important. Unfortunately,

  12. Comparison of patient comprehension of rapid HIV pre-test fundamentals by information delivery format in an emergency department setting

    Directory of Open Access Journals (Sweden)

    Clark Melissa A

    2007-09-01

    Full Text Available Abstract Background Two trials were conducted to compare emergency department patient comprehension of rapid HIV pre-test information using different methods to deliver this information. Methods Patients were enrolled for these two trials at a US emergency department between February 2005 and January 2006. In Trial One, patients were randomized to a no pre-test information or an in-person discussion arm. In Trial Two, a separate group of patients were randomized to an in-person discussion arm or a Tablet PC-based video arm. The video, "Do you know about rapid HIV testing?", and the in-person discussion contained identical Centers for Disease Control and Prevention-suggested pre-test information components as well as information on rapid HIV testing with OraQuick®. Participants were compared by information arm on their comprehension of the pre-test information by their score on a 26-item questionnaire using the Wilcoxon rank-sum test. Results In Trial One, 38 patients completed the no-information arm and 31 completed the in-person discussion arm. Of these 69 patients, 63.8% had twelve years or fewer of formal education and 66.7% had previously been tested for HIV. The mean score on the questionnaire for the in-person discussion arm was higher than for the no information arm (18.7 vs. 13.3, p ≤ 0.0001. In Trial Two, 59 patients completed the in-person discussion and 55 completed the video arms. Of these 114 patients, 50.9% had twelve years or fewer of formal education and 68.4% had previously been tested for HIV. The mean score on the questionnaire for the video arm was similar to the in-person discussion arm (20.0 vs. 19.2; p ≤ 0.33. Conclusion The video "Do you know about rapid HIV testing?" appears to be an acceptable substitute for an in-person pre-test discussion on rapid HIV testing with OraQuick®. In terms of adequately informing ED patients about rapid HIV testing, either form of pre-test information is preferable than for patients

  13. Standard Setting for Next Generation TOEFL Academic Speaking Test (TAST): Reflections on the ETS Panel of International Teaching Assistant Developers

    Science.gov (United States)

    Papajohn, Dean

    2006-01-01

    While many institutions have utilized TOEFL scores for international admissions for many years, a speaking section has never before been a required part of TOEFL until the development of the iBT/Next Generation TOEFL. So institutions will need to determine how to set standards for the speaking section of TOEFL, also known as TOEFL Academic…

  14. Creating the DISEQuA corpus: a multilingual test set for the monolingual question Answering tasks at CLEF 2003

    NARCIS (Netherlands)

    Magnini, B.; Romagnoli, S.; Vallin, A.; Herrera, J.; Peñas, A.; Peinado, V.; Verdejo, F.; de Rijke, M.

    2003-01-01

    This paper describes the procedure adopted by the three co-ordinators of the CLEF 2003 question answering track (ITC-irst, UNED and ILLC) to create the question set for the monolingual tasks. Despite thelittle resources available, the three groups collaborated and managed to formulate and verify a l

  15. Test of experimental set-ups for electrodialytic removal of Cu, Zn, Pb and Cd from different contaminated harbour sediments

    DEFF Research Database (Denmark)

    Nystrøm, Gunvor Marie; Ottosen, Lisbeth M.; Villumsen, Arne

    2005-01-01

    Electrodialytic removal of heavy metals from different harbour sediments was investigated. Electrodialytic remediation experiments in laboratory scale were made with calcareous and non-calcareous harbour sediments. Two different experimental set-ups were used for the study, one with stirring of t...

  16. Impact of introduction of rapid diagnostic tests for malaria on antibiotic prescribing: analysis of observational and randomised studies in public and private healthcare settings.

    Science.gov (United States)

    Hopkins, Heidi; Bruxvoort, Katia J; Cairns, Matthew E; Chandler, Clare I R; Leurent, Baptiste; Ansah, Evelyn K; Baiden, Frank; Baltzell, Kimberly A; Björkman, Anders; Burchett, Helen E D; Clarke, Siân E; DiLiberto, Deborah D; Elfving, Kristina; Goodman, Catherine; Hansen, Kristian S; Kachur, S Patrick; Lal, Sham; Lalloo, David G; Leslie, Toby; Magnussen, Pascal; Jefferies, Lindsay Mangham; Mårtensson, Andreas; Mayan, Ismail; Mbonye, Anthony K; Msellem, Mwinyi I; Onwujekwe, Obinna E; Owusu-Agyei, Seth; Reyburn, Hugh; Rowland, Mark W; Shakely, Delér; Vestergaard, Lasse S; Webster, Jayne; Wiseman, Virginia L; Yeung, Shunmay; Schellenberg, David; Staedke, Sarah G; Whitty, Christopher J M

    2017-03-29

    Objectives To examine the impact of use of rapid diagnostic tests for malaria on prescribing of antimicrobials, specifically antibiotics, for acute febrile illness in Africa and Asia.Design Analysisof nine preselected linked and codesigned observational and randomised studies (eight cluster or individually randomised trials and one observational study).Setting Public and private healthcare settings, 2007-13, in Afghanistan, Cameroon, Ghana, Nigeria, Tanzania, and Uganda.Participants 522 480 children and adults with acute febrile illness.Interventions Rapid diagnostic tests for malaria.Main outcome measures Proportions of patients for whom an antibiotic was prescribed in trial groups who had undergone rapid diagnostic testing compared with controls and in patients with negative test results compared with patients with positive results. A secondary aim compared classes of antibiotics prescribed in different settings.Results Antibiotics were prescribed to 127 052/238 797 (53%) patients in control groups and 167 714/283 683 (59%) patients in intervention groups. Antibiotics were prescribed to 40% (35 505/89 719) of patients with a positive test result for malaria and to 69% (39 400/57 080) of those with a negative result. All but one study showed a trend toward more antibiotic prescribing in groups who underwent rapid diagnostic tests. Random effects meta-analysis of the trials showed that the overall risk of antibiotic prescription was 21% higher (95% confidence interval 7% to 36%) in intervention settings. In most intervention settings, patients with negative test results received more antibiotic prescriptions than patients with positive results for all the most commonly used classes: penicillins, trimethoprim-sulfamethoxazole (one exception), tetracyclines, and metronidazole.Conclusions Introduction of rapid diagnostic tests for malaria to reduce unnecessary use of antimalarials-a beneficial public health outcome-could drive up untargeted

  17. 76 FR 78174 - Energy Conservation Program: Test Procedure and Energy Conservation Standard for Set-Top Boxes...

    Science.gov (United States)

    2011-12-16

    ... channel shall be in SD format, minimum 480i resolution. (3) Reference Channel C: 24-hour news channel... Source The ENERGY STAR test procedure describes three reference channels to be used for testing STBs...) Section 4.H. (1) Reference Channel A: Network television channel, standard definition (SD) format,...

  18. Effect of digital cellular phones on tachyarrhythmia analysis of automated external defibrillators.

    Science.gov (United States)

    Kanz, Karl-Georg; Kay, Mike V; Biberthaler, Peter; Russ, Walter; Lackner, Christian K; Mutschler, Wolf

    2004-04-01

    Emergency services personnel, family members, laypersons or patients often carry and use mobile phones on sites of emergencies. As there are reported effects on implanted pacemakers and cardioverter defibrillators, the influence of digital cellular phones on automated external defibrillators was studied. Twelve automated external defibrillator models were bench tested for their correct decision to or not to advise a shock, while being exposed to electromagnetic interference from a handheld cellular phone with 2 W or a portable cellular phone with 8 W transmitting power. The phones were programmed by a special subscriber identity module card to maximum output power with a carrier frequency of 906.2 MHz. The tests were conducted with a burst frequency of 217 Hz in speech mode and 2-8 Hz in discontinuous transmitting exchange mode. The sensitivity and specificity of electrocardiogram analysis systems were tested, with shockable and non-shockable rhythms provided by an electrocardiogram simulator and on two human subjects with normal sinus rhythm. A total of 8640 tests were recorded, each automated external defibrillator was tested a total of 720 times. The automated external defibrillators demonstrated a sensitivity of 100% and a specificity of 100%, representing a positive likelihood ratio of 8641 and a negative likelihood ratio of 0.000. In this setting all automated external defibrillators analysed correctly even under worst-case testing conditions, and performed excellently without any single failure. In some devices, voice prompts were distorted beyond comprehension, as the coil of the automated external defibrillator speaker received the pulsed signals. Shock advisory systems of automated external defibrillators are not susceptible to electromagnetic interference of 900 MHz cellular phones. Voice prompts, however, could be distorted by the operation of nearby digital mobile phones. During automated external defibrillator training this issue needs to be addressed.

  19. 在用对二甲苯(PX)输送埋地管道的外腐蚀检测%External Corrosion Testing of In-Service Buried Pipeline for PX Transportation

    Institute of Scientific and Technical Information of China (English)

    李明阳; 孔令昌; 丛成龙

    2012-01-01

    将外腐蚀直接评价方法应用于对二甲苯(PX)输送埋地管道的外腐蚀检测。分别对其进行敷设环境调查、土壤腐蚀性检测、阴极保护检测和防腐层检测,并对检测结果进行评级。防腐层检测中,应用C扫描检测防腐层绝缘电阻率,综合运用Pearson法和密间隔电位法(CIPS)确定防腐层破损点位置。通过开挖,验证了该组合检测方法的有效性,为埋地管道防腐层检漏提供高效、准确的新方法。%External corrosion direct assessment method was applied to PX transportation pipeline External Corrosion Testing. The buried pipeline testing consisted of environmental investigation, soil corrosion detection, cathodic protection testing and detection of anticorrosive coating. The testing results were rated. In the detection of anticorrosive coating, C-scan was applied to test coating insulation resistance, and Pearson method and the closeinterval potential survey(CIPS) were used to determine coating damage point. The excavation confirmed that the combination of detection methods was effective. Efficient and accurate new method was provided for underground leak detection of pipeline coatings.

  20. Multiple testing issues in discriminating compound-related peaks and chromatograms from high frequency noise, spikes and solvent-based nois in LC-MS data sets

    NARCIS (Netherlands)

    Nyangoma, S.O.; Van Kampen, A.A.; Reijmers, T.H.; Govorukhina, N.I; van der Zee, A.G.; Billingham, I.J; Bischoff, Rainer; Jansen, R.C.

    2007-01-01

    Multiple testing issues in discriminating compound-related peaks and chromatograms from high frequency noise, spikes and solvent-based noise in LC-MS data sets.Nyangoma SO, van Kampen AA, Reijmers TH, Govorukhina NI, van der Zee AG, Billingham LJ, Bischoff R, Jansen RC. University of Birmingham. Liq

  1. Construct-driven development of a video-based situational judgment test for integrity : A study in a multi-ethnic police setting

    NARCIS (Netherlands)

    L.A.L. de Meijer (Lonneke); M.Ph. Born (Marise); J. van Zielst (Jaap); H.T. van der Molen (Henk)

    2010-01-01

    textabstractIn a field study conducted in a multi-ethnic selection setting at the Dutch police, we examined the construct validity of a video-based situational judgment test (SJT) aimed to measure the construct of integrity. Integrity is of central importance to productive work performance of police

  2. Determination of the correlation relationship of pedagogical tests of general physical training with a set of parameters describing the morphological features and canoeists.

    Directory of Open Access Journals (Sweden)

    Flerchuk Viktor Viktorovich

    2011-09-01

    Full Text Available Correlation connections of tests are certain to on general physical preparation with indexes morphological possibilities of sportsmen. 15 sportsmen took part in research. Propensity of sportsmen is set to certain distances in competition activity. Directions of selection and orientation of sportsmen are recommended to work of different orientation.

  3. Validation of Landsat-7 ETM+ MEM Thermal Improvement in Thermal Vacuum Tests and in Flight Due to Lower Louver Set Points

    Science.gov (United States)

    Choi, Michael K.

    1999-01-01

    The Enhanced Thematic Mapper Plus (ETM+) Main Electronics Module (MEM) power supply heat sink temperature is critical to the Landsat-7 mission. It is strongly dependent on the thermal louver design. A lower power supply heat sink temperature increases the reliability of the MEM, and reduces the risk of over heating and thermal shut-down. After the power supply failures in ETM+ instrument thermal vacuum tests #1 and #2, the author performed detailed thermal analyses of the MEM, and proposed to reduce the louver set-points by 7C. At the 1998 Intersociety Energy Conversion Engineering Conference (IECEC), the author presented a paper that included results of thermal analysis of the MEM. It showed that a 70C reduction of the louver set points could reduce the maximum power supply heat sink temperature in thermal vacuum test and in flight to below 20"C in the cooler outgas mode and in the nominal imaging mode, and has no significant impact on the standby heater duty cycle. It also showed that the effect of Earth infrared and albedo on the power supply heat sink temperature is small. The louver set point reduction was implemented in June 1998, just prior to ETM+ thermal vacuum test #3. Results of the thermal vacuum tests, and temperature data in flight validate the MEM thermal performance improvement due to the 70C reduction of the louver set points.

  4. Testing feasibility and reliability of a set of quality indicators to evaluate the organization of palliative care across Europe: a pilot study in 25 countries

    NARCIS (Netherlands)

    Woitha, K.; Hasselaar, J.G.; Beek, K.; Ahmed, N.; Jaspers, B.; Hendriks, J.C.M.; Radbruch, L.; Vissers, K.; Engels, Y.M.

    2015-01-01

    BACKGROUND: A well-organized palliative care service is a prerequisite for offering good palliative care. Reliable and feasible quality indicators are needed to monitor the quality of their organization. AIM: To test feasibility and reliability of a previously developed set of quality indicators in

  5. WHO global salm-surv external quality assurance system (EQAS): an important step toward improving the quality of Salmonella serotyping and antimicrobial susceptibility testing worldwide

    DEFF Research Database (Denmark)

    Petersen, A.; Aarestrup, Frank Møller; Angulo, F. J.

    2002-01-01

    (NCCLS) guidelines. These EQAS results demonstrate the need for further training to improve the performance of some of the laboratories. WHO Global Salm-Surv activities, including international training courses and EQAS, represent an important step toward improving the quality of Salmonella serotyping......% of the results were correct. For susceptibility testing, 92% of the results were in agreement with the expected results. However, only 78% of the performed tests with the E. coli ATCC 25922 reference strain were within the quality control range specified by National Committee for Clinical Laboratory Standards...

  6. Proposal for a Candidate Core Set of Fitness and Strength Tests for Patients with Childhood or Adult Idiopathic Inflammatory Myopathies

    NARCIS (Netherlands)

    van der Stap, Djamilla K D; Rider, Lisa G; Alexanderson, Helene; Huber, Adam M; Gualano, Bruno; Gordon, Patrick; van der Net, Janjaap|info:eu-repo/dai/nl/14327161X; Mathiesen, Pernille; Johnson, Liam G; Ernste, Floranne C; Feldman, Brian M; Houghton, Kristin M; Singh-Grewal, Davinder; Kutzbach, Abraham Garcia; Munters, Li Alemo; Takken, Tim|info:eu-repo/dai/nl/184586674

    OBJECTIVE: Currently there are no evidence-based recommendations regarding fitness and strength tests for patients with childhood or adult idiopathic inflammatory myopathies (IIM). This hinders clinicians and researchers in choosing the appropriate fitness- or muscle strength-related outcome

  7. QED in external fields, a functional point of view

    OpenAIRE

    Alexandre, Jean

    2001-01-01

    A functional partial differential equation is set for the proper graphs generating functional of QED in external electromagnetic fields. This equation leads to the evolution of the proper graphs with the external field amplitude and the external field gauge dependence of the complete fermion propagator and vertex is derived non-perturbativally.

  8. Setting a benchmark for the Test of Essential Academic Skills (TEAS) V: striving for first-semester success in nursing school.

    Science.gov (United States)

    Bremner, Marie N; Blake, Barbara J; Long, Janice M; Yanosky, Daniel J

    2014-09-01

    Every nursing school strives to admit students who will be successful in completing their program and passing the NCLEX(®). Many schools use standardized testing, such as the Test of Essential Academic Skills (TEAS) V, as part of their admission criteria. This study was conducted to set an institutional benchmark of the TEAS V composite score, as recommended by the test developers. Having a benchmark would help the authors' school of nursing to identify students who were more likely to be successful during the first semester of their nursing studies. Using past students' composite TEAS V scores and ATI RN Fundamentals of Nursing 2010 Assessment results, a benchmark was identified.

  9. A pragmatic cluster randomised controlled trial to evaluate the safety, clinical effectiveness, cost effectiveness and satisfaction with point of care testing in a general practice setting – rationale, design and baseline characteristics

    Directory of Open Access Journals (Sweden)

    Glastonbury Briony

    2008-08-01

    Full Text Available Abstract Background Point of care testing (PoCT may be a useful adjunct in the management of chronic conditions in general practice (GP. The provision of pathology test results at the time of the consultation could lead to enhanced clinical management, better health outcomes, greater convenience and satisfaction for patients and general practitioners (GPs, and savings in costs and time. It could also result in inappropriate testing, increased consultations and poor health outcomes resulting from inaccurate results. Currently there are very few randomised controlled trials (RCTs in GP that have investigated these aspects of PoCT. Design/Methods The Point of Care Testing in General Practice Trial (PoCT Trial was an Australian Government funded multi-centre, cluster randomised controlled trial to determine the safety, clinical effectiveness, cost effectiveness and satisfaction of PoCT in a GP setting. The PoCT Trial covered an 18 month period with the intervention consisting of the use of PoCT for seven tests used in the management of patients with diabetes, hyperlipidaemia and patients on anticoagulant therapy. The primary outcome measure was the proportion of patients within target range, a measure of therapeutic control. In addition, the PoCT Trial investigated the safety of PoCT, impact of PoCT on patient compliance to medication, stakeholder satisfaction, cost effectiveness of PoCT versus laboratory testing, and influence of geographic location. Discussion The paper provides an overview of the Trial Design, the rationale for the research methodology chosen and how the Trial was implemented in a GP environment. The evaluation protocol and data collection processes took into account the large number of patients, the broad range of practice types distributed over a large geographic area, and the inclusion of pathology test results from multiple pathology laboratories. The evaluation protocol developed reflects the complexity of the Trial setting

  10. Statistical tests against systematic errors in data sets based on the equality of residual means and variances from control samples: theory and applications.

    Science.gov (United States)

    Henn, Julian; Meindl, Kathrin

    2015-03-01

    Statistical tests are applied for the detection of systematic errors in data sets from least-squares refinements or other residual-based reconstruction processes. Samples of the residuals of the data are tested against the hypothesis that they belong to the same distribution. For this it is necessary that they show the same mean values and variances within the limits given by statistical fluctuations. When the samples differ significantly from each other, they are not from the same distribution within the limits set by the significance level. Therefore they cannot originate from a single Gaussian function in this case. It is shown that a significance cutoff results in exactly this case. Significance cutoffs are still frequently used in charge-density studies. The tests are applied to artificial data with and without systematic errors and to experimental data from the literature.

  11. How to estimate the cost of point-of-care CD4 testing in program settings: an example using the Alere Pima Analyzer in South Africa.

    Directory of Open Access Journals (Sweden)

    Bruce Larson

    Full Text Available Integrating POC CD4 testing technologies into HIV counseling and testing (HCT programs may improve post-HIV testing linkage to care and treatment. As evaluations of these technologies in program settings continue, estimates of the costs of POC CD4 tests to the service provider will be needed and estimates have begun to be reported. Without a consistent and transparent methodology, estimates of the cost per CD4 test using POC technologies are likely to be difficult to compare and may lead to erroneous conclusions about costs and cost-effectiveness. This paper provides a step-by-step approach for estimating the cost per CD4 test from a provider's perspective. As an example, the approach is applied to one specific POC technology, the Pima Analyzer. The costing approach is illustrated with data from a mobile HCT program in Gauteng Province of South Africa. For this program, the cost per test in 2010 was estimated at $23.76 (material costs  = $8.70; labor cost per test  = $7.33; and equipment, insurance, and daily quality control  = $7.72. Labor and equipment costs can vary widely depending on how the program operates and the number of CD4 tests completed over time. Additional costs not included in the above analysis, for on-going training, supervision, and quality control, are likely to increase further the cost per test. The main contribution of this paper is to outline a methodology for estimating the costs of incorporating POC CD4 testing technologies into an HCT program. The details of the program setting matter significantly for the cost estimate, so that such details should be clearly documented to improve the consistency, transparency, and comparability of cost estimates.

  12. How to estimate the cost of point-of-care CD4 testing in program settings: an example using the Alere Pima Analyzer in South Africa.

    Science.gov (United States)

    Larson, Bruce; Schnippel, Kathryn; Ndibongo, Buyiswa; Long, Lawrence; Fox, Matthew P; Rosen, Sydney

    2012-01-01

    Integrating POC CD4 testing technologies into HIV counseling and testing (HCT) programs may improve post-HIV testing linkage to care and treatment. As evaluations of these technologies in program settings continue, estimates of the costs of POC CD4 tests to the service provider will be needed and estimates have begun to be reported. Without a consistent and transparent methodology, estimates of the cost per CD4 test using POC technologies are likely to be difficult to compare and may lead to erroneous conclusions about costs and cost-effectiveness. This paper provides a step-by-step approach for estimating the cost per CD4 test from a provider's perspective. As an example, the approach is applied to one specific POC technology, the Pima Analyzer. The costing approach is illustrated with data from a mobile HCT program in Gauteng Province of South Africa. For this program, the cost per test in 2010 was estimated at $23.76 (material costs  = $8.70; labor cost per test  = $7.33; and equipment, insurance, and daily quality control  = $7.72). Labor and equipment costs can vary widely depending on how the program operates and the number of CD4 tests completed over time. Additional costs not included in the above analysis, for on-going training, supervision, and quality control, are likely to increase further the cost per test. The main contribution of this paper is to outline a methodology for estimating the costs of incorporating POC CD4 testing technologies into an HCT program. The details of the program setting matter significantly for the cost estimate, so that such details should be clearly documented to improve the consistency, transparency, and comparability of cost estimates.

  13. Reliability of clinical diagnosis and laboratory testing techniques currently used for identification of canine parvovirus enteritis in clinical settings

    Science.gov (United States)

    FAZ, Mirna; MARTÍNEZ, José Simón; QUIJANO-HERNÁNDEZ, Israel; FAJARDO, Raúl

    2016-01-01

    Canine parvovirus type 2 (CPV-2) is the main etiological agent of viral enteritis in dogs. Actually in literature, CPV-2 has been reported with clinical signs that vary from the classical disease, and immunochromatography test and PCR technique have been introduced to veterinary hospitals to confirm CPV-2 diagnosis and other infections. However, the reliability of these techniques has been poorly analyzed. In this study, we evaluated the sensitivity and specificity of veterinary clinical diagnosis, immunochromatography test and PCR technique. Our data indicate that variations in the clinical signs of CPV-2 complicate the gathering of an appropriate diagnosis; and immunochromatography test and PCR technique do not have adequate sensitivity to diagnose positive cases. PMID:27818461

  14. Safety of type and screen method compared to conventional antiglobulin crossmatch procedures for compatibility testing in Indian setting

    Directory of Open Access Journals (Sweden)

    Chaudhary Rajendra

    2011-01-01

    Full Text Available Background: Over the past 30 years, pretransfusion tests have undergone considerable modification. In 1984, AABB recommended that the full cross match could be replaced by an abbreviated cross match in patients with negative antibody screen. However, before implementation of such a policy, issue regarding safety of T & S needs to be evaluated. Objectives: The aim of pretransfusion testing (PTT is to ensure that enough red blood cells (RBCs in the selected red cell components will survive when transfused. Results and Conclusion: We have, therefore in this study; evaluated safety of T & S procedure for PTT in comparison with conventional test tube cross match. The T & S procedure gave a safety of 91.6%. Also, the usefulness of the T & S was shown through the detection of unexpected antibodies in 0.75% (15 out of 2026 of cases.

  15. Tests of a Semi-Analytical Case 1 and Gelbstoff Case 2 SeaWiFS Algorithm with a Global Data Set

    Science.gov (United States)

    Carder, Kendall L.; Hawes, Steve K.; Lee, Zhongping

    1997-01-01

    A semi-analytical algorithm was tested with a total of 733 points of either unpackaged or packaged-pigment data, with corresponding algorithm parameters for each data type. The 'unpackaged' type consisted of data sets that were generally consistent with the Case 1 CZCS algorithm and other well calibrated data sets. The 'packaged' type consisted of data sets apparently containing somewhat more packaged pigments, requiring modification of the absorption parameters of the model consistent with the CalCOFI study area. This resulted in two equally divided data sets. A more thorough scrutiny of these and other data sets using a semianalytical model requires improved knowledge of the phytoplankton and gelbstoff of the specific environment studied. Since the semi-analytical algorithm is dependent upon 4 spectral channels including the 412 nm channel, while most other algorithms are not, a means of testing data sets for consistency was sought. A numerical filter was developed to classify data sets into the above classes. The filter uses reflectance ratios, which can be determined from space. The sensitivity of such numerical filters to measurement resulting from atmospheric correction and sensor noise errors requires further study. The semi-analytical algorithm performed superbly on each of the data sets after classification, resulting in RMS1 errors of 0.107 and 0.121, respectively, for the unpackaged and packaged data-set classes, with little bias and slopes near 1.0. In combination, the RMS1 performance was 0.114. While these numbers appear rather sterling, one must bear in mind what mis-classification does to the results. Using an average or compromise parameterization on the modified global data set yielded an RMS1 error of 0.171, while using the unpackaged parameterization on the global evaluation data set yielded an RMS1 error of 0.284. So, without classification, the algorithm performs better globally using the average parameters than it does using the unpackaged

  16. Population Validity and Cross-Validity: Applications of Distribution Theory for Testing Hypotheses, Setting Confidence Intervals, and Determining Sample Size

    Science.gov (United States)

    Algina, James; Keselman, H. J.

    2008-01-01

    Applications of distribution theory for the squared multiple correlation coefficient and the squared cross-validation coefficient are reviewed, and computer programs for these applications are made available. The applications include confidence intervals, hypothesis testing, and sample size selection. (Contains 2 tables.)

  17. Developmental Screenings in Rural Settings: A Comparison of the Child Development Review and the Denver II Developmental Screening Test.

    Science.gov (United States)

    Brachlow, Allison; Jordan, Augustus E.; Tervo, Raymond

    2001-01-01

    Two developmental screening tests were applied to 73 children, aged 1 month-6.7 years, in Sioux Falls and the Cheyenne River Reservation (South Dakota). There were no racial differences; compared to urban children, rural reservation children of any race were more likely to pass the Child Development Review and to fail the Denver II Developmental…

  18. Mobile nucleic acid amplification testing (mobiNAAT) for Chlamydia trachomatis screening in hospital emergency department settings.

    Science.gov (United States)

    Shin, D J; Athamanolap, P; Chen, L; Hardick, J; Lewis, M; Hsieh, Y H; Rothman, R E; Gaydos, C A; Wang, T H

    2017-07-03

    Management of curable sexually-transmitted infections (STI) such as Chlamydia can be revolutionized by highly sensitive nucleic acid testing that is deployable at the point-of-care (POC). Here we report the development of a mobile nucleic acid amplification testing (mobiNAAT) platform utilizing a mobile phone and droplet magnetofluidics to deliver NAAT in a portable and accessible format. By using magnetic particles as a mobile substrate for nucleic acid capture and transport, fluid handling is reduced to particle translocation on a simple magnetofluidic cartridge assembled with reagents for nucleic acid purification and amplification. A mobile phone user interface operating in tandem with a portable Bluetooth-enabled cartridge-processing unit facilitates process integration. We tested 30 potentially Chlamydia trachomatis (CT)-infected patients in a hospital emergency department and confirmed that mobiNAAT showed 100% concordance with laboratory-based NAAT. Concurrent evaluation by a nontechnical study coordinator who received brief training via an embedded mobile app module demonstrated ease of use and reproducibility of the platform. This work demonstrates the potential of mobile nucleic acid testing in bridging the diagnostic gap between centralized laboratories and hospital emergency departments.

  19. Fine tuning of the digit symbol paired associate recall test for practitioner purposes in clinical and research settings.

    Science.gov (United States)

    Shuttleworth-Edwards, Ann B

    2002-08-01

    Guidelines are presented to facilitate the use of the WAIS Digit Symbol measure of paired associate recall as a neuropsychological instrument. Currently three formal variants of the test exist with accompanying normative data (the original WAIS-R-NI form; a WAIS-R Short Form; a longer WAIS-III form), providing a potential source of confusion which may limit its application. To circumvent this, the present article critically evaluates: (i) variations in test forms and their advantages; (ii) available norms in terms of age and education, with pointers for more differentiated guidelines in this regard; and (iii) the desirability of incorporating a delayed recall variant of the test. Finally, a synopsis of data is presented that supports the screening potential of Digit Symbol paired associate recall in cases of mild neurocognitive dysfunction. For the purposes of this paper, the term WAIS is used with broad reference to all variations of the original Wechsler Adult Intelligence Scale (1955) upon which they were based, including the WAIS-R (1981) and WAIS-III (1997) updated editions, and the South African WAIS (1969). The terms South African WAIS (South African Wechsler Adult Intelligence Scale), WAIS-R (Wechsler Adult Intelligence Scale - Revised), and WAIS-III (Wechsler Adult Intelligence Scale-III), refer to these specific versions of the test.

  20. Test Set-Up for the Cooling of Heavy Magnets by Controlled Way Down to 77 K

    Science.gov (United States)

    Bajas, H.; Bajko, M.; Benda, V.; Bottura, L.; Bourgeois, G.; Charrondiere, M.; Chiuchiolo, A.; Ferracin, P.; Guinchard, M.; Garcia, J. E. Muñoz; Giloux, C.; Juchno, M.; Perez, J. C.; de Rijk, G.; Viret, P.; Ziemianski, D. T.

    In the scope of the High Field Magnets work package of the European FP7-EuCARD project, the structure of the future dipole magnet RMC and FRESCA2 has been tested at liquid nitrogen temperature replacing the actual Nb3Sn-based coils by aluminium dummy coils. Such test aims at measuring during the cooling the evolution of the mechanical stresses and the temperatures via compensated strain gauges and carbon-ceramic sensors placed at various locations on the structure (shell, rods, yokes, dummy coils). These measurements help assess the thermo-mechanical behaviour of the assembly for different applied pre-stresses and validate the finite element simulation of the magnet cooling before including the definitive brittle Nb3Sn coils. For this purpose, a specific cool-down/warm-up nitrogen test station has been built up at CERN in order to control the required maximum temperature gradient in the magnet during both cooling and warming. In this paper, we present in detail the test facility, the instrumentation along with the automatic process control system. An analytical approach computing the expected temperature evolution during a thermal cycle is introduced and the temperature measurements related to the magnets cooling down to 77 K and warm up to room temperature are presented.

  1. Proposal for a Candidate Core Set of Fitness and Strength Tests for Patients with Childhood or Adult Idiopathic Inflammatory Myopathies

    NARCIS (Netherlands)

    van der Stap, Djamilla K D; Rider, Lisa G; Alexanderson, Helene; Huber, Adam M; Gualano, Bruno; Gordon, Patrick; van der Net, Janjaap; Mathiesen, Pernille; Johnson, Liam G; Ernste, Floranne C; Feldman, Brian M; Houghton, Kristin M; Singh-Grewal, Davinder; Kutzbach, Abraham Garcia; Munters, Li Alemo; Takken, Tim

    2016-01-01

    OBJECTIVE: Currently there are no evidence-based recommendations regarding fitness and strength tests for patients with childhood or adult idiopathic inflammatory myopathies (IIM). This hinders clinicians and researchers in choosing the appropriate fitness- or muscle strength-related outcome measure

  2. Clinical and financial impact of removing creatine kinase-MB from the routine testing menu in the emergency setting.

    Science.gov (United States)

    Le, Rachel D; Kosowsky, Joshua M; Landman, Adam B; Bixho, Ida; Melanson, Stacy E F; Tanasijevic, Milenko J

    2015-01-01

    Cardiac troponins T and I have replaced creatine kinase-MB (CK-MB) as the criterion standard for diagnosing myocardial injury. However, many laboratories still routinely perform a high volume of CK-MB testing in conjunction with troponin. The purpose of this study is to study the clinical and financial impact of removing CK-MB from the routine emergency department (ED) test menu at a large academic medical center. Creatine kinase-MB was removed from ED ordering templates and laboratory requisitions (ie, intervention), although the test could still be manually ordered. Data for creatine kinase (CK), CK-MB, and troponin T (TnT) specimens ordered during a 12-month period (6 months preintervention and 6 months postintervention) (n = 14571) was downloaded from our laboratory information system. All specimens with (1) normal TnT (ie, 6.6 ng/mL), and (3) elevated CK-MB index (ie, >5) were considered discrepant and independently reviewed by 2 ED clinicians for the presence of an acute coronary syndrome and for documentation of final diagnosis. Creatine kinase, CK-MB, and TnT ED volumes preintervention and postintervention were analyzed to assess laboratory cost savings. Of the 6444 cases included in the analysis, only 17 were discrepant. Of all 17 cases, no patients were diagnosed with acute coronary syndrome. After removing CK-MB from the templates and requisitions, CK-MB and CK volumes decreased by 80% and 76%, respectively, translating to annual reagent cost savings of approximately $47000. Creatine kinase-MB can be removed from the routine ED test menu without adversely affecting patient care. In addition, substantial cost savings can be achieved by reducing unnecessary CK-MB testing and associated CK orders. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Design and Implementation on Auto Test Set of an Airborne Radar%某型机载雷达自动测试台设计与实现

    Institute of Scientific and Technical Information of China (English)

    刘广东; 王德功; 金福禄

    2011-01-01

    To automatic test the function and performance of an airborne radar. Changeable test adapter is adopted to implement the hardware and software design of the automatic test set of the antenna,transceiver and indicator of the radar based on AT89C52. Problems such as the different types of interfaces, the various kinds of signals and the test of microwave signal are solved successfully and the objectives of resource sharing and automatic test are realized. The test software is designed by modular structure, and with the help of automatic test set hardware, the required test items of the radar system are experimented and the test process control succeeded. Experiment results show that the automatic test set performs steadily and the results meet the requirements of the airborne radar. The set has the advantages of intelligent, manageable and reducing artificial errors. It provides effective guarantees for radar' s maintenance, fault diagnosis and fault detection, and has a wide application prospect with low cost.%为实现某型号机载雷达系统功能和性能信号的自动测试,以AT89C52单片机为核心,采用可更换接口适配器,完成雷达显示分机、收发分机和天线分机自动测试台硬件和软件设计,成功解决了待测分机接口不同和待测信号种类繁多、微波信号测试等难题,实现了资源共享和自动测试的目标;采用模块化结构完成雷达自动测试软件设计,与自动测试台硬件配合,实现雷达系统各要求项目的测试及对测试过程的控制;实际应用表明,该自动测试台测试结果100%正确,且运行稳定,具有智能化程度高、操作简便、减少维修检测的人为误差等优点,为雷达使用过程中的维护、故障检测与诊断提供了有效的保障,推广应用前景好,经济效益明显.

  4. Accuracy of Urine Circulating Cathodic Antigen (CCA) Test for Schistosoma mansoni Diagnosis in Different Settings of Côte d'Ivoire

    Science.gov (United States)

    Coulibaly, Jean T.; Knopp, Stefanie; N'Guessan, Nicaise A.; Silué, Kigbafori D.; Fürst, Thomas; Lohourignon, Laurent K.; Brou, Jean K.; N'Gbesso, Yve K.; Vounatsou, Penelope; N'Goran, Eliézer K.; Utzinger, Jürg

    2011-01-01

    Background Promising results have been reported for a urine circulating cathodic antigen (CCA) test for the diagnosis of Schistosoma mansoni. We assessed the accuracy of a commercially available CCA cassette test (designated CCA-A) and an experimental formulation (CCA-B) for S. mansoni diagnosis. Methodology We conducted a cross-sectional survey in three settings of Côte d'Ivoire: settings A and B are endemic for S. mansoni, whereas S. haematobium co-exists in setting C. Overall, 446 children, aged 8–12 years, submitted multiple stool and urine samples. For S. mansoni diagnosis, stool samples were examined with triplicate Kato-Katz, whereas urine samples were tested with CCA-A. The first stool and urine samples were additionally subjected to an ether-concentration technique and CCA-B, respectively. Urine samples were examined for S. haematobium using a filtration method, and for microhematuria using Hemastix dipsticks. Principal Findings Considering nine Kato-Katz as diagnostic ‘gold’ standard, the prevalence of S. mansoni in setting A, B and C was 32.9%, 53.1% and 91.8%, respectively. The sensitivity of triplicate Kato-Katz from the first stool and a single CCA-A test was 47.9% and 56.3% (setting A), 73.9% and 69.6% (setting B), and 94.2% and 89.6% (setting C). The respective sensitivity of a single CCA-B was 10.4%, 29.9% and 75.0%. The ether-concentration technique showed a low sensitivity for S. mansoni diagnosis (8.3–41.0%). The specificity of CCA-A was moderate (76.9–84.2%); CCA-B was high (96.7–100%). The likelihood of a CCA-A color reaction increased with higher S. mansoni fecal egg counts (odds ratio: 1.07, p<0.001). A concurrent S. haematobium infection or the presence of microhematuria did not influence the CCA-A test results for S. mansoni diagnosis. Conclusion/Significance CCA-A showed similar sensitivity than triplicate Kato-Katz for S. mansoni diagnosis with no cross-reactivity to S. haematobium and microhematuria. The low sensitivity of

  5. Application of tests of goodness of fit in determining the probability density function for spacing of steel sets in tunnel support system

    Directory of Open Access Journals (Sweden)

    Farnoosh Basaligheh

    2015-12-01

    Full Text Available One of the conventional methods for temporary support of tunnels is to use steel sets with shotcrete. The nature of a temporary support system demands a quick installation of its structures. As a result, the spacing between steel sets is not a fixed amount and it can be considered as a random variable. Hence, in the reliability analysis of these types of structures, the selection of an appropriate probability distribution function of spacing of steel sets is essential. In the present paper, the distances between steel sets are collected from an under-construction tunnel and the collected data is used to suggest a proper Probability Distribution Function (PDF for the spacing of steel sets. The tunnel has two different excavation sections. In this regard, different distribution functions were investigated and three common tests of goodness of fit were used for evaluation of each function for each excavation section. Results from all three methods indicate that the Wakeby distribution function can be suggested as the proper PDF for spacing between the steel sets. It is also noted that, although the probability distribution function for two different tunnel sections is the same, the parameters of PDF for the individual sections are different from each other.

  6. Are "classical" tests of repeated-sprint ability in football externally valid? A new approach to determine in-game sprinting behaviour in elite football players.

    Science.gov (United States)

    Schimpchen, Jan; Skorski, Sabrina; Nopp, Stephan; Meyer, Tim

    2016-01-01

    The aim of this study was to investigate the occurrence of repeated sprinting bouts in elite football. Furthermore, the construct validity of current tests assessing repeated-sprint ability (RSA) was analysed using information of sprinting sequences as they actually occurred during match-play. Sprinting behaviour in official competition was analysed for 19 games of the German national team between August 2012 and June 2014. A sprinting threshold was individually calculated based on the peak velocity reached during in-game sprinting. Players performed 17.2 ± 3.9 sprints per game and during the entire 19 games a total of 35 bouts of repeated sprinting (a minimum of three consecutive sprints with a recovery duration repeated sprinting per player every 463 min. No general decrement in maximal sprinting speed was observed during bouts with up to five consecutive sprints. Results of the present study question the importance of RSA as it is classically defined. They indicate that shorter accelerations are more important in game-specific situations which do not reach speeds necessary to qualify them as sprints. The construct validity of classic tests of RSA in football is not supported by these observations.

  7. Approaches for scaling up human immunodeficiency virus testing and counseling in prevention of mother-to-child human immunodeficiency virus transmission settings in resource-limited countries.

    Science.gov (United States)

    Bolu, Omotayo O; Allread, Virginia; Creek, Tracy; Stringer, Elizabeth; Forna, Fatu; Bulterys, Marc; Shaffer, Nathan

    2007-09-01

    Prevention of mother-to-child human immunodeficiency virus (HIV) transmission (PMTCT) programs have nearly eliminated mother-to-child transmission of HIV in developed countries, but progress in resource-limited countries has been slow. A key factor limiting the scale-up of PMTCT programs is lack of knowledge of HIV serostatus. Increasing the availability and acceptability of HIV testing and counseling services will encourage more women to learn their status, providing a gateway to PMTCT interventions. Key factors contributing to the scale-up of testing and counseling include a policy of provider-initiated testing and counseling with right to refuse (opt-out); group pretest counseling; rapid HIV testing; innovative staffing strategies; and community and male involvement. Integration of testing and counseling within the community and all maternal and child health settings are critical for scaling-up and for linking women and their families to care and treatment services. This paper will review best practices needed for expansion of testing and counseling in PMTCT settings in resource-limited countries.

  8. 'Testing Together Challenges the Relationship': Consequences of HIV Testing as a Couple in a High HIV Prevalence Setting in Rural South Africa.

    Directory of Open Access Journals (Sweden)

    Hanani Tabana

    Full Text Available We conducted qualitative individual and combined interviews with couples to explore their experiences since the time of taking an HIV test and receiving the test result together, as part of a home-based HIV counselling and testing intervention.This study was conducted in October 2011 in rural KwaZulu-Natal, South Africa, about 2 years after couples tested and received results together. Fourteen couples were purposively sampled: discordant, concordant negative and concordant positive couples.Learning about each other's status together challenged relationships of the couples in different ways depending on HIV status and gender. The mutual information confirmed suspected infidelity that had not been discussed before. Negative women in discordant partnerships remained with their positive partner due to social pressure and struggled to maintain their HIV negative status. Most of the couple relationships were characterized by silence and mistrust. Knowledge of sero-status also led to loss of sexual intimacy in some couples especially the discordant. For most men in concordant negative couples, knowledge of status was an awakening of the importance of fidelity and an opportunity for behaviour change, while for concordant positive and discordant couples, it was seen as proof of infidelity. Although positive HIV status was perceived as confirmation of infidelity, couples continued their relationship and offered some support for each other, living and managing life together. Sexual life in these couples was characterized by conflict and sometimes violence. In the concordant negative couples, trust was enhanced and behaviour change was promised.Findings suggest that testing together as couples challenged relationships in both negative and positive ways. Further, knowledge of HIV status indicated potential to influence behaviour change especially among concordant negatives. In the discordant and concordant positive couples, traditional gender roles exposed

  9. A test beam set-up for the characterization of the Geiger-mode avalanche photodiode technology for particle tracking

    CERN Document Server

    Vilella, A; Trenado, J; Vila, A; Casanova, R; Vos, M; Garrido, L; Dieguez, A

    2012-01-01

    It is well known that avalanche photodiodes operated in the Geiger mode above the breakdown voltage offer a virtually infinite gain and time accuracy in the picosecond range that can be used for single photon detection. However, their performance in particle detection still remains unexplored. In this contribution, we are going to expose different steps that we have taken in order to prove the efficiency of the Geiger mode avalanche photodiodes in the aforementioned field. In particular, we will present a setup for the characterization of these sensors in a test beam. The expected results of the test beam at DESY and CERN have been simulated with Geant4 and will also be exposed.

  10. Statistical Analysis of a Large Sample Size Pyroshock Test Data Set Including Post Flight Data Assessment. Revision 1

    Science.gov (United States)

    Hughes, William O.; McNelis, Anne M.

    2010-01-01

    The Earth Observing System (EOS) Terra spacecraft was launched on an Atlas IIAS launch vehicle on its mission to observe planet Earth in late 1999. Prior to launch, the new design of the spacecraft's pyroshock separation system was characterized by a series of 13 separation ground tests. The analysis methods used to evaluate this unusually large amount of shock data will be discussed in this paper, with particular emphasis on population distributions and finding statistically significant families of data, leading to an overall shock separation interface level. The wealth of ground test data also allowed a derivation of a Mission Assurance level for the flight. All of the flight shock measurements were below the EOS Terra Mission Assurance level thus contributing to the overall success of the EOS Terra mission. The effectiveness of the statistical methodology for characterizing the shock interface level and for developing a flight Mission Assurance level from a large sample size of shock data is demonstrated in this paper.

  11. The cost-effectiveness of point of care testing in a general practice setting: results from a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Briggs Nancy E

    2010-06-01

    Full Text Available Abstract Background While point of care testing (PoCT for general practitioners is becoming increasingly popular, few studies have investigated whether it represents value for money. This study aims to assess the relative cost-effectiveness of PoCT in general practice (GP compared to usual testing practice through a pathology laboratory. Methods A cost-effectiveness analysis based on a randomized controlled trial with 4,968 patients followed up for 18 months and fifty-three general practices in urban, rural and remote locations across three states in Australia. The incremental costs and health outcomes associated with a clinical strategy of PoCT for INR, HbA1c, lipids, and ACR were compared to those from pathology laboratory testing. Costs were expressed in year 2006 Australian dollars. Non-parametric bootstrapping was used to generate 95% confidence intervals. Results The point estimate of the total direct costs per patient to the health care sector for PoCT was less for ACR than for pathology laboratory testing, but greater for INR, HbA1c and Lipids, although none of these differences was statistically significant. PoCT led to significant cost savings to patients and their families. When uncertainty around the point estimates was taken into account, the incremental cost-effectiveness ratio (ICER for PoCT was found to be unfavourable for INR, but somewhat favourable for ACR, while substantial uncertainty still surrounds PoCT for HbA1c and Lipids. Conclusions The decision whether to fund PoCT will depend on the price society is willing to pay for achievement of the non-standard intermediate outcome indicator. Trial registration Australian New Zealand Clinical Trial Registry ACTRN12605000272695

  12. Development and psychometric testing of a new instrument to measure the caring behaviour of nurses in Italian acute care settings.

    Science.gov (United States)

    Piredda, Michela; Ghezzi, Valerio; Fenizia, Elisa; Marchetti, Anna; Petitti, Tommasangelo; De Marinis, Maria Grazia; Sili, Alessandro

    2017-07-16

    To develop and psychometrically test the Italian-language Nurse Caring Behaviours Scale, a short measure of nurse caring behaviour as perceived by inpatients. Patient perceptions of nurses' caring behaviours are a predictor of care quality. Caring behaviours are culture-specific, but no measure of patient perceptions has previously been developed in Italy. Moreover, existing tools show unclear psychometric properties, are burdensome for respondents, or are not widely applicable. Instrument development and psychometric testing. Item generation included identifying and adapting items from existing measures of caring behaviours as perceived by patients. A pool of 28 items was evaluated for face validity. Content validity indexes were calculated for the resulting 15-item scale; acceptability and clarity were pilot tested with 50 patients. To assess construct validity, a sample of 2,001 consecutive adult patients admitted to a hospital in 2014 completed the scale and was split into two groups. Reliability was evaluated using nonlinear structural equation modelling coefficients. Measurement invariance was tested across subsamples. Item 15 loaded poorly in the exploratory factor analysis (n = 983) and was excluded from the final solution, positing a single latent variable with 14 indicators. This model fitted the data moderately. The confirmatory factor analysis (n = 1018) returned similar results. Internal consistency was excellent in both subsamples. Full scalar invariance was reached, and no significant latent mean differences were detected across subsamples. The new instrument shows reasonable psychometric properties and is a promising short and widely applicable measure of inpatient perceptions of nurse caring behaviours. © 2017 John Wiley & Sons Ltd.

  13. Testing feasibility and reliability of a set of quality indicators to evaluate the organization of palliative care across Europe: a pilot study in 25 countries.

    Science.gov (United States)

    Woitha, Kathrin; Hasselaar, Jeroen; van Beek, Karen; Ahmed, Nisar; Jaspers, Birgit; Hendriks, Jan C M; Radbruch, Lukas; Vissers, Kris; Engels, Yvonne

    2015-02-01

    A well-organized palliative care service is a prerequisite for offering good palliative care. Reliable and feasible quality indicators are needed to monitor the quality of their organization. To test feasibility and reliability of a previously developed set of quality indicators in settings and services that provide palliative care across Europe. A total of 38 quality indicators, applicable in all types of settings, rated in a RAND Delphi process, and operationalized into 38 yes/no questions, were used. Descriptives statistics, factor and reliability analyses, analysis of variance, and chi-square analyses were used. Cross-sectional online survey. Questionnaires were sent to representatives of 217 palliative care settings in 25 countries. Included settings were hospices, inpatient dedicated palliative care beds, palliative care outpatient clinics, palliative care units, day care centers for palliative care, palliative care home support teams, inpatient palliative care support teams, care homes, and nursing homes. All invited 25 European Association of Palliative Care countries took part. In total, 107 out of 217 participants responded (57%). The quality indicators were reduced to four coherent sub-scales, being "equipment and continuity of care," "structured documentation of essential palliative care elements in the medical record," "training and appraisal of personnel," and "availability of controlled drugs." No significant differences in quality criteria between the different types of settings and services were identified. The set of quality indicators appeared to measure four reliable domains that assess the organization of different palliative care settings. It can be used as a starting point for quality improvement activities. © The Author(s) 2015.

  14. Leveraging External Sources of Innovation

    DEFF Research Database (Denmark)

    West, Joel; Bogers, Marcel

    2014-01-01

    own specific set of mechanisms and conditions. Integrating innovations has been mostly studied from an absorptive capacity perspective, with less attention given to the impact of competencies and culture (including “not invented here”). Commercializing innovations puts the most emphasis on how......” in a way inconsistent with earlier definitions in innovation management. The paper concludes with recommendations for future research that include examining the end-to-end innovation commercialization process, and studying the moderators and limits of leveraging external sources of innovation....

  15. Externally Verifiable Oblivious RAM

    Directory of Open Access Journals (Sweden)

    Gancher Joshua

    2017-04-01

    Full Text Available We present the idea of externally verifiable oblivious RAM (ORAM. Our goal is to allow a client and server carrying out an ORAM protocol to have disputes adjudicated by a third party, allowing for the enforcement of penalties against an unreliable or malicious server. We give a security definition that guarantees protection not only against a malicious server but also against a client making false accusations. We then give modifications of the Path ORAM [15] and Ring ORAM [9] protocols that meet this security definition. These protocols both have the same asymptotic runtimes as the semi-honest original versions and require the external verifier to be involved only when the client or server deviates from the protocol. Finally, we implement externally verified ORAM, along with an automated cryptocurrency contract to use as the external verifier.

  16. External Beam Therapy (EBT)

    Science.gov (United States)

    ... Esophageal Cancer Treatment Head and Neck Cancer Treatment Lung Cancer Treatment Prostate Cancer Treatment Brain Tumor Treatment Why is ... Radiation Oncology) Breast Cancer Treatment Esophageal Cancer Treatment Lung Cancer Treatment Images related to External Beam Therapy (EBT) Sponsored ...

  17. MALIGNANT EXTERNAL OTITIS

    OpenAIRE

    Massoud Moghaddam

    1993-01-01

    Two case reports of malignant external otitis in the elderly diabetics and their complications and management with regard to our experience at Amir Alam Hospital, Department of ENT will be discussed here.

  18. Reliability and Practicality of the Core Score: Four Dynamic Core Stability Tests Performed in a Physician Office Setting.

    Science.gov (United States)

    Friedrich, Jason; Brakke, Rachel; Akuthota, Venu; Sullivan, William

    2017-07-01

    Pilot study to determine the practicality and inter-rater reliability of the "Core Score," a composite measure of 4 clinical core stability tests. Repeated measures. Academic hospital physician clinic. 23 healthy volunteers with mean age of 32 years (12 females, 11 males). All subjects performed 4 core stability maneuvers under direct observation from 3 independent physicians in sequence. Inter-rater reliability and time necessary to perform examination. The Core Score scale is 0 to 12, with 12 reflecting the best core stability. The mean composite score of all 4 tests for all subjects was 9.54 (SD, 1.897; range, 4-12). The intraclass correlation coefficients (ICC 1,1) for inter-rater reliability for the composite Core Score and 4 individual tests were 0.68 (Core Score), 0.14 (single-leg squat), 0.40 (supine bridge), 0.69 (side bridge), and 0.46 (prone bridge). The time required for a single examiner to assess a given subject's core stability in all 4 maneuvers averaged 4 minutes (range, 2-6 minutes). Even without specialized equipment, a clinically practical and moderately reliable measure of core stability may be possible. Further research is necessary to optimize this measure for clinical application. Despite the known value of core stability to athletes and patients with low back pain, there is currently no reliable and practical means for rating core stability in a typical office-based practice. This pilot study provides a starting point for future reliability research on clinical core stability assessments.

  19. Performance of a rapid diagnostic test for the detection of visceral leishmaniasis in a large urban setting

    Directory of Open Access Journals (Sweden)

    Alexandre Sampaio Moura

    2013-09-01

    Full Text Available Introduction Rapid diagnostic tests (RDTs may improve the early detection of visceral leishmaniasis (VL, but their real-world performance requires additional study. Therefore, we evaluated the performance of an rK39-based RDT (Kalazar Detect™ for the detection of VL in an endemic, large urban area. Methods Data were collected from a registry of rK39 RDT performed at 11 emergency care units in Belo Horizonte, Brazil, and from a national database of reportable communicable diseases of the Sistema de Informação de Agravos de Notificação (SINAN. Results The rapid rK39 test was performed in 476 patients, with 114 (23.9% positive results. The analysis of rK39 RDT performance was based on 381 (80% cases reported to the SINAN database, of which 145 (38.1% were confirmed cases. Estimates for sensitivity and specificity were 72.4% (95% CI: 64.6-79% and 99.6% (95%CI: 97.6-99.9%, respectively. Positive and negative predictive values were estimated at 99.1% (95%CI: 94.9-99.8% and 85.5% (95%CI: 80.8-89.1%, respectively. In addition, close agreement between the rK39 RDT and indirect immunofluorescence was observed. Conclusions In summary, the rK39 RDT showed a high specificity but only moderate sensitivity. In endemic areas for VL, treatment may be considered in cases with clinical manifestations and a positive rK39 RDT, but those with a negative test should be subjected to further investigation.

  20. Migration with fiscal externalities.

    Science.gov (United States)

    Hercowitz, Z; Pines, D

    1991-11-01

    "This paper analyses the distribution of a country's population among regions when migration involves fiscal externalities. The main question addressed is whether a decentralized decision making [by] regional governments can produce an optimal population distribution...or a centralized intervention is indispensable, as argued before in the literature.... It turns out that, while with costless mobility the fiscal externality is fully internalized by voluntary interregional transfers, with costly mobility, centrally coordinated transfers still remain indispensable for achieving the socially optimal allocation."

  1. Sen cycles and externalities

    OpenAIRE

    Piggins, Ashley; Salerno, Gillian

    2016-01-01

    It has long been understood that externalities of some kind are responsible for Sen’s (1970) theorem on the impossibility of a Paretian liberal. However, Saari and Petron (2006) show that for any social preference cycle generated by combining the weak Pareto principle and individual decisiveness, every decisive individual must suffer at least one strong negative externality. We show that this fundamental result only holds when individual preferences are strict. Building on their contribution,...

  2. Depressive reactions to failure in a naturalistic setting: a test of the hopelessness and self-esteem theories of depression.

    Science.gov (United States)

    Metalsky, G I; Joiner, T E; Hardin, T S; Abramson, L Y

    1993-02-01

    We tested the hopelessness and self-esteem theories of depression and an integration of the two by examining whether a stable, global attributional style (attributional diathesis) and low self-esteem interacted with the outcomes students received on a midterm examination to predict their subsequent depressive reactions over the course of 5 days. Students' immediate depressive reactions (on receipt of grades) were predicted solely by the examination outcome, whereas their enduring depressive reactions during the following 4 days were predicted by the Attributional Diathesis x Low Self-Esteem x Failure interaction. The results also indicated that the three-way interaction predicted enduring depressive reactions through the mediating role of hopelessness.

  3. [Significance of participation in programs of external quality assessment in molecular diagnostic--our experience].

    Science.gov (United States)

    Paro, Mirjana Mariana Kardum; Siftar, Zoran; Juretić, Dubravka; Flegar-Mestrić, Zlata

    2011-09-01

    Harmonization of molecular diagnostic tests in laboratories in the Republic of Croatia has only just started. According to laboratory accreditation standard ISO 15189 participation in external quality assessment (EQA) schemes or programs is a prerequisite and support tool for clinical laboratory accreditation process. As there are no national quality assurance schemes yet, an European external quality assessment (EQA) scheme or program should be found. Because of variation in the molecular diagnostic test performance of clinical laboratories across Europe, EQA is recognized as a system whereby a set of reagents and techniques are assessed by an external provider making inter-laboratory performance comparability possible through already integrated recommendations and practice guidelines of molecular diagnostic test performance. Today, wide range of various EQA schemes and programs already in action have been available and most of them began within the last ten years. This paper is therefore intended to present and summarize the four-year EQA activities in the Institute of Clinical Chemistry, Merkur University Hospital, in three different international EQA schemes: United Kingdom National External Quality Assessment Scheme (UK NEQAS), the European Molecular Genetic Quality Network (EMQN) and Multi-National External Quality Assay program (EQUAL- qual)) and to point out their educational role in standardization of laboratory performance of any test intended for patient testing. from a laboratory point of view.

  4. Performance Targets and External Market Prices

    DEFF Research Database (Denmark)

    Hansen, Allan; Friis, Ivar; Vámosi, Tamás S.

    In this paper we explore the processes of ‘bringing the market inside the firm’ to set performance targets and benchmark production workers productivity. We analyze attempts to use external suppliers’ bids in target setting in a Danish manufacturing company. The case study illustrates how...... the implementation of external market information in target setting – well known in transfer pricing, relative performance evaluation, beyond budgeting, target costing, piece rates systems and value based management – relate to challenging motivation and information problem. The analysis and discussion of those...... problems, in particular those related to accounting for the internal performance (that are going to be compared with the external target), calculating the ‘inside’ costs and defining controllability, contributes to the management accounting as well as the piece-rate literature....

  5. Building, testing and validating a set of home-made von Frey filaments: a precise, accurate and cost effective alternative for nociception assessment.

    Science.gov (United States)

    de Sousa, Marcelo Victor Pires; Ferraresi, Cleber; de Magalhães, Ana Carolina; Yoshimura, Elisabeth Mateus; Hamblin, Michael R

    2014-07-30

    A von Frey filament (vFF) is a type of aesthesiometer usually made of nylon perpendicularly held in a base. It can be used in paw withdrawal pain threshold assessment, one of the most popular tests for pain evaluation using animal models. For this test, a set of filaments, each able to exert a different force, is applied to the animal paw, from the weakest to the strongest, until the paw is withdrawn. We made 20 low cost vFF using nylon filaments of different lengths and constant diameter glued perpendicularly to the ends of popsicle sticks. They were calibrated using a laboratory balance scale. Building and calibrating took around 4h and confirmed the theoretical prediction that the force exerted is inversely proportional to the length and directly proportional to the width of the filament. The calibration showed that they were precise and accurate. We analyzed the paw withdrawal threshold assessed with the set of home-made vFF and with a high quality commercial set of 5 monofilaments vFF (Stoelting, Wood Dale, USA) in two groups (n=5) of healthy mice. The home-made vFF precisely and accurately measured the hind paw withdrawal threshold (20.3±0.9 g). The commercial vFF have different diameters while our set has the same diameter avoiding the problem of lower sensitivity to larger diameter filaments. Building a set of vFF is easy, cost effective, and depending on the kind of tests, can increase precision and accuracy of animal nociception evaluation. Copyright © 2014 Elsevier B.V. All rights reserved.

  6. Can TasP Approaches Be Implemented in Correctional Settings?: A review of HIV testing and linkage to community HIV treatment programs.

    Science.gov (United States)

    Elkington, Katherine S; Jaiswal, Jessica; Spector, Anya Y; Reukauf, Heidi; Tesoriero, James M; Nash, Denis; Remien, Robert H

    2016-01-01

    High rates of HIV in correctional populations makes evaluation of programs that increase HIV testing in correctional settings and linkage to HIV treatment upon release, and understanding key implementation issues of these programs, essential to reducing new HIV infection. We conducted a systematic search for studies of outcomes or implementation issues of programs that promote HIV testing or that promote linkage to community HIV treatment post-release. Thirty-five articles met inclusion criteria: nine HIV testing initiatives and four linkage programs. HIV testing uptake rates were between 22% and 98% and rates of linkage to community treatment were between 79% and 84%. Findings suggest that some programs may be effective at reducing HIV transmission within the communities to which inmates return. However, attention to implementation factors, such as organizational culture and staff collaborations, appears critical to the success of these programs. Future research using rigorous design and adequate comparison groups is needed.

  7. A statistical approach towards the derivation of predictive gene sets for potency ranking of chemicals in the mouse embryonic stem cell test.

    Science.gov (United States)

    Schulpen, Sjors H W; Pennings, Jeroen L A; Tonk, Elisa C M; Piersma, Aldert H

    2014-03-21

    The embryonic stem cell test (EST) is applied as a model system for detection of embryotoxicants. The application of transcriptomics allows a more detailed effect assessment compared to the morphological endpoint. Genes involved in cell differentiation, modulated by chemical exposures, may be useful as biomarkers of developmental toxicity. We describe a statistical approach to obtain a predictive gene set for toxicity potency ranking of compounds within one class. This resulted in a gene set based on differential gene expression across concentration-response series of phthalatic monoesters. We determined the concentration at which gene expression was changed at least 1.5-fold. Genes responding with the same potency ranking in vitro and in vivo embryotoxicity were selected. A leave-one-out cross-validation showed that the relative potency of each phthalate was always predicted correctly. The classical morphological 50% effect level (ID50) in EST was similar to the predicted concentration using gene set expression responses. A general down-regulation of development-related genes and up-regulation of cell-cycle related genes was observed, reminiscent of the differentiation inhibition in EST. This study illustrates the feasibility of applying dedicated gene set selections as biomarkers for developmental toxicity potency ranking on the basis of in vitro testing in the EST.

  8. Points in the set-up of tests for fMRI. Toward the delineation of language-competent areas in clinical practice

    Energy Technology Data Exchange (ETDEWEB)

    Takashima, Hisaharu; Ejima, Mitsuhiro; Takeyama, Mamoru; Yamaguchi, Masami; Sato, Yoshino [Tokyo Women' s Medical Coll. (Japan). Hospital

    2001-06-01

    This hospital has performed fMRI of language-competent areas of the brain to identify the language-dominant hemisphere and obtain the configuration of the focus in the language-dominant side of the brain. Until now, signals have been detected in only two of fifteen patients who were diagnosed by language tests of a last-syllable word chain. In the present experiment, we tried to have subjects select the type of test. The result was that changes in signals were detected in eight of ten patients. Although the set-up of tests for fMRI is said to hold significant value, clear-cut studies to back this up have rarely been seen. Because clinical medicine treats patients who have difficulty in communication or suffer from aphasia, it is important to take into consideration individual variations and to set up a test suitable for, or achievable by, these individuals. The present method enabled us to avoid failure in examination caused by unsuccessful tests. (author)

  9. Developmental plasticity in fat patterning of Ache children in response to variation in interbirth intervals: a preliminary test of the roles of external environment and maternal reproductive strategies.

    Science.gov (United States)

    Baker, Jack; Hurtado, Ana Magdalena; Pearson, Osbjorn M; Hill, Kim R; Jones, Troy; Frey, M Anderson

    2009-01-01

    A firm link between small size at birth and later more centralized fat patterning has been established in previous research. Relationships between shortened interbirth intervals and small size at birth suggest that maternal energetic prioritization may be an important, but unexplored determinant of offspring fat patterning. Potential adaptive advantages to centralized fat storage (Baker et al., 2008: In: Trevathan W, McKenna J, Smith EO, editors. Evolutionary Medicine and Health: New Perspectives. New York: Oxford) suggest that relationships with interbirth intervals may reflect adaptive responses to variation in patterns of maternal reproductive effort. Kuzawa (2005: Am J Hum Biol 17:5-21; 2008: In: Trevathan W, McKenna J, Smith EO, editors. Evolutionary Medicine and Health: New Perspectives. New York: Oxford) has argued that maternal mediation of the energetic quality of the environment is a necessary component of developmental plasticity models invoking predictive adaptive responses (Gluckman and Hanson 2004: Trends Endocrinol Metab 15:183-187). This study tested the general hypothesis that shortened interbirth intervals would predict more centralized fat patterning in offspring. If long-term maternally mediated signals are important determinants of offspring responses, then we expected to observe a relationship between the average interbirth interval of mothers and offspring adiposity, with no relationship with the preceding interval. Such a finding would suggest that maternal, endogenous resource allocation decisions are related to offspring physiology in a manner consistent with Kuzawa's description. We observed exactly such a relationship among the Ache of Paraguay, suggesting that maternally mediated in utero signals of postnatal environments may be important determinants of later physiology. The implications of these findings are reviewed in light of life history and developmental plasticity theories and ourability to generalize the results to other

  10. Pilot Testing and Implementation of a mHealth tool for Non-communicable Diseases in a Humanitarian Setting

    Science.gov (United States)

    Doocy, Shannon; Paik, Kenneth; Lyles, Emily; Tam, Hok Hei; Fahed, Zeina; Winkler, Eric; Kontunen, Kaisa; Mkanna, Abdalla; Burnham, Gilbert

    2017-01-01

    settings, to optimize the benefit of such tools. PMID:28744410

  11. Development and test of sets of 3D printed age-specific thyroid phantoms for (131)I measurements.

    Science.gov (United States)

    Beaumont, Tiffany; Ideias, Pedro Caldeira; Rimlinger, Maeva; Broggio, David; Franck, Didier

    2017-06-21

    In the case of a nuclear reactor accident the release contains a high proportion of iodine-131 that can be inhaled or ingested by members of the public. Iodine-131 is naturally retained in the thyroid and increases the thyroid cancer risk. Since the radiation induced thyroid cancer risk is greater for children than for adults, the thyroid dose to children should be assessed as accurately as possible. For that purpose direct measurements should be carried out with age-specific calibration factors but, currently, there is no age-specific thyroid phantoms allowing a robust measurement protocol. A set of age-specific thyroid phantoms for 5, 10, 15 year old children and for the adult has been designed and 3D printed. A realistic thyroid shape has been selected and material properties taken into account to simulate the attenuation of biological tissues. The thyroid volumes follow ICRP recommendations and the phantoms also include the trachea and a spine model. Several versions, with or without spine, with our without trachea, with or without age-specific neck have been manufactured, in order to study the influence of these elements on calibration factors. The calibration factor obtained with the adult phantom and a reference phantom are in reasonable agreement. In vivo calibration experiments with germanium detectors have shown that the difference in counting efficiency, the inverse of the calibration factor, between the 5 year and adult phantoms is 25% for measurement at contact. It is also experimentally evidenced that the inverse of the calibration factor varies linearly with the thyroid volume. The influence of scattering elements like the neck or spine is not evidenced by experimental measurements.

  12. Development and test of sets of 3D printed age-specific thyroid phantoms for 131I measurements

    Science.gov (United States)

    Beaumont, Tiffany; Caldeira Ideias, Pedro; Rimlinger, Maeva; Broggio, David; Franck, Didier

    2017-06-01

    In the case of a nuclear reactor accident the release contains a high proportion of iodine-131 that can be inhaled or ingested by members of the public. Iodine-131 is naturally retained in the thyroid and increases the thyroid cancer risk. Since the radiation induced thyroid cancer risk is greater for children than for adults, the thyroid dose to children should be assessed as accurately as possible. For that purpose direct measurements should be carried out with age-specific calibration factors but, currently, there is no age-specific thyroid phantoms allowing a robust measurement protocol. A set of age-specific thyroid phantoms for 5, 10, 15 year old children and for the adult has been designed and 3D printed. A realistic thyroid shape has been selected and material properties taken into account to simulate the attenuation of biological tissues. The thyroid volumes follow ICRP recommendations and the phantoms also include the trachea and a spine model. Several versions, with or without spine, with our without trachea, with or without age-specific neck have been manufactured, in order to study the influence of these elements on calibration factors. The calibration factor obtained with the adult phantom and a reference phantom are in reasonable agreement. In vivo calibration experiments with germanium detectors have shown that the difference in counting efficiency, the inverse of the calibration factor, between the 5 year and adult phantoms is 25% for measurement at contact. It is also experimentally evidenced that the inverse of the calibration factor varies linearly with the thyroid volume. The influence of scattering elements like the neck or spine is not evidenced by experimental measurements.

  13. Testing an OMERACT MRI scoring system for peripheral psoriatic arthritis in cross-sectional and longitudinal settings

    DEFF Research Database (Denmark)

    McQueen, Fiona; Lassere, Marissa; Duer-Jensen, Anne

    2009-01-01

    OBJECTIVE: Magnetic resonance imaging (MRI) is increasingly used to measure articular inflammation and damage in patients with psoriatic arthritis (PsA). We evaluated the reliability of a new OMERACT PsA MRI scoring system, PsAMRIS, in PsA fingers. METHODS: In 2 separate studies, MRI scans were...... obtained from patients with clinical evidence of synovitis or dactylitis of the fingers. For the first cross-sectional study, images were obtained at one timepoint. For the second longitudinal study, images were obtained at 2 timepoints, 6 weeks apart. Scans were scored using PsAMRIS in an international......, reliability for change scores was acceptable only for synovitis and tenosynovitis. CONCLUSION: Further development and testing of the PsAMRIS is planned to improve its performance as a clinical and research tool to identify and measure pathology in peripheral joint PsA....

  14. Development and testing of a photometric method to identify non-operating solar hot water systems in field settings.

    Energy Technology Data Exchange (ETDEWEB)

    He, Hongbo (University of New Mexico, Albuquerque, NM); Vorobieff, Peter V. (University of New Mexico, Albuquerque, NM); Menicucci, David (University of New Mexico, Albuquerque, NM); Mammoli, Andrea A. (University of New Mexico, Albuquerque, NM); Carlson, Jeffrey J.

    2012-06-01

    This report presents the results of experimental tests of a concept for using infrared (IR) photos to identify non-operational systems based on their glazing temperatures; operating systems have lower glazing temperatures than those in stagnation. In recent years thousands of new solar hot water (SHW) systems have been installed in some utility districts. As these numbers increase, concern is growing about the systems dependability because installation rebates are often based on the assumption that all of the SHW systems will perform flawlessly for a 20-year period. If SHW systems routinely fail prematurely, then the utilities will have overpaid for grid-energy reduction performance that is unrealized. Moreover, utilities are responsible for replacing energy for loads that failed SHW system were supplying. Thus, utilities are seeking data to quantify the reliability of SHW systems. The work described herein is intended to help meet this need. The details of the experiment are presented, including a description of the SHW collectors that were examined, the testbed that was used to control the system and record data, the IR camera that was employed, and the conditions in which testing was completed. The details of the associated analysis are presented, including direct examination of the video records of operational and stagnant collectors, as well as the development of a model to predict glazing temperatures and an analysis of temporal intermittency of the images, both of which are critical to properly adjusting the IR camera for optimal performance. Many IR images and a video are presented to show the contrast between operating and stagnant collectors. The major conclusion is that the technique has potential to be applied by using an aircraft fitted with an IR camera that can fly over an area with installed SHW systems, thus recording the images. Subsequent analysis of the images can determine the operational condition of the fielded collectors. Specific

  15. A Laboratory Test Setup for in Situ Measurements of the Dielectric Properties of Catalyst Powder Samples under Reaction Conditions by Microwave Cavity Perturbation: Set up and Initial Tests

    Directory of Open Access Journals (Sweden)

    Markus Dietrich

    2014-09-01

    Full Text Available The catalytic behavior of zeolite catalysts for the ammonia-based selective catalytic reduction (SCR of nitrogen oxides (NOX depends strongly on the type of zeolite material. An essential precondition for SCR is a previous ammonia gas adsorption that occurs on acidic sites of the zeolite. In order to understand and develop SCR active materials, it is crucial to know the amount of sorbed ammonia under reaction conditions. To support classical temperature-programmed desorption (TPD experiments, a correlation of the dielectric properties with the catalytic properties and the ammonia sorption under reaction conditions appears promising. In this work, a laboratory test setup, which enables direct measurements of the dielectric properties of catalytic powder samples under a defined gas atmosphere and temperature by microwave cavity perturbation, has been developed. Based on previous investigations and computational simulations, a resonator cavity and a heating system were designed, installed and characterized. The resonator cavity is designed to operate in its TM010 mode at 1.2 GHz. The first measurement of the ammonia loading of an H-ZSM-5 zeolite confirmed the operating performance of the test setup at constant temperatures of up to 300 °C. It showed how both real and imaginary parts of the relative complex permittivity are strongly correlated with the mass of stored ammonia.

  16. A laboratory test setup for in situ measurements of the dielectric properties of catalyst powder samples under reaction conditions by microwave cavity perturbation: set up and initial tests.

    Science.gov (United States)

    Dietrich, Markus; Rauch, Dieter; Porch, Adrian; Moos, Ralf

    2014-09-10

    The catalytic behavior of zeolite catalysts for the ammonia-based selective catalytic reduction (SCR) of nitrogen oxides (NOX) depends strongly on the type of zeolite material. An essential precondition for SCR is a previous ammonia gas adsorption that occurs on acidic sites of the zeolite. In order to understand and develop SCR active materials, it is crucial to know the amount of sorbed ammonia under reaction conditions. To support classical temperature-programmed desorption (TPD) experiments, a correlation of the dielectric properties with the catalytic properties and the ammonia sorption under reaction conditions appears promising. In this work, a laboratory test setup, which enables direct measurements of the dielectric properties of catalytic powder samples under a defined gas atmosphere and temperature by microwave cavity perturbation, has been developed. Based on previous investigations and computational simulations, a resonator cavity and a heating system were designed, installed and characterized. The resonator cavity is designed to operate in its TM010 mode at 1.2 GHz. The first measurement of the ammonia loading of an H-ZSM-5 zeolite confirmed the operating performance of the test setup at constant temperatures of up to 300 °C. It showed how both real and imaginary parts of the relative complex permittivity are strongly correlated with the mass of stored ammonia.

  17. Psychometric properties of the Turkish versions of the Drug Use Disorders Identification Test (DUDIT) and the Drug Abuse Screening Test (DAST-10) in the prison setting.

    Science.gov (United States)

    Evren, Cuneyt; Ogel, Kultegin; Evren, Bilge; Bozkurt, Muge

    2014-01-01

    The aim of this study was to evaluate psychometric properties of the Drug Use Disorders Identification Test (DUDIT) and the Drug Abuse Screening Test (DAST-10) in prisoners with (n = 124) or without (n = 78) drug use disorder. Participants were evaluated with the DUDIT, the DAST-10, and the Addiction Profile Index-Short (API-S). The DUDIT and the DAST-10 were found to be psychometrically sound drug abuse screening measures with high convergent validity when compared with each other (r = 0.86), and API-S (r = 0.88 and r = 0.84, respectively), and to have a Cronbach's α of 0.93 and 0.87, respectively. In addition, a single component accounted for 58.28% of total variance for DUDIT, whereas this was 47.10% for DAST-10. The DUDIT had sensitivity and specificity scores of 0.95 and 0.79, respectively, when using the optimal cut-off score of 10, whereas these scores were 0.88 and 0.74 for the DAST-10 when using the optimal cut-off score of 4. Additionally, both the DUDIT and the DAST-10 showed good discriminant validity as they differentiated prisoners with drug use disorder from those without. Findings support the Turkish versions of both the DUDIT and the DAST-10 as reliable and valid drug abuse screening instruments that measure unidimensional constructs.

  18. Automatic Planning of External Search Engine Optimization

    Directory of Open Access Journals (Sweden)

    Vita Jasevičiūtė

    2015-07-01

    Full Text Available This paper describes an investigation of the external search engine optimization (SEO action planning tool, dedicated to automatically extract a small set of most important keywords for each month during whole year period. The keywords in the set are extracted accordingly to external measured parameters, such as average number of searches during the year and for every month individually. Additionally the position of the optimized web site for each keyword is taken into account. The generated optimization plan is similar to the optimization plans prepared manually by the SEO professionals and can be successfully used as a support tool for web site search engine optimization.

  19. Comprehensive development and testing of the ASIST-GBV, a screening tool for responding to gender-based violence among women in humanitarian settings.

    Science.gov (United States)

    Wirtz, A L; Glass, N; Pham, K; Perrin, N; Rubenstein, L S; Singh, S; Vu, A

    2016-01-01

    Conflict affected refugees and internally displaced persons (IDPs) are at increased vulnerability to gender-based violence (GBV). Health, psychosocial, and protection services have been implemented in humanitarian settings, but GBV remains under-reported and available services under-utilized. To improve access to existing GBV services and facilitate reporting, the ASIST-GBV screening tool was developed and tested for use in humanitarian settings. This process was completed in four phases: 1) systematic literature review, 2) qualitative research that included individual interviews and focus groups with GBV survivors and service providers, respectively, 3) pilot testing of the developed screening tool, and 4) 3-month implementation testing of the screening tool. Research was conducted among female refugees, aged ≥15 years in Ethiopia, and female IDPs, aged ≥18 years in Colombia. The systematic review and meta-analysis identified a range of GBV experiences and estimated a 21.4 % prevalence of sexual violence (95 % CI:14.9-28.7) among conflict-affected populations. No existing screening tools for GBV in humanitarian settings were identified. Qualitative research with GBV survivors in Ethiopia and Colombia found multiple forms of GBV experienced by refugees and IDPs that occurred during conflict, in transit, and in displaced settings. Identified forms of violence were combined into seven key items on the screening tool: threats of violence, physical violence, forced sex, sexual exploitation, forced pregnancy, forced abortion, and early or forced marriage. Cognitive testing further refined the tool. Pilot testing in both sites demonstrated preliminary feasibility where 64.8 % of participants in Ethiopia and 44.9 % of participants in Colombia were identified with recent (last 12 months) cases of GBV. Implementation testing of the screening tool, conducted as a routine service in camp/district hospitals, allowed for identification of GBV cases and referrals to

  20. Prestress Force Identification for Externally Prestressed Concrete Beam Based on Frequency Equation and Measured Frequencies

    Directory of Open Access Journals (Sweden)

    Luning Shi

    2014-01-01

    Full Text Available A prestress force identification method for externally prestressed concrete uniform beam based on the frequency equation and the measured frequencies is developed. For the purpose of the prestress force identification accuracy, we first look for the appropriate method to solve the free vibration equation of externally prestressed concrete beam and then combine the measured frequencies with frequency equation to identify the prestress force. To obtain the exact solution of the free vibration equation of multispan externally prestressed concrete beam, an analytical model of externally prestressed concrete beam is set up based on the Bernoulli-Euler beam theory and the function relation between prestress variation and vibration displacement is built. The multispan externally prestressed concrete beam is taken as the multiple single-span beams which must meet the bending moment and rotation angle boundary conditions, the free vibration equation is solved using sublevel simultaneous method and the semi-analytical solution of the free vibration equation which considered the influence of prestress on section rigidity and beam length is obtained. Taking simply supported concrete beam and two-span concrete beam with external tendons as examples, frequency function curves are obtained with the measured frequencies into it and the prestress force can be identified using the abscissa of the crosspoint of frequency functions. Identification value of the prestress force is in good agreement with the test results. The method can accurately identify prestress force of externally prestressed concrete beam and trace the trend of effective prestress force.

  1. Comparison of the bedside head impulse test with the video head impulse test in a clinical practice setting: a prospective study of 500 outpatients.

    Directory of Open Access Journals (Sweden)

    Chun Wai eYip

    2016-04-01

    Full Text Available Objectives: The primary aim was to determine the sensitivity, specificity, positive predictive value (PPV, and negative predictive value (NPV of the bedside head impulse test (bHIT using the video HIT (vHIT as the gold standard for quantifying the function of the vestibulo-ocular reflex (VOR. Secondary aims were to determine the bHIT inter-rater reliability, and sensitivity in detecting unilateral and bilateral vestibulopathy.Methods: In this prospective study, 500 consecutive outpatients presenting to a tertiary neuro-otology clinic with vertigo or dizziness of various vestibular etiologies who did not have any of the pre-defined exclusion criteria were recruited. Bedside HITs were done by three experienced neuro-otology clinicians masked to the diagnosis, and the results were compared with the vHIT. The patients were likewise blinded to the bHIT and vHIT findings. Patients with VOR deficits were identified on the vHIT by referencing to the pre-selected pathological gain of 40%, the bHIT sensitivity = 51.7% and 83%, respectively. For bilateral vestibulopathy, overall bHIT sensitivity = 66.3%, reaching 86.84% for severely reduced bidirectional gains.Conclusions: For the primary outcome, the bHIT had moderate sensitivity and low PPV. While the study did not elucidate the best choice for vHIT reference, it demonstrated how the bHIT test properties varied with vHIT thresholds: selecting a lower threshold improved the sensitivity but diminished the PPV, while a higher threshold had the opposite effect. The VOR was most likely normal if the bHIT was negative due to its high NPV. The bHIT was moderately sensitive for detecting unilateral and bilateral vestibulopathy overall, but better for certain subgroups.

  2. Fecal Collection and Stabilization Methods for Improved Fecal DNA Test for Colorectal Cancer in a Screening Setting

    Directory of Open Access Journals (Sweden)

    Francesca Maria Carozzi

    2013-01-01

    Full Text Available Early detection of CRC and adenomas reduces CRC-related mortality. The optimal screening test for CRC is still a subject of debate, and molecular stool sample analysis could provide a valid alternative to conventional methods in terms of compliance and practicability. Seven fecal DNA storage systems were evaluated in two successive phases. In the first phase of the study was selected the preservative buffer able to ensure the best human DNA recovery. In the second phase was evaluated human DNA stability, amplificability and integrity in DNA extracted from selected buffer. Results showed that the best performance was obtained in samples stored in 100 mM EDTA buffer and Genefec buffer. Likewise buffer addition yielded a significant increase in DNA stability and integrity without PCR inhibition, compared to the matched aliquots with no buffer added. Our study shows that samples collected in stabilization solution stabilize DNA so that intact nucleic acids, are more effectively detectable in the molecular assay. DNA buffer preservation and storage conditions could be useful to guarantee the most consistent yield in human DNA. Stabilization buffer addition to stool samples prior to transport presents an easily implemented solution that appears to be highly effective. Overall DNA extracted from faeces preserved in preservative buffer can feasibility been used for molecular analysis leading to an increase of assay sensitivity.

  3. The fastest of three trials is recommended for Timed Up & Go testing of functional mobility in an outpatient geriatric setting

    DEFF Research Database (Denmark)

    Bloch, Mette Linding

    2012-01-01

    , using an armchair if not able to perform without). Repeated measures with Bonferoni corrections for mass significance was used to evaluate differences between TUG trials, T-Tests to evaluate differences between groups,and Pearson’s Correlation coefficient to evaluate association between variables...... to 5.5 seconds in difference between the two recordings. Subjects using walking aids (n=10) were the oldest (P=0.057, mean age of 87.7 versus 81.5 years), and performed worse (P=0.033, 26.3 versus 17.3seconds) when using the best of the three TUG trials. Also, this score was significantly correlated...... with age (r=0.434, P=0.013) and the modified CST with the use of armchair (n=15, r=-0.600,P=0.018), while no significant correlation was seen in relation to the CST (n=15, r=-0.411, P=0.128). Conclusion: We recommend that the fastest of three timed TUG trials is used instead of the second trial when...

  4. Can students' reasons for choosing set answers to ethical vignettes be reliably rated? Development and testing of a method.

    Science.gov (United States)

    Goldie, John; Schwartz, Lisa; McConnachie, Alex; Jolly, Brian; Morrison, Jillian

    2004-12-01

    Although ethics is an important part of modern curricula, measures of students' ethical disposition have not been easy to develop. A potential method is to assess students' written justifications for selecting one option from a preset range of answers to vignettes and compare these justifications with predetermined 'expert' consensus. We describe the development of and reliability estimation for such a method -- the Ethics in Health Care Instrument (EHCI). Seven raters classified the responses of ten subjects to nine vignettes, on two occasions. The first stage of analysis involved raters' judging how consistent with consensus were subjects' justifications using generalizability theory, and then rating consensus responses on the action justification and values recognition hierarchies. The inter-rater reliability was 0.39 for the initial rating. Differential performance on questions was identified as the largest source of variance. Hence reliability was investigated also for students' total scores over the nine consensus vignettes. Rater effects were the largest source of variance identified. Examination of rater performance showed lack of rater consistency. D-studies were performed which showed acceptable reliability could nevertheless be obtained using four raters per EHCI. This study suggests that the EHCI has potential as an assessment instrument although further testing is required of all components of the methodology.

  5. Two-step tuberculin skin testing in school-going adolescents with initial 0-4 millimeter responses in a high tuberculosis prevalence setting in South India.

    Science.gov (United States)

    Murthy, Maitreyi; Selvam, Sumithra; Jesuraj, Nelson; Bennett, Sean; Doherty, Mark; Grewal, Harleen M S; Vaz, Mario

    2013-01-01

    The utility of two-step tuberculin skin testing among adolescents in high tuberculosis prevalence settings is not well established. To determine the proportion and determinants of a 0-4 mm response to an initial standard tuberculin skin test (TST) and evaluating 'boosting' with repeat testing. Adolescents between 11 and 18 years attending schools/colleges underwent a TST; those with a response of between 0-4 mm had a repeat TST 1-4 weeks later. Initial TST was done for 6608/6643 participants; 1257 (19%) developed a 0-4 mm response to the initial TST. Younger age and under-nutrition were more likely to be associated with a 0-4 mm response, while the presence of BCG (Bacillus Calmette Guerin) scar and higher socio-economic class were less likely to be associated with a 0-4 mm response. On repeat testing boosting was seen in 13.2% (145/1098; ≥ 6 mm over the initial test) while 4.3% showed boosting using a more conservative cutoff of a repeat TST ≥ 10 mm with an increment of at least 6 mm (47/1098). History of exposure to a tuberculosis (TB) case was associated with enhanced response. The proportion of adolescents who demonstrated boosting on two-step TST testing in our study was relatively low. As a result repeat testing did not greatly alter the prevalence of TST positivity. However, the two-step TST helps identify individuals who can potentially boost their immune response to a second test, and thus, prevents them from being misclassified as those with newly acquired infection, or tuberculin converters. While two-step tuberculin skin testing may have a limited role in population- level TST surveys, it may be useful where serial tuberculin testing needs to be performed to distinguish those who show an enhanced response or boosters from those who indeed have a new infection, or converters.

  6. MDR-TB screening in a setting with molecular diagnostic techniques: who got tested, who didn't and why?

    Science.gov (United States)

    Shewade, H D; Govindarajan, S; Sharath, B N; Tripathy, J P; Chinnakali, P; Kumar, A M V; Muthaiah, M; Vivekananda, K; Paulraj, A K; Roy, G

    2015-06-21

    Contexte : Programme national révisé de Lutte contre la Tuberculose, Pondichéry, Inde, avec une structure de techniques de diagnostic moléculaire.Objectif : Déterminer l'abandon préalable au diagnostic et préalable au traitement et leurs raisons parmi des patients présumés atteints de tuberculose multirésistante (TB-MDR).Méthodes : Dans cette étude utilisant plusieurs méthodes, l'élément quantitatif consistait en une analyse de cohorte rétrospective, grâce à une revue de dossiers, de tous les patients présumés atteints de TB-MDR entre octobre 2012 et septembre 2013. L'élément qualitatif incluait des entretiens approfondis avec des informateurs clés impliqués dans la gestion programmatique des services de TB pharmacorésistante.Résultats : Sur 341 patients présumés TB-MDR éligibles, le taux d'abandon avant le diagnostic et avant le traitement a été de 45,5% (155/341) et 29% (2/7), respectivement. Les patients atteints de TB extra-pulmonaire (RR = 2,3), de coïnfection par le virus de l'immunodéficience humaine et TB (RR = 1,7), inscrits entre octobre et décembre 2012 (RR = 1,3) et identifiés à partir de centres de santé primaires/secondaires (RR = 1,8) avaient moins de chances d'être testés. Les thèmes qui ont émergé lors de l'analyse des données qualitatives ont été « l'absence d'un mécanisme systématique de suivi des patients référés pour culture et test de pharmaco sensibilité », « l'absence de services de coursier pour transporter les crachats », « le manque de connaissances et d'appropriation du personnel de santé en général », « les ruptures de stock de kits de diagnostic » et « la non-adhérence du patient ».Conclusion : En dépit de l'introduction de techniques de diagnostic moléculaire, les problèmes opérationnels de dépistage de la TB-MDR restent préoccupants et requièrent une attention urgente.

  7. Environmental external effects from wind power based on the EU ExternE methodology

    DEFF Research Database (Denmark)

    Ibsen, Liselotte Schleisner; Nielsen, Per Sieverts

    1998-01-01

    The European Commission has launched a major study project, ExternE, to develop a methodology to quantify externalities. A “National Implementation Phase”, was started under the Joule II programme with the purpose of implementing the ExternE methodology in all member states. The main objective...

  8. Specific food preferences of older adults with a poor appetite. A forced-choice test conducted in various care settings.

    Science.gov (United States)

    van der Meij, Barbara S; Wijnhoven, Hanneke A H; Finlayson, Graham S; Oosten, Babette S H; Visser, Marjolein

    2015-07-01

    A poor appetite in older adults is an important determinant of reduced food intake and undernutrition. Food preferences may influence food intake. The aim of this study was to investigate food preferences of older adults with a poor appetite and compare these with preferences of older adults with a good appetite. Older adults (n = 349, aged 65-101 years) in nursing/residential care homes, hospitals or at home receiving home care participated in a computer-based forced-choice food preference assessment. Self-reported appetite in the past week was classified as 'good' or 'poor' using a validated instrument. Food preferences were determined by counting the relative frequency of choices for food images according to 11 dichotomous categories: high/low 1) protein; 2) fat; 3) carbohydrates; 4) fiber; 5) variation; and 6) animal/vegetarian proteins; 7) sweet/savory taste; 8) solid/liquid texture; 9) dairy/non-dairy; with/without 10) sauce or 11) color variation. Specific food preferences in participants with a poor appetite were identified by one-sample t-tests comparing frequencies to the expected value of 48. Preference differences between those with a good and a poor appetite were analyzed using GLM adjusting for confounders. The results showed that older adults with a poor appetite (n = 113; 32.4%) preferred variation (51.6 vs. 48, P food preferences. Their preference for variation differs from those with a good appetite. These results may be used to develop meals that are preferred by older adults with poor appetite in order to increase food intake and prevent undernutrition. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. Effects of the isostretching method on morphological parameters and on a set of motor tests in the elderly

    Directory of Open Access Journals (Sweden)

    Christina Cruz Cepeda

    2013-07-01

    Full Text Available Moderate intensity resistance training seems to be effective in providing significant improvements on strength, balance and function in the elderly. This study aimed to analyze the effect of a 12-week isostretching training on functional capacity and muscle architecture in elderly women. The sample included 25 volunteers (n = 25 divided into a control group (CG, n = 11, 62.3 ± 1.9 years old, 1.58 ± 0.06 m, 73.4 ± 1.4 kg that followed their physical activity habits and an experimental group (EG, n = 14, 64.2 ± 4.3 years, 1.56 ± 0.05 m, 74.2 ± 1.6 kg that was submitted to an isostretching program. The following assessments were used: Timed Up and Go-TUGT, Tinetti balance test and evaluation of morphological parameters through ultrasound imaging technique. The results showed that the EG improved (p <0.05 in both TUGT and Tinetti. In the morphologic parameters of the vastus lateralis muscle in the EG, we observed the following: mean increase of 3.6 mm in length issue relaxation (p <0.05, ES = 1.15; increase of 4.9 mm in isometric contraction (p <0.05; ES = 1.94; increase of 16% in the pennation angle in the relaxed condition (p <0.05; ES = 0.70; increase of 12% in isometric contraction (p <0.05; ES = 0.50; increase of 8% in thickness in the relaxed condition (p <0.05, EF = 0.52; and increase of 9% in isometric contraction (p <0.05, EF = 0.43. The GC did not show any significant changes. The isometric training through the isostretching method promoted changes in the morphological and muscle parameters and also improved the functional abilities in elderly women.

  10. Comparison of T-SPOT.TB assay and tuberculin skin test for the evaluation of young children at high risk for tuberculosis in a community setting.

    Science.gov (United States)

    Nicol, Mark P; Davies, Mary-Ann; Wood, Kathryn; Hatherill, Mark; Workman, Lesley; Hawkridge, Anthony; Eley, Brian; Wilkinson, Katalin A; Wilkinson, Robert J; Hanekom, Willem A; Beatty, David; Hussey, Gregory

    2009-01-01

    We wished to compare the sensitivity of an enzyme-linked immunospot assay (T-SPOT.TB; Oxford Immunotec, Oxford, United Kingdom) and the tuberculin skin test for the detection of tuberculosis infection in very young children being evaluated for active tuberculosis in a rural community setting. Children with a history of exposure to tuberculosis and children presenting to a local clinic or hospital with symptoms suggesting tuberculosis were admitted to a dedicated case verification ward. T-SPOT.TB testing was performed, and children were evaluated with a clinical examination, a tuberculin skin test, chest radiographs, and cultures of induced sputum and gastric lavage specimens. The diagnosis was determined by using a clinical algorithm. A total of 243 children (median age: 18 months) were recruited, of whom 214 (88%) had interpretable T-SPOT.TB results. Children > or =12 months of age were more likely than younger children to have positive T-SPOT.TB results, whereas tuberculin skin test results were unaffected by age. The sensitivity of the T-SPOT.TB was no better than that of the tuberculin skin test for culture-confirmed tuberculosis (50% and 80%, respectively) and was poorer for the combined group of culture-confirmed and clinically probable tuberculosis (40% and 52%, respectively). For the 50 children clinically categorized as not having tuberculosis, the specificity of both the T-SPOT.TB and the tuberculin skin test was 84%. For young children presenting in a community setting after exposure to tuberculosis or with symptoms suggesting tuberculosis, T-SPOT.TB cannot be used to exclude active disease. The sensitivity of this assay may be impaired for very young children.

  11. Externality or sustainability economics?

    Energy Technology Data Exchange (ETDEWEB)

    Bergh, Jeroen C.J.M. van den [ICREA, Barcelona (Spain); Department of Economics and Economic History and Institute for Environmental Science and Technology, Universitat Autonoma de Barcelona (Spain)

    2010-09-15

    In an effort to develop 'sustainability economics' Baumgaertner and Quaas (2010) neglect the central concept of environmental economics-'environmental externality'. This note proposes a possible connection between the concepts of environmental externality and sustainability. In addition, attention is asked for other aspects of 'sustainability economics', namely the distinction weak/strong sustainability, spatial sustainability and sustainable trade, distinctive sustainability policy, and the ideas of early 'sustainability economists'. I argue that both sustainability and externalities reflect a systems perspective and propose that effective sustainability solutions require that more attention is given to system feedbacks, notably other-regarding preferences and social interactions, and energy and environmental rebound. The case of climate change and policy is used to illustrate particular statements. As a conclusion, a list of 20 insights and suggestions for research is offered. (author)

  12. Metasurface external cavity laser

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Luyao, E-mail: luyaoxu.ee@ucla.edu; Curwen, Christopher A.; Williams, Benjamin S. [Department of Electrical Engineering, University of California, Los Angeles, California 90095 (United States); California NanoSystems Institute, University of California, Los Angeles, California 90095 (United States); Hon, Philip W. C.; Itoh, Tatsuo [Department of Electrical Engineering, University of California, Los Angeles, California 90095 (United States); Chen, Qi-Sheng [Northrop Grumman Aerospace Systems, Redondo Beach, California 90278 (United States)

    2015-11-30

    A vertical-external-cavity surface-emitting-laser is demonstrated in the terahertz range, which is based upon an amplifying metasurface reflector composed of a sub-wavelength array of antenna-coupled quantum-cascade sub-cavities. Lasing is possible when the metasurface reflector is placed into a low-loss external cavity such that the external cavity—not the sub-cavities—determines the beam properties. A near-Gaussian beam of 4.3° × 5.1° divergence is observed and an output power level >5 mW is achieved. The polarized response of the metasurface allows the use of a wire-grid polarizer as an output coupler that is continuously tunable.

  13. Testing the scalar expectancy theory (SET) and the learning-to-time model (LeT) in a double bisection task.

    Science.gov (United States)

    Machado, Armando; Pata, Paulo

    2005-02-01

    Two theories of timing, scalar expectancy theory (SET) and learning-to-time (LeT), make substantially different assumptions about what animals learn in temporal tasks. In a test of these assumptions, pigeons learned two temporal discriminations. On Type 1 trials, they learned to choose a red key after a 1-sec signal and a green key after a 4-sec signal; on Type 2 trials, they learned to choose a blue key after a 4-sec signal and a yellow key after either an 8-sec signal (Group 8) or a 16-sec signal (Group 16). Then, the birds were exposed to signals 1 sec, 4 sec, and 16 sec in length and given a choice between novel key combinations (red or green vs. blue or yellow). The choice between the green key and the blue key was of particular significance because both keys were associated with the same 4-sec signal. Whereas SET predicted no effect of the test signal duration on choice, LeT predicted that preference for green would increase monotonically with the length of the signal but would do so faster for Group 8 than for Group 16. The results were consistent with LeT, but not with SET.

  14. Externality, environment, and obesity in children.

    Science.gov (United States)

    Stager, S F

    1981-07-01

    On the assumption that external responsiveness and environmental characteristics jointly determine whether a child will achieve an excessive weight gain, perpetuating and maintaining obesity, probability hierarchy was hypothesized and tested. Ss of the study were 24 obese and 24 average-weight, white boys, mean age 9 years, 5 months. An auditory distraction task and Kagan's Matching Familiar Figures Test were used to measure auditory and visual responsivity to external cues, respectively. Socioeconomic status was used as an indicator of the childhood environment. As predicted, the greatest percentages of obese children were observed in the lower-socioeconomic, external group, followed by the lower-socioeconomic, internal group and middle-socioeconomic, external group. The smallest percentage of obese children was observed in the middle-socioeconomic, internal group.

  15. Deep groundwater flow systems and their characterization in single-well settings by ''push-pull'' tracer tests

    Energy Technology Data Exchange (ETDEWEB)

    Hebig-Schubert, Klaus

    2014-11-21

    This thesis demonstrates the growing importance of deep groundwater research and the increasing demand for the development of suitable single-well test methods. At the forefront of the research on groundwater in the deep underground, radioactive waste disposal in deep geological repositories, CO{sub 2} storage, geothermal energy supply, and aquifer storage and recovery systems (ASR) are on the agenda. The developments of suitable methods for investigating these resources are a main target. Currently available methods show considerable limitations. Accordingly, comprehensive methods for the hydraulic and hydrochemical characterization of deeper aquifers with single-well access are needed. Therefore, the goal of this PhD thesis was to identify, test, and enhance potentially suitable single-well methods for characterization of groundwater flow and solute transport in such settings. For this, several Single-Well Injection-Withdrawal (''push-pull'') tracer tests were applied at the Hamasato field site (Horonobe, Japan) in a ∝100 m deep groundwater monitoring well. Aim was to characterize the impact of a dynamic saltwater-freshwater interface on a coastal aquifer. Based on the experiences of the first methodological test, a second field campaign was conducted. This campaign focused on a systematic evaluation of the push-pull tracer test method for the first time at all. The experiments focused on the investigation of the so-called ''chaser'' and its impact on the test results. The chaser is a specific part of many push-pull tracer tests setups. From these experiments, a specific test design for the investigation of the saltwater-freshwater interface in a single-well setting was developed. The application of this design on questions regarding different fluids within the same system, e.g. different mineralized fluids (saltwater-freshwater-interface, ASR) or temperatures (geothermal research), are promising future approaches for

  16. Individuals' insight into intrapersonal externalities

    Directory of Open Access Journals (Sweden)

    David J. Stillwell

    2012-07-01

    Full Text Available An intrapersonal externality exists when an individual's decisions affect the outcomes of her future decisions. It can result in decreasing or increasing average returns to the rate of consumption, as occurs in addiction or exercise. Experimentation using the Harvard Game, which models intrapersonal externalities, has found differences in decision making between drug users and control subjects, leading to the argument that these externalities influence the course of illicit drug use. Nevertheless, it is unclear how participants who behave optimally conceptualise the problem. We report two experiments using a simplified Harvard Game, which tested the differences in contingency knowledge between participants who chose optimally and participants who did not. Those who demonstrated optimal performance exhibited both a pattern of correct responses and systematic errors to questions about the payoff schedules. The pattern suggested that they learned explicit knowledge of the change in reinforcement on a trail-by-trial basis. They did not have, or need, a full knowledge of the historical interaction leading to each payoff. We also found no evidence of choice differences between participants who were given a guaranteed payment and participants who were paid contingent on their performance, but those given a guaranteed payment were able to report more contingency knowledge as the experiment progressed, suggesting that they explored more rather than settling into a routine. Experiment 2 showed that using a fixed inter-trial interval did not change the results.

  17. Realization of process-set and programme-test%进程创建与检测程序的实现

    Institute of Scientific and Technical Information of China (English)

    朱贵良

    2001-01-01

    This paper abstracts the concep of process-set in operation system and introduces a neu approach of realizing process-set and programme-test in the circumsttances of C+ + builder 3.0 For Windows wile multi-tasks are engaged and coordinate operation of the multi-tasks is required.This approach is expected to be an aid to the development or design of applied programme.%抽象了操作系统中的进程概念,在多任务并行工作环境下,为保证多任务执行的协同性,给出了 C+ +builder 3.0 For Windows环境下进程创建与检测程序的实现方法。可供应用程序开发设计进行参考。

  18. Lessons learned developing a diagnostic tool for HIV-associated dementia feasible to implement in resource-limited settings: pilot testing in Kenya.

    Directory of Open Access Journals (Sweden)

    Judith Kwasa

    Full Text Available To conduct a preliminary evaluation of the utility and reliability of a diagnostic tool for HIV-associated dementia (HAD for use by primary health care workers (HCW which would be feasible to implement in resource-limited settings.In resource-limited settings, HAD is an indication for anti-retroviral therapy regardless of CD4 T-cell count. Anti-retroviral therapy, the treatment for HAD, is now increasingly available in resource-limited settings. Nonetheless, HAD remains under-diagnosed likely because of limited clinical expertise and availability of diagnostic tests. Thus, a simple diagnostic tool which is practical to implement in resource-limited settings is an urgent need.A convenience sample of 30 HIV-infected outpatients was enrolled in Western Kenya. We assessed the sensitivity and specificity of a diagnostic tool for HAD as administered by a primary HCW. This was compared to an expert clinical assessment which included examination by a physician, neuropsychological testing, and in selected cases, brain imaging. Agreement between HCW and an expert examiner on certain tool components was measured using Kappa statistic.The sample was 57% male, mean age was 38.6 years, mean CD4 T-cell count was 323 cells/µL, and 54% had less than a secondary school education. Six (20% of the subjects were diagnosed with HAD by expert clinical assessment. The diagnostic tool was 63% sensitive and 67% specific for HAD. Agreement between HCW and expert examiners was poor for many individual items of the diagnostic tool (K = .03-.65. This diagnostic tool had moderate sensitivity and specificity for HAD. However, reliability was poor, suggesting that substantial training and formal evaluations of training adequacy will be critical to enable HCW to reliably administer a brief diagnostic tool for HAD.

  19. Cross-sectional study of community serostatus to highlight undiagnosed HIV infections with oral fluid HIV-1/2 rapid test in non-conventional settings.

    Science.gov (United States)

    Parisi, Maria Rita; Soldini, Laura; Vidoni, Gianmarino; Clemente, Felice; Mabellini, Chiara; Belloni, Teresa; Nozza, Silvia; Brignolo, Livia; Negri, Silvia; Rusconi, Stefano; Schlusnus, Karin; Dorigatti, Fernanda; Lazzarin, Adriano

    2013-04-01

    The submerged portion of undiagnosed HIV infection in Italy is about 30% of subjects found seropositive. This fact represents one of the most important public health problems hindering the control of infection progression. This means we need to fight unawareness and social stigma and promote easy and friendly access to HIV test. We developed a Prevention Program called “EASY test Project”, offering a new rapid HIV test on oral fluid, to evaluate the acceptability of an alternative, free and anonymous test available in different settings (on board a “Motor Home” at public events, Points of Care, STDs outpatient prevention units and GP surgeries). From December 2008 to December 2012 we performed 7,865 HIV saliva tests, with 50 new infections found (0.6% of the total) out of 140,000 informed subjects. From the self-reported characteristics of respondents, the population approaching the EAST test project was represented by males (70%) aged between 20 and 50 years, 61% with a medium-high education level, 62% homosexuals (MSM), 88% reported unsafe sexual behaviours, and 48% had never undergone an HIV screening test. In five years of the Prevention Program, 100% of subjects interviewed gave a general favorable consent in approaching rapid and not invasive screening, immediate return of the result, and a timely specialized approach and treatment of HIV positive subjects. Results from our study confirm that the rapid and alternative test may contribute to HIV prevention strategies and to the control of the spread of infection and HIV disease progression by reaching a larger population, particularly when and where regular screening procedures are difficult to obtain or are not preferred.

  20. Is serological testing a reliable tool in laboratory diagnosis of syphilis? Meta-analysis of eight external quality control surveys performed by the german infection serology proficiency testing program.

    Science.gov (United States)

    Müller, Iris; Brade, Volker; Hagedorn, Hans-Jochen; Straube, Erich; Schörner, Christoph; Frosch, Matthias; Hlobil, Harald; Stanek, Gerold; Hunfeld, Klaus-Peter

    2006-04-01

    The accuracy of diagnostic tests is critical for successful control of epidemic outbreaks of syphilis. The reliability of syphilis serology in the nonspecialist laboratory has always been questioned, but actual data dealing with this issue are sparse. Here, the results of eight proficiency testing sentinel surveys for diagnostic laboratories in Germany between 2000 and 2003 were analyzed. Screening tests such as Treponema pallidum hemagglutination assay (mean accuracy, 91.4% [qualitative], 75.4% [quantitative]), Treponema pallidum particle agglutination assay (mean accuracy, 98.1% [qualitative], 82.9% [quantitative]), and enzyme-linked immunosorbent assays (ELISAs) (mean qualitative accuracy, 95%) were more reliable than Venereal Disease Research Laboratory (VDRL) testing (mean accuracy, 89.6% [qualitative], 71.1% [quantitative]), the fluorescent treponemal antibody absorption test (FTA-ABS) (mean accuracy, 88% [qualitative], 65.8% [quantitative]), and immunoblot assays (mean qualitative accuracy, 87.3%). Clearly, immunoglobulin M (IgM) tests were more difficult to manage than IgG tests. False-negative results for samples that have been unambiguously determined to be IgM and anti-lipoid antibody positive accounted for 4.7% of results in the IgM ELISA, 6.9% in the VDRL test, 18.5% in the IgM FTA-ABS, and 23.0% in the IgM immunoblot assay. For negative samples, the mean percentage of false-positive results was 4.1% in the VDRL test, 5.4% in the IgM ELISA, 0.7% in the IgM FTA-ABS, and 1.4% in the IgM immunoblot assay. On average, 18.3% of participants misclassified samples from patients with active syphilis as past infection without indicating the need for further treatment. Moreover, 10.2% of laboratories wrongly reported serological evidence for active infection in samples from patients with past syphilis or in sera from seronegative blood donors. Consequently, the continuous participation of laboratories in proficiency testing and further standardization of tests

  1. Stochastic Control - External Models

    DEFF Research Database (Denmark)

    Poulsen, Niels Kjølstad

    2005-01-01

    This note is devoted to control of stochastic systems described in discrete time. We are concerned with external descriptions or transfer function model, where we have a dynamic model for the input output relation only (i.e.. no direct internal information). The methods are based on LTI systems...

  2. Productivity Change and Externalities

    DEFF Research Database (Denmark)

    Kravtsova, Victoria

    2014-01-01

    firms and the economy as a whole. The approach used in the current research accounts for different internal as well as external factors that individual firms face and evaluates the effect on changes in productivity, technology as well as the efficiency of domestic firms. The empirical analysis focuses...... change in different types of firms and sectors of the economy...

  3. Multiple external root resorption.

    Science.gov (United States)

    Yusof, W Z; Ghazali, M N

    1989-04-01

    Presented is an unusual case of multiple external root resorption. Although the cause of this resorption was not determined, several possibilities are presented. Trauma from occlusion, periodontal and pulpal inflammation, and resorption of idiopathic origin are all discussed as possible causes.

  4. Implementation and evaluation of a National External Quality Control Program for Cervical Cytology in Mexico

    Directory of Open Access Journals (Sweden)

    Flisser Ana

    2002-01-01

    Full Text Available Objective. To evaluate cytology laboratories and the performance of cytotechnologists for establishing efficient external quality control for Mexico's National Program for the Prevention and Control of Cervical Cancer. Material and Methods. During January and February 1998, an on-site evaluation of all cytology laboratories of the Ministry of Health found that only 70% of the microscopes were in adequate working conditions, reagents were out of date, and working conditions were sub-optimal. A program for external quality control based on proficiency testing was established for cytotechnologists. Fifty slide sets with 20 Papanicolaou slides and 10 photographic slides were prepared. The sets were given to the cytotechnologists for evaluation and again one year later by courier. Results. Twenty-one percent of microscopes were repaired and 9% replaced; reagents were distributed and laboratory facilities improved. Only 16% of cytotechnologists passed the initial proficiency test. Cytotechnologists received a refresher training course: one year later 67% of them passed the proficiency test. To ascertain that each slide was correctly diagnosed, 41 sets were rescreened by expert cytopathologists or cytologists and their diagnoses compared to the original ones. Thirty-seven sets had 86% to 96% concordance. Conclusions. This new system for external quality control of cervical cytology allowed the opportune and reliable evaluation of the performance of cytotechnologists.

  5. The clinical and economic impact of point-of-care CD4 testing in mozambique and other resource-limited settings: a cost-effectiveness analysis.

    Directory of Open Access Journals (Sweden)

    Emily P Hyle

    2014-09-01

    Full Text Available BACKGROUND: Point-of-care CD4 tests at HIV diagnosis could improve linkage to care in resource-limited settings. Our objective is to evaluate the clinical and economic impact of point-of-care CD4 tests compared to laboratory-based tests in Mozambique. METHODS AND FINDINGS: We use a validated model of HIV testing, linkage, and treatment (CEPAC-International to examine two strategies of immunological staging in Mozambique: (1 laboratory-based CD4 testing (LAB-CD4 and (2 point-of-care CD4 testing (POC-CD4. Model outcomes include 5-y survival, life expectancy, lifetime costs, and incremental cost-effectiveness ratios (ICERs. Input parameters include linkage to care (LAB-CD4, 34%; POC-CD4, 61%, probability of correctly detecting antiretroviral therapy (ART eligibility (sensitivity: LAB-CD4, 100%; POC-CD4, 90% or ART ineligibility (specificity: LAB-CD4, 100%; POC-CD4, 85%, and test cost (LAB-CD4, US$10; POC-CD4, US$24. In sensitivity analyses, we vary POC-CD4-specific parameters, as well as cohort and setting parameters to reflect a range of scenarios in sub-Saharan Africa. We consider ICERs less than three times the per capita gross domestic product in Mozambique (US$570 to be cost-effective, and ICERs less than one times the per capita gross domestic product in Mozambique to be very cost-effective. Projected 5-y survival in HIV-infected persons with LAB-CD4 is 60.9% (95% CI, 60.9%-61.0%, increasing to 65.0% (95% CI, 64.9%-65.1% with POC-CD4. Discounted life expectancy and per person lifetime costs with LAB-CD4 are 9.6 y (95% CI, 9.6-9.6 y and US$2,440 (95% CI, US$2,440-US$2,450 and increase with POC-CD4 to 10.3 y (95% CI, 10.3-10.3 y and US$2,800 (95% CI, US$2,790-US$2,800; the ICER of POC-CD4 compared to LAB-CD4 is US$500/year of life saved (YLS (95% CI, US$480-US$520/YLS. POC-CD4 improves clinical outcomes and remains near the very cost-effective threshold in sensitivity analyses, even if point-of-care CD4 tests have lower sensitivity

  6. External Performance in Low-Income Countries

    OpenAIRE

    Alessandro Prati; Luca A Ricci; Lone Engbo Christiansen; Stephen Tokarick; Thierry Tressel

    2011-01-01

    Assessments of exchange rate misalignments and external imbalances for low-income countries are challenging because methodologies developed for advanced and emerging economies cannot be automatically applied to poorer nations. This paper uses a large database, unique in the set of indicators and number of countries it covers, to estimate the relationship in low-income countries between a set of fundamentals in the medium to long term and the real effective exchange rate, the current account, ...

  7. Printing artificial sweat using ink jet printers for the test set generation in forensics: an image quality assessment of the reproducibility of the printing results

    Science.gov (United States)

    Hildebrandt, Mario; Sturm, Jennifer; Dittmann, Jana

    2013-01-01

    In order to use scientific expert evidence in court hearings, several criteria must be met. In the US jurisdiction the Daubert decision2 has defined several criteria that might be assessed if a testimony is challenged. In particular the potential for testing or actual testing, as well as known or potential error rate are two very important criteria. In order to be able to compare the results with each other, the reproducible creation of evaluation samples is necessary. However, each latent fingerprint is unique due to external inuence factors such as sweat composition or pressure during the application of a trace. Hence, Schwarz1 introduces a method to print latent fingerprints using ink jet printers equipped with artificial sweat. In this paper we assess the image quality in terms of reproducibility and clarity of the printed artificial sweat patterns. For that, we determine the intra class variance from one printer on the same and on different substrates based on a subjective assessment, as well as the inter class variance between different printers of the same model using pattern recognition techniques. Our results indicate that the intra class variance is primarily inuenced by the drying behavior of the amino acid. The inter class is surprisingly large between identical models of one printer. Our evaluation is performed using 100 samples on an overhead foil and 50 samples on a compact disk surface with 5 different patterns (two line structures, a fingerprint image and two di_erent arrows with a larger area with amino acid) acquired with a Keyence VK-X110 laser scanning confocal microscope.11 The results show a significant difference between the two identical printers allowing for differentiating between them with an accuracy of up to 99%.

  8. RC T-Beams Externally Prestressed with Unbonded CFRP

    DEFF Research Database (Denmark)

    Schmidt, Jacob Wittrup; Bennitz, Anders; Nilimaa, Jonny

    2010-01-01

    An experimental test series with seven beams externally prestressed with unbonded CFRP 7 (Carbon Fibre Reinforced Polymer) tendons has been performed. Presence of deviator, initial 8 tendon depth and prestressing force are varied. Results and behaviors are compared to 9 common beam theory, matching...... beams prestressed with steel tendons and a model taken 10 from literature to predict the beams behaviour. The test set-up include a newly developed 11 anchorage and post-tensioning system. From the evaluation it can be seen that CFRP and 12 steel tendons influence the strengthened beams structural...... behavior’s in similar patterns. The 13 small discrepancies is merely referred to different modulus of elasticity in the CFRP and steel 14 used in the tests. Predictions of load-deflection behaviour corresponded acceptable to 15 measured values while the stress experienced by the tendons...

  9. Testing Karasek's Demands-Control Model in restructured healthcare settings: effects of job strain on staff nurses' quality of work life.

    Science.gov (United States)

    Laschinger, H K; Finegan, J; Shamian, J; Almost, J

    2001-05-01

    Job strain among staff nurses has become an increasingly important concern in relationship to employee performance and commitment to the organization in current restructured healthcare settings. The purpose of this study was to test Karasek's Demands-Control Model of job strain by examining the extent to which the degree of job strain in nursing work environments affects staff nurses' perceptions of structural and psychological empowerment, work satisfaction, and organizational commitment. A predictive, nonexperimental design was used to test these relationships in a random sample of 404 Canadian staff nurses. Karasek's Job Content Questionnaire, the Conditions of Work Effectiveness Questionnaire-II, Spreitzer's Psychological Empowerment Questionnaire, Meyer and Allen's Organizational Commitment Questionnaire, and the Global Satisfaction Scale were used to measure the major study variables. Nurses with higher level of job strain were found to be significantly more empowered, more committed to the organization, and more satisfied with their work. Support for Karasek's Demands/Control theory was established in this study.

  10. Feasibility of using training cases from International Spinal Cord Injury Core Data Set for testing of International Standards for Neurological Classification of Spinal Cord Injury items

    DEFF Research Database (Denmark)

    Liu, N; Hu, Z W; Zhou, M W;

    2014-01-01

    STUDY DESIGN: Descriptive comparison analysis. OBJECTIVE: To evaluate whether five training cases of International Spinal Cord Injury Core Data Set (ISCICDS) are appropriate for testing the facts within the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI......) and could thus be used for testing its training effectiveness. METHODS: The authors reviewed the five training cases from the ISCICDS and determined the sensory level (SL), motor level (ML) and American Spinal Injury Association Impairment Scale (AIS) for the training cases. The key points from the training...... cases were compared with our interpretation of the key aspects of the ISNCSCI. RESULTS: For determining SL, three principles of ML, sacral sparing, complete injury, classification of AIS A, B, C and D, determining motor incomplete status through sparing of motor function more than three levels below...

  11. Are Treponema pallidum specific rapid and point-of-care tests for syphilis accurate enough for screening in resource limited settings? Evidence from a meta-analysis.

    Directory of Open Access Journals (Sweden)

    Yalda Jafari

    Full Text Available BACKGROUND: Rapid and point-of-care (POC tests for syphilis are an invaluable screening tool, yet inadequate evaluation of their diagnostic accuracy against best reference standards limits their widespread global uptake. To fill this gap, a systematic review and meta-analysis was conducted to evaluate the sensitivity and specificity of rapid and POC tests in blood and serum samples against Treponema pallidum (TP specific reference standards. METHODS: Five electronic databases (1980-2012 were searched, data was extracted from 33 articles, and Bayesian hierarchical models were fit. RESULTS: In serum samples, against a TP specific reference standard point estimates with 95% credible intervals (CrI for the sensitivities of popular tests were: i Determine, 90.04% (80.45, 95.21, ii SD Bioline, 87.06% (75.67, 94.50, iii VisiTect, 85.13% (72.83, 92.57, and iv Syphicheck, 74.48% (56.85, 88.44, while specificities were: i Syphicheck, 99.14% (96.37, 100, ii Visitect, 96.45% (91.92, 99.29, iii SD Bioline, 95.85% (89.89, 99.53, and iv Determine, 94.15% (89.26, 97.66. In whole blood samples, sensitivities were: i Determine, 86.32% (77.26, 91.70, ii SD Bioline, 84.50% (78.81, 92.61, iii Syphicheck, 74.47% (63.94, 82.13, and iv VisiTect, 74.26% (53.62, 83.68, while specificities were: i Syphicheck, 99.58% (98.91, 99.96, ii VisiTect, 99.43% (98.22, 99.98, iii SD Bioline, 97.95%(92.54, 99.33, and iv Determine, 95.85% (92.42, 97.74. CONCLUSIONS: Rapid and POC treponemal tests reported sensitivity and specificity estimates comparable to laboratory-based treponemal tests. In resource limited settings, where access to screening is limited and where risk of patients lost to follow up is high, the introduction of these tests has already been shown to improve access to screening and treatment to prevent stillbirths and neonatal mortality due to congenital syphilis. Based on the evidence, it is concluded that rapid and POC tests are useful in resource limited settings

  12. Are Treponema pallidum Specific Rapid and Point-of-Care Tests for Syphilis Accurate Enough for Screening in Resource Limited Settings? Evidence from a Meta-Analysis

    Science.gov (United States)

    Jafari, Yalda; Peeling, Rosanna W.; Shivkumar, Sushmita; Claessens, Christiane; Joseph, Lawrence; Pai, Nitika Pant

    2013-01-01

    Background Rapid and point-of-care (POC) tests for syphilis are an invaluable screening tool, yet inadequate evaluation of their diagnostic accuracy against best reference standards limits their widespread global uptake. To fill this gap, a systematic review and meta-analysis was conducted to evaluate the sensitivity and specificity of rapid and POC tests in blood and serum samples against Treponema pallidum (TP) specific reference standards. Methods Five electronic databases (1980–2012) were searched, data was extracted from 33 articles, and Bayesian hierarchical models were fit. Results In serum samples, against a TP specific reference standard point estimates with 95% credible intervals (CrI) for the sensitivities of popular tests were: i) Determine, 90.04% (80.45, 95.21), ii) SD Bioline, 87.06% (75.67, 94.50), iii) VisiTect, 85.13% (72.83, 92.57), and iv) Syphicheck, 74.48% (56.85, 88.44), while specificities were: i) Syphicheck, 99.14% (96.37, 100), ii) Visitect, 96.45% (91.92, 99.29), iii) SD Bioline, 95.85% (89.89, 99.53), and iv) Determine, 94.15% (89.26, 97.66). In whole blood samples, sensitivities were: i) Determine, 86.32% (77.26, 91.70), ii) SD Bioline, 84.50% (78.81, 92.61), iii) Syphicheck, 74.47% (63.94, 82.13), and iv) VisiTect, 74.26% (53.62, 83.68), while specificities were: i) Syphicheck, 99.58% (98.91, 99.96), ii) VisiTect, 99.43% (98.22, 99.98), iii) SD Bioline, 97.95%(92.54, 99.33), and iv) Determine, 95.85% (92.42, 97.74). Conclusions Rapid and POC treponemal tests reported sensitivity and specificity estimates comparable to laboratory-based treponemal tests. In resource limited settings, where access to screening is limited and where risk of patients lost to follow up is high, the introduction of these tests has already been shown to improve access to screening and treatment to prevent stillbirths and neonatal mortality due to congenital syphilis. Based on the evidence, it is concluded that rapid and POC tests are useful in resource

  13. A community-based trial of educational interventions with fecal immunochemical tests for colorectal cancer screening uptake among blacks in community settings.

    Science.gov (United States)

    Christy, Shannon M; Davis, Stacy N; Williams, Kimberly R; Zhao, Xiuhua; Govindaraju, Swapomthi K; Quinn, Gwendolyn P; Vadaparampil, Susan T; Lin, Hui-Yi; Sutton, Steven K; Roethzeim, Richard R; Shibata, David; Meade, Cathy D; Gwede, Clement K

    2016-11-15

    Intervention studies among individuals in diverse community settings are needed to reduce health disparities in colorectal cancer (CRC) screening and mortality rates. The current study compared the efficacy of 2 intervention conditions promoting CRC screening among black individuals. Black individuals ages 50 to 75 years (N = 330) were recruited in community settings in 4 Tampa Bay counties. After obtaining consent and conducting a baseline interview to assess sociodemographic and health-related variables, participants received either a culturally targeted CRC photonovella booklet plus a fecal immunochemical test (FIT) kit or a standard CRC screening brochure plus an FIT kit. The primary outcome was FIT kit screening uptake. FIT screening uptake at 6 months was 86.7% overall (90.3% in the brochure group and 81.9% in the photonovella group). Controlling for baseline between-group differences, there was no influence of intervention on FIT kit uptake (P = .756). Significant predictors of not returning an FIT kit included being unable to work (P = .010), having higher religious belief scores (P = .015), and living farther from the cancer center (P = .015). Providing FIT kits and educational print materials to black individuals in community settings resulted in high rates of CRC screening. The study also identified subgroups of participants who were less likely to return an FIT kit and provides insight for future interventions. Cancer 2016;122:3288-3296. © 2016 American Cancer Society. © 2016 American Cancer Society.

  14. External quality assessment of reading and interpretation of malaria rapid diagnostic tests among 1849 end-users in the Democratic Republic of the Congo through Short Message Service (SMS.

    Directory of Open Access Journals (Sweden)

    Pierre Mukadi

    Full Text Available BACKGROUND: Although malaria rapid diagnostic tests (RDT are simple to perform, they remain subject to errors, mainly related to the post-analytical phase. We organized the first large scale SMS based external quality assessment (EQA on correct reading and interpretation of photographs of a three-band malaria RDT among laboratory health workers in the Democratic Republic of the Congo (DR Congo. METHODS AND FINDINGS: High resolution EQA photographs of 10 RDT results together with a questionnaire were distributed to health facilities in 9 out of 11 provinces in DR Congo. Each laboratory health worker answered the EQA by Short Message Service (SMS. Filled-in questionnaires from each health facility were sent back to Kinshasa. A total of 1849 laboratory health workers in 1014 health facilities participated. Most frequent errors in RDT reading were i failure to recognize invalid (13.2-32.5% or negative test results (9.8-12.8%, (ii overlooking faint test lines (4.1-31.2% and (iii incorrect identification of the malaria species (12.1-17.4%. No uniform strategy for diagnosis of malaria at the health facility was present. Stock outs of RDTs occurred frequently. Half of the health facilities had not received an RDT training. Only two thirds used the RDT recommended by the National Malaria Control Program. Performance of RDT reading was positively associated with training and the technical level of health facility. Facilities with RDT positivity rates >50% and located in Eastern DR Congo performed worse. CONCLUSIONS: Our study confirmed that errors in reading and interpretation of malaria RDTs are widespread and highlighted the problem of stock outs of RDTs. Adequate training of end-users in the application of malaria RDTs associated with regular EQAs is recommended.

  15. Data connectivity: A critical tool for external quality assessment

    Directory of Open Access Journals (Sweden)

    Ben Cheng

    2016-10-01

    Full Text Available Point-of-care (POC tests have been useful in increasing access to testing and treatment monitoring for HIV. Decentralising testing from laboratories to hundreds of sites around a country presents tremendous challenges in training and quality assurance. In order to address these concerns, companies are now either embedding connectivity in their new POC diagnostic instruments or providing some form of channel for electronic result exchange. These will allow automated key performance and operational metrics from devices in the field to a central database. Setting up connectivity between these POC devices and a central database at the Ministries of Health will allow automated data transmission, creating an opportunity for real- time information on diagnostic instrument performance as well as the competency of the operator through external quality assessment. A pilot programme in Zimbabwe shows that connectivity has significantly improve the turn-around time of external quality assessment result submissions and allow corrective actions to be provided in a timely manner. Furthermore, by linking the data to existing supply chain management software, stock-outs can be minimised. As countries are looking forward to achieving the 90-90-90 targets for HIV, such innovative technologies can automate disease surveillance, improve the quality of testing and strengthen the efficiency of health systems.

  16. External Debt and Economic Growth: Evidence from Nigeria

    Directory of Open Access Journals (Sweden)

    Lawal Isola Adedoyin

    2016-12-01

    Full Text Available The study examined the impact of external debt on economic growth in Nigeria for the period 1981-2014 based on annual data sourced from the Central Bank of Nigeria (CBN Statistical Bulletin (various issues and abstract of National Bureau of Statistics (NBS. The researcher examined the existence of Co-integration among the underlying variables using Auto-regressive Distributed Lag (ARDL model after conducting preliminary statistical test to ascertain the normality of the variables as well as stationary of the data set using descriptive and unit root tests. The result of the ARDL test shows that a significant relationship exists between external debt and economic growth both at the long and short run. The study also examined the causality among the variables using Granger causality test and observed that no causality exist among the variables. The study therefore recommends that government should ensure that loans obtained are used to finance profitable projects that would generate reasonable amount of revenue to service the debts and also adequate record of debt payment obligations should be kept and debt should not be allowed to exceed a maximum limit in order to prevent debt overhang.

  17. Sensitivity of Five Rapid HIV Tests on Oral Fluid or Finger-Stick Whole Blood: A Real-Time Comparison in a Healthcare Setting

    Science.gov (United States)

    Pavie, Juliette; Rachline, Anne; Loze, Bénédicte; Niedbalski, Laurence; Delaugerre, Constance; Laforgerie, Eric; Plantier, Jean-Christophe; Rozenbaum, Willy; Chevret, Sylvie; Molina, Jean-Michel; Simon, François

    2010-01-01

    Background Health authorities in several countries recently recommended the expansion of human immunodeficiency virus (HIV) antibody testing, including the use of rapid tests. Several HIV rapid tests are now licensed in Europe but their sensitivity on total blood and/or oral fluid in routine healthcare settings is not known. Methods and Findings 200 adults with documented HIV-1 (n = 194) or HIV-2 infection (n = 6) were prospectively screened with five HIV rapid tests using either oral fluid (OF) or finger-stick whole blood (FSB). The OraQuick Advance rapid HIV1/2® was first applied to OF and then to FSB, while the other tests were applied to FSB, in the following order: Vikia HIV 1/2®, Determine HIV 1–2®, Determine® HIV-1/2 Ag/Ab Combo® and INSTI HIV-1/HIV-2®. Tests negative on FSB were repeated on paired serum samples. Twenty randomly selected HIV-seronegative subjects served as controls, and the results were read blindly. Most patients had HIV-1 subtype B infection (63.3%) and most were on antiretroviral therapy (68.5%). Sensitivity was 86.5%, 94.5%, 98.5%, 94.9%, 95.8% and 99% respectively, with OraQuick OF, OraQuick FSB, Vikia, Determine, Determine Ag/Ab Combo and INSTI (poral fluid than on finger-stick whole blood and less sensitive on finger-stick whole blood than on serum. PMID:20657834

  18. ExternE transport methodology for external cost evaluation of air pollution

    DEFF Research Database (Denmark)

    Jensen, S. S.; Berkowicz, R.; Brandt, J.

    The report describes how the human exposure estimates based on NERI's human exposure modelling system (AirGIS) can improve the Danish data used for exposure factors in the ExternE Transport methodology. Initially, a brief description of the ExternE Tranport methodology is given and it is summaris...

  19. The External Mind

    DEFF Research Database (Denmark)

    The External Mind: an Introduction by Riccardo Fusaroli, Claudio Paolucci pp. 3-31 The sign of the Hand: Symbolic Practices and the Extended Mind by Massimiliano Cappuccio, Michael Wheeler pp. 33-55 The Overextended Mind by Shaun Gallagher pp. 57-68 The "External Mind": Semiotics, Pragmatism......, Extended Mind and Distributed Cognition by Claudio Paolucci pp. 69-96 The Social Horizon of Embodied Language and Material Symbols by Riccardo Fusaroli pp. 97-123 Semiotics and Theories of Situated/Distributed Action and Cognition: a Dialogue and Many Intersections by Tommaso Granelli pp. 125-167 Building...... Action in Public Environments with Diverse Semiotic Resources by Charles Goodwin pp. 169-182 How Marking in Dance Constitutes Thinking with the Body by David Kirsh pp. 183-214 Ambiguous Coordination: Collaboration in Informal Science Education Research by Ivan Rosero, Robert Lecusay, Michael Cole pp. 215-240...

  20. Economic communication model set

    Science.gov (United States)

    Zvereva, Olga M.; Berg, Dmitry B.

    2017-06-01

    This paper details findings from the research work targeted at economic communications investigation with agent-based models usage. The agent-based model set was engineered to simulate economic communications. Money in the form of internal and external currencies was introduced into the models to support exchanges in communications. Every model, being based on the general concept, has its own peculiarities in algorithm and input data set since it was engineered to solve the specific problem. Several and different origin data sets were used in experiments: theoretic sets were estimated on the basis of static Leontief's equilibrium equation and the real set was constructed on the basis of statistical data. While simulation experiments, communication process was observed in dynamics, and system macroparameters were estimated. This research approved that combination of an agent-based and mathematical model can cause a synergetic effect.